I-914b Frm Toc

I914SupA-004-FRM-TOC-BiometricsRule-NPRM-05192020.docx

Application for T Nonimmigrant Status; Application for Immediate Family Member of T-1 Recipient; & Declaration of Law Enforcement Officer for Victim of Trafficking in Persons

I-914B FRM TOC

OMB: 1615-0099

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TABLE OF CHANGES – FORM

Supplement A to Form I-914, Application for Family Member of T-1 Recipient

OMB Number: 1615-0099

05/13/2020


Reason for Revision: Biometrics Rule

Project Phase: NPRM


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes

Expires 04/30/2021

Edition Date 04/15/2019



Current Page Number and Section

Current Text

Proposed Text

New


[page x]


Part C. Biographic Information


1.  Ethnicity (Select only one box)

Hispanic or Latino

Not Hispanic or Latino


2.  Race (Select all applicable boxes)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White


3.  Height  Feet__ Inches __


4.  Weight    Pounds _ ­_ _


5.  Eye Color (Select only one box)

Black

Blue

Brown

Gray

Green

Hazel

Maroon

Pink

Unknown/Other


6.  Hair Color (Select only one box)

Bald (No hair)

Black

Blond

Brown

Gray

Red

Sandy

White

Unknown/Other


Page 2,

PART C. General Information About You (the principal)

[page 2]


PART C. General Information About You (the principal)



[page 2]


PART D. General Information About You (the principal)



Pages 2-3,

PART D. Information About Your Family Member (the derivative)

[page 2]


PART D. Information About Your Family Member (the derivative)



[page 2]


PART E. Information About Your Family Member (the derivative)


Pages 3-6,

PART E. Processing Information

[page 3]


PART E. Processing Information



[page 3]


PART F. Processing Information



Pages 7-8,

Part F. Applicant’s Statement, Contact Information, Declaration, Certification, and Signature

[page 7]


Part F. Applicant’s Statement, Contact Information, Declaration, Certification, and Signature



B. The interpreter named in Part G. read to me every question and instruction on this application and my answer to every question in [Fillable Field], a language in which I am fluent, and I understood everything.



At my request, the preparer named in Part H., [Fillable Field], prepared this application for me based only upon information I provided or authorized.



I furthermore authorize release of information contained in this application, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law.


I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that:


1) I reviewed and understood all of the information contained in, and submitted with, my application; and


2) All of this information was complete, true, and correct at the time of filing.


I certify, under penalty of perjury, that all of the information in my application and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my application and that all of this information is complete, true, and correct.


[page 7]


Part G. Applicant’s Statement, Contact Information, Declaration, Certification, and Signature



B. The interpreter named in Part H. read to me every question and instruction on this application and my answer to every question in [Fillable Field], a language in which I am fluent, and I understood everything.



At my request, the preparer named in Part I., [Fillable Field], prepared this application for me based only upon information I provided or authorized.



I furthermore authorize release of information contained in this application, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law.


[deleted]















I certify, under penalty of perjury, that all of the information in my application and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my application and that all of this information is complete, true, and correct.




Page 8,

PART G. Interpreter's Contact Information, Certification, and Signature

[page 8]


PART G. Interpreter's Contact Information, Certification, and Signature



I am fluent in English and [Fillable Field], which is the same language specified in Part F., Item B. in Item Number 1., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Declaration and Certification, and has verified the accuracy of every answer.



[page 8]


PART H. Interpreter's Contact Information, Certification, and Signature



I am fluent in English and [Fillable Field], which is the same language specified in Part G., Item B. in Item Number 1., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Declaration and Certification, and has verified the accuracy of every answer.


Page 9,

PART H. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant

[page 9]


PART H. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant


[page 9]


PART I. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMulvihill, Timothy R
File Modified0000-00-00
File Created2021-01-13

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