Billing Code 9111-97
DEPARTMENT OF HOMELAND SECURITY
U.S. Citizenship and Immigration Services
[OMB Control Number 1615-0099]
Agency Information Collection Activities; Revision of a Currently Approved
Collection: Application for T Nonimmigrant Status, Application for Derivative T
Nonimmigrant Status, and Declaration for Trafficking Victim
AGENCY: U.S. Citizenship and Immigration Services, Department of Homeland Security.
ACTION: 30-day notice.
SUMMARY: The Department of Homeland Security (DHS), U.S. Citizenship and Immigration
Services (USCIS) will be submitting the following information collection request to the Office of
Management and Budget (OMB) for review and clearance in accordance with the Paperwork
Reduction Act of 1995. The purpose of this notice is to allow an additional 30 days for public
comments.
DATES: Comments are encouraged and will be accepted until [INSERT DATE 30 DAYS
AFTER DATE OF PUBLICATION IN THE FEDERAL REGISTER].
ADDRESSES: Written comments and/or suggestions regarding the item(s) contained in this
notice, especially regarding the estimated public burden and associated response time, must be
submitted via the Federal eRulemaking Portal Web site at http://www.regulations.gov under eDocket ID number USCIS-2006-0059. All submissions received must include the OMB Control
Number 1615-0099 in the body of the letter, the agency name and Docket ID USCIS-2006-0059.
FOR FURTHER INFORMATION CONTACT: USCIS, Office of Policy and Strategy,
Regulatory Coordination Division, Samantha Deshommes, Chief, Telephone number (240) 7213000 (This is not a toll-free number; comments are not accepted via telephone message.). Please
note contact information provided here is solely for questions regarding this notice. It is not for
individual case status inquiries. Applicants seeking information about the status of their

individual cases can check Case Status Online, available at the USCIS Web site at
http://www.uscis.gov, or call the USCIS Contact Center at (800) 375-5283; TTY (800) 7671833.
SUPPLEMENTARY INFORMATION:
Comments:
DHS previously published an information collection notice for within the Classification
for Victims of Severe Forms of Trafficking in Persons; Eligibility for ‘‘T’’ Nonimmigrant Status
(RIN 1615-AA59) final rule in the Federal Register on April 30, 2024, at 89 FR 34864, allowing
for a 60-day public comment period. USCIS did receive 3 comments in connection with the 60day notice.
You may access the information collection instrument with instructions, or additional
information by visiting the Federal eRulemaking Portal site at: http://www.regulations.gov and
enter USCIS-–2011–0010 in the search box. Comments must be submitted in English, or an
English translation must be provided. The comments submitted to USCIS via this method are
visible to the Office of Management and Budget and comply with the requirements of 5 CFR
1320.12(c). All submissions will be posted, without change, to the Federal eRulemaking Portal
at http://www.regulations.gov, and will include any personal information you
provide. Therefore, submitting this information makes it public. You may wish to consider
limiting the amount of personal information that you provide in any voluntary submission you
make to DHS. DHS may withhold information provided in comments from public viewing that
it determines may impact the privacy of an individual or is offensive. For additional
information, please read the Privacy Act notice that is available via the link in the footer of
http://www.regulations.gov.
Written comments and suggestions from the public and affected agencies should address
one or more of the following four points:

(1) Evaluate whether the proposed collection of information is necessary for the proper
performance of the functions of the agency, including whether the information will have
practical utility;
(2) Evaluate the accuracy of the agency’s estimate of the burden of the proposed
collection of information, including the validity of the methodology and assumptions used;
(3) Enhance the quality, utility, and clarity of the information to be collected; and
(4) Minimize the burden of the collection of information on those who are to respond,
including through the use of appropriate automated, electronic, mechanical, or other
technological collection techniques or other forms of information technology, e.g., permitting
electronic submission of responses.
Overview of this Information Collection:
(1) Type of Information Collection: Revision of a Currently Approved Collection.
(2) Title of the Form/Collection: Application for T Nonimmigrant Status, Application
for Derivative T Nonimmigrant Status, and Declaration for Trafficking Victim.
(3) Agency form number, if any, and the applicable component of the DHS sponsoring
the collection: Form I-914; USCIS.
(4) Affected public who will be asked or required to respond, as well as a brief abstract:
Primary: Individuals or households. Form I-914 permits victims of a severe form of trafficking
in persons and certain eligible family members to demonstrate that they qualify for temporary
nonimmigrant status pursuant to the Victims of Trafficking and Violence Protection Act of 2000,
and to receive temporary immigration benefits.
(5) An estimate of the total number of respondents and the amount of time estimated for
an average respondent to respond: Form I-914, 1,310 responses at 2.63 hours per response;
Form I-914, Supplement A, 1,120 responses at 1.083 hours per response; Form I-914,
Supplement B (section that officer completes), 459 responses at 3.58 hours per response; Form I914, Supplement B (section that respondent completes), 459 responses at .25 hours per response.

Biometric processing 2,430 respondents requiring Biometric Processing at an estimated 1.17
hours per response.
(6) An estimate of the total public burden (in hours) associated with the collection: The
total estimated annual hour burden associated with this collection is 9,261 hours.
(7) An estimate of the total public burden (in cost) associated with the collection: The
estimated total annual cost burden associated with this collection of information is $2,532,300.
Dated: July 8, 2024.
Samantha L Deshommes,
Chief,
Regulatory Coordination Division,
Office of Policy and Strategy,
U.S. Citizenship and Immigration Services,
Department of Homeland Security.
BILLING CODE 9111-97

[FR Doc. 2024-15273 Filed: 7/10/2024 8:45 am; Publication Date: 7/11/2024]