I-914 Supplement B Instructions Table of Changes

I914SupB-002-INS-TOC-TFinalRule-30Day-07082024.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-914 Supplement B Instructions Table of Changes

OMB: 1615-0099

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TABLE OF CHANGES – INSTRUCTIONS

Supplement B to Form I-914, Declaration for Trafficking Victim

OMB Number: 1615-0099

07/08/2024


Reason for Revision: T Final Rule

Project Phase: 30-Day


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 02/28/2026

Edition Date 04/01/2024



Current Page Number and Section

Current Text

Proposed Text

Page 1,

What Is the Purpose of Form I-914, Supplement B?

[Page 1]


What Is the Purpose of Form I-914, Supplement B?


Federal, state, local, and tribal law enforcement officials should use Form I-914, Supplement B, Declaration of Law Enforcement Officer for Victim of Trafficking in Persons, to provide evidence to United States Citizenship and Immigration Services (USCIS) that you believe an individual (the applicant) submitting Form I-914, Application for T Nonimmigrant Status, is a victim of a severe form of trafficking in persons and has cooperated with your reasonable requests for assistance in an investigation or prosecution of a crime where trafficking is at least one central reason for the commission of that crime. USCIS (not the Federal, state, local, or tribal law enforcement official) will decide whether the applicant meets the eligibility requirements for T nonimmigrant status. A formal investigation or prosecution is not required in order for your agency to complete this declaration.


[Page 1]


What Is the Purpose of Form I-914, Supplement B?


You, as a Federal, State, Tribal, or local law enforcement official use Form I-914, Supplement B, Declaration for Trafficking Victim, to provide evidence to United States Citizenship and Immigration Services (USCIS) that you believe an individual (the applicant) submitting Form I-914, Application for T Nonimmigrant Status, is a victim of a severe form of trafficking in persons and has cooperated with any reasonable requests for assistance in an investigation or prosecution (if opened or initiated) of a crime where trafficking is at least one central reason for the commission of that crime. USCIS (not the Federal, State, Tribal, or local law enforcement official) will decide whether the applicant meets the eligibility requirements for T nonimmigrant status. A formal investigation or prosecution is not required in order for your agency to complete this declaration.



Pages 1-2,

When Should I Use Form I-914, Supplement B?


[Page 1]


When Should I Use Form I-914, Supplement B?


If you, the certifying Federal, state, local, or tribal law enforcement official, believe that this individual is or has been a victim of a severe form of trafficking in persons and has cooperated with your reasonable requests for assistance in your investigation or prosecution, you may complete this Supplement B. You should complete all fields of this form yourself. Supplement B must be signed with an original signature. A photocopy of a signed application or a typewritten name in place of a signature is not acceptable. The applicant will submit Supplement B, to USCIS with his or her application for T nonimmigrant status.



To be eligible for T nonimmigrant status, the applicant must demonstrate to USCIS that he or she:


1. Is or was a victim of a severe form of trafficking in persons (see Supplement B, Part 3. Statement of Claim, for a definition);


2. Is present in the United States as a result of being a victim of a severe form of trafficking in persons (including physical presence based on having been allowed entry into the United States to participate in investigative or judicial processes associated with an act or perpetrator of trafficking);


3. Has complied with any reasonable requests from Federal, state, local, or tribal law enforcement in the investigation or prosecution of the trafficking crime of which he or she was a victim; unless




[Page 2]


A. The applicant is under 18 years of age; or


B. He or she is unable to cooperate due to physical or psychological trauma; and






4. Would suffer extreme hardship involving unusual and severe harm upon removal from the United States.


USCIS (not the certifying Federal, state, or local, and tribal law enforcement official) determines whether the evidence is sufficient and whether the applicant meets each eligibility requirement. A signed declaration provides valuable evidence of the victim’s cooperation. However, the applicant may establish eligibility without submitting the Supplement B, as it is not a required form of evidence.


[Page 1]


When Should I Use Form I-914, Supplement B?


If you, the certifying Federal, State, Tribal, or local law enforcement official, believe the applicant is or has been a victim of a severe form of trafficking in persons and has cooperated with any reasonable requests for assistance in your investigation or prosecution (if opened or initiated), you may complete this Supplement B. You should complete all fields of this form yourself. Supplement B must be signed with an original signature. A photocopy of a signed application or a typewritten name in place of a signature is not acceptable. The applicant will submit Supplement B, to USCIS with their Form I-914.



To be eligible for T nonimmigrant status, the applicant must demonstrate to USCIS that they:


1. Are or were a victim of a severe form of trafficking in persons (see Supplement B, Part 3. Statement of Claim, for a definition);


2. Are present in the United States on account of being a victim of a severe form of trafficking in persons (including physical presence based on having been allowed entry into the United States to participate in investigative or judicial processes associated with an act or perpetrator of trafficking);


3. Have complied with any reasonable requests from Federal, State, Tribal, or local law enforcement in the investigation or prosecution of the trafficking crime of which they were a victim; unless






A. The applicant is under 18 years of age; or


B. They are unable to cooperate due to physical or psychological trauma; and




[Page 2]


4. Would suffer extreme hardship involving unusual and severe harm upon removal from the United States.


USCIS (not the certifying Federal, State, Tribal, or local law enforcement official) determines whether the evidence is sufficient and whether the applicant meets each eligibility requirement. A signed Supplement B provides valuable evidence of the victim’s cooperation. However, the applicant may establish eligibility without submitting the Supplement B, as it is not a required form of evidence.

Pages 2-3,


General Instructions

[Page 2]


General Instructions


1. Type or print legibly in black ink.


2. If extra space is needed to complete any item, attach an additional sheet of paper. Type or print the victims name and Alien Registration Number (A-Number), if known, at the top of each sheet of paper and indicate the part and number of the item to which the answer refers.





3. Answer all questions fully and accurately. State that an item is not applicable with “N/A.” If the answer is none, type or print “None.”





[Page 2]


General Instructions


1. Type or print legibly in black ink.


2. If extra space is needed to complete any item on the form, use the space provided in Part 7. Additional Information or attach an additional sheet of paper. Type or print the victims name and Alien Registration Number (A-Number), if known, at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.


3. Answer all questions fully and accurately. State that an item is not applicable with “N/A.” If the answer is none, type or print “None.” If you do not know the answer to a question, leave the field blank.


[Moved down to new Specific Instructions section]

New


And


Pages 2-3,

General Instructions

[Page 2]




[Page 1, General Instructions]


This form is divided into Parts 1. - 6. The following information will help you fill out the form:


Part 1. Victim Information


1. Full Legal Name. Provide the legal name of the victim, as shown on his or her birth certificate, passport or other legal name change document. If the victim has two last names, include both and use a hyphen (-) between the names, if appropriate. Type or print the victims last, first and middle names in each appropriate field.


2. Other Names Used. You should provide all the names the victim has used, including maiden name, nicknames, aliases, etc.


3. Date of Birth. Use eight numbers to show the victims date of birth (example: May 1, 1979, should be written 05/01/1979).


4. Gender or Sex. Select the appropriate box.


5. A-Number. Provide the USCIS (former INS) file number if there is one, and if it is known to you.


6. Social Security Number. Provide the Social Security Number if there is one, and if it is known to you.


Part 2. Agency Information


1. Name of Certifying Agency. The certifying agency must be a Federal, state, local, or tribal law enforcement agency, prosecutor, judge, labor agency, children's protective services agency, or other authority that has the responsibility and authority for the detection, investigation, and/or prosecution of severe forms of trafficking in persons. 8 CFR 214.11.




2. Name, Title, and Division/Office of Certifying Official. Give your name, title, and division or office.


3. Agency Mailing Address. Give the agencys mailing address.


4. Daytime Telephone Number and Fax Number. Give your phone number and fax number with area code.


5. Agency Type. Select the appropriate box.


6. Case Information. Provide the case status information and case identification number, if applicable.








Part 3. Statement of Claim


1. In order to qualify for T nonimmigrant status, the applicant must be or have been a victim of a severe form of trafficking in persons. Select the box that describes the applicant’s victimization.

















[Page 3, General Instructions]


A. Sex trafficking where the commercial sex act was induced through the use of force, fraud or coercion. Sex trafficking is the recruitment, harboring, transportation, provision, obtaining, patronizing, or soliciting of a person for the purpose of inducing a commercial sex act.


B. Sex trafficking where the victim is under 18 years of age. Inducing an individual under 18 years of age to perform a commercial sex act is considered sex trafficking, regardless of the use of force, fraud, or coercion.


C. Labor trafficking: the recruitment, harboring, transportation, provision, or obtaining of a person for labor or services through the use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery.


D. Other. Attach additional sheets to explain.




2. Describe the victimization the applicants claim is based on and identify the relationship of the victimization to the crime investigated or prosecuted by attaching additional sheets. Attach the results of any name or database inquiry and any relevant reports or findings. Attach additional sheets if necessary.


3. Explain if the individual has expressed any fear of retaliation or revenge if they are removed from the United States.





4. Provide the dates on which the acts of trafficking occurred.


5. List the statutory citations that are or were being investigated or prosecuted.


6. Provide the date on which the investigation or prosecution was initiated.


7. Provide the date on which the investigation or prosecution was completed, if any.


Part 4. Cooperation of Victim


In order to qualify for T nonimmigrant status, the individual must show that he or she has complied with any reasonable requests from Federal, state, local, or tribal law enforcement in the investigation or prosecution of the acts of trafficking of which he or she was a victim (unless he or she is under 18 years of age or he or she is unable to cooperate with the request due to physical or psychological trauma). It is not necessary for you to demonstrate that the cooperation of the victim led to a formal investigation, arrest, or prosecution. If the applicant is unable to cooperate with law enforcement’s reasonable request due to physical or psychological trauma or age, the applicant must provide evidence to this effect.



Select the box that describes the individuals cooperation with you and explain, attaching additional sheets if necessary.





Part 5. Family Members Implicated in Trafficking


List whether any of the victims family members are believed to have been involved in the trafficking in persons.


A principal applicant is prohibited from filing for derivative T nonimmigrant status on behalf of a family member who participated in the trafficking that established the principal applicant’s eligibility. Therefore, USCIS will not grant an immigration benefit to a family member who committed trafficking.






Part 6. Attestation


The law enforcement officer filling out this form (identified in Part 2. of Supplement B), and their supervisor, must sign and date the form in this section.





Supplement B must have an original signature. A photocopy of a signed declaration or a typewritten name in place of a signature is not acceptable.


[new]






[Page 2]


Specific Instructions




This form is divided into Parts 1. - 7. The following information will help you fill out the form:


Part 1. Victim Information


1. Full Legal Name. Provide the legal name of the victim, as shown on their birth certificate, passport, or other legal document. If the victim has two last names, include both and use a hyphen (-) between the names, if appropriate. Type or print the victims last, first, and middle names in each appropriate field.



2. Other Names Used. You should provide all the names the victim has used, including maiden name, nicknames, aliases, etc.


3. Date of Birth. Use eight numbers to show the victims date of birth (example: May 1, 1979, should be written 05/01/1979).


4. Gender. Indicate how the victim identifies.


5. A-Number. Provide the USCIS (former INS) file number if there is one, and if it is known to you.


6. Social Security Number. Provide the Social Security Number if there is one, and if it is known to you.


Part 2. Agency Information


1. Name of Certifying Agency. The certifying agency must be a Federal, State, Tribal, or local, law enforcement agency, prosecutor, judge, labor agency, children's protective services agency, adult protective services agency, or other authority that has the responsibility and authority for the detection, investigation, and/or prosecution of severe forms of trafficking in persons under any administrative, civil, criminal, or Tribal laws. 8 CFR 214.201.


2. – 4. Name, Title, and Division/Office of Certifying Official. Give your name, title, and division or office.


5. Agency Mailing Address. Give the agencys mailing address.


6. -7. Daytime Telephone Number and Fax Number. Give your phone number and fax number with area code.


8. Agency Type. Select the appropriate box.


9. - 12. Case Information. Provide the case status information and, if applicable, the case identification number, FBI Universal Control Number (UCN), or State Identification Number (SID).




[Page 3]


Part 3. Statement of Claim


1. In order to qualify for T nonimmigrant status, the applicant must be or have been a victim of a severe form of trafficking in persons. Select all applicable boxes that describe the applicant’s victimization. It is not necessary for the victim to actually perform the labor or commercial sex act(s) to be eligible for T nonimmigrant status.


NOTE: Base your analysis on the practices to which the victim was subjected, rather than on the specific violations charged, the counts on which convictions were obtained, or whether any prosecution resulted in convictions. The definitions that control this analysis are not the elements of criminal offenses, but are those in 8 CFR 214.201.






A. Sex trafficking where the commercial sex act was induced through the use of force, fraud or coercion. Sex trafficking is the recruitment, harboring, transportation, provision, obtaining, patronizing, or soliciting of a person for the purpose of inducing a commercial sex act.


B. Sex trafficking where the victim was under 18 years of age at the time the acts of trafficking occurred. Inducing an individual under 18 years of age to perform a commercial sex act is considered sex trafficking, regardless of the use of force, fraud, or coercion.


C. Labor trafficking: the recruitment, harboring, transportation, provision, or obtaining of a person for labor or services through the use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery.


D. Other. If you need extra space to complete this section, use the space provided in Part 7. Additional Information.


2. Describe the victimization on which the applicants claim is based and identify the relationship between that victimization and the crime investigated or prosecuted. If you need extra space to complete this section, use the space provided in Part 7. Additional Information.



3. Explain if the individual has expressed any fear of retaliation or revenge if they are removed from the United States. If you need extra space to complete this section, use the space provided in Part 7. Additional Information.


4. Provide the dates on which the acts of trafficking occurred.


5. List the statutory citations that are or were being investigated or prosecuted.


6. Provide the date on which the investigation or prosecution was initiated.


7. Provide the date on which the investigation or prosecution was completed, if any.


Part 4. Cooperation of Victim


In order to qualify for T nonimmigrant status, the applicant must show that they have complied with any reasonable requests from Federal, State, Tribal, or local law enforcement in the investigation or prosecution of the acts of trafficking of which they were a victim (unless they were under 18 years of age at the time the acts of trafficking occurred or they are unable to cooperate with the request due to physical or psychological trauma). It is not necessary for you to demonstrate that the cooperation of the victim led to a formal investigation, arrest, or prosecution. If the applicant is unable to cooperate with law enforcement’s reasonable request due to physical or psychological trauma or age, the applicant must provide evidence to this effect.


Select the boxes that describe the individuals cooperation with the investigation or prosecution of the acts of trafficking and provide an explanation. If you need extra space to complete this section, use the space provided in Part 7. Additional Information.


Part 5. Family Members Implicated in Trafficking


List whether any of the victims family members are believed to have been involved in the trafficking in persons.


NOTE: A victim cannot apply for derivative T nonimmigrant status for a family member who participated in the acts of trafficking that established the victim’s eligibility for T nonimmigrant status, and USCIS will not grant an immigration benefit to a family member who committed trafficking.




[Page 4]


Part 6. Attestation


You, the certifying Federal, State, Tribal, or local law enforcement official filling out this form (identified in Part 2. of Supplement B), must sign and date the form in this section. Further, your supervisor must provide their name and sign and date this supplement.


Supplement B must have an original signature. A photocopy of a signed declaration or a typewritten name in place of a signature is not acceptable.


Part 7. Additional Information


Item Numbers 1. - 7. If you need extra space to provide any additional information in this form, use the space provided in Part 7. Additional Information. If you need more space than what is provided in Part 7., you may make copies of Part 7. to complete and file with your supplement, or attach a separate sheet of paper. Type or print the victim’s name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.


Page 4,

How Can I Provide Further Information at a Later Date?

[Page 4]


How Can I Provide Further Information at a Later Date?


An agency can provide further information to USCIS or formally revoke Form I-914, Supplement B, at a later date, even after this form is submitted to USCIS, if there is new information or if the victim is no longer cooperating with a reasonable request for assistance in an investigation or prosecution. You should notify USCIS by sending a written statement to:


USCIS

Vermont Service Center

38 River Road

Essex Junction, VT 05479-0001


An agency should send a letter on official agency letterhead to USCIS at the address above describing the reasons for providing further information or the reasons for revoking the declaration. Include the victims name, date of birth, and A-Number (if available) on all correspondence. USCIS will allow the victim to rebut this information.


[Page 4]


How Can I Provide Further Information at a Later Date?


An agency can provide further information to USCIS or formally withdraw or disavow Form I-914, Supplement B, at a later date, even after this form is submitted to USCIS, if there is new information or if the victim is no longer cooperating with a reasonable request for assistance in an investigation or prosecution. Send any written statement to USCIS at:


USCIS

Vermont Service Center

38 River Road

Essex Junction, VT 05479-0001


An agency should send a letter on official agency letterhead to USCIS at the address above describing the reasons for providing further information or the reasons for withdrawing or disavowing the declaration. Include the victims name, date of birth, and A-Number (if available) on all correspondence. USCIS will allow the victim to rebut this information.


Page 4,

DHS Privacy Notice

[Page 4]


DHS Privacy Notice


AUTHORITIES: The information requested on this application, and the associated evidence, is collected under Public Law106-386 sections 107(e) and 1513(c) and 8 USC 1101(a)(15)(T).


PURPOSE: The primary purpose for providing the requested information on this application is to determine if you have established eligibility for temporary immigration benefits for which you are filing. Department of Homeland Security (DHS) uses the information you provide to grant or deny the immigration benefit you are seeking.



CONFIDENTIALITY: Information concerning principal applicants for T nonimmigrant status and the family members they apply for is protected under 8 U.S.C. Section 1367.


DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your Social Security number (if applicable), and any requested evidence, may delay a final decision or result in denial of your application.


[Page 4]


DHS Privacy Notice


AUTHORITIES: The information requested on this application, and the associated evidence, is collected under Public Law106-386 sections 107(e) and 1513(c) and 8 USC 1101(a)(15)(T).


PURPOSE: The primary purpose for providing the requested information on this application is to determine if the applicant has established eligibility for temporary immigration benefits for which the applicant is filing. Department of Homeland Security (DHS) uses the information you provide to grant or deny the immigration benefit the applicant is seeking.


CONFIDENTIALITY: Information concerning principal applicants for T nonimmigrant status and the family members they apply for is protected under 8 U.S.C. Section 1367.


DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including the applicant’s Social Security number (if applicable), and any requested evidence, may delay a final decision or result in denial of the application.



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