View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0970-0467
ICR Reference No:
201910-0970-001
Status:
Historical Active
Previous ICR Reference No:
201508-0970-009
Agency/Subagency:
HHS/ACF
Agency Tracking No:
ORR
Title:
Trafficking Victim Assistance Program Data
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
01/06/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/07/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2023
36 Months From Approved
Responses
5,048
0
0
Time Burden (Hours)
2,006
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
This information collection is related to and funded by Trafficking Victim Assistance Program, is authorized by Trafficking Victims Protection Act of 2000 (22 U.S.C. 7105(b)(1)(B)), as amended, and is being conducted by the Office on Trafficking in Persons (OTIP). This is a revised collection. The Trafficking Victim Assistance Program (TVAP) funds grantees to provide comprehensive case management to foreign national victims of human trafficking pursuing HHS Certification with the support of a national network of service providers. OTIP seeks to revise the current information collection to measure grantee progress and performance, improve program evaluation, inform policy, assess program outcomes, and build a response to human trafficking that is responsive to the needs of victims. ACF proposes to collect information from TVAP grant project participants through the grantees on a monthly, quarterly, or annual basis, including participant demographics (age, sex, and country of origin), type of trafficking experienced (sex, labor, or both), enrollment status, types of services and benefits provided, types of health screening and medical services received, the names of the entities providing medical services, the amount of money expended on each type of medical service provided, types of partnerships developed through the grant with subrecipients, and the types of training and technical assistance provided to subrecipient organizations or other partners.
Authorizing Statute(s):
US Code:
22 USC 7105
Name of Law: Trafficking Victims Protection Act of 2000 (as amended)
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
83 FR 64580
12/17/2018
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 53446
10/07/2019
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
9
IC Title
Form No.
Form Name
Barriers to Service Delivery and Monitoring Form
4
Barriers to Service Delivery and Monitoring Form
Client Case Closure Form
3
Client Case Closure Form
Client Characteristics and Enrollment Form
1
Client Characteristics and Enrollment Form
Client Service Use and Delivery Form
2
Client Service Use and Delivery Form
Partnership Development Enrollment Form
6
Partnership Development Enrollment Form
Partnership Development Exit form
7
Partnership Development Exit form
Request for Information
1
Sample Instrument TVAP data
TVAP Spending Form
5
TVAP Spending Form
Technical Assistance Form
9
Technical Assistance Form
Training Form
8
Training Form
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
5,048
0
0
3,798
0
1,250
Annual Time Burden (Hours)
2,006
0
0
1,693
0
313
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
This is a revised collection under OMB #0970-0467. ACF seeks to request additional information from respondents to measure grantee progress and performance, improve program evaluation, inform policy development, assess program outcomes, and build a response to human trafficking that is responsive to the needs of survivors.
Annual Cost to Federal Government:
$14,323
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Molly Buck 202 205-4724 mary.buck@acf.hhs.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
10/07/2019
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