View Information Collection Request (ICR) Package

OMB Control No: 0970-0362	ICR Reference No: 202107-0970-002
Status: Historical Active	Previous ICR Reference No: 201802-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No: OTIP
Title: Request for Assistance for Child Victims of Human Trafficking
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/08/2021
	Date Received in OIRA: 07/07/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2024	36 Months From Approved	09/30/2021
Responses	1,200	0	800
Time Burden (Hours)	1,200	0	800
Cost Burden (Dollars)	0	0	0

Abstract: The Trafficking Victims Protection Act (TVPA) of 2000, as amended, directs the Secretary of the U.S. Department of Health and Human Services (HHS), upon receipt of credible information that a foreign national minor may have been subjected to a severe form of trafficking in persons and is seeking assistance available to victims of trafficking, to promptly determine if the child is eligible for benefits and services to the same extent as refugees. In 2015 HHS delegated this authority to the Office on Trafficking in Persons (OTIP). OTIP developed a form (RFA, OMB Control Number 0970-0362) for case managers, attorneys, law enforcement officers, child welfare workers, and other representatives to report these trafficking concerns to HHS in accordance with the TVPA of 2000, as amended, and allow for OTIP to review the concerns and determine eligibility for benefits. The form asks the requester for their identifying information, identifying information for the foreign national minor, and information describing the potential trafficking concerns. The information provided through the completion of the RFA form enables OTIP to make prompt determinations regarding a foreign national minor’s eligibility for assistance, facilitate the required consultation process should the minor receive interim assistance, and enables OTIP to assess and address potential child protection issues. The form takes into consideration the need to compile information regarding a child’s circumstances and experiences in a non-directive, child-friendly way, and assists the potential requester in assessing whether the child may have been subjected to a severe form of trafficking in persons. Finally, the form allows OTIP to provide uniform and consistent guidance to those representing potential victims about how to request assistance for a child with potential trafficking concerns. Without a form, OTIP would be limited to notifying potential requesters about the assistance the law permits and providing a phone number or email address at OTIP for further information. An OTIP Child Protection Specialist would then have to describe to each potential requester the information sought in the form, which would likely require multiple follow-up calls, and possibly multiple interviews with the child, which could cause retraumatization. Furthermore, the absence of a form to collect information necessary to process an RFA could result in errors in the information collection causing a child that should be eligible for benefits and services as a victim of trafficking to be denied access to assistance.

Authorizing Statute(s): US Code: 22 USC 7105 (b) Name of Law: Trafficking Victims Protection Act of 2000 (TVPA), 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:
	86 FR 16376	03/29/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 35801	07/07/2021
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Request for Assistance for Child Victims of Human Trafficking	1

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,200	800	400
Annual Time Burden (Hours)	1,200	800	400
Annual Cost Burden (Dollars)	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: No

Burden Reduction Due to:

Short Statement: The number of requests for assistance received by OTIP is impacted by a variety of social, political, and environmental factors that fluctuate each year. When the RFA form was originally submitted for clearance in FY18, OTIP based its estimated number of respondents by averaging the number of requests received over the previous three fiscal years Based on experience since approval in FY18, OTIP has increased the estimated number of respondents to 1200. The estimated time per response remains the same. The minor revisions made to the form, as described below, do not impact the overall time required to respond but do enable OTIP to better fulfill its mandate in accordance with the TVPA of 2000, as amended. These revisions allow OTIP to be more responsive to congressional inquiries, federal reporting requirements, and the needs of victims, as the information provided is factored into policy and program development efforts.

Annual Cost to Federal Government: $209,400

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? No

Agency Contact: Molly Buck 202 205-4724 mary.buck@acf.hhs.gov

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