Information Collection Request

Federal Strategic Action Plan on Services for Victims of Human Trafficking: Enhancing the Health Care System's Response

ICR 201406-0970-009 · OMB 0970-0447 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Three Month Telephone Form and Instruction New Available
Form 1 Three Month E-mail Form and Instruction New Available
Form 1 Post Test Form and Instruction New Available
Form 1 Pre Test Form and Instruction New Repair queued
Form 1 Pilot Training Powerpoint Slides Form and Instruction New Available
Supporting Statement Part B.docx Supporting Statement B Uploaded 2014-06-24 Available
Final SS Parts A Federal Strategic Action Plan.docx Supporting Statement A Uploaded 2014-06-24 Available
Evaluation Methodology.docx Supplementary Document Uploaded 2014-06-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
212467 Three Month Telephone Form and Instruction New
212466 Three Month E-mail Form and Instruction New
212465 Post Test Form and Instruction New
212464 Pre Test Form and Instruction New
212037 Pilot Training Powerpoint Slides Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2017 36 Months From Approved
1,260 0 0
984 0 0
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Pre Test 1 Pre Test
Post Test 1 Post Test
Three Month E-mail 1 Three Month Email
Three Month Telephone 1 Three Month Follow-up Phone Call
Pilot Training Powerpoint Slides 1 Pilot Training Slides

table that charts list 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 1,260 0 0 1,260 0 0
Annual Time Burden (Hours) 984 0 0 984 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No