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 Follow-up Phone Call Form and Instruction New Available
Form 1 Three Month Email 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 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 NewThree Month Follow-up Phone Call
212466 Three Month E-mail Form and Instruction NewThree Month Email
212465 Post Test Form and Instruction NewPost Test
212464 Pre Test Form and Instruction NewPre Test
212037 Pilot Training Powerpoint Slides Form and Instruction NewPilot Training Slides

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
Pilot Training Powerpoint Slides 1
Post Test 1
Pre Test 1
Three Month E-mail 1
Three Month Telephone 1

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