Request for Assistance for Child Victims of Human Trafficking

ICR 201411-0970-003

OMB: 0970-0362

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2014-11-13
Supplementary Document
2009-04-10
Supplementary Document
2009-04-10
Supplementary Document
2009-04-10
IC Document Collections
ICR Details
0970-0362 201411-0970-003
Historical Active 201108-0970-008
HHS/ACF
Request for Assistance for Child Victims of Human Trafficking
Revision of a currently approved collection   No
Regular
Approved with change 02/03/2015
Retrieve Notice of Action (NOA) 11/18/2014
  Inventory as of this Action Requested Previously Approved
02/28/2018 36 Months From Approved 02/28/2015
40 0 200
40 0 200
0 0 0

The TVPRA 2008 directs HHS upon receipt of credible information that a non-U.S. citizen, non-lawful permanent resident (alien) child may have been subjected to a severe form of trafficking in persons and is seeking Federal assistance available to victims of trafficking, to promptly determine if the child is eligble for interim assistance. The law further directs HSS to determine if the child is eligble for assistance as a victim of a severe form of trafficking in persons after consultation with the Attorney General, the Secretary of Homeland Security, and nongovernmental organizations with expertise on victims of severe form of trafficking. In developing procedures for collecting the neccessary informaiton from potential child victims of trafficking, their case managers, attorneys, or other representatives to allow HHS to grant interim eligbility, HHS devised a form. HHS has determined that the use of a standard form to collect iformation is the best way to ensure requestors are notified of their option to request assistance for child victims of trafficking and to make prompt and consistent determinations about the child's eligbility for interim assistance. Specifcially, the form asks the requestor for his/her identifying information, for information on the child, information describing the type of trafficking and circumstances surrounding the situation, and the strengths and needs of the child. The form also asks the requestor to verify the information contained in the form becuase the information could be the basis for a determination of an alien child's eligibiltiy for federally funded benefits. Finally, 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 requestor in assessing whether the child may have been subjected to trafficking in persons.

PL: Pub.L. 110 - 457 212 Name of Law: TVPRA
  
None

Not associated with rulemaking

  79 FR 10528 02/25/2014
79 FR 67167 11/11/2014
No

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

  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 40 200 0 0 -160 0
Annual Time Burden (Hours) 40 200 0 0 -160 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Several small technical changes in addition to the reduction in the number of respondents.

$11,200
No
No
No
No
No
Uncollected
Robert Sargis 2026907275

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/18/2014


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