Human Trafficking Data Collection Pilot

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Human Trafficking Data Collection Pilot Form and Instruction
1 OTIP DCP Survey Questionnaire Attachment A_OTIP DCP Survey Questionnaire_FINAL.doc Form and Instruction
1 DCP Stakeholder Interview Guide Attachment B_OTIP HT DCP Stakeholder Interview Guide.docx Form and Instruction
fast-track-PRA-submission-short-form_OTIP DCP_2017_04_06_v2.doc Justification IC Document
Attachment C_OTIP DCP Survey Instrument Reviewer List.docx Reviewer List IC Document

Information Collection (IC) Details

IC Title:	Human Trafficking Data Collection Pilot	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	OTIP DCP Survey Questionnaire	Attachment A_OTIP DCP Survey Questionnaire_FINAL.doc		Yes	Yes	Fillable Printable
Form and Instruction	1	DCP Stakeholder Interview Guide	Attachment B_OTIP HT DCP Stakeholder Interview Guide.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 386	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	386	386
Annual IC Time Burden (Hours)	247	247
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	fast-track-PRA-submission-short-form_OTIP DCP_2017_04_06_v2.doc	04/19/2017
Reviewer List	Attachment C_OTIP DCP Survey Instrument Reviewer List.docx	04/19/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.