Evaluation of Domestic Human Trafficking Demonstration Projects

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Eval_Trafficking_OMB_SSB_Clean_02 24 16.doc	Supporting Statement B	Uploaded 2016-03-07	Available
Eval_Trafficking_OMB_SSA_Revised_clean.doc	Supporting Statement A	Uploaded 2016-09-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
220488	Bimonthly Telephone Interviews with Project Director (A-7)	Other-Interview Guide	New
220487	Human Trafficking Evaluation Cost Module/Human Trafficking Evaluation Labor Module (A-6)	Other-Cost/Labor Module	New
220486	Client Interview Guide (A-5)	Other-Interview Guide	New
220485	Case Narrative Interview Guide (A-4)	Other-Interview Guide	New
220484	Partner Agency InterviewGuide (A-3)	Other-Interview Guide	New
220483	Case Manager Interview Guide (A-2)	Other-Interview Guide	New
220482	Project Director Interview Guide (A-1)	Other-Interview Guide	New

ICR Details

OMB Control No: 0970-0487	ICR Reference No: 201603-0970-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation of Domestic Human Trafficking Demonstration Projects
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/22/2016
	Date Received in OIRA: 03/10/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2019	36 Months From Approved
Responses	69	0	0
Time Burden (Hours)	95	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval for data collection as a component of a 2-year evaluation of three demonstration programs funded in fiscal year (FY) 2015 to serve domestic victims of sex and labor trafficking. To monitor the programs’ grant implementation and activities, the evaluation team (RTI International) will collect data during two site visits to each of the three demonstration sites, as well as Bimonthly Telephone Interviews with each Project Director every 2 months.

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Authorizing Statute(s): PL: Pub.L. 109 - 164 213(a)(1) Name of Law: William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 76021	12/07/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 12497	03/09/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Case Narrative Interview Guide (A-4)
Case Manager Interview Guide (A-2)
Project Director Interview Guide (A-1)
Human Trafficking Evaluation Cost Module/Human Trafficking Evaluation Labor Module (A-6)
Partner Agency InterviewGuide (A-3)
Client Interview Guide (A-5)
Bimonthly Telephone Interviews with Project Director (A-7)

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ICR Summary of Burden

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	69	0	0	69	0	0
Annual Time Burden (Hours)	95	0	0	95	0	0
Annual Cost Burden (Dollars)	0	0	0	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: This is a new information collection.

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Annual Cost to Federal Government: $110,869

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/10/2016

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