Justification

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0970-0401)

T ITLE OF INFORMATION COLLECTION: Human Trafficking Data Collection Pilot

PURPOSE: The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval for conducting an information collection with stakeholders to gain understanding of their awareness, understanding, attitudes, and preferences with the goal of improving future data collection services.

Currently, ACF’s data collection efforts related to human trafficking have a limited ability to estimate the magnitude of trafficking, assess the impact and outcomes of existing programs, target future expansion efforts, or develop prevention strategies for vulnerable and at-risk populations. The information gathered during this Pilot will inform the development of a system that allows HHS and its stakeholders to improve service delivery to human trafficking victims.

The Pilot information collection will include interviews, semi-structured discussions, and electronic surveys with anti-human trafficking field experts on their awareness of current data collection initiatives and preferences for their data collection needs, in order to improve future services provided to human trafficking victims.

DESCRIPTION OF RESPONDENTS:

The Survey and in-person interviews will collect data from a broad group of the six stakeholder groups that address human trafficking, as identified below:

• State Child Welfare Agencies

• Federally-qualified Health Centers

• HHS Funded Nonprofit Organizations

• Non-HHS Funded Nonprofit Organizations

• State Attorney Generals

• State Public Health Departments

TYPE OF COLLECTION: (Check one)

[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software) [ ] Small Discussion Group

[ ] Focus Group [x] Other: Online Survey and In-Person
Interviews

CERTIFICATION:

I certify the following to be true:

1. The collection is voluntary.

2. The collection is low-burden for respondents and low-cost for the Federal Government.

3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

4. The results are not intended to be disseminated to the public.

5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.

Name: Latecia Engram

To assist review, please provide answers to the following question:

Personally Identifiable Information:

1. Is personally identifiable information (PII) collected? [ ] Yes [X] No

2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [X] No

3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [X] No

Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [X] No

BURDEN HOURS

Category of Respondent	No. of Respondents	Participation Time (min)	Burden (hr)
State, local, or tribal governments (interviews)	18	120	36
Private Sector (interviews)	18	120	36
State, local, or tribal governments (survey)	100	30	50
Private Sector (survey)	225	30	112.5
Federal government (survey)	25	30	12.5
Totals	386		247

FEDERAL COST: The estimated annual cost to the Federal government is $5367.31

If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:

The selection of your targeted respondents

1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [X] Yes [ ] No

If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?

Through collaboration with the Technical Working Group and the Federal Working Group, in addition to the Children’s Bureau, the Office on Women’s Health, and Office on Trafficking in Persons, the Pilot team developed a list of recommended stakeholders to take the electronic survey. In-person interviews will include state child welfare agencies, state attorneys general, and other organizations as determined by interest indicated on the survey.

Administration of the Instrument

1. How will you collect the information? (Check all that apply)

[X] Web-based or other forms of Social Media

[X] Telephone

[X] In-person

[ ] Mail

[ ] Other, Explain

2. Will interviewers or facilitators be used? [X] Yes [ ] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.

Instructions for completing Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback”

TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the subject of the request. (e.g. Comment card for soliciting feedback on xxxx)

PURPOSE: Provide a brief description of the purpose of this collection and how it will be used. If this is part of a larger study or effort, please include this in your explanation.

DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or groups for this collection of information. These groups must have experience with the program.

TYPE OF COLLECTION: Check one box. If you are requesting approval of other instruments under the generic, you must complete a form for each instrument.

CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the collection will be returned as improperly submitted or it will be disapproved.

Personally Identifiable Information: Provide answers to the questions. Note: Agencies should only collect PII to the extent necessary, and they should only retain PII for the period of time that is necessary to achieve a specific objective.

Gifts or Payments: If you answer yes to the question, please describe the incentive and provide a justification for the amount.

BURDEN HOURS:

Category of Respondents: Identify who you expect the respondents to be in terms of the following categories: (1) Individuals or Households; (2) Private Sector; (3) State, local, or tribal governments; or (4) Federal Government. Only one type of respondent can be selected per row.

No. of Respondents: Provide an estimate of the Number of Respondents.

Participation Time: Provide an estimate of the amount of time (in minutes) required for a respondent to participate (e.g. fill out a survey or participate in a focus group)

Burden: Provide the Annual burden hours: Multiply the Number of Respondents and the Participation Time then divide by 60.

FEDERAL COST: Provide an estimate of the annual cost to the Federal government.

If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:

The selection of your targeted respondents. Please provide a description of how you plan to identify your potential group of respondents and how you will select them. If the answer is yes, to the first question, you may provide the sampling plan in an attachment.

Administration of the Instrument: Identify how the information will be collected. More than one box may be checked. Indicate whether there will be interviewers (e.g. for surveys) or facilitators (e.g., for focus groups) used.

Submit all instruments, instructions, and scripts are submitted with the request.

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