Information Collection

Request for Assistance for Child Victims of Human Trafficking

IC 188787 under ICR 201802-0970-004 · OMB 0970-0362.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0362 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Request for Assistance for Child Victims of Human Trafficking	Form and Instruction
1 RFA Draft RFA Draft 7.3.18.pdf	Form and Instruction
ATIP Sex Trafficking Poster.pdf Sex Trafficking Poster	IC Document
ATIP Social Services Migrant Poster.pdf ATIP Social Services Migrant Poster	IC Document
Attachment A_TVPA U.S. Code cite authorizing collection of information.doc Attachment A_TVPA U	IC Document

IC Title:

Request for Assistance for Child Victims of Human Trafficking

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	RFA Draft	RFA Draft 7.3.18.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	800	760	40
Annual IC Time Burden (Hours)	800	760	40
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Sex Trafficking Poster	ATIP Sex Trafficking Poster.pdf	04/10/2009
ATIP Social Services Migrant Poster	ATIP Social Services Migrant Poster.pdf	04/10/2009
Attachment A_TVPA U	Attachment A_TVPA U.S. Code cite authorizing collection of information.doc	04/10/2009

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