Evaluation of Domestic Human Trafficking Demonstration Projects

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Eval_DVHT_SSA_App_A-10_Proj_Dir_Reminder.docx	Supplementary Document	Uploaded 2018-08-14	Available
Eval_DVHT_SSA_App_A-9_Survey_Reminder.docx	Supplementary Document	Uploaded 2018-08-14	Available
Eval_DVHT_SSA_App_A-8_Survey_Invite.docx	Supplementary Document	Uploaded 2018-08-14	Available
Eval_DVHT_Cohort3_OMB_SSB_Aug2018.doc	Supporting Statement B	Uploaded 2018-08-14	Available
Eval_DVHT_Cohort3_OMB_SSA_Aug2018.docx	Supporting Statement A	Uploaded 2018-08-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
232682	Client Interview (A-7)	Other-Client Interview Guide	New
232681	Site Visit Interview (A-6)	Other-Site Visit Guide	New
232680	Project Director Interview #2 (A-5)	Other-Interview Guide	New
232679	Project Director Interview #1 (A-4)	Other-Interview Guide	New
232678	Case Manager Survey (A-3)	Other-Survey	New
232677	Partner Survey (A-2)	Other-Survey	New
232676	Project Director Survey (A-1)	Other-Survey	New
220488	Bimonthly Telephone Interviews with Project Director (A-7)	Other-Interview Guide	Removed
220487	Human Trafficking Evaluation Cost Module/Human Trafficking Evaluation Labor Module (A-6)	Other-Cost/Labor Module	Removed
220486	Client Interview Guide (A-5)	Other-Interview Guide	Removed
220485	Case Narrative Interview Guide (A-4)	Other-Interview Guide	Removed
220484	Partner Agency InterviewGuide (A-3)	Other-Interview Guide	Removed
220483	Case Manager Interview Guide (A-2)	Other-Interview Guide	Removed
220482	Project Director Interview Guide (A-1)	Other-Interview Guide	Removed

ICR Details

OMB Control No: 0970-0487	ICR Reference No: 201808-0970-001
Status: Historical Active	Previous ICR Reference No: 201603-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation of Domestic Human Trafficking Demonstration Projects
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/17/2018
	Date Received in OIRA: 08/16/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved	09/30/2019
Responses	304	0	69
Time Burden (Hours)	205	0	95
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 3-year evaluation of 13 projects funded in fiscal year (FY) 2016 under the Domestic Victims of Human Trafficking (DVHT) Program. To achieve the goals of the evaluation, the evaluation team (RTI International) will collect data through surveys with project directors, case managers, and project partners; telephone interviews with project directors; and in-person interviews with program staff, partners, and program clients during site visits to a subset of 8 project sites. This data collection builds on a previously approved evaluation of the FY 2015 DVHT demonstration grants (OMB 0970-0487).

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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:
	83 FR 12195	03/20/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 40515	08/15/2018
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
Partner Survey (A-2)
Case Manager Survey (A-3)
Project Director Interview #1 (A-4)
Project Director Interview #2 (A-5)
Client Interview (A-7)
Project Director Interview Guide (A-1)
Case Narrative Interview Guide (A-4)
Human Trafficking Evaluation Cost Module/Human Trafficking Evaluation Labor Module (A-6)
Bimonthly Telephone Interviews with Project Director (A-7)
Project Director Survey (A-1)
Site Visit Interview (A-6)
Case Manager Interview Guide (A-2)
Client Interview Guide (A-5)
Partner Agency InterviewGuide (A-3)

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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	304	69	0	304	-69	0
Annual Time Burden (Hours)	205	95	0	205	-95	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 an additional information collection request under OMB #0970-0487.

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Annual Cost to Federal Government: $297,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 08/16/2018

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