Information Collection

Request for Assistance for Child Victims of Human Trafficking

IC 188787 under ICR 202407-0970-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 HHS RFA Form HHS RFA Form 0970-0362.pdf	Form and Instruction
1 HHS RFA Form HHS RFA Form 0970-0362.pdf	Form and Instruction

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	HHS RFA Form	HHS RFA Form 0970-0362.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title: System No. 09-80-0391, Anti-Trafficking Information Management System (ATIMS) Records

FR Citation: 89 FR 35825

Number of Respondents: 10,500

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	3,500	2,300	1,200
Annual IC Time Burden (Hours)	3,500	2,300	1,200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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