Information Collection

Request for Assistance for Child Victims of Human Trafficking

IC 188787 under ICR 202502-0970-019 · OMB 0970-0362.

Documents and Forms

Document Name Document Type
Form 1 Request for Assistance for Child Victims of Human Trafficking Form and Instruction
1 HHS RFA Form hhs-request-for-assistance_2022_CleanWithChanges.pdf Form and Instruction
1 HHS RFA Form hhs-request-for-assistance_2022_CleanWithChanges.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

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-request-for-assistance_2022_CleanWithChanges.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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,500	3,500
Annual IC Time Burden (Hours)	3,500	3,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.