Information Collection Request

Domestic Victims of Human Trafficking (DVHT) Program Data

ICR 202502-0970-031 · OMB 0970-0542 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 6 Victim Outreach Form Form Modified Available
Form 6 Victim Outreach Form Modified Repair queued
Form 8 Subrecipient Enrollment Form Modified Available
Form 8 Subrecipient Enrollment Form Modified Repair queued
Form 9 Categories of Assistance Form Modified Available
Form 9 Categories of Assistance Form Modified Repair queued
Form 4 Barriers to Service Delivery and Monitoring Form Form Modified Available
Form 2 Client Case Closure Form Form Modified Available
Form 2 Client Case Closure Form Modified Repair queued
Form 2 FY25 DVHT Performance Indicators Form Modified Repair queued
Form 2 Client Service Use and Delivery Form Modified Available
Form 2 FY25 DVHT Performance Indicators Form Modified Available
NonSub Change - Update to ACF ICs - Protecting Women and DEI EOs - 04.25.2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-24 Repair queued
NonSub Change - Update to ACF ICs - Protecting Women and DEI EOs - 04.25.2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-24 Repair queued
OMB 0970-0542_SSA_10.26.23_sexchangeclean.docx Supporting Statement A Uploaded 2025-02-27 Repair queued
OMB 0970-0542_SSA_10.26.23_sexchangeclean.docx Supporting Statement A Uploaded 2025-02-27 Missing upstream
NonSub Change Request_DVHT_10.26.23.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-10-26 Repair queued
NonSub Change Request_DVHT_10.26.23.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-10-26 Repair queued
30-Day Public Comment Period OTIP Response_11.29.22_DVHT.docx Supplementary Document Uploaded 2022-11-30 Repair queued
30-Day Public Comment Period OTIP Response_11.29.22_DVHT.docx Supplementary Document Uploaded 2022-11-30 Repair queued
OMB 0970-0542_DVHT Summary of Proposed Changes_9.30.22.docx Supplementary Document Uploaded 2022-10-19 Repair queued
OMB 0970-0542_DVHT Summary of Proposed Changes_9.30.22.docx Supplementary Document Uploaded 2022-10-19 Missing upstream
OMB 0970-0542_DVHT Subrecipient Definitions ATIMS.docx Supplementary Document Uploaded 2022-10-19 Repair queued
OMB 0970-0542_DVHT Subrecipient Definitions ATIMS.docx Supplementary Document Uploaded 2022-10-19 Repair queued
OMB 0970-0542_DVHT Client Definitions ATIMS.docx Supplementary Document Uploaded 2022-10-19 Repair queued
OMB 0970-0542_DVHT Client Definitions ATIMS.docx Supplementary Document Uploaded 2022-10-19 Repair queued
OMB 0970-0542_Revised DVHT Reporting Reference Guide_10.17.22.docx Supplementary Document Uploaded 2022-10-19 Repair queued
OMB 0970-0542_Revised DVHT Reporting Reference Guide_10.17.22.docx Supplementary Document Uploaded 2022-10-19 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
239409 Victim Outreach Form ModifiedVictim Outreach Form
239409 Victim Outreach Form Modified
239409 Victim Outreach Instruction Modified
239406 Subrecipient Enrollment Form ModifiedSubrecipient Enrollment
239406 Subrecipient Enrollment Form Modified
239406 Subrecipient Enrollment Instruction Modified
239405 Categories of Assistance Form ModifiedCategories of Assistance
239405 Categories of Assistance Form Modified
239405 Categories of Assistance Instruction Modified
239404 Barriers to Service Delivery and Monitoring Form ModifiedBarriers to Service Delivery and Monitoring Form
239404 Barriers to Service Delivery and Monitoring Instruction Modified
239402 Client Case Closure Form ModifiedClient Case Closure Form
239402 Client Case Closure Form Modified
239402 Client Case Closure Instruction Modified
239401 Client Service Use and Delivery Form ModifiedFY25 DVHT Performance Indicators
239401 Client Service Use and Delivery Form Modified
239401 Client Service Use and Delivery Instruction Modified
239400 Client Characteristics and Program Entry Form ModifiedFY25 DVHT Performance Indicators
239400 Client Characteristics and Program Entry Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2026 02/28/2026 02/28/2026
1,842 0 1,842
699 0 699
0 0 0





Reginfo record details
7
table that charts list of burden
IC Title Form No. Form Name
Barriers to Service Delivery and Monitoring 4
Categories of Assistance 9
Client Case Closure 2
Client Characteristics and Program Entry 2
Client Service Use and Delivery 2
Subrecipient Enrollment 8
Victim Outreach 6

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 1,842 1,842 0 0 0 0
Annual Time Burden (Hours) 699 699 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No