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Barriers to Service Delivery and Monitoring
Domestic Victims of Human Trafficking (DVHT) Program Data
OMB: 0970-0542
IC ID: 239404
OMB.report
HHS/ACF
OMB 0970-0542
ICR 202502-0970-031
IC 239404
( )
Documents and Forms
Document Name
Document Type
FY25 DVHT Reporting Reference Guide_CleanWithChanges.docx
Instruction
4 Barriers to Service Delivery and Monitoring Form
FY25 DVHT Performance Indicators_CleanWithChanges.docx
Form
FY25 DVHT PPR Workbook_SpecifyQuarterNo._SpecifyGrantRecipientName_CleanWithChanges.xlsx
FY25 DVHT PPR Workbook
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Barriers to Service Delivery and Monitoring
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
Instruction
FY25 DVHT Reporting Reference Guide_CleanWithChanges.docx
Yes
Yes
Printable Only
Form
4
Barriers to Service Delivery and Monitoring Form
FY25 DVHT Performance Indicators_CleanWithChanges.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
35
Number of Respondents for Small Entity:
5
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
47
0
0
0
0
47
Annual IC Time Burden (Hours)
8
0
0
0
0
8
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FY25 DVHT PPR Workbook
FY25 DVHT PPR Workbook_SpecifyQuarterNo._SpecifyGrantRecipientName_CleanWithChanges.xlsx
02/25/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.