OMB
.report
Search
Two-Week Follow-Up Survey
OPRE Evaluation: Evaluation of the National Human Trafficking Hotline Program [Descriptive Study]
OMB: 0970-0539
IC ID: 238584
OMB.report
HHS/ACF
OMB 0970-0539
ICR 202007-0970-012
IC 238584
( )
Documents and Forms
Document Name
Document Type
Instrument 2. NHTH Two-Week Follow-Up Survey_Final_NonSubChangeRequest_clean.docx
Other-Survey
NHTH_NonSub Change Request.docx
Memo - NonSub Change - July 2020
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Two-Week Follow-Up Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey
Instrument 2. NHTH Two-Week Follow-Up Survey_Final_NonSubChangeRequest_clean.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:
310
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
310
0
0
0
0
310
Annual IC Time Burden (Hours)
47
0
0
0
0
47
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Memo - NonSub Change - July 2020
NHTH_NonSub Change Request.docx
07/24/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.