Request for Certification of
Adult Victims of Human Trafficking
Revision of a currently approved collection
No
Regular
01/26/2022
Requested
Previously Approved
36 Months From Approved
02/28/2022
433
800
433
400
0
0
The U.S. Department of Health and
Human Services (HHS) provides letters of certification to foreign
national victims of severe forms of trafficking in persons under
the authority of the Trafficking Victims Protection Act of 2000
(TVPA), as amended 22 U.S.C. Section 7105(b)(1)(C) and (E). HHS
delegated this authority to the Administration for Children and
Families (ACF) Office of Trafficking in Persons (OTIP).
Certification is required for foreign national adult victims of
human trafficking in the United States to apply for federally
funded benefits and services. OTIP developed a form for potential
victims and their advocates, including case managers, attorneys,
law enforcement officers, service providers, and other
representatives to provide the required information for
certification to HHS in accordance with the TVPA of 2000, as
amended. The Request for Certification of Adult Victims of Human
Trafficking (RFC) form (formerly titled Trafficking Victims
Tracking System) was renamed in order to create consistency between
the RFC and Request for Assistance for Child Victims of Human
Trafficking (RFA) forms (OMB Control Number 0970-0362). Since the
RFC form originally received clearance, OTIP modernized its request
process and launched Shepherd, an online case management system, to
process requests for certification and assistance on behalf of
foreign national adult and minor victims of trafficking. The PDF
version of the form should only be used in exceptional
circumstances when the online case management system is
inaccessible. If a requester encounters issues submitting a request
through Shepherd, they may submit the RFC form to OTIP as a
password protected PDF to Trafficking@acf.hhs.gov. The form asks
the requester for their identifying information, identifying
information for the foreign national adult in the event the form is
submitted by a case manager, and information describing the
victim’s case management service needs. The minor revisions made to
this form enable OTIP to better fulfill its mandate in accordance
with the TVPA of 2000, as amended. These revisions also enable OTIP
to be more responsive to congressional inquiries, federal reporting
requirements, and the needs of victims, as the information provided
will be factored into policy and program development
efforts.
US Code:
22
USC 7105 Name of Law: Trafficking Victims Protection Act of
2000, as amended
The Request for Certification
of Adult Victims of Human Trafficking (RFC) form (formerly titled
Trafficking Victims Tracking System) was renamed in order to create
consistency between the RFC and Request for Assistance for Child
Victims of Human Trafficking (RFA) forms (OMB Control Number
0970-0362). Since the RFC form originally received clearance, OTIP
modernized its request process. Now, users can submit both the RFC
for foreign national adults and the RFA for foreign national minors
through OTIP’s online Shepherd case management system as webforms.
The PDF version of the form should only be used in exceptional
circumstances when the online case management system is
inaccessible. Instructions for submitting the request through the
Shepherd case management system are provided in Attachment B:
Shepherd RFC Webform Instructions. The other minor updates made to
the RFC described below enable OTIP to better fulfill its mandate
in accordance with the TVPA of 2000, as amended, and to be more
responsive to congressional inquiries, federal reporting
requirements, and the needs of victims, as the information provided
will be factored into policy and program development efforts.
Specific updates are detailed in A15 of Supporting Statement
A.
$45,370
No
Yes
No
No
No
No
No
Molly Buck 202 205-4724
mary.buck@acf.hhs.gov
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.