Request for Assistance for Child Victims of Human Trafficking

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 RFA Form 0970-0362.pdf Form and Instruction
1 HHS RFA Form HHS RFA Form 0970-0362.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 RFA Form 0970-0362.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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,500	2,300	1,200
Annual IC Time Burden (Hours)	3,500	2,300	1,200
Annual IC Cost Burden (Dollars)	0	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.