Information Collection Request

Domestic Victims of Human Trafficking (DVHT) Program Data

ICR 202509-0970-011 · OMB 0970-0542 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 5b DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS Form and Instruction Modified Repair queued
Form 5 Client Outreach Form Form Modified Available
Form 5 Client Outreach Form Modified Repair queued
Form 6b DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS Form and Instruction Modified Repair queued
Form 6 Subrecipient Enrollment Form Modified Repair queued
Form 6 Subrecipient Enrollment Form Modified Repair queued
Form 7b DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS Form and Instruction Modified Repair queued
Form 7 Client Service Costs Form Modified Repair queued
Form 7 Client Service Costs Form Modified Available
Form 3b DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS Form and Instruction Modified Repair queued
Form 3 Barriers to Service Delivery and Monitoring Form Form Modified Repair queued
Form 2b DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS Form and Instruction Modified Repair queued
Form 2 Client Case Closure Form Form Modified Repair queued
Form 2 Client Case Closure Form Modified Repair queued
Form 4b Reporting Workbook - For use if unable to report in ATIMS Form and Instruction Modified Available
Form 4 FY25 DVHT Performance Indicators Form Modified Available
Form 4 Client Service Use and Delivery Form Modified Repair queued
Form 1b Reporting Workbook - For use if unable to report in ATIMS Form and Instruction Modified Repair queued
Form 1 FY25 DVHT Performance Indicators Form Modified Available
OMB 0970-0542_SSA_FY25 Renewal_clean.docx Supporting Statement A Uploaded 2025-09-25 Repair queued
OMB 0970-0542_SSA_FY25 Renewal_clean.docx Supporting Statement A Uploaded 2025-09-25 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
239409 Client Outreach Form and Instruction ModifiedDVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
239409 Client Outreach Form ModifiedClient Outreach Form
239409 Client Outreach Form Modified
239409 Client Outreach Instruction Modified
239406 Subrecipient Enrollment Form and Instruction ModifiedDVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
239406 Subrecipient Enrollment Form ModifiedSubrecipient Enrollment
239406 Subrecipient Enrollment Form Modified
239406 Subrecipient Enrollment Instruction Modified
239405 Client Service Costs Form and Instruction ModifiedDVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
239405 Client Service Costs Form ModifiedClient Service Costs
239405 Client Service Costs Form Modified
239405 Client Service Costs Instruction Modified
239404 Barriers to Service Delivery and Monitoring Form and Instruction ModifiedDVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
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 and Instruction ModifiedDVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
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 and Instruction ModifiedReporting Workbook - For use if unable to report in ATIMS
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 and Instruction ModifiedReporting Workbook - For use if unable to report in ATIMS
239400 Client Characteristics and Program Entry Form ModifiedFY25 DVHT Performance Indicators
239400 Client Characteristics and Program Entry Instruction Modified
ICR Details
0970-0542 202509-0970-011
Active 202502-0970-031
HHS/ACF OTIP
Domestic Victims of Human Trafficking (DVHT) Program Data
Revision of a currently approved collection   No
Regular
Approved without change 11/13/2025
Retrieve Notice of Action (NOA) 09/26/2025
  Inventory as of this Action Requested Previously Approved
11/30/2028 36 Months From Approved 02/28/2026
1,041 0 1,842
387 0 699
0 0 0

The Trafficking Victims Protection Act of 2000 (TVPA), as amended, authorizes the Secretary of Health and Human Services (HHS) to expand benefits and services to victims of severe forms of trafficking in persons in the United States (U.S.), without regard to their immigration status. The TVPA also authorizes HHS to establish and strengthen programs to assist United States citizens and lawful permanent residents who have experienced sex trafficking or severe forms of trafficking in persons (22 U.S.C. § 7105(f)(1)). Acting under a delegation of authority from the Secretary of HHS, the Administration for Children and Families (ACF) awards cooperative agreements to organizations to establish a program to assist U.S. citizens and lawful permanent residents who have experienced human trafficking, the Domestic Victims of Human Trafficking (DVHT) Program. The DVHT Program currently consists of two distinct programs: the Domestic Victims of Human Trafficking Services and Outreach Program (DVHT-SO), and the Demonstration Grants to Strengthen the Response to Victims of Human Trafficking in Native Communities Program (VHT-NC). Through the DVHT Program, grant recipients provide comprehensive case management to domestic survivors of human trafficking in traditional case management and Native community settings. This is an existing collection that is necessary to measure grant project performance, provide technical assistance to grant recipients, assess program outcomes, inform program evaluation, respond to congressional inquiries and mandated reports, and inform policy and program development that is responsive to the needs of victims. Information from this collection also enables OTIP to fulfill a provision in the TVPA of 2000, as amended, that requires the Attorney General to submit annually “a report on Federal agencies that are implementing any provision of this chapter” (22 U.S.C. § 7103(d)) and to prepare a required annual report to Congress on U.S. Government activities to combat trafficking that is prepared by the U.S. Department of Justice. Congress requires HHS and other appropriate Federal agencies to report, at a minimum, information on the number of persons who received benefits or other services under 22 U.S.C. § 7105(b)(f), in connection with programs or activities funded or administered by HHS. Minor, nonsubstantive updates have been made to performance indicators under this collection to simplify response options and to bring the collection into alignment with OTIP’s grant recipient reporting database, the Anti-Trafficking Information Management System (ATIMS). Additionally, certain response options that do not pertain to OTIP's domestic victim service programs were removed. Additionally, based on review of performance data received, specifically the average number of clients served by funded recipients over the last four years, burden estimates for this collection have been reduced. See sections A8 and A15 for additional details about proposed changes.

US Code: 22 USC 7105(f)(1)) Name of Law: The Trafficking Victims Protection Act of 2000 (TVPA), as amended
  
None

Not associated with rulemaking

  90 FR 33385 07/17/2025
90 FR 46599 09/29/2025
No

  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 1,041 1,842 0 -801 0 0
Annual Time Burden (Hours) 387 699 0 -312 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
This collection captures information on DVHT client demographics (e.g., age, sex, race/ethnicity), type of trafficking experienced (sex, labor, or both), types of services and benefits provided, along with aggregate information on outreach and public awareness activities conducted and subrecipients enrolled. Minor, nonsubstantive updates are proposed to performance indicators with this renewal. The revisions made to this collection, as summarized in full below, simplify response options and to bring the collection into alignment with ATIMS. Certain response options that do not pertain to OTIP’s domestic victim service programs were removed (e.g. Refugee Cash Assistance, Refugee Medical Assistance, Refugee Social Services). An overview of changes is provided in Supporting Statement A, section A15.

$7,447
No
    No
    No
No
No
No
No
Molly Buck 202 205-4724 [email protected]

  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.
09/26/2025