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Subrecipient Enrollment
Domestic Victims of Human Trafficking (DVHT) Program Data
OMB: 0970-0542
IC ID: 239406
OMB.report
HHS/ACF
OMB 0970-0542
ICR 202210-0970-006
IC 239406
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0542 can be found here:
2023-10-27 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 7
Subrecipient Enrollment
Form
OMB 0970-0542_Revised DVHT Reporting Reference Guide_10.17.22.docx
Instruction
OMB 0970-0542_Revised DVHT Reporting Reference Guide_Clean_2.16.23.docx
Instruction
7 Subrecipient Enrollment
OMB 0970-0542_Revised DVHT Performance Indicators_10.17.22.docx
Form
7 Subrecipient Enrollment
OMB 0970-0542_Revised DVHT Performance Indicators_Clean_2.16.23.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Subrecipient Enrollment
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
7
Subrecipient Enrollment
OMB 0970-0542_Revised DVHT Performance Indicators_Clean_2.16.23.docx
Yes
Yes
Fillable Fileable
Instruction
OMB 0970-0542_Revised DVHT Reporting Reference Guide_Clean_2.16.23.docx
Yes
Yes
Printable Only
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:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
35
0
27
0
0
8
Annual IC Time Burden (Hours)
6
0
4
0
0
2
Annual IC Cost Burden (Dollars)
0
0
0
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.