Domestic Victims of Human Trafficking (DVHT) Program Data

Forms and Documents

Document Name	Status
Form 5 Client Outreach Form	Modified
Form 6 Subrecipient Enrollment Form	Modified
Form 7 Client Service Costs Form	Modified
Form 2 Client Case Closure Form	Modified
Form 4 Client Service Use and Delivery Form	Modified
OMB 0970-0542_SSA_FY25 Renewal_clean.docx Supporting Statement A	2025-09-25

IC Document Collections

IC ID	Document Title	Status
239409	Client Outreach Form	Modified
239406	Subrecipient Enrollment Form	Modified
239405	Client Service Costs Form	Modified
239404	Barriers to Service Delivery and Monitoring Instruction	Modified
239402	Client Case Closure Form	Modified
239401	Client Service Use and Delivery Form	Modified
239400	Client Characteristics and Program Entry Instruction	Modified

ICR Details

OMB Control No: 0970-0542	ICR Reference No: 202509-0970-011
Status: Received in OIRA	Previous ICR Reference No: 202502-0970-031
Agency/Subagency: HHS/ACF	Agency Tracking No: OTIP
Title: Domestic Victims of Human Trafficking (DVHT) Program Data
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/26/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/28/2026
Responses	1,041	1,842
Time Burden (Hours)	387	699
Cost Burden (Dollars)	0	0

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Abstract: 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.

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Authorizing Statute(s): US Code: 22 USC 7105(f)(1)) Name of Law: The Trafficking Victims Protection Act of 2000 (TVPA), as amended
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 33385	07/17/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 46410	09/26/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
Barriers to Service Delivery and Monitoring	3b, 3	Barriers to Service Delivery and Monitoring Form ,   DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
Client Case Closure	2b, 2	Client Case Closure Form ,   DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
Client Characteristics and Program Entry	1b, 1	FY25 DVHT Performance Indicators ,   Reporting Workbook - For use if unable to report in ATIMS
Client Outreach	5, 5b	Client Outreach Form ,   DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
Client Service Costs	7, 7b	Client Service Costs ,   DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
Client Service Use and Delivery	4b, 4	FY25 DVHT Performance Indicators ,   Reporting Workbook - For use if unable to report in ATIMS
Subrecipient Enrollment	6, 6b	Subrecipient Enrollment ,   DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS

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ICR Summary of Burden

	Total Request	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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: 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.

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Annual Cost to Federal Government: $7,447

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/26/2025

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