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Client Service Costs
Domestic Victims of Human Trafficking (DVHT) Program Data
OMB: 0970-0542
IC ID: 239405
OMB.report
HHS/ACF
OMB 0970-0542
ICR 202509-0970-011
IC 239405
( )
Documents and Forms
Document Name
Document Type
Form 7
Client Service Costs
Form
7 Client Service Costs
FY25 DVHT Performance Indicators - clean _v2.docx
Form
FY25 DVHT Reporting Reference Guide - clean_v2.docx
Instruction
7b DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
FY25 DVHT Reporting Workbook_For Use Only If Recipient Unable to Report in ATIMS_v2.xlsx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Client Service Costs
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
Client Service Costs
FY25 DVHT Performance Indicators - clean _v2.docx
Yes
Yes
Fillable Fileable
Instruction
FY25 DVHT Reporting Reference Guide - clean_v2.docx
Yes
Yes
Printable Only
Form and Instruction
7b
DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
FY25 DVHT Reporting Workbook_For Use Only If Recipient Unable to Report in ATIMS_v2.xlsx
Yes
Yes
Fillable Fileable
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 %
Requested
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
12
0
0
0
0
12
Annual IC Time Burden (Hours)
9
0
0
0
0
9
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.