NHTTAC Consultant and Evaluation Package

Forms and Documents

Document Name	Status
NHTTAC Revision - Legislative Authority.doc Supplementary Document	2019-11-05
OTIP-0539 - NHTTAC Revision - Supporting Statement_1-24-20.docx Supporting Statement A	2020-01-27

IC Document Collections

IC ID	Document Title	Status
238446	Professional Development Scholarship Application Other-null	Modified
238445	Organizational Scholarship Application Other-null	Modified
238444	Survivor Consultant Network Application Other-null	Modified
238443	Expert T/TA Consultant Application Other-null	Modified
238442	Webinar Participant Feedback Form Other-null	Modified
238441	SOAR Specialized T/TA Feedback Form Other-null	Modified
238440	SOAR Organizational Feedback Form Other-null	Modified
238439	SOAR Online Participant Feedback Short Form Other-null	Modified
238438	SOAR Online Participant Feedback Long Form Other-null	Modified
238436	SOAR Conference Feedback Form Other-null	Modified
238435	SOAR Blended Learning Participant Other-null	Modified
238434	Resource Tool Feedback Form Other-null	Modified
238433	Requester Feedback Form Other-null	Modified
238432	Pilot Feedback Form Other-null	Modified
238430	Interview Guide Other-null	Modified
238429	General Training Feedback Form Other-null	Modified
238428	Follow-up Feedback Form Other-null	Modified
238427	Focus Group Guide Other-null	Modified
238426	Focus Group Demographic Survey Other-null	Modified
238425	Coordination Feedback Form Other-null	Modified
238424	Consultant Feedback Form Other-null	Modified
238423	Website Feedback Form Other-null	Modified
238422	Survivor Fellowship Fellow Feedback Form Other-null	Modified
238421	Specialized T/TA Feedback Form Other-null	Modified
238419	Short-Term T/TA Feedback Form Other-null	Modified
238418	Professional Development Scholarship Feedback Form Other-null	Modified
238417	Organizational Scholarship Feedback Form Other-null	Modified
238416	OTIP Grantee Feedback Form Other-null	Modified
238409	Human Trafficking Leadership Academy Fellowship Post-Program Feedback Other-null	Modified
238408	Human Trafficking Leadership Academy Fellowship Pre-Program Feedback Other-null	Modified
238407	General Conference Feedback Form Other-null	Modified
238405	Conference Session Feedback Form Other-null	Modified
238402	Call Center Feedback Form Other-null	Modified
238401	Advisory Committee Feedback Form Other-null	Modified

ICR Details

OMB Control No: 0970-0519	ICR Reference No: 202001-0970-007
Status: Active	Previous ICR Reference No: 201910-0970-012
Agency/Subagency: HHS/ACF	Agency Tracking No: OTIP
Title: NHTTAC Consultant and Evaluation Package
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/24/2020
	Date Received in OIRA: 01/30/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	36 Months From Approved	05/31/2020
Responses	1,010,277	0	1,010,277
Time Burden (Hours)	9,497	0	9,497
Cost Burden (Dollars)	0	0	0

---

Abstract: extend the information collection as approved under a justification for expedited review (approved November 2019) to increase the number of respondents under the previously approved NHTTAC Evaluation Package due to the passage of Public Law No: 115-398 (12/31/2018), Stop, Observe, Ask, and Respond to Health and Wellness Act of 2018 (SOAR to Health and Wellness Act of 2018). To meet the provisions of the SOAR to Health and Wellness Act of 2018, OTIP’s NHTTAC expanded the administration of SOAR nationwide. In addition, two performance measures required through the Government Performance and Results Act (GPRA) for the Agency are captured across all the SOAR instruments and therefore are administered to a larger population. The NHTTAC Evaluation Package contains 34 evaluation forms and applications designed to solicit feedback from customers on training/technical assistance (T/TA) provided by NHTTAC. NHTTAC anticipated an increase to the number of respondents for 14 of the 34 total evaluation forms and received expedited approval to increase the burden threshold from 689 hours to 9,497 hours.

---

Authorizing Statute(s): PL: Pub.L. 115 - 398 2 Name of Law: SOAR to Health and Wellness Act of 2018
   US Code: 22 USC 7104 and 7105(c)(4) Name of Law: The Trafficking Victims Protection Act of 2000, as amended
  

Citations for New Statutory Requirements: PL: Pub.L. 115 - 398 2 Name of Law: SOAR to Health and Wellness Act of 2018

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 63882	11/19/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 5442	01/30/2020
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 34

IC Title	Form No.	Form Name
Resource Tool Feedback Form
SOAR Online Participant Feedback Long Form
SOAR Online Participant Feedback Short Form
Organizational Scholarship Application
General Conference Feedback Form
Short-Term T/TA Feedback Form
Survivor Fellowship Fellow Feedback Form
Website Feedback Form
Consultant Feedback Form
Conference Session Feedback Form
Human Trafficking Leadership Academy Fellowship Post-Program Feedback
SOAR Conference Feedback Form
Focus Group Demographic Survey
Webinar Participant Feedback Form
Specialized T/TA Feedback Form
Focus Group Guide
General Training Feedback Form
Interview Guide
Requester Feedback Form
SOAR Blended Learning Participant
SOAR Organizational Feedback Form
SOAR Specialized T/TA Feedback Form
Expert T/TA Consultant Application
Survivor Consultant Network Application
Professional Development Scholarship Application
Advisory Committee Feedback Form
Call Center Feedback Form
Human Trafficking Leadership Academy Fellowship Pre-Program Feedback
OTIP Grantee Feedback Form
Organizational Scholarship Feedback Form
Professional Development Scholarship Feedback Form
Coordination Feedback Form
Follow-up Feedback Form
Pilot Feedback Form

---

ICR Summary of Burden

	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	1,010,277	1,010,277	0	0	0	0
Annual Time Burden (Hours)	9,497	9,497	0	0	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: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $247,000

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.     Yes

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? Uncollected

---

Common Form ICR:  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:

(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: 01/30/2020

---