OMB control number
Request for Certification of Adult Victims of Human Trafficking
OMB 0970-0454 · HHS/ACF.
The U.S. Department of Health and Human Services (HHS) provides letters of certification to foreign national victims of severe forms of trafficking in persons under the authority of the Trafficking Victims Protection Act of 2000 (TVPA), as amended 22 U.S.C. Section 7105(b)(1)(C) and (E). HHS delegated this authority to the Administration for Children and Families (ACF) Office of Trafficking in Persons (OTIP). OTIP developed a form for potential victims and their advocates, including case managers, attorneys, law enforcement officers, service providers, and other representatives to provide the required information for certification to HHS in accordance with the TVPA of 2000, as amended. The information provided through the completion of the RFC form is essential for OTIP to fulfill its mandate in accordance with the TVPA of 2000, as amended and to issue Certification Letters to eligible foreign national adults. Without a form, OTIP would be limited to notifying potential requesters about the assistance the law permits and providing a phone number or email address at OTIP for further information. An OTIP Case Specialist would then have to describe to each potential requester the information sought in the form, which would likely require multiple follow-up calls and ultimately delay assistance.
The latest form for Request for Certification of Adult Victims of Human Trafficking expires 2028-06-30 and can be found here.
| Revision of a currently approved collection | 2025-04-30 | ||
| No material or nonsubstantive change to a currently approved collection | 2025-02-15 | ||
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Approved with change |
Revision of a currently approved collection | 2022-01-26 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2019-03-13 | |
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Approved without change |
Extension without change of a currently approved collection | 2018-11-08 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 2018-06-21 | |
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Approved without change |
Existing collection in use without an OMB Control Number | 2015-03-04 |