U
Survey on DOL Grassroots
Grantees OMB
No.1290-xxxx Exp.
xx/xx/xxxx
Center for Faith-based and Community Initiatives
Organization name:
Address:
Contact name:
Phone:
Introduction
The Department of Labor (DOL) desires to understand the benefits faith-based and community organizations gain from participating in its grant programs. The data from this survey will be used by DOL to examine the impact to an organization’s structure and ability to acquire other Federal, State, local and private financial assistance since receiving a DOL grant. The survey will also solicit comments on how DOL can improve its grant process and continue to eliminate barriers that may impede faith-based and community organizations from participating in DOL’s grant programs. Survey results will be used to help formulate future policy decisions. The survey is short, only six questions. Participation is voluntary.
This study will summarize findings and will not associate responses with a specific organization. We will not provide information that identifies you or your establishment to anyone outside the study team, except as required by law. If you have any questions or if you need help completing this survey, please call Dori Rutherford at 202-693-6453.
Persons are not required to respond to a collection of information unless it displays a currently valid OMB Control Number. We estimate it will take about 30 minutes to complete this survey. All responses to this survey are completely voluntary. Persons are requested to direct to the agency (DOL CFBCI) any comments concerning the accuracy of this burden estimate and any suggestions for reducing this burden. Please submit comments to the following address: Center for Faith-Based and Community Initiatives, Office of the Secretary, U.S. Department of Labor, Room S-2235, 200 Constitution Avenue, NW, Washington, DC 20210. Phone (202)693-6450 (this is not a toll-free number), fax (202)693-6146, TTY/TDD (800)877-8339, or e-mail [email protected]. Please reference OMB Control Number 1290-0NEW in the e-mail subject line.
In what year was your organization awarded its first DOL grant?
2001
2002
2003
2004
2005
Other, please identify the year
Don’t know or not sure
Was the DOL grant award your organization’s first Federal grant?
Yes
No
Don’t know or not sure
Your responses to questions 3 and 4 about changes to your organization’s structure and its ability to acquire Federal, State, local and private grants will help DOL understand how federal grants can benefit faith-based and community-organizations.
Please consider all grant funds your organization received from Federal, State, local and private sources since January 2000 and provide a descriptive title, the source of the grant funding, the amount, and the date the grant was awarded. Use the table below to provide your answers.
Federal, State, Local and Private funding received since January 2000 |
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Descriptive Title of Grant (a) |
Source of Grant (Federal, State, local or private) (b) |
Award amount (c) |
Date awarded (d) |
Example:
Homeless Veterans' Reintegration Program |
Department of Labor, Veterans’ Employment and Training Service |
$160,500
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July 1, 2006 |
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Please use the table below to report your organization’s annual budget, the number of people your organization served, and the number of full-time equivalent employees employed by your organization since January 2000. These data will help DOL understand the changes to your organization over time. Use the table below to provide your answers.
Federal, State, Local and Private funding received since January 2000 |
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Calendar year
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Annual budget (e) |
Total number of people served by all activities (estimated if exact data is not available) (f) |
Number of Full-time equivalent employees (g) |
2000 |
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2001 |
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2002 |
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2003 |
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2004 |
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2005 |
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2006 (estimated)
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Please mark all the experiences that your organization has encountered since receiving the DOL grant award.
Our organization has sought additional grants from Federal, State, local, and/or private foundations.
Our organization has sought to work with other local organizations with similar missions in order to better serve our community.
Our organization has seen an increase in the number of charitable donations.
Our organization has expanded the types of social services offered to the community.
Our organization has expanded beyond our local community to provide services in neighboring jurisdictions.
Our organization has received a public service award from a local civic organization or private foundation in recognition of our services to the community.
Our organization has increased its interaction with our local One-Stop Career Center.
Our organization now has a long-term contract to partner with the One-Stop.
Our organization does not have a long-term contract to partner with the One-Stop.
Our organization has become an eligible training provider.
Our organization has not become an eligible training provider.
Other, please explain
Please provide your comments and suggestions on how DOL can improve its grant process and help faith-based and community organizations receive additional DOL grants.
Survey Instructions
These instructions refer to questions 1-6
A DOL grant refers to a discretionary grant award of financial assistance by a DOL agency through a competitive review process. A number of DOL agencies issue grants, including: Employment and Training Administration (ETA); Veterans’ Employment and Training Service (VETS); Office of Disability Employment Policy (ODEP); Occupational Safety and Health Administration (OSHA), and Bureau of International Labor Affairs (ILAB).
See above.
Please provide a descriptive title of the grant.
Please identify if the grant award was from a Federal agency, a State or local government entity, or a private source such as a corporation or foundation.
Some grants may extend beyond a 12-month period. If the period of performance is greater than a 12-month period, provide the total amount for the year in which the grant was awarded.
Provide the date DOL awarded your organization the grant.
Annual budget means the amount of money your organization spends each year on all of its activities.
Total number of people served applies to those that have received all services. These services could include employment and training services such as job counseling and mentoring; supportive services such as clothing, shelter, referral to medical or substance abuse treatment, and transportation assistance; or other services. If exact data is not available, please provide an estimate.
One full-time equivalent equals one full-time staff person or two part-time employees who each work half-time. If exact data is not available, please provide an estimate.
Self-explanatory.
Self-explanatory.
File Type | application/msword |
File Title | Survey for Grassroots and R4W Grantees |
Author | medefind-jedd |
Last Modified By | rutherford-dori |
File Modified | 2006-09-11 |
File Created | 2006-08-21 |