Form 1122-0013 Semi-Annual Progress Report for the Rural Domestic Viole

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U.S. Department of Justice
Office on Violence Against Women
SEMI-ANNUAL PROGRESS REPORT FOR
Rural Domestic Violence, Dating Violence, Sexual
Assault, and Stalking Assistance Program
Brief Instructions: This form must be completed for each Rural Domestic Violence, Dating Violence, Sexual Assault, and Stalking Assistance Program (Rural Program) grant received. A grant administrator or coordinator must
ensure that the form is completed. Grant partners, however, may complete sections relevant to their portion of
the grant. Grant administrators or coordinators are responsible for compiling and submitting a single report that
reflects all information collected from grant partners.
All grantees should read each section to determine which questions they must answer, based on activities supported under this grant during the current reporting period. Sections B and F of this form must be completed by
all grantees. In section A, subsection A1 must be answered. In section C, subsection C3 must be answered. In
sections D, E, and subsections A2, C1, C2, and C4-C8, grantees must answer an initial question about whether
they engaged in certain activities during the current reporting period. If the response is yes, then the grantee must
complete that section or subsection. If the response is no, the rest of that section or subsection is skipped.
For example, 1) if you are a victim services agency providing training, coordinated community response and victim
services with staff funded under this grant, you would complete sections A1, A2, B, C1, C3, D, and F (and answer
“no” in subsections C2, C4-C8 and section E); or, 2) if you receive funds for training, coordinated community response, victim services, and law enforcement, you would complete sections A1, A2, B, C1, C3, D, E1, and F (and
answer “no” in subsections C2, C4-C8 and E2-E5).
The activities of volunteers or interns should be reported if they were coordinated or supervised by Rural Programfunded staff or if Rural Program funds substantially supported their activities.
For further information on filling out this form, refer to the separate instructions, which contain detailed definitions
and examples illustrating how questions should be answered.

SECTION
Section A:
A1:
A2:
Section B:
Section C:
C1:
C2:
C3:
C4:
C5:
C6:
C7:
C8:
Section D:
Section E:
E1:
E2:
E3:
E4:
E5:
Section F:

Page Number

General Information
Grant Information
Staff Information
Purpose Areas
Function Areas
Training
Community Education
Coordinated Community Response
Policies
Products
Data Collection and Communication Systems
Specialized Units
System Improvement
Victim Services
Criminal Justice System
Law Enforcement
Prosecution
Courts
Probation and Parole
Batterer Intervention Program
Narrative
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4
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13
16
17
18
19
20
28
28
31
36
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44
45

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A1

GENERAL INFORMATION
Grant Information

All grantees must complete this subsection.

1.

Date of report

2.

Current reporting period

3.

Grantee name

4.

Grant number

5.

Type of lead agency/organization

(format date with 6 digits – 01/31/04)

January 1- June 30

July 1 - December 31

(Year)

(the federal grant number assigned to your Rural Program grant)

(Check the one answer that best describes the type of agency/organization administering Rural Program
funds. States administering Rural Program funds should see the separate instructions for additional information.)
Court
State coalition
Government agency (e.g. state criminal jusTribal government
tice agency, child protective services)
Unit of local government
Law enforcement
University/school
Probation, parole, or other correctional
Victim services
agency
Other (specify):
Prosecution

5a. Is this a faith-based organization?
Yes

6.

No

Point of contact (person responsible for the day-to-day coordination of the grant)
First name

MI

Last name

Agency/organization name
Address
City

State

Telephone

Zip code

Facsimile

E-mail

7.

Does this grant specifically address tribal populations?

(Check yes if your Rural Program grant focuses on tribal populations, and indicate which tribes or nations you
serve or intend to serve.)
Yes

No

If yes, which tribes/nations:

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8.

What percentage of your Rural Program funds was directed to each of these areas?

(Report the area[s] addressed by your Rural Program grant during the current reporting period and estimate
the approximate percentage of funds [or resources] used to address each area [consider education, training, victim services, etc.]. The grantee may choose how to make this determination.)
Throughout this form, the term sexual assault includes both assaults committed by offenders who are
strangers to the victim/survivor and assaults committed by offenders who are known to, related by blood
or marriage to, or in a dating relationship with the victim/survivor. The term domestic violence/dating violence applies to any pattern of coercive behavior that is used by one person to gain power and control over a
current or former intimate partner or dating partner. Stalking is defined as engaging in a course of conduct
directed at a specific person that would cause a reasonable person to fear for his or her safety or the safety
of others, or suffer substantial emotional distress. Child sexual abuse includes sexual assaults committed
against children under the age of 13. See the separate instructions for more complete definitions.

Sexual assault
Domestic violence/dating violence

%

Stalking

%

Child sexual abuse

%

TOTAL (must equal 100%)

9.

Percentage of grant funds
%

100

%

What percentage of Rural Program funds were used for prevention activities during the current
reporting period?
%

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A2

Staff Information

Were Rural Program funds used to fund staff positions during the current reporting period?
Check yes if Rural Program funds were used to pay staff, including part-time staff and contractors.
Yes—answer question 10
No—skip to section B

10. Staff

(Report the total number of full-time equivalent [FTE] staff funded by the Rural Program grant during the current reporting period. Report staff by function(s) performed, not by title or location. Include employees who
are part time and/or only partially funded with these grant funds as well as consultants/contractors. Report
grant-funded overtime. If an employee or contractor was employed or utilized for only a portion of the reporting period, prorate appropriately. For example, if you hired a full-time administrator in October who was
100% funded with Rural Program funds, you would report that as .5 FTEs. Report all FTEs in decimals, not
percentages. One FTE is equal to 1,040 hours—40 hours per week multiplied by 26 weeks. See separate
instructions for examples of how to calculate FTEs.)
Staff
FTE(s)

Administrator (director, fiscal manager)
Attorney (does not include prosecutor)
Children’s advocate
Counselor
Court personnel
Information technology staff
Investigator (prosecution-based)
Law enforcement officer
Legal advocate (does not include attorney or paralegal)
Outreach worker
Paralegal
Probation officer/offender monitor
Program coordinator (training coordinator, victim services coordinator, project
coordinator, contract coordinator, clinical coordinator, volunteer coordinator)
Prosecutor
Sexual assault forensic examiner/sexual assault nurse examiner (SAFE/SANE)
Support staff (bookkeeper, accountant, administrative assistant)
Trainer/educator
Translator/interpreter
Victim advocate (non-governmental, includes domestic violence, sexual assault,
and dual)
Victim assistant (governmental, includes victim-witness specialist/coordinator)
Other (specify):
TOTAL

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B

PURPOSE AREAS

All grantees must complete this section.

11. Purpose areas/strategies

(Check all purpose areas that apply to activities supported by Rural Program funds during the current reporting period.)

Check ALL
that apply

Purpose areas

To implement, expand, and establish cooperative efforts and projects among law enforcement officers, prosecutors, victim advocacy groups, and other related parties, to investigate and prosecute incidents of domestic violence, dating violence, sexual assault, and
stalking
To provide treatment, counseling, advocacy, and other long- and short-term assistance to adult
and minor victims of domestic violence, dating violence, sexual assault, and stalking in rural
communities, including assistance in immigration matters
To work in cooperation with the community to develop education and prevention strategies directed toward such issues.

12. Program priority areas addressed by your grant

(In addition to the purpose areas identified above, the Rural Program Grant Application and Program Guidelines may have identified several program priority areas that would receive priority consideration. If your program addressed any of these priority areas during the current reporting period, list them below.)

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C1

FUNCTION AREAS
Training

Were your Rural Program funds used for training during the current reporting period?

Check yes if Rural Program-funded staff provided training or if Rural Program funds directly supported the
training.
Yes—answer questions 13-16
No—skip to C2

For the purposes of this reporting form, training means providing information on sexual assault, domestic
violence, dating violence, stalking, and child sexual abuse that enables professionals to improve their response to
victims/survivors as it relates to their role in the system. Education means providing general information that will
increase public awareness of sexual assault, domestic violence, dating violence, stalking, and child sexual abuse.
In this subsection, report information on training activities. Education should be reported in subsection C2.

13. Training events provided

(Report the total number of training events provided during the current reporting period that were either provided by Rural Program-funded staff or directly supported by Rural Program funds. Training provided to Rural
Program-funded staff should not be counted.)
Total number of training events provided

Rural Program Semi-Annual Progress Report • 5 • Office on Violence Against Women

14. Number of people trained

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(Report the number of people trained during the current reporting period by Rural Program-funded staff or
training supported by Rural Program funds. Use the category that is most descriptive of the people who attended the training event. Rural Program-funded staff attending training should not be counted. If you do
not know how many people to report in specific categories, you may report the overall number in “Multidisciplinary” but this category should be used only as a last resort. Students, community members, and victims
should not be reported as people trained, since they are not professionals responding to victims.)
People trained
Number

Advocacy organization staff (NAACP, AARP)
Attorneys/law students
Batterer intervention program staff
Child care staff
Child protective service workers
Children’s advocates (not affiliated with CPS)
Correction personnel (probation, parole, and correctional facilities)
Court personnel (tribal)
Court personnel (non-tribal)
Educators (teachers, administrators, etc.)
Faith-based organization staff
Government agency staff (vocational rehabilitation, food stamps, TANF)
Health professionals (doctors, nurses--does not include SAFE/SANE)
Immigrant organization staff (non-governmental)
Interpreters/translators
Law enforcement officers (tribal)
Law enforcement officers (non-tribal)
Legal services staff (does not include attorneys)
Mental health professionals
Military command staff
Multidisciplinary (various disciplines at same training)
Prosecutors (tribal)
Prosecutors (non-tribal)
Sexual assault forensic examiner/sexual assault nurse examiner (SAFE/SANE)
Social service organization staff (non-governmental—food bank, homeless shelter)
State or tribal domestic violence coalition staff (includes sexual assault, domestic violence, and dual)
Tribal government/Tribal government agency staff
Victim advocates (tribal, includes sexual assault, domestic violence, and dual)
Victim advocates (non-tribal, non-governmental, includes sexual assault, domestic violence, and dual)
Victim assistants (tribal, includes victim-witness specialists/coordinators)
Victim assistants (non-tribal, governmental, includes victim-witness specialists/coordinators)
Volunteers
Other (specify):
TOTAL
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15. Training content areas

(Indicate all topics covered in training events provided or directly supported by your Rural Program funds during the current reporting period. Check all that apply.)

Sexual assault, domestic violence, dating
violence, stalking, and child sexual abuse
Advocate response
Child witnesses
Child sexual abuse overview, dynamics, and
services
Child development
Confidentiality
Dating violence overview, dynamics, and
services

Sexual assault forensic examination
Sexual assault statutes/codes
Stalking statutes/codes
Tribal jurisdiction and Public Law 280
Other (specify):

Underserved populations
Issues specific to rural victims/survivors who:
are American Indian or Alaska Native

Domestic violence overview, dynamics, and
services

are Asian

Mandatory reporting requirements

are elderly

Parenting issues

are geographically isolated

Response to victims/survivors who are incarcerated

are Hispanic or Latino

Response to victims/survivors who have been
trafficked

are immigrants, refugees, or asylum seekers

are black or African American

are homeless or living in poverty

Safety planning for victims/survivors

are lesbian, gay, bisexual, transgender, or intersex

Sexual assault overview, dynamics, and
services

are Native Hawaiian or other Pacific Islander
have disabilities

Stalking overview, dynamics, and services

have limited English proficiency

Other (specify):

have mental health issues
have substance abuse issues
Other (specify):

Justice system
Civil court procedures
Child sexual abuse statutes/codes
Criminal court procedures
Domestic violence statutes/codes
Family court procedures
Firearms and domestic violence
Decreasing dual arrests/identifying predominant aggressor

Community response
Community response to sexual assault
Coordinated community response
Response teams (DART, DVRT, SART)
Technology
Other (specify):

Immigration
Judicial response
Juvenile court procedures
Law enforcement response
Pro-arrest policies
Probation response
Prosecution response
Protection orders (including full faith and
credit)
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16. (Optional) Additional information

(Use the space below to discuss the effectiveness of training activities funded or supported by your Rural
Program grant and to provide any additional information you would like to share about your training activities
beyond what you have provided in the data above. Examples might include a reduction in dual arrest rates
following training provided on identifying the predominant aggressor; improved system response to victims/
survivors with disabilities following a multidisciplinary training provided to advocates, law enforcement, and
prosecution agencies on issues specific to victims/survivors with disabilities.) (Maximum - 2000 characters)

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C2

Community Education

Were your Rural Program funds used for community education during the current reporting period?
Check yes if Rural Program-funded staff engaged in community education activities or if Rural Program
funds directly supported community education.
Yes—answer questions 17-19
No—skip to C3
For the purposes of this reporting form, education means providing general information that will increase public awareness of sexual assault, domestic violence, dating violence, stalking, and child sexual abuse. Training
means providing information on sexual assault, domestic violence, dating violence, stalking, and child sexual
abuse that enables professionals to improve their response to victims/survivors as it relates to their role in the
system. In this subsection, report information on community education activities. Training should be reported in
subsection C1.

17. Education events

(Report the total number of education events provided during the current reporting period that were either
provided by Rural Program-funded staff or directly supported with Rural Program funds.)
Total number of education events provided

18. People educated with Rural Program funds

(Report the number of people attending community education events during the current reporting period.
Use the category that is most descriptive of the people who attended the event.)
People attending event

Number

Child care providers
Community advocacy groups (NAACP, AARP)
Community businesses (retail stores, pharmacies)
Community groups (service or social groups)
Community members (unaffiliated adults)
Educators (teachers, administrators, etc.)
Elementary school students
Faith-based groups
Middle and high school students
Parents or guardians
University or college students
Victims/survivors (do not count psychoeducation groups)
Other (specify):

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19. Topics of education events provided with Rural Program funds

(Indicate all topics covered in education events provided with your Rural Program funds during the current
reporting period. Check all that apply.)

Sexual assault, domestic violence, dating violence, stalking, and child sexual abuse
Child sexual abuse overview, dynamics, and services
Child sexual abuse prevention program
Dating violence overview, dynamics, and services
Domestic violence overview, dynamics, and services
Domestic violence/dating violence prevention program
Healthy relationships/domestic violence/dating violence prevention (6-12th grade)
Healthy relationships/domestic violence/dating violence prevention (community)
Healthy relationships/domestic violence/dating violence prevention (university)
Indigenous prevention programs
Mandated reporting of child sexual abuse
Parent-child interaction (parent-child play program, parent-child music class)
Parenting skills (child development, appropriate interventions)
Safety planning
Sexual assault overview, dynamics, and services
Stalking overview, dynamics, and services
Workplace violence
Other (specify):

Issues specific to rural victims/survivors who:
are American Indian or Alaska Native
are Asian
are black or African American
are elderly
are geographically isolated
are Hispanic or Latino
are homeless or living in poverty
are immigrants, refugees, or asylum seekers
are lesbian, gay, bisexual, transgender, or intersex
are Native Hawaiian or other Pacific Islander
have disabilities
have mental health issues
have substance abuse issues
Other (specify):

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C3

Coordinated Community Response

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All grantees must complete this subsection.

20. Coordinated community response activities

(Check the appropriate boxes to indicate the agencies or organizations, even if they are not partners with
which you have a memorandum of understanding [MOU], that you provided victim/survivor referrals to, received victim/survivor referrals from, engaged in consultation with, provided technical assistance to, and/
or attended meetings with, during the current reporting period, according to the usual frequency of the
interactions. If the interactions were not part of a regular schedule, you will need to estimate the frequency
with which these interactions occurred during the current reporting period. In the last column, indicate the
agencies or organizations with which you have an MOU for purposes of the Rural Program grant. If Rural
Program-funded staff participated in a task force or work group, indicate that under “Meetings” by checking
the frequency of the meeting and the types of organizations participating.)
Victim/survivor referrals,
MOU
Agency/organization
Meetings
consultations, technical assistance
partner
Daily
Weekly Monthly
Weekly Monthly Quarterly
Advocacy organization (NAACP,
AARP)
Batterer intervention program
Child Protective Services
Children’s advocacy program
Corrections (probation, parole,
and correctional facility)
Court (tribal)
Court (non-tribal)
Domestic violence program
(tribal)
Domestic violence program
(non-tribal)
Educational institution
Faith-based organization
Government agency (Social Security, TANF)
Health/mental health
organization
Immigration organization
Law enforcement agency (tribal)
Law enforcement agency (nontribal)
Legal organization
(legal services, bar associations,
law school)
Prosecutor’s office (tribal)
Prosecutor’s office (non-tribal)
Sexual assault program (tribal)
Sexual assault program
(non-tribal)
Sex offender management/sex
offender treatment provider
Social service organization (nongovernmental)
Tribal government/Tribal
government agency
Other (specify):

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21. (Optional) Additional information

(Use the space below to discuss the effectiveness of coordinated community response [CCR] activities
funded or supported by your Rural Program grant and to provide any additional information you would like to
share about your CCR activities beyond what you have provided in the data above. Examples might include
an improved judicial response to custody issues involving victims/survivors of domestic violence and their
children, following meetings of a regional task force that included victims advocates, legal services attorneys, and judges; improved information to victims/survivors regarding resources and greater coordination
between the prosecutor’s office and the local victim services agency as a result of meetings between the
governmental and non-governmental advocates.) (Maximum - 2000 characters)

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C4

Policies

Were your Rural Program funds used to develop, substantially revise, or implement policies or protocols during the current reporting period?
Check yes if Rural Program-funded staff developed, substantially revised, and/or implemented policies or
protocols, or if Rural Program funds directly supported the development, revision, and/or implementation of
policies or protocols.

Yes—answer questions 22-23
No—skip to C5
22. Types of protocols or policies developed, substantially revised, and/or implemented during the
current reporting period
(Check all that apply.)

Victim services

Procedures for anonymous, confidential, or
Jane Doe reporting of sexual assault
Protection order enforcement (including full
faith and credit)
Providing information to victims/survivors
about victim services
Sexual assault response and protocols
Other (specify):

Tribal Non-tribal

Appropriate response to underserved
populations
Appropriate response to victims/survivors of
child sexual abuse
Appropriate response to victims/survivors
with substance abuse issues and/or mental
health diagnosis
Confidentiality
Mandatory training standards for staff and
volunteers
Procedures for anonymous, confidential, or
Jane Doe reporting of sexual assault
Staff, board, and/or volunteers represent
the diversity of your service area
Victim informed about Crime Victims Compensation and Victim Impact Statements
Other (specify):

Prosecution
Tribal Non-tribal

Appropriate response to underserved populations
Appropriate response to victims/survivors of
child sexual abuse
Mandatory training on domestic violence/
dating violence, sexual assault, stalking,
and/or child sexual abuse
No charge to victims/survivors for any costs
related to the prosecution of sexual assault,
domestic violence/dating violence, stalking
or child sexual abuse
No victims/survivors polygraphed
Policies to protect victims/survivors from Internet disclosure of identifying information
Protection order enforcement (including full
faith and credit)
Sexual assault response and protocols
Vertical prosecution
Victim-witness notification
Other (specify):

Law enforcement
Tribal Non-tribal

Appropriate response to underserved populations
Appropriate response to victims/survivors of
child sexual abuse
Identifying primary aggressor/discouraging
dual arrest
Immediate access to protection order information
Mandatory training on domestic violence/
dating violence, sexual assault, stalking,
and/or child sexual abuse
No charge to sexual assault victims/survivors for any costs associated with forensic
exam
No charge to victims/survivors for any costs
associated with the investigation of domestic violence/dating violence, sexual assault,
stalking, and/or child sexual abuse offenses
No charge to victims/survivors for service of
protection orders, warrants, or subpoenas
No victims/survivors polygraphed
Policies to protect victims/survivors from Internet disclosure of identifying information
Pro-arrest/mandatory arrest

Courts
Tribal Non-tribal

Accelerated trial schedules
Appropriate response to underserved populations
Appropriate response to victims/survivors of
child sexual abuse
Dedicated domestic violence docket
Full faith and credit for protection orders
Immediate access to obtaining protection
orders
Judicial monitoring of offenders

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Courts

Health care

Tribal Non-tribal

Accelerated trial schedules
Appropriate response to underserved populations
Appropriate response to victims/survivors of
child sexual abuse
Dedicated domestic violence docket
Full faith and credit for protection orders
Immediate access to obtaining protection
orders
Judicial monitoring of offenders
Mandatory training on domestic violence/
dating violence, sexual assault, stalking,
and/or child sexual abuse
No charge to victims/survivors for any costs
related to the prosecution or obtaining a
protection order for sexual assault, domestic
violence/dating violence, stalking, or child
sexual abuse
Policy against mutual restraining orders
Policies to protect victims/survivors from Internet disclosure of identifying information
Procedures for courtroom security
Standard protection order form
Other (specify):

Tribal Non-tribal

Advocate response or accompaniment to
emergency room
Appropriate response to victims/survivors to
avoid or eliminate re-traumatization
Appropriate response to underserved populations
Documentation
Forensic exams not billed to victim/survivor
Mandatory training on sexual assault, domestic violence/dating violence, stalking,
and/or child sexual abuse
Routine screening and referrals for sexual
assault, domestic violence/dating violence,
stalking, and/or child sexual abuse
Other (specify):

Probation and Parole
Tribal Non-tribal

Appropriate response to underserved populations
Mandatory training on domestic violence/
dating violence, sexual assault, stalking,
and/or child sexual abuse
Strategies to assist and protect victim/survivor during probation and parole
Victim/survivor inclusion in offender supervision planning process/sex offender management
Victim-witness notification
Other (specify):

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23. (Optional) Additional information

(Use the space below to discuss the effectiveness of policies you have developed or implemented that were
funded or supported by your Rural Program grant and to provide any additional information you would like
to share about your activities beyond what you have provided in the data above. An example might include
a significant increase in victim contact with and input to the specialized probation officer/unit following the
implementation of a policy on victim involvement.) (Maximum - 2000 characters)

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C5

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Products

Were your Rural Program funds used to develop, substantially revise, or distribute products during
the current reporting period?

Check yes if Rural Program-funded staff developed, revised and/or distributed products or if Rural Program
funds directly supported the development, revision, or distribution of products.

Yes—answer question 24
No—skip to C6
24. Use of Rural Program funds for product development, substantial revision, or distribution

(Report the number of products, substantially revised, or distributed with Rural Program funds during the
current reporting period. Report the number of new products developed or substantially revised during
the current reporting period; the title/topic and intended audience for each product developed, revised, or
distributed; and the number of products used or distributed. If a product was created in or translated into a
language other than English, including Braille, indicate the language. Report on products that were newly
developed during the current reporting period whether or not they were used or distributed during the current reporting period. Do not report the number of products printed or copied; only report the number developed or revised—in most cases that number will be one for each product described—and/or the number
used or distributed. See separate instructions for examples of how to report under “developed or revised”
and “used or distributed”.)
Number
Number
Intended
Other
developed
used or
Products
Title/topic
audience
languages
or revised
distributed
Brochures

Manuals

Newsletter

Posters

Public service
announcements
Training
curricula
Training
materials
Web site

(report number of
page views in the
used or distributed
column)

Videos

Other (specify):
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C6

OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

Data Collection and Communication Systems

Were your Rural Program funds used for data collection systems or communication systems or for
the purchase of hardware or other equipment during the current reporting period?
Check yes if Rural Program funds or Rural Program-funded staff were used to develop, install, or expand
data collection and/or communication systems.

Yes-answer questions 25-26
No-skip to C7
25. Use of Rural Program funds for data collection and/or communication systems
(Check all that apply.)

Develop new data collection/communication systems
Install data collection/communication systems
Expand existing data collection/communication systems
Link existing data collection/communication systems
Share information with other community partners
Manage data collection and communication
Purchase computers and other equipment
26. Purpose of data collection and/or communication systems

(Indicate all types of information being identified or tracked with this technology by checking all that apply.)

Arrests/charges
Bail/bond orders
Case management
Child protective services case tracking
Compliance with court-ordered sanctions
Convictions
Court docket management
Evaluation/outcome measures
Incident reports
Probation conditions/violations
Prosecutions
Protection orders
Recidivism
Sentencing
Stalking and harassment orders
Victim/survivor notification
Victim/survivor service availability
Violations of protection orders
Warrants
Other (specify):

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OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

C7

Specialized Units

Were your Rural Program funds used for specialized units during the current reporting period?

Check yes if any Rural Program-funded staff were part of a specialized unit in any of the categories listed
below, or if Rural Program funds were used to directly support a specialized unit. (A specialized unit is a
centralized or coordinated group, unit, or dedicated staff of law enforcement officers, prosecutors, probation officers, or judges responsible for handling sexual assault, domestic violence, dating violence, stalking,
and child sexual abuse cases. A specialized unit may consist of one person, even if that person is partially
funded by your Rural Program grant.)

Yes—answer questions 27A and 27B
No—skip to C8
27A. Use of Rural Program funds for specialized units
(Check all that apply for the current reporting period.)

Law enforcement

Prosecution

Court

Probation or parole

Develop a new unit
Support, expand, or coordinate
an existing unit
Train a specialized unit
Other (specify):

27B. Victimizations addressed by Rural Program-funded specialized units

(Check all victimizations addressed by your specialized unit(s) during the current reporting period.)
Law enforcement

Prosecution

Court

Sexual assault
Domestic violence/dating violence
Stalking
Child sexual abuse

Rural Program Semi-Annual Progress Report • 18 • Office on Violence Against Women

Probation or parole

SECTION

OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

C8

System Improvement

Were your Rural Program funds used for system improvement during the current reporting period?
Check yes if any Rural Program-funded staff engaged in system improvement activities or if Rural Program
funds directly supported system improvements (e.g. interpreters, safety audits, security).

Yes—answer question 28
No—skip to section D
28. Use of Rural Program funds for system improvement
(Check all that apply for the current reporting period.)
Victim services

Law enforcement

Prosecution

Court

Evaluation
Facilitating community task force
Interpreters
Language lines
Meetings between
tribal and non-tribal
entities
Safety audits
Security personnel or
equipment
Translation of forms
and documents
Other (specify):

Rural Program Semi-Annual Progress Report • 19 • Office on Violence Against Women

Probation or parole

SECTION

OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

D

VICTIM SERVICES

Were your Rural Program funds used to provide victim services to victims/survivors during the current reporting period?

Check yes if Rural Program-funded staff provided victim services or if Rural Program funds were used to support victim services during the current reporting period. Report all victims/survivors served, and services
provided with Rural Program funds, whether by a victim services agency or victim services within law enforcement, prosecution, or the court system. Report criminal justice activities, such as 911 calls and investigations, in section E only.

Yes--answer questions 29-38
No--skip to section E
29. Number of victims/survivors served, partially served, and victims/survivors seeking services
who were not served

Please do not answer this question without referring to the separate instructions for further explanation and
examples of how to distinguish among these categories. (Report the following, to the best of your ability, as
an unduplicated count for each category during the current reporting period. This means that each victim/
survivor who requested or received services during the current reporting period should be counted only
once and in only one of the listed categories. For purposes of this question, victims/survivors are those
against whom the sexual assault, domestic violence, dating violence, stalking, and/or child sexual abuse
was directed. If the victim/survivor experienced more than one victimization, that person should be counted only once under the primary victimization. Child victims may only be counted if they are victims/survivors
of child sexual abuse. Do not report secondary victims here.)
Sexual
assault

Domestic
violence/
dating
violence

Stalking

A. Served: Victims/survivors who received the grantfunded service(s) they requested, if those services
were funded by your Rural Program grant
B. Partially served: Victims/survivors who received
some grant-funded service(s), but not all of the grantfunded services they requested, if those services
were funded by your Rural Program grant
TOTAL SERVED AND PARTIALLY SERVED (29A +
29B)
C. Victims/survivors seeking services who were
not served: Victims/survivors who sought grantfunded services and did not receive the grant-funded
service(s) they requested, if those services were
funded by your Rural Program grant

Rural Program Semi-Annual Progress Report • 20 • Office on Violence Against Women

Child sexual
abuse

TOTAL

OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

30. Number of secondary victims served

Please do not answer this question without referring to the separate instructions for further explanation and
for examples of how and when to report secondary victims. (Report the following, to the best of your ability,
as an unduplicated count for each category during the current reporting period. This means that each secondary victim who received services during the current reporting period should be counted only once and
in only one of the listed categories, which should correspond to the category of victimization of the primary
victim. For purposes of this question, secondary victims are those who are indirectly affected by the domestic violence, dating violence, sexual assault, and/or stalking—i.e., children, siblings, spouses or intimate partners, grandparents, other affected relatives, friends, neighbors, etc.)
Secondary victims
Secondary victims who
received service(s)
funded by your Rural
Program grant

Sexual assault

Domestic violence/
dating violence

Stalking

TOTAL

31. Reasons that victims/survivors seeking services were not served or were partially served
(Check all that apply.)

Reasons not served or partially served
Conflict of interest
Did not meet statutory requirements
Hours of operation
Insufficient or lack of culturally appropriate services
Insufficient or lack of language capacity (including sign language)
Insufficient or lack of services for people with disabilities
Lack of childcare
Program reached capacity
Program rules not acceptable to victim/survivor
Program unable to provide service due to limited resources/priority-setting
Services inappropriate or inadequate for victims/survivors with mental health issues
Services inappropriate or inadequate for victims/survivors with substance abuse issues
Services not appropriate for victim/survivor
Services not available for victims/survivors accompanied by male adolescents
Transportation
Other (specify):

Rural Program Semi-Annual Progress Report • 21 • Office on Violence Against Women

OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

32. Demographics of victims/survivors served or partially served

(Based on the primary victims/survivors reported in 29A and 29B, provide the total numbers for all that apply. Because victims/survivors may identify in more than one category of race/ethnicity, the total for “Race/
ethnicity” may exceed the total number of victims/survivors reported in questions 29A and 29B. However,
the total number of victims/survivors reported under “Race/ethnicity” should not be less than the total
number of victims/survivors reported in questions 29A and 29B. The total number of victims/survivors reported under “Gender” and the total number reported under “Age” should equal the total number of victims/
survivors reported in questions 29A and 29B. Those victims/survivors for whom gender, age, and/or race/
ethnicity is not known should be reported in the “Unknown” category. Do not report demographics for secondary victims.)
Race/ethnicity (Victims/survivors should be counted once in each

category of race/ethnicity that applies. Victims/survivors should
not be counted more than once in either the category “American
Indian and Alaska Native” or in the category “Native Hawaiian and
other Pacific Islander.”)

Number of
victims/survivors

American Indian and Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian and other Pacific Islander
White
Unknown
TOTAL RACE/ETHNICITY (should not be less than the sum of 29A and 29B)
Gender
Female
Male
Unknown
TOTAL GENDER (should equal the sum of 29A and 29B)
Age
0-6
7-12
13-17
18-24
25-59
60+
Unknown
TOTAL AGE (should equal the sum of 29A and 29B)
Other demographics
People with disabilities
People with limited English proficiency
People who are immigrants/refugees/asylum seekers
People who live in rural areas
Relationship to offender
Rural Program Grants Semi-Annual Progress Report • 22 • Office on Violence Against Women

OMB Clearance # 1121-0287
OMB Clearance # 1122-0013
Expiration Date: 10/31/2007
Expiration Date: / /

33. Victims/survivors’ relationship to offender by victimization

(For those victims/survivors reported as served and partially served in 29A and 29B, report the victim/
survivor’s relationship to the offender by type of victimization. If a victim/survivor experienced more than
one type of victimization and/or was victimized by more than one perpetrator, count the victim/survivor in
all categories that apply. The total number of relationships in the sexual assault column must be at least
[insert sum of sexual assault victims reported in 29A and 29B]; the total number in the domestic violence/
dating violence column must be at least [insert sum of domestic violence/dating violence victims/survivors
reported in 29A and 29B]; the total number in the stalking column must be at least [insert sum of stalking
victims reported in 29A and 29B]; and the total number in the child sexual abuse column must be at least
[insert sum of child sexual abuse victims/survivors reported in 29A and 29B].)
Number of victim/survivor relationships by victimization

Victim/survivor’s relationship to offender

Sexual
assault

Domestic
violence/
dating
violence

Stalking

Current or former spouse or intimate partner
Other family or household member
Current or former dating relationship
Acquaintance (neighbor, employee, coworker, student, etc.)
Stranger
Relationship unknown
TOTAL

Rural Program Semi-Annual Progress Report • 23 • Office on Violence Against Women

Child sexual
abuse

OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

34A.Victim services

(Report the number of victims/survivors from 29A and 29B who received Rural Program-funded services
during the current reporting period. Count each victim/survivor only once for each type of service that victim/survivor received during the current reporting period; do not report the number of times that service
was provided to the victim/survivor. The total for each type of service should not be higher than the total of
29A and 29B [insert total of 29A and 29B]. Shelter services should be reported in question 34B.)

Type of service

Number of victims/
survivors
served

Child advocacy (Including guardian ad litem)
Child care
Civil legal advocacy/court accompaniment (Assisting a victim/survivor with civil
legal issues including preparing paperwork for a protection order and accompanying victim/survivor to a protection order hearing, administrative hearing, or other
civil court proceeding. Does not include advocacy by attorneys and/or paralegals)
Civil legal assistance (Civil legal services provided by an attorney and/or a paralegal)
Criminal justice advocacy/court accompaniment (Assisting a victim/survivor with
criminal legal issues including notifying the victim/survivor of case status, hearing dates, plea agreements, and sentencing terms; preparing paperwork such as
victim impact statements; accompanying a victim/survivor to a criminal court proceeding or law enforcement interview; and all other advocacy within the criminal
justice system)
Crisis intervention (Crisis intervention is a process by which a person identifies,
assesses, and intervenes with an individual in crisis so as to restore balance and
reduce the effects of the crisis in her/his life. In this category, report only crisis
intervention that occurs in person and/or over the telephone.)
Forensic exam (Exams conducted by a sexual assault forensic examiner or a
sexual assault nurse examiner)
Hospital/clinic/other medical response (Accompanying a victim/survivor to, or
meeting a victim/survivor at, the hospital, clinic, or medical office)
Language services (Interpretation, translation, etc.)
Support group/counseling services (Individual or group counseling or support
provided by a volunteer, peer, or professional)
Transportation
Victim/survivor advocacy (Actions designed to help the victim/survivor obtain
needed support, resources, or services including employment, health care, victim’s compensation, etc.)
Other (specify):

Rural Program Semi-Annual Progress Report • 24 • Office on Violence Against Women

OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

34B. Shelter services

(Report the total number of victims/survivors and accompanying family members who received emergency
shelter and/or transitional housing provided with Rural Program funds during the current reporting period.
This should be an unduplicated count for both victims/survivors and for family members. This means that
each victim/survivor and each family member who received shelter services during the current reporting period should be counted only once. Report the total number of bed nights provided in emergency shelter and/
or transitional housing to victims/survivors and family members. The number of bed nights is computed by
multiplying the number of victims/survivors and family members by the number of nights they stayed in the
shelter. The number of bed nights will typically be significantly higher than the number of victims/survivors
and family members. For example, one victim/survivor and her three children all stayed in the shelter for 10
nights. The number of bed nights would be 4 multiplied by 10, or 40.)
Shelter service

Number of victims/
survivors

Number of family
members (include all
children here)

Number of
bed nights

Emergency shelter
Transitional housing

35. Hotline calls

(Report the number of hotline calls received from victims/survivors, and the total number of hotline calls received, during the current reporting period. Primary victims/survivors whose calls are reported here should
not be reported as victims/survivors served in question 29 unless they also received at least one of the services listed in question 34A Victim Services or 34B Shelter Services. Victims/survivors who receive services
such as crisis intervention or victim advocacy over the telephone, in addition to basic hotline information
and/or referrals, should also be reported in question 34A. Hotline calls that include victim advocacy or crisis intervention services are those that require more time than the average call and involve a more intensive
focus on the immediate needs and situation of the victim/survivor. For examples of when to report only the
hotline call and when to report both the hotline call and a service or services in question 34A, see separate
instructions.)
Number of calls from
victims/survivors

Total number of calls

Hotline calls (Crisis or information and referral calls received by an agency’s hotline
or office telephone)

36. Victim-witness notification/outreach to victims/survivors

(Report the number of unsolicited letters, phone calls, or visits to victims/survivors of specific incidents of
sexual assault, domestic violence, dating violence, stalking, and/or child sexual abuse identified in police
reports or court documents, informing them of services and/or providing information about the criminal
justice system. Victims/survivors who are the recipients of these notification/outreach activities should not
be reported as victims/survivors served in question 29 unless they also received at least one of the services
listed in question 34A Victim Services or 34B Shelter Services. Victims/survivors who receive services such
as criminal justice advocacy in the course of a telephone or outreach visit should also be reported in question 34A.)
Number of notification/outreach
activities to victims/survivors
Victim-witness notification/outreach to victims/survivors (unsolicited
letters, phone calls, or visits)

Rural Program Semi-Annual Progress Report • 25 • Office on Violence Against Women

OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

37. Protection orders

(Report the total number of temporary and/or final protection orders requested and granted for which Rural
Program-funded victim services staff provided assistance to victims/survivors during the current reporting
period. Protection orders include those ordered on behalf of children. These orders may also be referred to
as protection from abuse, protection from harassment or anti-harassment orders, restraining orders, or nocontact or stay-away orders.) Temporary orders

Sexual assault protection orders

Temporary orders

Final orders

Temporary orders

Final orders

Temporary orders

Final orders

Temporary orders

Final orders

Number requested
Number granted
Domestic violence/dating
violence protection orders
Number requested
Number granted
Stalking protection orders
Number requested
Number granted
Child sexual abuse
protection orders
Number requested
Number granted

Rural Program Semi-Annual Progress Report • 26 • Office on Violence Against Women

OMB Clearance # 1121-0287
OMB Clearance # 1122-0013
Expiration Date: 10/31/2007
Expiration Date: / /

38. (Optional) Additional information

(Use the space below to discuss the effectiveness of victim services funded or supported by your Rural
Program grant and to provide any additional information you would like to share about your victim services
activities beyond what you have provided in the data above. An example might include that your agency, as
the result of Rural Program funding, was able to provide medical accompaniment to an increased percentage of sexual assault victims/survivors, which resulted in a higher percentage of victims/survivors seeking
additional support services.) (Maximum - 2000 characters)

Rural Program Semi-Annual Progress Report • 27 • Office on Violence Against Women

SECTION

OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

E1

CRIMINAL JUSTICE SYSTEM
Law Enforcement

Were your Rural Program funds used for law enforcement activities during the current reporting period?
Check yes if your Rural Program grant funded law enforcement activities. If Rural Program funds supported
only a victim assistant/victim-witness specialist or victim advocate located in a law enforcement agency,
then only section D Victim Services should be completed.

Yes—answer questions 39-42
No—skip to E2
39. Activities

(Report the number of activities relating to sexual assault, domestic violence, dating violence, stalking,
and/or child sexual abuse cases/incidents for the current reporting period. If an activity relates to a case/
incident involving more than one type of crime, the activity should be counted only once under the primary
victimization.)
\
Domestic
Sexual
violence/
Child sexual
Stalking
Activity
assault
dating vioabuse
lence
Calls for assistance (All 911 and other calls made
to law enforcement)
Incident reports (All responses to an incident as
reported on an incident report)
Cases/incidents investigated (All cases in which
evidence was collected/witnesses interviewed
relating to an incident)
Forensic medical evidence (All cases in which rape
kits were processed)
Arrests (All arrests made by law enforcement,
except dual arrests)
Dual arrests (Responses by law enforcement in
which two parties involved in the incident are arrested)
Protection/ex parte/temporary restraining orders
served (All instances in which these types of orders were served on offenders)
Arrests for violation of bail bond (All instances in
which arrests were made of offenders who violated conditions set out in their bail bonds)
Enforcement of warrants (All instances in which
warrants relating to these incidents were enforced)
Arrests for violation of protection order
Protection orders issued (All orders directly issued
by law enforcement or issued by the court at the
direct request of law enforcement in jurisdictions
where law enforcement officers are so authorized)
Referrals of cases to prosecutor
Referrals of federal firearms charges to federal
prosecutor

Rural Program Semi-Annual Progress Report • 28 • Office on Violence Against Women

OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

40. Victim/survivor referrals to victim services

(Report the total number victim/survivor referrals to victim services by Rural Program-funded staff during
the current reporting period. “Governmental” refers to victim services provided by victim assistants or victimwitness specialists/coordinators employed by criminal justice agencies, such as law enforcement, prosecution, courts, or probation, that are targeted to victims/survivors of domestic violence, dating violence, sexual
assault, stalking, and/or child sexual abuse. “Non-governmental” refers to services provided by non-profit
community-based agencies to victims/survivors of domestic violence, dating violence, sexual assault, stalking, and/or child sexual abuse.)
Governmental victim services
Non-governmental victim services
Number of victim/survivor
referrals

41. Protection orders

(Report the total number of temporary and/or final protection orders requested and granted for which Rural
Program-funded law enforcement provided assistance to victims/survivors during the current reporting
period. Protection orders include those ordered on behalf of children. These orders may also be referred to
as protection from abuse, protection from harassment or anti-harassment orders, restraining orders, or nocontact or stay-away orders.) Temporary orders
Sexual assault protection orders
Temporary orders
Final orders
Number requested
Number granted

Domestic violence/dating
violence protection orders

Temporary orders

Final orders

Temporary orders

Final orders

Temporary orders

Final orders

Number requested
Number granted

Stalking protection orders
Number requested
Number granted

Child sexual abuse
protection orders
Number requested
Number granted

Rural Program Semi-Annual Progress Report • 29 • Office on Violence Against Women

OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

42. (Optional) Additional information

(Use the space below to discuss the effectiveness of law enforcement activities funded or supported by your
Rural Program grant and to provide any additional information you would like to share about these activities
beyond what you have provided in the data above. An example might include an increase in the number of
cases accepted for prosecution as the result of a Rural Program-funded specialized investigator focused on
domestic violence, dating violence, sexual assault, stalking, and/or child sexual abuse.) (Maximum - 2000
characters)

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OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
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Date: 10/31/2007
Expiration Date: / /

E2

Governmental victim services Non-governmental victim services protection orders

Prosecution

Were your Rural Program funds used for prosecution during the current reporting period?

Check yes if your Rural Program grant funded prosecution activities. If Rural Program funds supported only
a victim assistant/victim-witness specialist or a victim advocate located in a prosecution office, then only
section D Victim Services should be completed.

Yes—answer questions 43-48
No—skip to E3
43A. Number of cases received, accepted for prosecution, declined, or transferred

(Report the number of domestic violence, dating violence, sexual assault, stalking, and/or child sexual
abuse-related case referrals received--including cases already charged before reaching the prosecutor’s
office. Of those cases referred, report the number that were accepted and the number that were declined
for prosecution during the current reporting period. A case should be characterized by the most serious offense and may include numerous charges or counts. In most instances, a case will refer to one victim, one
offender, and one incident. It is strongly suggested that you refer to the separate instructions for examples
of how to count and characterize cases.)

Misdemeanor and felony domestic violence cases may include any assaults, battery, vandalism, or other offenses that occurred in a domestic violence incident. Your state law or tribal code does not have to name
an offense ‘‘domestic violence’’ for a case addressing that offense to be counted here. Similarly, cases addressing sexual assault, stalking, and child sexual abuse offenses should be counted, even if your state law
or tribal code uses other names for these types of offenses, such as ‘‘sexual battery’’ or ‘‘harassment.’’
Domestic
Domestic
Child
Sexual
violence/
Received/accepted/declined/transferred
Stalking
sexual
assault
dating
abuse
violence
Childa. Number of case referrals received
b. Number of cases accepted for prosecution
c. Number of cases declined
d. Transferred to higher or lower court that is
outside grant-funded jurisdiction

43B. Reasons for declining cases

(Of those cases reported in line c of question 43A as declined, report only the primary reason for the decision to decline prosecution. Please see separate instructions for further explanation of the reasons and for
examples of how to apply them.)
Domestic
Child
Sexual
violence/
Reason for declining
Stalking
sexual
assault
dating
abuse
violence
Insufficient evidence (returned for further
investigation)
Insufficient evidence/victim unavailable (no
further action requested)
Request of victim/victim safety
Other (specify):

Rural Program Semi-Annual Progress Report • 31 • Office on Violence Against Women

OMB Clearance # 1121-0287
OMB Clearance
# 1122-0013
Expiration
Date: 10/31/2007
Expiration Date: / /

43C. Tribal grantees

(Report the total number of sexual assault, domestic violence, dating violence, stalking, and child sexual
abuse cases referred for state or federal prosecution during the current reporting period.)
Domestic
Child
Sexual
violence/
Stalking
sexual
assault
dating
abuse
violence

Cases referred to federal entity for prosecution
Cases referred to state entity for prosecution
TOTAL

44. Disposition of cases

(Report the dispositions of all cases resolved during the current reporting period.)

Domestic violence/
dating violence
ordinance
Misdemeanor
domestic violence/
dating violence
Felony domestic
violence/dating
violence
Domestic violence/
dating violence
homicide
Misdemeanor
sexual assault
Felony sexual
assault
Stalking ordinance
Misdemeanor
stalking
Felony stalking
Misdemeanor child
sexual abuse
Felony child sexual
abuse
Violation of
protection order
Violation of bail
Violation of
probation or parole
Violation of other
court order
Other (specify):

Rural Program Semi-Annual Progress Report • 32 • Office on Violence Against Women

Guilty of lesser
charge in lower
category

Guilty of lesser
charge w/in the
same category

Guilty as
charged

Number convicted
Plead to lesser
charge in lower
category

Number of
deferred
adjudications

Plead to lesser
charge w/in the
same category

Number
dismissed

Plead as
charged

Type of case

Number
acquitted

OMB Clearance # 1121-0287
OMB Clearance # 1122-0013
Expiration Date: 10/31/2007
Expiration Date: / /

45. Other issues present in cases that reached disposition

(If possible, use the space below to discuss the extent to which cases that were characterized as domestic violence, dating violence, sexual assault, stalking, and/or child sexual abuse also included additional
charges or elements of domestic violence, dating violence, sexual assault, stalking, and/or child sexual
abuse. For example, cases reported above as domestic violence/dating violence felony cases may also
have included counts of misdemeanor sexual assault, and cases reported as felony sexual assault may also
have included stalking charges. The purpose of this question is to gather information on how often multiple
crimes were present in the cases reported. If detailed information is not available, feel free to provide estimates based on your experience.) (Maximum - 2000 characters)

Rural Program Semi-Annual Progress Report • 33 • Office on Violence Against Women

OMB Clearance # 1121-0287
OMB Clearance # 1122-0013
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Expiration Date: / /

46. Victim/survivor referrals to victim services

(Report the total number victim/survivor referrals to victim services by Rural Program-funded staff during
the current reporting period. “Governmental” refers to victim services provided by victim assistants or victimwitness specialists/coordinators employed by criminal justice agencies, such as law enforcement, prosecution, courts, or probation, that are targeted to victims/survivors of domestic violence, dating violence, sexual
assault, stalking, and/or child sexual abuse. “Non-governmental” refers to services provided by non-profit
community-based agencies to victims/survivors of domestic violence, dating violence, sexual assault, stalking, and/or child sexual abuse.)
Governmental victim services

Non-governmental victim services

Number of victim/survivor
referrals

47. Protection orders

(Report the total number of temporary and/or final protection orders requested and granted for which Rural
Program-funded prosecutors provided assistance to victims/survivors during the current reporting period.
Protection orders include those ordered on behalf of children. These orders may also be referred to as protection from abuse, protection from harassment or anti-harassment orders, restraining orders, or no-contact
or stay-away orders.)
Sexual assault protection orders

Temporary orders

Final orders

Temporary orders

Final orders

Temporary orders

Final orders

Temporary orders

Final orders

Number requested
Number granted

Domestic violence/dating
violence protection orders
Number requested
Number granted

Stalking protection orders
Number requested
Number granted

Child sexual abuse
protection orders
Number requested
Number granted

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48. (Optional) Additional information

(Use the space below to discuss the effectiveness of prosecution activities funded or supported by your Rural Program grant and to provide any additional information you would like to share about these activities beyond what you have provided in the data above. An example might include expedited prosecution of felony
domestic violence/dating violence and sexual assault cases as the result of funding a specialized prosecutor to handle those cases.) (Maximum - 2000 characters)

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E3

Courts

Were your Rural Program funds used for courts during the current reporting period?

Check yes if your Rural Program grant funded court activities. If Rural Program funds supported only a victim advocate located in a court, then only section D Victim Services should be completed.

Yes—answer questions 49-56
No—skip to E4
49. Number of criminal cases

(Report the total number of new sexual assault, domestic violence, dating violence, stalking, and child sexual abuse-related cases filed during the current reporting period.)

Misdemeanor and felony domestic violence offenses include any assaults, battery, vandalism, or other offenses that occurred in a domestic violence incident. Your state law or tribal code does not have to name
the offense ‘‘domestic violence’’ for it to be counted here. Similarly, sexual assault, stalking, and child sexual
abuse cases should be counted under the appropriate sexual assault, stalking, or child sexual abuse offense
listed below (e.g., felony sexual assault), even if your state law or tribal code uses another name for these
types of offenses, such as ‘‘sexual battery’’ or ‘‘harassment.’’
Type of case

New cases filed during the
current reporting period

Domestic violence/dating violence ordinance
Misdemeanor domestic violence/dating violence
Felony domestic violence/dating violence
Domestic violence/dating violence homicide
Misdemeanor sexual assault
Felony sexual assault
Stalking ordinance
Misdemeanor stalking
Felony stalking
Misdemeanor child sexual abuse
Felony child sexual abuse
Violation of protection order
Violation of bail
Violation of probation or parole
Violation of other court order
TOTAL

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50. Disposition of criminal cases

(Report the disposition of sexual assault, domestic violence, dating violence, stalking, and/or child sexual
abuse--related cases resolved during the current reporting period.)
Number of
Number
Number
Number
Type of case
deferred
dismissed
convicted
acquitted
adjudications

Domestic violence/dating violence ordinance
Misdemeanor domestic violence/dating violence
Felony domestic violence/dating violence
Domestic violence/dating violence homicide
Misdemeanor sexual assault
Felony sexual assault
Stalking ordinance
Misdemeanor stalking
Felony stalking
Misdemeanor child sexual abuse
Felony child sexual abuse
Violation of protection order
Violation of bail
Violation of probation or parole
Violation of other court order
TOTAL

51. Judicial monitoring

(Report the number of sexual assault, domestic violence, dating violence, stalking, and/or child sexual
abuse cases reviewed by the court for compliance with conditions of probation or other court-ordered
conditions, or for violations of those conditions. Also report the total number of individual review hearings
conducted. Include family and juvenile courts. The number of review hearings is the number of individual
hearings held for each offender, even when that offender is reviewed during the same monitoring sessions
as other offenders. For example, if 10 offenders were reviewed at the same three sessions during the reporting period, the number of offenders reviewed would be 10 and the number of hearings conducted would
be 10 multiplied by 3, or 30.)
Number of offenders
reviewed

Number of individual review
hearings conducted

Sexual assault
Domestic violence/dating violence
Stalking
Child sexual abuse

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52. Dispositions of violations

(Report the number of sexual assault, domestic violence, dating violence, stalking, and/or child sexual
abuse cases in which there were dispositions of violations during the current reporting period. The violation
does not have to have occurred during this reporting period, only the disposition. A case may be counted
more than once if there were multiple violations.)
No
Verbal/
Conditions Partial re- Probation
Fine
Violation
vocation of revoked/
action
written
added
probation incarcerated
taken
warning
Protection order
New criminal behavior
Failure to attend mandated batterer intervention program (BIP)
Failure to attend mandated offender treatment (does not include BIP)
Failure to attend mandated parenting program
Other condition of
probation or parole
TOTAL

53. Victim/survivor referrals to victim services

(Report the total number of victim/survivor referrals to victim services by Rural Program-funded staff during
the current reporting period. “Governmental” refers to victim services provided by victim assistants or victim-witness specialists/coordinators employed by criminal justice agencies, such as law enforcement, prosecution, courts, or probation that are targeted to victims/survivors of domestic violence, dating violence,
sexual assault, stalking, and/or child sexual abuse. “Non-governmental” refers to victim services provided
by non-profit community-based agencies that are targeted to victims/survivors of domestic violence, dating
violence, sexual assault, stalking, and/or child sexual abuse.)
Governmental victim services

Non-governmental victim services

Number of victim/survivor
referrals

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54. Civil protection orders

(Report the total number of temporary and/or final civil protection orders requested and granted by the
court during the current reporting period. Civil protection orders include those ordered on behalf of children. These orders may also be referred to as protection from abuse, protection from harassment, antiFinal order
harassment, or restraining orders.) Temporary orders
Sexual assault protection orders
Temporary orders
Final orders
Number requested
Number granted

Domestic violence/dating
violence protection orders

Temporary orders

Final orders

Temporary orders

Final orders

Temporary orders

Final orders

Number requested
Number granted

Stalking protection orders
Number requested
Number granted
Child sexual abuse
protection orders
Number requested
Number granted

55. Criminal protection orders

(Report the total number of criminal protection orders requested and the total number granted by the court
to victims/survivors of domestic violence, dating violence, sexual assault, stalking, and/or child sexual
abuse during the current reporting period. These orders may be referred to as no-contact or stay-away orders.)
Requested
Granted
Number of protection orders

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56. (Optional) Additional information

(Use the space below to discuss the effectiveness of court activities funded or supported by your Rural Program grant and to provide any additional information you would like to share about those activities beyond
what you have provided in the data above. An example might include an increased percentage of courtmonitored offenders complying with mandated offender treatment and batterer intervention programs.)
(Maximum - 2000 characters)

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E4

Nu

Probation and Parole

Were your Rural Program funds used for probation and parole during the current reporting period?
Check yes if your Rural Program grant funded probation and parole activities.

Yes—answer questions 57-61
No—skip to E5
57. Number of offenders

(Report the total number of continuing and new domestic violence, dating violence, sexual assault, and/or
child sexual abuse offenders. This is an unduplicated count. If you have not previously filed a semi-annual
report, include all offenders at the beginning of the current reporting period as “Number of continuing offenders.”)
Number who
Number of Number of
completed
probation
continuing
new
With
offenders offenders Without

Unduplicated count of domestic violence/dating violence offenders

violations

violations

Unduplicated count of sexual assault offenders
Unduplicated count of child sexual abuse offenders
Unduplicated count of stalking offenders
Unduplicated count of dual offenders (domestic violence/dating violence and child sexual abuse offenders)
TOTAL

58. Monitoring activities

(For new and continuing offenders reported in question 57, report the number of monitoring activities engaged in during the current reporting period. Report only those offenders who were monitored using the
specific activity under “Number of offenders.” Report the total number of contacts for all offenders for the
specific activity under “Total contacts.” For example, out of a total caseload of 150, a probation officer has
face-to-face contact with 100 of those offenders during the reporting period. Multiplying those offenders by
the number of face-to-face meetings the officer had with each offender, the total contacts amount to 900.
The number of offenders reported as having face-to-face meetings would be 100 and the number of total
face-to-face contacts would be 900.)
Activity
Face-to-face meeting with offender

Number of offenders

Total contacts

Telephone contact with offender
Unscheduled surveillance of offender
Activity

Number of victims/survivors

Outreach to victims/survivors

Rural Program Semi-Annual Progress Report • 41 • Office on Violence Against Women

Total contacts

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59. Dispositions of violations

(Report the total number of sexual assault, domestic violence, dating violence, stalking, and/or child sexual
abuse cases in which there were dispositions of violations during the current reporting period. The violation
does not have to have occurred during this reporting period, only the disposition. A case may be counted
more than once if there were multiple violations.)
Probation
Verbal/
Conditions Partial reNo action
Violation
Fine
vocation of
revoked/
written
added
taken
probation incarcerated
warning
Protection order
New criminal behavior
Failure to attend mandated
batterer intervention program (BIP)
Failure to attend mandated
offender treatment (does
not include BIP)
Failure to attend mandated
parenting program
Other condition of probation
or parole
TOTAL

60. Victim/survivor referrals to victim services

(Report the total number of victim/survivor referrals to victim services by Rural Program-funded staff during
the current reporting period. “Governmental” refers to victim services provided by victim assistants or victim-witness specialists/coordinators employed by criminal justice agencies, such as law enforcement, prosecution, courts, or probation, that are targeted to victims/survivors of domestic violence, dating violence,
sexual assault, stalking, and/or child sexual abuse. “Non-governmental” refers to victim services provided
by non-profit community-based agencies that are targeted to victims/survivors of domestic violence, dating
violence, sexual assault, stalking, and/or child sexual abuse.)
Governmental victim services

Non-governmental victim services

Number of victim/survivor
referrals

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61. (Optional) Additional information

(Use the space below to discuss the effectiveness of probation activities funded or supported by your Rural Program grant and to provide any additional information you would like to share about those activities
beyond what you have provided in the data above. An example might include a decrease in caseload and
higher number of contacts with offenders as the result of funding a specialized domestic violence probation
officer.) (Maximum - 2000 characters)

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E5

Batterer Intervention Program (BIP)

Were your Rural Program funds used for BIP during the current reporting period?

Check yes if Rural Program-funded staff or Rural Program funds directly supported BIP activities.

Yes—answer questions 62-64, providing information for Rural Program-funded activities
No—skip to section F
62. Offenders in program

(Report the number of continuing and new offenders in your batterer intervention program during the current reporting period. If you have not previously filed a semi-annual report, include all cases at the beginning of the current reporting period as “Offenders continuing in BIP.”)
Number of offenders
Number of offenders
continuing in BIP from
entering BIP during
last reporting period
current reporting period
Offenders in program

63. Outcomes

(Report the total number of domestic violence and dating violence offenders in your program who completed the program, who were terminated from the program, or who returned to the program after termination
during the current reporting period.)
Number of offenders

Completed program
Terminated from program
Returned to program after termination
Other (specify):

64. Length of BIP in weeks

(Report the number of weeks that batterers are expected to remain in the program in order to complete
it. If your BIP has more than one program length and/or curriculum, provide the length for each type of
program.)

A

B

C

Number of weeks

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F

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NARRATIVE

All grantees must answer question 65.
Please limit your responses to the space provided.
65. Report on the status of your Rural Program grant goals and objectives as of the end of the current reporting period.

(Report on the status of the goals and objectives for your grant as of the end of the current reporting period,
as they were identified in your grant proposal or as they have been added or revised. Indicate whether the
activities related to your objectives for the current reporting period have been completed, are in progress,
are delayed, or have been revised. Comment on your successes and challenges, and provide any additional
explanation you feel is necessary for us to understand what you have or have not accomplished relative to
your goals and objectives. If you have not accomplished objectives that should have been accomplished during the current reporting period, you must provide an explanation.)

All grantees must answer questions 66 and 67 on an annual basis. Submit this information on the
January to June reporting form only.
Please limit your responses to the space provided. (8,000 characters)

66. What do you see as the most significant areas of remaining need, with regard to improving services to victims/survivors of sexual assault, domestic violence, dating violence, stalking, and
child sexual abuse, increasing victim/survivor safety, and enhancing community response (including offender accountability for both batterers and sex offenders)?

(Consider geographic regions, underserved populations, service delivery systems, types of victims/survivors,
and/or challenges and barriers unique to your state or service area.)

67. What has Rural Program funding allowed you to do that you could not do prior to receiving this
funding?
(For example, the money allowed us to expand our service areas and expand services offered to victims/
survivors.)

Questions 68 and 69 are optional.
Please limit your responses to the space provided. (8,000 characters)
68. Provide any additional information regarding the effectiveness of your grant-funded program.

If you have other data or information that you have not already reported in answer to previous questions on
this form that demonstrate the effectiveness of your Rural Program grant, please provide it below. Feel free
to discuss any of the following: systems-level changes, community collaboration, the removal or reduction of
barriers and challenges for victims/survivors, promising practices, positive or negative unintended consequences. Refer to separate instructions for a fuller explanation and examples.)

69. Provide any additional information that you would like us to know about the data submitted.

(If you have any information that could be helpful in understanding the data you have submitted in this report, please answer this question. For example, if you submitted two different progress reports for the same
reporting period, you may explain how the data was apportioned to each report; or if your Rural Program
funds supported staff—e.g., victim advocates, law enforcement officers, etc.-- but you did not report any corresponding victim services or law enforcement activities, you may explain why; or if you did not use program
funds to support either staff or activities during the reporting period, please explain how program funds
were used, if you have not already done so.)

Public Reporting Burden

Paperwork Reduction Act Notice. Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. We try to create forms and instructions that
are accurate, can be easily understood, and which impose the least possible burden on you to provide us with information. The estimated average time to complete and file this form is 60 minutes per form. If you have comments regarding the accuracy of this estimate, or suggestions for making this form simpler, you can write to the Office on Violence
Against Women, U.S. Department of Justice, 800 K Street, NW, Washington, DC 20531.
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Report on the status of your Rural Program grant goals and objectives as of the end of the current reporting period. - Question #65

Status (100 characters)
Goals/Objectives (1,750 characters)

Key Activities (1,750 characters)

Comments (500 characters)

Goals/Objectives

Status

Key Activities

Comments

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Report on the status of your Rural Program grant goals and objectives as of the end of the current reporting period. - Question #65 (cont. 1)

Status
Goals/Objectives

Key Activities

Comments

Goals/Objectives

Status

Key Activities

Comments

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Report on the status of your Rural Program grant goals and objectives as of the end of the current reporting period. - Question #65 (cont. 2)

Status
Goals/Objectives

Key Activities

Comments

Goals/Objectives

Status

Key Activities

Comments

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/ /

What do you see as the most significant areas of remaining need, with regard to improving services to victims/survivors of sexual assault, domestic violence, dating violence, stalking, and child sexual abuse, increasing victim/
survivor safety, and enhancing community response (including offender accountability for both batterers and sex
offenders)? - Question #66

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Date:
10/31/2007
Expiration
Date:
/ /

What do you see as the most significant areas of remaining need, with regard to improving services to victims/survivors of sexual assault, domestic violence, dating violence, stalking, and child sexual abuse, increasing victim/
survivor safety, and enhancing community response (including offender accountability for both batterers and sex
offenders)? - Question #66 (cont.)

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10/31/2007
Expiration
Date:
/ /

What has Rural Program funding allowed you to do that you could not do prior to receiving this funding?
-Question #67

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What has Rural Program funding allowed you to do that you could not do prior to receiving this funding? -Question
#67 (cont.)

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Expiration
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Provide any additional information regarding the effectiveness of your grant-funded program. - Question #68

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Provide any additional information regarding effectiveness of your grant-funded program. - Question #68 (cont.)

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Expiration
Date:
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Provide any additional information that you would like us to know about the data submitted. - Question #69

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Date:
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Provide any additional information that you would like us to know about the data submitted. - Question #69
(cont.)

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