OMB - Tool - USAID Faith-Based and Community Initiatives Contact Survey - Content

USAID “FAITH-BASED AND COMMUNITY ORGANIZATION SURVEY”

Audience: Contacts with non-profit organizations who have previously interacted with or expressed interest in working with USAID and its CFBCI

Survey Instructions (to be included in email invitation to participate that will include the link to the online survey).

This survey is intended to better inform the U.S. Agency for International Development (USAID) and its Center for Faith-Based and Community Initiatives about the work of your organization and enable us to better engage with your organization through up-to-date organizational records. Responding to this survey is voluntary. Your response or non-response will not impact your future relationship with the Agency. The survey should take no more than 15 minutes to complete and requests information that should be readily available to you.

Page One (of Four)

1. First Name

2. Last Name

3. Organization Name

4. Please provide your job title or role in the organization.

   1. Paid Staff (if clicked, a box is provided for Job Title)

   2. Board Member

   3. Volunteer

   4. Supporter

   5. Other

5. Email Address

6. Telephone Number

7. Are you a current or former employee of USAID?

   1. No

   2. Yes (If yes is clicked, a question is added asking the respondent to “Please describe your past affiliation with USAID. “

Page Two (of Four)

8. Have you previously met with the USAID Center for Faith-Based and Community Initiatives or other USAID staff?

   1. Yes (if yes is clicked, questions are added asking when the meeting occurred and the subject of the meeting.)

   2. No

   3. Not sure

9. Address of Organization

10. Telephone Number of Organization

11. Organization Website

Page Three (of Four)

Survey has following line:

The following questions relate to the focus and size of your organization.

12. Please provide a 2-3 sentence description of your organization. (A text box is provided.)

13. Has your organization received funds from USAID in the past 5 years?

    1. Yes, a direct grant

    2. Yes, a sub-grant through another organization

    3. No

14. What is your organization’s estimated annual budget? (The answers are provided in a pick list.)

    1. Less than $100,000

    2. $100,000 - $500,000

    3. $500,000 - $1,000,000

    4. $1,000,000 - $5,000,000

    5. $5,000,000 - $10,000,00

    6. Over $10,000,000

15. How many paid employees does your organization have? (The answers are provided in a pick list.)

    1. Less than 5

    2. 6-10

    3. 11-20

    4. 21-49

    5. More than 50

Page Four (of Four)

16. Below is a list of USAID’s Regional Bureaus. Please select the ones that best describe where your organization works.

    1. Africa

    2. Asia

    3. Europe and Eurasia

    4. Latin American and the Caribbean

    5. Middle East

17. Please list the countries in which your organization is implementing programs. (A text box is provided for the answer.)

18. The following is a list of USAID’s Technical Bureaus. Please select the ones that best describe the focus of your work.

    1. Democracy, Conflict, and Humanitarian Assistance

    2. Economic Growth, Agriculture and Trade

    3. Global Health

The following statement appears in the survey as explanatory text.

The following questions list program objectives and program areas used by the Director of Foreign Assistance to categorize USAID managed assistance.

19. Peace and Security: To the best of your ability, please check off the program areas below that apply to the work of your organization.

    1. Counter-Terrorism

    2. Combating Weapons of Mass Destruction

    3. Stabilization Operations/Security Sector

    4. Counter-Narcotics

    5. Transnational Crime

    6. Conflict Mitigation & Reconciliation

20. Governing Justly and Democratically

    1. Rule of Law and Human Rights

    2. Good Governance

    3. Political Competition and Consensus Building

    4. Civil Society

21. Investing in People

    1. Health

    2. Education

    3. Social and Economic Services and Protection

22. Economic Growth

    1. Macroeconomic Foundation for Growth

    2. Trade and Investment

    3. Financial Sector Capacity

    4. Infrastructure

    5. Agriculture

    6. Private Sector Competitiveness

    7. Economic Opportunity

    8. Environment

23. Humanitarian assistance

    1. Protection, Assistance and Solutions

    2. Disaster Readiness

    3. Migration Management

The survey ends with the following line:

Thank you very much for participating in this survey!