Form 1 Rescue and Restore Information Collection

Rescue and Restore Regional Program Data

Rescue and Restore Information Collection.xlsx

Rescue and Restore Regional Program Project Data

OMB: 0970-0453

Document [xlsx]
Download: xlsx | pdf

Overview

Project Objectives
Victim Identification


Sheet 1: Project Objectives

Rescue & Restore Regional Program FYs 2014 - 2017
Date of Updated Chart:
Name of Organization:
PROJECT OBJECTIVES CHART
Victim Identification Training and Technical Assistance Coalitions Public Awareness
Timeframe Number of outreach events Number of people reached through outreach activities Number of potential victims identified through project activities Number of persons trained to identify or refer potential victims Number of persons trained who received training assessment tool Number of persons trained whose knowledge increased as shown by training assessment tool Number of persons provided technical assistance on identifying and/or referring victims Number of coalition meetings led or attended by grantee Percentage of coalition meetings led or attended Number of participants in capacity building activities Target population Number of target population exposed to strategic campaign Number of people with increased knowledge as a result of public awareness efforts supported by grant Optional Number of people who [Insert outcome Indicator of PA exposure]
Year 1 Target













Q1













Q2













Q3













Q4













Year 1 Totals














Year 2 Target













Q1













Q2













Q3













Q4













Year 2 Totals














Year 3 Target













Q1













Q2













Q3













Q4













Year 3 Totals














Cumulative













Describe the Following in the Program Performance Report (SF- PPR), Section B Attachment
• Outreach activities and specific efforts to identify or refer victims or to prevent trafficking by grantee or funded partner organization
• Professionals and others trained and training assessment tool used
• Agencies and professionals that received technical assistance and description of assistance provided
• Your agency’s role in the coalition, the type of capacity your agency is building, and coalition members whose capacity was built
• Target audience(s), awareness activities, population(s) to reach (by demographic, location, profession, labor sector, socioeconomic status, or other category), and public awareness evaluation indicators used

Sheet 2: Victim Identification

Rescue & Restore Regional Program FYs 2014 - 2017
Date of Updated Chart:
Name of Organization:
VICTIM IDENTIFICATION CHART
Client Information Identification and Referral Efforts
Client indentifier: Include DOB (mm/dd/yy) Country of origin: spell out country name, except use USA for United States Sex: Female (F), Male (M) Age: Adult (A) or Minor (M) Type of trafficking: Labor(L), Sex (S), Both (B), Unknown (U) Industry of potential trafficking situation: hotel/motel, restaurant/club, agriculture, pimp-controlled, massage parlor, sales crew, etc. If other, please specify Date NGO identified client as a trafficking victim (mm/dd/yy) Name of service agency victim was referred to Type of DHS documentation (CP, T Visa, U Visa, SIJS, etc.) Date of the client's HHS Certification or HHS Eligibility Letter (mm/dd/yy) Date the client disappeared or separated from the program (mm/dd/yy)






























































































































































































































































































File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy