Feasibility Study - Responsive

Feasibility of Tribal Administrations of Federal Nutrition Assistance Programs

Attachment B Survey Instrument 2015 02 02

Feasibility Study - Responsive

OMB: 0584-0600

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Attachment B: Feasibility Study Survey







Feasibility of Tribal Administration of Federal Nutrition Assistance Programs


Survey on ITO Interest in and Capacity to Administer Federal Nutrition Assistance Programs

SURVEY on ITO Interest in and Capacity to Administer Federal Nutrition Assistance Programs



The OMB Control Number for this information collection is 0584-XXXX and the expiration date is XX/XX/XXXX.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information is 0584-XXXX. The time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.



PROGRAMMER: THE ABOVE OMB STATEMENT NEEDS TO BE A FOOTER THROUGHOUT THE SURVEY

INTRODUCTION

IMPAQ International (Prime Contractor) is working with Bowman Performance Consulting (BPC), a Native American subcontractor from Wisconsin, and WRMA to find out if Tribes are interested in administering their own Food and Nutrition Service (FNS) programs and if it is feasible to do so through the Tribal Government. United States Department of Agriculture (USDA) funded this study in response to Congress as part of the USDA’s recent reauthorization of the Farm Bill. Information from our study will be provided to Congress in August 2015.



OVERVIEW OF THE SURVEY

This Survey will inform one of the key activities requested by Congress.

In particular, this Survey will be shared with all Federally-recognized Tribal Governments to assess their interest in administering all or part of four nutrition assistance programs:

  1. Supplemental Nutrition Assistance Program (SNAP) – {Local EBT card name here}

  2. School Breakfast Program (SBP) – School breakfast

  3. National School Lunch Program (NSLP) – School lunch

  4. Summer Food Service Program (SFSP) – Summer meals program



Another important aspect of this Survey is assessing whether Tribes have the capability to meet each of these program’s administrative requirements.



RESPONDENT PREPARATION

First, thank you for taking time to complete this survey. All of the information you provide will be reported as aggregate or grouped data and will only be used for the purposes of this study.

Since the survey covers various topic areas, we expect that Tribal Government leadership, program administrators, and program frontline staff may assist in completing portions of the survey. The primary recipient of the survey should feel free to circulate the survey to any staff that can help provide accurate answers. This may include:

  • Tribal Government Leadership

  • Food Distribution Program on Indian Reservation staff

  • Tribal Administrators

  • School administrators

  • Information Technology staff

  • Social services

  • Human Resource directors

  • Tribal Accounting

  • Program Development staff

  • Economic Development agencies



The different types and roles of survey respondents are described below to assist your Tribal Government team in working together to complete this survey

The survey is designed to be completed by respondents who have the:

  • Authority to make decisions for the Tribal Government regarding the implementation and operation of new programs – Tribal leadership and/or Tribal Government

  • Experience of day-to-day management of complex assistance or Federal programs on the Tribes reservations among program managers, State staff or consultants hired or working on behalf of the Tribe to administer certain aspect of programs such as Nutritionists or Registered Dieticians, and other frontline program staff as well as Tribal staff.

  • Responsibility for managing the Information Technology (IT) infrastructure for major Tribal programs, especially those that need to integrate or report to State and Federal information systems, including IT program managers, IT staff, consultants, and contractors.

  • Responsibility for managing the finances and/or program integrity activities serving the Tribe. These include leadership staff in accounting, finance/budget and program quality assurance.



WE ANTICIPATE THAT THE SURVEY WILL TAKE AN AVERAGE OF 30 MINUTES TO COMPLETE.

IMPAQ and our study partners are available to answer any questions respondents may have as they complete the survey. Please contact the study team using the following contact information.



CONTACT INFORMATION



FNS Project Officer: Jenny Genser

703-305-2559

[email protected]



Project Director: Steve Garasky

443-259-5142

[email protected]


Principal Investigators: Kassim Mbwana

443-259-5221

[email protected]


Nicole Bowman

715-526-9240

[email protected]



INDIAN TRIBAL ORGANIZATION CHARACTERISTICS

We’d like to start with some questions about your Tribe’s organization. This first section asks about your Tribal population, Tribal Government structure and any Tribal affiliations your Tribe may have.



Q1. Thinking about your Tribal Community, could you give us an estimate of the number of members living on the reservation? Select 1 (your best estimate is fine)


  • Less than 1,000 people 01 Q2

  • More than 1,000 but less than 5,000 02 Q2

  • More than 5,000 but less than 10,000 03 Q2

  • More than 10,000 but less than 20,000 04 Q2

  • More than 20,000 but less than 50,000 05 Q2

  • More than 50,000 but less than 100,000 06 Q2

  • 100,000 people or more 07 Q2


Q2. Thinking about your Tribal Community, could you give us an estimate of the number of members living within the Tribes Federal Service Area? Select 1 (your best estimate is fine)


  • Less than 1,000 people 01 Q3

  • More than 1,000 but less than 5,000 02 Q3

  • More than 5,000 but less than 10,000 03 Q3

  • More than 10,000 but less than 20,000 04 Q3

  • More than 20,000 but less than 50,000 05 Q3

  • More than 50,000 but less than 100,000 06 Q3

  • 100,000 people or more 07 Q3



Q3. Does your Tribal Government belong to an Intertribal organization or Indian organization? Examples include the National Congress of American Indians and Tribal Alliance of Sovereign Indian Nations.

  • Yes 01 Q3a

  • No 02 Q4



Q3a. Do you administer a Federal nutritional assistance program in conjunction with another Tribal Government, Intertribal organization or Indian organization?

  • Yes 01 Q3

  • No 02 Q3







INTEREST IN AND EXPERIENCE WITH ADMINISTERING FEDERAL NUTRITION ASSISTANCE PROGRAMS

Next, we’d like to ask about your Tribe’s interest and experience with Federal nutrition assistance programs.

Program administration includes having responsibility for receiving and processing applications, determining eligibility, offering customer support, delivering actual services, preparing and submitting reports, oversight, ongoing training, among other similar operational responsibilities.



Q4. Do you operate any of the following Federal nutrition assistance programs? Please check all that apply.

  • Supplemental Nutrition Assistance Program (SNAP) – Food Stamps/Card 02 Q4b

  • National School Lunch Program or School Breakfast Program – 03 Q4b

  • Summer Food Service Program - Summer Program 04 Q4b

  • The Supplemental Nutrition Program for Women, Infants and Children (WIC) 05 Q4b

  • Child and Adult Care Food Program (CAFCP) 06 Q4b

  • Elderly Nutrition Program 07 Q4b

  • Food Distribution Program on Indian Reservations (FDPIR) 08 Q4b

  • The Emergency Food Assistance Program (TEFAP) 09 Q4b

  • Commodity Supplemental Food Program (CSFP) 10 Q4b

  • Nutrition Service Incentive Program (NSIP) 11 Q4b

  • DoD Fresh Fruit and Vegetable Program 12 Q4b

  • Some other program 13 Q4a

  • We do not operate any Federal nutrition assistance programs 14 Q5



Q4a. What is the other program?

______________________________________________ Q4b



Q4b. Which Tribal Government agency operates these nutrition assistance programs?

[LIST RESPONSE OPTIONS SELECTED IN Q4]

FNS Program

Tribal Health Department

Tribal Education Department

Tribal Social Services

Other Agency

Tribal Health Division

Tribal Education Division

Family Services

Tribal Health Clinic

School Agency

Children Services

Human Services

Supplemental Nutrition Assistance Program (SNAP)

National School Lunch Program or School Breakfast Program

Summer Food Service Program - Summer Program

The Supplemental Nutrition Program for Women, Infants and Children (WIC)

Child and Adult Care Food Program (CAFCP)

Elderly Nutrition Program

Food Distribution Program on Indian Reservations (FDPIR)

The Emergency Food Assistance Program (TEFAP)

Commodity Supplemental Food Program (CSFP)

Nutrition Service Incentive Program (NSIP)

DoD Fresh Fruit and Vegetable Program

Some other program



Q4c. Please tell us which activities you do during the operation of your programs. Please check all that apply.

  • Manage client caseloads 01 Q5

  • Conduct outreach to potential participants 02 Q5

  • Determine participant eligibility 03 Q5

  • Develop, synchronize, and maintain information databases 04 Q5

  • Contract with another organization to deliver services 05 Q5

  • Deliver actual services 06 Q5

  • Produce reports to State or Federal agency 07 Q5

  • Process and submit invoices to Federal/State agency for re-imbursement 08 Q5

  • Monitor compliance and/ or prosecute fraud 09 Q5

  • Work with or Employ a Nutritionist or Certified Dietician 10 Q5



Q5. Does your Tribe Government have any interest in administering FNS nutrition assistance programs?

  • Yes 01 Q7

  • No 02 Q6

  • It depends 03 Q5a



Q5a. What conditions does your Tribal Government’s interest depend on? Please check all that apply.

  • We are interested in administering programs that are Federally funded. 01 Q7

  • We are interested in administering programs that can be matched with

Federal funding. 01 Q7

  • OTHER XX Q5b

Q5b. What is the other condition?

[OPEN END] Q7



Q6. Why is your Tribe NOT interested in administering any FNS programs? Check all that apply.

  • We lack the administrative structure to support these programs 01 Q9

  • We do not have enough interest among our Tribe members in these programs 02 Q9

  • We have tried to administer in the past and it did not work out 03 Q9

  • We are not able to financially subsidize the program if reimbursements

do not cover operating costs 04 Q9

  • There are regulatory or policy barriers 05 Q6a

  • Some other reason 06 Q6b



Q6a. What are the regulatory or policy barriers to your Tribe administering an FNS program?

___________________________________________________________

[IF Q6 < 06, GO TO Q9. IF Q6 = 06, GO TO Q6B]

Q6b. What is the other reason your Tribe is not interested in administering any FNS programs?

__________________________________________________________ Q9



Q7. We are especially interested in your Tribal Government’s interest in the programs listed below. Which of these FNS nutrition assistance programs is your Tribal Government interested in administering? Check all that apply.

  • SNAP 01 Q7b

  • School Lunch or School Breakfast program 02 Q7b

  • Summer Food Service 03 Q7b

  • Some other FNS nutrition assistance program 04 Q7a





Q7a. What are the other FNS nutrition assistance programs your Tribal Government is interested in administering?

  • Child and Adult Care Food Program 01 Q7b

  • The Afterschool Snack Program 02 Q7b

  • The Fresh Fruit and Vegetables Program 03 Q7b

  • The Special Milk Program 04 Q7b

  • The Supplemental Nutrition Program for Women, Infants, and

Children (WIC) 05 Q7b

  • The Food Distribution Program on Indian Reservations 06 Q7b

  • The Commodity Supplemental Food Program 07 Q7b

  • The Temporary Emergency Food Assistance Program 08 Q7b

  • The Farmers Market Nutrition Program 09 Q7b

  • The Senior Farmers Market Nutrition Program 10 Q7b





Q7b. What are some of the benefits you expect your Tribal Government to gain from administering your own FNS nutrition assistance program?

  • We will be able to provide direct service to our members who need assistance 01 Q8

  • The Tribal Government will have flexibility to manage the nutritional

quality of the program 02 Q8

  • The Tribal Government can offer culturally appropriate programming and services 03 Q8

  • Other. ______________________ 04 Q8



Q8. How has your Tribal Government addressed this interest?

[LIST PROGRAMS SELECTED IN Q7 AND Q7A]

FNS Program

Discussed internally

Contacted local FNS office

Contacted Regional FNS office

Contacted National FNS Office

Created a strategic plan

Something else

SNAP

School breakfast/lunch

Summer Food Service

Child and Adult Care Food Program

The Afterschool Snack Program

The Fresh Fruit and Vegetables Program

The Special Milk Program

The Supplemental Nutrition Program for Women, Infants, and Children (WIC)

The Food Distribution Program on Indian Reservations

The Commodity Supplemental Food Program

The Temporary Emergency Food Assistance Program

The Farmers Market Nutrition Program

The Senior Farmers Market Nutrition Program

Other



Q9. Within the past five years, has the Tribal Government ever coordinated the development, planning, and implementation of a new program or modification/expansion of an existing program? By new or existing program, we mean any state or Federally funded nutrition or health program, any state or Federally funded family or social services program, or any grant-funded program.

  • Yes 01 Q10

  • No 02 Q10









EXPERIENCE WITH FEDERAL AND STATE PROGRAM OPERATIONS

The next few questions are about your Tribal Government’s experience with program administration at the Federal and/or state level. Questions in this section refer to administration of any Federal and/or state level programs.

Program administration includes having responsibility for receiving and processing applications, determining eligibility, offering customer support, delivering actual services, and preparing and submitting reports, oversight, training, among other similar operational responsibilities.

Note: Operating a program refers to managing the day-to-day program activities of a program on behalf of the program administrator, for example a School Food Authority/School District. This section focuses on experience with program administration.



Q10. Does your Tribal Government administer any of these additional Federal non-nutritional assistance programs listed below for your members?

  • TANF 01 Q11

  • Section 8 housing 02 Q11

  • Head Start and Early Head Start 03 Q11

  • Indian Child and Family Education 04 Q11

  • Assistance for Indians with Severe Disabilities 05 Q11

  • Early Intervention Program for Infants and Toddlers with Disabilities 06 Q11

  • Title IV-E 07 Q11

  • Child Support Programs 08 Q11

  • Other____________________________________ 09 Q11

  • We do not administer any additional Federal non-nutritional assistance

programs 09 Q12


Q11. Please tell us which activities you do during the administration of your programs. Please check all that apply.

  • Manage client caseloads 01 Q12

  • Conduct outreach to potential participants 02 Q12

  • Determine participant eligibility 03 Q12

  • Develop, synchronize, and maintain information databases 04 Q12

  • Contract with another organization to deliver services 05 Q12

  • Deliver actual services 06 Q12

  • Produce reports to State or Federal agency 07 Q12

  • Process and submit invoices to Federal/State agency for re-imbursement 08 Q12

  • Monitor compliance and/ or prosecute fraud 09 Q12

  • Work with or Employ a Nutritionist or Certified Dietician 10 Q12



Q12. Have any of your agencies developed an operations plan to implement a Federal/State program within the past five years?

  • Yes 01 Q13

  • No 02 Q12a

Q12a. Why have you NOT developed an operations plan in the past to implement a Federal/State program?

  • None was required 01 Q14

  • The program did not have funding to support this 02 Q14

  • We have not implemented a Federal/State program 03 Q14

  • Other. ________________________________ 04 Q14


Q13. Did you receive any assistance in developing and implementing the plan? Please include both any assistance from within or outside your Tribal Government.

  • Yes 01 Q13a

  • No 02 Q14



Q13a. Who provided this assistance?

  • Federal agency 01 Q14

  • State agency 02 Q14

  • Private consultant 03 Q14

  • An individual or agency within your Tribal government 04 Q14

  • Another external Tribal department/agency 05 Q13a

  • Other 06 Q14



Q13a. What internal department/agency provided assistance? Q14

Insert name of agency (ies) _______



Q14. In the past, how has your organization funded the setup or expansion of other programs?

  • Funded with Federal funds 01 Q15

  • Funded using only external (non-Federal government) funds 02 Q15

  • Funded with only Tribal funds or resources 03 Q15

  • Funded with a combination of Federal, external and Tribal funds or

resources 04 Q15

  • We have NOT funded the setup or expansion of other programs 05 Q16



Q15. Does your Tribe operate any program that requires you to pre-fund (money that is reimbursed later) or contribute matched funds?

  • Pre-fund only 01 Q16

  • Contribute matched funds only 02 Q15a

  • Both pre-fund and matched funds 03 Q15a

  • No, we do not operate programs that require pre-funding or matched funds 04 Q15b





Q15a. In a typical program, how much funding does your Tribal Government usually contribute to the matched funds?

  • 1% – 10% 01 Q16

  • 11% - 30% 02 Q16

  • 31% - 50% 03 Q16

  • 51% - 70% 04 Q16

  • 71% - 100% 05 Q16



Q15b. If a program requires that your Tribal Government pre-fund or contribute matched funds, does the Tribal Government have sufficient finances to accommodate such a requirement?

  • Yes 01 Q16

  • No 02 Q16

  • Depends on the program requirements or amount of funds required 03 Q16



Q16. [LIST IF Q4 < 14, “Did you experience any of the following challenges when your Tribal Government tried to administer its own FNS programs?” OR LIST IF Q4 = 14, “Do you anticipate experiencing any of the following challenges if and when your Tribe tries to administer its own FNS program(s)?”] Check all that apply.

  • Lack of federal legal authority 01 Q17

  • Tribal Government Reorganization 02 Q17

  • Financial resources 03 Q17

  • Insufficient technological infrastructure 04 Q17

  • Insufficient physical infrastructure 05 Q17

  • No qualified applicants 06 Q17

  • Lack of merit system personnel 07 Q17

  • Other___________________ 08 Q17

  • We don’t anticipate experiencing any challenges 09 Q18




Q17. Have you faced any of these same challenges in the past when administering a Federal/State program?

  • Yes 01 Q17a

  • No 02 Q18


Q17a. How did you resolve these challenges?

____________________________________________ Q18



TRIBAL GOVERNMENT EMPLOYEE PERFORMANCE MEASUREMENT AND ASSESSMENT

Now we will ask you some questions about Tribal Government employee performance measurement and assessment. Some Federal programs require a merit-based promotion system.



Employee performance measurement includes having a process in place to define employee goals based on the job’s responsibilities. An important part of the process is assessing how employees are doing as they work toward the positions goals.



Q18. Do you collect data on employee performance?

  • Yes 01 Q19

  • No 02 Q18a



Q18a. Why do you NOT collect data on employee performance?

  • Not necessary 01 Q21

  • We are in the process of putting a system in place 02 Q21

  • We do not have the capacity to do so 03 Q21

  • Some other reason __________________ 04 Q21





Q19. What types of employee performance data do you collect now?

  • Quality of work (i.e. performance ratings) 01 Q20

  • Quantity of work completed 02 Q20

  • Timeliness 03 Q20

  • Cost-effectiveness 04 Q20

  • Attendance/absenteeism 05 Q20

  • Other specific measures 05 Q20



Q20. How often do you assess employee performance after a probationary period and review? Check all that apply

  • Quarterly 02 Q21

  • Twice a year 03 Q21

  • Annually 04 Q21

  • When necessary



Q21. Do you have an employee incentive program?

  • Yes 01 Q22

  • No 02 Q22



Q22. Do you have a merit-based promotion system for your employees? That is, is Tribal Government employee career advancement solely based on relative ability, knowledge, and skills?

  • Yes 01 Q22a

  • No 02 Q23



Q22a. Does the merit-based promotion system operate within a Federal, State or Tribal payscale?

  • Yes 01 Q23

  • No 02 Q23



Q23. Do you link employee performance (formally or informally) to their pay and/or bonus?

  • Employee performance is linked to salary only 01 Q24

  • Employee performance is linked to bonuses only 02 Q24

  • Employee performance is linked to salary and bonuses 03 Q24

  • No, employee performance is not linked to salary or bonuses 04 Q24



IF Q10 < 08, GO TO Q27

IF Q10 = 08, GO TO Q24



EXPERIENCE WITH DETERMINING PARTICIPANT ELIGIBILITY

Now we will ask you about your experience in determining eligibility of program participants.



Q24. You indicated that your Tribal Government has experience administering non-nutritional assistance programs for your Tribal members. How many of these programs require you to determine participant eligibility?

  • None 01 Q26

  • 1-2 02 Q25

  • 3-4 03 Q25

  • 5 or more 04 Q25





Q25. Please list up to 5 non-nutritional assistance programs that your Tribal government administers where you determine participant eligibility and indicate how long you have administered each program. Your best estimate is fine.

[FILL BASED ON Q10]

Program

Length of time













GO TO Q26



26. On a scale of 1 to 5, where 1 means completely automated and 5 means completely manual, please rate each program’s automation for determining participant eligibility. For example, completely manual means that eligibility determination is all done without any software. For the school lunch/breakfast programs this would mean all applications, records, reports, budgeting, procurement, menus, and staff training are done without the use of any software programs.

[LIST PROGRAMS FROM Q26]

Program

Completely automated


Completely Manual

Program 1

Program 2

Program 3

Program 4

Program 5


GO TO Q27



INFORMATION TECHNOLOGY SERVICES

Now we are going to ask you about how you get any needed technology services.



Q27. Has your tribal government ever obtained information technology services from a third-party vendor using a competitive bidding process?

  • Yes 01 Q28

  • No 02 Q27a



Q27a. Why have you NOT obtained information technology services from a third-party vendor using a bidding process?

  • We have technology services located within our Tribal Government 01 Q30

  • We partner with State agencies to meet technology needs for the

federal and non-federal programs we administer 02 Q30

  • We partner with local agencies to meet technology service

needs for the federal and non-federal programs we administer 03 Q30

  • We contract with third-party vendors outside of a procurement process 04 Q30

  • We don’t have a bidding process 05 Q30

Q28. How long has your tribal government been using a bidding process to obtain information technology services from third-party vendors?

  • Less than 1 year 01 Q29

  • 1 year to less than 3 years 02 Q29

  • 3 years to less than 5 years 03 Q29

  • 5 years or more 04 Q29




Q29. What types of bids do you post for vendors to respond to? Check all that apply

  • Competitive bidding (Request for Proposals, Request for Quotations,

Indefinite Delivery Quantity contracts) 01 Q30

  • Sole source 02 Q30

  • Task Order contracts 03 Q30

  • Set asides (Small, Veteran, Disabled Veteran, or

minority-owned business) 04 Q30

  • Other ________________________________________________ 05 Q30



EXPERIENCE WITH REPORTING REQUIREMENTS

Next, we would like to ask you about reporting to federal and state agencies about the programs you administer.



Q30. Do any of the programs you administer require that you submit reports to a Federal or state agency?

  • Yes 01 Q31

  • No 02 Q34



Q31. What types of reports do you submit to a Federal or state agency?

  • Financial 01 Q32

  • Program integrity (such as fraud prevention, quality control, audit) 02 Q32

  • Program participation (such as number of Tribal members served) 03 Q32

  • Program Operation 04 Q32

  • Other______________ 05 Q31a



Q31a. What are the other types of reports?

____________________________________________ Q32



Q32. How often do you submit reports to a Federal or state agency? Check all that apply.

[LIST REPORTS SELECTED IN Q31]

Report Type

Daily

Weekly

Monthly

Quarterly

Annually

Less than Annually

Financial

Program integrity

Program participation

Program Operation

Other



GO TO Q33



Q33. How do you typically submit reports to the Federal or state agency?

  • Hard-copy/paper 01 Q34

  • Electronic copy via email 02 Q34

  • Electronic copy via an electronic web-based reporting system 03 Q34



INTERNAL INFRASTRUCTURE

Next, we would like to task you some questions about your internal capabilities of your Tribe.

Q34. Do you have high-speed internet connection such as broadband or DSL for your Tribal agencies?

  • Yes, all agencies 01 Q36

  • Yes, some agencies 02 Q35

  • No 03 Q35



Q35. Please indicate the reasons why a high-speed internet connection is not available for all agencies within your Tribal Government. Check all that apply.

  • High-speed internet too expensive 01 Q36

  • High-speed internet not available in all areas of our reservation 02 Q36

  • Not all agencies need a broadband internet connection 03 Q36

  • Some other reason_________________________ 04 Q35a



Q35a. What is the other reason why broadband internet is not available for all agencies? Q36

Q36. Please indicate the internal structures your Tribe has in place to support the programs (both nutritional and non-nutritional) that you administer. Please check all that apply.

  • Written financial governance policies 01 Q37

  • Written IT governance policies 02 Q37

  • An internal auditing system and/or internal auditing staff 03 Q37

  • A written disaster recovery plan for your IT infrastructure 04 Q37

  • A written information and data security plan 05 Q37

  • A written risk management plan 06 Q37

  • Computerized financial and administrative records 07 Q37

  • Paper-based financial and administrative records 08 Q37

  • A written policy protecting personally identifiable data (PII)

such as social security number, beneficiary ID, etc. 09 Q37

  • A written policy protecting the identity of a child receiving meals 10 Q37

  • Written non-discrimination and civil rights policies 11 Q37

  • Technical assistance staff (e.g. Nutrition experts, policy experts) 12 Q37

  • Other policies 13 Q36a

  • We have no structures in place 14 Q37





Q36a. Please list other policies you have in place to support the programs you administer. Q37

1._________________________________________________________________

2._________________________________________________________________

3._________________________________________________________________



Q37. When did your Tribe last conduct any of the risk assessment processes listed below?


We do not have this process

Less than 6 months ago

6-12 months ago

1 -2 years ago

3-5 years ago

5+

Years ago

A written disaster recovery plan for your IT infrastructure

A written risk management plan

A written information and data security plan



GO TO Q38.

Q38. Please indicate which of the following IT staff that you have in your Tribal Government.

  • Chief Information Officer 01 Q39

  • Chief Security Officer 02 Q39

  • Systems Administrator(s) 03 Q39

  • Database Administrator(s) 04 Q39

  • Network Manager(s) 05 Q39

  • None of these staff members 06 Q39

  • Other _________________________________________________



Q38a. Will these staff be AVAILABLE to take on new programs?

  • Yes, we will not need to hire new staff 01 Q39

  • Yes, but we will have to add new staff to support them 02 Q39

  • No, they will not be available so we need new staff 03 Q39

  • Can’t tell right now 04 Q39


Q39. Do you have a website that describes all social services/assistance programs your Tribe offers? Check all that apply.

  • Yes, we have a Tribe-run website that lists this information 01 Q40

  • Yes, we have a Tribe-run social page (such as Facebook, Twitter) that

lists this information 02 Q40

  • Yes, we link to a Federal or state-run website where members

can get this information 03 Q40

  • No. Our website or links to other Federal or state-run websites are

only for some social services/assistance programs. 04 Q40

  • No. 05 Q40





Q40. Thinking about the programs your Tribal Government administers, in general how do your members apply for services? Please check all that apply.

  • Online via a Tribal-run website 01 Cl

  • Online via a Federal or state-run website 02 Cl

  • In person at an office located on the reservation 03 Cl

  • In person at an office located at a local state or county office 04 Cl

  • In person at local events (pow-wows, flea markets, other community activities)

05 Cl

  • Over the telephone with a Tribal Government employee 06 Cl

  • Some other way 07 Q40a


Q40a. What is the other way(s) that your members apply for services? Cl



Thank you!



Thank you for taking time to complete this survey. As we noted at the beginning, all of the information you provided will be reported as aggregate or grouped data and will only be used for the purposes of this study.


Please provide the following information about any staff members who have assisted with completion of this survey.


Job

Title


# of Years

In This Position


1.




2.




3.




4.












If you have any questions about completion of this survey or wish to receive your survey in an alternative format, please contact Ms. Amy Djangali of IMPAQ International at 443.283.1648 or [email protected]

IMPAQ International, LLC Page 36 Survey Instrument

12/15/2014

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