Feasibility Study - Responsive

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
	❶	❷	❸	❹	❺
Program 1	①	②	③	④	⑤
Program 2	①	②	③	④	⑤
Program 3	①	②	③	④	⑤
Program 4	①	②	③	④	⑤
Program 5	①	②	③	④	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