Office
		for
		Victims
		of
		Crime 
		Victim
		Assistance
		Formula
		Grants
		Program 
		SUBGRANTEE
		AWARD
		REPORT
	
	
	
The Subgrantee Award Report (SAR) is a requirement for grantees that receive VOCA funding from Office for Victims of Crime (OVC) to deliver Victim Assistance Services. The purpose of the SAR is to collect basic information on subgrantee recipients and the program activities that will be implemented with VOCA funds. Submit this data in the OVCPMT.
	
1. The information must be completed and submitted by the State agency (i.e., grantee) within ninety (90) days from the date of the subaward to a local victim assistance program.
	
	
2. A Subgrantee Award Report must be completed for each subgrantee award of
Victims of Crime Act (VOCA) funding.
	
3. The information should be submitted via the OVC PMT.
	
	
4. The report requires 2 levels of data:
	
A. Profile of the subgrantee recipient receiving VOCA funds
	
B. Profile and information regarding the activities that will be implemented by the VOCA subgrantee.
	
5. A SAR that is created with start dates that fall within the annual reporting period (federal fiscal year) will be associated with performance data submitted for that federal fiscal year.
The grantee should complete a SARS each time a subaward is made for each federal award active during the period.
FEDERAL AWARD NUMBER
INSTRUCTION: Provide the Federal grant award number from which this subgrant is made. This number can be found in “item 4” of the OJP “award” document, Form 40002. Note: If funds are awarded from more than one Federal VOCA grant award to this victim agency, a Subgrant Award Report must be completed and submitted for each award.
1. *Subgrantee Agency Name
A. Agency Name B. Agency Address C. City
D. State
E. Zip Code
2.* Subgrantee Agency Point of Contact
A. Subgrantee (first name) (last name)
B. POC Phone Number (XXX-XXX-XXXX) C. POC E-mail Address
3. *Subgrantee Agency Type
INSTRUCTION: Check the appropriate box that best describes the type of government, agency, or organization (A, B, C, and D) identified in item #1, that is funded to provide VOCA-funded services.
A. Government Agencies Only: Which designation best describes your government agency (select one response)?
 Courts
 Juvenile justice
 Law enforcement
 Prosecutor
 Other government agency
B. Nonprofit Organization Only: Which designation best describes your nonprofit organization (check all that apply)?
 Child Abuse Service organization (e.g., child advocacy center)
 Coalition (e.g., state domestic violence or sexual assault coalition)
 Domestic and Family Violence organization
 Faith-based organization
 Organization provides domestic and family violence and sexual assault services
 Organization by and/or for a specific traditionally underserved community
 Organization by and/or for underserved victims of crime (e.g., drunk driving, homicide, elder abuse)
 Sexual Assault Services organization (e.g., rape crisis center)
 Other
C. Federally Recognized Tribal Governments, Agencies, and Organizations Only: Which designation best describes your tribal agency or organization (select one response)?
 Child Abuse Service organization (e.g., child advocacy center)
 Court
 Domestic and Family Violence organization
 Faith-based organization
 Juvenile justice
 Law Enforcement
 Organization provides domestic and family violence and sexual assault services
 Prosecutor
 Sexual Assault Services organization (e.g., rape crisis center)
 Other justice-based agency
 Other agency that is NOT justice-based (e.g., human services, health, education)
 Organization by and/or for a specific traditionally underserved community
 Organization by and/or for underserved victims of crime (e.g., drunk driving, homicide, elder abuse)
D. Campus Organizations Only: Which designation best describes your campus organization (select one response)?
 Campus-based victims services
 Law enforcement
 Physical or mental health service program
 Other (insert textbox)
4. *Was this subgrantee agency funded in a previous federal fiscal year?
 A. No
 B. Yes, FY (provide the last federal fiscal year that this subgrantee received funding )
5. *OVC Crime Victim Assistance Funds awarded: $
A. Project start date: (mm/dd/yyyy) B. Project end date: (mm/dd/yyyy)
C. State-assigned award number (optional)
	 
				A. 
				B. 
				C. 
				D. 
				E. 
		
	
			 
		
			 
		
			 
		
			 
		
			 
	
	
Continue a VOCA-funded victim project funded in a previous year
Expand or enhance an existing project not funded by VOCA in the previous year
Start up a new victim services project
Start up a new Native American victim services project
Expand or enhance an existing Native American project
7. Subgrantee Service Area (s)
INSTRUCTION: Select the counties that cover the service area for your organization.
8. Priority and Underserved Requirements:
INSTRUCTION: Please identify ANY or ALL of the VOCA Grant that will be used to meet required categories
A. Child Abuse (includes services for child physical abuse/neglect and child sexual assault/abuse)
$ B. Domestic and Family Violence $ C. Adult sexual assault $
D. Underserved $
Please briefly explain how your state defines “underserved”
(Includes DUI/DWI crashes, survivors of homicide victims, assault, adults molested as children, elder abuse, robbery, other violent crimes)
9. Subaward match (financial support from other sources)
A. Value of in-kind match $ B. Cash match $
C. Total match $ (auto-calculate A+B)
 D.
Match
waiver	(INSTRUCTION:
check
box
to
indicate
a
match
waiver
was
received)
D.
Match
waiver	(INSTRUCTION:
check
box
to
indicate
a
match
waiver
was
received)
10. USE of VOCA and MATCH FUNDS:
INSTRUCTION: For this subaward, check the category of service and subcategory that best identifies the types of services or activities that will be provided by the VOCA-funded project, as described below. Note: Report only those services actually provided by the VOCA-funded project. Do not report services offered by another agency.
A. INFORMATION & REFERRAL
 Information about the criminal justice process
 Information about victim rights, how to obtain notifications, etc.
 Referral to other victim service programs
 Referral to other services, supports, and resources (includes legal, medical, faith-based organizations, address confidentiality programs, etc.)
B. PERSONAL ADVOCACY/ACCOMPANIMENT
 Victim advocacy/accompaniment to emergency medical care
 Victim advocacy/accompaniment to medical forensic exam
 Law enforcement interview advocacy/accompaniment
 Prosecution interview advocacy/accompaniment (includes accompaniment with prosecuting attorney and with victim/witness)
 Criminal advocacy/accompaniment
 Civil advocacy/accompaniment (includes victim advocate assisting with protection orders)
 Individual advocacy (assistance in applying for public benefits, return of personal property or effects)
 Performance of medical forensic exam or interview, or medical evidence collection
 Immigration assistance (e.g., special visas, continued presence application, and other immigration relief)
 Intervention with employer, creditor, landlord, or academic institution
 Child and/or dependent are assistance (provided by agency)
 Transportation assistance (provided by agency)
 Interpreter services
 Assistance with victim compensation
C. EMOTIONAL SUPPORT OR SAFETY SERVICES
 Crisis intervention (in-person, includes safety planning, etc.)
 Hotline/crisis line counseling
 Individual counseling
 On-scene crisis response (e.g., community crisis response)
 Therapy (traditional, cultural, or alternative healing; art, writing, or play therapy; etc.)
 Support groups (facilitated or peer)
 Emergency financial assistance (includes emergency loans and petty cash, payment for items such as food and/or clothing, changing windows and/or locks, taxis, prophylactic and nonprophylactic meds, durable medical equipment, etc.)
D. SHELTER/HOUSING SERVICES
 Emergency shelter or safe house
 Transitional housing
 Relocation assistance
E. CRIMINAL/CIVIL JUSTICE SYSTEM ASSISTANCE
 Notification of criminal justice events (e.g., case status, arrest, court proceedings, case disposition, release, etc.)
 Victim impact statement assistance
 Assistance with restitution (includes assistance in requesting and when collection efforts are not successful)
 Emergency justice‐related assistance
 Civil legal attorney assistance in obtaining protection or restraining order
 Civil legal attorney assistance with family law issues (e.g., custody, visitation, or support)
 Other civil legal attorney assistance (e.g., landlord/tenant, employment, etc.)
 Immigration attorney assistance (e.g., special visas, continued presence application, and other immigration relief)
 Prosecution interview advocacy/accompaniment (includes accompaniment with prosecuting attorney and with victim/witness)
 Criminal advocacy/accompaniment
 Civil advocacy/accompaniment (includes victim advocate assisting with protection orders)
11. Budget and Staffing
INSTRUCTION: Indicate below the requested information based on the subgrantee’s current fiscal year:
Report the total budget available to the victim services program, by source of funding. Do not report the entire agency budget, unless the entire budget is devoted to victim services. For example, if VOCA funds are awarded to support a victim advocate unit in a prosecutor’s office, then only report the budget for the victim advocate unit. NOTE: Do not include in-kind match; do not report sums less than one dollar.
I 
 
 
 
 
 
 
 
 nformation
Requested	Response	Explanation
nformation
Requested	Response	Explanation
	
	
A. What is the fiscal year of your state?
	
	
	B .
	  
	Total
	budget
	for
	all
	victimization
	programs/services
	for
	this
	agency.
.
	  
	Total
	budget
	for
	all
	victimization
	programs/services
	for
	this
	agency.
(the figure reported is for the current fiscal year)
	
	C .
	  
	ANNUAL
	funding
	amounts
	allocated
	to
	victim
	assistance
	projects
	for
	the
	current
	fiscal
	year
.
	  
	ANNUAL
	funding
	amounts
	allocated
	to
	victim
	assistance
	projects
	for
	the
	current
	fiscal
	year
	( 
 identify
	by
	source,
	the
	amount
	of
	funds
	allocated
	to
	the
	victimization
	program/services
	budget)
identify
	by
	source,
	the
	amount
	of
	funds
	allocated
	to
	the
	victimization
	program/services
	budget)
	
D. Total organization/agency staff for all victimization programs/services
	( 
 total
	number
	of
	paid
	full-time
	equivalent
	staff
	(FTE)
	for
	the
	current
	fiscal
	year)
total
	number
	of
	paid
	full-time
	equivalent
	staff
	(FTE)
	for
	the
	current
	fiscal
	year)
	
E. Number of FTE staff funded through this VOCA award
(total number of VOCA-funded staff by FTE for the current fiscal year)
	
F. Number of volunteer hours supporting the work of this VOCA award (Should include hours counted towards the match for the current fiscal year)
	
 Oct – Sept
 July – Jun
 Other, please define
	
	
	
	
	
	
	S TATE:
	LOCAL:
TATE:
	LOCAL:
OTHER FEDERAL: OTHER NON-FEDERAL:
	
	
	
	
	
 
 
 
	
Comment [UM1]:
TIP: FOR EXAMPLE, IF VOCA FUNDS ARE AWARDED TO SUPPORT A VICTIM ADVOCATE UNIT IN A PROSECUTOR’S OFFICE, THEN ONLY REPORT THE BUDGET FOR THE VICTIM ADVOCATE UNIT.
	C 
 
 omment
	[UM3]:
omment
	[UM3]:
TIP: Includes appropriations, criminal fines and penalties, assessments and other state resources
	C 
 omment
	[UM2]:
omment
	[UM2]:
INSTRUCTION: Identify by source, the amount of funds allocated to the victimization program/services budget.
	
	
 
 
 
	
	C omment
	[UM4]:
omment
	[UM4]:
	T IP:
	one
	FTE
	is
	equivalent
	to
	one
	employee
	working
	full-time
IP:
	one
	FTE
	is
	equivalent
	to
	one
	employee
	working
	full-time
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Murdaugh, Ursula | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-24 |