Victim Compensation Performance Measures

Community Partnership Grants Management System (GMS)

2015 0615 SARS only questionnaire

Victim Compensation Performance Measures

OMB: 1121-0243

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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.


6. *Purpose of the VOCA Subaward: (INSTRUCTION: Check all that apply):

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)

Shape3 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 justicerelated 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.

IShape9 Shape10 Shape11 Shape12 Shape13 Shape14 Shape15 Shape16 Shape17 nformation Requested Response Explanation


A. What is the fiscal year of your state?



BShape24 . Total budget for all victimization programs/services for this agency.

(the figure reported is for the current fiscal year)


CShape36 . ANNUAL funding amounts allocated to victim assistance projects for the current fiscal year

(Shape37 Shape38 identify by source, the amount of funds allocated to the victimization program/services budget)


D. Total organization/agency staff for all victimization programs/services

(Shape44 Shape48 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






SShape59 TATE: LOCAL:

OTHER FEDERAL: OTHER NON-FEDERAL:






Shape60 Shape61 Shape62

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.

CShape63 Shape64 Shape65 omment [UM3]:

TIP: Includes appropriations, criminal fines and penalties, assessments and other state resources

CShape66 Shape67 omment [UM2]:

INSTRUCTION: Identify by source, the amount of funds allocated to the victimization program/services budget.



Shape68 Shape69 Shape70

CShape71 omment [UM4]:

TShape72 IP: one FTE is equivalent to one employee working full-time

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMurdaugh, Ursula
File Modified0000-00-00
File Created2021-01-24

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