OVC Victi Compensation State Certification form

OMB estimate for Victim Compensation

Original:
VOCA Victim Compensation Grant
Program State Performance Report
Format: 2-page hard-copy questionnaire.

Question Number (in original document)
Section I 1. State
2. Contact name
Section II 1. Number of new claims
received during reporting period
a. Total claims, if only one
claim is usually counted
per crime, OR
b. Total claims, if victims
and indirect victims
generally count as separate
claims
2. Number of claims approved
as eligible
a. For victims 17 and
under
b. For victims 18-64
c. For victims 65 and older
In the original questionnaire,
demographic data was limited
to age only.

3. Number of claims denied as
ineligible or closed

Revised:
Victim Compensation Formula Grant
Program Performance Measures
Format: The report has been moved to an
online data collection tool that will
incorporate grantee and subgrantee reporting
for the Subgrant Award Report form and the
State Performance Report which has been
divided into 2 components: Subgrantee
Performance Data Report and the Grantee
Report which consist of the annual narrative
questions.
The new data submission tool will minimize
reporting time by pre-populating certain data
and will include validation checks to ensure
data quality.
Question Number (in revised document)
Pre-populated from a contact list
Question maintained and is unchanged.

6. Number of applications approved during
the reporting period
Expanded: 3. Victim Demographics: The new
questionnaire has expanded the categories for
age: 0-12, 13-17, 18-24, 25-59, and 60 and
older to be consistent with reporting to other
Federal agencies, i.e., OVW and HHS
reporting.
NEW: Demographic data collection has been
expanded to include questions on gender
identity and race/ethnicity of victims served.
7. Number of applications denied/closed
during the reporting period

OMB estimate for Victim Compensation

Section III

Section IV

Section V

4. Number of forensic sexual
assault examination claims
received, if such claims are
handled through a separate
claims procedure
Payment statistics by crime
category: In the original
questionnaire, this section
requested the number of claims
paid and total amount paid for
12 crime types by 1
victimization type (domestic
violence).
The original questionnaire
inquired about the total amount
paid in 7 expense categories.
1. Describe the impact that
VOCA funds have had on your
program’s ability to meet the
needs of crime victims.
2. How do you measure your
program’s efficiency and
effectiveness in reducing the
financial impact of crime on
victims? What are the results?

NEW: Added categories for reasons for denial
or close status:
Claims data has been expanded to include the
reasons claims were denied. Options include:
application not filed within the time limit;
failure to report to police; failure to cooperate
with law enforcement, victim/witness
coordinator, or other official required by
program; incomplete information;
contributory misconduct; ineligible crime;
ineligible application; and other.
NEW: 8. Number of applications pending at
the end of the reporting period.
9. The new questionnaire maintains this
question and is unchanged.

NEW: The revised questionnaire contains a
payment-statistics-by-crime-type table that
includes expanded crime types (16),
victimization types (5), and expense
categories (11). It requests:
 the number of applications paid per
crime type
 the amount paid in each expense
category for each crime type
 the number of applications related to
one of 5 victimization types for each
crime type
Enhanced: The new questionnaire includes a
set of 10 questions answered annually. The
narrative questions from the original
questionnaire have been expanded and
enhanced to improve the detail and quality of
the responses. As with the original questions,
the new questions seek to measure program
performance, but in a more precise way. The
questions inquire about:
 any significant change in the number of
applications received during the
reporting period;
 whether the grantee distributes victim
satisfaction surveys;

OMB estimate for Victim Compensation

 any emerging/major issues or notable
trends encountered in the state that
impacted the program’s ability to meet
the needs of crime victims;
 efforts taken to serve victims of federal
crime;
 notable activities that improved the
process of victim compensation
services;
 any laws, initiatives, or policy changes
in the state regarding victim
compensation;
 system-coordination efforts with key
justice system personnel to reduce
barriers to victims;
 public outreach efforts to improve
awareness of the program; and
 other outcome measures reported to
state government

3. Did your state use VOCA
administrative funds? If so,
please describe the impact these
funds have had on your state’s
ability to provide compensation
or improve victim services.

The section also permits grantees to include
comments to help improve overall the Victim
Compensation program.
Annual Question 7. Please describe in detail
ways in which your state used VOCA
Administrative funds and the impact of these
funds on the state’s ability to improve victim
compensation services during the reporting
period.