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Subrecipient Enrollment
ICR 202210-0970-005 · OMB 0970-0467 · Object 125859600.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Subrecipient Enrollment |
| Author | Khaila S Montgomery |
| Last Modified By | Writer |
| File Modified | 2022-10-17 |
| File Created | 2026-10-12 |
| Conversion State | complete |
Extracted Text
Office on Trafficking In Persons (OTIP) TVAP Grant Recipient Reporting Reference Guide: Data Elements and Operational Guidance Contents Victim Assistance Reporting 2 Victim Assistance—Client Characteristics and Program Entry 2 Victim Assistance—Client Case Closure 6 Victim Assistance—Barriers to Service Delivery and Monitoring 7 Victim Assistance—Client Service Use and Delivery 8 Victim Outreach Reporting 10 Training Reporting 11 Subrecipient Enrollment Reporting 13 The Trafficking Victim Assistance Program (TVAP) is inclusive of four distinct programs: the Trafficking Victim Assistance Program (TVAP), Aspire: Child Trafficking Victim Assistance Demonstration Program, Victims of Human Trafficking Services and Outreach Program – Pacific Region Demonstration Program (VHT-SO Pacific Program), and Lighthouse: Services, Outreach, and Awareness for Labor Trafficking (Lighthouse) Demonstration Program. The performance indicators and data collection instruments described within this reporting reference guide are applicable to all four TVAP programs. TVAP award recipients must provide program performance indicator data to OTIP on a quarterly and annual basis, as indicated. Award recipients will be provided with the following information when requesting data: PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to gather data on the grant program to assess program performance, inform evaluation efforts, tailor technical assistance for recipients, respond to inquiries from stakeholders, and inform policy and program development. Public reporting burden for this collection of information is estimated to average XX hours per grant recipient, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This collection of information is required to retain a benefit (22 U.S.C. 7105, Trafficking Victims Protection Act). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0467 and the expiration date is XX/XX/XXXX. If you have any comments on this collection of information, please contact Vera Soto, Office on Trafficking in Persons, by email at [email protected]. Victim Assistance Reporting Key Performance Measures: • Increase the number of victims of trafficking served by a network of grant recipients Victim Assistance—Client Characteristics and Program Entry Reporting Expectations: The grant recipient is expected to collect on the following data elements on a rolling basis during the first three months after an individual is enrolled into the Trafficking Victim Assistance Program. Aggregated information should be reported to OTIP on a quarterly basis: • Quarter 1 Reporting Period: October 1 – December 31 (due January 30) • Quarter 2 Reporting Period: January 1 – March 31 (due April 30) • Quarter 3 Reporting Period: April 1 – June 30 (due July 30), and • Quarter 4 Reporting Period: July 1 – September 31 (due October 30) Victim Assistance—Client Characteristics and Program Entry Data Element Response Options Operational Guidance Intake Date mm/dd/yyyy Record the TVAP enrollment date. Referral Date mm/dd/yyyy Record date service agency received referral. Referral Source • Child Protective Services/Child Welfare • Court • District Attorney/State's Attorney/Victim Assistance • Defense Attorney/Public Defender/Legal Aid • Domestic Violence Agency/Shelter • Educator/Teacher/School • Employer • Family Member/Guardian • Friend/Peer/Acquaintance • Health Care Provider • Housing Assistance Agency/Shelter • Juvenile Justice • Law Enforcement • National Human Trafficking Hotline (NHTH) • Other National Hotline • Psychiatric Treatment Facility • State/Local Hotline • Religious Organization • Self • Other (specify) Select one which best describes the entity or individual referring the client for services. Type of Trafficking • Sex • Labor • Sex and Labor • Unknown Select one which best describes the potential trafficking situation. Does client have family members receiving services from grant recipient? • Yes • No Select one which best describes the household being served. Service Eligibility Status • Pre-Certified Foreign National • Certified Foreign National • U.S. Citizen/Lawful Permanent Resident Select one as identified by client. Country of Origin Country Record country where client is from. Age 01-99 Record age of client at intake. Gender Identity • Male • Female • Transgender Male • Transgender Female • Client uses a different term: [free text] • (Unknown) • (Prefer not to answer) Record the client’s gender identity as reported by the client. Does client identify as 2SLGBTQIA+? • Yes • No • Unknown Select whether client identifies as lesbian, gay, bisexual, transgender, queer, questioning, Two-Spirit, or another gender, sexual, or romantic minority. Race/Ethnicity • American Indian or Alaska Native • Asian • Black or African American • Native Hawaiian or Other Pacific Islander • White • Hispanic or Latino • Other (specify) • Unknown Select one or more as identified by client. Living Situation at Intake • Emergency Housing • Institutional Housing • No Housing/Place not meant for habitation • Permanent Housing • Transitional Housing • Unknown Select one which best describes the current living situation of the client. See definitions. If client is a minor, are they enrolled in school? • No • Yes Select one as known at time of intake. Location of Services State/Territory Remote Record location of organization that will be providing services to the client Location of Trafficking State/Territory, Country If known, record the location of the trafficking incident. Exploitation Industry/Venue1 • Agriculture/Field Labor • Auto-Mechanic/Auto-Shop/Car Repair • Arts/Entertainment • Bar/Cantina/Nightclub • Begging/Peddling • Carnival • Carpentry/Woodworking • Cobbling • Commercial Cleaning • Commercial Sex • Construction • Domestic Work • Elder Care • Escort Services • Factories/Manufacturing • Fishing • Forced Criminal Activities • Forestry/Logging • Garment/Textiles • Herding/Livestock • Health/Beauty • Health Care • Herding Livestock/Animal Husbandry • Hotel/Hospitality • Illicit Massage/Health • Landscaping • Mining/Quarrying • Other (specify) • Personal Sexual Servitude • Production of Child Sexual Abuse Material (CSAM) • Recreation/Sports • Religious Institution • Restaurant/Food Service • Retail Sales • Stripping/ Dancing • Transportation • Traveling Sales Crew • Waste Management/Recycling • Not Reported Select one or more as best describes the potential trafficking situation. Mark unknown if information was not disclosed by client. Commercial Sex Venue • Commercial Space-Based • Institution-Based • Technology-Based • Outdoor/Street-Based • Residence-Based • Not Reported Select one or more as best describes the potential trafficking situation. Mark unknown if information was not disclosed by client. Victim Assistance—Client Case Closure Reporting Expectations: The grant recipient is expected to collect the following data elements on a rolling basis as clients exit the Trafficking Victim Assistance Program. Aggregated information should be reported to OTIP on a quarterly basis: • Quarter 1 Reporting Period: October 1 – December 31 (due January 30) • Quarter 2 Reporting Period: January 1 – March 31 (due April 30) • Quarter 3 Reporting Period: April 1 – June 30 (due July 30), and • Quarter 4 Reporting Period: July 1 – September 31 (due October 30) Victim Assistance – Client Case Closure Data Element Response Options Operational Guidance Case Closure Date mm/dd/yyyy Record the month, day, and year the client’s case was closed. Reason for Case Closing • Client relocated • Client unable to meet program expectations • Determined not eligible • Incarcerated and out of contact with program • Lost contact • No longer in need of services • Time limitations of the program • Transfer to another service program • Other (specify) Select one or more reasons for client’s case closing as known at the time of exit. Living Situation upon Case Closing • Emergency Housing • Institutional Housing • No Housing/Place not meant for habitation • Permanent Housing • Transitional Housing • Unknown Select one which best describes the current living situation of the client at time of exit from program. See definitions. Did the client obtain Continued Presence or a T-Visa? • Continued Presence • T-Visa • None Select the type of immigration remedy the client received. Did the client obtain HHS Certification or Eligibility? • Yes • No Select whether the client received a certification letter while in the program. Did the client receive a referral for continued case management services? • Yes • No Select whether the client received a referral to continue receiving services. Victim Assistance—Barriers to Service Delivery Reporting Expectations: The grant recipient is expected to submit data on the barriers experienced during the course of service delivery on a quarterly basis: • Quarter 1 Reporting Period: October 1 – December 31 (due January 30) • Quarter 2 Reporting Period: January 1 – March 31 (due April 30) • Quarter 3 Reporting Period: April 1 – June 30 (due July 30), and • Quarter 4 Reporting Period: July 1 – September 31 (due October 30) Victim Assistance—Barriers to Service Delivery Data Element Response Options Operational Guidance Barriers to Service Delivery • Feelings of No Support and Isolation • Ineffective Coordination with Federal Agencies • Ineffective Coordination with Local Agencies • Lack of Adequate Funding • Lack of Adequate Resources • Lack of Adequate Training • Lack of Cooperation of Client • Lack of Formal Rules and Regulations • Lack of In-House Procedures • Lack of Knowledge of Victims’ Rights • Language Concerns • Public Health Concerns • Safety Concerns • Victims’ Legal Status • Other Services (specify) • None Select all barriers to service delivery that were encountered during the reporting period. Victim Assistance—Client Service Use and Delivery Reporting Expectations: The grant recipient is expected to submit data on all of the services and public benefits the client accessed during the reporting period annually with the fourth quarter report, due on October 30. Victim Assistance—Client Service Use and Delivery Data Element Response Options Operational Guidance Services Received • Basic Necessities • Case Management • Child Care • Crisis Intervention • Education Assistance • Employment Assistance • Family Reunification • Financial Assistance • Healthcare • Housing/Shelter Services • Interpreter/Translator Services • Legal Advocacy and Services • Life Skills • Mental/Behavioral Health Services • Peer-to-Peer Support/Mentoring • Safety Planning Services • Substance Use Assessment/Treatment • Transportation • Victim Advocacy • Other Services (specify) • None • Unknown Select one or more services that the client received either directly by the organization or through a referral. Do not include referrals that did not result in the client accessing the service or benefit. Benefits Received • Child Care Subsidy • General Assistance • Medicaid • ORR Match Grant • ORR Targeted Assistance Grant (TAG) • ORR Unaccompanied Children (UC) Program • ORR Unaccompanied Refugee Minors (URM) Program • ORR Wilson/Fish Program • Refugee Cash Assistance • Refugee Medical Assistance • Refugee Social Services • Section 8/Permanent Housing Assistance • SNAP (Food Stamps) • State-specific Health Benefits • Social Security Disability (SSI or SSDI) • Temporary Assistance for Needy Families • Unemployment Insurance • WIC • Other (specify) • None • Unknown Select one or more benefits that the client received either directly by the organization or through a referral. Do not include referrals that did not result in the client accessing the service or benefit. Victim Outreach Reporting Key Performance Measures: • Increase the number of victims of trafficking identified Reporting Expectations: The grant recipient is expected to submit data on outreach activities and impact on a quarterly basis: • Quarter 1 Reporting Period: October 1 – December 31 (due January 30) • Quarter 2 Reporting Period: January 1 – March 31 (due April 30) • Quarter 3 Reporting Period: April 1 – June 30 (due July 30), and • Quarter 4 Reporting Period: July 1 – September 31 (due October 30) Victim Outreach Reporting Data Element Response Options Operational Guidance Outreach Activities Conducted (number) Report the total number of outreach activities conducted during the reporting period. Outreach Settings • Agricultural Settings • Casinos • Commercial Establishments • Consulates • Court-Based Settings • Day Labor Settings • Detention Settings • Digital: Social Media • Digital: Other • Education Settings • Factories • Health Care Settings • Homeless Encampments • Hotel/Hospitality Settings • Massage Parlors • Shelter Settings • Street Settings • Strip Clubs • Youth Care Settings • Other (specify) Select the site or venue where outreach was conducted during the reporting period. Target Population(s) • 2SLGBTQIA+ Populations • Alaska Native/Indigenous Populations • Asian American/Pacific Islander Populations • Black Populations • Boys and Men • Direct Care Workers • Hispanic or Latino Populations • People with Disabilities • People who Live in Rural Communities • Religious Minority Populations • Runaway Homeless Youth Populations Select the population(s) targeted over the course of outreach activities conducted during the reporting period. Number of Victims Identified (number) Record the number of victims identified by grant recipient through outreach activities, including funded partners. Training Reporting Key Performance Measures: • Increase the number of professionals trained to identify, treat, and respond to human trafficking Reporting Expectations: The grant recipient will submit training data on a quarterly basis using the following schedule: • Quarter 1 Reporting Period: October 1 – December 31 (due January 30) • Quarter 2 Reporting Period: January 1 – March 31 (due April 30) • Quarter 3 Reporting Period: April 1 – June 30 (due July 30), and • Quarter 4 Reporting Period: July 1 – September 31 (due October 30) Training Reporting Data Element Response Options Operational Guidance Total Trainings (number) Record the total number of trainings provided during the reporting period. Topic Grant Management Topics: □ Building a Community Referral Network and Partnership Building □ Data Collection, Management, and Reporting □ Introduction to Grant Program and Onboarding □ Outreach Strategies □ Program Policy, Protocol, and Administration Service Delivery and Access Topics: □ Approaches, Strategies, and Special Considerations for Working with Victims (e.g. Trauma Informed Care) □ Available Services/Benefits and Strategies for Self Sufficiency □ HHS Certification, Eligibility, and Other HHS Resources □ How to Access Legal Services and Remedies □ Human Trafficking 101: Definition, Types, Laws, and Indicators □ Other Record the number of occasions each topic was covered during the trainings provided during the reporting period. If one training reasonably covers multiple topics, the training may be double-counted. Audience • Behavioral Health • Child Welfare • Education • Faith-Based • Government • Health Care • Housing • Law Enforcement • Legal • Private Sector • Public Health • Social Services • Students (Higher Education) • Tribal • Other Record the number of professionals who attended trainings offered during the reporting period. Please provide counts by the audience type that best describes the individuals. For example, if a training was conducted for 30 private sector public health professionals, please record as Public Health: 30. Subrecipient Enrollment Reporting Key Performance Measures: • Increase the diversity of services available to victims of trafficking Reporting Expectations: The grant recipient is expected to collect data elements only on subrecipients or entities/organizations with whom the grant recipient has a formal contractual relationship to provide services. This data should be updated as entities/organizations are enrolled into the grant recipient’s network on a rolling basis. Any updates are to be reported on a quarterly basis. Subrecipient Enrollment Reporting Data Element Response Options Operational Guidance Name of Subrecipient Organization (text) Record name of partnering organization. Location of Subrecipient Organization City, State Record location of organization. Type of Subrecipient Organization • Advocacy • Behavioral Health • Child Welfare • Education • Employment • Faith Based • Government • Health Care • Housing • Law Enforcement • Legal • Other Criminal Justice • Private Sector • Public Health • School (K-12) • Service Provider • Other (specify) Select the sector that best describes the type of organization entering into the partnership. Subrecipient Service Sites (number) Record the total number of service site locations of the partner. Services Provided by Subrecipient • Basic Necessities • Case Management • Child Care • Crisis Intervention • Education Assistance • Employment Assistance • Family Reunification • Financial Assistance • Healthcare • Housing/Shelter Services • Interpreter/Translator • Legal Advocacy and Services • Life Skills • Mental/Behavioral Health Services • Medical Services • Peer-to-Peer Support/Mentoring • Safety Planning Services • Substance Use Assessment/Treatment • Transportation • Victim Advocacy • Other Services (specify) • None • Unknown Select one or more services that are provided through the partnership. Enrollment Date mm/dd/yyyy Record month, day, and year when entity partnered with grant recipient network. Exit Date mm/dd/yyyy Record month, day, and year when entity ended their partnership with grant recipient network.