Instrument 1 - HTYPE for Educators Pre- and Post-Implementation Survey

Formative Data Collections for ACF Program Support

Instrument 1 - HTYPE for Educators Pre- and Post-Implementation Survey

OMB: 0970-0531

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OMB Control Number: 0970-0531

Expiration Date: 07/31/2022

Pre-and Post-Survey Questions

OTIP designed a survey instrument for grantees to administer to educators and other local educational agency (LEA) staff to collect information for the grantee’s quarterly performance reports. Results from the survey will be reported to OTIP in aggregate; OTIP does not intend to collect raw data from the surveys.

Human Trafficking Prevention Education for Educators and Other Staff

Pre-Survey Only

  1. How interested are you in learning about human trafficking? (Likert-type scale: (1) not at all interested; (2) slightly interested; (3) moderately interested; (4) very interested)

Pre-Survey and Post-Survey

  1. To what extent do you agree or disagree with the statement, “I am comfortable talking with students about human trafficking.” (Likert-type scale: (1) strongly disagree; (2) disagree; (3) agree; (4) strongly agree)

  2. To what extent do you agree or disagree with the statement, “I have a role to play in helping students who may be at risk or experiencing human trafficking.” (Likert-type scale: (1) strongly disagree; (2) disagree; (3) agree; (4) strongly agree)

Post-Survey Only

  1. To what extent do you agree or disagree with the statement, “I can implement the aspects of the Human Trafficking School Safety Protocol that are relevant and appropriate for my professional role.” (Likert-type scale: (1) strongly disagree; (2) disagree; (3) agree; (4) strongly agree)

  2. To what extent do you agree or disagree with the statement, “this program taught me something which I believe will be useful in helping me to: (Likert-type scale: (1) strongly disagree; (2) disagree; (3) agree; (4) strongly agree)

    1. Identify students who may be at-risk or experiencing human trafficking

    2. Provide assistance to students identified as victims or at risk for trafficking

    3. Understand my obligations and responsibilities for reporting potential cases of human trafficking.





PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: Through this information collection, ACF is gathering data on your grant program to understand the extent to which you fulfilled required program activities, the design and effectiveness of the program, and to inform technical assistance needs. Public reporting burden for this collection of information is estimated to average 12 minutes per respondent, including the time for reviewing instructions, answering any questions, and providing the required responses. This collection of information is voluntary. 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. If you have any comments on this collection of information, please contact Vera Kiefer, ACF Office on Trafficking in Persons, by email at Vera.Kiefer @acf.hhs.gov.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKiefer, Vera J.
File Modified0000-00-00
File Created2023-09-12

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