Instrument 2 - HTYPE for Students Pre- and Post-Implementation Survey

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 students 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 Students

Pre-Survey and Post-Survey

1. True or False?

   1. Human trafficking can happen in any city or town, including where I live. (True / False)

   2. Men and boys can be exploited for labor or commercial sex. (True / False)

2. I can name one trusted adult to talk to if someone I know is being trafficked for labor or sex. (Yes / No)

3. I can name a hotline to contact if I think someone I know is being trafficked for labor or sex. (Yes / No)

4. If I were being trafficked for labor or sex, I would:

   1. Ask a trusted adult for help.

      1. Likert scale: (1) Strongly disagree, (2) Disagree, (3) Agree, (4) Strongly agree

   2. Contact a hotline.

      1. Likert scale: (1) Strongly disagree, (2) Disagree, (3) Agree, (4) Strongly agree

   3. Ask a friend for help.

      1. Likert scale: (1) Strongly disagree, (2) Disagree, (3) Agree, (4) Strongly agree

Post-Survey Only

1. I learned something I can do to help myself be safe.

   1. Likert scale: (1) Strongly disagree, (2) Disagree, (3) Agree, (4) Strongly agree

2. Please share one example of how you can use what you learned in your everyday life.

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 15 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.