Form 1122-0017 Semi-annual Progress Report for the Technical Assistance

Semi-Annual Progress Report for Technical Assistance Program

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Semi-Annual Progress Report for Technical Assistance Program

OMB: 1122-0017

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OMB Clearance # 1122-0017
Expiration Date: 09/30/2010

U.S. Department of Justice
Office on Violence Against Women
SEMI-ANNUAL PROGRESS REPORT FOR
Technical Assistance Program

Brief Instructions: This form must be completed for each Technical Assistance (TA) Cooperative Agreement award
received. The TA Cooperative Agreement administrator or coordinator must ensure that the form is completed fully
with regard to all Cooperative Agreement activities.
All TA providers should read through each section to determine which questions they must answer based on the
activities engaged in under this TA Cooperative Agreement during the current repor ting period. Sections B and D
of this form must be completed by all TA providers. In section A, subsection A1 must be answered by all TA providers. In subsection A2 and section C, TA providers must answer an initial question in each subsection about
whether they engaged in certain activities during the current reporting period. If the response is yes, then the TA
provider must complete that subsection. If the response is no, the rest of that subsection is skipped.
For example, if you only provided technical assistance with staff funded under this cooperative agreement during
the current repor ting period, you would complete sections A, B, C2, and D (and answer ‘no’ in C1 and C3).
The activities of volunteers or interns may be repor ted if they are coordinated or supervised by TA Cooperative
Agreement-funded staff or if TA Cooperative Agreement funds substantially support their activities.
For fur ther information on filling out this form, r efer to the separate set of instructions, which contains detailed
definitions and examples, illustrating how questions should be answered
SECTION

Page Number

Section A:
Section B:
Section C:
C1:
C2:
C3:
C4:
Section D:

General Information
Program Activities
Function Ar eas
Training
Technical Assistance
Underserved Populations
Products
Narrative

1
3
4
4
8
11
12
13

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SECTION

OMB Clearance # 1122-0017
Expiration Date: 09/30/2010

A1

GENERAL INFORMATION
A1. Awardee information
All TA Cooperative Agreements awardees must complete this section.
(format date with 6 digits - 01/31/04)

1.

Date of report

2.

Current reporting period

3.

TA provider name

4.

TA project name

5.

Award number (the federal award number assigned to your TA Cooperative Agreement)

6.

Type of lead organization receiving the funds (Pick the item that most closely resembles your or ganization.)

7.

January 1-June 30

July 1-December 31

State/T ribal/Territor y Coalition

Advocacy organization

Faith-based organization

Victim services

Membership or professional organization

Training organization

University/college

Governmental agency

Policy/resear ch institute

Other (specify):

(Year)

Does your TA Cooperative Agreement address (Check all that apply .)
Dating Violence

Probation

Domestic Violence

Law Enfor cement

Sexual Assault

Tribal issues

Stalking

Criminal/Civil justice

Underserved Population

Other (specify) :

(i.e., people with disabilities, immigrants )
Cour ts

8. Point of contact

(person responsible for the day-to-day coordination or administration of the award.)

First Name

MI

Last Name

Agency/organization name
(if different from grantee name)
Address
City

State

Telephone

Zip Code

Facsimile

E-mail

9.

Does this TA Cooperative Agreement target tribal populations?
(Check yes if your TA activities specifically focus on tribal populations.)
Yes
No
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10. List the OVW grant programs for which you provide technical assistance
List OVW grant program(s) or special initiatives for which you provide TA and Training

11. Project partners (from Summary Data Sheet)

12. Priority areas addressed

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SECTION

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Staff Information

A2

Were TA Cooperative Agreement funds used to fund staff positions during the current reporting period?
Check yes if TA Cooperative Agreement funds were used to pay staff, including part-time staff and contractors.
Yes — answer question 13
No — skip to Section B

13. Staff

(Repor t the total number of full-time equivalent [FTE] staff supported by TA Cooperative Agreement funds
during the current reporting period. Include employees who are par t-time and/or only partially funded with
these cooperative agreement funds as well as contractors. If an employee was not employed or utilized over
the entire reporting period, prorate accordingly and round to the second decimal. See separate instructions
for examples of how to calculate FTEs for part-time staft and contractors.)

SECTION

Total number of FTE staff

B

PROGRAM ACTIVITIES
All TA providers must complete this section.

14. Program activities

(Check all program activities your TA Cooperative Agreement engaged in during the current reporting period.)
Maintaining a current database of grantee contacts
Developing and maintaining Web-based information for grantees to include training
announcements, promising practice summaries, and other information of interest to grantees
Convening national and/or regional training events including training institutes, conferences,
seminars, roundtables, meetings, new grantee orientation
Assisting grantees through on-site consultations, email, by telephone, and/or through audio
and/or video conferences
Developing training materials for grantees
Responding to requests for problem-solving from grantees
Providing technical assistance on the full range of statutory and programmatic requirements
grantees must meet
Facilitating peer-to-peer mentoring
Facilitating access to other sources of specialized technical assistance available through other
OVW technical assistance providers
Policy development
Data Collection
Other (specified):

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SECTION

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Expiration Date: 09/30/2010

C1

C. FUNCTION AREAS
C1. Training

Were your TA Cooperative Agreement funds used for training during the current reporting period?
Check yes if TA Cooperative Agreement--funded staff provided training or if TA Cooperative Agreement funds
were used to directly support the training.
Yes — answer questions 15-18
No — skip to C2
For the purposes of this repor ting form, training means providing information on sexual assault, dating
violence, domestic violence, and stalking that enables professionals to improve their response to victims/
survivors as it relates to their role in the system.

15. Type and number of training events provided

(Repor t the number of national, statewide, regional and local training events by the type of
training pr ovided by TA Cooperative Agreement-funded staff or directly supported with TA Cooperative
Agreement funds. Staff development training provided to TA Cooperative Agreement-funded staff should
not be counted.)
Type of training

Total number of training events
Regional (several states)
Statewide

National

Local

Conferences/Institutes
Audio Conferences
Video Conferences
Workshops/seminars
Webcasting
Train-the-trainer sessions
New grantee orientation
Other (specify):
TOTAL

0

0

0

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0

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16. Number of people trained

(Repor t the number of people trained during the current repor ting period by TA Cooperative Agreement-funded
staf f or training supported by TA Cooperative Agreement funds. Use the category that is most descriptive of
the people attending the training event. TA Cooperative Agreement-funded staff attending staff development
training should not be counted.)
People trained

Number

Adult protective services staff
Attorneys/law students
Batterer intervention program staff
Campus judicial/disciplinary board members
Child welfare/protection workers
Child advocates
Community advocacy organization staff (NAACP, AARP)
Corrections personnel (probation, parole, and correctional facilities)
Court personnel (judges, clerks)
Culturally specific community programs
Disability/Deaf organization staff (non-governmental)
Domestic violence program staff (and boards)
Dual sexual assault and domestic violence program staff (and boards)
Educators (teachers, university faculty)
Elder organization staff (non-governmental)
Faith-based organization staff
Government agency staff (vocational rehabilitation, DHS)
Health professionals (excluding forensic examiners)
Transitional housing staff
Immigrant organization staff (non-governmental)
Interpreters
Law enforcement officers (including campus police)
Mental health professionals
Multidisciplinary group
Personal care attendants
Prosecutors
Sexual assault forensic examiners
Sexual assault program staff (and boards)
Social service organization staff
Spiritual leaders
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People trained

Number

State, tribal and/or territor y sexual assault coalition and/or
domestic violence coalition (staff and boards)
Substance abuse providers
Super vised visitation and exchange center staff
Transportation providers
Tribal community groups
Tribal council members
Tribal elders
Tribal gover nment/Tribal government agency staff
University student affairs staff
Victim-witness specialists
Volunteers
Other national technical assistance providers
Other (specify):______________________________________________
TOTAL

0

17. Total number of hours spent on training

(Repor t the total number of hours of training supported by TA Cooperative Agreement funds during the
current repor ting period.)

Total number of training hours

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18. Training content areas

(Indicate all topics addressed in training events provided by your TA Cooperative Agreement funds during the
current repor ting period. Check all that apply .)
Sexual assault, domestic violence, dating violence
and stalking

■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■

Abuse of deaf/disabled people
Advocate r esponse
Child witnesses to domestic violence
Confidentiality
Cultural issues specific to American Indians
and/or Alaska Natives
Cyberstalking
Dating violence overview, dynamics, and services
Domestic violence overview, dynamics, and services
Drug facilitated sexual assault
Dynamics and history of violence against
American Indian and/or Alaska Native women
Elder abuse
Indian Child W elfare Act
Forensic evidence collection and documentation
Mandatory repor ting requirements
Safety planning for victims/survivors
Sexual assault forensic evidence collection
Sexual assault overview, dynamics, and services
Stalking overview, dynamics, and services
Supervised visitation and exchange
Transitional housing
Tribal strategies to address sexual assault,
domestic violence, dating violence or stalking
Other (specify):

Justice system
Child victimization statutes/codes
Civil court procedures
Criminal court procedures
Decreasing dual arrests/identifying
predominant aggressor
■ Dating violence statutes/codes
■ Domestic violence statutes/codes
■ Evidence analysis, collection, and preservation
■ Evidence-based prosecution
■ Family court procedures
■ Federal agency response to sexual assault,
domestic violence, dating violence and stalking
(IHS, BIA, FBI, USAO)
■ Firearms and domestic violence
■ Immigration
■ Judicial response
■ Law enfor cement r esponse
■ Mandatory repor ting requirements
■ Pro-arrest policies
■ Probation response

■
■
■
■

■

■
■
■
■
■
■
■
■

Protection orders (including full faith and credit)
Safety audits
Sexual assault statutes/codes
Stalking statutes/codes
Trial skills
Tribal jurisdiction and Public Law 280
Victims not polygraphed
Other (specify) :

Underserved populations
Issues specific to victims/survivors who:
■ live in r ural areas
■ are American Indian or Alaska Native
■ are Asian
■ are black or African American
■ are deaf
■ have disabilities
■ are elderly
■ are Hispanic or Latino
■ are homeless or living in poverty
■ are immigrants, refugees, or asylum seekers
■ are institutionalized or isolated
■ are lesbian, gay, bisexual, transgender,
or intersex
■ are Native Hawaiian or other Pacific Islander
■ have mental health issues
■ have substance abuse issues
■ Other (specify):
Organizational community response
Accessibility
Coalition development
Colocation of services (Family Justice Center)
Coordinated community response
Data Collection
Discrimination and oppression issues
Emergency pr eparedness
Evaluation
Grants administration skills
Outreach to underserved populations
Response teams (DART, DVRT, SART)
Standards of ser vice for sexual assualt, domestic
violence, dating violence, and stalking programs
■ Strategic planning
■ Sustainability
■ Technology
■ Technology safety issues
■ Victim ser vice administration and operations
■ Other (specify):

■
■
■
■
■
■
■
■
■
■
■
■

Prosecution response
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SECTION

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C2

C2. Technical Assistance

Were your TA Cooperative Agreement funds used to provide technical assistance during the current
reporting period?
Check yes if TA Cooperative Agreement-funded staff provided technical assistance or if TA Cooperative Agreement funds directly supported the provision of technical assistance.
Yes — answer questions 19-21

No — skip to C3
For the purposes of this repor ting form, technical assistance includes a wide variety of activities designed to
facilitate individual or agency change in some systematic manner by providing expertise to solve a problem.
Examples of technical assistance activities include clarifying legislative and policy implementation and/or
standards of service, technology consultations, and assistance with problem-solving.

19. Number of technical assistance activities

(Report the total number of technical assistance activities provided to programs during the current repor ting
period, indicating whether they were site visits, technical assistance consultations (ongoing problem solving,
strategy developing), information r equest responses (giving an example of a training protocol for law enforcement, giving information about another jurisdiction that has developed an approach to prosecuting stalking
cases) or referrals (referring a grantee to another organization with specialized expertise). Contact other
than site visits (delivery of technical assistance in person) may include telephonic, electronic, or other types
of contact. Each contact should be counted as one activity.)
Recipients
of
technical assistance

of

Number of
site visits

Number of
technical
assistance
consultations

Number of
information
request
responses

Number of
referrals

Adult protective services
Batterer intervention pr ogram
Child protection workers
State, tribal or territor y coalitions
Coordinating council/task force
Corrections
(probation, parole, and correctional facility)
Cour t
Culturally specific community programs
Disability/deaf organization
Domestic violence program
(staff and boards)
Dual sexual assault and domestic
violence program (staff and boards)
Elder abuse/aging network
Faith-based organization

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Recipients
of
technical assistance

Number of
site visits

Number of
technical
assistance
consultations

Number of
information
request
responses

0.00

0.00

Number of
referrals

Family Justice Centers
Forensic examiner program
Health care provider
(excludes forensic examiner)
Law enforcement
Legal services/attorneys/law students
Mental health care provider
Prosecutor’s office
Sexual assault program (staff and boards)
Stalking program (staff and boards program)
Supervised visitation/Exchange center
Other national technical
assistance providers
Transitional housing program
Tribal government
Tribal sexual assault or
domestic violence program
University/campus
Other (specify):
0.00

TOTAL

20. Total number of hours spent on technical assistance

(Report the total number of hours of technical assistance funded by TA Cooperative Agreement dur ing the current repor ting period.)
Total number of technical assistance hours

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21. Topics of technical assistance

(Check the topics that apply to technical assistance provided with TA Cooperative Agreement funds during
the current reporting period. The technical assistance provided may be categorized by more than one topic.
Check all that apply .)
Topics of technical assistance

Accessibility
Board development for sexual assault, domestic violence, and stalking programs
Board development for Family Justice Centers or co-located responses
Coordinated community response
Civil legal services for victims/survivors
Collaboration
Colocation of services (Family Justice Centers)
Cour t response
Creating/sustaining diverse organizations
Criminal codes
Curricula and training issues
Data Collection
Developing or enhancing culturally and linguistically appropriate services for
underserved populations
Fatality reviews
Sexual assault forensic evidence collection and documentation
Full faith and credit
Grants Administration Skills
Grant guidelines
Law enforcement response
Policy/protocol development
Program development
Program evaluation
Probation and parole response
Prosecution response
Protection orders enforcement
Response to abuse of people with disabilities/who are deaf
Response to elder abuse
Response to sexual assault victims/survivors
Response to domestic violence victims/survivors
Safety planning
Standards of service for sexual assault, domestic violence, and stalking programs
Strategic planning programs
Supervised visitation and exchange
Technology and technology capacity
Technology safety and security (confidentiality)
Transitional housing
Victim service administration and operations
Other (specify):

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SECTION

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C3

C3. Underserved Populations

Were your TA Cooperative Agreement funds used to develop or enhance standards protocols or
procedures for underserved populations or to encourage the representation of underserved
populations in coordination activities during the current reporting period?
Check yes if TA Cooperative Agreement-funded staff were used to develop or enhance services for
underserved populations or if TA Cooperative Agreement funds directly supported representation of
underserved populations in coordination activities.
Yes — answer question 22-23
No — skip to C4

22. Activities addressing underserved populations

(Check all activities in which TA Cooperative Agreement funds were used to develop or enhance
services for underserved populations or to encourage the representation of underserved populations in
coordination services.)
Activity

Developing materials for underserved populations
Identifying gaps in services
Identifying underserved populations
Encouraging representatives of historically underserved groups to
participate in meetings
Coordinating a task force/caucus to address issues concerning
underserved populations
Training/technical assistance regarding culturally appropriate services for historically
underserved populations
Other (specify):

23. Underserved populations

(Indicate which underserved populations were addressed in the activities indicated in question 22. Check
all that apply .)

Victims/survivors who:
■ live in rural areas

■ are homeless or living in poverty

■ are American Indian or Alaska Native

■ are immigrants, refugees, or asylum seekers

■ are Asian

■ are lesbian, gay, bisexual, transgender, or intersex

■ are black or African American

■ are Native Hawaiian or other Pacific Islander

■ are deaf

■ have mental health issues

■ have disabilities

■ have substance abuse issues

■ are elderly

■ Other (specify):

■ are Hispanic or Latino

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SECTION

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C4. Products

C4

Were your TA Cooperative Agreement funds used to develop, substantially revise, or distribute
products during the current reporting period?
Check yes if TA Cooperative Agreement-funded staff developed products or if TA Cooperative Agreement
funds directly supported the development, revision, or distribution of products.
Yes — answer question 24
No — skip to section D

24. Use of TA Cooperative Agreement funds for product development, substantial revision, or
distribution of products

(Repor t the number of products developed, substantially revised, or distributed with TA Cooperative
Agreement funds during the current reporting period. Report the number of new products developed or
substantially revised during the current repor ting period; the title/topic and intended audience for each
product developed, revised, or distributed; and the number of products used or distributed. If a product was
created in or translated into a language other than English, including Braille, indicate the language. Report
on products that were newly developed or substantially revised during the current repor ting period whether or
not they were used or distributed, and on products that were previously developed or revised, but were used
or distributed during the current repor ting period.)

Products

Number
developed
of revised

Title/topic

Intended
audience

Number
used or
distributed

Other
languages/
formats

Brochures/Benchcards
Manuals
Newsletter
Training curricula
Training materials
Repor ts
Tool kits
TA packets
Fact sheets
Web site

(repor t number of
unique visitors in
used or distributed
column)

Videos /CDs
Other (specify):

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SECTION

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D. NARRATIVE

D

All TA providers must answer question 25.
Please limit your response to four pages for this question.
25. Report on the status of meeting the terms of the TA Cooperative Agreement as outlined in the
Award Letter. To answer this question go to Page 14.
(Report on the status of meeting the terms of the cooperative agreement as outlined in the Award Letter as
of the end of the current reporting period. Indicate whether the activities related to your objectives for the
current reporting period have been completed, are in progress, are delayed, or have been revised. Comment
on your successes and challenges, and provide any additional explanation you feel is necessary for us to
understand what you have or have not accomplished. If you have not accomplished objectives that should
have been accomplished during the current reporting period, you must provide an explanation.)
All Awardees must answer questions 26 and 27 on an annual basis, on the January to June reporting form.
You may also, at your discretion, submit this information on the July to December reporting form.

PLEASE LIMIT YOUR RESPONSE TO TWO PAGES FOR EACH QUESTION.
26 . As a TA provider what do you see as the most significant areas of remaining need with regard to
increasing victim/survivor safety and offender accountability? To answer this question go to Page 17.
(Consider geographic regions, underserved populations, service delivery systems, types of victimization, and
challenges and barriers unique to the grantees to whom you provide technical assistance.)

27. What do you see as the most significant needs of grantees and/or emerging issues (describe the
types of support, technical assistance or other needs of the grantees you serve. Note any new or
emerging issues, e.g., emergency preparedness)? To answer this question go to Page 19.
Question 28 is optional.
PLEASE LIMIT

YOUR RESPONSE TO TWO PAGES FOR THIS QUESTION.

To answer this question go to Page 21.

28. Provide any additional information that you would like us to know about your TA Cooperative
Agreement and/or the effectiveness of your program.

(If you have other data or information r egarding your program that would more fully or accurately reflect the
effectiveness of your TA Cooperative Agreement-funded program than the data you have been asked to provide on this form, answer this question. If you have not already done so elsewhere on this form, you may
want to report on systems-level changes, community collaboration, the removal or reduction of barriers and
challenges for victims/survivors, promising practices, and positive or negative unintended consequences.)

Public Reporting Burden
Paperwork Reduction Act Notice. Under the Paperwork Reduction Act, a person is not required to r espond
to a collection of information unless it displays a currently valid OMB control number. We try to create forms
and instructions that are accurate, can be easily understood, and which impose the least possible burden on
you to provide us with information. The estimated average time to complete and file this form is 60 minutes
per form. If you have comments regarding the accuracy of this estimate, or suggestions for making this form
simpler, you can write to the Office on Violence Against Women, U.S. Department of Justice, 810 7th Str eet,
NW, Washington, DC 20531.

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Report on the status of meeting the terms of the TA Cooperative Agreement as outlined in the Award Letter.- Question #25
Terms

Back to Instructions

Status

Back to Instructions

Status

Key Activities

Comments

Terms

Key Activities

Comments

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Report on the status of meeting the terms of the TA Cooperative Agreement as outlined in the Award Letter.- Question #25 (cont. 1)

Back to Instructions

Status

Terms

Key Activities

Comments

Terms

Back to Instructions

Status

Key Activities

Comments

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Report on the status of meeting the terms of the TA Cooperative Agreement as outlined in the Award Letter.- Question #25 (cont. 2)

Terms

Back to Instructions

Status

Back to Instructions

Status

Key Activities

Comments

Terms

Key Activities

Comments

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As a TA provider what do you see as the most significant areas of remaining need with regard to increasing
victim/survivor safety and offender accountability?
(Consider geographic regions, underserved populations, service delivery systems, types of victimization, and challenges and barriers unique to the grantees to whom you provide technical assistance.) - Question #26.

Back to Instructions
Semi-annual Progress Report for Technical Assistance Program • 17 • Office on Violence Against Women
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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
OMB Clearance # 1122-0017
Expiration Date: 09/30/2010

As a TA provider what do you see as the most significant areas of remaining need with regard to increasing
victim/survivor safety and offender accountability?
(Consider geographic regions, underserved populations, service delivery systems, types of victimization, and challenges and barriers unique to the grantees to whom you provide technical assistance.) - Question #26 (cont.).

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Semi-annual Progress Report for Technical Assistance Program • 18 • Office on Violence Against Women
THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.

THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
OMB Clearance # 1122-0017
Expiration Date: 09/30/2010

What do you see as the most significant needs of grantees and/or emerging issues (describe the types of support, technical assistance or other needs of the grantees you serve. Note any new or emerging issues, e.g.,
emergency preparedness)? - Question #27.

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Semi-annual Progress Report for Technical Assistance Program • 19 • Office on Violence Against Women
THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.

THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
OMB Clearance # 1122-0017
Expiration Date: 09/30/2010

What do you see as the most significant needs of grantees and/or emerging issues (describe the types of support, technical assistance or other needs of the grantees you serve. Note any new or emerging issues, e.g.,
emergency preparedness)? - Question #27 (cont.).

Back to Instructions
Semi-annual Progress Report for Technical Assistance Program • 20 • Office on Violence Against Women
THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.

THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
OMB Clearance # 1122-0017
Expiration Date: 09/30/2010

Provide any additional information that you would like us to know about your TA Cooperative Agreement and/or the
effectiveness of your program.
(If you have other data or information regarding your program that would more fully or accurately reflect the effectiveness of your TA Cooperative Agreement-funded program than the data you have been asked to pro-vide on this form, answer this question. If you have not
already done so elsewhere on this form, you may want to report on systems-level changes, community collaboration, the removal or reduction of barriers and challenges for victims/survivors, promising practices, and positive or negative unintended consequences.)
- Question #28.

Back to Instructions
Semi-annual Progress Report for Technical Assistance Program • 21 • Office on Violence Against Women
THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.

THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
OMB Clearance No.: 1122-0017
Expiration Date: 09/30/2010

Provide any additional information that you would like us to know about your TA Cooperative Agreement and/or the
effectiveness of your program.
(If you have other data or information regarding your program that would more fully or accurately reflect the effectiveness of your TA Cooperative Agreement-funded program than the data you have been asked to pro-vide on this form, answer this question. If you have not
already done so elsewhere on this form, you may want to report on systems-level changes, community collaboration, the removal or reduction of barriers and challenges for victims/survivors, promising practices, and positive or negative unintended consequences.)
- Question #28 (cont.).

Back to Instructions
Semi-annual Progress Report for Technical Assistance Program • 22 • Office on Violence Against Women
THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.

THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
OMB Clearance No.: 1122-0017
Expiration Date: 09/30/2010

Validate

Semi-annual Progress Report for Technical Assistance Program • 23 • Office on Violence Against Women
THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.


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