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FVPSA ARP Survey All Questions
ICR 202405-0970-006 · OMB 0970-0531 · Object 142703501.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | FVPSA ARP Survey All Questions |
| Author | Qualtrics |
| Last Modified By | Writer |
| File Modified | 2023-07-14 |
| File Created | 2026-09-02 |
| Conversion State | complete |
Extracted Text
American Rescue Plan Act Culturally Specific Domestic Violence and Sexual Assault Supplemental Funding Survey Specific Special Issue Resource Centers (CSSIRCs), Alaska Native Tribal Resource Center (ANTRC), and National Indian Resource Center Addressing Domestic Violence (NIRC) Office of Family Violence Prevention and Services Administration for Children and Families Thank you for your participation. In an effort to assess implementation of the ARP Act supplemental funding, we would like to request your participation in this survey. The information provided will be used to improve the Office of Family Violence Prevention and Services (OFVPS) training and technical assistance provided to you as a grantee. Please note your participation in this feedback survey is required, and the information provided will be kept private. Paperwork Reduction Act of 1995 (Pub. L. 104-13) Public reporting burden for this collection of information is estimated to average one hour per response, including the time for reviewing instructions. Please only include information that is funded through the ARP supplemental funding and do not include information that is funded exclusively with FVPSA core annual funding. You may find you have not provided services using ARP funding, so the answer “No” or “O” is acceptable for those questions or categories. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB # is 0970-0531 and the expiration date is 09/30/2025. If you have any comments on this collection of information, please contact Sabrina Peña at [email protected] and Holi Dahl at [email protected]. Organizational and Program Information Name of Organization: _________________________________________________________ Staff Name Completing Survey and Title: ___________________________________________ Contact Phone: ____________________ Contact Email: ______________________________ Workforce Support and Capacity Building Total number of staff paid using ARP Act supplemental funding: Instructional Note: Each full-time paid staff member should equal 1. If an employee is part-time, please use the numeric value of 0.5. Total Total number of staff paid using ARP supplemental funding Please share the type and total number of staff paid using FVPSA ARP supplemental funding: Instructional Note: Each full-time paid staff member should equal 1. If an employee is being paid from more than one category, use fractions to denote the allotted time in each (i.e., 0.5 or 0.33). Please enter 0 in in fields that do not apply. Total ARP DV Services Funding ARP COVID-19 Testing, Vaccines, Mobile Health Units Funding ARP Sexual Assault Services Funding Total [Auto Sum] Types of workforce capacity building and supports being implemented with ARP supplemental funding. Please indicate if your ARP grant funds are supporting this support [Yes/No] Please indicate the number of staff impacted Hired more FVPSA funded staff Trained staff on COVID-19 mitigation activities: implementation of mobile advocacy services; or virtual/remote services implementation Hired bi-lingual staff Hired data collection staff/consultant Paid Interns Hired COVID-19 mitigation staff/consultant Hiring bonuses Retention payments Childcare Transportation subsidies Wellness services (employee assistance programs, onsite fitness center, yoga classes, smoking prevention, nap space, etc.) Health services (health insurance, prescriptions, chiropractic care, vision, dental, etc.) Contracted with an employment agency Other [Open Text ] Sub-recipients and Services Number of sub-recipients by program type: Total Culturally Specific Domestic Violence Program Culturally Specific Sexual Assault Program Total [Auto Sum] Sub-recipients List Sub-recipients Name City State Zip Website FVPSA Funding Amount Type of Sub-recipient SA or DV Underserved or culturally- and linguistically specific population1- Classification of urban, rural, suburban or frontier2 Client Demographics Total number of clients reached by program type: Instructional Note: Report on all ARP participants that are served with this funding. Program Type Total Domestic Violence Program Only Sexual Assault Program Only Both Domestic Violence and Sexual Assault Programs Domestic Violence Program Only [Auto Sum] Total number of clients reached by ethnicity: Race/Ethnicity Total Black or African American American Indian / Alaskan Native Native Hawaiian / Other Pacific Islander Asian/Asian American Caucasian or White Hispanic or Latino Unknown Race / Ethnicity Other (Please Specify) Total [Auto Sum] Total number of clients reached by underserved type: Clients reached by underserved type Total Person with a Disability Formerly Incarcerated Immigrant or Refugee Limited English Proficiency (LEP) Clients needing Language Translation Services LGBTQ/Two Spirited Faith-Based Rural Geographically Isolated Youth ages 13-17 receiving services due to being a victim of dating violence Youth ages 13-17 receiving services due to being a victim of sexual assault Total number of clients reached by age: Age Total 0-12 13-17 18-24 25-59 60 + Unknown Age Total [Auto Sum] Remote/Virtual Supportive Services Total number of clients reached through remote/virtual services: What challenges do survivors face in utilizing remote/virtual services for urban or rural clients? (check all that apply) Urban Rural None Lack of available internet connection Lack of a high-speed internet account Lack of a phone/data plan to talk on phone Lack of a device with camera and microphone Lack of digital proficiency Cognitive impairment Language/translation needs Hearing impairment Lack of private quiet place that is safe Distrust of technology Other (comment box, "Please specify") Rental Assistance and Hotel/Motel Vouchers Total number of technical assistance contacts provided for shelter, temporary refuge: rental assistance and hotel/motel vouches Total TA Contacts Shelter alternatives Rental assistance Hotel/motel vouchers Other Rental Assistance and Hotel/Motel Partnerships Please tell us more about the partnerships that your organization/agency has related to rental assistance and temporary refuge to increase housing supports for survivors. Total number of partnerships related to temporary refuge: shelter alternatives, rental assistance, and hotel/motel vouches. Total Number of Partners Public housing agency Rental company Hotels/motels Private landlords Faith-based organization providing housing Tribal program providing housing Culturally specific organization providing housing Homeless services provider Housing agency Other COVID-19 Supportive Services For each type of allowable supportive service, or items provided: Total Mobile advocacy client sessions conducted PPE items provided Client vaccinations assistance Testing assistance For the COVID-19 medical emergency, total number of telehealth clients provided support by program type: Domestic Violence Total Sexual Assault Total Telehealth Clients Training and Technical Assistance Training and technical assistance topics support needed: (check all that apply) Training Needed Technical Assistance Needed Assessing, planning, adapting workforce capacity Assessing, planning, adapting organizational programs/processes Assessing, planning, adapting supportive services Assessing, planning, adapting client risks Supporting underserved populations Supporting culturally specific populations Providing mobile advocacy Providing remote/virtual services Providing sexual assault supportive services Providing mobile health unit services including contracted Providing linguistically appropriate services, referrals, and staff Providing culturally specific services, referrals, and staff COVID-19 testing activities Provisioning virus testing supplies COVID-19 contact tracing COVID-19 education COVID-19 vaccine promotion or confidence building Support services for acute virus infection symptoms Providing telehealth direct crisis intervention services Innovating new service pilots Improving current processes and/or best practices Removing barriers Improving collaboration with established partners Developing new partnerships Flexible funding None Other (comment box, "Please specify") [Open Text] Total number of training and technical assistance resources topics developed and/or distributed: Developed Total Distributed Total Assessing, planning, adapting workforce capacity Assessing, planning, adapting organizational programs/processes Assessing, planning, adapting supportive services Assessing, planning, adapting client risks Supporting underserved populations Supporting culturally specific populations Providing mobile advocacy Providing remote/virtual services Providing sexual assault supportive services Providing mobile health unit services including contracted Providing linguistically appropriate services, referrals, and staff Providing culturally specific services, referrals, and staff COVID-19 testing activities Provisioning virus testing supplies COVID-19 contact tracing COVID-19 education COVID-19 vaccine promotion or confidence building Support services for acute virus infection symptoms Providing telehealth direct crisis intervention services Innovating new service pilots Improving current processes and/or best practices Removing barriers Improving collaboration with established partners Developing new partnerships Flexible funding None Other (comment box, "Please specify") [Open Text] Accomplishment Highlights: Share an accomplishment that demonstrates how implementation of this funding is support survivors. Please do NOT share personally identifiable information. Title of Accomplishment: Accomplishment Category: Type Please check box for the innovation Survivor engagement, services, or support impact Health and domestic violence impact Health and sexual assault impact Mental health impact Substance use impact Mobile services impact Virtual services impact Culturally specific communities impact LGBTQ communities impact American Indian and Alaska Native services impact Youth services impact COVID mitigation impact Other [Open Text] Story Link: Please provide the story website link or resource link if one is available. Story Narrative: Spending Challenges What challenges do you experience spending ARP Act supplemental funds? (check all that apply) Implementation Difficulty finding appropriate/sufficient shelter Difficulty finding appropriate/sufficient sub-awardees Difficulty implementing remote/virtual services Difficulty finding ARP activity authorized supplies Difficulty implementing mobile advocacy services Difficulty implementing telehealth or mobile health services Difficulty implementing innovative services Difficulty finding appropriate/sufficient workforce Funding Having sufficient other funds to expend prior to ARP funds Difficulty identifying appropriate ARP and COVID-19 risk mitigating activities Complications of tracking and allocating funds from multiple grants simultaneously Difficulty drawing down funds through the Payment Management System Regulatory or Policy limitations Having to use other to use funds that expire before using ARP funds Local regulations limiting spending flexibility State regulations limiting spending flexibility Federal regulations limiting spending flexibility Tribal government/Tribal Council approval is pending, delayed, or was denied. NONE Other (Please Specify)