Document
Formative Data Collections for American Rescue Plan (ARP) Act Supplemental Funding Program Support
ICR 202408-0970-005 · OMB 0970-0531 · Object 145216301.
This document may belong to an older filing. More recent activity for OMB 0970-0531:
Document Viewer [docx]
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Formative Data Collections for American Rescue Plan (ARP) Act Supplemental Funding Program Support |
| Author | Dawson, Shawndell (ACF) |
| Last Modified By | Writer |
| File Modified | 2023-06-22 |
| File Created | 2026-10-12 |
| Conversion State | complete |
Extracted Text
American Rescue Plan (ARP) Act Supplemental Funding Survey Family Violence Prevention and Services Act (FVPSA) Grantee Workforce, Partnerships, and Technical Assistance Needs Survey Office of Family Violence Prevention and Services Administration for Children and Families U.S. Department of Health and Human Services 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 voluntary, 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 15 minutes 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]. 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 ] Technical Assistance Provided for Temporary Refuge and Shelter Services: Rental Assistance and Hotel/Motel Vouchers Please tell us about the number of technical assistance contacts provided for: Total TA Contacts Shelter alternatives Rental assistance Hotel/motel vouchers Other Rental Assistance and Hotel/Motel Partnerships 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 NOTE: FORCE LOGIC ONLY DISPLAY CATEGORIES WITH >0 in previous table New Rental Assistance and Hotel/Motel Partnerships How many of the Rental Assistance and Hotel/Motel Partnerships included in the previous table are newly formed partnerships as a result of receiving FVPSA ARP Funding. Count each collaborator only once / count in multiple Total Number of New 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 Please tell us about your COVID mitigation and response. For each type of allowable supportive service, total number of items provided: Total Mobile advocacy client sessions conducted Personal Protective Equipment items provided (masks, gowns, etc.) COVID-19 test kits COVID-19 mitigation supplies (I.e., cleaning supplies, hand sanitizer, etc.) COVID-19 vaccines COVID mitigation minor updates (i.e., non-construction modifications/renovations) Health and Behavioral Health Partnerships Please tell us more about the types of health and behavioral health partnerships that have been formed or enhanced with your organization’s ARP supplemental funding. Total Total number health and behavioral partnerships Please include the total number of partners supported/engaged for each type of partnership. Partnerships reported above may be included in more than one category below. Total Hospital/Health Centers Medical clinics State health department health care authorities/providers Health associations Private COVID-19 testing providers Home Visitation or Visiting Nursing providers State Behavioral Health/Mental Health agencies Substance Use Treatment providers Indian Health Services Urban Indian Organizations American Indian or Alaska Native Health Boards Tribal health clinics Culturally Specific Healthcare or Health Services providers Sexual Assault Nurse Examiners associations/agencies Innovative Projects Please share the type and total number of innovative projects funded with FVPSA ARP supplemental funding: Total Survivor engagement, services, or support innovation Health and domestic violence innovation Health and sexual assault innovation Mental health innovation Substance use innovation Mobile services innovation Virtual services innovation Culturally specific communities innovation LGBTQ communities innovation American Indian and Alaska Native services innovation Youth services innovation COVID mitigation innovation Other Total [Auto Sum] Grant Funds 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) Training and Technical Assistance Types of Training and technical assistance your coalition needs: (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 to health or behavioral health services Improving collaboration with established partners Developing new partnerships with health care providers Flexible funding None Other (comment box, "Please specify") Conveying impact through a story: Share a brief story about an individual client or service/community that benefited from FVPSA ARP Act supplemental funding. Please do NOT share personally identifiable information. (Limited to 2,000 characters) Title of Story: Story Category: Type Please check all categories that apply to the impact story. 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 Story Link: Please provide the story website link or resource link if one is available. Story Narrative: