Categories of Assistance Form

SOAR Demonstration Grant Program Data

FY25 SOAR Demo PPR Workbook_GrantRecipient_[SpecifyQuarter]_CleanWithChanges.xlsx

Categories of Assistance Form

OMB: 0970-0609

Document [xlsx]
Download: xlsx | pdf

Overview

Instructions
Operational Guidance
Q. Provider Capacity Building
Q. Client Demographics
Q. HTRP
Q. Network Providers
Q. Training Feedback Form
FY.Categories of Assistance


Sheet 1: Instructions

SOAR Demonstration Grant Program Background
How to Use This Workbook
The SOAR (Stop, Observe, Ask, Respond) to Health and Wellness Training (SOAR) Demonstration Grant Program was developed in response to the Trafficking Victims Protection Act of 2000 (Public Law 106-386), § 106(b), as amended (22 U.S.C. 7104(b)(1) and 22 U.S.C. 7105(b)(1)(B), which calls on agencies to “increase public awareness of the dangers of trafficking and the protections that are available for victims of trafficking” and provide “services to assist potential victims of severe forms of trafficking in persons.” The program’s goal is to fund the implementation of SOAR trainings and capacity building efforts to identify, treat, and respond to patients or clients who have experienced severe forms of human trafficking as defined by the Trafficking Victims Protection Act (TVPA) of 2000, as amended, among their patient or client population. SOAR is a nationally recognized, accredited training program delivered by OTIP’s National Human Trafficking Training and Technical Assistance Center (NHTTAC) and designed to help target audiences identify and respond to those who are at risk of, are currently experiencing, or have experienced trafficking and connect them with needed resources. This performance indicator information collection will enable OTIP to measure grant project performance, provide technical assistance to grant recipients, assess program outcomes, inform program evaluation, respond to congressional inquiries and mandated reports, including required contributions to the annual Attorney General’s Annual Report to Congress on U.S. Government Activities to Combat Trafficking in Persons.
The main purpose of this information collection is to improve OTIP’s monitoring of grant recipients providing services to individuals who have experienced or are at risk of experiencing human trafficking, and to assess the extent to which grant recipients are meeting required program activities to:

1. Implement SOAR trainings, including SOAR Online and SOAR for Organizations, for staff at relevant levels and divisions, including at a minimum frontline and support staff most likely to encounter an individual who has experienced trafficking; mid-level and senior management responsible for approving changes in policies and protocols and resources to support implementation; and staff who oversee procurement and external partners, across the prime’s organization.

2. Build the capacity of organizational staff to identify patients or clients who are experiencing human trafficking and provide them with coordinated, age-appropriate, culturally responsive, trauma-informed, patient-centered, and evidence-based care and/or services through ongoing training and engagement.

3. Serve patients or clients who are experiencing human trafficking in a coordinated, age-appropriate, culturally responsive, trauma-informed, person-centered, and evidence-based way and establish a continuum of care by entering into memoranda of understanding (MOUs) with local direct service providers and multidisciplinary stakeholders willing to receive referrals and provide aftercare services that are beyond scope of the prime’s capacity or mission to support patients or clients who are experiencing human trafficking.

4. Develop, implement, and evaluate the effectiveness of the Human Trafficking Response Protocol (HTRP) and corresponding policies and procedures that include best practices for working with law enforcement and making referrals when serving patients or clients in service settings who have experienced human trafficking to further refine and enhance project implementation. HTRP must comply with federal, state, local, and tribal laws, including legal privacy and confidentiality requirements for clients, patients and health care and social services providers.

The information collection captures information on organizations enrolled in each grant recipient’s multidisciplinary network of providers serving individuals who have experienced, or are at-risk of experiencing, a severe form of trafficking in persons, and the clients served by providers within these networks. Data elements capture information about organizational providers (e.g. number of individuals trained to identify and respond to trafficking, types and number of trainings offered, types of services provided, number of clients enrolled in services, organizational barriers to service delivery and implementation, and total funds spent by category of assistance) and client demographics (e.g., total number of clients enrolled in services by providers within the recipient’s multidisciplinary network by client age, race/ethnicity, sex, gender identity, sexual orientation, disability status, and preferred language).

SOAR Demonstration Grant Program award recipients must provide the program performance indicator data on each tab of this workbook to OTIP on a quarterly and annual basis, as indicated. The prime recipient is expected to aggregate data from subrecipients and providers within the multidisciplinary network for submission to OTIP.


The OMB Number, Expiration Date, and PRA statement below should be clearly visible on all data collection forms for clients and providers.
OMB Control Number: 0970-0609
Expiration Date: 05/31/2026


As required by the Paperwork Reduction Act (PRA) of 1995, 44 U.S.C. § 3501-3521, the public reporting burden for the following performance indicators is estimated to average XX hour per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This form is approved under the Office of Management and Budget (OMB) control number OMB No: 0970-0609, expiration date is 05/31/2026. 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.





























Sheet 2: Operational Guidance


SOAR Demonstration Grant Program













Performance Reporting Data Elements and Operational Guidance


Scroll Right


















































































Provider Capacity Building Indicators
Client Demographics Indicators
Human Trafficking Response Protocol (HTRP) Indicators
Multidisciplinary Network Provider Indicators
Data Element Response Options Operational Guidance
Data Element Response Options Operational Guidance
Data Element Response Options Operational Guidance
Data Element Response Options Operational Guidance

Individuals Trained (Number)
• Prime recipient providers
• Subrecipient providers
• Partner Organization providers
Record the total number of individuals trained by provider type during the reporting period.

Prime recipients under this grant program may opt to transfer a portion of substantive programmatic work to other organizations through subaward(s). Any entity that has received a subaward from the prime recipient to satisfy required program activities is a subrecipient.

Partner organization providers describe individuals affiliated with organizations within the prime’s network who have not received a subaward under this program but with whom the prime works to fulfill required program activities.

Total Number of Clients Enrolled in Services by Client Age  • Adult
• Minor
Report the total number of clients enrolled in services by providers within the recipient’s multidisciplinary network by age 
Total number of providers coordinating care within recipient’s multidisciplinary network  (Number) Record the total number of providers coordinating care within recipient’s multidisciplinary network. All subrecipient and partner organizations under the award should be reported. 
Total Active Partner Organizations (Number) Record the total number of partner organizations that provided services during reporting period.

Trainings (Number) Record the total number of trainings provided during the reporting period.
Total Number of Clients Enrolled in Services by Client Race/Ethnicity  • American Indian or Alaska Native
• Asian
• Black or African American
• Native Hawaiian or Other Pacific Islander
• White
• Hispanic or Latino
• Other
• Unknown
Report the total number of clients enrolled in services by providers within the recipient’s multidisciplinary network by client race/ethnicity. 
Total number of clients screened by providers within recipient’s multidisciplinary network  (Number) Record the total number of clients screened by all providers within the recipient’s multidisciplinary network during the reporting period.  

Topic Human Trafficking 101: Definition, Types, Laws, and Indicators
□ Federal definition of severe forms of trafficking in persons
□ State and tribal anti-trafficking laws and legal considerations for a specific geographic area
□ Information about human trafficking, including types of human trafficking and recruitment and/or retention tactics used by traffickers; indicators that a person may be experiencing trafficking
□ Case studies of individuals who have experienced human trafficking

Building a Community Referral Network and Partnership Building
□ Referral protocols within a continuum of care for aftercare and ongoing service needs
□ Information about local continuums of care or multidisciplinary anti-trafficking task forces
□ Processes by which organizational partnerships are developed and maintained
□ Post-identification reporting and referral protocols

Approaches, Strategies, and Special Considerations for Working with Victims (e.g. Trauma Informed Care)
□ Safety protocols for those in direct contact with individuals potentially experiencing human trafficking
□ Services and benefits available for individuals who have experienced human trafficking
□ Special considerations for both domestic and foreign national minors experiencing human trafficking, which may include relevant legal and social welfare systems, such as juvenile justice, immigration, and child welfare
□ How to deliver person-centered, trauma-informed services and assistance to individuals who have experienced human trafficking
□ Housing and employment needs of individuals who have experienced human trafficking
□ Intersectionality between race and human trafficking (e.g., the role racial identity and racism play in the risk for human trafficking, process of identification, experience of service delivery, interaction with enforcement systems, including the criminal justice system, access to resources, health disparities/inequities experienced by systemically excluded communities, etc.)
□ Intersectionality between sexual orientation, gender identity, and human trafficking (e.g., the role gender identity and expression and exclusion play in the risk for human trafficking, process of identification, experience of service delivery, interaction with the criminal justice system, access to resources, health disparities/inequities experienced by 2SLGBTQIA+ community members, etc.)
□ Intersectionality between individuals with disabilities and human trafficking (e.g., the role disability status and accessibility and exclusion plays in the risk for human trafficking, process of identification, experience of service delivery, interaction with the criminal justice system, access to resources, etc.)
□ Intersectionality between human trafficking and forced criminality (e.g., understanding that when an individual is forced to provide a labor or service that contributes to an illegal or illicit activity or business operation, they may also be considered a victim of human trafficking).
Record the number of trainings provided on each topic during the reporting period.

If one training reasonably covers multiple topics, the training may be double-counted.

Total Number of Clients Enrolled in Services by Client Sex The questions and response options provided below should be used to obtain information from clients. Prime recipient will report results to OTIP in the aggregate.

Question 1: What sex were you assigned at birth, on your original birth certificate?
• Female
• Male
• (Don’t know)
• (Prefer not to answer)

Question 2: What is your current sex? [select one]
• Female
• Male
• (Prefer not to answer)

Recipient will report the total number of responses for each question as follows:

(Number)
Sex
• Female
• Male
• Not Reported

Current gender
• Female
• Male
• Not Reported
Report the total number of clients enrolled in services by providers within the recipient’s multidisciplinary network, by client sex, gender identity  
Total number of clients identified as potential victims of HT based on screening conducted by providers within recipient’s multidisciplinary network by type of trafficking experienced  (Number)
• Sex
• Labor
• Sex and Labor
• Not Reported
Record the total number of clients identified as potential victims of trafficking based on screening conducted by all providers within the recipient’s multidisciplinary network during the reporting period. 
Name of Partner Organization (text) Record name of partnering organization. 

Individuals Trained Who Reported Medium or High When Asked About Pre-Training Items of Interest (Percentage)
• Perceived importance of educational content
• Knowledge of competency, learning objective, or guiding principle
• Ability to apply skills related to competencies
Record the percentage of all individuals trained who responded Medium or High on the specified questions on their pre-SOAR to Health and Wellness training feedback form.
Total Number of Clients Enrolled in Services by Client Disability Status
• Ambulatory Difficulty
• Cognitive Difficulty
• Hearing Difficulty
• Independent Living Difficulty
• Self-Care Difficulty
• Vision Difficulty
• Not Reported
Report the total number of clients enrolled in services by providers within the recipient’s multidisciplinary network by client disability status.
Total number of clients enrolled in services by providers within recipient’s multidisciplinary network by type of trafficking experienced  (Number)
• Sex
• Labor
• Sex and Labor
• Not Reported
Record the total number of clients enrolled in services by all providers within the recipient’s multidisciplinary network during the reporting period. 
Is the partner organization a subrecipient? • Yes
• No
Record if the organization within the multidisciplinary network of providers is a formal subrecipient to the prime organization.

Individuals Trained Who Have “High” or “Very High” confidence in their ability to identify and respond to human trafficking after receiving SOAR to Health and Wellness training (Percentage) Record the percentage of all individuals trained who responded High or Very High on the specified question on their post-SOAR to Health and Wellness training feedback form.
Total Number of Clients Enrolled in Services by Client Preferred Language  • Prefer to be served in English
• Prefer to be served in a language other than English
Report the total number of clients enrolled in services by providers within the recipient’s multidisciplinary network by client preferred language.
Total number of clients referred to providers within the recipient’s multidisciplinary network  (Number) Record the total number of clients referred to providers within the recipient’s multidisciplinary network during the reporting period. 
Location of Organization City, State Record location of organization.

Individuals Trained Who Have “Medium” or “High” confidence in their ability to apply skills related to competencies (Percentage)
Medium or High confidence in their ability to:
• Apply a trauma-informed approach to working with individuals who have experienced trafficking
• Apply Culturally and Linguistically Appropriate Services (CLAS) standards and exhibit cultural awareness when interacting with individuals who have experienced trafficking
• Assess the needs of individuals who are at risk of trafficking or who may have experienced trafficking and coordinate services within a multidisciplinary network of service providers
• Screen and identify individuals who may have experienced trafficking Record the percentage of all individuals trained who responded Medium or High on the specified questions on their post-SOAR to Health and Wellness training feedback form.
Record the percentage of all individuals trained who responded Medium or High on the specified questions on their post-SOAR to Health and Wellness training feedback form.




Total number of clients referred to providers external to the recipient’s multidisciplinary network  (Number) Record the total number of clients referred to providers external to the recipient’s multidisciplinary network during the reporting period. 
Type of Partner Organization • Advocacy
• Behavioral Health
• Child Welfare
• Education
• Employment
• Faith Based
• Government
• Health Care
• Housing
• Law Enforcement
• Legal
• Other Criminal Justice
• Private Sector
• Public Health
• School (K-12)
• Service Provider
• Other (specify)
Select the sector that best describes the type of organization entering into the partnership. 









Organizational Barriers to Service Delivery, Implementation  Client/Patient Constraints
• Affordability
• Accommodation
• Availability
• Accessibility
• Acceptability
• Not Specified
• Safety Concerns

Feelings of No Support and Isolation
• Excluded from key decision-making opportunities
• Experiences of bias or discrimination as it pertains to [insert leadership, practice, policy] (e.g., gender, race, ethnicity, sexual orientation)
• Feeling undervalued or not perceived as a leader in my organization
• Lack of authority to use new skills in current position

Ineffective Coordination with Agencies and Providers
• Difficulty coordinating with benefits-issuing agencies
• Difficulty establishing/maintaining multidisciplinary team (MDT)
• Lack of data sharing among organizations
• Lack of shared responsibility across organizational collaborators
• Need for partnership building with other orgs
• Variation in mission/regulatory frameworks when partnering w/ other orgs

Lack of Adequate Funding

Lack of Adequate Resources
• Competing priorities
• Frequent staff turnover
• Lack of senior leadership support
• Lack of support/accountability from frontline staff
• Lack of time to implement changes
• Lack of urgency
• Shortage of key personnel (including clinician shortage issues and lack of adequate supervision by professionals with specialized training)

Lack of Adequate Training
• Lack of accessible research/information
• Lack of training for staff on how to implement change

Lack of Formal Rules and Regulations
Lack of Procedures
Lack of Knowledge of Victims’ Rights
Public Health Concerns
Select all barriers experienced by providers within the recipient’s multidisciplinary network during the reporting period. If a particular barrier was experienced by more than one provider, by more than one client served, or at multiple points in time during the reporting period, the individual barrier should only be selected once by the reporting prime organization on behalf of all providers in the multidisciplinary network.
Partner Organization Service Sites (Number) Record the total number of service site locations of the partner.













Services Provided by Partner Organization • Basic Necessities
• Case Management
• Child Care
• Coordination with Benefit Issuing Agencies
• Coordination with Migrant Health Programs
• Coordination with Child Welfare/Child Protective Services
• Crisis Intervention
• Education Assistance
• Employment Assistance
• Family Reunification
• Financial Assistance
• Healthcare
• Housing/Shelter Services
• Interpreter/Translator
• Legal Advocacy and Services
• Life Skills
• Mental/Behavioral Health Services
• Medical Services
• Peer-to-Peer Support/Mentoring
• Safety Planning Services
• Substance Use Assessment/Treatment
• Transportation
• Victim Advocacy
• Other Services (specify)
• None
• Unknown
Select one or more services that are provided through the partnership. 













Enrollment Date mm/dd/yyyy Record month, day, and year when entity partnered with grant recipient network. 













Exit Date mm/dd/yyyy Record month, day, and year when entity ended their partnership with grant recipient network. 

Sheet 3: Q. Provider Capacity Building






Training Reporting Summary Q1 Q2 Q3 Q4

















Grant Recipient Name: Robert Wood Johnson Barnabas Health (SOAR at RWJBarnabas Health)

Total HT 101 Trainings 0 0 0 0

















Grant Number: 90ZV0140

Total Trauma Informed Care Trainings 0 0 0 0

















Report Type: Quarterly

Total Partnership Building Trainings 0 0 0 0

















Report Period: Q1 (9/30/2024 - 12/31/2024)

Total Providers Trained 0 0 0 0





















*Do not edit data in the table above. Counts will automatically update. Total Trainings Delivered:

0





















Total Providers Trained:

0

















OMB Control Number: 0970-0609



























Expiration Date: 05/31/2026



Training Reporting

















As required by the Paperwork Reduction Act (PRA) of 1995, 44 U.S.C. § 3501-3521, the public reporting burden for the following performance indicators is estimated to average 1 hour per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This form is approved under the Office of Management and Budget (OMB) control number OMB No: 0970-0609, expiration date is 05/31/2026. 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.


number number number number




















Q1 Q2 Q3 Q4


















Human Trafficking 101: Definition, Types, Laws, and Indicators Federal definition of severe forms of trafficking in persons






















State and tribal anti-trafficking laws and legal considerations for a specific geographic area






















Information about human trafficking, including types of human trafficking and recruitment and/or retention tactics used by traffickers; indicators that a person may be experiencing human trafficking






















Case studies of individuals who have experienced human trafficking 


























Approaches, Strategies, and Special Considerations for Working with Victims (e.g. Trauma Informed Care) Safety protocols for those in direct contact with individuals potentially experiencing human trafficking





















See pages 2-5 of the SOAR Demonstration Grant Program Reporting Reference Guide to populate the Training Reporting table.
Services and benefits available for individuals who have experienced human trafficking






















Special considerations for both domestic and foreign national minors experiencing human trafficking, which may include relevant legal and social welfare systems, such as juvenile justice, immigration, and child welfare 


























How to deliver person-centered, trauma-informed services and assistance to individuals who have experienced human trafficking 


























Housing and employment needs of individuals who have experienced human trafficking 


























Intersectionality between race and human trafficking 


























Intersectionality between individuals with disabilities and human trafficking  


























Intersectionality between human trafficking and forced criminality  


























Building a Community Referral Network and Partnership Building Referral protocols within a continuum of care for aftercare and ongoing service needs 


























Information about local continuums of care or multidisciplinary anti-trafficking task forces 


























Processes by which organizational partnerships are developed and maintained 


























Post-identification reporting and referral protocols 


























Provider Type Individuals Trained by Prime Recipient Providers


























Individuals Trained by Subrecipient Providers


























Individuals Trained by Partner Organization Providers













































































































Sheet 4: Q. Client Demographics
































Client Demographics

















Grant Recipient Name: Select Grant Recipient Name


Q1 Q2 Q3 Q4

















Grant Number: Will automatically populate when recipient is selected


number number number number

















Report Type: Quarterly
Client Demographics
(All Providers)
Number of clients enrolled in services by providers within the recipient’s multidisciplinary network by client age
















Report Period: Q1 (9/30/2023 - 12/31/2023)
Adult






















Minor





















Total number of clients enrolled in services by providers within the recipient’s multidisciplinary network by client race/ethnicity 















OMB Control Number: 0970-0609
American Indian or Alaska Native (AIAN) 



















Expiration Date: 05/31/2026



Asian  





















As required by the Paperwork Reduction Act (PRA) of 1995, 44 U.S.C. § 3501-3521, the public reporting burden for the following performance indicators is estimated to average 1 hour per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This form is approved under the Office of Management and Budget (OMB) control number OMB No: 0970-0609, expiration date is 05/31/2026. 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.
Black or African American 






















Native Hawaiian or Other Pacific Islander 






















White  






















Hispanic or Latino 






















Other  






















Not Reported 


























Total number of clients enrolled in services by providers within the recipient’s multidisciplinary network by client sex

















See pages 6-8 of the SOAR Demonstration Grant Program Reporting Reference Guide to populate the Training Reporting table.
Female  






















Male 






















Not Reported






















Total number of clients enrolled in services by providers within the recipient’s multidisciplinary network by client disability status






















Ambulatory Difficulty


























Cognitive Difficulty


























Bisexual 


























Hearing Difficulty


























Independent Living Difficulty


























Self-Care Difficulty


























Vision Difficulty


























Not Reported 


























Total number of clients enrolled in services by providers within the recipient’s multidisciplinary network by client preferred language






















Prefer to be served in English 


























Prefer to be served in a language other than English 



















































Sheet 5: Q. HTRP





Human Trafficking Response Protocol (HTRP)

















Grant Recipient Name: Select Grant Recipient Name


Q1 Q2 Q3 Q4

















Grant Number: Will automatically populate when recipient is selected


number number number number

















Report Type: Quarterly
Implementation Summary Total number of providers coordinating care within the recipient's multidisciplinary network




















Report Period: Q3 (4/1/2023 - 6/30/2023)
Number of clients screened by providers within multidisciplinary network






















Number of clients identified as potential victims of HT based on screening conducted by providers within recipient’s multidisciplinary network by type of trafficking experienced





















Sex



















OMB Control Number: 0970-0609
Labor



















Expiration Date: 05/31/2026



Sex and Labor





















As required by the Paperwork Reduction Act (PRA) of 1995, 44 U.S.C. § 3501-3521, the public reporting burden for the following performance indicators is estimated to average 2.5 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This form is approved under the Office of Management and Budget (OMB) control number OMB No: 0970-0609, expiration date is 05/31/2026. 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.
Not Reported






















Number of clients enrolled in services by providers within recipient’s multidisciplinary network by type of trafficking experienced






















Sex






















Labor






















Sex and Labor






















Not Reported


























Total number of clients referred to providers within the recipient’s multidisciplinary network





















See pages 9-11 of the SOAR Demonstration Grant Program Reporting Reference Guide to populate the Training Reporting table.
Total number of clients referred to providers external to the recipient’s multidisciplinary network

















































Mark all that apply with "X"




















Q1 Q2 Q3 Q4






















Barriers to Service Delivery and Implementation Client/Patient Constraints 


























Affordability 


























Accommodation 


























Availability 


























Accessibility 


























Acceptability 


























Not Specified 


























Safety Concerns 


























Feelings of No Support and Isolation 


























Excluded from key decision-making opportunities 


























Experiences of bias or discrimination as it pertains to [insert leadership, practice, policy]


























Feeling undervalued or not perceived as a leader in my organization 


























Lack of authority to use new skills in current position 


























Ineffective Coordination with Agencies and Providers 


























Difficulty coordinating with benefits-issuing agencies 


























Difficulty establishing/maintaining multidisciplinary team (MDT)  


























Lack of data sharing among organizations 


























Lack of shared responsibility across organizational collaborators 


























Need for partnership building with other orgs 


























Variation in mission/regulatory frameworks when partnering with other organizations


























Lack of Adequate Funding 


























Lack of Adequate Resources 


























Competing priorities 


























Frequent staff turnover 


























Lack of senior leadership support  


























Lack of support/accountability from frontline staff 


























Lack of time to implement changes 


























Lack of urgency 


























Shortage of key personnel (including clinician shortage issues) 


























Lack of Adequate Training 


























Lack of accessible research/information 


























Lack of training for staff on how to implement change 


























Lack of Formal Rules and Regulations 


























Lack of Procedures 


























Lack of Knowledge of Victims’ Rights 


























Public Health Concerns 






















Sheet 6: Q. Network Providers
















Grant Recipient Name: Select Grant Recipient Name











Grant Number: Will automatically populate when recipient is selected











Report Type: Quarterly











Report Period: Q1 (9/30/2023 - 12/31/2023)




































OMB Control Number: 0970-0609











Expiration Date: 05/31/2026



Multidisciplinary Network Providers









As required by the Paperwork Reduction Act (PRA) of 1995, 44 U.S.C. § 3501-3521, the public reporting burden for the following performance indicators is estimated to average 0.5 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This form is approved under the Office of Management and Budget (OMB) control number OMB No: 0970-0609, expiration date is 05/31/2026. 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.
open text Y/N open text open text Type of Partner Organization Response Options: Advocacy Behavioral Health Child Welfare Community Member Education Employment Faith Based Government Health Care Housing Law Enforcement Legal Other Criminal Justice Private Sector Public Health School (K-12) Service Provider Other (specify) open text, refer to field value options open text number Services Provided Response Options: Basic Necessities Case Management Child Care Coordination with Benefit Issuing Agencies Coordination with Child Welfare/Child Protective Services Coordination with Migrant Health Programs Crisis Intervention Education Assistance Employment Assistance Family Reunification Financial Assistance Healthcare Housing/Shelter Services Interpreter/Translator Legal Advocacy and Services Life Skills Medical Services Mental/Behavioral Health Services Other Services (specify) Peer-to-Peer Support/Mentoring Safety Planning Services Substance Use Assessment/Treatment Transportation Victim Advocacy open text, refer to field value options open text mm/dd/yyyy mm/dd/yyyy

Name of Partnering Organization Is the partner organization a subrecipient? Location of Organization
(City)
Location of Organization
(State)
Type of Partner Organization If Type of Organization 'Other', Specify Number of Partner Organization Service Sites Services Provided by Partner Organization If Services Provided by Partner Organization 'Other', Specify Enrollment Date Exit Date

SampleOrg Y Washington DC Advocacy
3 Legal Advocacy and Services Immigration Relief 9/29/2020




















































See pages 12-13 of the SOAR Demonstration Grant Program Reporting Reference Guide to populate the Training Reporting table.


























































































































































































































































































































































































































































































































































































0




Sheet 7: Q. Training Feedback Form

SOAR Demonstration Grant Program recipients are required to implement SOAR trainings, including SOAR Online and SOAR for Organizations, for staff at relevant levels and divisions, including at a minimum frontline and support staff most likely to encounter an individual who has experienced trafficking; mid-level and senior management responsible for approving changes in policies and protocols and resources to support implementation; and staff who oversee procurement and external partners, across the prime’s organization. The SOAR Demonstration Program has three implementation phases. The first phase requires prime recipient staff to complete and participate in relevant SOAR training provided by the Office on Trafficking in Persons’ National Human Trafficking Training and Technical Assistance Center (NHTTAC). The second phase requires prime recipients to leverage the SOAR foundational training content and staff knowledge to develop and implement plans for increasing organizational and community capacity to identify and serve individuals impacted by human trafficking and begin providing comprehensive case management services to clients in-house and/or through subrecipients. In the final phase of the program, prime recipients must develop the capacity to assess and evaluate the effectiveness of human trafficking protocols, policies, and procedures when serving clients or patients in clinical settings who have experienced human trafficking and plan for the overall organizational sustainability to continue improving identification, providing trauma-informed, person-centered, culturally and linguistically appropriate services, and referring clients or patients to case management services with the community continuum of care.

SOAR training feedback from prime recipient staff (trained during the first implementation phase) will be obtained through the NHTTAC Evaluation Package (OMB Number: 0970-0519). Likewise, if SOAR Demonstration Grant Program award recipients elect to train subrecipients and external partners (third implementation phase) through NHTTAC, feedback from those participants will also be obtained through the NHTTAC Evaluation Package. However, SOAR Demonstration Grant Program recipients are permitted to develop their own specialized SOAR-trainings specific to their local context to build and strengthen strategic partnerships and may conduct these trainings external to NHTTAC. Should the prime recipient elect to develop and implement their own specialized SOAR trainings, they will be expected to report aggregate participant feedback data to OTIP. Otherwise, information will be collected by NHTTAC. Prime recipients should coordinate with their Project Officer to obtain the requisite approvals for specialized SOAR trainings, and to discuss the most effective way to collect, aggregate, and report participant feedback to OTIP.

Sheet 8: FY.Categories of Assistance

SOAR Demonstration Grant Program Data
Grant Recipient: (Specify Organization Name)
As required by the Paperwork Reduction Act (PRA) of 1995, 44 U.S.C. § 3501-3521, the public reporting burden for the following performance indicators is estimated to average 2.5 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This form is approved under the Office of Management and Budget (OMB) control number OMB No: 0970-0609, expiration date is 05/31/2026. 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.
Case Management Categories of Assistance OTIP: Record the number of clients who received each type of service during the reporting period. Number of Clients OTIP: Record the amount of grant funds spent on each type of service (e.g. spending on rent for clients, purchasing groceries for clients, funds spent on client's medical expenses, etc.) Total Funds Spent % of Project Budget
Basic Necessities
$- #DIV/0!
Case Management
$- #DIV/0!
Child Care
$- #DIV/0!
Coordination with Benefit Issuing Agencies
$- #DIV/0!
Coordination with Child Welfare/Child Protective Services
$- #DIV/0!
Coordination with Migrant Health Programs
$- #DIV/0!
Crisis Intervention
$- #DIV/0!
Education Assistance
$- #DIV/0!
Employment Assistance
$- #DIV/0!
Family Reunification
$- #DIV/0!
Financial Assistance
$- #DIV/0!
Healthcare
$- #DIV/0!
Housing/Shelter Services
$- #DIV/0!
Interpreter/Translator
$- #DIV/0!
Legal Advocacy and Services
$- #DIV/0!
Life Skills
$- #DIV/0!
Medical Services


Mental/Behavioral Health Services
$- #DIV/0!
Other Services (specify)
$- #DIV/0!
Peer-to-Peer Support/Mentoring
$- #DIV/0!
Safety Planning Services
$- #DIV/0!
Substance Use Assessment/Treatment
$- #DIV/0!
Transportation
$- #DIV/0!
Victim Advocacy
$- #DIV/0!
Total Direct Services Spending
$-
Khaila Montgomery: Record the amount of grant funds spent on direct services staff administering each type of service (e.g. salary and benefits of case management staff, office space for direct services staff, travel reimbursement for direct services staff, etc.) Total Case Management Spending
$-
Khaila Montgomery: Program administration spending includes funds allocated to administering the grant (e.g., cost of site visits, travel, salaries for administrative staff, etc.). This category excludes funds spent on case management or direct services. Total Program Administration Spending
$-
Khaila Montgomery: The total amount grantee was awarded by OTIP to fund project activities during the fiscal year Total Grant Recipient Budget
$-
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