Administration for Children and Families (ACF) PERFORMANCE PROGRESS REPORT (PPR)

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Administration for Children and Families (ACF) PERFORMANCE PROGRESS REPORT (PPR)
ACF−Specialized Services for Abused Parents and Their Children (SSAPC)−OFVPS 
COVER PAGE INSTRUCTIONS
Office of Family Violence Prevention and Services (OFVPS)
Family Violence Prevention and Services (FVPSA) Program
Administration for Children and Families
U.S. Department of Health and Human Services

Number
Data Element
Instructions
1.
Awarding Federal Agency & Organizational Element to Which Report is Submitted
Enter the name of the awarding federal agency and organizational element identified in the award document or as otherwise instructed by the agency. The organizational element is the sub-agency within an awarding federal agency
2.
Federal Grant/Other Identifying Number Assigned by Awarding Federal Agency
Enter the grant number/award referenced in the award document.
3. (a-b)
Identification Number (EIN)
Enter the recipient organization's Data Universal Numbering System (DUNS) number or Central Contract Registry extended DUNS number and EIN provided by the Internal Revenue Services (IRS).
4.
Recipient Organization
Enter the name and complete address, including zip code.
5. 
Recipient Identifying Number/Account Number
Enter the account number or any other identifying number assigned by the recipient to the award. This number is strictly for the recipient’s use only and is not required by the awarding federal agency.
6.
Project Reporting Period
Check the correct reporting period, either April 1 – September 30 or October 1 – March 31.
7. 
Final Report
Mark appropriate box. Check “Yes” only if this is the final report for the project/grant period in Box 6.
8. (a-e) 
Certification
Fill in the appropriate information to certify the report, including name, signature, telephone number, email address and date.
Specialized Services for Abused Parents and Their Children (SSAPC) Discretionary Grant 
PERFORMANCE PROGRESS REPORT (PPR)
ACF-SSAPC-OFVPS PPR COVER PAGE
Office of Family Violence Prevention and Services 
Family Violence Prevention and Services Act (FVPSA)Program
Administration for Children and Families
U.S. Department of Health and Human Services

1. Federal Agency and Organization Element 
to Which Report is Submitted 

ACF-SSAPC-OFVPS 
 
2. Federal Grant or Other Identifying 
Number Assigned by Federal Agency 
 
 
[Enter text here] 
 
3a. DUNS Number 
 
[Enter text here] 


3b. EIN 
 
[Enter text here] 
4. Recipient Organization 
(Name and Complete Address Including Zip Code) 
 
[Enter text here] 

 
5. Recipient Identifying Number or 
Account Number 
 
[Enter text here] 
6. Project Reporting Period 

[ ] April 1 – September 30		[ ] October 1 – March 31

7. Final Report 
Yes [ ]	No [ ] 

8. Certification: I certify to the best of my knowledge and belief that this report is correct and complete for performance of activities for the purposes set forth in the award documents. 
8a. Typed or Printed Name and Title 
of Authorized Certifying Official 
 
[Enter text here]  
8c. Telephone (Area Code, Number and 
Extension) 
[Enter text here] 
 

8d. Email Address 
[Enter text here] 
8b. Signature of Authorized Certifying Official 
 
[Enter text here]  
 
8e. Date Report Submitted (Month, Day, Year) 
 
[Enter text here]  
 
General Instructions for Quantitative Data Tables 
Complete the tables in Sections 1–5 below with data from the relevant reporting period. 

Quantitative data sections include: 
    1. Allowable Services Provided to Parents Who Are Abused and Their Children
    2. Demographics
    3. Workforce Information 
    4. Other Services Provided
    5. Survivor Outcomes

If you would like to provide additional context on the services your organization provided in Sections 1–5, please refer to Section 6: Narrative Descriptions toward the end of the PPR.
Section 1. Allowable Services Provided to Parents Who Are Abused and Their Children
Table 1.1 Outcomes: Quantifiable Expected Goals versus Completed Goals
Please complete the chart below to indicate the progress your organization has made toward at least one or more expected goals and provide a brief description of the associated outcome. Please note that these goals should align to the goals your organization created in your grant application.

When completing this table, enter only full numerical values. Ranges (e.g., 30–45) or text values (e.g., thirty to forty-five) will not be accepted. In addition, please use the mandatory narrative section “Significant and impactful outcomes” at the end of this document to describe the activities that resulted in the most significant and impactful outcomes for the individuals you serve. The narrative section is specifically appropriate for organizational goals that are not quantifiable or require additional context. You will also outline future activities planned in the narrative section “Activities planned for next reporting period” at the end of this document. 

Expected Goal Description
Goal
Progress this Period
Remaining
Outcome Description
Example 1: 50 survivors referred to therapy via behavioral health screening 
50
15
35
Of 30 survivors engaged in behavioral health screening, 15 were referred to therapy and 8 successfully enrolled 
Example 2: All 20 project partners demonstrate increased knowledge of dynamics of family violence 
20
10
10
Of 20 total project partners, 10 participated in dynamics learning activities and of those who participated, 100% demonstrated increased knowledge based on pre- and post-activity knowledge checks
Expected Goal Description




Expected Goal Description




Expected Goal Description




Expected Goal Description




Expected Goal Description






Table 1.2 Services Provided to Parents Who Are Abused and Their Children
Please complete the table below to indicate which of the services your organization provided to adult, children, and youth survivors and indicate the number of individuals who were provided the service. Definitions of the service categories in this table are available for reference in the Section 6: Terms and Definitions table. Please note that the age cutoff for children/youth is 17 years of age.

Note that adult, children, and youth survivors can be counted across multiple services. For example, if child/youth A received children/youth crisis intervention and children/youth legal advocacy, count them in both areas. However, please ensure that counts for children/youth and adults served together are not also counted under the children/youth or adult section. However, if a child/youth or adult receives both services separately and services together, each instance should be counted. Enter only full numerical values. Ranges (e.g., 30–45) or text values (e.g., thirty to forty-five) will not be accepted. If the service was not provided, enter “0.” 

Table 1.3 Service Referrals
Please complete the table below to indicate the number of incoming and outgoing service referrals for adult, children, and youth survivors. Note that adult, children, and youth survivors can be counted across multiple referral areas if they received multiple referrals. Enter only full numerical values. Ranges (e.g., 30–45) or text values (e.g., thirty to forty-five) will not be accepted. If the referral was not provided, enter “0.” 

Services Referred



Children/Youth
# Referred In 
# Referred Out
Art-based approaches to healing (e.g., A Window Between Worlds, dance, photography, etc.)


Childcare/Early Childhood Development Services and Head Start services 


Crisis intervention


Disability Support Services/Accessibility Services


Individual or group counseling/support group


Legal advocacy/services


Medical advocacy


Mental health services


Mobile Advocacy/Offsite Services


Prevention programs and outreach


Safety planning


Shelter services


Social Services/Public Benefits (i.e. TANF, WIC, Low Income Home Energy Assistance Program [LIHEAP], Child Support)


Transportation services


Victim advocacy services


Youth/Teen support services


Additional services such as educational support, respite care, supervised visitation, etc. 


Other referred service(s) not listed:
(Provide other service(s) type and count)


Adults
# Referred In 
# Referred Out
Art-based approaches to healing (e.g., A Window Between Worlds, dance, photography, etc.)


Child Care/Early Childhood Development Services and Head Start Services 


Crisis intervention


Disability support services/Accessibility services


Individual or group counseling/support group


Legal advocacy/services


Medical advocacy


Mental health services


Mobile advocacy services/Offsite services


Parenting programs/classes


Prevention programs and outreach


Safety planning


Shelter services


Social services/Public benefits (i.e. TANF, WIC, LIHEAP, Child Support)


Transportation services


Victim advocacy services


Youth/Teen support services


Additional services such as educational support, respite care, supervised visitation, etc. 


Other referred service(s) not listed:
(Provide other service(s) type and count)


Children/Youth and Adults Together
# Referred In 
# Referred Out
Art-based approaches to healing (e.g., A Window Between Worlds, dance, photography, etc.)


Child Care/Early Childhood Development Services and Head Start Services 


Crisis intervention


Disability Support Services/Accessibility Services


Individual or group counseling/support group


Legal advocacy/services


Medical advocacy


Mental health services


Mobile Advocacy Services/Offsite Services


Prevention programs and outreach


Safety planning


Shelter services


Services to the abusive parent and child within their respective service system to restore the parent-child bond


Social Services/Public Benefits (i.e. TANF, WIC, Low Income Home Energy Assistance Program [LIHEAP], Child Support)


Transportation services


Victim advocacy services


Youth/Teen Support Services


Additional services such as educational support, respite care, supervised visitation, etc. 


Other referred service(s) not listed:
(Provide other service(s) type and count)




Section 2: Demographics
Table 2.1 Race/Ethnicity
Please report the total number of adult, children and youth survivors who were supported by Family Violence Prevention and Services Act (FVPSA) grant funding by race/ethnicity. Clients may self-identify in more than one broader level category, (e.g., White and Hispanic) and should be represented as “multiracial”. 

Please note: All the main Race and Ethnicity categories (Asian, for example) should add up to equal the total number of individuals served. However, the subcategories (Chinese, Asian Indian, Filipino, for example) may total a higher number than the individuals in that category, due to multiple sub-categories chosen by one individual of a single race. 

Enter only full numerical values. Ranges (e.g., 30–45) or text values (e.g., thirty to forty-five) will not be accepted. If the racial or ethnic group was not represented, enter “0.” Definitions for the categories in this table are available for reference in the Section 6: Terms and Definitions table.

Defining race and ethnicity. In accordance with the Office of Management and Budget (OMB) Statistical Policy Directive No. 15: Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity (SPD 15), the race and ethnicity categories set forth are sociopolitical constructs and are not an attempt to define race and ethnicity biologically or genetically.  The SPD 15 race and ethnicity categories are intended to result in more accurate and useful race and ethnicity data across the Federal government.

Adults, Children, and Youth Served Who Are: 
Total Number
American Indian or Alaska Native (AIAN)

For example, Navajo Nation, Blackfeet Tribe of the Blackfeet Indian Reservation of Montana, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, Aztec, Maya, etc.

Asian

Chinese

Asian Indian

Filipino

Vietnamese

Korean

Japanese

Enter, for example, Pakistani, Hmong, Afghan, etc.

Black or African American

African American

Jamaican

Haitian

Nigerian

Ethiopian

Somali

Enter, for example, Trinidadian and Tobagonian, Ghanaian, Congolese, etc.

Hispanic or Latino

Mexican

Puerto Rican

Salvadoran

Cuban

Dominican

Guatemalan

Enter, for example, Colombian, Honduran, Spaniard, etc.

Middle Eastern or North African

Lebanese

Iranian

Egyptian

Syrian

Iraqi

Israeli 

Enter, for example, Moroccan, Yemeni, Kurdish, Palestinian, etc. 

Native Hawaiian or Pacific Islander

Native Hawaiian

Samoan

Chamorro

Tongan

Fijian

Marshallese

Enter, for example, Chuukese, Palauan, Tahitian, etc.

White

English

German

Irish

Italian

Polish

Scottish

Enter, for example, French, Swedish, Norwegian, etc.

Multi-Racial (Individuals who identify as more than one race and/or ethnicity)


Table 2.2 Age (In Years)
Please report the total number of adult, children, and youth survivors who were supported by FVPSA grant funding by age range. Enter only full numerical values. Ranges (e.g., 30–45) or text values (e.g., thirty to forty-five) will not be accepted. If the age group was not represented, enter “0.” 
Age (In Years)
Total Number
0–12 

13–17 

Unknown Child Age

18–24 

25–59 

60 + 

Unknown Adult Age

Not Collected (Organization did not collect this data)


Table 2.3 Sex 
In table 2.3, please report the total number of adult, children, and youth survivors who were supported by FVPSA grant funding by sex.

Enter only full numerical values. Ranges (e.g., 30–45) or text values (e.g., thirty to forty-five) will not be accepted. If the listed identity group was not represented, enter “0.” 

Sex 
Total Number
Female

Male

Preferred not to say

Information not provided


Table 2.4 Additional Populations
Please report the total number of adult, children, and youth survivors who were supported by FVPSA grant funding who belong to any of the below categories. Note that adult, children, and youth survivors can be counted across multiple categories. For example, if a survivor reports they need language access services and has a history of substance use, they would be counted in both categories. Enter only full numerical values. Ranges (e.g., 30–45) or text values (e.g., thirty to forty-five) will not be accepted. If the “other” populations group was not represented, enter “0.” 

Category
Total Number
People experiencing homelessness/housing instability

People who were formerly incarcerated

People who are currently incarcerated

People who are elders

People with physical disabilities (includes those who are deaf or hard of hearing)

People with cognitive disabilities

People who need language access services (please provide information in Table 2.5)

People who are immigrants

People who are refugees or asylum seekers

People who are experiencing substance misuse issues

People who are experiencing mental health issues 

People who do not have health insurance 

People who are migratory/seasonal agricultural workers

People who are Veterans/military spouses/active duty

People who live in rural communities

People who are victims of trafficking

People who need social services (TANF, WIC, Child Support, Low Income Home Energy Assistance Program [LIHEAP] LIHEAP)

People who need economic education or support services (credit repair, matched savings, or arears/debt relief)

Other not listed (provide examples and count):


Table 2.5 Languages Spoken by Survivors Who Require Language Services 
Please report the number of adult, children, and youth survivors needing language services, based on their primary language(s) spoken. If an adult, children, and youth survivor needs support for more than one language, please include them in counts for each language they speak. If adult, children, and youth survivors speak other languages not listed here, please indicate the language(s) and the total number in the “Other” row. Enter only full numerical values. Ranges (e.g., 30–45) or text values (e.g., thirty to forty-five) will not be accepted.  If the language group was not represented, enter “0.”

NOTE: If adult, children, and youth survivors spoke another language other than English but did not need language access services, do not count them in the table.

Language
Total # of Individuals Needing Language Services
African Languages 

Arabic

Chinese 

French

German

Hindi

Korean

Native North American Languages 
(Includes American Indian and Alaska Native languages)

Russian

Spanish

Tagalog 

Vietnamese

Other not listed (Please specify languages and count)



Section 3: Workforce Information 
Table 3.1 Breakdown of Full-Time Equivalents (FTE) Across Grant Categories 
Please use the chart below to indicate the total staff full-time equivalents (FTE) paid using FVPSA funding. One FTE is equal to the number of hours a full-time employee works for an organization. FTE Planned refers to planned/expected staff, while FTE Staffed refers to actual staff hired. Each full-time paid staff member should equal 1 and each part-time paid staff member should equal 0.5. For employees paid across categories, use decimals (e.g., 0.25, 0.50, etc.) to refer to the amount of time spent across grant categories. For example, if you have one employee dedicated 0.5 FTE to work on the SSAPC grant and their time is split equally performing both Outreach and Finance, they would be counted in both categories. In this case, write 0.25 in the Total FTE column for Outreach and 0.25 for Finance. Enter only numerical values; ranges (e.g., 30–45), text values (e.g., thirty to forty-five), and percentages (50%) will not be accepted.

If your organization had staff working across additional categories, please indicate the specific type of service and the total number of staff in the “Other” row. 

NOTE: If no grant funds were allocated toward FTEs, please enter zeroes in each category.

Category
Total FTE Planned
Total FTE Staffed
Direct Services


Evaluator Services


Finance


Grant funds were not allocated toward FTEs


Outreach


Program/Project Management


Other not listed:
(Please specify category or categories here and the total count planned and staffed)


Total FTE 




Table 3.2 Workforce Capacity Building Implemented with SSAPC Grant Funds
Please indicate which of the below capacity building activities were implemented with FVPSA funding. If your organization implemented additional capacity building activities through use of FVPSA funding, please indicate the capacity building activity in the “Other” row. 

Workforce Capacity Building Activity Type
Activity Provided (mark with an X if provided)
Provide # of Staff FTE Impacted 
(if available)
Conferences and seminars funded
(national conferences on DV/SA, etc.)


trainings and workshops
informed care, crisis intervention, advocacy training, etc.)


Hazard pay


Hired additional FVPSA-funded staff 


Hired bilingual/culturally sensitive staff 


Hired data collection staff/consultant


Hired program evaluators


Hiring bonus


Housing/rental assistance


Paid interns


Professional development (e.g., certification programs, online learning)


Provided health/wellness services (e.g., health insurance, prescriptions, chiropractic care, vision, dental, etc.)


Staff retention activities (e.g., pay increase, childcare assistance, commuting/transportation assistance)


Other not listed: 
(Please specify activity or activities here and the total count of staff impacted)




Section 4: Other Services Provided 
Table 4.1 Training/Technical Assistance
Please indicate areas in which you have provided training/technical assistance by including the total number of individuals (adult, children, and youth survivors or individuals at organizations/service providers) trained in that area in the right column of the table. If your organization provided other forms of training/technical assistance, please indicate the type as well as the total number of individuals trained in the “Other” row. Enter only full numerical values. Ranges (e.g., 30–45) or text values (e.g., thirty to forty-five) will not be accepted. If the training area was not provided, enter “0.” 

For example: If there were 10 total individuals (adult, children, and youth survivors or individuals at organizations/service providers) trained on adolescent/teen relationship abuse, but there were not any individuals trained on program evaluation, enter a “10” for adolescent/teen relationship abuse and a “0” for program evaluation. Note that one individual can be trained across multiple areas and therefore would be entered multiple times. 
Training Area
# individuals trained
Adolescent/teen relationship abuse

Child custody issues

Child welfare

Civil legal issues (includes family court response, civil legal assistance)

Data collection and evaluation

Dating violence

Disabilities (includes those who are deaf/hard of hearing)

Domestic violence

Economic 

Evidence- and practice-based interventions/ informed practice

Parenting programs

Primary prevention

Program development

Program evaluation

Public benefits (TANF, SNAP, WIC, etc.)

Runaway/homeless youth

Rural communities (includes those living in remote areas)

Safety planning

Sexual assault

Substance abuse

Trafficking

Training for people who use violence

Tribal justice issues

Other not listed: 
(Please specify training area(s) here and the total count)


Table 4.2 Partnership/Community Outreach
Please indicate which organizations, agencies, etc. you have completed partnership/outreach activities with by indicating the total number of partnerships/activities completed during the grant period in the right column of the table. Note that prevention services to communities that increase access to sexual assault and domestic violence services are also considered partnership/community outreach activities.

If your organization provided other forms of partnership/outreach, please indicate the type as well as the total number of activities in the “Other” row. Enter only full numerical values. Ranges (e.g., 30–45) or text values (e.g., thirty to forty-five) will not be accepted. If the organization was not represented, enter “0.” 

In addition, if you have developed a Memorandum of Understanding (MOU) or Letter of Agreement with any of these types of organizations, please also indicate that in the final column with an X.

Organizations & Communities
# of Partnership/ Outreach Activities
Check [X] if MOU/Letter of Agreement Developed
Childcare centers 


Community-based activists, sexual assault and domestic violence service providers and survivors, rape crisis centers/sexual assault programs


Culturally specific populations and community-based organizations (CBOs)


Domestic violence programs


Domestic violence shelters


Faith-based organizations (churches, mosques, temples, etc.)


General public


Homeless shelters


Hospitals and health clinics


Housing programs


Human trafficking organizations


Jails and prisons


Legal aid organizations


Local and state public health authorities/departments


Local businesses/corporate partners 


Local departments of social services


Local law enforcement agencies


Local schools and colleges/universities


Media outlets


Mental health/behavioral health organizations


Organizations that support refugees and immigrants


Other local and state government agencies


Sex trafficking/sex worker advocacy organizations


Social service non-profit organizations 


Substance abuse rehabilitation centers


Tribes


Tribal organizations


Urban Indian organizations


Youth-serving organizations


Other not listed: 
(Please specify other types of organization(s) here and the total count of activities and MOU details to the right)




Table 4.3 Subrecipients
Please use the chart below to list your organization’s subrecipients*, if applicable. Please also be sure to list the number of domestic violence/sexual assault survivors who were referred to each subrecipient, as well as the number of those survivors who were served.

*“Subrecipient means a non-Federal entity that receives a subaward from a pass-through entity to carry out part of a Federal program; but does not include an individual that is a beneficiary of such program. A subrecipient may also be a recipient of other Federal awards directly from a Federal awarding agency.” (45 CFR § 75.2).

Section 5: Survivor Outcomes

Table 5.1 Survivor Outcomes
Please complete the table below to indicate the percentage of survivors receiving FVPSA funded services that reported the below outcomes. Please note that survivor percentages are counted separately across the two outcomes. If the outcome was not reported, enter “NA”.

Survivor-Centered Outcome Metrics
Total Percentage
For this reporting period, please provide the percentage of survivors receiving FVPSA-funded services that reported increased knowledge of safety planning

For this reporting period, please provide the percentage of survivors receiving FVPSA-funded services that reported increased knowledge of community resources

Section 6: Narrative Descriptions 
In this section you will provide additional narrative information regarding how your organization designed, implemented, and sustained activities that add value to the SSAPC program’s intended outcomes. Note that the first five narrative descriptions are required and the last is optional. Please type your questions directly into the space provided, avoid restating the question in your responses and avoid uploading narrative descriptions as attachments. Please limit your responses to 500 words, if possible.

Required Narrative Descriptions
Survivor Stories: Provide examples of the experiences of survivors you served based on the services you provided for them, and their associated impact. You may include stories and/or anecdotes to contextualize your work. 


Significant and Impactful Outcomes: Describe a significant or impactful outcome or accomplishment this reporting period you would like the Office of Family Violence Prevention and Services to know about. This could include but is not limited to additional information on survivor-centered outcomes not already addressed in your report, reduction in trauma symptoms, less violence, more confidence in being able to support children, reunification numbers, reduction in parenting stress, parent/child relationship changes, skill development for providers, etc. 


Barriers and Challenges Faced During this Reporting Period: Briefly describe any barriers and/or challenges your organization faced this reporting period. Please describe how you overcame those barriers and challenges, including any pivots in your approach. Please write directly in the space provided and avoid using a table. 


Activities Planned for Next Reporting Period: Briefly describe any activities planned for the next reporting period that align with the terms of the cooperative agreement as outlined in the Award Letter. Please list planned activities directly in the space provided and avoid using a table. 



Optional Narrative Description
Context on Data Tables: Please provide any context you feel is necessary as it relates to the completed quantitative data tables throughout Sections 1–4 of the PPR. If providing additional context, please include the section of the PPR (Allowable Services, Demographics, etc.)
to which the additional context refers. Please limit your response to 500 words.


Section 7: Terms and Definitions
Please refer to the definitions within the referenced sources below when completing the relevant data tables.
SSAPC PPR Allowable Activity Terms
Term
Source
Criminal/Civil Legal Advocacy
State and Tribal FVPSA Grantees PPR
Crisis Intervention
State and Tribal FVPSA Grantees PPR
Individual/Group Counseling
State and Tribal FVPSA Grantees PPR
Medical Advocacy
State and Tribal FVPSA Grantees PPR
Transportation Services
State and Tribal FVPSA Grantees PPR
Victim Advocacy Services
State and Tribal FVPSA Grantees PPR

Additional PPR Terms 
Term 
Source
Culturally specific services 
House.gov
Domestic violence 
House.gov
Evidence based 
House.gov
Family violence 
House.gov
Supportive services 
 Code of Federal Regulations
Trauma 
SAHMSA 
Informed 
SAHMSA 
Race/Ethnicity
Census Bureau