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U.S. DEPARTMENT OF JUSTICE
OFFICE ON VIOLENCE AGAINST WOMEN
SEMI-ANNUAL PROGRESS REPORT FOR TECHNICAL ASSISTANCE PROGRAM
Brief Instructions: This form must be completed for each Technical Assistance (TA) Cooperative Agreement award
received. The TA Cooperative Agreement administrator or coordinator must ensure that the form is completed fully with
regard to all Cooperative Agreement activities.
All TA providers should read through each section to determine which questions they must answer based on the activities
engaged in under this TA Cooperative Agreement during the current reporting period. Sections B and D of this form must
be completed by all TA providers. In section A, subsection A1 must be answered by all TA providers. In subsection A2 and
section C, TA providers must answer an initial question in each subsection about whether they engaged in certain activities
during the current reporting period. If the response is yes, then the TA provider must complete that subsection. If the
response is no, the rest of that subsection is skipped.
For example, (1) if you only provided technical assistance with staff funded under this cooperative agreement during the
current reporting period, you would complete sections A, B, C2, and D (and answer ‘no’ in C1 and C3).
The activities of volunteers or interns may be reported if they are coordinated or supervised by TA Cooperative Agreementfunded staff or if TA Cooperative Agreement funds substantially support their activities..
For further information on filling out this form, refer to the separate set of instructions, which contains detailed definitions and
examples, illustrating how questions should be answered.
SECTION
Page Number
Section A: General Information
Section B: Program Activities
Section C: Function Areas
C1 Training
C2 Technical Assistance
C3 Underserved Populations
C4 Products
Section D: Narrative
Appendix A: Status of Goals and Objectives Table
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A. GENERAL INFORMATION
A1. Awardee information
All TA Cooperative Agreement awardees must complete this section.
1. Date of report
2. Current reporting period
January 1-June 30
July 1-December 31
(Year)
3. TA provider name
4. TA project name
5. Award number (the federal award number assigned to your TA Cooperative Agreement)
____________________________________________________________
6. Type of lead organization receiving the funds (pick the item that most closely resembles your organization.)
Advocacy organization
State/Tribal/Territory Coalition
Faith-based organization
Victim services
Membership or professional organization
Training organization
University/college
Governmental agency
Policy/research institute
Other (specify)
7. Does your TA Cooperative Agreement address (Check all that apply.)
Domestic violence
Probation
Sexual assault
Law Enforcement
Stalking
Tribal issues
Underserved population (people with disabilities,
Criminal/civil justice
immigrants)
Other (specify)
Courts
8. Point of contact (person responsible for the day-to-day coordination or administration of the award)
Name
Agency/organization name
Address
Telephone
Facsimile
E-mail
9. Does this TA Cooperative Agreement target tribal populations? (Check yes if your TA specifically focuses on tribal
populations.)
Yes
No
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10. List the grantee population(s) for which you provide technical assistance.
List OVW grant program(s) or special initiatives for which you provide TA and Training
11. Project partners (from Summary Data Sheet)
12. Priority areas addressed
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A2. Staff Information
Were TA Cooperative Agreement funds used to fund staff positions during the current reporting period? (Check
yes if TA Cooperative Agreement funds were used to pay staff, including part-time staff and contractors.)
Yes--answer question 13
No--skip to Section B
13. Staff (Report the total number of full-time equivalent [FTE] staff funded by TA Cooperative Agreement during the current
reporting period. Include employees who are part-time and/or only partially funded with these cooperative agreement funds
as well as contractors. Round to the second decimal. See separate instructions for examples of how to calculate FTEs for
part-time staff and contractors.)
Total number of FTE staff______________________________.
B. PROGRAM ACTIVITIES
All TA providers must complete this section.
14. Program activities (Check all program activities your TA Cooperative Agreement engaged in during the current
reporting period.)
Maintaining a current database of grantee contacts
Developing and maintaining Web-based information for grantees to include training
announcements, promising practice summaries, and other information of interest to grantees
Convening national and/or regional training events including training institutes, conferences,
seminars, roundtables, meetings, new grantee orientation
Assisting grantees through on-site consultations, email, by telephone, and/or through audio
and/or video conferences
Developing training materials for grantees
Responding to requests for problem-solving from grantees
Providing technical assistance on the full range of statutory and programmatic requirements
grantees must meet
Facilitating peer-to-peer mentoring
Facilitating access to other sources of specialized technical assistance available through other
OVW technical assistance providers
Policy development
Other:
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C. FUNCTION AREAS
C1. Training
Were your TA Cooperative Agreement funds used for training during the current reporting period? Check yes if TA
Cooperative Agreement -funded staff provided training or if TA Cooperative Agreement funds were used to directly support
the training.
Yes--answer questions 15-18
No--skip to C2
For the purposes of this reporting form, training means providing information on sexual assault, dating violence, domestic
violence, and stalking that enables a professional to improve their response to victims/survivors as it relates to their role in
the system.
15. Type and number of training events provided (Report the number of national, statewide, and regional training events
by the type of training that were either provided by TA Cooperative Agreement-funded staff or directly supported with
TA Cooperative Agreement funds. Staff development training provided to TA Cooperative Agreement-funded staff
should not be counted.)
Type of training
National
Total number of training events
Regional (several states)
Statewide
Computer-based
training
Conferences/Institutes
Teleconferences
Videoconferences
Workshops/seminars
Webcasting
Train-the-trainer
sessions
New grantee
orientation
Other (specify):
_________
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16. Number of people trained (Report the number of people trained during the current reporting period by TA Cooperative
Agreement-funded staff or training supported by TA Cooperative Agreement funds. Use the category that is most
descriptive of the people attending the training event. TA Cooperative Agreement-funded staff attending staff
development training should not be counted.)
People trained
Number
Adult protective services staff
Attorneys/law students
Batterer intervention program staff
Campus judicial/disciplinary board members
Child welfare/protection workers
Child advocates
Community advocacy organization staff (NAACP, Gray Panthers)
Corrections personnel (probation, parole, and correctional facilities)
Court personnel (judges, clerks)
Culturally specific community programs
Disability/Deaf organization staff (non-governmental)
Domestic violence program staff (and boards)
Dual sexual assault and domestic violence program staff (and boards)
Educators (teachers, university faculty)
Elder organization staff (non-governmental)
Faith-based organization staff
Government agency staff (vocational rehabilitation, DHS)
Health professionals (excluding forensic examiners)
Transitional housing staff
Immigrant organization staff (non-governmental)
Interpreters
Law enforcement officers
Mental health professionals
Multidisciplinary group
Personal care attendants
Prosecutors
Sexual assault forensic examiners
Sexual assault program staff (and boards)
Social service organization staff
Spiritual leaders
State, tribal and/or territory sexual assault coalition and/or domestic
violence coalition (staff and boards)
Substance abuse providers
Supervised visitation and exchange center staff
Transportation providers
Tribal community groups
Tribal council members
Tribal elders
Tribal government/Tribal government agency staff
University student affairs staff
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Victim-witness specialists
Volunteers
Other national technical assistance providers
Other (specify):______________________________________________
TOTAL
17. Total number of hours spent on training (Report the total number of hours of training funded by TA Cooperative
Agreement during the current reporting period.
Total number of training hours ______________________________.
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18. Training content areas (Indicate all topics addressed in training events provided by your TA Cooperative Agreement
funds during the current reporting period. Check all that apply.)
Sexual assault, domestic violence, dating violence
and stalking
Abuse of people who are deaf/have disabilities
Advocate response
Child witnesses to domestic violence
Confidentiality
Cultural issues specific to American Indians and/or
Alaska Natives
Cyberstalking
Dating violence overview, dynamics, and services
Domestic violence overview, dynamics, and services
Drug facilitated sexual assault
Dynamics and history of violence against American
Indian and/or Alaska Native women
Elder abuse
Indian Child Welfare Act
Forensic evidence collection and documentation
Mandatory reporting requirements
Safety planning for victims/survivors
Sexual assault forensic evidence collection
Sexual assault overview, dynamics, and services
Sex offender management
Stalking overview, dynamics, and services
Supervised visitation and exchange
Tribal strategies to address sexual assault, domestic
violence, dating violence or stalking
Other (specify): _________________________
Underserved populations
Issues specific to victims/survivors who:
live in rural areas
are American Indian or Alaska Native
are Asian
are black or African American
are deaf
have disabilities
are elderly
are Hispanic or Latino
are homeless or living in poverty
are immigrants, refugees, or asylum seekers
are institutionalized or isolated
are lesbian, gay, bisexual, transgender, or intersex
are Native Hawaiian or other Pacific Islander
have mental health/substance abuse issues
Other (specify):
Justice system
Child victimization statutes/codes
Civil court procedures
Criminal court procedures
Decreasing dual arrests/identifying predominant
aggressor
Dating violence statutes/codes
Domestic violence statutes/codes
Evidence analysis, collection, and preservation
Evidence-based prosecution
Family court procedures
Federal agency response to sexual assault, domestic
violence, dating violence and stalking (IHS, BIA, FBI,
USAO)
Firearms and domestic violence
Immigration
Judicial response
Law enforcement response
Mandatory reporting requirements
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Pro-arrest policies
Probation response
Prosecution response
Protection orders (including full faith and credit)
Safety audits
Sexual assault statutes/codes
Stalking statutes/codes
Trial skills
Tribal jurisdiction and Public Law 280
Victims not polygraphed
Other (specify): _______________________
Organizational community response
Accessibility
Coalition development
Coordinated community response
Discrimination and oppression issues
Emergency preparedness
Evaluation
Outreach to underserved populations
Response teams (DART, DVRT, SART)
Standards of service for sexual assualt, domestic
violence, dating violence, and stalking programs
Strategic planning
Technology
Technology safety issues
Victim service administration and operations
Other (specify): _________________________
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C2. Technical Assistance
Were your TA Cooperative Agreement funds used to provide technical assistance during the current reporting
period? Check yes if TA Cooperative Agreement-funded staff provided technical assistance or if TA Cooperative
Agreement funds directly supported the provision of technical assistance.
For the purposes of this reporting form, technical assistance includes a wide variety of activities
designed to facilitate individual or agency change in some systematic manner by providing expertise to
solve a problem. Examples of technical assistance activities include clarifying legislative and policy
implementation and/or standards of service, technology consultations, and assistance with problemsolving.
Yes--answer questions 19-21
No--skip to C3
19. Number of technical assistance activities (Report the total number of technical assistance activities provided to
programs during the current reporting period, indicating whether they were site visits, technical assistance
consultations (ongoing problem solving, strategy developing), information request responses (giving an example of
a training protocol for law enforcement, giving information about another jurisdiction that has developed an
approach to prosecuting stalking cases) or referrals (referring a grantee to another organization with specialized
expertise). Contact other than site visits (delivery of technical assistance in person) may include telephonic,
electronic, or other types of contact. Each contact should be counted as one activity.)
Recipients
of
technical assistance
Number of site
visits
Adult protective services
Batterer intervention program
Child protection workers
State, tribal or territory coalitions
Coordinating council/task force
Corrections (probation, parole,
and correctional facility)
Court
Culturally specific community
programs
Disability/deaf organization
Domestic violence program (staff and
boards
Dual sexual assault
and domestic violence program (staff
and boards
Elder abuse/aging network
Faith-based organization
Forensic examiner program
Health care provider
(excluding forensic examiner)
Law enforcement
Legal services/attorneys/law students
Mental health care provider
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Number of
technical
assistance
consultations
Number of
information
request
responses
Number of
referrals
Prosecutor’s office
Sex offender management programs
Sexual assault program (staff and
boards)
Stalking program
Supervised visitation
Other national technical assistance
providers
Tribal government
Tribal sexual assault
or domestic violence program
University/school
Other (specify): ____________
TOTAL
20. Total number of hours spent on technical assistance (Report the total number of hours of technical assistance
funded by TA Cooperative Agreement during the current reporting period.)
Total number of technical assistance hours ______________________________.
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21. Topics of technical assistance (Check the topics that apply to technical assistance provided with TA Cooperative
Agreement funds during the current reporting period. The technical assistance provided may be categorized by
more than one topic. Check all that apply.)
Topics of technical assistance
Accessibility
Board development for sexual assault, domestic violence, and stalking programs
Board development for Family Justice Centers or co-located responses
Coordinated community response
Civil legal services for victims/survivors
Collaboration
Court response
Creating/sustaining diverse organizations
Criminal codes
Enhancing culturally and linguistically appropriate services
Curricula and training issues
Developing or enhancing culturally appropriate services for underserved populations
Fatality reviews
Sexual assault forensic evidence collection and documentation
Full faith and credit
Grant guidelines
Law enforcement response
Policy/protocol development
Program development
Program evaluation
Probation and parole response
Prosecution response
Protection orders enforcement
Response to abuse of people with disabilities/who are deaf
Response to elder abuse
Response to sexual assault victims/survivors
Response to domestic violence victims/survivors
Safety planning
Sex offender management
Standards of service for sexual assault, domestic violence, and stalking programs
Strategic planning
Supervised visitation and exchange
Sustainability
Technology and technology capacity
Technology safety and security (confidentiality)
Victim service administration and operations
Women of color leadership development
Other (specify): __________________________________________________
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C3. Underserved Populations
Were your TA Cooperative Agreement funds used to develop or enhance standards protocols or procedures
for underserved populations or to encourage the representation of underserved populations in coordination
activities during the current reporting period? Check yes if TA Cooperative Agreement-funded staff were used to
develop or enhance services for underserved populations or if TA Cooperative Agreement funds directly supported
representation of underserved populations in coordination activities.
Yes-- answer question 22-23
No--skip to C4
22. Activities addressing underserved populations (Check all activities in which TA Cooperative Agreement funds
were used to develop or enhance services for underserved populations or to encourage the representation of
underserved populations in coordination services.)
Activity
Developing materials for underserved populations
Identifying gaps in services
Identifying underserved populations
Supporting representatives of historically underserved groups to participate in
meetings
Coordinating a task force/caucus to address issues concerning underserved
populations
Training/technical assistance regarding culturally appropriate services for historically
underserved populations
Other (specify):
___________________________________________________________________
23. Underserved populations (Indicate which underserved populations were addressed in the activities indicated in
question 20. Check all that apply.)
Victims/survivors who:
live in rural areas
are American Indian or Alaska Native
are Asian
are black or African American
are deaf
have disabilities
are elderly
are Hispanic or Latino
are homeless or living in poverty
are immigrants, refugees, or asylum seekers
are lesbian, gay, bisexual, transgender, or intersex
are Native Hawaiian or other Pacific Islander
have mental health/substance abuse issues
Other (specify):
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C4. Products
Were your TA Cooperative Agreement funds used to develop, substantially revise, or distribute products during
the current reporting period? Check yes if TA Cooperative Agreement-funded staff developed products or if TA
Cooperative Agreement funds directly supported the development, revision, or distribution of products.
Yes--answer question 24
No--skip to section D
24. Use of TA Cooperative Agreement funds for product development, substantial revision, or distribution (Report
the number of products developed, substantially revised, or distributed with TA Cooperative Agreement funds during
the current reporting period. Report the number of new products developed or substantially revised during the current
reporting period; the title/topic and intended audience for each product developed, revised, or distributed; and the
number of products used or distributed. If a product was created in or translated into a language other than English,
including Braille, indicate the language. Report on products that were newly developed or substantially revised during
the current reporting period whether or not they were used or distributed, and on products that were previously
developed or revised, but were used or distributed during the current reporting period.)
Products
Number
developed
or revised
Title/topic
Brochures
Manuals
Newsletter
Training curricula
Training materials
Reports
Tool kits
TA packets
Fact sheets
Web site (report
number of unique
visitors in used or
distributed column)
Videos
Other (specify):
________________
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Intended
audience
Number
used or
distributed
Other
languages/
formats
D. NARRATIVE
All TA providers must answer question 25.
PLEASE LIMIT YOUR RESPONSE TO FOUR PAGES FOR THIS QUESTION.
25. Report on the status of meeting the terms of the TA Cooperative Agreement as outlined in the Award Letter.
(Using Appendix A, report on the status of meeting the terms of the cooperative agreement as outlined in the Award
Letter as of the end of the current reporting period. Indicate whether the activities related to your objectives for the
current reporting period have been completed, are in progress, are delayed, or have been revised. Comment on your
successes and challenges, and provide any additional explanation you feel is necessary for us to understand what you
have or have not accomplished. If you have not accomplished objectives that should have been accomplished during
the current reporting period, you must provide an explanation.)
All Awardees must answer questions 26 and 27 on an annual basis, on the January to June reporting form. You may also,
at your discretion, submit this information on the July to December reporting form.
PLEASE LIMIT YOUR RESPONSE TO TWO PAGES FOR EACH QUESTION.
26. As a TA provider what do you see as the most significant areas of remaining need with regard to increasing
victim/survivor safety and offender accountability? (Consider geographic regions, underserved populations,
service delivery systems, types of victimization, and challenges and barriers unique to the grantees to whom you
provide technical assistance.)
27. What do you see as the most significant needs of grantees/emerging issues (describe the types of support,
technical assistance or other needs of the grantees you serve. Note any new or emerging issues, e.g.,
emergency preparedness)?
Question 28 is optional.
PLEASE LIMIT YOUR RESPONSE TO TWO PAGES FOR THIS QUESTION.
28. Provide any additional information that you would like us to know about your TA Cooperative Agreement and/or
the effectiveness of your cooperative agreement. (If you have other data or information regarding your program that
would more fully or accurately reflect the effectiveness of your TA Cooperative Agreement-funded program than the
data you have been asked to provide on this form, answer this question. If you have not already done so elsewhere on
this form, you may want to report on systems-level changes, community collaboration, the removal or reduction of
barriers and challenges for victims/survivors, promising practices, and positive or negative unintended consequences.)
Public Reporting Burden
Paperwork Reduction Act Notice. Under the Paperwork Reduction Act, a person is not required to respond to a collection of
information unless it displays a currently valid OMB control number. We try to create forms and instructions that are accurate, can be
easily understood, and which impose the least possible burden on you to provide us with information. The estimated average time to
complete and file this form is 60 minutes per form. If you have comments regarding the accuracy of this estimate, or suggestions for
making this form simpler, you can write to the Office on Violence Against Women, U.S. Department of Justice, 810 7th Street, NW,
Washington, DC 20531.
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APPENDIX A
Goals/Objectives (Describe
your goals and objectives, as outlined
in your grant proposal, or as revised)
TA Provider 3/5/2007
Status (e.g.,
Key Activities/in
furtherance of
goals/objectives
completed, in
progress, delayed,
revised)
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Comments (successes, challenges,
explanations)
| File Type | application/pdf |
| File Title | Microsoft Word - TA Provider Form 030507.doc |
| Author | ANITAS |
| File Modified | 2007-04-24 |
| File Created | 2007-03-05 |