1122-0022 Progress Reporting for SASP Administrators

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U.S. Department of Justice
Office on Violence Against Women
ANNUAL SASP ADMINISTRATORS REPORT
Sexual Assault Services Formula Grant Program
1. Date of report

(format date with 6 digits - 03/30/10)

2. Current reporting period: January 1 - December 31

(Year)

3. Grant number
(the federal grant number assigned to your Sexual Assault Services Formula Grant)
4. SASP administrator (person responsible for adminstrating SASP Program funds)
First name

MI

Last name

5. Agency
6. Address
City

State

Telephone

Zip code

Facsimile

Email
7. SASP Program funds awarded to subgrantees and amount of funds returned during current
reporting period
(For the FFY in which the SASP formula grant was made to your state and for which you are reporting,
provide the following for the current reporting period (January 1 through December 31): the amount
awarded to subgrantees during the current reporting period from that FFY SASP grant and the amount of
funds that were returned unused by subgrantees during the current reporting period from that FFY SASP
grant. If you made subgrants or had funds returned during the current reporting period from other FFY
SASP grants, you will need to complete a separate reporting form for each of the other FFY SASP grants
that apply. Do not report on amounts awarded or amounts returned unused during previous reporting
periods in this question.)
FFY of SASP grant
and grant #
FFY

Amount of SASP funds awarded Amount of SASP funds returned
to subgrantees during
unused by subgrantees during
current reporting period
current reporting period
$

$

SASP Program Annual Administrators Report • 1 • Office on Violence Against Women
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8A. Use of SASP funds for administrative costs
(If you used SASP funds for administrative costs during the current reporting period, indicate the
amount below, as well as the amounts used for administrative costs from this FFY SASP grant in previous years, if appropriate. The “Amount of SASP grant” will be prepopulated and the “Percentage used
for administrative costs” will be automatically calculated. If you used SASP funds from other FFY SASP
grants for administrative costs during the current reporting period, you will need to complete a separate
reporting form for each of the other FFY SASP grants that apply.)
FFY of SASP grant
and grant #
FFY

Amount of SASP
grant for FFY
$

Amount used for
administrative
costs in current
reporting period
$

Amount used for
administrative
costs in previous
reporting period(s)

Percentage
used for
administrative
costs

$

%

8B. Use of administrative funds
(If you reported administrative costs in question 8A, please provide a detailed description of the
amount and type of administrative costs, e.g., personnel, overhead, travel for subgrantee monitoring.
Maximum 2,000 characters.)

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9. Listing of active subgrants
(In a separate attachment to this report, please provide the following information on all subgrants that
were active during the current reporting period: subgrant #; date of award; amount of award; name of
subgrantee agency; contact person, address, telephone number; and subgrant period [beginning and
ending dates]. If you wish, you may use Appendix A as a guide for presenting this information.)

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NARRATIVE
Note: If you are submitting more than one Annual SASP Administrators Report, (because of funds subgranted, returned, or used for administrative costs from other FFY SASP grants), you must provide complete
responses to questions 10-12 on one of the reports you submit and indicate on the other forms which report
contains the full narrative responses. For example, you are completing two reports, one for FFY 2010 and
one for FFY 2011. On the report for FFY 2010 you provide complete responses to questions 10-12; on the
report for FFY 2011 you enter “See FFY 2010 report” in response to each of the three questions.
All SASP administrators must answer questions 10-12.
Please limit your response to the space provided (8,000 characters) for each question.
10. Report on your state or territory’s efforts to recognize and address the needs of underserved
populations during the current reporting period.
Underserved populations are those groups underserved because of geographic location (such as rural
isolation), race or ethnicity, or special needs (such as language barriers, disabilities, immigration status,
or age), and any other population determined to be underserved by the planning process in consultation
with the U.S. Attorney General. Page 5.
11. Discuss how SASP funding fits into your efforts and your use of other funding to address the needs
of sexual assault victims in your state or territory.
Consider state funding, funding from other federal agencies such as the Centers for Disease Control
and the Department of Health and Human Services, as well as any statewide planning documents that
address sexual assault, such as your state or territory’s STOP implementation plan. Page 7.
12. What do you see as the most significant areas of remaining need in your state or territory, with
regard to safety of sexual assault survivors and accountability for sex offenders?
Consider geographic regions, underserved populations, service delivery systems, and challenges and
barriers unique to your state or territory. Please include any areas where you might wish to receive
OVW-funded technical assistance. Page 9.
Questions 13-15 are optional.
Please limit your response to the space provided (8,000 characters) for each question.
13. What has SASP funding allowed your state or territory to do that it could not do without this funding?
Describe changes that occurred because of SASP funding. Consider expansion of services into new
geographical areas; provision of new types of services; increased numbers of victims/survivors served.
Page 11.

14. Provide information regarding SASP-funded model projects and/or promising practices that are
examples of what has been accomplished with SASP funding in your state or territory.
Describe and identify the funded projects and/or promising practices and the reasons you believe they
are exemplary. Page 13.
15. Provide any additional information that you would like us to know about your use of SASP funds
and/or the effectiveness of that funding.
If you have not already done so elsewhere on this form, feel free to discuss any of the following: institutionalization of staff positions, policies, and/or protocols; systems-level changes; community and statewide collaboration; the removal or reduction of barriers and challenges for victims/survivors; promising
practices; and positive or negative unintended consequences. Page 15.
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, 800 K Street, NW, Washington, DC 20531.

SASP Program Annual Administrators Report • 4 • Office on Violence Against Women
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Report on your state or territory’s efforts to recognize and address the needs of underserved populations
during the current reporting period.
Back to Instructions
Question #10

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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
OMB Clearance # 1122-0022
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Report on your state or territory’s efforts to recognize and address the needs of underserved populations
Back to Instructions
during the current reporting period.
Question #10 (cont.)

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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
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Discuss how SASP funding fits into your efforts and your use of other funding to address the need of sexual
assault victims in your state or territory.
Back to Instructions
Question #11

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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
OMB Clearance # 1122-0022
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Discuss how SASP funding fits into your efforts and your use of other funding to address the need of sexual
assault victims in your state or territory.
Back to Instructions
Question #11 (cont.)

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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
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What do you see as the most significant areas of remaining need in your state or territory, with regard to
Back to Instructions
safety of sexual assault survivors and accountability for sex offenders?
Question #12

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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
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What do you see as the most significant areas of remaining need in your state or territory, with regard to
safety of sexual assault survivors and accountability for sex offenders?
Back to Instructions
Question #12 (cont.)

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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
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What has SASP funding allowed your state or territory to do that it could not do without this funding?
Back to Instructions
Question #13

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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
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What has SASP funding allowed your state or territory to do that it could not do without this funding?
Back to Instructions
Question #13 (cont.)

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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
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Provide information regarding SASP-funded model projects and/or promising practices that are examples of
what has been accomplished with SASP funding in your state or territory.
Back to Instructions
Question #14

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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
OMB Clearance # 1122-0022
Expiration Date: 02/29/2016

Provide information regarding SASP-funded model projects and/or promising practices that are examples of
Back to Instructions
what has been accomplished with SASP funding in your state or territory.
Question #14 (cont.)

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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
OMB Clearance # 1122-0022
Expiration Date: 02/29/2016

Provide any additional information that you would like us to know about your use of SASP funds and/or the
effectiveness of that funding.
Back to Instructions
Question #15

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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.
OMB Clearance # 1122-0022
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Provide any additional information that you would like us to know about your use of SASP funds and/or the
effectiveness of that funding.
Back to Instructions
Question #15 (cont.)

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APPENDIX A
Information on SASP subgrants awarded during current reporting period
(List the subgrant numbers, award dates, award amounts, agency names and contact information,
and subgrant periods [beginning and ending dates].)

Subgrant

Date of
award

SASP award
amount

Name of agency
(Include contact person, address, phone)

Subgrant period

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Validate

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