Domestic Victims of Human Trafficking (DVHT) Performance Indicators
The Domestic Victims of Human Trafficking (DVHT) Program is inclusive of two distinct programs: the Domestic Victims of Human Trafficking and Services Outreach Program (DVHT-SO) and the Victims of Human Trafficking in Native Communities Demonstration Program (VHT-NC). The data collection instruments are intended to collect information for both DVHT programs.
DVHT award recipients must provide the following program performance indicator data to OTIP on a quarterly and annual basis, as indicated. Award recipients will be provided with the following information when requesting data. Estimated time per response will be updated on each form to reflect the time estimated for that form (time estimates for each form are provided in the subheading titles throughout):
PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to gather data on the grant program to assess program performance, inform evaluation efforts, tailor technical assistance for recipients, respond to inquiries from stakeholders, and inform policy and program development. Public reporting burden for this collection of information is estimated to average XX hours per grant recipient, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This collection of information is required to retain a benefit (22 U.S.C. 7105, Trafficking Victims Protection Act). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0542 and the expiration date is XX/XX/XXXX. If you have any comments on this collection of information, please contact Vera Soto, Office on Trafficking in Persons, by email at Vera.Soto@acf.hhs.gov.
Quarterly Reports
Client Services – Client Characteristics and Program Entry (Public reporting burden for this collection of information is estimated to average 0.75 hours per grant recipient)
Intake Date
Referral Date
Referral Source
Child Protective Services/Child Welfare
Court
District Attorney/State's Attorney/Victim Services
Defense Attorney/Public Defender/Legal Aid
Domestic Violence Agency/Shelter
Educator/Teacher/School
Employer
Family Member/Guardian
Friend/Peer/Acquaintance
Health Care Provider
Housing Assistance Agency/Shelter
Juvenile Justice
Law Enforcement
National Human Trafficking Hotline (NHTH)
Other National Hotline
Psychiatric Treatment Facility
State/Local Hotline
Religious Organization
Self
Other (specify)
Type of Trafficking
Sex
Labor
Sex and Labor
Unknown
Does the client have family members receiving services from grant recipient?
Yes
No
Grant Eligibility Status
U.S. Citizen/Lawful Permanent Resident
Location Age
Sex
Male
Female
Not Reported
Does the client have a disability?
Ambulatory Difficulty
Cognitive Difficulty
Hearing Difficulty
Self-Care Difficulty
Vision Difficulty
Race/Ethnicity
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
White
Unknown
Living Situation at Intake
Emergency Housing
Institutional Housing
No Housing/Place not meant for habitation
Permanent Housing
Transitional Housing
Unknown
If client is a minor, are they enrolled in school?
Yes
No
Location of Services
State/Territory
Remote
Location of Trafficking
State/Territory
Country
Exploitation Industry/Venue
Agriculture/Field Labor
Auto-Mechanic/Auto-Shop/Car Repair
Arts/Entertainment
Bar/Cantina/Nightclub
Begging/Peddling
Carnival
Carpentry/Woodworking
Cobbling
Commercial Cleaning
Commercial Sex
Construction
Domestic Work
Elder Care
Escort Services
Factories/Manufacturing
Fishing
Forced Criminal Activities
Forestry/Logging
Garment/Textiles
Herding/Livestock
Health/Beauty
Health Care
Herding Livestock/Animal Husbandry
Hotel/Hospitality
Illicit Massage/Health
Landscaping
Mining/Quarrying
Other (specify)
Personal Sexual Servitude
Production of Child Sexual Abuse Material (CSAM)
Recreation/Sports
Religious Institution
Restaurant/Food Service
Retail Sales
Stripping/Dancing
Transportation
Traveling Sales Crew
Waste Management/Recycling
Not Reported
Commercial Sex Venue
Commercial Space-Based
Institution-Based
Technology-Based
Outdoor/Street-Based
Residence-Based
Not Reported
Client Services – Barriers to Service Delivery (Public reporting burden for this collection of information is estimated to average 0.167 hours per grant recipient)
Feelings of No Support and Isolation
Ineffective Coordination with Federal Agencies
Ineffective Coordination with Local Agencies
Lack of Adequate Funding
Lack of Adequate Resources
Lack of Adequate Training
Lack of Client Cooperation
Lack of Formal Rules and Regulations
Lack of Internal Procedures
Lack of Knowledge of Victims’ Rights
Language Barriers
Public Health Concerns
Safety Concerns
Client Legal Status
Other (specify)
None
Client Services – Client Case Closure (Public reporting burden for this collection of information is estimated to average 0.167 hours per grant recipient)
Case Closure Date
Reason for Case Closure
Client relocated
Client unable to meet program expectations
Determined ineligible for services
Incarcerated and out of contact with program
Lost contact with client
No longer in need of services
Time limitations of the program
Transfer to another service program
Other (specify)
Living Situation at Case Closure
Emergency Housing
Institutional Housing
No Housing/Place not meant for habitation
Permanent Housing
Transitional Housing
Unknown
Did the client receive a referral for continued case management services?
Yes
No
Client Outreach (Public reporting burden for this collection of information is estimated to average 0.3 hours per grant recipient)
Number of public awareness activities conducted
Number of outreach activities conducted
Outreach Settings
Agricultural Settings
Casinos
Commercial Establishments
Consulates
Court-Based Settings
Day Labor Settings
Detention Settings
Digital: Social Media
Digital: Other
Education Settings
Factories
Health Care Settings
Homeless Encampments
Hotel/Hospitality Settings
Massage Parlors
Shelter Settings
Street Settings
Strip Clubs
Youth Care Settings
Other (specify)
Number of Victims Identified
Subrecipient Enrollment (Public reporting burden for this collection of information is estimated to average 0.167 hours per grant recipient)
Name of Subrecipient Organization
Location of Subrecipient Organization
City
State
Type of Subrecipient 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)
Number of Subrecipient Service Sites
Services Provided by Subrecipient
Basic Necessities
Case Management
Child Care
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
Peer Support/Mentoring
Safety Planning Services
Substance Use Assessment/Treatment
Traditional Healing/Cultural Practices
Transportation
Victim Advocacy
Other (specify)
None
Unknown
Enrollment Date
Exit Date
Annual Performance Indicator Report
Client Services – Client Service Use and Delivery (Public reporting burden for this collection of information is estimated to average 0.25 hours per grant recipient)
Services Received
Basic Necessities
Case Management
Child Care
Crisis Intervention
Education Assistance
Employment Assistance
Family Reunification
Financial Assistance
Healthcare
Housing/Shelter Services
Interpreter/Translator Services
Legal Advocacy and Services
Life Skills
Mental/Behavioral Health Services
Peer Support/Mentoring
Safety Planning Services
Substance Use Assessment/Treatment
Traditional Healing/Cultural Practices
Transportation
Victim Advocacy
Other (specify)
None
Benefits Received
Child Care Subsidy
Food Benefits (SNAP, WIC, Tribal Commodities)
General Assistance
Housing Subsidies (Section 8, HUD Vouchers)
Medicaid, Medicare, or SCHIP
State-specific Health Benefits
Social Security Disability (SSI or SSDI)
Temporary Assistance for Needy Families
Unemployment Insurance
Other (specify)
None
Client Service Costs (Public reporting burden for this collection of information is estimated to average 0.75 hours per grant recipient)
Total dollars spent on each type of service
Percentage of recipient’s budget spent on each type of service
Total grant recipient budget for project
Basic Necessities
Case Management
Childcare
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
Peer Support and Mentoring
Safety Planning Services
Substance Use Assessment/Treatment
Traditional Healing/Cultural Practices
Transportation
Victim Advocacy
Other
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