Feasibility Study for the Evaluation of DHHS Programs That Are or May Be Operated Under Tribal Self-Governance. Site Visit Data Collection Forms

03/03/2004

  1. History of Tribal Self-Governance/Tribal Management of Federal Programs

    1. Are there individuals in the Tribe who have been involved in Self-Governance/Tribal management of Federal programs since these programs were first considered?  
                                     
      YES checkbox NO checkbox

                                                     

      • IF YES, who are they?
      • Are these individuals willing to and available to be interviewed, if an evaluation were to be conducted?                  
        YES checkbox NO checkbox
    2. Are there written documentation and reports that chronicle the initial steps that were taken when the Tribe first considered Self-Governance/management of Federal programs?                                
      YES checkbox NO checkbox

       

      YES checkbox NO checkbox
        • IF YES, would these documents and reports be available to be reviewed, if an evaluation were to be conducted? 
      • For each Tribally-managed program, are there individuals who have knowledge and information on the goals/objectives of the Tribe for the program, the extent to which those goals/objectives have been met, and how those goals/objectives have changed over time?  
        TTANF YES checkbox NO checkbox N/A checkbox IF YES, who are they?
        HEAD START YES checkbox NO checkbox N/A checkbox IF YES, who are they?
        LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM YES checkbox NO checkbox N/A checkbox IF YES, who are they?
        COMMUNITY SERVICE BLOCK GRANT  YES checkbox NO checkbox N/A checkbox IF YES, who are they?
        NATIVE EMPLOYMENT WORKS YES checkbox NO checkbox N/A checkbox IF YES, who are they?
        CHILD CARE AND DEVELOPMENT FUND YES checkbox NO checkbox N/A checkbox IF YES, who are they?
        CHILD WELFARE PROGRAMS YES checkbox NO checkbox N/A checkbox IF YES, who are they?
        PROMOTING SAFE AND STABLE FAMILIES YES checkbox NO checkbox N/A checkbox IF YES, who are they?
        FAMILY VIOLENCE PREVENTION AND SERVICES GRANTS FOR BATTERED WOMEN’S SHELTERS YES checkbox NO checkbox N/A checkbox IF YES, who are they?
        ADMINISTRATION ON AGING:  GRANTS TO NATIVE AMERICANS YES checkbox NO checkbox N/A checkbox IF YES, who are they?
        SAMHSA TARGETED CAPACITY EXPANSION GRANTS YES checkbox NO checkbox N/A checkbox IF YES, who are they?
        HEALTH SERVICES YES checkbox NO checkbox N/A checkbox IF YES, who are they?

                

      • For each Tribally-managed program, is there written documentation and reports that reflect the issues that were considered before the application for management of the program and the key factors that were considered? 
      • For each program, are there periodic written reports and documents that describe the implementation of the program, operational structure and changes over time, and services provided?
        TTANF  
          Documentation of issues at application: YES checkbox NO checkbox N/A checkbox
          Documentation of implementation, operational structure, changes over time, and services provided YES checkbox NO checkbox N/A checkbox
        HEAD START
          Documentation of issues at application: YES checkbox NO checkbox N/A checkbox
          Documentation of implementation, operational structure, changes over time, and services provided YES checkbox NO checkbox N/A checkbox
        LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM  
          Documentation of issues at application: YES checkbox NO checkbox N/A checkbox
          Documentation of implementation, operational structure, changes over time, and services provided YES checkbox NO checkbox N/A checkbox
        COMMUNITY SERVICE BLOCK GRANT 
          Documentation of issues at application: YES checkbox NO checkbox N/A checkbox
          Documentation of implementation, operational structure, changes over time, and services provided YES checkbox NO checkbox N/A checkbox
        NATIVE EMPLOYMENT WORKS 
          Documentation of issues at application: YES checkbox NO checkbox N/A checkbox
          Documentation of implementation, operational structure, changes over time, and services provided YES checkbox NO checkbox N/A checkbox
        CHILD CARE AND DEVELOPMENT FUND 
          Documentation of issues at application: YES checkbox NO checkbox N/A checkbox
          Documentation of implementation, operational structure, changes over time, and services provided YES checkbox NO checkbox N/A checkbox
        CHILD WELFARE PROGRAMS
          Documentation of issues at application: YES checkbox NO checkbox N/A checkbox
          Documentation of implementation, operational structure, changes over time, and services provided YES checkbox NO checkbox N/A checkbox
        PROMOTING SAFE AND STABLE FAMILIES 
          Documentation of issues at application: YES checkbox NO checkbox N/A checkbox
          Documentation of implementation, operational structure, changes over time, and services provided YES checkbox NO checkbox N/A checkbox
        FAMILY VIOLENCE PREVENTION AND SERVICES GRANTS FOR BATTERED WOMEN’S SHELTERSFAMILY VIOLENCE PREVENTION AND SERVICES GRANTS FOR BATTERED WOMEN’S SHELTERS 
          Documentation of issues at application: YES checkbox NO checkbox N/A checkbox
          Documentation of implementation, operational structure, changes over time, and services provided YES checkbox NO checkbox N/A checkbox
        ADMINISTRATION ON AGING:  GRANTS TO NATIVE AMERICANS    
          Documentation of issues at application: YES checkbox NO checkbox N/A checkbox
          Documentation of implementation, operational structure, changes over time, and services provided YES checkbox NO checkbox N/A checkbox
        SAMHSA TARGETED CAPACITY EXPANSION GRANTS   
          Documentation of issues at application: YES checkbox NO checkbox N/A checkbox
          Documentation of implementation, operational structure, changes over time, and services provided YES checkbox NO checkbox N/A checkbox
        HEALTH SERVICES 
          Documentation of issues at application: YES checkbox NO checkbox N/A checkbox
          Documentation of implementation, operational structure, changes over time, and services provided YES checkbox NO checkbox N/A checkbox
  2. Effects of Tribal Self-Governance/Tribal Management of Federal Programs on Tribal Government and Management Processes
    1. Are there individuals in the Tribe who have been involved in Tribal governance and management for a sufficiently long period that they can describe the changes in Tribal governance and management that occurred as a result or in association with the Tribe’s undertaking management of Federal programs?                  
      YES checkbox NO checkbox

      IF YES, who are they?

    2. Are there written sources of information that describe the structure and operations of Tribal government prior to Tribal Self-Governance/management of Federal programs and the changes that have occurred over time?                                 
      YES checkbox NO checkbox
    3. What would you suggest as a strategy for assessing the effects of Tribal Self-Governance/management of Federal programs on Tribal government, management, and on community involvement?

 

QUANTITATIVE DATA COLLECTION FORM

  1. What kinds of information are you collecting? 
       

    COMMENTS

    ATTACHMENT

    Do you collect detailed information on your clients/beneficiaries (number served, characteristics)?

    YES checkbox
    NO checkbox
     
    YES checkbox

    Do you collect information about the services provided to each client/beneficiary?

    YES checkbox
    NO checkbox
     
    YES checkbox

    Do you collect information about outcomes for each beneficiary?

    YES checkbox
    NO checkbox
     
    YES checkbox

    Do you have data on number of full-time and part-time personnel and on personnel ‘turnover’?

    YES checkbox
    NO checkbox
     
    YES checkbox

    Do you have cost information by cost component (administrative costs, personnel costs, other costs, by type)?

    YES checkbox
    NO checkbox
     
    YES checkbox

    Do you have records of funding allocations over time?

    YES checkbox
    NO checkbox
     
    YES checkbox

    Do you have records of funding allocations over time?

    YES checkbox
    NO checkbox
     
    YES checkbox
  2. How long have you been collecting this information? 

    Are these data available for each year since the Tribe began managing program?

    YES checkbox NO checkbox
  3. How and where is the information stored?
  4. If electronic storage (as opposed to paper files), how is it entered? 

    How frequently is it entered?

  5. If electronic, what kinds of formatting information and documentation do you have?
    Are file specifications available? 
    YES checkbox NO checkbox
  6. How could these data be provided for an evaluation (e.g., data file of XXX type, generated reports, hard copy for review)?
  7. What would be involved in getting permission to access these data?
  8. What kinds of problems exist in these data (e.g., missing data, miscoded data, long time lag between collection and entering)?