Reporting Community Outreach and Advocacy Equal Access and Participation: Requirement – 4. Does your organization document Y N the dissemination of information to the community (including clients, potential clients and advocacy groups) about HHS’s Title VI programs and your organization’s commitment to compliance with civil rights and non-discrimination? 4.a Does your organization – regularly meet or communicate with Y N community organizations and advocacy groups? 4.b What community organizations – and advocacy groups do you Y N communicate regularly with, and how? (List on a separate sheet) Reporting Compliance – Equal Access and Participation: Requirement 5. Does your organization record and maintain statistics which will Y N document equal access and participation in compliance with Title VI ? 5.a Do your records identify – participants and applicants in each Y N program at each center or location, and if so, do you record race, color, national origin, age, gender and disability status? 5.b Are the participation rates Y N – reported to the EO Section and how – often? 5.c Do you report the number and Y N – enrollment of applicants and the number of participants who complete each program? 5.d Do you offer and collect Y N – participant satisfaction surveys for each program? Y N 5.e Who has physical custody of – the records on applicants and participants, and surveys? - Limited English Proficiency and Auxiliary Aids Plan Equal Access and Participation: Requirement 6. Does your organization annually review the Department’s LEP and Y N Auxiliary Aids Plan (LEP/AA) and incorporate any changes in the local LEP/AA Plan provisions? 6.a Who is designated as the (Name, Title and Phone number) LEP/AA Plan contact and coordinator?
Requirement – Equal Access and Participation: Reporting Community Outreach and Advocacy 4. Does your organization document the dissemination of information to the community (including clients, potential clients and advocacy groups) about HHS’s Title VI programs and your organization’s commitment to compliance with civil rights and non-discrimination? Y N 4.a – Does your organization regularly meet or communicate with community organizations and advocacy groups? Y N 4.b – What community organizations and advocacy groups do you communicate regularly with, and how? (List on a separate sheet) Y N Requirement – Equal Access and Participation: Reporting Compliance 5. Does your organization record and maintain statistics which will document equal access and participation in compliance with Title VI ? Y N 5.a – Do your records identify participants and applicants in each program at each center or location, and if so, do you record race, color, national origin, age, gender and disability status? Y N 5.b – Are the participation rates reported to the EO Section – and how often? Y N 5.c – Do you report the number and enrollment of applicants and the number of participants who complete each program? Y N 5.d – Do you offer and collect participant satisfaction surveys for each program? Y N 5.e – Who has physical custody of the records on applicants and participants, and surveys? Y N Requirement - Equal Access and Participation: Limited English Proficiency and Auxiliary Aids Plan 6. Does your organization annually review the Department’s LEP and Auxiliary Aids Plan (LEP/AA) and incorporate any changes in the local LEP/AA Plan provisions? Y N 6.a Who is designated as the LEP/AA Plan contact and coordinator? (Name, Title and Phone number)
RFA15-005-%20IV.docx