Annual Report - Independent Living Services For Older Individuals Who Are Blind

RSA-7-OB for Tennessee Division of Rehabilitation Services - H177B180042 report through September 30, 2018

Instructions

Introduction

The revised ED RSA-7-OB form incorporates revisions to the four established performance measures for the Independent Living Services for Older Individuals who are Blind (IL-OIB) program. Added in 2007, these measures aim to better reflect the program’s impact on individual consumers and the community.

Added to capture information that may be required to meet GPRA guidelines, the performance measures can be found under Part VI: Program Outcomes/Performance Measures as follows:

Measure 1.1

Of individuals who received AT (assistive technology) services and training, the percentage who regained or improved functional abilities previously lost as a result of vision loss.

Measure 1.2

Of individuals who received orientation and mobility (O & M) services, the percentage who experienced functional gains or maintained their ability to travel safely and independently in their home and/or community environment.

Measure 1.3

Of individuals who received services or training in alternative non-visual or low vision techniques, the percentage that experienced functional gains or were able to successfully restore and maintain their functional ability to engage in their customary life activities within their home environment and community.

Measure 1.4

Of the total individuals served, the percentage that reported that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services.

Revisions to these established program performance measures consists of the following additional five items:

E1. Enter the Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received (Closed/inactive cases only)

E2. Enter the number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received (closed/inactive cases only)

E3. Enter the number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received (closed/inactive cases only)

E4. Enter the number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only)

E5. Enter the number of individuals served who died before achieving functional gain or experiencing changes in lifestyle as a result of services they received. (closed/inactive cases only)

Submittal Instructions

OIB grantees are expected to complete and submit the 7-OB Report online through RSA’s website (https://rsa.ed.gov), unless RSA is notified of pertinent circumstances that may impede the online submission.

To register with RSA’s MIS, please go to https://rsa.ed.gov and click on Info for new users. The link provides instructions for obtaining an agency-specific username and password. Further instructions for completing and submitting the 7-OB Report online will be provided upon completion of the registration process.

OIB grantees submitting the 7-OB Report online are not required to mail signed copies of the 7-OB Report to RSA, but they must certify in the MIS that the signed and dated 7-OB Report and lobbying certification forms are retained on file.

The Report submittal deadline is no later than December 31 of the reporting year.

Part I: Funding Sources for Expenditures And Encumbrances — Instructions

Please note: Total expenditures and encumbrances for direct program services in Part I (C) must equal the total funds spent on service in Part IV. Part I C must equal the sum of Part IV A1+B1+C1+D1.

A. Funding SourceS for Expenditures and encumbrances in reported fy

A1. Enter the total amount of Title VII-Chapter 2 funds expended or encumbered during the reported FY. Include expenditures or encumbrances made from both carryover funds from the previous FY and from the reported FY grant funds.

A2. Enter the total of any other federal funds expended or encumbered in the Title VII-Chapter 2 program during the reported FY. Designate the funding sources and amounts in (a) through (e).

A3. Enter the total amount of state funds expended or encumbered in the Title VII - Chapter 2 program. Do not include in-kind contributions (e.g., documented value of services, materials, equipment, buildings or office space, or land).

A4. Enter the total amount of third party contributions including local and community funding, non-profit or for-profit agency funding, etc. Do not include in-kind contributions (e.g., documented value of services, materials, equipment, buildings or office space, or land).

A5. Enter the total amount of in-kind contributions from non-federal sources. Include value of property or services that benefit the Title VII-Chapter 2 program (e.g. the fairly evaluated documented value of services, materials, equipment, buildings or office space or land).

A6. Enter the total matching funds (A3 + A4 + A5). Reminder: The required non-federal match for the Title VII-Chapter 2 program is not less than $1 for each $9 of federal funds provided in the Title VII-Chapter 2 grant. Funds derived from or provided by the federal government, or services assisted or subsidized to any significant extent by the federal government, may not be included in determining the amount of non-federal contributions.

A7. Enter the total amount of all funds expended and encumbered (A1 + A2 + A6) during the reported fiscal year.

B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs

Enter the total amount of expenditures and encumbrances allocated to administrative, support staff, and general overhead costs. Do not include costs for direct services provided by agency staff or the costs of contract or sub-grantee staff that provide direct services under contracts or sub-grants. If an administrator spends a portion of his or her time providing administrative services and the remainder providing direct services, include only the expenditures for administrative services.

C. Total expenditures and encumbrances for direct program services

Enter the total amount of expenditures and encumbrances for direct program services by subtracting line B from line A7.

Part II: Staffing — Instructions

Base all FTE calculations upon a full-time 40-hour workweek or 2080 hours per year. Record all FTE assigned to the Title VII-Chapter 2 program irrespective of whether salary is paid with Title VII-Chapter 2 funds.

A. Full-time Equivalent (FTE) Program Staff

A1. Under the “Administrative & Support” column (A1a), enter the full-time equivalent (FTE) of all administrative and support staff (e.g. management, program directors, supervisors, readers, drivers for staff, etc.) assigned to the Title VII-Chapter 2 program from the State agency. (For example, if 20% or 8 hours per week of a staff person’s time were spent on administrative and support functions related to this program, the FTE for that staff person would be .2). Under the “Direct Services” column (A1b), enter the FTE of all direct service staff (e.g. rehabilitation teacher, IL specialist, orientation and mobility specialist, social worker, drivers for individuals receiving services, etc.) assigned to the Title VII-Chapter 2 program from the State agency. If administrative or support staff of the State agency also provide direct services, report the FTE devoted to direct services in the “Direct Services” column (A1b). (For example, if 80% of a staff person’s time were spent in providing direct services, the FTE for that person would be 8). Finally, add across the “Administrative & Support” FTE (A1a) and “Direct Service” FTE (A1b) to enter the total State agency FTE in the TOTAL (A1c) column.

A2. Under the “Administrative & Support” column (A2a), enter the full-time equivalent (FTE) of all administrative and support staff (e.g. management, program directors, supervisors, readers, drivers for staff, etc.) assigned to the Title VII-Chapter 2 program from contractors or sub-grantees. Under the “Direct Services” column (A2b), enter the FTE of all direct service staff (e.g. rehabilitation teacher, IL specialist, orientation and mobility specialist, social worker, driver for individuals receiving services, etc.) assigned to the Title VII-Chapter 2 program from contractors and sub-grantees. If administrative staff of the contractors or sub-grantees also provides direct services, report the FTE devoted to direct services in the “Direct Services” column (A2b). Finally, add across the “Administrative & Support” FTE (A2a) and “Direct Service” FTE (A2b) to enter the total contractor or sub-grantee FTE in the TOTAL (A2c) column.

A3. Add each column for A1 and A2 and record totals on line A3.

B. Employed or advanced in employment

B1. Enter the total number of employees (agency and contractor/sub-grantee staff) with disabilities (include blind and visually impaired not 55 or older), including blindness or visual impairment, in B1a. Enter the FTE of employees with disabilities in B1b. (To calculate B1b, add the total number of hours worked by all employees with disabilities and divide by 2080 to arrive at the FTE)

B2. Enter the total number of employees (agency and contractor/sub-grantee staff) who are blind or visually impaired and age 55 and older in B2a. Enter the FTE of employees who are blind or visually impaired and age 55 or older in B2b. (To calculate B2b, add the total number of hours worked by employees who are blind or visually impaired and age 55 and older and divide by 2080 to arrive at the FTE)

B3. Enter the total number of employees (agency and contractor/sub-grantee staff) who are members of racial/ethnic minorities in B3a. Enter the FTE of employees who are members of racial/ethnic minorities in B3b. (To calculate B3b, add the total number of hours worked by employees who are members of racial/ethnic minorities and divide by 2080 to arrive at the FTE)

B4. Enter the total number of employees (agency and contractor/sub-grantee staff) who are women in B4a. Enter the FTE of employees who are women in B4b. (To calculate B4b, add the total number of hours worked by women and divide by 2080 to arrive at the FTE)

B5. Enter the total number of employees (agency and contractor/sub-grantee staff) who are ages 55 and older, but not blind or visually impaired, in B5a. Enter the FTE of employees who are ages 55 and older, but not blind or visually impaired, in B5b. (To calculate B5b, add the total number of hours worked by employees who are ages 55 and older, but not blind or visually impaired, and divide by 2080 to arrive at the FTE)

C. Volunteers

C1. Enter the FTE of program volunteers in C1. (To calculate C1, add the total number of hours worked by all program volunteers and divide by 2080 to arrive at the FTE).

Part III: Data on Individuals Served — Instructions

Provide data in all categories on program participants who received one or more services during the fiscal year being reported.

A. Individuals Served

A1. Enter the number of program participants carried over from the previous federal fiscal year who received services in this reported FY (e.g. someone received services in September (or any other month) of the previous FY and continued to receive additional services in the reported FY).

A2. Enter the number of program participants who began receiving services during the reported fiscal year irrespective of whether they have completed all services.

A3. Enter the total number served during the reported fiscal year (A1 + A2).

B. Age

B1-B10. Enter the total number of program participants served in each respective age category.

B11. Enter the sum of B1 through B10. This must agree with A3.

C. Gender

C1. Enter the total number of females receiving services.

C2. Enter the total number of males receiving services.

C3. Enter the sum of C1 and C2. This must agree with A3.

D. Race/Ethnicity

Hispanic or Latino means a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

D1. Enter the number of individuals served who are Hispanic/Latino of any race or Hispanic/Latino only. Hispanic/Latino means a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

D2. Enter the number of individuals served who are American Indian or Alaska Native. American Indian or Alaska Native means a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

D3. Enter the number of individuals served who are Asian. Asian means a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

D4. Enter the number of individuals served who are Black or African American. Black or African American means a person having origins in any of the black racial groups of Africa. Terms such as “Haitian” may be used.

D5. Enter the number of individuals served who are Native Hawaiian or Other Pacific Islander. Native Hawaiian or Other Pacific Islander means a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

D6. Enter the number of individuals served who are White or Caucasian. White means a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

D7. Enter the number of individuals served who report two or more races but who are not Hispanic/Latino of any race.

D8. Enter “race and ethnicity unknown” only if the consumer refuses to identify race and ethnicity.

D9. Enter the total of D1 through D8. This number must agree with A3.

E. Degree of Visual Impairment

E1. Enter the number of individuals served who are totally blind (e.g. have light perception only or no light perception).

E2. Enter the number of individuals served who are legally blind (excluding those recorded in E1).

E3. Enter the number of individuals served who have severe visual impairment.

E4. Add E1 + E2 + E3 and enter the total. This number must agree with A3.

F. Major Cause of Visual Impairment

(Please note that the primary site for the definitions of diseases is http://www.nia.nih.gov/AboutNIA/StrategicPlan/ResearchGoalA/Subgoal1.htm.)

Enter only one major cause of visual impairment for each individual served.

F1. Enter the number of individuals served who have macular degeneration as the major cause of visual impairment. Age-related macular degeneration (AMD) is a progressive disease of the retina wherein the light-sensing cells in the central area of vision (the macula) stop working and eventually die. The cause of the disease is thought to be a combination of genetic and environmental factors, and

It is most common in people who are age 60 and over. AMD is the leading cause of legal blindness in senior citizens.

F2. Enter the number of individuals served who have diabetic retinopathy as the major cause of visual impairment. Diabetic retinopathy is the leading cause of new cases of legal blindness among working-age Americans and is caused by damage to the small blood vessels in the retina. It is believed that poorly controlled blood sugar levels are related to its progression. Most persons with diabetes have non-insulin-dependent diabetes mellitus (NIDDM) or what is commonly called “adult-onset” or Type II diabetes, and control their blood sugar with oral medications or diet alone. Others have insulin-dependent diabetes mellitus (IDDM), also called "younger or juvenile-onset" or Type I diabetes, and must use insulin injections daily to regulate their blood sugar levels.

F3. Enter the number of individuals served who have glaucoma as the major cause of visual impairment. Glaucoma is a group of eye diseases causing optic nerve damage that involves mechanical compression or decreased blood flow. It is permanent and is a leading cause of blindness in the world, especially in older people.

F4. Enter the number of individuals served who have cataracts as the major cause of visual impairment. A cataract is a clouding of the natural lens of the eye resulting in blurred vision, sensitivity to light and glare, distortion, and dimming of colors. Cataracts are usually a natural aging process in the eye (although they may be congenital) and may be caused or accelerated by other diseases such as glaucoma and diabetes.

F5. Enter the number of individuals served who have any other major cause of visual impairment.

F6. Enter the sum of F1 through F5. This number must agree with A3.

G. Other Age-Related Impairments

Enter the total number of individuals served in each category. Individuals may report one or more non-visual impairments/conditions. The National Institute on Aging (NIA) Strategic Plan identifies age-related diseases, disorders, and disability including the following categories.

G1. Hearing Impairment: Presbycusis is the gradual hearing loss that occurs with aging. An estimated one-third of Americans over 60 and one-half of those over 85 have some degree of hearing loss. Hearing impairment occurs when there is a problem with or damage to one or more parts of the ear, and may be a conductive hearing loss (outer or middle ear) or a sensorineural hearing loss (inner ear) or a combination. The degree of hearing impairment can vary widely from person to person. Some people have partial hearing loss, meaning that the

Ear can pick up some sounds; others have complete hearing loss, meaning that the ear cannot hear at all. One or both ears may be affected, and the impairment may be worse in one ear than in the other.

G2. Diabetes: Diabetes is a disease in which the body does not produce or properly use insulin, a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. Type 2 diabetes, which results from insulin resistance and abnormal insulin action, is most prevalent in the older population. Diabetes complications, such as heart disease and loss of sight, increase dramatically when blood sugar is poorly controlled and often develop before diabetes is diagnosed.

G3. Cardiovascular Disease and Strokes: Diseases of the heart and blood vessels are the leading cause of hospitalization and death in older Americans. Congestive heart failure is the most common diagnosis in hospitalized patients aged 65 and older.

G4. Cancer: The second leading cause of death among the elderly is cancer, with individuals age 65 and over accounting for 70 percent of cancer mortality in the United States. Breast, prostate, and colon cancers, are common in older people.

G5. Bone, Muscle, Skin, Joint, and Movement Disorders: Osteoporosis (loss of mass and quality of bones), osteoarthritis (inflammation and deterioration of joints), and sarcopenia (age-related loss of skeletal muscle mass and strength) contribute to frailty and injury in millions of older people. Also contributing to loss of mobility and independence are changes in the central nervous system that control movement. Cells may die or become dysfunctional with age, as in Parkinson's disease. Therefore, older people may have difficulty with gross motor behavior, such as moving around in the environment, or with fine motor skills, such as writing.

G6. Alzheimer’s Disease/Cognitive Impairment: Alzheimer’s disease is the most common type of dementia (a brain disorder that significantly affects an individual’s ability to carry out daily life activities) in older people. It and other cognitive impairments impact parts of the brain that control thought, memory, and language.

G7. Depression is widespread, often undiagnosed, and often under-treated in the elderly. It is believed to affect more than 6.5 million of the 35 million Americans who are 65 or older. Depression is closely associated with dependency and disability. Symptoms may include: loss of interest in normally pleasurable activities, persistent, vague or unexplained somatic complaints, memory complaints, change in weight, sleeping disorder, irritability or demanding behavior, lack of attention to personal care, difficulty with concentration, social withdrawal, change in appetite, confusion, delusions or hallucinations, feeling of worthlessness or hopelessness, and thought about suicide.

G8. Other Major Geriatric Concerns: Several conditions can compromise independence and quality of life in older persons including weakness and falls, urinary incontinence, benign prostatic hyperplasia, and co morbidity (co morbidity describes the effect of all other diseases an individual might have on the primary disease).

H. Type of Residence

H1. Enter the number of individuals served who live in private residence (house or apartment unrelated to senior living).

H2. Enter the number of Individuals served who live in senior living/retirement community (e.g. housing designed for those age 55 and older).

H3. Enter the number of individuals served who live in assisted living facility (e.g. housing that provides personal care and services which meet needs beyond basic provision of food, shelter and laundry).

H4. Enter the number of individuals served who live in nursing homes/long-term care facility (e.g. any facility that provides care to one or more persons who require nursing care and related medical services of such complexity to require professional nursing care under the direction of a physician on a 24 hour a day basis).

H5. Enter the number of individuals served who are homeless

H6. Enter the sum of H1, H2, H3, H4 and H5. This number must agree with A3.

I. Source of Referral

I1. Enter the number of individuals served referred by an ophthalmologist or optometrist.

I2. Enter the number of individuals served referred by a medical provider other than an ophthalmologist or optometrist.

I3. Enter the number of individuals served referred by a state vocational rehabilitation agency.

I4. Enter the number of individuals served referred by a government or social services agency defined as a public or private agency which provides assistance to consumers related to eligibility and securing entitlements and benefits, counseling, elder law services, assistance with housing, etc.

I5. Enter the number of individuals served referred by the Veterans Administration

I6. Enter the number of individuals served referred by a senior program defined as a community-based educational, recreational, or socialization program operated by a senior center, nutrition site, or senior club.

I7. Enter the number of individuals served referred by an assisted living facility defined as housing that provides personal care and services which meet needs beyond basic provision of food, shelter and laundry.

I8. Enter the number of individuals served referred by a nursing home/long-term care facility defined as any facility that provides care to one or more persons who require nursing care and related medical services of such complexity to require professional nursing care under the direction of a physician on a 24 hour a day basis.

I9. Enter the number of individuals served referred by a faith-based (religious affiliated) organization.

I10. Enter the number of individuals served referred by an independent living center (ILC) defined as a consumer-controlled, community-based, cross-disability, nonresidential private nonprofit agency that is designed and operated within a local community by individuals with disabilities, and provides an array of independent living services.

I11. Enter the number of individuals referred by a family member or friend.

I12. Enter the number of individuals who were self-referred.

I13. Enter the number of individuals referred from all other sources aside from those listed above.

I14. Enter the sum of I1, I2, I3, I4, I5, I6, I7, I8, I9, I10, I11, I12, and I13. This number must agree with A3

Part IV: Types of Services Provided and Resources Allocated — Instructions

Please note: Total expenditures and encumbrances for direct program services in Part I C must equal the total funds spent on services in Part IV. Part I C must equal the sum of Part IV A1+B1+C1+D1.

In addition, salary or costs associated with direct service staff or contractors providing

direct services should be included in the cost of services provided in A, B, C, and D.

A. Clinical / Functional Vision Assessments and Services

A1. Enter the total cost from Title VII-Chapter 2 federal grant funds (A1a) and the total cost from all other sources of program funding (A1b) for clinical and/or functional vision assessments and services, whether purchased or provided directly.

A2. Enter the total number of program participants who received clinical vision screening or vision examinations from qualified or certified professionals such as ophthalmologists or optometrists, and who received functional vision assessments or low vision evaluations to identify strategies for enhancing visual performance both without and with optical and low vision devices and equipment. Assessment areas may include functional visual acuity and fields, efficiency of vision in the performance of everyday tasks, and evaluation for low vision aids or equipment. These assessments are typically provided by skilled professionals or those who are certified or have a master’s degree in low vision rehabilitation. Do not include evaluations for orientation and mobility. These should be included in C3.

A3. Enter the total number of program participants who received surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions; and, hospitalizations related to such services. Include prescription optics in this service category. Nonprescription optics should be reported in B2.

B. Assistive Technology Devices, Aids, Services and Training

B1. Enter the total cost from Title VII-Chapter 2 federal grant funds (B1a) and the total cost from all other sources of program funding (B1b) for the provision of assistive technology devices, aids, services and training.

B2. Enter the total number of program participants who received one or more assistive technology devices and aids. As defined in Section 3(4) of the Assistive Technology Act of 2004 (Pub. L. 108-364), “assistive technology device means any item, piece of equipment, or product system whether acquired commercially, modified, or customized that is used to increase, maintain, or improve functional capabilities of individuals with disabilities.” Assistive technology devices may include such items as canes, slates, insulin gauges, CCTVs, computers, adaptive software, magnifiers, adaptive cooking items, adaptive recreational items, handwriting guides, Braillers, large button telephones, etc.

B3. Enter the total number of program participants who received one or more assistive technology services and training. As defined in Section 3(5) of the Assistive Technology Act of 2004 (PL 108-364), “assistive technology service means any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device.” Services may include the evaluation of assistive technology needs of an individual, services related to acquisition of technology, costs of loan programs, maintenance and repair of assistive technology, training or technical assistance for the individual or professionals related to the use of assistive technology, programs to expand the availability of assistive technology, low vision therapy services related to the use of optical aids and devices, and other services related to the selection, acquisition, or use of an assistive technology device.

C. Independent Living and Adjustment Training and Services

C1. Enter the total cost from Title VII-Chapter 2 federal grant funds (C1a) and the total cost from all other sources of program funding (C1b) for the provision of services and adjustment training leading to independent living. Evaluation and assessment services (excluding those included in A2 or B3) leading to the planning and implementation of services and training should be included in these costs.

C2. Enter the total number of individuals who received orientation and mobility (O & M) services or travel training (i.e. learning to access public or private transportation and to travel safely and as independently as possible in the home and community with or without the use of mobility aids and devices).

C3. Enter the total number of individuals who received communication skills training (e.g. reading and writing Braille, keyboarding and computer literacy, computer skills training, using the telephone, handwriting guides, telling time, using readers, use of audio and tactile technologies for home, recreational or educational use; etc.). Training in the use of newspaper reading services and radio services should be included.

C4. Enter the total number of individuals who received personal management and daily living skills training (e.g. training in the use of adaptive aids and assistive technology devices for personal management and daily living, blindness and low vision alternative techniques for food preparation, grooming and dress, household chores, medical management, shopping, recreational activities, etc.)

C5. Enter the total number of individuals who received supportive services (e.g. reader services, transportation, personal attendant services, support service providers, interpreters, etc.) while actively participating in the program or attaining independent living goals.

C6. Enter the total number of program participants who participated in advocacy training or support network activities such as consumer organization meetings, peer support groups, etc.

C7. Enter the total number of individuals who received counseling (peer, individual or group) to assist them in adjusting to visual impairment and blindness.

C8. Enter the total number of program participants that received information and referral to other service providers, programs, and agencies (e.g. senior programs, public and private social service programs, faith-based organizations, consumer groups, etc.) to enhance adjustment, independent living, and integration into the community. Do not include individuals who received only information and referral and for whom no other services were provided.

C9. Enter the total number of individuals served who were provided any other service not listed above.

D. Community Awareness Activities / Information and Referral

D1. Enter the total cost from Title VII-Chapter 2 federal grant funds (D1a) and the total cost from all other sources of program funding (D1b) for providing information and referral services and community awareness activities/events to individuals for whom this was the only service provided (i.e. training for other professionals, telephone inquiries, general inquiries, etc.).

D2. Enter the number of individuals receiving information and referral services for whom this is the only service provided. (optional)

D3. Enter the number of community awareness events/activities in which the Chapter 2 program participated during the reported year (D3a) and the number or estimated number of individuals who benefited from these activities (D3b).

Part V: Comparison of Prior Year Activities to Current Reported Year — Instructions

A1. Program Expenditures and Encumbrances (all sources) Enter the total cost of the program for the prior fiscal year (A1a), and the fiscal year being reported (A1b). The total cost of the program can be found in Part I A7. Calculate the change (plus or minus) from the prior year to the reported year (A1c).

A2. Number of Individuals Served Enter the total number of eligible individuals served in the prior year (A2a), and in the current reported year (A2b). The total number of individuals served can be found in Part III A3. Calculate the change (plus or minus) in the numbers served from the prior year to the reported year (A2c).

A3. Number of Minority Individuals Served Enter the total number of minority individuals served in the prior year (A3a), and in the fiscal year currently being reported (A3b). The total number of minority individuals served is the total of Part III D1+D2+D3+D4+D5 +D7. Calculate the change (plus or minus) in the numbers served from the prior year to the reported year (A3c).

A4. Number of Community Awareness Activities Enter the number of community awareness activities or events in which the Chapter 2 program participated during the prior year (A4a), and in the fiscal year currently being reported (A4b). The number of community awareness activities is found in Part IV D3a. Calculate the change (plus or minus) in the number of events from the prior year to the year being reported (A4c).

A5. Number of Collaborating Agencies and Organizations Enter the number of collaborating organizations or agencies (formal agreements or informal activity) other than Chapter 2 paid sub-grantees or contractors in the prior year (A5a), and in the fiscal year currently being reported (A5b). Calculate the change (plus or minus) from the prior year to the year being reported (A5c).

A6. Number of Sub-grantees/Contractors If you provide services through sub-grantee agencies or contract, enter the number of sub-grantees or contracts in the prior year (A6a), and in the fiscal year currently being reported (A6b). Calculate the change (plus or minus) from the prior year to the year being reported (A6c). If you do not use sub-grantees, enter 0 in A6a, A6b, and A6c.

Part VI: Program Outcomes/Performance Measures — Instructions

A. Enter the number from Part IV B3 in A1. From available program data and evaluations, enter the number of individuals receiving AT (assistive technology) services and training who maintained or improved functional abilities that were previously lost or diminished as a result of vision loss in A2. (closed/inactive cases only).

In A3, from available program data and evaluations, enter the number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

B. Enter the number from Part IV C2 in B1. From available program data and evaluations, of those receiving orientation and mobility (O & M) services, enter the number of individuals who experienced functional gains or maintained their ability to travel safely and independently in their residence and/or community environment as a result of services in B2 (closed/inactive cases only).

In B3, from available program data and evaluations, enter the number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

C. Enter the number from Part IV C3 in C1. From available program data and evaluations, of those receiving communication skills training, enter the number of individuals who gained or maintained their functional abilities as a result of services they received in C2 (Closed/inactive cases only).

In C3, from available program data and evaluations, enter the number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

D. Enter the number from Part IV C4 in D1. From available program data and evaluations, of those receiving daily living skills training, enter the number of individuals that experienced functional gains or successfully restored or maintained their functional ability to engage in their customary daily life activities as a result of services or training in personal management and daily living skills In D2 (Closed/inactive cases only).

In D3, enter the Number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

E1. Enter the Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received (Closed/inactive cases only).

E2. Enter the number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received (Closed/inactive cases only).

E3. Enter the number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received (Closed/inactive cases only).

E4. Enter the number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss (Closed/inactive cases only). “Change in lifestyle” is defined as any non-vision related event that results in the consumer’s reduced independence, such as moving from a private residence (house or apartment) to another type of residence e.g. living with family, senior living community, assisted living facility, nursing home/long-term facility, etc. Reduced independence could also result in employing a caregiver to enable the consumer continue to live in his/her home. Examples of events that could result in reduced independence of the consumer include loss of spouse and onset or worsening of other health conditions such as diabetes, cancer, heart disease, etc.

E5. Enter the number of individuals served who died before achieving functional gain or experiencing changes in lifestyle as a result of services they received (Closed/inactive cases only).

Part VII: Training and Technical Assistance — Instructions

On July 22, 2014, Public Law 113-128, the Workforce Innovation and Opportunity Act (WIOA) was enacted and included a new requirement under Section 751A that the RSA Commissioner shall conduct a survey of designated State agencies that receive grants under section 752 regarding training and technical assistance needs in order to determine funding priorities for such training and technical assistance. Please enter a brief description of training and technical assistance needs that you may have to assist in the implementation and improvement of the performance of your Independent Living Services for Older Individuals Who Are Blind grant (for example, financial management, reporting requirements on the 7-OB, program management, data analysis and program performance, law and applicable regulations, provision of services and service delivery, promising practices, resources and information, outreach, etc.).

Part VIII: Narrative — Instructions

Self-explanatory.

Part IX: Signature Instructions

Please sign and print the name, title and telephone number of the IL-OIB Program Director.

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year641,764
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year0
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2641,764
A2. Total other federal1,432,029
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement1,432,029
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)71,307
A4. Third party0
A5. In-kind0
A6. Total Matching Funds71,307
A7. Total All Funds Expended2,145,100
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs191,201
C. Total expenditures and encumbrances for direct program services1,953,899

Part II: Staffing

FTE (full time equivalent) is based upon a 40-hour workweek or 2080 hours per year.

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 4.5000 24.1500 28.6500
2. FTE Contractors 0.0000 0.0000 0.0000
3. Total FTE 4.5000 24.1500 28.6500

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 3 0.0540
2. Employees with Blindness Age 55 and Older 3 0.0540
3. Employees who are Racial/Ethnic Minorities 5 0.0901
4. Employees who are Women 26 0.4669
5. Employees Age 55 and Older 10 0.1712

C. Volunteers

0.00

Part III: Data on Individuals Served

Provide data in each of the categories below related to the number of individuals for whom one or more services were provided during the reported fiscal year.

A. Individuals Served

1. Number of individuals who began receiving services in the previous FY and continued to receive services in the reported FY213
2. Number of individuals who began receiving services in the reported FY681
3. Total individuals served during the reported fiscal year (A1 + A2) 894

B. Age

1. 55-5962
2. 60-6470
3. 65-6975
4. 70-7488
5. 75-79129
6. 80-84136
7. 85-89157
8. 90-94147
9. 95-9928
10. 100 & over2
11. Total (must agree with A3)894

C. Gender

1. Female665
2. Male229
3. Total (must agree with A3)894

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race10
2. American Indian or Alaska Native0
3. Asian3
4. Black or African American126
5. Native Hawaiian or Other Pacific Islander0
6. White751
7. Two or more races2
8. Race and ethnicity unknown (only if consumer refuses to identify)2
9. Total (must agree with A3)894

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)38
2. Legally Blind (excluding totally blind)332
3. Severe Visual Impairment524
4. Total (must agree with A3)894

F. Major Cause of Visual Impairment

1. Macular Degeneration470
2. Diabetic Retinopathy75
3. Glaucoma143
4. Cataracts18
5. Other188
6. Total (must agree with A3)894

G. Other Age-Related Impairments

1. Hearing Impairment154
2. Diabetes250
3. Cardiovascular Disease and Strokes401
4. Cancer47
5. Bone, Muscle, Skin, Joint, and Movement Disorders402
6. Alzheimer's Disease/Cognitive Impairment30
7. Depression/Mood Disorder57
8. Other Major Geriatric Concerns222

H. Type of Residence

1. Private residence (house or apartment)737
2. Senior Living/Retirement Community108
3. Assisted Living Facility41
4. Nursing Home/Long-term Care facility8
5. Homeless0
6. Total (must agree with A3)894

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)232
2. Physician/medical provider13
3. State VR agency36
4. Government or Social Service Agency101
5. Veterans Administration0
6. Senior Center21
7. Assisted Living Facility3
8. Nursing Home/Long-term Care facility1
9. Faith-based organization1
10. Independent Living center9
11. Family member or friend155
12. Self-referral227
13. Other95
14. Total (must agree with A3)894

Part IV: Types of Services Provided and Resources Allocated

Provide data related to the number of older individuals who are blind receiving each type of service and resources committed to each type of service.

A. Clinical/functional vision assessments and services

Cost Persons Served
1a. Total Cost from VII-2 funds 703,404
1b. Total Cost from other funds 78,156
2. Vision screening / vision examination / low vision evaluation 720
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 0

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 527,553
1b. Total Cost from other funds 58,617
2. Provision of assistive technology devices and aids 894
3. Provision of assistive technology services 894

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 351,702
1b. Total Cost from other funds 39,078
2. Orientation and Mobility training 210
3. Communication skills 744
4. Daily living skills 754
5. Supportive services (reader services, transportation, personal 0
6. Advocacy training and support networks 0
7. Counseling (peer, individual and group) 670
8. Information, referral and community integration 170
. Other IL services 58

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 175,851
1b. Total Cost from other funds 19,538
2. Information and Referral 0
3. Community Awareness: Events/Activities 80 2,800

Part V: Comparison of Prior Year Activities to Current Reported Year

A. Activity

a) Prior Year b) Reported FY c) Change ( + / - )
1. Program Cost (all sources) 1,934,564 1,953,899 19,335
2. Number of Individuals Served 864 894 30
3. Number of Minority Individuals Served 136 141 5
4. Number of Community Awareness Activities 62 80 18
5. Number of Collaborating agencies and organizations 541 590 49
6. Number of Sub-grantees 0 0

Part VI: Program Outcomes/Performance Measures

Provide the following data for each of the performance measures below. This will assist RSA in reporting results and outcomes related to the program.

Number of persons Percent of persons
A1. Number of individuals receiving AT (assistive technology) services and training 894 100.00%
A2. Number of individuals receiving AT (assistive technology) services and training who maintained or improved functional abilities that were previously lost or diminished as a result of vision loss. (closed/inactive cases only) 894 100.00%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 0 0.00%
B1. Number of individuals who received orientation and mobility (O & M) services 210 100.00%
B2. Of those receiving orientation and mobility (O & M) services, the number of individuals who experienced functional gains or maintained their ability to travel safely and independently in their residence and/or community environment as a result of services. (closed/inactive cases only) 120 57.14%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 90 42.86%
C1. Number of individuals who received communication skills training 744 100.00%
C2. Of those receiving communication skills training, the number of individuals who gained or maintained their functional abilities as a result of services they received. (Closed/inactive cases only) 553 74.33%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 191 25.67%
D1. Number of individuals who received daily living skills training 754 100.00%
D2. Number of individuals that experienced functional gains or successfully restored or maintained their functional ability to engage in their customary daily life activities as a result of services or training in personal management and daily living skills. (closed/inactive cases only) 558 74.01%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 196 25.99%
E1. Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 637 n/a
E2. Number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 7 n/a
E3. Number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 0 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 12 n/a
E5. Number of individuals served who died before achieving functional gain or experiencing changes in lifestyle as a result of services they received. (closed/inactive cases only) 12 n/a

Part VII: Training and Technical Assistance Needs

The state of Tennessee is considering an application for technical assistance to explore other funding sources and expansion services.

Part VIII: Narrative

A. Briefly describe the agency's method of implementation for the Title VII-Chapter 2 program (i.e. in-house, through sub-grantees/contractors, or a combination) incorporating outreach efforts to reach underserved and/or unserved populations. Please list all sub-grantees/contractors.

The Independent Living Services for Older Individuals who are Blind Program in the state of Tennessee is authorized under Title VII, Chapter 2 of the Rehabilitation Act of 1973, as amended. This program supports projects designed to serve persons who are fifty-five years of age or older and for whom, because of their blindness or severe visual impairments, gainful employment would be extremely difficult to attain, but individual living goals are feasible and attainable. In fiscal year 1994-95, Tennessee was awarded a five-year grant under the Title VII-Chapter 2 program. Funds were utilized to hire 10 Rehabilitation Teacher Assistants to work the majority of their time with older individuals who are severely visually impaired. The Rehabilitation Teacher Assistants work under the direct management of the Rehabilitation Teacher and are supervised by the Field Supervisor. The Rehabilitation Teacher makes the initial contact with the client, conducts the assessment and then, with the client’s input, develops the individualized Independent Living Services Plan (ILSP), from needs indicated during the assessment. At this point the case is referred to the Rehabilitation Teacher Assistant (RTA) to provide training services in independent living skills, as indicated by the ILSP. Rehabilitation Teacher Assistants may also be called upon to represent the Agency and Program in public educational activities. We feel the added bonus of referring an older blind client to the RTA for the individualized training helps us serve this ever growing population. In addition our Program Director works closely with the State Independent Living Council to make sure others working in the IL field statewide are aware of our program of services. Each RT is asked to identify the underserved or unserved populations in their service areas then schedule and participate in at least 3 outreach activities in those areas. Most staff reached their goal in conducting these outreach efforts this year and then exceeded their outreach efforts to build referral and referral sources.

B. Briefly describe any activities designed to expand or improve services including collaborative activities or community awareness; and efforts to incorporate new methods and approaches developed by the program into the State Plan for Independent Living (SPIL) under Section 704.

Statewide our staff continues to reach out to the community to provide education regarding services to meet the needs of persons’ with visual impairments and blindness. At the start of the reporting federal year we asked each RT to identify counties and or zip codes in their respective areas that were currently the most underserved. Then they were to complete at least (3) outreach activities in those identified areas. We are glad to report that all our staff met or exceeded this outreach goal. A total of 83 formal outreach activities took place during this reporting year. Our East Tennessee staff provided information about our program to various health centers, senior centers, assisted living center, doctors’ offices and other community groups. They attended the following events that were either held in or available to individuals and service providers in the identified unserved areas. Hawkins County — Church Hill Senior Center and Rogersville Vision Clinic Hancock County — Health Department and Home Health Sullivan County - Kingsport Senior Center & NE Vulnerable Adults Coalition Greene County — Plaza Tower Apartments and Greenville Senior Resources Group Carter County — Mekkah Meadows Apartments Washington County — Jonesborough Senior Center Unicoi County — Erwin Eye Center Jackson County — Fairview Community & Senior Center Macon County — Senior Center Clay County — Senior Center Knox County - Intrepid USA Home Health Services Monroe County Health Council and Eye Center Pickett County Health Department and Senior Center Fentress County Senior Department Overton County Senior Center Putnam County Senior Center, Health Department and Senior Expo Van Buren County Senior Center and Health Department Cannon County Health Fair Cumberland County — Health Department and Dialysis Care Center The Middle Tennessee staff attended outreach events at county senior centers, assisted living facilities, health centers, vision impairment support groups and other community agencies serving their unserved areas. We were asked once again to provide a workshop for Physical Therapy students at Belmont University in Nashville. One of our Rehabilitation Teachers conducts the “show and tell” portion of the presentation to educate the rising PT students about adaptive techniques and devices. Some outreach opportunities for our Middle Tennessee staff included such organizations as: Rhea County Senior Center RAM Clinic and Lions Club— Chattanooga TN Heritage Senior Living Center — Brentwood TN Matthew Walker Comprehensive Health Center Hamilton County Home Makers Meigs County Health Council Southeast Community Fair Deaf-Blind Community Fair — Chattanooga Giles County Senior Center Vanderbilt Home Care Services Rutherford County First UMC Health Fair Sight Savers Support Group Fifty Forward Coffee County Friendship Home Health Maury County Regional Hospital Maury Regional Home Services Wayne County Senior Center Moore County Senior Center Belmont University PT Students United Health Care — OPTUM Bradley County Health Council Bourdeaux Rehab Center Trousdale County Senior Center The West Tennessee staff attended the following events: Jackson State Community College Health Fair Choices United Health Group Lauderdale County Downtown Development Corporation Health Fair Walmart Vision Center of North Jackson Community Health Fair Memphis VA Vision Rehabilitation Clinic Seminar Southwest Area on Aging & Disability Henry County Office on Aging and Mid-South Retina Center McNairy County Primecare Medical Center Decatur County Senior Apartment Complex Chester County Senior Center McNairy County Senior Center Stewart County Senior Center Carroll County Nicholson Eye Center, CA Thomason, OD and Lakeside Senior Living Dyer, Lake and Obion Counties Reelfoot Rural Ministries Eye Clinic & Office on Aging Humphreys County Senior Center Orange Mount Community Center — Mid South ACT Jewish Rehabilitation Center Senior Services Expo Caregiver Rest Respite Expo @ Provision House Frazier TN - Ed Rice Community Center Southern TN Eye Specialists Overall these statewide community events and presentations reached approximately 2800 individuals. We conduct outreach in an effort to raise awareness and referrals. To provide quality services staff collaborate with local, regional and national vendors and agencies that assist individuals with vision loss. Below is a list of the most frequent: Various Adaptive Equipment Vendors Braille Bible Institute Library for Accessible Books and Media (formerly: TN Library for the Blind) Area Agencies on Aging Home Health Agencies Hadley Institute for the Blind & Visually Impaired Senior Citizen Centers Medical Professionals Local Lions Clubs American Foundation for the Blind (AFB) Support Groups Adult Protection Services Assistive Technology Centers Directory Assistance VA National Federation of the Blind

C. Briefly summarize results from any of the most recent evaluations or satisfaction surveys conducted for your program and attach a copy of applicable reports.

As is customary, our Chapter 2 Program Coordinator sends a list of individual cases that were closed in the previous month to the Office of Learning and Professional Development (OLPD) staff. The surveyors contact each client by phone to conduct a brief survey to reflect the customer’s satisfaction level and perception regarding the services they received. The survey results are compiled into a monthly report that is sent to the Coordinator who then passes this information onto our field staff. Three hundred and nine (309) individuals who participated in the Chapter 2 Program were surveyed. One hundred percent (100%) of those were closed successfully. The majority of Participants, (87%), rated their experience with the program as Excellent or Good. Overall this year there was a (91%) client satisfaction rate with the services they received. Ninety-two percent (92%) of the participants said they felt more independent as the result of the Rehabilitation Teacher program of services they received. Percentages continued high with (92%) of the participants who said that their RT and/or RTA clearly explained the services, treated them with courtesy and respect and included them in the development of their plan of services The top 10 most frequent answers to the question “What equipment or training helped you the most?” were Illuminated magnifiers, task specific lighting, time keeping devices, Orientation & Mobility training, adaptive cooking skills, access to automated reading material, filters, marking and labeling techniques, adapted telephones and “all of it”. We have been able to offer more opportunities for clients to learn Orientation and Mobility training from certified professionals along with access to portable electronic magnifiers.

D. Briefly describe the impact of the Title VII-Chapter 2 program, citing examples from individual cases (without identifying information) in which services contributed significantly to increasing independence and quality of life for the individual(s).

Mr. D is a 58 year old male from Cumberland County who had a sudden loss of vision from Optic Nerve Edema. This was devastating to him and his family as he had previously owned and managed a successful Heating and Air Business. Because of the vision loss Mr. D felt like he had no choice but to turn the business over to his adult children. Through our services Mr. D was provided a talking clock to help him keep track of time, an electric razor to assist him in his daily groom skills and resource information. He was given information on obtaining his permanent fishing license, receiving a TRA IPhone with accessible apps, and an iBill reader. His appliances were marked and he was instructed on using them independently. He can now use the microwave and stove for cooking and preparing his meals and his washer and dryer to do his own laundry. He was given an electronic magnifier and instructed on the use of this device. This device assists him in reading the blue prints and information for installation of new HVAC systems so that he can now advise and assist his daughter in bidding new jobs for the business. Mr. D also received a donated CCTV that was donated to this program and this was also a big asset in him helping his daughter with the family business. He still tries to read the manuals on different systems and this is a big help to him in obtaining the information he/she needs. After receiving services, Mr. D stated that he feels a sense of self-worth and independence in the home again. He is providing assistance to his daughter and she will be able to continue with the business that he had started and it will be as successful as it has been in the past. This program definitely made a difference to Mr. D and his family. Ms. C is a 57 year old individual with Retinitis Pigmentosa who first moved to Rutherford County to care for her daughter who was injured. When our Older Blind Rehab Teacher first met with Ms. C she was very depressed, had rarely left her home and did not know a lot of people. Her vision had reduced to the point that she could not identify colors, pour or measure for cooking, tell time, write a letter or check, or could not read her medication labels. After being taught adaptive aids Ms. C was able to do her laundry, write a check, tell the time, cook and read her medication labels. Ms. C gained confidence to get out on her own and explore many avenues. She has now moved from Lewisburg to Murfreesboro so that she could get a job and rides the bus every day to and from work at a hotel. Ms. Castro has gained confidence in herself and her ability to live independently. Mr. A is a 55 year old gentleman who lives in East TN. He as Retinitis Pigmentosa and found that his field of vision was quickly decreasing. At work one day he fell down a flight of stairs which prompted him to contact the Independent living program for help. He also found that he could no longer read his mail at home or work, and setting his oven and microwave had become impossible. The RT provided an electronic magnifier and improved contrast that enabled him to read print again. He received Orientation and Mobility training from a certified specialist and is now moving about his home and work area more confidently. His home appliances were marked with bold dots which now allow him to cook when his wife is working late. In addition he was provided instruction in using Apps on his phone for currency identification and reading packages and books when his eyes get tired. The training this gentleman received helped him realize that he could be independent and encouraged him to continue at his place of employment. He works on the Main frame computers for TVA and found at the RT’s suggestion that he could change his screen contrast to do his job. His wife said he is smiling again. Ms. B is an 86 year old individual who lives alone in a high rise apartment and disclosed a history of physical and emotional abuse to our RT staff. Despite these past difficulties Ms. B presented as emotionally strong and was determined to live as independently as possible in spite of being legally blind from Macular Degeneration. Ms. B said she has always liked to read but was having trouble reading due to visual loss and really missed this task. Our Rehab Teacher provided her with a 6X hand held magnifier that proved to be helpful along with an application for the Talking Books. The client was also provided with a Talking Clock, Bold Line Writer, Signature Guide and an Envelope Address guide to aid in her communications. A Check Writing Guide proved helpful to the client in managing her household finances. Ms. B enjoyed working in her kitchen prior to her vison loss and was provided with a Cut Resistant Glove and Low Vision Cutting Board. Ms. B said the training and equipment she received helped her to feel more confident and said she would gladly recommend our service to anyone who is experiencing vision loss.

E. Finally, note any problematic areas or concerns related to implementing the Title VII-Chapter 2 program in your state.

Tennessee continues to supplement the Older Blind Program with SSA reimbursement funds and additional state dollars as reflected in Part I: Funding Sources and Expenditures of this report. The supplemental funding accurately reflects our funding sources, expenditures and encumbrances to reflect program costs. The need for additional federal funding is apparent as our aging population grows, along with individual requests for high end technology. Tennessee would like to see an increase in funding to ensure all eligible individuals can be served.

Part IX: Signature

Please sign and print the name, title and telephone number of the IL-OIB Program Director below.

I certify that the data herein reported are statistically accurate to the best of my knowledge.

Signed byPaula Knisley
TitleVR Director
Telephone615-837-5049
Date signed12/19/2018