RSA-2 Annual Vocational Rehabilitation Program/Cost Report for North Dakota Combined 2014

Schedule I. Agency Expenditures

Schedule 1 is used to report the total amount of expenditures from federal and non-federal VR and SE program funds and other rehabilitation funds.

1. Administration Expenditures

1.A. Direct Administration Costs 3,542,736
1.B. Indirect Costs 431,427
1.C. Administration Expenditures for the SE Program Included in 1.A and 1.B. 0
1.D. Administration Expenditures Subtotal (1.A + 1.B) 3,974,163

2. Service Expenditures

2.A. Services Provided by Agency

2.A.1. Services Provided by Agency Field Office Staff
2.A.1.a. Assessment, Counseling, Guidance, and Placement Costs 4,257,504
2.A.1.b. All other services, including Orientation, Mobility and Rehab Teaching/Training Services Costs 344,075
2.A.1.c. Services Provided by Agency Field Office Staff Subtotal (2.A.1.a + 2.A.1.b) 4,601,579
2.A.2. Services Provided by Agency-Operated Community Rehabilitation Program (CRP) Staff
2.A.2.a. Assessment, Counseling, Guidance, and Placement Costs 0
2.A.2.b. All other services, including Orientation, Mobility and Rehab Teaching/Training Services Costs 0
2.A.2.c. Services Provided by Agency-Operated CRP Staff Subtotal (2.A.2.a + 2.A.2.b) 0
2.A.3 Services Provided by Agency
Services Provided by Agency Subtotal (2.A.1.c + 2.A.2.c)4,601,579

2.B. Services Purchased by Agency From:

2.B.1. Public Community Rehabilitation Programs 0
2.B.2. Private Community Rehabilitation Programs 341,012
2.B.3. Other Public Vendors 311,352
2.B.4. Other Private Vendors 958,355
2.B.5. Services purchased by Agency Subtotal (2.B.1 + 2.B.2 + 2.B.3 + 2.B.4) 1,610,719

2.C. Service Expenditures

Service Expenditures Subtotal (2.A.3 + 2.B.5)6,212,298

3. Services to Group Expenditures

3.A. Establishment, Development or Improvement of CRPs 0
3.B. Construction of Facilities for CRPs 0
3.C. Business Enterprise Program 0
3.D. Transition Consultation and Technical Assistance 0
3.E. All other services to groups 118,004
3.F. Services to Groups Subtotal (3.A + 3.B + 3.C + 3.D + 3.E) 118,004

4. Total Agency Expenditures

4.A. Total SE Program Expenditures included in Sections 1, 2 and 3 above 246,938
4.B. Total Innovation and Expansion Activity Costs included in 1, 2 and 3 above 28,269
Schedule I - Total Agency Expenditures (1.D + 2.C + 3.F) 10,304,465

Schedule II. Labor Hours

1. Staff Function Category 1

Category 1 Labor Hours
1.a. Number of hours per week considered full time for the positions reported on below 40.00
1.b. Administrative Staff 14,560.00
1.c. Counselor Staff 100,624.00
1.d. Staff Supporting Counselor Activities 41,415.00
1.e. Other Staff 2,087.00
1.f. Staff in Category 1 Subtotal (1.b + 1.c + 1.d + 1.e) 158,686.00

2. Staff Function Category 2 (for positions with different hourly full time requirement than Category 1)

Note: Not all agencies have positions with different hourly full time requirements. If this is the case, enter 0 in all of the fields under Staff Function Category 2.

Category 2 Labor Hours
2.a. Number of hours per week considered full time for the positions reported on below 0.00
2.b. Administrative Staff 0.00
2.c. Counselor Staff 0.00
2.d. Staff Supporting Counselor Activities 0.00
2.e. Other Staff 0.00
2.f. Staff in Category 2 Subtotal (2.b + 2.c + 2.d + 2.e) 0.00

Schedule III. Number of Individuals Served and Purchased Service Expenditures by Service Category

Service Category Number of Individuals Amount
1. Assessment 860 199,233
2. Diagnosis and Treatment of Impairments 38 47,373
3. Vocational Rehabilitation Counseling and Guidance 0 0
4. Graduate College or University Training 1 4,209
5. Four-Year College or University Training 249 304,801
6. Junior or Community College Training 14 8,521
7. Occupational or Vocational Training 162 177,643
8. On-the-job Training 4 4,444
9. Apprenticeship Training 0 0
10. Basic Academic Remedial or Literacy Training 2 3,340
11. Job Readiness Training 42 45,269
12. Disability Related Skills Training 1 430
13. Miscellaneous Training 29 26,870
14. Job Search Assistance 44 54,349
15. Job Placement Assistance 47 62,245
16. On-the-job Supports: Time-limited 4 2,712
17. On-the-job Supports: Supported Employment 80 224,949
18. Transportation 142 32,240
19. Maintenance 203 63,252
20. Rehabilitation Technology 207 299,375
21. Reader 0 0
22. Interpreter 1 430
23. Personal Attendant 0 0
24. Technical Assistance 4 12,281
25. Information and Referral 0 0
26. Benefits Counseling 0 0
27. Customized Employment 0 0
28. Other Services 51 36,753
Service Category Subtotal (Sum of 1 - 28) 2,185 1,610,719

29. Total Purchased Services Expenditure

A. Total SE Program Service Expenditures included in Schedule III above 246,938

Certification

By signing this report, I certify that it is true, complete, and accurate to the best of my knowledge. I am aware that any false, fictitious, or fraudulent information may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 18, Section 1001)

Signature of Authorized Certifying Official: Yes
Date Report Submitted (Month/Day/Year):12/31/2014
Typed or Printed Name and Title of Authorized Certifying Official:
First Name.
Last NameRussell Cusack
Telephone (Area code, number and extension):0000000000
E-mail Address:On file