RSA-2 Annual Vocational Rehabilitation Program/Cost Report for Nebraska Blind 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 683,873
1.B. Indirect Costs 230,388
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) 914,261

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 1,809,239
2.A.1.b. All other services, including Orientation, Mobility and Rehab Teaching/Training Services Costs 120,695
2.A.1.c. Services Provided by Agency Field Office Staff Subtotal (2.A.1.a + 2.A.1.b) 1,929,934
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 559,022
2.A.2.c. Services Provided by Agency-Operated CRP Staff Subtotal (2.A.2.a + 2.A.2.b) 559,022
2.A.3 Services Provided by Agency
Services Provided by Agency Subtotal (2.A.1.c + 2.A.2.c)2,488,956

2.B. Services Purchased by Agency From:

2.B.1. Public Community Rehabilitation Programs 0
2.B.2. Private Community Rehabilitation Programs 0
2.B.3. Other Public Vendors 150,526
2.B.4. Other Private Vendors 741,202
2.B.5. Services purchased by Agency Subtotal (2.B.1 + 2.B.2 + 2.B.3 + 2.B.4) 891,728

2.C. Service Expenditures

Service Expenditures Subtotal (2.A.3 + 2.B.5)3,380,684

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 237,921
3.D. Transition Consultation and Technical Assistance 0
3.E. All other services to groups 32,794
3.F. Services to Groups Subtotal (3.A + 3.B + 3.C + 3.D + 3.E) 270,715

4. Total Agency Expenditures

4.A. Total SE Program Expenditures included in Sections 1, 2 and 3 above 48,914
4.B. Total Innovation and Expansion Activity Costs included in 1, 2 and 3 above 0
Schedule I - Total Agency Expenditures (1.D + 2.C + 3.F) 4,565,660

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 12,480.00
1.c. Counselor Staff 27,040.00
1.d. Staff Supporting Counselor Activities 25,043.00
1.e. Other Staff 14,976.00
1.f. Staff in Category 1 Subtotal (1.b + 1.c + 1.d + 1.e) 79,539.00

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 15 3,837
2. Diagnosis and Treatment of Impairments 10 12,473
3. Vocational Rehabilitation Counseling and Guidance 0 0
4. Graduate College or University Training 0 0
5. Four-Year College or University Training 67 340,387
6. Junior or Community College Training 0 0
7. Occupational or Vocational Training 9 12,668
8. On-the-job Training 20 22,148
9. Apprenticeship Training 0 0
10. Basic Academic Remedial or Literacy Training 0 0
11. Job Readiness Training 9 2,800
12. Disability Related Skills Training 46 30,406
13. Miscellaneous Training 1 260
14. Job Search Assistance 0 0
15. Job Placement Assistance 0 0
16. On-the-job Supports: Time-limited 10 17,821
17. On-the-job Supports: Supported Employment 1 2,760
18. Transportation 117 29,763
19. Maintenance 121 163,064
20. Rehabilitation Technology 125 124,421
21. Reader 4 841
22. Interpreter 16 36,879
23. Personal Attendant 1 165
24. Technical Assistance 0 0
25. Information and Referral 0 0
26. Benefits Counseling 0 0
27. Customized Employment 0 0
28. Other Services 62 91,035
Service Category Subtotal (Sum of 1 - 28) 634 891,728

29. Total Purchased Services Expenditure

A. Total SE Program Service Expenditures included in Schedule III above 48,914

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):12/30/2014
Typed or Printed Name and Title of Authorized Certifying Official:
First Name.
Last NamePearl Van Zandt
Telephone (Area code, number and extension):0000000000
E-mail Address:On file