RSA-2 Annual Vocational Rehabilitation Program/Cost Report for New Mexico General 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 65,519
1.B. Indirect Costs 0
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) 65,519

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 166,835
2.A.1.b. All other services, including Orientation, Mobility and Rehab Teaching/Training Services Costs 0
2.A.1.c. Services Provided by Agency Field Office Staff Subtotal (2.A.1.a + 2.A.1.b) 166,835
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)166,835

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 0
2.B.4. Other Private Vendors 363,532
2.B.5. Services purchased by Agency Subtotal (2.B.1 + 2.B.2 + 2.B.3 + 2.B.4) 363,532

2.C. Service Expenditures

Service Expenditures Subtotal (2.A.3 + 2.B.5)530,367

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 0
3.F. Services to Groups Subtotal (3.A + 3.B + 3.C + 3.D + 3.E) 0

4. Total Agency Expenditures

4.A. Total SE Program Expenditures included in Sections 1, 2 and 3 above 135,648
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) 595,886

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 63,582.00
1.c. Counselor Staff 170,433.00
1.d. Staff Supporting Counselor Activities 67,264.00
1.e. Other Staff 0.00
1.f. Staff in Category 1 Subtotal (1.b + 1.c + 1.d + 1.e) 301,279.00

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 103 20,977
2. Diagnosis and Treatment of Impairments 7 3,453
3. Vocational Rehabilitation Counseling and Guidance 1 755
4. Graduate College or University Training 0 0
5. Four-Year College or University Training 241 34,205
6. Junior or Community College Training 0 0
7. Occupational or Vocational Training 0 0
8. On-the-job Training 8 11,839
9. Apprenticeship Training 0 0
10. Basic Academic Remedial or Literacy Training 0 0
11. Job Readiness Training 0 0
12. Disability Related Skills Training 0 0
13. Miscellaneous Training 37 22,291
14. Job Search Assistance 0 0
15. Job Placement Assistance 162 88,860
16. On-the-job Supports: Time-limited 31 37,686
17. On-the-job Supports: Supported Employment 0 0
18. Transportation 74 36,890
19. Maintenance 5 13,436
20. Rehabilitation Technology 57 44,976
21. Reader 0 0
22. Interpreter 4 2,212
23. Personal Attendant 1 1,605
24. Technical Assistance 0 0
25. Information and Referral 0 0
26. Benefits Counseling 0 0
27. Customized Employment 0 0
28. Other Services 134 44,347
Service Category Subtotal (Sum of 1 - 28) 865 363,532

29. Total Purchased Services Expenditure

A. Total SE Program Service Expenditures included in Schedule III above 135,648

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):01/30/2015
Typed or Printed Name and Title of Authorized Certifying Official:
First Name.
Last NameVeronica De Leon-Dowd
Telephone (Area code, number and extension):0000000000
E-mail Address:On file