RSA-2 Annual Vocational Rehabilitation Program/Cost Report for North Dakota Combined 2015

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 2,796,838
1.B. Indirect Costs 488,872
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) 3,285,710

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 3,706,010
2.A.1.b. All other services, including Orientation, Mobility and Rehab Teaching/Training Services Costs 1,263,380
2.A.1.c. Services Provided by Agency Field Office Staff Subtotal (2.A.1.a + 2.A.1.b) 4,969,390
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)4,969,390

2.B. Services Purchased by Agency From:

2.B.1. Public Community Rehabilitation Programs 0
2.B.2. Private Community Rehabilitation Programs 713,007
2.B.3. Other Public Vendors 312,138
2.B.4. Other Private Vendors 1,001,785
2.B.5. Services purchased by Agency Subtotal (2.B.1 + 2.B.2 + 2.B.3 + 2.B.4) 2,026,930

2.C. Service Expenditures

Service Expenditures Subtotal (2.A.3 + 2.B.5)6,996,320

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 703,623
3.F. Services to Groups Subtotal (3.A + 3.B + 3.C + 3.D + 3.E) 703,623

4. Total Agency Expenditures

4.A. Total SE Program Expenditures included in Sections 1, 2 and 3 above 273,180
4.B. Total Innovation and Expansion Activity Costs included in 1, 2 and 3 above 325,961
Schedule I - Total Agency Expenditures (1.D + 2.C + 3.F) 10,985,653

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 18,547.00
1.c. Counselor Staff 101,778.00
1.d. Staff Supporting Counselor Activities 41,931.00
1.e. Other Staff 2,080.00
1.f. Staff in Category 1 Subtotal (1.b + 1.c + 1.d + 1.e) 164,336.00

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 965 310,438
2. Diagnosis and Treatment of Impairments 60 36,650
3. Vocational Rehabilitation Counseling and Guidance 0 0
4. Graduate College or University Training 2 5,270
5. Four-Year College or University Training 202 246,165
6. Junior or Community College Training 64 56,771
7. Occupational or Vocational Training 133 164,760
8. On-the-job Training 16 16,587
9. Apprenticeship Training 1 275
10. Basic Academic Remedial or Literacy Training 2 4,280
11. Job Readiness Training 5 6,768
12. Disability Related Skills Training 4 3,660
13. Miscellaneous Training 38 31,920
14. Job Search Assistance 83 105,509
15. Job Placement Assistance 77 100,628
16. On-the-job Supports: Time-limited 36 43,698
17. On-the-job Supports: Supported Employment 106 301,244
18. Transportation 237 57,338
19. Maintenance 298 84,339
20. Rehabilitation Technology 238 400,730
21. Reader 0 0
22. Interpreter 6 1,770
23. Personal Attendant 3 1,256
24. Technical Assistance 4 10,903
25. Information and Referral 0 0
26. Benefits Counseling 0 0
27. Customized Employment 0 0
28. Other Services 74 35,971
Service Category Subtotal (Sum of 1 - 28) 2,654 2,026,930

29. Total Purchased Services Expenditure

A. Total SE Program Service Expenditures included in Schedule III above 273,180

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):12/21/2015
Typed or Printed Name and Title of Authorized Certifying Official:
First NameDerman
Last NameLynn
Telephone (Area code, number and extension):701-328-8976
E-mail Address:lderman@nd.gov