RSA-2 Annual Vocational Rehabilitation Program/Cost Report for Nebraska Blind 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 1,060,300
1.B. Indirect Costs 616,840
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) 1,677,140

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 1,228,768
2.A.1.b. All other services, including Orientation, Mobility and Rehab Teaching/Training Services Costs 144,186
2.A.1.c. Services Provided by Agency Field Office Staff Subtotal (2.A.1.a + 2.A.1.b) 1,372,954
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 474,902
2.A.2.c. Services Provided by Agency-Operated CRP Staff Subtotal (2.A.2.a + 2.A.2.b) 474,902
2.A.3 Services Provided by Agency
Services Provided by Agency Subtotal (2.A.1.c + 2.A.2.c)1,847,856

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 104,461
2.B.4. Other Private Vendors 699,466
2.B.5. Services purchased by Agency Subtotal (2.B.1 + 2.B.2 + 2.B.3 + 2.B.4) 803,927

2.C. Service Expenditures

Service Expenditures Subtotal (2.A.3 + 2.B.5)2,651,783

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 462,667
3.D. Transition Consultation and Technical Assistance 53,029
3.E. All other services to groups 28,376
3.F. Services to Groups Subtotal (3.A + 3.B + 3.C + 3.D + 3.E) 544,072

4. Total Agency Expenditures

4.A. Total SE Program Expenditures included in Sections 1, 2 and 3 above 17,152
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) 4,872,995

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 30,680.00
1.c. Counselor Staff 22,880.00
1.d. Staff Supporting Counselor Activities 29,120.00
1.e. Other Staff 3,640.00
1.f. Staff in Category 1 Subtotal (1.b + 1.c + 1.d + 1.e) 86,320.00

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 29 10,306
2. Diagnosis and Treatment of Impairments 14 18,835
3. Vocational Rehabilitation Counseling and Guidance 0 0
4. Graduate College or University Training 2 14,273
5. Four-Year College or University Training 47 236,291
6. Junior or Community College Training 13 11,107
7. Occupational or Vocational Training 5 309
8. On-the-job Training 20 24,654
9. Apprenticeship Training 0 0
10. Basic Academic Remedial or Literacy Training 0 0
11. Job Readiness Training 13 1,350
12. Disability Related Skills Training 61 48,556
13. Miscellaneous Training 2 111
14. Job Search Assistance 9 1,583
15. Job Placement Assistance 1 360
16. On-the-job Supports: Time-limited 4 5,231
17. On-the-job Supports: Supported Employment 0 0
18. Transportation 93 28,371
19. Maintenance 96 169,806
20. Rehabilitation Technology 156 192,194
21. Reader 23 2,908
22. Interpreter 7 3,890
23. Personal Attendant 31 5,105
24. Technical Assistance 0 0
25. Information and Referral 0 0
26. Benefits Counseling 0 0
27. Customized Employment 0 0
28. Other Services 55 28,687
Service Category Subtotal (Sum of 1 - 28) 681 803,927

29. Total Purchased Services Expenditure

A. Total SE Program Service Expenditures included in Schedule III above 17,152

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):12/29/2015
Typed or Printed Name and Title of Authorized Certifying Official:
First NamePearl
Last NameVan Zandt
Telephone (Area code, number and extension):402-471-8100
E-mail Address:pearl.vanzandt@nebraska.gov