RSA-2 Annual Vocational Rehabilitation Program/Cost Report for Washington 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 2,214,469
1.B. Indirect Costs 1,488,558
1.C. Administration Expenditures for the SE Program Included in 1.A and 1.B. 443
1.D. Administration Expenditures Subtotal (1.A + 1.B) 3,703,027

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 2,232,970
2.A.1.b. All other services, including Orientation, Mobility and Rehab Teaching/Training Services Costs 1,541,495
2.A.1.c. Services Provided by Agency Field Office Staff Subtotal (2.A.1.a + 2.A.1.b) 3,774,465
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 789,850
2.A.2.c. Services Provided by Agency-Operated CRP Staff Subtotal (2.A.2.a + 2.A.2.b) 789,850
2.A.3 Services Provided by Agency
Services Provided by Agency Subtotal (2.A.1.c + 2.A.2.c)4,564,315

2.B. Services Purchased by Agency From:

2.B.1. Public Community Rehabilitation Programs 0
2.B.2. Private Community Rehabilitation Programs 249,276
2.B.3. Other Public Vendors 669,684
2.B.4. Other Private Vendors 2,826,242
2.B.5. Services purchased by Agency Subtotal (2.B.1 + 2.B.2 + 2.B.3 + 2.B.4) 3,745,202

2.C. Service Expenditures

Service Expenditures Subtotal (2.A.3 + 2.B.5)8,309,517

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 505,000
3.D. Transition Consultation and Technical Assistance 10,194
3.E. All other services to groups 5,794
3.F. Services to Groups Subtotal (3.A + 3.B + 3.C + 3.D + 3.E) 520,988

4. Total Agency Expenditures

4.A. Total SE Program Expenditures included in Sections 1, 2 and 3 above 58,135
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) 12,533,532

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 53,099.00
1.c. Counselor Staff 56,333.00
1.d. Staff Supporting Counselor Activities 50,986.00
1.e. Other Staff 6,604.00
1.f. Staff in Category 1 Subtotal (1.b + 1.c + 1.d + 1.e) 167,022.00

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 136 168,067
2. Diagnosis and Treatment of Impairments 206 175,303
3. Vocational Rehabilitation Counseling and Guidance 0 0
4. Graduate College or University Training 41 290,291
5. Four-Year College or University Training 128 367,131
6. Junior or Community College Training 149 181,157
7. Occupational or Vocational Training 37 92,962
8. On-the-job Training 10 28,222
9. Apprenticeship Training 0 0
10. Basic Academic Remedial or Literacy Training 7 1,268
11. Job Readiness Training 51 101,758
12. Disability Related Skills Training 48 141,420
13. Miscellaneous Training 25 26,044
14. Job Search Assistance 0 0
15. Job Placement Assistance 104 145,140
16. On-the-job Supports: Time-limited 32 70,997
17. On-the-job Supports: Supported Employment 2 4,208
18. Transportation 320 129,521
19. Maintenance 187 323,933
20. Rehabilitation Technology 974 1,031,411
21. Reader 14 12,613
22. Interpreter 15 17,386
23. Personal Attendant 0 0
24. Technical Assistance 26 37,271
25. Information and Referral 0 0
26. Benefits Counseling 21 7,258
27. Customized Employment 0 0
28. Other Services 410 391,841
Service Category Subtotal (Sum of 1 - 28) 2,943 3,745,202

29. Total Purchased Services Expenditure

A. Total SE Program Service Expenditures included in Schedule III above 42,120

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):12/28/2015
Typed or Printed Name and Title of Authorized Certifying Official:
First NameJim
Last NameLochner
Telephone (Area code, number and extension):360-725-3840
E-mail Address:jim.lochner@dsb.wa.gov