RSA-2 Annual Vocational Rehabilitation Program/Cost Report for Iowa Blind 2016

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 1,298,016
1.B. Indirect Costs 577,774
1.C. Administration Expenditures for the SE Program Included in 1.A and 1.B. 285
1.D. Administration Expenditures Subtotal (1.A + 1.B) 1,875,790

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 556,355
2.A.1.b. All other services, including Orientation, Mobility and Rehab Teaching/Training Services Costs 66,368
2.A.1.c. Services Provided by Agency Field Office Staff Subtotal (2.A.1.a + 2.A.1.b) 622,723
2.A.2. Services Provided by Agency-Operated Community Rehabilitation Program (CRP) Staff
2.A.2.a. Assessment, Counseling, Guidance, and Placement Costs 477,671
2.A.2.b. All other services, including Orientation, Mobility and Rehab Teaching/Training Services Costs 835,374
2.A.2.c. Services Provided by Agency-Operated CRP Staff Subtotal (2.A.2.a + 2.A.2.b) 1,313,045
2.A.3 Services Provided by Agency
Services Provided by Agency Subtotal (2.A.1.c + 2.A.2.c)1,935,768

2.B. Services Purchased by Agency From:

2.B.1. Public Community Rehabilitation Programs 8,036
2.B.2. Private Community Rehabilitation Programs 62,403
2.B.3. Other Public Vendors 272,627
2.B.4. Other Private Vendors 759,589
2.B.5. Services purchased by Agency Subtotal (2.B.1 + 2.B.2 + 2.B.3 + 2.B.4) 1,102,655

2.C. Service Expenditures

Service Expenditures Subtotal (2.A.3 + 2.B.5)3,038,423

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 382,971
3.D. Transition Consultation and Technical Assistance 259,433
3.E. All other services to groups 1,181,335
3.F. Services to Groups Subtotal (3.A + 3.B + 3.C + 3.D + 3.E) 1,823,739

4. Total Agency Expenditures

4.A. Total SE Program Expenditures included in Sections 1, 2 and 3 above 58,742
4.B. Total Innovation and Expansion Activity Costs included in 1, 2 and 3 above 15,893
Schedule I - Total Agency Expenditures (1.D + 2.C + 3.F) 6,737,952

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 30,742.40
1.c. Counselor Staff 30,496.96
1.d. Staff Supporting Counselor Activities 11,458.72
1.e. Other Staff 34,623.68
1.f. Staff in Category 1 Subtotal (1.b + 1.c + 1.d + 1.e) 107,321.76

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 41 26,895
2. Diagnosis and Treatment of Impairments 11 60,674
3. Vocational Rehabilitation Counseling and Guidance 0 0
4. Graduate College or University Training 9 79,469
5. Four-Year College or University Training 43 489,335
6. Junior or Community College Training 11 27,047
7. Occupational or Vocational Training 6 54,862
8. On-the-job Training 2 13,182
9. Apprenticeship Training 0 0
10. Basic Academic Remedial or Literacy Training 0 0
11. Job Readiness Training 8 2,851
12. Disability Related Skills Training 28 7,492
13. Miscellaneous Training 1 8,460
14. Job Search Assistance 7 7,280
15. Job Placement Assistance 9 4,586
16. On-the-job Supports: Time-limited 0 0
17. On-the-job Supports: Supported Employment 7 12,418
18. Transportation 67 43,989
19. Maintenance 52 74,108
20. Rehabilitation Technology 149 145,186
21. Reader 16 13,664
22. Interpreter 0 0
23. Personal Attendant 0 0
24. Technical Assistance 0 0
25. Information and Referral 0 0
26. Benefits Counseling 0 0
27. Customized Employment 0 0
28. Other Services 15 31,157
Service Category Subtotal (Sum of 1 - 28) 482 1,102,655

29. Total Purchased Services Expenditure

A. Total SE Program Service Expenditures included in Schedule III above 9,619

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:
Date Report Submitted (Month/Day/Year):
Typed or Printed Name and Title of Authorized Certifying Official:
First Name
Last Name
Telephone (Area code, number and extension):
E-mail Address: