RSA-2 Annual Vocational Rehabilitation Program/Cost Report for North Dakota Combined 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 3,298,126
1.B. Indirect Costs 559,895
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) 3,858,021

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 4,455,756
2.A.1.b. All other services, including Orientation, Mobility and Rehab Teaching/Training Services Costs 361,634
2.A.1.c. Services Provided by Agency Field Office Staff Subtotal (2.A.1.a + 2.A.1.b) 4,817,390
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)4,817,390

2.B. Services Purchased by Agency From:

2.B.1. Public Community Rehabilitation Programs 0
2.B.2. Private Community Rehabilitation Programs 906,627
2.B.3. Other Public Vendors 495,208
2.B.4. Other Private Vendors 1,133,294
2.B.5. Services purchased by Agency Subtotal (2.B.1 + 2.B.2 + 2.B.3 + 2.B.4) 2,535,129

2.C. Service Expenditures

Service Expenditures Subtotal (2.A.3 + 2.B.5)7,352,519

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 1,774,272
3.F. Services to Groups Subtotal (3.A + 3.B + 3.C + 3.D + 3.E) 1,774,272

4. Total Agency Expenditures

4.A. Total SE Program Expenditures included in Sections 1, 2 and 3 above 315,132
4.B. Total Innovation and Expansion Activity Costs included in 1, 2 and 3 above 52,679
Schedule I - Total Agency Expenditures (1.D + 2.C + 3.F) 12,984,812

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 18,191.00
1.c. Counselor Staff 101,566.00
1.d. Staff Supporting Counselor Activities 42,025.00
1.e. Other Staff 1,948.00
1.f. Staff in Category 1 Subtotal (1.b + 1.c + 1.d + 1.e) 163,730.00

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 1,041 282,566
2. Diagnosis and Treatment of Impairments 77 60,753
3. Vocational Rehabilitation Counseling and Guidance 0 0
4. Graduate College or University Training 6 18,549
5. Four-Year College or University Training 212 278,524
6. Junior or Community College Training 116 110,464
7. Occupational or Vocational Training 119 172,867
8. On-the-job Training 18 22,653
9. Apprenticeship Training 1 400
10. Basic Academic Remedial or Literacy Training 3 1,847
11. Job Readiness Training 1 1,525
12. Disability Related Skills Training 2 2,350
13. Miscellaneous Training 57 56,522
14. Job Search Assistance 136 181,555
15. Job Placement Assistance 134 188,138
16. On-the-job Supports: Time-limited 81 86,811
17. On-the-job Supports: Supported Employment 93 307,660
18. Transportation 251 67,554
19. Maintenance 323 83,343
20. Rehabilitation Technology 328 507,058
21. Reader 1 509
22. Interpreter 3 150
23. Personal Attendant 1 25,483
24. Technical Assistance 3 14,545
25. Information and Referral 0 0
26. Benefits Counseling 0 0
27. Customized Employment 0 0
28. Other Services 89 63,303
Service Category Subtotal (Sum of 1 - 28) 3,096 2,535,129

29. Total Purchased Services Expenditure

A. Total SE Program Service Expenditures included in Schedule III above 315,132

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):12/28/2016
Typed or Printed Name and Title of Authorized Certifying Official:
First NameRuss
Last NameCusack
Telephone (Area code, number and extension):701-328-8976
E-mail Address:rcusack@nd.gov