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RSA-7-OB for FY-2025: Submission #3

Instructions

Submittal Instructions

Grantees of the Independent Living Services for Older Individuals who are Blind (OIB) program must complete and submit their annual RSA 7-OB Report online through RSA’s website (https://rsa.ed.gov).

To register with RSA’s MIS, go to https://rsa.ed.gov and click on Info for new users. The link provides instructions for obtaining an agency- specific username and password. Further instructions for completing and submitting the RSA 7-OB Report online are provided upon completion of the registration process.

OIB grantees submitting the RSA 7-OB Report online are not required to mail signed copies of the 7-OB Report to RSA. Grantees must submit the 7-OB report in the MIS with an authorized signature and date. The signed lobbying certification form must be submitted by mail, fax, or electronically with the authorized signature and date.

The RSA 7-OB Report must be submitted to RSA no later than 90 days after the end of the reported Federal fiscal year (FFY) (i.e., December 31).

PART I: FUNDING SOURCES AND EXPENDITURES IN SUPPORT OF THE OIB PROGRAM

NOTE: References to Title VII below are to Title VII of the Rehabilitation Act, as amended by Title IV of the Workforce Innovation and Opportunity Act.

  1. Funding Sources and Amounts in Support of the OIB Program for the Reported Federal Fiscal Year (FFY)

    1. Title VII-Chapter 2 Federal grant award for reported FFY – Enter the total amount of your Title VII-Chapter 2 grant award for the reported FFY. Amount must agree with 10d of the Federal Financial Report form (SF-425).
    2. Title VII-Chapter 2 carryover from previous FFY – Enter the amount of Title VII-Chapter 2 grant funds carried over from the previous FFY. Enter zero, if none.
    3. TOTAL Title VII-Chapter 2 funds – The sum of A1 + A2. Total will be automatically populated.
    4. Title VII-Chapter 1, Part B funds – Enter the total amount of Federal Title VII-Chapter 1, Part B (State Independent Living Services) funds made available for support of the OIB program in the reported FFY.
    5. Other Federal funds available for expenditure in the reported FFY - Enter the total amount of any other Federal funds available for expenditure to support the OIB program for the reported FFY. Other Federal funds may include, but are not limited to, such funds as SSA reimbursement, Title XX Social Security Act funds, and Older Americans Act funds, including the carryover of such funds that are available for expenditure in the reported FFY.
    6. Total Federal funds - Sum of A3 + A4 + A5. Total will be automatically populated.
    7. State funds (excluding in-kind contributions) - Enter the total amount of State funds available for expenditure in the OIB program. Include funds from State appropriations as well as funds from other State sources that were available to support the OIB program for the reported FFY.
    8. In-kind contributions - Enter the total dollar amount of fairly evaluated and documented in-kind contributions from state, local, and public agencies, as well as non-profit and for-profit organizations. These can include but are not limited to services, materials, equipment, buildings, or office space that was utilized in support of the OIB program.
    9. Other non-Federal funds - Enter the total amount of funds from other non-Federal sources including local and community funding, non-profit or for-profit agency funding, voluntary client contributions, etc. Do not include in-kind contributions. State funds should be reported in A7 above.
    10. Total non-Federal funds - Sum of A7 + A9 above; do not include In- kind contributions reported in A8. Total will be automatically populated.
    11. Total of all funds available for expenditure in the reported FFY - Sum of A6 + A7 + A9. Do not include in-kind contributions reported in A8. Total will be automatically populated.

  2. OIB Program Expenditures in Reported FFY

In this section, report allowable expenditures made in support of the OIB program in the reported FFY. For the purpose of this data collection, the term ”expenditures” means charges made by a non- Federal entity to the Federal OIB award (2 C.F.R. § 200.34).

In this data collection, expenditures are to be reported under two categories, (1) administrative costs, and (2) direct service costs. Within these categories, funds expended from the Title VII-Chapter 2 Federal OIB grant award and from non-Federal funds used to meet the match requirement in accordance with 34 C.F.R. § 367.31(b) and

§ 367.61 are reported separately from allowable OIB expenditures made from other Federal and non-Federal sources. However, OIB grantees remain responsible for tracking specific information related to the expenditure of OIB funds from each source. For example, specific information on expenditures made from the OIB Federal award and from non-Federal sources used in meeting the match requirement must be reported on the SF-425.

  1. Funds expended for administrative costs in the reported FFY - Enter the total amount of funds expended for administrative costs, including administrative support staff and general overhead costs, during the reported FFY. Do not include expenditures for direct services provided by agency staff or the expenditures of contract or sub-grantee staff that provide direct services under contracts or sub-grants. For example, if an administrator spends a portion of his or her time providing administrative services and the remainder providing direct services, include only the expenditures for administrative services.
    1. Administrative expenditures from (1) Title VII-Chapter 2 Federal grant award funds, including allowable carryover funds from the previous FFY and (2) non-Federal sources used in meeting the match requirement as reported on line 10j of the SF-425.
    2. Administrative expenditures from all other allowable sources as identified in Part I - A above.
    3. Total administrative expenditures - Sum of 1a + 1b. Total will be automatically populated.
  2. Funds expended for direct services during the reported FFY - Enter the total funds expended for direct program services during the reported FFY. Amount reported must equal the total funds expended for services in Part IV – F.
    1. Direct service expenditures from (1) Title VII-Chapter 2 OIB Federal grant award, including allowable carryover funds from the previous FFY and (2) non-Federal sources used in meeting the match requirement as reported on line 10j of the SF-425.
    2. Direct service expenditures from all other allowable sources as identified in Part I - A above.
    3. Total direct services expenditures - Sum of 2a + 2b. Total will be automatically populated.
  3. Total funds expended for the program during the reported FFY - Sum of B1c + B2c. Total will be automatically populated.

Part II: Program Staffing

Base all full-time equivalent (FTE) calculations on the number of hours per week considered full time for the position. Record all FTEs assigned to the OIB program during the reported FFY irrespective of whether salary is paid with Title VII-Chapter 2 funds. Report the number of hours per week that define FTE for State Agency staff and for Contract/Subgrant staff (e.g. 40 hours, 35 hours, etc.).

  1. Full-time Equivalent (FTE) Program Staff

    Record the FTE administrative and support staff and direct service staff, including State agency staff and contract/subgrant staff, for the OIB program. If a staff member provides both administrative and support functions and direct services, report the percentage of FTE devoted to administrative and support activities under “Administrative & Support” and the percentage of FTE devoted to direct services under “Direct Services.” For example, assuming a full-time 40 hour work week, if 20% (8 hours per week) of a staff person’s time was spent on administrative and support functions related to this program, and 80% (32 hours per week) of the staff person’s time was spent in providing direct services for this program, the reported FTE for that staff person would be 0.2 for administrative and support functions and 0.8 for direct services.

    1. FTE State Agency staff assigned to the OIB program
      1. Administrative and support – Under “Administrative & Support,” enter the FTE of all administrative and support staff (e.g., management, program directors, supervisors, readers, drivers for staff, etc.) assigned to the OIB program from the State agency.
      2. Direct service – Under “Direct Service”, enter the FTE of all State agency direct service staff (e.g., rehabilitation teachers, Independent Living (IL) specialists, orientation and mobility specialists, social workers, drivers for individuals receiving services, etc.) assigned to the OIB program from the State agency.
      3. Total – The total State agency FTE (A1C) is the sum of the “Administrative & Support” FTE (A1A) and “Direct Service” FTE (A1B). Total will be automatically populated.
    2. FTE through contract/subgrant – FTE assigned to the OIB program through a contract or subgrant.
      1. Administrative & support – Under “Administrative & Support” (A2a), enter the FTE of all administrative and support staff (e.g., management, program directors, supervisors, readers, drivers for staff, etc.) assigned to the OIB program through contract/subgrant.

      2. Direct service – Under “Direct Service” (A2b), enter the FTE of all direct service staff (e.g., rehabilitation teachers, independent living specialists, orientation and mobility specialists, social

        workers, drivers for individuals receiving services, etc.) assigned to the OIB program through contract/subgrant.

      3. Total – The Total Contract/subgrantee FTE (A2c) is the sum of the “Administrative & Support” FTE (A2a) and the “Direct Service” FTE (A2b). Total will be automatically populated.
    3. Total FTE – The system will generate the FTE totals for Administrative & Support and for Direct Service, as well as the total FTE for the program.

  2. Employees with Disabilities

    Record the number of employees with disabilities that are represented in the categories below. Individuals reported here should include both agency and contract/subgrant staff.

    1. Employees with disabilities other than with blindness or severe visual impairments – Enter the total number of employees with disabilities, excluding those with blindness or severe visual impairments. Employees with blindness or severe visual impairments are reported separately in B2 and B3 below.

    2. Employees with blindness or severe visual impairments who are age

      55 and older – Enter the total number who are blind or who have severe visual impairments and are age 55 and older.

    3. Employees with blindness or severe visual impairments who are under age 55 – Enter the total number who are blind or have a severe visual impairment and are under age 55.

    4. Total employees with disabilities – Enter the number of employees reported in B1, B2, and B3. Total in B4 will be automatically populated.

      Part III: Data on Individuals Served

      Provide data in each of the categories below on the number of individuals for whom one or more services were provided (program participants) during the reported FFY.

      1. Individuals Served

        1. Enter the number of program participants carried over from the previous FFY who received services in this reported FFY (i.e., an individual who received services in September (or any other month) of the previous FFY and continued to receive additional services in the reported FFY).
        2. Enter the number of program participants who began receiving services during the reported FFY irrespective of whether they have completed all services.
        3. Total individuals served during the reported FFY - Sum of A1 + A2. Total will be automatically populated.

      2. Age at Application

        Categories 1 through 4 - The total number of individuals served in each respective age category (B1 through B4).

    5. The sum of age categories B1 through B4. This total must agree with the total reported in A3. Total will be automatically populated.

  3. Gender

    1. Self-identifies as female – Enter the total number of individuals receiving services who self-identify as female.
    2. Self-identifies as male – Enter the total number of individuals receiving services who self-identify as male.
    3. Did not self-identify gender – Enter the total number of Individuals receiving services who did not self-identify gender.
    4. Total – Sum of C1 + C2 + C3. This total must agree with the total reported in A3 above. Total will be automatically populated.

  4. Race

    Categories 1 through 7 - Enter the number of individuals served in the reported FFY for each of the 7 race categories (D1 through D7). Self- identification is required to the greatest extent possible. It is generally expected that the information recorded will reflect the individual’s own identification of race from these categories.

    Observer identification is not required. If the individual refuses to self-identify, record in item 6 (individual did not self-identify race). An individual should only be reported in one of the 7 categories. Item 7 should be used to report individuals served who identify two or more races. The multi-race category (item 7) should not be used to report an individual who identifies only 1 of the 5 races listed and also identifies that they are of Hispanic or Latino ethnicity. Hispanic or Latino ethnicity is recorded in section E, regardless of race.

    1. American Indian – Enter the number of individuals served who are American Indian or Alaska Native. American Indian/Alaska Native means a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

    2. Asian – Enter the number of individuals served who are Asian. Asian means a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for

      example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

    3. Black or African American – Enter the number of individuals served who are Black or African American. Black or African American means a person having origins in any of the black racial groups of Africa.
    4. Native Hawaiian or Other Pacific Islander – Enter the number of individuals served who are Native Hawaiian or Other Pacific Islander. Native Hawaiian or Other Pacific Islander means a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
    5. White – Enter the number of individuals served who are White. White means a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
    6. Individual did not self-identify race – Enter the number of individuals served who did not self-identify race or refused to self- identify race.
    7. Two or more races – Enter the number of individuals served who report two or more races (for multi-race individuals).
    8. Total – Sum of items D1 through D7. This total must agree with the total reported in A3 above. Do not include the Ethnicity sum from E1. Total will be automatically populated.

  5. Ethnicity

    1. Enter the number of individuals served who reported that they are Hispanic or Latino. Hispanic or Latino means a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

  6. Degree of Visual Impairment

    1. Enter the number of individuals served who are totally blind (e.g., have light perception only or no light perception).
    2. Enter the number of individuals served who are considered legally blind, excluding those recorded in F1.
    3. Enter the number of individuals served who have severe visual impairment, excluding those recorded in F1 and F2.
    4. Total - Sum of F1 + F2 + F3. The total must agree with the total in A3 above. Total will be automatically populated.

  7. Major Cause of Visual Impairment

     

    Enter only one major cause of visual impairment for each individual served during the reported FFY. Below are the most common causes of visual impairment among older individuals.

    1. Macular degeneration – Enter the number of individuals served who have macular degeneration as the major cause of visual impairment. Macular degeneration is a progressive disease of the retina wherein the light-sensing cells in the central area of vision (the macula) stop working and eventually die.
    2. Diabetic retinopathy – Enter the number of individuals served who have diabetic retinopathy as the major cause of visual impairment. Diabetic retinopathy is damage to the blood vessels of the light- sensitive tissue at the back of the eye (retina) caused by diabetes.
    3. Glaucoma – Enter the number of individuals served who have glaucoma as the major cause of visual impairment. Glaucoma is a group of eye diseases causing optic nerve damage that involves mechanical compression or decreased blood flow.
    4. Cataracts – Enter the number of individuals served who have cataracts as the major cause of visual impairment. A cataract is a clouding of the natural lens of the eye resulting in blurred vision, sensitivity to light and glare, distortion, and dimming of colors.
    5. Other cause of visual impairment – Enter the number of individuals served whose major cause of visual impairment is not listed above.
    6. Total - Sum of G1 through G5. This total must agree with the total in A3 above. Total will be automatically populated.

  8. Other Age-Related Impairments

    Older individuals who are blind may have one or more other age-related impairments or disorders that impact their ability to carry out customary daily life activities in the home and community. Listed below are age-related impairments (other than visual impairments) that are common among older individuals. Enter the total number of individuals served in each of the categories listed in H1 through H-6. Individuals may report one or more non-visual impairments/conditions.

    1. Hearing impairment – Hearing impairment occurs when there is a problem with or damage to one or more parts of the ear, and may be a conductive hearing loss (outer or middle ear) or a sensorineural hearing loss (inner ear) or a combination. Presbycusis is the gradual hearing loss that occurs with aging.
    2. Mobility impairment – Older individuals may have difficulty with gross motor behavior, such as moving around in the environment, or with fine motor skills, such as writing. Conditions such as Osteoporosis (loss of mass and quality of bones), osteoarthritis (inflammation and deterioration of joints), and sarcopenia (age- related loss of skeletal muscle mass and strength) may contribute to frailty and injury in older individuals. Other conditions that contribute to loss of mobility and independence include disorders in the central nervous system that control movement such as in Parkinson’s disease.
    3. Communication impairment – Older individuals may have impairments in expressive communication, receptive communication, or both, as a result of stroke, dementia, or other conditions.
    4. Cognitive or intellectual impairment – Cognitive impairments, such as dementia and Alzheimer’s disease, impact parts of the brain that control thought, memory, and executive functioning. Individuals with intellectual disabilities (e.g., Down syndrome), should also be included in this category.
    5. Mental health impairment – Older individuals may have impairments or disorders that affect their mental health such as: Mood disorders (e.g., depression, bipolar disorder, anxiety, and seasonal affective disorder); Sundown syndrome, which affects individuals with dementia or Alzheimer’s; and psychosis or a personality disorder.
    6. Other impairment – Enter other impairments not captured in H1 – H5 above.

  9. Type of Residence

    1. Private residence – Enter the number of individuals served who live in a private residence (house or apartment).
    2. Senior independent living facility – Enter the number of individuals served who live in senior independent living housing in which minimal support is provided.
    3. Assisted living facility – Enter the number of individuals served who live in assisted living facilities (e.g., housing that provides personal care and services which meet needs beyond basic provision of food, shelter and laundry).
    4. Nursing home/long-term care facility – Enter the number of individuals served who live in nursing homes/long-term care facilities (e.g., any facility that provides care to one or more persons who require nursing care and related medical services of such complexity to require professional nursing care under the direction of a physician on a 24 hour a day basis).
    5. Homeless – Enter the number of individuals served who are homeless.
    6. Total – Sum of I1 through I5. This total must agree with the total in A3 above. Total will be automatically populated.

J. Source of Referral

  1. Eye care provider – Enter the number of individuals served referred by an eye care provider (e.g., ophthalmologist or optometrist).
  2. Physician/medical provider – Enter the number of individuals served referred by a medical provider other than an eye care provider.
  3. State VR agency – Enter the number of individuals served referred by a State vocational rehabilitation (VR) agency.
  4. Government/public or private social services agency – Enter the number of individuals served referred by a government/public or private social services agency, not listed elsewhere, that provides assistance to consumers related to eligibility and securing entitlements and benefits, counseling, elder law services, or assistance with housing.
  5. Veterans Administration – Enter the number of individuals served referred by the Veterans Administration.
  6. Senior program – Enter the number of individuals served referred by a senior program defined as a community-based educational recreational, or socialization program operated by a senior center, nutrition site, or senior club.
  7. Assisted living facility – Enter the number of individuals served referred by an assisted living facility defined as housing that provides personal care and services which meet needs beyond basic provision of food, shelter and laundry.
  8. Nursing home/long-term care facility – Enter the number of individuals served referred by a nursing home/long-term care facility defined as any facility that provides care to one or more persons who require nursing care and related medical services of such complexity to require professional nursing care under the direction of a physician on a 24 hour a day basis.
  9. Independent living center – Enter the number of individuals served referred by an independent living center (ILC) defined as a consumer- controlled, community-based, cross-disability, nonresidential private nonprofit agency that is designed and operated within a local community by individuals with disabilities, and provides an array of independent living services.
  10. Family member or friend – Enter the number of individuals referred by a family member or friend.
  11. Self-referral – Enter the number of individuals who were self- referred.
  12. All other sources – Enter the number of individuals referred from All other sources aside from those listed above, including Faith based organizations.
  13. Total – The sum of J1 through J12. This total must agree with the total in A3 above. Total will be automatically populated.

Part IV: Types of Services Provided and Funds Expended

Provide data related to the number of program participants receiving each type of service and funds expended for each type of service.

Total expenditures for direct program services in Part I - B2 must equal the total funds spent on services in Part IV - F. In other words, the amount reported in Part I - B2 must equal the sum of the expenditures reported in Part IV - F. Salary or expenditures associated with direct service staff or contractors providing direct services should be included in the expenditure of services provided in A1, B1, C1, D1 and E1.

  1. Clinical/Functional Vision Assessments and Services

     

    1. Total expenditures from all sources of program funding - Enter the total expenditures, including expenditures from Title VII-Chapter 2 Federal grant funds and all other sources of program funding, for clinical and/or functional vision assessments and services, whether purchased or provided directly.
    2. Persons served – Vision Screening/Vision Examination/Low Vision Evaluation (unduplicated count): Enter the total number of individuals who received clinical vision screening or vision examinations from qualified or certified professionals such as ophthalmologists, optometrists, or low vision specialists (i.e., one individual may receive multiple services during the reported FFY but should only be counted one time). Assessment areas may include functional visual acuity and fields, efficiency of vision in the performance of everyday tasks, and evaluation for low vision aids or equipment. Functional vision assessments are typically provided by professionals who are certified or have a master’s degree in low vision rehabilitation. Do not include evaluations for orientation and mobility, which should be included in IV - C3.
    3. Persons served – Surgical or therapeutic treatments to prevent, correct, or modify disabling eye conditions (unduplicated count): Enter the total number of individuals who received surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions, including prescription optical devices(i.e., one individual may receive multiple services during the reported FFY but should only be counted one time). Nonprescription optical aids and devices should be reported in IV - B2.

  2. Assistive Technology devices and services

    As defined in Section 3(4) of the Assistive Technology Act of 2004 (Pub. L. 108-364), “assistive technology device means any item, piece of equipment, or product system whether acquired commercially, modified, or customized that is used to increase, maintain, or improve functional capabilities of individuals with disabilities.” Assistive

    technology devices may include such items as canes, slates, insulin gauges, closed circuit televisions, computers, adaptive software, magnifiers, adaptive cooking items, adaptive recreational items, handwriting guides, braille devices, large button telephones, etc. Assistive technology services may include the evaluation of assistive technology needs of an individual, services related to acquisition of technology, loan programs, maintenance and repair of assistive technology, training or technical assistance for the individual or professionals related to the use of assistive technology, programs to expand the availability of assistive technology, low vision services related to the use of optical aids and devices, and other services related to the selection, acquisition, or use of an assistive technology device.

    1. Total expenditures from all sources of program funding – Enter the total amount of expenditures, including expenditures from Title VII- Chapter 2 Federal grant funds and all other sources of program funds, for the provision of assistive technology devices and services.
    2. Persons served – Provision of assistive technology devices and/or services (unduplicated count): Enter the unduplicated count of individuals who received one or more assistive technology devices and services (i.e., one individual may receive multiple assistive technology devices and services during the reported FFY but should only be counted one time).

  3. Independent Living and Adjustment Training Services

    1. Total expenditures from all sources of program funding - Enter the total expenditures, including expenditures from Title VII-Chapter 2 Federal grant funds and all other sources of program funding, for the provision of services and adjustment training leading to independent living. Evaluation and assessment services (excluding those included in IV - A2 or IV - B2) leading to the planning and implementation of services and training should be included in these costs.
    2. Persons served – Independent living and adjustment training services (unduplicated count): Enter the unduplicated count of individuals who received one or more independent living and adjustment training services (i.e., one individual may receive multiple independent living and adjustment training services during the reported FFY but should only be counted one time).
    3. Number of persons reported in IV - C2 who received the following services:
      1. Persons served – Orientation and mobility training: Enter the total number of individuals who received orientation and mobility (O & M) services or travel training (i.e., learning to access public or private transportation and to travel safely and as independently as possible in the home and community with or without the use of mobility aids and devices).
      2. Persons served – Communication skills training: Enter the total number of individuals who received communication skills training. This category includes, for example, training in reading and writing braille; training in the use of the telephone (including mobile phones); training in the use of readers, newspaper reading services, radio and talking book services; and training in other communication skills and technologies. This category also includes training in keyboarding and computer literacy. Training in the use of specialized computer software (e.g., screen reading software) and adaptive equipment should be reported under assistive technology services (IV - B2 above).
      3. Persons served – Daily living skills training: Enter the total number of individuals who received daily living skills training. This category includes, for example, training in the use of blindness and low vision alternative techniques for telling time, food preparation, grooming and dress, household chores, medical management, shopping, and recreational activities.
      4. Persons served – Advocacy training: Enter the total number of individuals who participated in advocacy training including consumer organization meetings.
      5. Persons served – Adjustment counseling and/or peer support services: Enter the total number of individuals who received adjustment counseling and/or peer support services (individual or group) to assist them in adjusting to visual impairment and blindness.
      6. Persons served – Information and referral services: Enter the total number of individuals (program participants) who received information and referral to other service providers, programs, and agencies (e.g., senior programs, public and private social service programs, faith-based organizations, consumer groups, etc.) to enhance adjustment, independent living, and integration into the community. Do not include individuals who received only information and referral and for whom no other services were provided (e.g., non-participants, the general public, and other service providers).
      7. Persons served – Other independent living services: Enter the total number of individuals who received any other independent living service not listed above.

  4. Supportive Services

    Supportive services are services provided to individuals with disabilities so that they can access other program services. Under

    this category, report the number of individuals who received reader services, transportation, personal attendant services, interpreters, or other support services while actively participating in the program or attaining independent living goals.

    1. Expenditures – Enter the total expenditures, including expenditures from Title VII-Chapter 2 Federal grant funds and all other sources of program funding, for the provision of supportive services.
    2. Persons served – supportive services (unduplicated count): Enter the unduplicated count of individuals who received supportive services as described above (i.e., one individual may receive multiple supportive services during the reported FFY but should only be counted one time).

  5. Community Awareness Activities and Information and Referral

    1. Expenditures – Enter the total expenditures, including expenditures from Title VII-Chapter 2 Federal grant funds and all other sources of program funding, used to support community awareness activities/events and providing information and referral services to individuals for whom this was the only service provided (e.g., health fair for seniors, training for other professionals, telephone inquiries, and general inquiries about services for older individuals who are blind).

  6. TOTAL DIRECT EXPENDITURES

Sum of A1 through E1. The total must agree with the direct service expenditures reported in Part 1 - B2c.

Part V: Program Performance Measures and Outcome Data

The revised GPRA measures for the OIB program are listed below. Grantees must report the data necessary to calculate program performance on these measures as outlined in the instructions below following the list of measures.

Program Measures

Objective: To restore, improve, or maintain the independence of older individuals whose functional capabilities have been lost or diminished as a result of vision loss or blindness.

  1. Assistive Technology Devices and Services

    Measure A – The percentage of individuals receiving assistive technology devices and services who demonstrated improvement in one or more functional capabilities during the reported FFY consistent with the objectives for receiving such devices and services.

  2. Independent Living and Adjustment Training Services

    Measure B - The percentage of individuals receiving one or more independent living and adjustment training services who demonstrated improvement in functional capabilities during the reported FFY.

  3. Independence in the Home and Community

    Measure C1 – The percentage of individuals completing a plan of services who reported feeling more confident in their ability to maintain their current living situation.

    Measure C2 - The percentage of individuals completing a plan of services who reported an increased ability to engage in their customary daily life activities in the home and community.

  4. Efficiency Measure – (Measure will be calculated by RSA using MIS data reported in PARTS I and III)

Objective: To provide cost effective supports and services to increase the independence of older individuals who are blind so that they may remain in the community and to prevent or delay the need for an increasing level of care, particularly for those individuals who are at risk of entering institutions.

Measure D – The average annual cost per individual served through the program during the reported FFY.

Instructions for Reporting of Performance Data in Part V:

For measures A, Assistive Technology Devices and Services, and B, Independent Living and Adjustment Training Services, data is reported for individuals whose change in functional capabilities was assessed during the reported FFY, following the receipt of one or more services provided through the program.

For measures under C, Independence in the Home and Community, data is reported for individuals completing a plan of services during the reported FFY. For the purpose of this measure, “a plan of services is a set of services provided through the OIB program designed to meet an individual’s goals.” For the purpose of the items reported under C, an individual who has completed his or her plan of services does not need to have formally exited the program.

Grantees are not required to report data for efficiency measure D in Part V. The average annual cost per individual served through the program during the reported FFY will be calculated by RSA based on data reported in Part I, B3 and Part III, A3.

  1. Assistive Technology Devices and Services

    1. From the unduplicated number of persons served that received assistive technology devices and services reported in IV - B2, enter the number of unduplicated individuals receiving assistive technology

      devices and services for whom change in functional capabilities was assessed, during the reported FFY (Denominator).

    2. From the unduplicated number of persons reported in A1 above, enter the unduplicated number of individuals receiving assistive technology devices and services who demonstrated improvement in one or more functional capabilities, during the reported FFY. Note: An individual who maintained but did not improve their capabilities may be reported here if the individual’s goal was to prevent further decline in their capabilities (Numerator).
    3. The percentage of individuals receiving assistive technology devices and services who demonstrated improvement in one or more functional capabilities during the reported FFY consistent with the objectives for receiving such devices and services. (A2 divided by A1 X 100). The percentage is calculated by RSA MIS.

  2. Independent Living and Adjustment Training Services

    1. From the unduplicated number of individuals receiving independent living and adjustment training services reported in IV C2, during the reported FFY, enter the unduplicated number of individuals receiving independent living and adjustment training services for whom change in functional capabilities was assessed during the reported FFY (Denominator).
    2. From the unduplicated number of persons reported in B1 above, enter the unduplicated number of individuals receiving independent living and adjustment training services who demonstrated improvement in one or more functional capabilities. Note: An individual who maintained but did not improve their capabilities may be reported here if the individual’s goal was to prevent further decline in their capabilities (Numerator).
    3. The percentage of individuals receiving one or more independent living and adjustment training services who demonstrated improvement in functional capabilities during the reported FFY (B2 divided by B1 X 100). The percentage is calculated by RSA MIS.

  3. Independence in the Home and Community

    Responses to items C1 through C5 below are based on individuals who completed their plan of services during the reported FFY. Note: For the purpose of these measures, an individual who has completed his or her plan of services does not need to have formally exited the program. For example, an individual who has completed individualized services but continues to participate in ongoing peer support activities provided through the program would be included.

    1. Total: Enter the total number of individuals completing a plan of services during the reported FFY (Denominator). Note: This means a specific set of services designed for the individual to meet his or her goals.
    2. Engage in customary daily life activities: Enter the number of individuals completing a plan of services during the reported FFY who reported an increased ability to engage in their customary daily life activities in the home and community (Numerator).
    3. The percentage of individuals completing a plan of services who reported an increased ability to engage in their customary daily life activities in the home and community. (C2 divided by C1 X 100). The percentage is calculated by RSA MIS.
    4. Maintain Living Situation – Enter the number of individuals completing a plan of services during the reported FFY who reported feeling that they are more confident in their ability to maintain their current living situation (Numerator).
    5. The percentage of individuals completing a plan of services who reported feeling that they are more confident in their ability to maintain their current living situation (C4 divided by C1 X 100). The percentage is calculated by RSA MIS.
  4. Efficiency Measure – (To be calculated by RSA MIS from data reported in PARTS I and III)
    1. Total funds expended for direct services provided during the reported FFY (as reported in I B2c)
    2. Number of individuals receiving services during the reported FFY (as reported in III A3)
    3. The average annual cost per individual served through the program during the reported period (D1 divided by D2).

Part VI: Training and Technical Assistance

On July 22, 2014, the Workforce Innovation and Opportunity Act (WIOA) was enacted and included a new requirement under Section 751A that the RSA Commissioner shall conduct a survey of designated State agencies that receive grants under section 752 of the Rehabilitation Act of 1973, as amended by Title IV of WIOA, regarding training and technical assistance needs in order to determine funding priorities for such training and technical assistance. Enter a brief description of your training and technical assistance needs related to the implementation and improvement of the performance of your OIB program (for example, financial management, reporting requirements on the 7-OB, program management, data analysis and program performance, law and applicable regulations, provision of services and service delivery, promising practices, resources and information, outreach, etc.).

Part VII: Narrative

See descriptions of items to be included in the narrative on the 7-OB form.

Part VIII: Signature Instructions

SIGN AND PRINT THE NAME, TITLE AND TELEPHONE NUMBER OF THE OIB PROGRAM DIRECTOR.

The certifying official (either the Program Director or a designated officer) must have the legal authority to submit the form on behalf of the agency.

Part I: Funding Sources and Expenditures in Support of the OIB Program
A. Funding Sources and Amounts in Support of the OIB Program for the Reported Federal Fiscal Year (FFY)
574,415
0
574,415
0
0
574,415
63,824
0
0
63,824
638,239
B. OIB Program Expenditures in Reported FFY
1. Funds expended for administrative costs in the reported FFY
265,418
0
265418.00
2. Funds expended for direct services during the reported FFY
308,906
0
308,906
3. Total funds expended for the program during the reported FFY (B1c + B2c)
574,324
Part II: Program Staffing
A. Full-time Equivalent (FTE) Program Staff
FTE (full time equivalent) is the number of hours per week considered full time for the positions reported below.
Please report the number of hours per week that define FTE for: (e.g., 40 hours, 35 hours, etc.).
40
40
2.70
1.60
4.3000
0.00
0.36
0.3600
2.7000
1.9600
4.6600
B. Employees with Disabilities
7
6
6
19
Part III: Data on Individuals Served
Provide data in each of the categories below on the number of individuals for whom one or more services were provided (program participants) during the reported FFY.
A. Individuals Served
518
495
1,013
B. Age at Application
176
214
322
301
1,013
C. Gender
688
325
0
1,013
D. Race
3
4
118
0
863
13
12
1,013
E. Ethnicity
8
F. Degree of Visual Impairment
92
693
228
1,013
G. Major Cause of Visual Impairment
517
68
159
12
257
1,013
H. Other Age-Related Impairments
214
214
1
34
132
589
I. Type of Residence
850
91
42
28
2
1,013
J. Source of Referral
98
61
5
61
12
7
5
12
7
210
407
128
1,013
Part IV: Types of Services Provided and Funds Expended
Provide data related to the number of older individuals who are blind receiving each type of service and funds expended for each type of service.
A. Clinical/Functional Vision Assessments and Services
0.00
911
4
B. Assistive Technology Devices and Services
158,591.00
1,001
C. Independent Living and Adjustment Training Services
150,315.00
1,012
3. Number of persons receiving the following services:
687
970
953
820
976
1,002
165
D. Supportive Services
0.00
18
E. Community Awareness Activities and Information and Referral
0.00
F. TOTAL DIRECT EXPENDITURES
308906.00
Part V: Program Performance Measures and Outcome Data

Program Measures

Objective: To restore, improve, or maintain the independence of older individuals whose functional capabilities have been lost or diminished as a result of vision loss or blindness.
A. Assistive Technology Devices and Services
Measure A: The percentage of individuals receiving assistive technology devices and services who demonstrated improvement in one or more functional capabilities during the reported FFY consistent with the objectives for receiving such devices and services.
B. Independent Living and Adjustment Training Services
Measure B: The percentage of individuals receiving one or more independent living and adjustment training services who demonstrated improvement in functional capabilities during the reported FFY.
C. Independence in the Home and Community
Measure C1: The percentage of individuals completing a plan of services who reported feeling that they are more confident in their ability to maintain their current living situation. Measure C2: The percentage of individuals completing a plan of services who reported an increased ability to engage in their customary daily life activities in the home and community.
D. Efficiency Measure
Objective: To provide cost effective supports and services to increase the independence of older individuals who are blind so that they may remain in the community and to prevent or delay the need for an increasing level of care, particularly for those individuals who are at risk of entering institutions.
Measure: The average annual cost per individual served through the program during the reported FFY.
Provide the following data for each of the performance measures below. This will assist RSA in reporting results and outcomes related to the program.

Program Performance Data

A. Assistive Technology Devices and Services
1,001
904
90
B. Independent Living and Adjustment Training Services
1,012
915
90
C. Independence in the Home and Community
555
461
83
460
82.88
D. Efficiency Measure
308,906.00
1,013
304.94
Part VI: Training and Technical Assistance Needs
Over the past year Rehabilitation Services for the Blind (RSB) has developed a standardized onboarding training plan for new Rehabilitation Teachers. It consists of 54 training modules and a set of field experiences that address Older Blind Services (OBS policies, practices, foundational knowledge of blindness, and use of our client case management software. New RTs will complete this training over an eight month period. The training modules are housed on a learning management system, YesLMS. Additionally, veteran staff and new staff participate in Focus Group meetings that are held annually or semi-annually depending on training needs. WebEx trainings are also regularly provided to make RTs familiar with policy and case management system updates. Therefore, there is no additional training or technical assistance required at this time.
Part VII: Narrative
Missouri Rehabilitation Services for the Blind/Older Blind Services Program (RSB/OBS) continues to use the In-house Model to provide independent living services to its older individuals who are blind or visually impaired. Fifteen rehabilitation teachers based in Missouri's six district offices, are responsible for the provision of IL services to Missouri's seniors who are eligible for services. The essential objective of this program is to provide core services to our older blind population to enable them to retain or regain the ability to function independently in their homes and communities. Education in basic life skills of personal and home management. daily living activities, written communication techniques, low vision training, and orientation and mobility instructions have allowed greater or complete independence in these areas. Low vision aids and appliances, peer support, peer counseling, advocacy skills and mentoring services have also enhanced their independence.

Our program activities address the needs of our seniors through direct client and group services in the individuals' own homes and communities. Services are provided in an itinerant model by rehabilitation teachers and orientation and mobility specialists, the majority of who are blind or severely visually impaired. This method of service delivery underscores the ability of individuals with visual impairment because seniors who are blind or visually impaired can observe the independence and ability of others with visual loss.

RSB/OBS staff has been committed to promoting the participation of minority individuals and groups in all aspects of independent living services. Our primary commitment has been to provide services to a broader range of culturally diverse communities in both urban and rural geographic areas of Missouri. To achieve this goal, we participated in some in person meetings, zoom meetings and web conferences with other professionals in the aging field. The meetings were used to educate the participants on the various age-related eye diseases and informed them of the services available to individuals who are experiencing vision loss. The purpose of the meetings was to educate the public about blindness and dispel myths and misconceptions that inhibit the success of individuals who are blind or visually impaired.

The number of minorities who were served by the Older Blind Program in 2025 emphasizes the success of these outreach activities. According to the most recent Missouri Census, approximately 13% of people aged 55 and above are of minority populations. In 2025, Missouri's Older Blind Program served 1,013 seniors. Of those, 85% were white and 15% were minorities. Part Ill of this report, "Data on Individuals Served", demonstrates that the program is serving a proportionate number of people from minority race/ethnic groups.
A Program Participant Survey was conducted by mail in FY 2025 by our Older Blind Service Program staff to determine how clients experienced the independent living skills training they received and to gather outcome data about their perceptions of the extent to which the services and adaptive devices they learned and received enhanced their level of independence. The survey consisted of questions in the following categories:
3 questions addressing consumer perception of the way services were provided;
11 questions on outcomes of services provided; and
16 questions regarding consumer demographics.
This survey was designed to allow the RSB administrative team to acquire outcome data to report to RSA plus some additional data that would be useful in program analysis and planning.

Missouri's Older Blind Program mailed 555 surveys to consumers whose cases were closed in FY 2025. 174 consumers completed and returned the surveys to RSB Older Blind staff with a response rate of 31.4%. Overall results of the Program Participant Survey data were very favorable. Most consumers reported positive levels of satisfaction with perceived outcomes of the services they received.

Manner in which Services Were Provided
There was a high level of satisfaction related to RSB staff's ability to provide services on a timely basis (89%), express concern for consumers (94%), and the overall quality of the services provided (89%). There was no data representing significant dissatisfaction recorded in this category. These high levels of satisfaction speak well of the RSB Older Blind Program staff.

Consumer Perceptions of Outcomes
Using a Likert scale rating, survey respondents were asked to rate their perceptions of their abilities because of participation in the program. The questions were designed to elicit responses on a 4-point scale. The following results do not include those who did not respond to the question.

The outcome section of the survey reveals several areas of good indication that some of their priority
outcomes were met. Respondents indicated high levels of agreement that they were less dependent on others (75%), that they felt more in control and confident to maintain their independence (80 %), and that they were better able to participate in life's activities independently (74%). These levels of satisfaction are especially significant considering the average age of respondents is 79 many of whom have co-morbidities. (The youngest consumer served was age 55 and the oldest was 104). The outcome data for specific skill areas varied somewhat. For example, 74% reported being better able to travel and move independently, an extremely important outcome of the program; 57% reported they were better at managing their household cleaning, 74% were better able to access reading materials; 63% felt they were better able to prepare meals and 72% were better able to manage their paperwork. This is a complex skill area related to writing skills which can be very difficult for individuals with macular degeneration due to their central field loss and an area which often requires more time to improve upon after the case is closed. Furthermore, 75% indicated that they were better able to participate in the life and activities of their family, friends, and/or community, and 69% reported that they have regained or improved functional abilities that were previously lost or diminished because of vision loss after they received assistive technology (AT) services and/or training. It should be noted that while these percentages represent positive outcomes for most respondents, the comments sections for any of these skill areas include statements about someone else still doing the task for them. Also, in some cases, the consumer may not have included some of these skills in their Independent Living Plan.
Demographics
The demographics section indicated 58% of the respondents were female and 42% male. As for their living arrangements, 47.1% Iive alone, 36.5% live with their spouse, and 16.5% live with others, which may include family members, assistive living, or nursing homes. Since 94% of the respondents are Caucasian, 68% reported macular degeneration as their cause of vision loss. It is to be noted that the majority of cases of macular degeneration are seen among Caucasians. 5% Identified themselves as Black or African American; 0% as American Indian/Alaskan Native; 0% Native Hawaiian or Other Pacific Islander; and 1% as Hispanic or Latino.

In 2025, Missouri has been committed to identify pockets of minority groups, especially new immigrant
populations and developing effective outreach strategies to ensure they are responsive to the services we have to offer.

In addition to the 68% who reported having macular degeneration, 11% reported having glaucoma; 7%
diabetic retinopathy; 0% cataracts and 14% checked "other."

Participants were asked about the status of their vision loss since services were initiated.
69% indicated their vision had worsened, 5% indicated that their vision had improved, and 27% reported no change.

The participants were then asked, do you have any significant health problems other than vision loss?
55% reported a hearing loss, 32% Diabetes, 32% Cardiovascular, 3% Cancer, 24% Musculoskeletal, 1%
Cognitive, 0% Depression, and 0% other major Geriatric concerns.

Of the 55% reporting a hearing loss, 21% rated their hearing loss at mild; 50% as moderate, and 29% stated their hearing loss was severe.

Participants were asked about the status of their overall health.
8% of survey respondents stated their overall health improved in the last year; 36% stated it declined and 55% saw no change in their overall health.

Participants were asked, on a scale of 1 to 5, rate how much difficulty your health and your vision caused in terms of caring for yourself independently BEFORE RECEIVING SERVICES:
Vision = 3.42 average

They were then asked to rate how much difficulty their health and their vision caused in terms of caring for their self independently AFTER RECEIVING SERVICES:
Vision = 3.05 average

12% had considered moving into a nursing home before they received vision rehabilitation services. This is a good sign that home and community based long term care services are helping people "age in place" and 75% felt that the vision-related services they received helped them remain in their own homes and age in place.
Did you participate in or receive training and/or services in a small group setting 12% said yes and 88% no.
Note, some group training occurred face to face and others occurred by Phone or web conferences.

They were then asked:
Which service delivery method do you prefer?
78% said individual, 6% small group, and 16% either.

Clients were asked," What was the greatest difference this program made in your life?" The comments shown below are a testament to the success of this Program.
1. Saw others making it!
2. The button stickers on my microwave are very helpful.
3. It has helped me financial and given me a way to know what time of day it is
4. The sunglasses that you guys gave me help me so much with driving.
5. Helped me live more independently
6. Smartlux digital reader to read recipes, menus at restaurants, magazines, keyboard with large bright yellow buttons, books on tape - reading was a big part of my life, bright orange buttons put on microwave, washer and dryer to help me set the right instructions.
7. Still able to function in his home
8. Accepting the fact that i needed to accept vision loss as it progresses
9. Easy to hear time listen to reading books - trying to deal with what is next.
10. The hand magnifing glass has made reading instructions on food packages a lot easier. i listen to the audio books almost every day. only turn tv on for the news.
11. Didn't do much. gave dots for stove & micro
12. Not much of anything.
13. The lighted magnifier read mags and sundy school book your rep was a very nice lady and helpful
14. Bobby shared many useful tips. the magnifier was great. the signature guide tool works well. cell phone use has improved. access to kcstar hasn't greatly improved. bobby gave a lot of encouragement while showing much patience.
15. I could used the magnifying tools to see better & gloria gave me confidence in doing things like reading or seeing in away better even though i didn't fully regain my eyesight
16. They provided services & devices i needed.
17. I can read with the thangs they have pervided. cook in mcwave worm thangs up. they have really helped me. get the thangs i need. people there are real nice and helpful.
18. Very grateful of the alarm reminder each day to take my medications.
19. Too old and unable to see or hear can't walk no feeling in hands can't see the largest number or letter can't see features on people or color
20. The "freedom magnifier" helped me to do more independent reading of my mail and articles of interest. the lighting items; floor lamp and flashlights, lighted magnifier also helped me in way others would not understand! by adding light i can find my phone, my glasses, sometimes things like my medication that others had to help me find previously.
21. Getting materel i need
22. Information was helpful
23. Implament to help me manage are very nice and your representative is very kind my vision loss has become sever
24. Aware that people care and distribe different componants that help you. would like to become volunteer for blind society
25. Big phone provided i can call friends and family
26. Sort of long. using magnifier
27. Easer to work my oven, microwave and dishwasher with the little dots can read a newspaper better with the magnified light. my table light helps me see to write, read and pay bills, enjoy the songlasses
28. Books on tape, magnifiy mirror and calandar made it possible for me to have some of my old life back.
29. Slower. never new how bad i was. taking one day at a time. thank you for your service and material. very helpful. i'm so independent i can believe the help that i need now. just try to keep it positive. thanks you!
30. Giving me aids to help see better, give me better light to function and apply makeup, etc
31. I am grateful for the servicis provided. i read again. i had almost stopped. magafiner made the difference. indoor/outdoor bright lights hurt my eyes - glasses provided allows me to tolerate both, increasing social activity - game, outside walks etc. lamp allows the eyes to be comforted and no longer keep lights off. this is but a few things, much more inpact on daily living. thank you
32. Aloud me to help see tv captions provided information to contact assistance
33. I can use my microave and stove with the little dots and also the radio on button and the turn down dials i can read some things with the magnifing class.
34. Little things that aid my independence in small tasks without help of another individual.
35. Magnifers and lights
36. Made me aware of other solutions available to me.
37. Better use of my computer and cell phone.
38. They provide for me support
39. More confident better eye sight like the clock
40. I was provided with a watch that announce the time and date, but had to replace the first one given to me because the voice quality was so poor. the kitchen aids have been somewhat helpful. i've recommended this program to others. but overall i was already equipped with most things i needed to be independent.
41. No change
42. To learn moore about blind this program brought resources to my life i once did not have.
43. Able to use phone
44. Wolff audio books has been a life saver
45. I am learning that i can do some things, and i feel that i have a long way to go.
46. March 10, 2025 dear nicole, thank you for sending me the survey. the instructors i had were very pleasant but there was very little training that helped improve my living conditions; with the exception of a visit from brian. he came to my house to show me how to use the white cane. that was very helpful. we actually walked around my neighborhood. he showed how figure out where you are in relation to your home. gave me tips about walking with the cane. also, just some of his experiences. it was a very helpful and because of that visit i started to use my white cane. i did learn th ebraille alphabet. i was given a zoom text large print keyboard. heidi had not been trainedon the keyboard, so obviously she was not able to help me with it. there is no training provided. i was informed the company could not help with training? so, seems a waste of money to give the keyboard without anyway to be trained. my vision is failing. i have trouble using the computer and using my cell phone. these had been my connection to people and the world around me. i see that going away and it is frightening. i had hoped to get instruction on changes i could make to my phone or computer that would allow me to see the screens better. one of the survey questions ask about the kind of meeting we participated in. home, small group? a group meeting was never mentioned but i think that would be a great experience; being able to interact with people having the same vision issues. heidi did leave me with a list of phone numbers that might be able to help me, but she didn't have any way to know. i can't honestly say the program did not help me much but i met a couple of very nice people and i do appreciate the effort. thank you.
47. Being able to use my abilities to do stuff.
48. Getting worse. programs don't seem to apply.
49. I have more mobility because of the white 5-section cane and instruction on how to use it.
50. Gave opportunity to alpha-pointe which gave ability to be imployed by v.a. hosp.
51. Magnification
52. Cooking supplies - meat thermoniter, (fever thermo) measuring cup & spoons, color of clothes, instrutment, magnfing glass & lamp, clock, buttons put on my knobs on my stove. they have all helped & sherdian was very good and helpful with suggestions to help when pouring liquid in a container and use of my toothpaste on my brush.
53. The white cane helps me travel on foot thru town. books on tape are informative & interesting. time pieces that talk.
54. Using phone to assist me. communicating with others with text & emails
55. Robert was encouraging and informative in many ways on how to manage my continued loss of vision. he provided me with several helpful aids. he is an inspiration
56. Less depending on others. less anxiety about going out in public.
57. Inspiring learning braille
58. It was good to know there are those who care and helpful.
59. Did make me more functional in house. i am 81 years old and loosing my sight fast.i have thought of the necessarity of a rest home, especially with out my wife's assistance.
60. Always liked to read. audio books make me feel better thank you
61. Kamea assigned to larry has been wonderful to larry. we first met her at our home at lenoir woods monthly meeting for eye sight problems. sadly, the program ended. she shared some good helpful ideas. later furnished magnets, flashlight, pens, paper etc. she calls every 6 weeks. good ideas now to larry who is legally blind now.brenda did visits to furnish 2 white canes. then walked with larry. cannot praise this program! also, larrylistens every day to your audio tapesof books - thank you so much - larry's wife
62. Gave me confidence to do things on my own
63. All the things they gave me helped so much. i apperiate all of it
64. Using magnifiers
65. It was encouraging to know i qualified for your services. sheridan brought me a light/magnifier which i often use and the measuring cups are very helpful. i wanted to learn enough braille to operate an elevator, and i learned that right away but continued through 16 letters. mf amd progressed to where i needed to stop highway driving in december 2024 and reading large print books in march 2025. i had enjoyed both of these, and sheridan was an encourager! i played piano for church since the age of 16, and during the past few months have been able to play some by memory. i'm very thankful!!!
66. Gave me tools to assist my life better.
67. Keyboard for computer. coffee cup measurer, magnifiers
68. Providing me with a computer and monitor that enable me to confidently pay bills and shop online.
69. Don't have to walk across the room to read the time. don't have to ask strangers prices of something, or read menu for me. don't make mistake matching clothes colors. makes me feel more indepent. thanks so much!
70. It has gave me the equipment i need to read and the glasses to help with sensitivity to the sun. i love the big calendar & the big line writing and the tools she gave me for writing check and envelope
71. Great calender, magnifiers, lighting, audio books many helpful tips
72. I am thankful for the support and the information i received. the reading glasses were helpful.
73. All of the extra stuff to help me out. m lights, my talking clock and my stickers to help me feel.
74. My mother is able to tell time without asking day & night. able to (up arrow symbol slight with symbol up arrow symbol' ed) light blindness, find clothing, drink, etc. she did attempt to use tapes for reading but was unable to follow stories or which stories she read. will return machine & tapes,
75. Tools: such as: attitude, magnifing glass, writing stencils, liquid indicator, lamp, cane
76. Amanda gary & bos coming to my residence to interview me & take care of all "paper" work. the lighted magnifying glass that allows me to read "all" printed materials.these wonderful amand"bold pens" that allow me to see what i'm writing. amanda, gary & bos's visits which inspire me & give me courage
77. The equipment provided
78. Providing equipment, and other items designed to help me take care of myself and be safe
79. Knowing that i have the ability to manage my self right now until i do lose all my eye sight!
80. The light & magnifying glass have helped me see more clearly.
81. Made aware of services and equipment.
82. Help with computer work
83. I was given an object to help me read.
84. My reading & med reminding
85. Very little, but some help.
86. The most important thing i received from jaime was the thing i needed the most - hope! jaime is wonderful!
87. Having different tools to enlarge printed material.
88. I can listen to books due to not being able to read anymore.
89. Audio tapes
90. She help with a couple of electric assisting apps
91. I think the best part of this program was meeting my counselor. he gave me some good tips on functioning better in the kitchen. also showed me how t use the seeing ai app that has been very beneficial. reading was one of the things i very much enjoyed but have great difficulty doing. he made sure i had all the tools i needed for cooking, sewing, reading. he was very nice kind & patient. thank you for sending the survey in large print & thank you for allowing me to participate in the program.
92. Helped me cope in day to day struggles after going blind
93. Giving me knowledge
94. I was given wide lined paper, pen, magnifiers, flashlight things to mark numbers on microwave. audio books was available but i declined. i depend on husband for transportation and sometimes reading things for me.
95. Being able to read mail and see its small print
96. The equipment i have received & tools for washer, dryer & dishwasher
97. I didn't go to st. louis rehabilitation but one time, so it didn't make much difference but it was o.k.
98. Magnify, check writing guide, pens, calendar very useful, wide line paper
99. Improved travel
100. Really liked the talking clock, til it quit working, and we were told it was out of warranty. bought one on amazon. also, like the "magnifying reader".
101. It help with solving pouring liquids as well as reading & understanding medication and over the counter meds, to avoid medication errors and avoid meds errors trips to hospital
102. So many things helped me see better. 1.solar sunglasses helped me to see in the bright sunlight. 2. small magnifying glass with light to read menues. 3. raised white tabs to be able to see on my appliances. 4. heidi tatar changed a lot of things on my ipad, which helped alot.
103. People cared. gained confidence
104. I am able to "listen" to books where as i could not read one in print. i have magnifers to help me read rx bottles - directions on labels - recipes and newspaper. physically i can care for self, its just my vision won't allow me to drive and be more independent.
105. The use of brail alphabet learned about audio books
106. I learned how to make the image on my computer screen larger the lighted magnifying aids helped me to read again with less frustration.
107. I can cook, do laundry easier i get audio books to listen to i feel more confident in myself
108. Getting the stuff i needed
109. Ability to read books : instructions
110. Getting the stuff i needed
111. I can use my phone now
112. The books on tape have been a life saver since i can no longer read or watch t. v.
113. Provided information that i did not have not long enough to help me.
114. The reader helps(magnify)read recipes so can do more variety of cooking/baking.
115. It helped me with suggestions that help me living a lone with poor eyesight. several with red dots for stove buttons a large calendar for the wall. a magnifier plus bright flashlight really helped. i really appreciate the help & suggestions i received. very nice person visiting with me.
116. By using my eschenbach magnifier, i am enabled to read smaill print on food labels, thermostats, mail received, medicine labels, fire extinguisher, and the lilse. greatest difference: i no longer wonder if i am amply equipped to live alone but now feel comfortable living alone.
117. I was trying to prepare for the possibility of macular degeneration in my right eye. i have it in my left eye. they did help me with tools to make it easier. i am now experiencing decreased vision in my right eye and will contact your department. they were so helpful and i know they will greatly assist me now. i did refer several people to you before. what you do is a great service for visually impaired. i am grateful for you.
118. Tried some new items, but due to vision, strength, and lack of dexterity and feeling in hands, couldn’t make new items functional for me - there were 2 things that were helpful - calendar and super flashlight
119. I can tell time now because of the talking clock they gave me.
120. If i didn't have this program, i would be in bad shape. i remained in my home and have a in home worker that cooks and cleans for me.
121. I am typing this on my computer because my handwriting is so bad you may not be able to read it. one things the program did was the driver of the person who called on me put bumps on my stove that enabled me to use my oven. also when i wa first visited i was given magnifyiers that made a huge difference in my life. one of them needs to be replaced as the light has burned out and it should be stronger. but they cannot do that for another year. also they gave me informatio about wolkneer library for the blind in jefferson city. the current representative informed me of ray-ban glasses that read to me.
122. Walking cane for person with limited eyesight. could feel for steps. zoomax wonderful. use it a lot. use no bleed marker and paper daily.
123. The larger magnifier helped with reading books but i like to crochet and i need both hands free. i would be nice to have a magnifier that could be hung around my neck so, i could have my hands below magnifier and could see my yarn as i work with it.
124. Bright light
125. Maintaining vision and functionality. my mother was legally blind at age 65. i was diagnosed with amd at age 59. i have had several eye surgeries. retired at age 72, and am still functioning.
126. Ability to read things more. i don't have to bother family with questions about time.
127. Without the program he would not be where he is today.
128. My wife died sept 2024 and since then with the help of my family and these items i don't feel a complete loss as i would otherwise. these items are very very helpful. i'm a wounded vietnam veteran and life can be very stressful at times, i'm grateful for every consideration shown.
129. Reading better
130. My aunt is able to write on papers now, and she can dial the telephone because the numbers are extra large
131. Helped me to reenter the system so that i can be financially helped
132. Bobby understood what i am experiencing - emotionally and physically, that made such a difference. such a blessing. the two main areas majorly impacted by this program to help maintain my independence wa cooking and technoloy, bobby addressed many concerns in the kitchen and helped me continue to use my phone and computer. he also provided access to information and audio books. bobby made such a difference in my life. so much appreciated.

Overall this summary represents the positive impact the Missouri Older Blind Program is having on its
consumers. The survey is designed to cover all services offered and not all older consumers are
interested in every service which is reflected in the data.
Missouri's Older Blind Program's goal is to identify, define and address the critical issues that impact our
seniors who are blind or visually impaired. To achieve this goal, we work diligently in locating older
individuals with severe visual impairment for whom employment is not their chosen goal but obtaining
or retaining independent living is feasible and their preferred objective. Using these criteria, the
rehabilitation teachers have continued to identify and train clients who are eligible for OBS services.
The dedication and mission of the program staff have been the contributing factors in the success of this
program. In 2024, 1,133 seniors were determined eligible and received OBS Grant services. Of those, 616
were successfully rehabilitated. The two cases discussed below demonstrate the impact of the grant on
Missouri's seniors who are blind or visually impaired, where services contributed significantly to
Increasing independence and quality of life for them.

Case One:
To ensure confidentiality, the client in this case will be referred to as Mrs. S.
Mrs. S. had macular degeneration, and her visual acuities were 20/400. She missed reading her Bible and participating in her Bible study group. She wanted to learn Braille, so that she would be able to participate in her study group again. The RT provided training on both uncontracted and contracted Braille, so that client would be able to read her Bible independently. Within a year, the client learned Braille, and was able to obtain a free copy of the Bible in Braille through a local organization. The client was very thankful for the Braille instruction that was provided through the OBS program.

Case Two:
To ensure confidentiality, the client in this case will be referred to as Mr. H.
Mr. H. has macular degeneration, and his visual acuities were 20/400 in both eyes. During a visit with his RT, he reported that he used to enjoy going to the horse races with some of his friends but had stopped because he couldn’t see the horses from very far away. His RT recommended some vision binoculars for him, so that they would assist him with distance-viewing tasks. The RT brought the vision binoculars to him on a subsequent visit, and the client reported that he could now see a flagpole from his window that he had not been able to see for the last few years. He stated that now that he had the vision binoculars that he was going to let his friends know that he would be joining them the next time they go to the races. He was so excited and thankful to the OBS program for providing this useful low vision aid to him.
Several outreach activities are conducted on a regular basis to reach seniors who are blind or
visually impaired. One significant outreach activity that continues to be remarkably effective is our low
vision resource centers. Through these centers, magnifiers, writing guides, low vision pens, and bold line
paper was provided to seniors who are visually impaired to use at the facility or try them out in their
home where they can work in their own environment. Also, the centers were used to increase public
awareness and knowledge about blindness and its causes, because through them, materials on age-
related eye diseases were distributed. The centers are located in different facilities that are
frequented by seniors including facilities that serve minority populations. To publicize the centers, the
establishments housing them have utilized newspapers, radio and television stations within their
communities to promote this service. As a result. hundreds of seniors who are experiencing vision loss
were served through these centers. Many of them were referred to the Older Blind Program for IL
services.
Other outreach activities employed by OBS Program staff in its efforts to reach Missouri's
Seniors include the events listed below:
1. Dissemination of OBS marketing materials. This was done with the assistance of senior centers, nutrition sites, home healthcare organizations, and other aging networks.
2. The older blind staff participated in senior events of all cultures and in all geographic areas.
3. Staff participated in senior network meetings who met monthly to network and discuss services that benefit seniors. The networks are comprised of organizations and businesses that cater to persons who are age 55 or older.
4. The Older Blind Program Manager participated in the Access Functional Needs Committee's meetings. The purpose of this committee is to ensure there is a strong disability and older adult voice in the preparation, response, recovery, and mitigation of disasters. All meetings were conducted using zoom and web conferences. As a result, several referrals were made to the Older Blind Program for services.
While all these outreach activities generated many referrals to the OBS Program, our staff made just as
many referrals to other agencies who serve seniors and individuals with disabilities. Including, Wolfner
Talking and Braille Library, independent living centers, home health agencies, senior centers, consumer
organizations, assistive technology programs, Helen Keller programs, and other organizations who serve
these populations.
Missouri's Older Blind Program maintains the same methods and approaches that were developed by
the program. Therefore, RSB works with all stake holders in the aging field on expanding independent
living services to older individuals who are blind or visually impaired. Also, the Older Blind Program staff
works diligently on the development and expansion of services to make them accessible to the
blind or visually impaired seniors of this state. Likewise, we remain steadfast with our pursuit of
partnerships and collaborations with agencies/organizations within the aging network and the disability
communities. The OBS staff collaborates with the independent living centers to educate communities
they serve and assist in developing programs in areas that are highly populated with minorities, including
people with disabilities.
A priority of the OBS Program along with our partners is to ensure full implementation of the Older Blind
Program objectives. These agencies have a collaborative commitment to locate, assist, and/or refer
individuals with visual impairments who need vision-related services to our program.
Furthermore, there is commitment to locate and assist individuals who are blind or visually impaired
who are at risk of going into nursing homes or other facilities but who are able and desirous of remaining
in a more integrated community setting. As a result, we have made great strides since the inception of
the Older Blind Program both in the availability of vision-related services to Missouri's seniors and in the
education of the public about their existence.
OBS Program staff work with senior centers, nutrition sites, public libraries, Wolfner Talking Book and
Braille Library, independent living centers, Department of Health and Senior Services, and other entities
who work with Missouri's seniors to help expand services to the communities they serve.
All of our collaborative activities provide the opportunity to share information with other service delivery
agencies/organizations and reach seniors who need our services. Each of these efforts is
creatively different in its method of delivery, yet they all contribute to the same service delivery goal;
that is, to help program participants retain or regain their ability to function independently in their home
and/or communities.
Certification
I agree to submit this form by electronic means. By signing this form electronically, I certify under penalty of perjury that my answers are correct and complete to the best of my knowledge. I understand that an electronic signature has the same legal meaning and can be enforced in the same way as a written signature.
Name and Title of Authorized Certifying Official
Nicole Marie Hanlin
Older Blind Services Program Manager
Yes
Fri, 12/19/2025 - 00:00
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