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RSA-7-OB for FY-2025: Submission #26

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)
919,302
0
919,302
0
339,045
1,258,347
128,452
0
0
128,452
1,386,799
B. OIB Program Expenditures in Reported FFY
1. Funds expended for administrative costs in the reported FFY
41,064
0
41064.06
2. Funds expended for direct services during the reported FFY
1,010,715
335,020
1,345,735
3. Total funds expended for the program during the reported FFY (B1c + B2c)
1,386,799
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
0.00
0.00
0.0000
13.39
21.03
34.4200
13.3900
21.0300
34.4200
B. Employees with Disabilities
4
12
7
23
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
324
1,251
1,575
B. Age at Application
288
405
484
398
1,575
C. Gender
948
575
52
1,575
D. Race
17
29
488
5
906
126
4
1,575
E. Ethnicity
28
F. Degree of Visual Impairment
277
674
624
1,575
G. Major Cause of Visual Impairment
629
106
294
23
523
1,575
H. Other Age-Related Impairments
103
117
4
30
65
441
I. Type of Residence
1,420
75
51
15
14
1,575
J. Source of Referral
962
88
32
11
0
4
6
5
19
70
170
208
1,575
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
819,484.53
828
0
B. Assistive Technology Devices and Services
227,474.70
397
C. Independent Living and Adjustment Training Services
296,215.05
689
3. Number of persons receiving the following services:
289
262
564
399
530
497
1
D. Supportive Services
1,200.00
22
E. Community Awareness Activities and Information and Referral
1,360.41
F. TOTAL DIRECT EXPENDITURES
1345734.69
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
477
475
100
B. Independent Living and Adjustment Training Services
731
721
99
C. Independence in the Home and Community
1,045
1,006
96
838
80.19
D. Efficiency Measure
1,345,734.69
1,575
854.43
Part VI: Training and Technical Assistance Needs
Our program continues to face challenges due to rapid changes in technology, and a shortage of qualified instructors. Frequent updates to devices like smartphones and tablets alter accessibility features, retraining for older blind and low vision individuals. With limited resources and training time, many seniors feel frustrated as they spend time relearning tools rather than progressing toward their goals. Additionally, instructors are increasingly seeking higher hourly rates or salaries, which further strains budgets. Travel and lodging expenses for both staff and clients also add a financial burden, as training often requires travel to reach clients in rural areas or remote locations.

At some of the Low Vision Clinics , both the Optometrists and Occupational Therapists (OT) are specially trained in low vision. The Optometrists have the option of participating in a low vision residency program or engaging in a post professional training opportunity to learn from another low vision trained Optometrist. OT has a basic working knowledge of vision that is largely neurological based. However, there are opportunities for OTs to participate in post professional certification options such as a Graduate Certificate Program from the University of Alabama Birmingham and Specialty Certification in low vision. An overall challenge within both professions is recruitment of those with the extensive knowledge and education level required for this area of low vision due to its specialty.

Access to technology, which is always evolving, can become frustrating for clients who are not able to afford these life-improving technologies, such as smartphones that allow access to the world with phone calls, text, email, social media, and virtual conferencing. In addition, software updates often change the way clients access their smartphones therefore may be a limiting factor. Furthermore, it can be a challenge in hiring and retention of qualified instructors who have this specialized level of knowledge and experience.

Due to the inherent nature of how quickly technology changes, it is difficult for instructors to be knowledgeable, let alone an expert, on all device impacts. Our industry’s continuous shortage of instructors also impedes success. Our seniors, as is human nature, get frustrated when they know how to use a tool (i.e., smartphone, tablets, etc.) but when the vendors (i.e., Android, Apple, etc.) make updates the seniors often must be retrained as the voiceover or keystroke commands changed. With our limited resources of instructors and time available to train, our seniors will claim they are not progressing or meeting their goals because they no longer can use their devices without additional training. One of the many negative impacts caused for this ever-increasing population of 55+ individuals is diminished progression when time is spent retraining technology tools. A solution for this negative impact would be additional dedicated funds specifically earmarked for technology advancement retraining specifically. To alleviate the issue of our senior population lacking services due to limited number of teachers, states should consider offering incentives through college scholarships (i.e. HOPE and others in GA) specifically targeting careers in Vision Rehab and O&M. Current instructors and others in our industry need to encourage occupational therapy degree programs to emphasize the opportunity of working with those living with vision impairments and coach students on considering entering this industry as a specialty. Another challenge for agencies is the appropriate amount of funding available to meet all the needs of clients who would benefit from rehabilitation services and/or optical devices not currently covered by their primary insurance carrier.

In addition, training and technical assistance are needed in the following areas:
• Evaluation and integration of newer assistive technologies, such as wearable vision aids (e.g., Envision Glasses, OrCam My Eye, Iris Vision Inspire) and portable video magnifiers that align with the functional goals of older adults.
• Hands-on staff training in updated versions of assistive software, including JAWS, ZoomText, and Fusion, to ensure consistency in client instruction.
• Guidance on implementing hybrid and remote service delivery tools, to better support clients with mobility challenges or those living in rural areas.
• Technical support for maintaining and updating existing equipment, ensuring devices remain accessible and reliable across instructional settings.
Access to updated technology, paired with targeted technical assistance, would significantly strengthen program performance by increasing staff efficiency, improving the quality of training, and ensuring that OIB clients are equipped with the tools and skills needed to remain independent, safe, and engaged in their daily lives.

Some solutions that could improve program effectiveness include resources that assist clients in obtaining devices like with the organization ”Computers for the Blind” who refurbish and offer low priced computers and additional resources for follow-up training for clients who learned basic skills to use their equipment but need additional follow up training. Some additional resources to assist in recruitment and retention of qualified candidates in blind and /or low vision rehabilitation specifically for Occupational Therapists, Certified Occupational Therapy Assistants, Assistive Technology, Orientation & Mobility, and Vision Rehabilitation Therapy. Scholarship programs, university grants, incentive programs towards continuing education for those already employed. These additional resources may prove to be beneficial to improve the effectiveness of program services for individuals with vision loss. Increasing staff compensation to attract and retain qualified professionals, and providing subsidies for travel expenses related to training. Offering scholarships for careers in Vision Rehabilitation and Orientation & Mobility (O&M) could also help the workforce. Additional support in identifying and accessing certified professionals would help address staffing shortages and reduce service delays for older adults with vision loss across our service area. Staffing challenges are further compounded by the high mileage and travel demands required to serve consumers in rural counties, where distance and limited resources increase overall service delivery costs. Training and guidance on compliance, effective contracting practices, and sustainable mileage reimbursement models would strengthen program efficiency, improve staff retention, and ensure equitable access to services for consumers in remote areas.

It has been helpful that this year the Georgia providers meet monthly via tele-conferencing to share ideas and stay informed
Part VII: Narrative
Project Independence: Georgia Vision Program for Adults Age 55 and Over (also referred to as the Older Blind Program – OBP) implements the 34 CFR part 367 program through seven main sub-grantees. Many of our sub-grantees further subcontract with various vision specialists throughout Georgia. The sub-grantees in Georgia are:
• Center for the Visually Impaired (CVI)
• Savannah Center for Blind and Low Vision (SCBLV)
• Vision Rehabilitation Services (VRS)
• Visually Impaired Foundation of Georgia (VIFGA)
• Visually Impaired Specialized Training and Advocacy Services (VISTAS)
• Walton Options for Independent Living (WO)

Project Independence (PI) contracts with a seventh provider, Mississippi State University (MSU) - The National Research and Training Center on Blindness and Low Vision. MSU conducts program evaluations and serves as consultant to Project Independence. Mississippi State University continues to provide a yearly detailed program evaluation and assists with measuring customer satisfaction. The six main PI providers send names and phone numbers on a quarterly basis of closed cases to MSU who, in turn, contact the seniors to conduct the customer satisfaction survey. MSU does not provide direct services to seniors.

Services continue to be provided using a hybrid model, in person and remotely. While many of the low vision clinics opened, the remote low vision evaluation continues to be an alternative option in some areas.

Our main outreach initiatives to reach underserved and/or unserved populations in Georgia were by:
1. providing remote instruction so services could reach the unserved and underserved in GA.
2. increasing the support of our peer support groups throughout the state by conducting more frequent statewide peer meetings via phone to check on their needs and to provide training.
3. continuing to provide support to the providers, instructors and peer leaders with specific training (e.g., dual sensory loss, advocacy, grants, Hadley courses, educational and resource information) by holding virtual meetings.
4. sharing webinar and other training offerings so the instructors and peer leaders had a wide variety of topics and resources from which to choose to aid the seniors with the most up to date information to use in their lessons and groups.
5. The OIB contractors meeting is held monthly. The meetings are held on the fourth Thursday of every month from 1:00pm – 2:00pm. Discussions have included the new standardized invoicing process, 7OB training offered by OIB TAC, and MSU provided an overview of the annual report along with satisfaction survey results. The meetings include OIB contractors, the OIB Manager, and GVRA Provider Management members.
6. conducting program reviews of the contractors and designated providers to ensure that appropriate services are being provided in a standardized manner throughout the state, so regardless of where the senior lives, he/she will receive quality services. These reviews helped ensure uniformity and standardization of services throughout the state.

The GA Program Manager participates in training to maintain CRC certification, to provide quality services and maintain the integrity of the GA program. Training included OIB-TAC, vision and aging issues, technology, advocacy, and ethics.

Our primary subcontractors’ implementation process and outreach efforts to reach underserved and/or unserved populations are listed as follows:

Center for the Visually Impaired (CVI)
The program model begins with low vision exams and evaluations conducted by optometrists and occupational therapists. These exams are offered at CVI’s Midtown location or a satellite location. The exams and evaluations serve as the basis for rehabilitation plans, including recommendations for assistive devices and training. Clients are referred to CVI for low vision exams by their doctors, or they reach out to CVI on their own. CVI’s staff engages in extension outreach to the community, including building relationships with medical practices, presenting at senior centers and senior living communities, and other marketing and outreach activities. CVI provides facility based, community based, and remote services five days a week throughout the year. The agency employs one full-time and one part-time Orientation & Mobility Specialists, six part-time occupational therapists. In addition, we contract with four optometrists trained in low vision. CVI provides assessments, individualized training, and follow up services through occupational therapy, orientation and mobility training, and technology training. These services are provided at CVI, at a partner location, or in the client’s home. Recommendations and collaborative goals with the clients are created and implemented to determine individualized goals and outcomes. During the one-on-one training, goals are reassessed and changed if necessary to accommodate the client’s wants, needs, and capabilities. Monthly progress reports are created documenting client performance and final reports are created at the end of client programs to document final outcomes.

Savannah Center for Blind and Low Vision (SCBLV)
The Savannah Center for Blind and Low Vision implement the OIB Program through a direct service delivery model, providing individualized instruction that is center-based, home-based, or virtual, depending on each client’s goals, living situation, and level of independence. Services are delivered in-house by certified staff, including vision rehabilitation therapists, orientation and mobility specialists, assistive technology instructors, and licensed clinical social workers.
The program continues to emphasize person-centered planning and interdisciplinary collaboration, ensuring that each participant receives comprehensive support in areas such as adjustment counseling, adaptive skills training, and assistive technology. Outreach efforts have expanded this year to strengthen connections with local eye care providers, senior centers, healthcare professionals, and social service agencies, with targeted outreach to underserved rural communities and minority populations across our 29-county service area. All OIB services are provided directly by Savannah Center for Blind and Low Vision staff. The agency does not currently utilize sub-grantees or contractors for program implementation.

Vision Rehabilitation Services (VRS)
Vision Rehabilitation Services continues to provide services throughout the state through a combination of in-home, center-based, and remote instruction.
These methods allow for maximum outreach potential regardless of geographical and transportation limitations. VRS believes in client-led instruction. Therefore, the choice of delivery method is decided upon by the client. VRS holds Low Vision Evaluations (LVEs) throughout the month for the purpose of assessing incoming clients’ functional vision, as well as the challenges related to their vision loss. These evaluations continue to be staffed by two contracted optometrists who have years of experience between them. Although most of our clients begin their journey with our LVEs, some clients are immediately seen by an instructor if an LVE is deemed unnecessary due to total vision loss, or if the need is time sensitive or involves a safety concern. As stated earlier, VRS provides client-led instruction. Each client guides the instruction process through identification of goals and challenges. These goals are placed on the client’s Individualized Learning Plan (ILP). The ILP serves as a roadmap with each identified goal being marked as complete for each service: vision rehabilitation training, (VRT), orientation and mobility (O&M), technology assistance training (TAT), and personal adjustment counseling (PAC). Training sessions are typically scheduled weekly or bi-weekly so that the training time can become part of the client’s routine. Plus, this timeframe allows for independent practice of a particular skill prior to the introduction of the next goal as outlined in the ILP. Review of a particular skill will be conducted if either the instructor or client believes that such a review is necessary. Instruction is provided by a combination of employed staff and contractors. VRT and O&M instructors were university trained. They also attained CVRT and COMS certification through the Academy for Certification of Vision Rehabilitation and Education Professionals. Our TAT instructors are university trained in the field of Computer information Systems (CIS), as well as the assistive technology instruction program provided by World Services for the Blind. The TAT instructors also bring years of personal experience in the technology that they teach to our clients. An independent, licensed, and insured contractor provides personal adjustment counselling.

Visually Impaired Foundation of Georgia (VIFGA)
VIFGA is not a “brick and mortar” facility. Under non-pandemic times, we traveled to five strategic South Georgia cities and worked in cooperation with the local area optometrists and ophthalmologists in their facilities to offer low vision exams. The mobility, independent living skills, and technology service providers delivered most services in or near the homes of the clients. In 2020, we realized that our direct service delivery approach would not be safe during the pandemic era. VIFGA therefore spent the year perfecting the protocol for using virtual or “remote” service delivery for most of our services. Now that the dangers of the pandemic have subsided, we can now offer a combination of our “remote protocol” and “in- person” training. We now deliver 40% of our Low Vision Evaluations remotely and 60% in-person. To enable us to serve more people with VI services, especially in the remote areas, VRT, TAT, PSA, and support groups have continued to be delivered remotely via the phone or Zoom platforms. Mobility training is mostly in person at the client’s home. This Remote Protocol has been successful. We have found that most patients find the procedure easy, convenient, and productive. They are more open, more accepted of help, and more apt to connect with virtual groups. They are more open to learning how to use tablets and smartphones. Everything is just a phone call away. We have been able to help home-bound and bed-bound clients. We can help those in remote areas who have never received help before.

The VIFGA Staff is made up of contractors throughout Georgia and nearby states. They include:
Director and Certified Low Vision Therapist, CLVT
Program Manager
1 optometrist Remote Low Vision Doctor,
2 optometrists In-Person Doctors
1 In-Person optometrist for the TAMA Indian Village
1Certified Mobility Instructor COMS),
1 Dually certified Orientation & Mobility Specialist and Vision Rehabilitation Therapist
1 Vision Rehabilitation Therapist who also specializes in technology training
2 Licensed Professional Counselors (LPC): and LPSW
2 Peer Support Group Facilitators
1 Clinical and Administrative Director
3 Support Staff

This year we call doctor’s offices around the state to make them aware of our program. Additional outreach came from our clients referring their friends and family members, the internet, and other facilities referring to us when they were unable to provide services.

A special project we are especially proud of are the twice-yearly vision clinics we conduct for Native Americans at the TAMA Lower Muskogee Creek Tribal Town in Whigham, Georgia. We normally provide a total of approximately thirty comprehensive vision exams and glasses a year to this significantly underserved population. This year we were only able to provide one clinic and serve 15 people.

Visually Impaired Specialized Training and Advocacy Services (VISTAS)
VISTAS implements the Older Individuals who are Blind ( OIB) Program through a comprehensive approach that combines service delivery by in- house sub-
contractors and collaboration with resource agencies, services, and professionals who possess specialized expertise. The program specifically targets adults
aged 55 and above, with a particular focus on individuals within underserved and unserved populations.

Specialized Staff and Expertise
A notable addition to the VISTAS team has been the return of a Dually certified COMS/CVRT. He brings extensive knowledge and experience in supporting those who are adjusting to the possibility of vision loss or blindness, further enhancing the program's ability to provide tailored assistance.

Holistic Support for Program Participants
VISTAS emphasizes treating the whole person, which has led to greater hope and a strengthened commitment among participants to pursue a fuller, more enjoyable life.

Walton Options for Independent Living (WO)
1. Referral Sources: WOIL receives service referrals through multiple channels, such as self-referrals, provider referrals, community partners, and family referrals. This varied approach helps identify and connect individuals with visual impairments to the OIB program from a range of sources.

2. Information and Outreach: Following a referral, WOIL provides the individual with detailed information about the OIB program and the services available. This ensures potential consumers are well-informed about resources and how they can benefit.

3. Service Delivery: WOIL contracts professionals to deliver specialized services like Vision Rehabilitation Therapy (VRT) and Orientation and Mobility (O&M). This model allows flexibility in service provision, ensuring high-quality, certified assistance.

4. Collaborative Partnerships: WOIL has established partnerships with institutions such as Augusta University's Department of Occupational Therapy and Georgia Tech's Tools for Life program. These collaborations broaden access to Independent Living (IL) and Assistive Technology (AT) services, enhancing our capacity to serve a larger consumer base.

5. Community Partnerships: WOIL actively works with community partners and service providers, expanding the array of support available. These partnerships provide a network of resources beyond what the OIB program alone can offer.

6. Mobile Assistive Lab Tours: WOIL conducts mobile assistive lab tours with Georgia Tech's Tools for Life program, focusing on rural and underserved areas. These tours deliver technology and resources directly to those who need them most.

7. Community Resource Fairs and Open House: WOIL participates in community resource fairs and hosts an annual open house to promote services and the OIB program. These events play a crucial role in increasing community awareness and engagement.
GA contracts with The National Research and Training Center (NRTC) on Blindness and Low Vision at Mississippi State University to provide a program evaluation of the Project Independence program. As part of the evaluation, consumers are interviewed about their experiences with the program. The six contractors providing direct services send the NRTC names of closed consumers on a quarterly basis. An experienced telephone interviewer then contacts consumers to complete surveys. Each year, the NRTC prepares a program evaluation report that includes consumers' feedback regarding satisfaction with services and how services have impacted their ability to live independently. In addition, demographic and service data from the annual 7-OB report and findings from site reviews of contractors are included in this report. This comprehensive report will be available in early 2026. The GA program has contractual agreements with six regional agencies for provision of direct services to eligible seniors. A regional service delivery approach enhances the ability of project staff to be sensitive to and familiar with the needs of local consumers. Depending upon the contractor and/or individual consumer's needs, an itinerant, center-based, or combination of itinerant/center-based model is used in providing services. An itinerant model is generally used to serve consumers in outlying rural areas who might not otherwise be able to participate in such a program. The numbers of OBP consumers who were reported as close to the NRTC within the reporting period continued to be smaller than in years before FFY 2020. However, OBP services continued to be provided through innovative adaptations and remote services where appropriate, so that the needs of GA seniors with visual impairments could continue to be met. At the time of this report, only 23 consumers participated in telephone interviews, which are still ongoing. About half of participants (56.5%) were aged 75 and older. About 74% were female. About 83% of participants reported living in a private residence; the others reported living in senior living/retirement communities, assistive living facilities, or nursing home/long-term care facilities. The most reported reason for vision loss was macular degeneration (26%), with the second most reported reason being glaucoma (17%). Consumer satisfaction levels among those participating in the survey were very high. In responding to satisfaction questions regarding the delivery of services, i.e., manner of service delivery, types of services provided, and perceived outcomes of services—almost all the participants expressed satisfaction. Participants were most satisfied with the attentiveness, concern, and interest of staff (96%); followed by the overall quality of services (91%), and timeliness in which those services were received (83%). Consumer ratings of functioning after receiving different types of independent living service areas follow:
• 100% reported that they were better able or had maintained their ability to travel independently having received travel services
• 100% reported that they were better able or had maintained their ability to function more independently having received assistive technology devices
• 100% reported that they were better able or had maintained their ability to function more independently having received communication skills training
• 100% reported that they were better able or had maintained their ability to function more independently having received daily living skills training
• 73.9% reported that they had greater confidence in their ability to maintain their current living situation, and 26% indicated no change
Program participants were asked what was the biggest difference the program had made in their lives. Typical comments include the following quotes:
• Putting my clothes together and my cane.
• I feel uplifted about my vision all the way around. My cane is my number one buddy.
• They have rebuilt my confidence.
• Being able to magnify reading material, medical information, etc.
• Being able to talk with others who are blind. They gave me confidence.
• They helped me a lot. The training with the cane and telephone have been very good.
• I have more confidence and it has given me hope.
Senior Story:
Ms. Y.M. is a 68-year-old female experiencing vision loss from glaucoma. She reported difficulty preparing meals, managing household tasks, and using her smartphone, as well as feeling uncertain walking outdoors due to decreased vision. She was evaluated in activities of daily living (ADL), orientation and mobility (O&M), and assistive technology (AT) to assess her current capabilities and determine appropriate training goals. Ms. Y.M. attended weekly sessions at the agency to develop the skills she identified as essential for living more independently and safely. Over the course of her program, she demonstrated the ability to complete ADL tasks such as cooking and cleaning using adaptive techniques, travel safely and confidently with a long cane in her neighborhood and use accessibility features on her smartphone and computer to stay connected with family and friends. By the conclusion of her program, Ms. Y.M. reported feeling more confident performing daily activities and traveling independently, as well as more comfortable using technology for communication and personal management.

Senior Story:
Ms. C, who lost her vision due to macular degeneration, lives alone and was referred to by her ophthalmologist. She received Orientation and Mobility (O&M) training to safely navigate her home and neighborhood using a white cane, Vision Rehabilitation Therapy (VRT) to learn adaptive techniques for meal preparation and home management, and Assistive Technology (AT) instruction to access her phone, read mail, and manage medications. As a result, she regained confidence and independence, allowing her to continue living safely at home.

Senior Story:
Client GM was able to once again organize and identify items in his home with the aid of a talking labelling system. GM lives alone and still relies on the assistance of others from time to time. Fortunately, he is now able to regain control of his home by being able to label and organize his home by using nonvisual means.

Senior Story:
Mr. X was one of our many unsung heroes! He was born and raised in South Georgia and had a prestigious job in agriculture. He began losing his vision and purchased bioptic glasses so he could continue to drive his truck and tractors. He joined a support group for the visually impaired and eventually volunteered to lead it. He always used all his low vision devices with dignity and pride. He would explain to all how each device enabled him to continue farming, fishing, driving, and reading. He would help any visually impaired person to obtain the help and/or device they needed.

Senior Story:
After experiencing a steady decline in her vision even following surgeries Consumer T. found herself struggling to maintain her independence. Recognizing she needed additional support, she reached out to Walton Options. Walton was able to connect her with Augusta University Low Vision Clinic for assistance. Through this connection, she received an referral for an assistive device that improved her ability to manage daily living tasks. She was also connected to our Looking Forward Peer Support group, where she connected with others facing similar challenges. Thru the program she has been able to receive O&M training which strengthened her mobility skills and boosted her confidence in navigating her environment. As a result of this support, Consumer T. regained a renewed sense of independence and optimism. The program empowered her to continue living a full and self-directed life.
In FFY 24, Project Independence maintained working relations with the following entities to increase our outreach efforts in Georgia. These relationships resulted in a continuation of referrals to Project Independence. Those entities included:
• Helen Keller National Center
• Georgia Division of Aging Services
• Georgia Radio Reading Services
• National Federation of the Blind of Georgia
• Georgia Council of the Blind
• Business Enterprise Program
• Georgia Department of Public Health - Behavioral Risk Factor Surveillance System (BRFSS)
• Native American Representative
• Statewide Independent Living Council
• Georgia Library Services for the Blind and Print Disabled
• Older Driver Task Force
• Georgia Emergency Preparedness Coalition for Individuals with Disabilities and Older Adults
• The Center for Inclusive Design & Innovation, Georgia Institute of Technology, College of Design
• Georgia Gerontology Society
• Department of Veterans Affairs
• Lions Lighthouse
• The Coalition of Advocates for Georgia's Elderly (CO-AGE)
• The Association for Education and Rehabilitation of the Blind and Visually Impaired (AER)
• Prevent Blindness Georgia
• The Aging & Disability Resource Connection (ADRC)
• I Can Connect (ICC) administered by the Georgia Center of the Deaf and Hard of Hearing, (GCDHH)

Mississippi State University (MSU), Georgia Vocational Rehabilitation Agency (GVRA) and Project Independence developed four different outreach documents for community awareness and outreach efforts so that various groups statewide received information on Project Independence. This further aided in letting seniors know of our program. These documents included:
a. A detailed “briefing” paper describing the status of OIB services in GA,
b. A tri-fold brochure developed by one or our contractors that offered a shortened version of OIB services in GA,
c. A flyer listing the GA OIB providers, and
d. A flyer for GA “Sensory” services that included information on OIB and the GA VR program.

The OIB Manager purchased the report from Vision Serve Alliance, called the Big Data Project, which provided detailed information on blind and low vision adults 65 and older in Georgia. The second phase of this report, titled, “Working Age Adults”, was also purchased and provided additional information, for those individuals 55 to 64.

The OIB Statewide Program Manager conducted both formal and informal virtual outreach presentations to increase knowledge of our program resulting in referrals to our program. Those groups included: the Georgia Council of the Blind, the National Federation of the Blind of Georgia, the Georgia Statewide Independent Living Council, Georgia Vocational Rehabilitation Agency, peer groups, the Older Driver’s Task Force, various components of the Division of Aging Services, the Georgia Vision Alliance, Older Individuals Who are Blind Technical Assistance Center (OIB-TAC) from the National Research & Training Center on Blindness & Low Vision at Mississippi State University, National Council of State Agencies for the Blind (NCSAB), GA Library Services for the Blind and Print Disabled (GLS) [formerly GA Libraries for Accessible Statewide Services], and the Academy for Certification of Vision Rehabilitation & Education Professionals (ACVREP) – Vision Rehabilitation Therapist (VRT).

The program manager alone talked with some 100 people individually regarding information and referral activities in FFY24.
Our primary subcontractors’ community awareness/outreach efforts and information and referral activities are listed as follows:

Center for the Visually Impaired (CVI)
CVI has targeted educational outreach about our services throughout Fulton, Forsyth, Gwinnett, Rockdale, Henry, Clayton, Fayette, Cobb, Cherokee, Bartow and Dawson counties. We have hosted Living with Low Vision presentations and developed relationships with 43 new senior living communities this past year. Seniors and facility staff have engaged in follow-up visits to our clinic and the Visibility Store as a result of these presentations. We include these new contacts in our Infolink database so they can receive CVI support group news and other community news. We also created a new CVI fact sheet with a QR code for medical offices to refer patients more easily.

Savannah Center for Blind and Low Vision (SCBLV)
During the reporting year, the Savannah Center for Blind and Low Vision conducted extensive outreach and information/referral activities to increase awareness of OIB services. Efforts included presentations at senior centers, health fairs, low vision support groups, and medical offices, plus participation in community events such as Walk a Mile in My Shoes/White Cane Day, diabetic education workshops, our Annual Luncheon, and Dining in the Dark. These events provided high-visibility platforms to educate attendees about safe travel with vision loss, home safety, assistive technology, and available OIB services.
We strengthened partnerships with eye care providers, senior housing facilities, social service agencies, and healthcare professionals, distributing print and digital materials and offering one-on-one consultations and follow-up calls to ensure timely referrals.
Outcomes: Increased referrals and service participation, especially among individuals newly experiencing vision loss, rural residents, and minority populations. The Annual Luncheon and Dining in the Dark expanded community engagement and sponsor partnerships, yielding additional inquiries and referrals to the OIB program.

Vision Rehabilitation Services (VRS)
The Executive Director of VRS participates in monthly meetings and
speaking engagements to create awareness of our services, as well as the impact of age-related eye diseases and injuries on older individuals. VRS also continues to be an active member in Smyrna Business Exchange – a closed networking organization. This relationship has resulted in opportunities for educational presentations which, in turn, provided client referrals and support for the VRS-OIB program. This same information is shared, with results, from VRS’ active memberships in the Cobb Chamber, Smyrna Business Association, South Cobb Business Association, and Foundation Fighting Blindness. Ultimately, the results of these memberships include increased donations and sponsorships for VRS’ fundraising events, allowing us to supplement the OIB funds to continue to serve an ever-increasing age 55+ population.

Visually Impaired Foundation of Georgia (VIFGA)
This year we had no formal outreach plans. We did call doctor’s offices around the state to make them aware of our program. Explanation of the “remote protocol” was provided to several colleagues. Additional outreach came from our clients and their eye care providers referring to us. Other facilities refer to us when they were unable to find or provide services for those visually impaired in rural areas. No funds were spent on these activities.

Visually Impaired Specialized Training and Advocacy Services (VISTAS)
Through increased community awareness initiatives, including workshops and collaborative work with other agencies, the OIB program has broadened its impact.
This outreach has enabled VISTAS to help constituents secure regular eyeglasses, Meta Glasses, access medical services in diverse areas, and obtain funding
through available resources.

Walton Options for Independent Living (WO)
1. Information and Outreach: When WOIL receives a referral, we engage with the individual to provide comprehensive information about the OIB program and the range of services it offers. This step ensures potential consumers are well-informed about available resources and how they can benefit. By educating potential consumers, WOIL and the OIB program have seen an increase in enrollment, empowering individuals to make informed decisions about accessing beneficial services.

2. Mobile Assistive Lab Tours: In partnership with Georgia Tech's Tools for Life program, WOIL hosts mobile assistive lab tours strategically scheduled in rural and underserved areas. These mobile labs bring technology and resources directly to communities in need, offering hands-on experience with assistive technology (AT) that can enhance independence and quality of life. The tours have led to improved AT literacy among individuals with visual impairments, especially in underserved communities.

3. Community Resource Fairs and Open House: WOIL actively participates in community resource fairs and hosts an annual open house to promote its services and programs. These events provide valuable platforms for raising community awareness and engagement, leading to increased referrals to the OIB program.

4. Podcast-Style Monthly Segment: WOIL has introduced a monthly podcast-style segment to discuss programs and services offered by the organization and to spotlight key partnerships. This format helps reach a broader audience and highlights the collaborative efforts supporting our mission.
This year our energies were focused on providing services and sustaining the high level of services to our GA seniors the best way we could. We continued to collaborate and build capacity with the agencies and various organizations already listed.

Our new marketing materials were made available to those seeking services. The Mississippi State University comprehensive program evaluation is included on the GA Project Independence website https://gvs.georgia.gov. These documents are tools to help expand or improve program services in our collaborative and capacity-building activities by detailing services and promoting feedback.

It was vitally important that Project Independence maintain a collaborative relationship with the Independent Living (IL) system. One of our six service providers is Walton Options, an Independent Living Center located in Augusta, Georgia. The GA Project Independence manager participated in the IL meetings and sent training and other pertinent information to the IL groups in GA.

Georgia Radio Reading Service (GARRS) continued dissemination of the updated 30 and 60 second public service announcements (PSA) regarding our program. These PSAs aired several times per week and reached an audience of approximately 11,500 people in the GA statewide community.

In collaboration with the Aging and Disability Resource Centers (ADRC) and the Area Agencies on Aging, Project Independence is listed in their statewide database so that anyone who calls those entities will be provided access to our program. A flyer developed by the Department of Public Health lists Project Independence as a resource for drivers aged 55+ years.

The program manager represents Project Independence in the Division of Aging Services Statewide ADRC Advisory Council. This collaboration has yielded referrals statewide for our program.

Our primary subcontractors’ capacity-building activities, including collaboration with other agencies and organizations and the outcome of these activities on expanding
Or improving the program are listed as follows.

Center for the Visually Impaired (CVI)
CVI continues to be part of the Georgia 2020 group. CVI participated in community health expos throughout the year. We have also spoken at groups such as the Cherokee Senior Center and Senior Services North Fulton. We have developed a lot of connections to share that we are here as a low vision resource. We partner with other organizations in Gwinnett and south Fulton County to provide low vision exams and other services at locations more convenient for clients. We have recently begun developing a new collaboration with FODAC to connect people with assistive devices and raise awareness of our services.

Savannah Center for Blind and Low Vision (SCBLV)
The Savannah Center for Blind and Low Vision continue to strengthen the capacity of the OIB Program through collaboration with community partners and cross-agency initiatives. The Center works closely with the Georgia Vocational Rehabilitation Agency (GVRA) to coordinate referrals, equipment procurement, and case management for clients transitioning between OIB and VR services. Ongoing collaboration with local ophthalmologists, optometrists, and health systems supports early identification and referral of older adults experiencing vision loss. Partnerships with senior centers, assisted living facilities, and social service agencies expand outreach to underserved populations, while relationships with organizations such as the City of Savannah, United Way of the Coastal Empire, and area nonprofits help leverage additional resources for equipment, transportation, and outreach events. Internal capacity is further strengthened through staff participation in professional development opportunities, including continuing education in vision rehabilitation therapy, orientation and mobility, and assistive technology.
These efforts have increased community awareness, improved referral pathways, reduced service gaps, and enhanced the program’s ability to deliver timely, high-quality services to older adults with vision loss across our region.

Vision Rehabilitation Services (VRS)
VRS’ capacity-building efforts have focused on a variety of initiatives to strengthen and diversify our funding and community outreach. The 20/20 campaign, where we encourage individuals to donate $20 on the 20th of each month, continues to be a key initiative fostering ongoing community support. We continue to grow and diversify our board by recruiting new members, bringing in fresh perspectives to aid in strategic planning, creating sustainability and enhancing community awareness.

To expand services and programs offered under OIB funding, we intended to secure grants to support social services, mental health and professional development.
Additionally, VRS partners with local organizations, such as Lions Clubs and Cobb Senior Services to educate the 55+ blind and low vision community about our programs and services.

With these efforts, we are increasing both funding and awareness of the OIB program and vision rehabilitation services. This ensures that VRS remains operational, functional, and well-positioned to continue providing valuable services to our OIB clients.

Visually Impaired Foundation of Georgia (VIFGA)
• Support Groups and Support Group List: This is an essential piece of the vision rehabilitation process. We supported two remote peer support groups this year, one in Albany, and one in Macon. There are four additional remote groups to which we refer our clients: the support group offered through the Georgia Library Services for the Blind and Visually Impaired, the special interest support groups sponsored through Hadley Institute of the Blind and Visually Impaired, and one in Warner Robins.
• Remote Services: We have found that by offering our services remotely, many people are more willing to try referred classes, groups, and counseling.
• Brochures and Resource Guides: This is invaluable too!
• One in Twelve trifold: Dr. Crews worked in conjunction with Savannah Association for the Blind to develop a trifold brochure for all the agencies.
• We have a new mobility instructor for rural South Georgia.
• We have also begun to refer our clients to Leader Dogs for the Blind. Those who have participated rave about the program. We will continue to use their services in conjunction with mobility instructors.

Visually Impaired Specialized Training and Advocacy Services (VISTAS)
In the past year, VISTAS has actively participated in more than sixteen events. These engagements have included resource fairs, community presentations,
senior citizen programs— such as presentations at Senior Living facilities— workshops, and promotional activities conducted in partnership with other agencies, like the Senior Café sponsored by the Regional Aging office. Church presentations have also served as a significant platform for promoting VISTAS and their services.

Walton Options for Independent Living (WO)
Walton Options for Independent Living (WOIL) has engaged in multiple capacity-building collaborations that have significantly strengthened and expanded the OIB program. Through partnership with Augusta University's Low Vision Clinic, WOIL has broadened Independent Living and Assistive Technology services while establishing a consistent referral source for older adults experiencing vision loss. Collaboration with Georgia Tech's Tools for Life program has provided access to additional funding and assistive technology, enabling the program to reach more individuals in rural and underserved areas. Engagement with the local Area Agency on Aging (AAA) has created another funding stream to support eligible consumers, while coordination with the Georgia Statewide Independent Living Council (GA SILC) has increased visibility and support for future funding initiatives. Additional grants have been leveraged to offset non-direct staff expenses related to coordination, outreach, and mileage reimbursement, addressing staffing and service delivery needs. Finally, partnership with the Georgia Rehabilitation Institute (GRI) has allowed WOIL to integrate health, sports, and leisure activities into OIB programming, promoting social inclusion and overall well-being among participants. Collectively, these efforts have enhanced service capacity, strengthened partnerships, and improved access to resources for older adults with visual impairments throughout the service area.
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
Chris Wells
Executive Director
Yes
Tue, 12/30/2025 - 00:00
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