CIL CARES Act APR

CARES Act 2020
CIL CARES Act Program Performance Report
for
Centers for Independent Living Program
(Title VII, Chapter 1, Part C of the Rehabilitation Act of 1973, as amended)
OMB Control 0985-0061 Expires January 31, 2022
Fiscal Year
Grant #:
Name of Center
Acronym for Center (if applicable)
State:
SUBPART I – ADMINISTRATIVE DATA
Section A- Funding
Item 1 - CARES Act funds received and expended
(A)  CARES Act funds received
(B)  CARES Act funds drawn during the previous period
(C)  CARES Act funds drawn during the period
(D) CARES Act funds remaining	$0
Section B – Number of Consumers Served During the Reporting Year with CARES Act funding
	# of CSRs
(1) Enter the number of active CSRs carried over from September 30 of the preceding reporting year (only aplicable in Year 2)	0
(2) Enter the number of CSRs started since the beginning of the reporting year	235
(3) Add lines (A) and (2) to get the total number of consumers served	235
Section C – Age
Indicate the number of consumers in each category below.
	# of Consumers
(1)    Under 5 years old
(2)    Ages 5 – 19
(3)    Ages 20 – 24
(4)    Ages 25 – 59
(5)    Age 60 and Older
(6)    Age unavailable
Section D – Sex
Indicate the number of consumers in each category below.
	# of Consumers
(1)    Number of Females served
(2)    Number of Males served
Section E – Race and Ethnicity
Indicate the number of consumers served in each category below. Each consumer may be counted under ONLY ONE of the following categories in the Program Performance Report, even if the consumer reported more than one race and/or Hispanic/Latino ethnicity).
Please refer to the Instructions before completing.
	# of Consumers
(1) American Indian or Alaska Native
(2) Asian
(3) Black or African American
(4) Native Hawaiian or Other Pacific Islander
(5) White
(6) Hispanic/Latino of any race or Hispanic/Latino only
(7) Two or more races
(8) Race and ethnicity unknown
Section F – Disability
Indicate the number of consumers in each category below.
	# of Consumers
(1)    Cognitive
(2)    Mental/Emotional
(3)    Physical
(4)    Hearing
(5)    Vision
(6)    Multiple Disabilities
(7)    Other
SubPart III – Individual Services and Achievements
Section A – Individual Services
For the reporting year, indicate in the table below how many consumers requested and received each of the following services.
Services	Consumers Requesting	Consumers Receiving Services
	Services
(A) Advocacy/Legal Services
(B) Assistive Technology
(C) Counseling and Related Services
(D) Housing, Home Modifications, and Shelter Services
(E) IL Skills Training and Life Skills Training
(F) Information and Referral Services
(G) Peer Counseling Services
(H) Personal Assistance Services
(i) Physical Restoration Services
(J) Preventive Services
(K) Rehabilitation Technology Services
(L) Transportation Services
(M) Other Services (explain in narrative XXX below)
Section B– Additional Information Concerning Individual Services or Achievements
Please provide any additional description or explanation concerning individual services or achievements reported in subpart III, including outstanding success stories and/or major obstacles encountered.
SUBPART IV
Section A
Item 4 - Equal Access
(B) Equal Access for Individuals with Disabilities - Briefly describe how, during the reporting year, the CIL has advocated for and conducted activities that promote the equal access to all services, programs, activities, resources, and facilities in society, whether public or private, and regardless of funding source, for individuals with significant disabilities. Equal access, for the purposes of this indicator, means that the same access provided to individuals without disabilities is provided in the center’s service area to individuals with significant disabilities.
Section D
Item 1 – Community Activities Table
In the table provided give a summary of the community activities involving the CIL board members or staff during the reporting year. Add more rows as needed.
Issue Area	Activity Type	Hours Spent	Objective(s)	Outcomes(s)
Item 2 – Description of Community Activities
For the community activities mentioned above, provide additional details such as the role of the CIL staff board members and/or consumers, names of any partner organizations, and further descriptions of the specific activities, services and benefits.
SUBPART VII – ADDITIONAL INFORMATION
Section A – Other Accomplishments, Activities and Challenges
Describe any additional significant accomplishments, activities and/or challenges not included elsewhere in the report, e.g. brief summaries of innovative practices, improved service delivery to consumers, etc.
Section B – Additional Information
Provide additional information, comments, explanations or suggestions not included elsewhere in the report.