CIL CARES Act APR

Centers for Independent Living (CIL) Program Performance Report (PPR)

0061 Final_CIL_CARES_Act_Annual_Report_Instrument (2).xlsx

OMB: 0985-0061

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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.



























































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