911 Reporting Tool for the Case Service Report (RSA-911)

Case Service Report (RSA-911)

RSA-911 (30 Day Notice 06.27.23).xlsx

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Overview

PD-24-XX
Revision Summary
Appendix 1
Appendix 3
Appendix 2
Appendix 4
Appendix 5
Appendix 6


Sheet 1: PD-24-XX

Data Element (DE) Number Data Element (DE) Name Data Type Multiple Values Allowed Change PIRL
Element
Report at Report Correctable (Y/N) Definitions or Reporting Instructions Code Values
1 Program Year INT 4 No No
Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly No Report the program year associated with the reporting period. Program year begins in July and ends in June of the following year. XXXX
2 Program Year Quarter INT 1 No No
Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly No Report the program year quarter applicable to the data collection reporting period. 1 = July 1 - September 30
2 = October 1 - December 31
3 = January 1 - March 31
4 = April 1 - June 30
4 Agency Code INT 3 No No
Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly No Report the code value assigned to the VR agency submitting the data from Appendix 1. Valid values listed in Appendix 1
5 Unique Identifier VARCHAR 12 No No 100 Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly Must request correction from RSA. When assigning the identifier, the first two digits are the State’s Postal Code followed by a unique 10-digit number that is not associated with the individual’s SSN. The number must not duplicate any other assigned unique identifiers used in the State by another VR agency.
When assigning a unique identifier, ensure that the same 12- digit identifier is used in subsequent years for the same individual if additional service records are opened for that individual in the future. This is necessary to obtain an unduplicated count of individuals being served in a State. Note: The Postal Code used should be the State agency's Postal Code, not the State in which the individual resides or the State from where the case was transferred.
XXXXXXXXXXXX
6 Social Security Number VARCHAR 9 No Modified reporting instructions
Application or Initial Receipt of Pre-Employment Transition Service Data Elements When Occurs Must request correction from RSA. Report the individual’s nine-digit SSN.
Please note that if an individual does not have a SSN or chooses not to provide a SSN, then only the Unique Identifier is reported. An individual’s SSN is reported only one time to RSA with the Unique Identifier and thereafter left blank. After that, the Unique Identifier is the only unique individual data element reported with each data submission. Once either of these data elements has been reported, the data elements may ONLY be changed by contacting RSA Data Unit staff to initiate a modification. Please note that if no SSN is provided, the individual’s wage information cannot be verified through unemployment insurance data and would need to be determined through supplemental information.
XXXXXXXXX
7 Date of Application DATE No Modified reporting instructions
Application Data Elements Quarterly Must request correction from RSA. Report the date (year, month, and day) that the agency received a completed and signed application form for VR services from the applicant.
The date must be verifiable through supporting documentation.
YYYYMMDD
8 Date of Birth DATE No No 200 Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly Yes Report the individual's date of birth. YYYYMMDD
9 Gender INT 1 No Modified DE name, code values and reporting instructions
Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly Yes Report the individual's gender. If the individual discloses any gender other than Male or Female, report code 3. If the individual does not want to disclose gender information, report code 9. 1 = Male
2 = Female 3 = Nonbinary or another gender
9 = Prefer not to answer
10 American Indian/Alaska Native INT 1 No Modified reporting instructions 211 Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly Yes An individual having origins in any of the original peoples of North and South America (including Central America), and who maintains a tribal affiliation or community attachment.
This DE is required for all individuals in elementary or secondary education. If an individual in elementary or secondary education chooses not to self-identify race, observer identification should be used to assign the individual to a race/ethnicity. For individuals not in elementary or secondary education, self-identification is encouraged to the greatest extent possible. When necessary, record code value 9 to indicate the individual did not self-identify.
When reporting on multi-racial individuals, use more than one race variable indicating the individual is of that race (i.e., more than one code value 1).
Agencies may leave the data element blank only for individuals with Type of Exit code value 0 (Individual exited as an applicant, prior to eligibility determination or trial work). For example, if an individual applies for services via an application form or letter and exits the agency without being seen by agency personnel, this individual's race would not be known and could not be observed and therefore all race codes would be left blank.
1 = Individual is American Indian/Alaska Native
0 = Individual is not American Indian/Alaska Native
9 = Individual did not self-identify
11 Asian INT 1 No Modified reporting instructions 212 Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly Yes An individual 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.
This DE is required for all individuals in elementary or secondary education. If an individual in elementary or secondary education chooses not to self-identify race, observer identification should be used to assign the individual to a race/ethnicity. For individuals not in elementary or secondary education, self-identification is encouraged to the greatest extent possible. When necessary, record code value 9 to indicate the individual did not self-identify.
When reporting on multi-racial individuals, use more than one race variable indicating the individual is of that race (i.e., more than one code value 1).
Agencies may leave the data element blank only for individuals with Type of Exit code value 0 (Individual exited as an applicant, prior to eligibility determination or trial work). For example, if an individual applies for services via an application form or letter and exits the agency without being seen by agency personnel, this individual's race would not be known and could not be observed and therefore all race codes would be left blank.
1 = Individual is Asian
0 = Individual is not Asian 9 = Individual did not self-identify
12 Black/African American INT 1 No Modified reporting instructions 213 Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly Yes An individual having origins in any of the Black racial groups of Africa. This element is required for all individuals in elementary or secondary education. If an individual in elementary or secondary education chooses not to self-identify race, observer identification should be used to assign the individual to a race/ethnicity. For individuals not in elementary or secondary education, self-identification is encouraged to the greatest extent possible. When necessary, record code value 9 to indicate the individual did not self-identify.
When reporting on multi-racial individuals, use more than one race variable indicating the individual is of that race (i.e., more than one code value 1).
Agencies may leave the data element blank only for individuals with Type of Exit code value 0 (Individual exited as an applicant, prior to eligibility determination or trial work). For example, if an individual applies for services via an application form or letter and exits the agency without being seen by agency personnel, this individual's race would not be known and could not be observed and therefore all race codes would be left blank.
1 = Individual is Black/African American 0 = Individual is not Black/African American 9 = Individual did not self-identify
13 Native Hawaiian/Other Pacific Islander INT 1 No Modified reporting instructions 214 Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly Yes An individual having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
This DE is required for all individuals in elementary or secondary education. If an individual in elementary or secondary education chooses not to self-identify race, observer identification should be used to assign the individual to a race/ethnicity. For individuals not in elementary or secondary education, self-identification is encouraged to the greatest extent possible. When necessary, record code value 9 to indicate the individual did not self-identify.
When reporting on multi-racial individuals, use more than one race variable indicating the individual is of that race (i.e., more than one code value 1).
Agencies may leave the data element blank only for individuals with Type of Exit code value 0 (Individual exited as an applicant, prior to eligibility determination or trial work). For example, if an individual applies for services via an application form or letter and exits the agency without being seen by agency personnel, this individual's race would not be known and could not be observed and therefore all race codes would be left blank.
1 = Individual is Native Hawaiian/Other Pacific Islander
0 = Individual is not Native Hawaiian/Other Pacific Islander
9 = Individual did not self-identify
14 White INT 1 No Modified reporting instructions 215 Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly Yes An individual having origins in any of the original peoples of Europe, the Middle East or North Africa.
This DE is required for all individuals in elementary or secondary education. If an individual in elementary or secondary education chooses not to self-identify race, observer identification should be used to assign the individual to a race/ethnicity. For individuals not in elementary or secondary education, self-identification is encouraged to the greatest extent possible. When necessary, record code value 9 to indicate the individual did not self-identify.
When reporting on multi-racial individuals, use more than one race variable indicating the individual is of that race (i.e., more than one code value 1).
Agencies may leave the data element blank only for individuals with Type of Exit code value 0 (Individual exited as an applicant, prior to eligibility determination or trial work). For example, if an individual applies for services via an application form or letter and exits the agency without being seen by agency personnel, this individual's race would not be known and could not be observed and therefore all race codes would be left blank.
1 = Individual is White
0 = Individual is not White 9 = Individual did not self- identify
15 Ethnicity: Hispanic/Latino INT 1 No Modified reporting instructions 210 Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly Yes An individual of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
This DE is required for all individuals in elementary or secondary education. If an individual in elementary or secondary education chooses not to self-identify race, observer identification should be used to assign the individual to a race/ethnicity. For individuals not in elementary or secondary education, self-identification is encouraged to the greatest extent possible. When necessary, record code value 9 to indicate the individual did not self-identify.
1 = Individual is Hispanic/Latino
0 = Individual is not Hispanic/Latino
9 = Individual did not self-identify
16 Veteran INT 1 No No
Application Data Elements Quarterly Yes Report the code value to indicate whether the applicant served in the active military, naval, or air service, and was discharged or released under conditions other than dishonorable. 1 = Individual is a Veteran
0 = Individual is not a Veteran
18 State Postal Code of Residence VARCHAR 2 No No 101 Application Data Elements Quarterly Yes Report the two-letter State Postal Code for the State or U.S. Territory corresponding to the location of the individual’s residence. For persons on active military duty, report the two-letter Air/Army Post Office (APO) or Fleet Post Office (FPO) as defined by the Military Postal Service Agency. For Mexico, use code 088. For Canada, use code 099. For other (not listed), use code XX. Valid values listed in Appendix 1
19 County FIPS Code INT 5 No No
Application Data Elements Quarterly Yes Report the FIPS county code for the individual’s residence. This code is a five-digit Federal Information Processing Standard (FIPS) that uniquely identifies counties, county equivalents, and certain U.S. territories. The first two digits are the FIPS State code and the last three are the county code within the State or territories. The codes can be located at the U.S. Census Bureau website: https://www.census.gov/geographies/reference-files/2018/demo/popest/2018-fips.html XXXXX
20 ZIP Code INT 5 No Modified reporting instructions
Application Data Elements Quarterly Yes Report a valid five-digit numeric U.S. Postal Service Zip Code where the applicant resides. XXXXX
21 Source of Referral INT 2 No No
Application Data Elements Quarterly Yes Report the source that first referred the applicant to the VR agency by using one of the code values in Appendix 2. See Appendix 2 for referral sources
394 Monthly Public Support at Application VARCHAR 7 Yes No
Application Data Elements Quarterly Yes Report the applicant's public support at application. If the applicant receives more than one type of public support, use a semicolon between each type. 0 = Individual does not receive public support
1 = Individual receives Social Security Disability Insurance (SSDI)
2 = Individual receives Supplemental Security Income (SSI)
3 = Individual receives Temporary Assistance for Needy Families (TANF)
4 = Individual receives other public support from another source
395 Medical Insurance Coverage at Application VARCHAR 5 Yes No
Application Data Elements Quarterly Yes Report the applicant's medical insurance coverage at application. If the applicant has more than one type of medical insurance, use a semicolon between each type. A limit of three types of insurance may be reported in this DE. 0 = Applicant does not have medical insurance coverage 1 = Applicant has Medicaid 2 = Applicant has Medicare 3 = Applicant is receiving benefits through the State or Federal Affordable Care Act Exchange at the time of application 4 = Applicant has public insurance outside of Medicare, Medicaid, or the Affordable Care Act exchange 5 = Applicant has private insurance through employer 6 = Applicant is not eligible for private insurance through a current employer, but will be eligible for private insurance after a certain period of employment 7 = Applicant has private insurance through other means
22 Student with a Disability INT 1 No Modified reporting instructions
Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly Yes Report this DE either at Application or Start Date of Pre-Employment Transition Services, whichever comes first.
This DE must be updated when the individual no longer meets the definition of a student with a disability. This DE must reported with code value 0 if the individual's age is greater than the upper limit of the State's age range for students with disabilities, as reported in DE 74. For potentially eligible students with disabilities, if this DE is reported with code value 0, the record is not to be reported in the subsequent quarterly report.
1 = Individual is a student with a disability and has a section 504 accommodation
2 = Individual is a student with a disability and is receiving transition services under an Individualized Education Program (IEP)
3 = Individual is a student with a disability who does not have a section 504 accommodation and is not receiving services under an IEP
0 = Individual is not a student with a disability
38 Date of Eligibility Determination DATE No Modified reporting instructions
Eligibility Data Elements Quarterly No Report the date the applicant was determined eligible. This DE is not reported if the applicant exits the VR program before an eligibility determination is made.
The date must be verifiable through supporting documentation.
YYYYMMDD
39 Date of Eligibility Determination Extension DATE No Modified DE name and reporting instructions
Eligibility Data Elements Quarterly No Report the date, if applicable, the applicant and counselor mutually agreed upon an extension (of time) for eligibility determination within 60 days of the individual’s application for VR services. The date reported in this DE is not the date the applicant and counselor expect to make an eligibility determination (beyond the 60-day timeframe), but the date the applicant and counselor agree to extend this timeframe. As a result, this date, if applicable, must occur on or before the date reported in DE 38.
The date must be verifiable through supporting documentation.
YYYYMMDD
408 Eligibility Status INT 1 No New DE
Eligibility Data Elements Quarterly Yes Report the code value that describes the eligibility status of the individual. 1 = Individual was determined eligible.
2 = Individual was determined ineligible.
40 Date of Placement on OOS Waiting List DATE No Modified reporting instructions
Order of Selection (OOS)
Data Elements
Quarterly No Report the date, if applicable, that the eligible individual was placed on an OOS waiting list. YYYYMMDD
41 Date of Exit from OOS Waiting List DATE No Modified reporting instructions
Order of Selection (OOS)
Data Elements
Quarterly No Report the date, if applicable, that the eligible individual exited from an OOS waiting list. YYYYMMDD
42 Individual with a Disability INT 1 No Modified reporting instructions 202 Disability Data Elements Quarterly No Leave blank if the individual exited as an applicant with Type of Exit (DE 354) code 0. Code value 1 is required for all VR program participants. 1 = Individual reports that he/she has any "disability,” as defined in section 3(2)(a) of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102)
0 = Individual reports that he/she does not have a disability that meets the definition
9 = Individual did not self-identify
43 Primary Disability VARCHAR 5 Yes No
Disability Data Elements Quarterly Yes Report the code value that best describes the individual's primary physical or mental disability that causes or results in a substantial impediment to employment. The data reported is a combination of the Type of Disability code found in Appendix 3 and the Source of Disability code found in Appendix 4. The first two digits designate the Type of Disability (sensory, physical, or mental), and the last two digits indicate the cause or Source of Disability. Use a semicolon between the Type of Disability code and the Source of Disability code. Do not use spaces or commas between the code values.
If the individual is found not to have a disability, this DE should be coded 0;0.
Leave blank if the individual exited as an applicant with Type of Exit (DE 354) code 0.
See Appendix 3 for valid disability types and Appendix 4 for valid sources
44 Secondary Disability VARCHAR 5 Yes No
Disability Data Elements Quarterly Yes Report the code value that best describes the individual's secondary physical or mental disability that causes or results in a substantial impediment to employment. If the individual is found not to have a disability, this DE should be coded 0;0. Leave blank if this DE does not apply or if the individual exited as an applicant with Type of Exit (DE 354) code 0. See Appendix 3 for valid disability types and Appendix 4 for valid sources
45 Significance of Disability INT 1 No Modified code values and reporting instructions
Disability Data Elements Quarterly Yes Report the appropriate code value to indicate whether the individual is classified by the agency as an individual with a significant disability, a most significant disability, a disability that is neither a significant or most significant disability (i.e., a different priority category under the agency's OOS), or report that the individual does not have a disability.
Leave blank if this DE does not apply or if the individual exited as an applicant with Type of Exit (DE 354) code 0.
1 = Individual has a significant disability
2 = Individual has a most significant disability 0 = Individual has a disability that is not a most significant or significant disability
46 Start Date of Trial Work Experience DATE No No
Trial Work Experience
Data Elements
Quarterly Yes Report the date that the individual’s trial work experience began.
If the individual has been placed in more than one trial work experience, the first occurrence of trial work must end with an End Date of Trial Work Experience (DE 47) before another Start Date of Trial Work Experience can begin.
YYYYMMDD
47 End Date of Trial Work Experience DATE No No
Trial Work Experience
Data Elements
Quarterly Yes Report the date that the individual’s trial work experience ended. YYYYMMDD
399 Date of IPE Development Extension DATE No Modified DE name and reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly No Report the date the eligible individual and counselor mutually agreed upon an extension (of time) for the development of the IPE within 90 days of the individual’s eligibility determination for VR services. The date reported in this DE is not the date the eligible individual and counselor expect to finalize the IPE (beyond the 90-day timeframe), but the date the eligible individual and counselor agree to extend this timeframe. As a result, this date, if applicable, must occur on or before the date reported in DE 398.
The extension must be verifiable through supporting documentation.
YYYYMMDD
398 Date of Initial IPE DATE No Modified reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly No Report the date on which the initial IPE was signed by both the eligible individual and the counselor.
The date must be verifiable through supporting documentation. Once this DE is reported, the VR agency cannot change it.
YYYYMMDD
49 Supported Employment Goal on Current IPE INT 1 No Modified code values and reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report if the eligible individual with a most significant disability has a supported employment goal on the current IPE. 1 = Eligible individual with most significant disability has a supported employment goal on the current IPE
0 = Eligible individual with most significant disability does not have a supported employment goal on the current IPE
50 Employment at Initial IPE INT 2 No Modified code values and reporting instructions 400 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the code value that best describes the employment status of the eligible individual at initial IPE. 1 = Individual is employed and requires VR services to maintain employment. 2 = Individual is employed, but seeking career advancement. 3 = Individual is employed in non-CIE and seeking CIE. 0 = Individual is not employed
51 Primary Occupation at Initial IPE INT 6 No Modified reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes For an eligible individual who is employed (DE 50, code 1, 2, or 3), enter the current 2018 Standard Occupational Classification (SOC) code that best describes the eligible individual’s occupation from which he/she derives the majority of his or her earnings at initial IPE. XXXXXX
52 Hourly Wage at Initial IPE DECIMAL 5, 2 No Modified reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes For an eligible individual who is employed (DE 50, code 1, 2, or 3), report the eligible individual’s hourly wage (rounded to the nearest cent) earned at initial IPE.
Report 0 if the eligible individual was not employed or had no earnings at initial IPE.
This DE captures cash earnings of the individual expressed as an hourly wage and includes all wages, salaries, tips, profits from self-employment and commissions received as income. These earnings are before payroll deductions of Federal, State, and local income taxes and Social Security.
Wages for salespersons, consultants, self-employed individuals, and other similar occupations are based on the adjusted gross income. Adjusted gross income is gross income minus unreimbursed business expenses. Do not include estimates of in-kind payments, such as meals and lodging. Estimate profits of farmers, if necessary. Where wages are based on commissions that are irregular (e.g., real estate, automobile sales, etc.), they should be calculated as an average hourly wage over a representative period, such as one month or one quarter, to obtain a reportable figure. Commissions are generally not paid when earned, but rather are paid periodically, such as weekly, biweekly, or even monthly. To bring standardization to this DE, wages should be based on the actual receipt of the payment and not on amounts accruing until the next commission payout.
XXX.XX
53 Hours Worked in a Week at Initial IPE INT 2 No Modified reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes For an eligible individual who is employed (DE 50, code 1, 2, or 3), report the number of hours the eligible individual worked in a typical week at initial IPE.
Report 0 if the eligible individual was unemployed.
XX
54 Adult INT 1 No Modified Code Values 903 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes The purpose of the Adult program is to increase the employment, job retention, earnings, and career advancement of U.S. workers by providing quality employment and training services to assist eligible individuals in finding and qualifying for meaningful employment, and to help employers find the skilled workers they need to compete and succeed in business. 1 = Individual received services from Adult program (Title I of WIOA)
0 = Individual did not receive services from Adult program (Title I of WIOA)
9 = Co-Enrollment information unknown
55 Adult Education INT 1 No Modified Code Values 910 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes The Adult Education program helps adults get the basic skills they need including reading, writing, math, English language proficiency, and problem-solving to be productive workers, family members, and citizens. 1 = Individual received Adult Education services (Title II of WIOA)
0 = Individual did not receive Adult Education services (Title II of WIOA)
9 = Co-Enrollment information unknown
56 Dislocated Worker INT 1 No Modified Code Values 904 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes The Dislocated Worker program provides employment and training services to assist workers who have been laid off or have been notified that they will be terminated or laid off in finding and qualifying for meaningful employment, and to help employers find the skilled workers they need to compete and succeed in business. 1 = Individual received services from Dislocated Worker program (Title I of WIOA) 0 = Individual did not receive services from Dislocated Worker program (Title I of WIOA) 9 = Co-Enrollment information unknown
57 Job Corps INT 1 No Modified Code Values 911 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Job Corps is a no-cost education and vocational training program administered by the U.S. Department of Labor that helps young people ages 16-24 improve the quality of their lives by empowering them to get great jobs and become independent. 1 = Individual received services from Job Corps Program
0 = Individual did not receive services from Job Corps Program
9 = Co-Enrollment information unknown
58 Vocational Rehabilitation INT 1 No Modified code values and reporting instructions 917 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes All VR program participants should be reported with code value 1 unless the individual also received services from the VR&E program. If the individaul also received services from the VR&E program, report code value 3. 1 = Individual received services from the vocational rehabilitation program
2 = Individual received services from the Department of Veterans Affairs Vocational Rehabilitation and Employment (VR&E) program
3 = Individual received services from both the vocational rehabilitation program and the Department of Veterans Affairs Vocational Rehabilitation and Employment (VR&E) programs 0 = Individual did not receive any services
9 = Participant did not self-identify
59 Wagner-Peyser Employment Service INT 1 No Modified Code Values 918 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes The Wagner-Peyser/Employment Services program focuses on providing a variety of employment related labor exchange services, including but not limited to job search assistance, job referral, and placement assistance for job seekers, re-employment services to unemployment insurance claimants, and recruitment services to employers with job openings. Services are delivered in one of three modes including self-service, facilitated self-help services, and staff assisted service delivery approaches. Depending on the needs of the labor market, other services, such as job seeker assessment of skill levels, abilities, and aptitudes, career guidance when appropriate, job search workshops, and referral to training, may be available. 1 = Individual received services from Wagner-Peyser Employment Services program (Title III of WIOA)
0 = Individual did not receive services from Wagner-Peyser Employment Services program (Title III of WIOA) 9 = Co-Enrollment information unknown
60 Youth INT 1 No Modified Code Values 905 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes The title I Youth program focuses on assisting out-of-school youth and in-school youth with one or more barriers to employment prepare for post-secondary education and employment opportunities, attain educational and/or skills training credentials, and secure employment with career/promotional opportunities. 1 = Individual received services from Youth program (Title I of WIOA) 0 = Individual did not receive services from Youth program (Title I of WIOA) 9 = Co-Enrollment information unknown
61 Youth Build INT 1 No Modified data type, code values, and reporting instructions 919 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes YouthBuild is a discretionary grant program, authorized under title I of WIOA, that serves 16-24 year old youth who are high school dropouts or those who have dropped out and subsequently re-enrolled. YouthBuild participants also must be one of the following: member of a low-income family, in foster care, an offender, an individual with a disability, the child of a current or formerly incarcerated parent, or a migrant youth. 1 = Individual received services from a YouthBuild program
0 = Individual did not receive services from a YouthBuild program
9 = Co-Enrollment information unknown
62 Long-Term Unemployed INT 1 No Modified Code Values 402 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes A participant who has been unemployed for 27 or more consecutive weeks at program entry is considered to be long-term unemployed. 1 = Individual meets the definition of Long-Term Unemployed
0 = Individual does not meet the definition of Long-Term Unemployed
9 = Barrier to Employment information unknown
63 Exhausting TANF within 2 Years INT 1 No Modified Code Values 601 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes A participant is within 2 years of exhausting lifetime eligibility under part A of Title IV of the Social Security Act at program entry. 1 = Individual is within two years of exhausting TANF
0 = Individual is not within two years of exhausting TANF
9 = Barrier to Employment information unknown
64 Foster Care Youth INT 1 No Modified code values and reporting instructions 704 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes A participant aged 24 or under who is currently in foster care or has aged out of the foster care system. Report only if the participant is between 14 and 24. 1 = Individual meets the definition of a Foster Care Youth
0 = Individual does not meet the definition of a Foster Care Youth
9 = Barrier to Employment information unknown
65 Homeless Individual, Homeless Children and Youths, or Runaway Youth INT 1 No Modified Code Values 800 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes (a) Lacks a fixed, regular, and adequate nighttime residence; (b) Has a primary nighttime residence that is a public or private place not designed for or ordinarily used as a regular sleeping accommodation for human beings, such as a car, park, abandoned building, bus or train station, airport, or camping ground; (c) Is a migratory child who in the preceding 36 months was required to move from one school district to another due to changes in the parent’s or parent’s spouse’s seasonal employment in agriculture, dairy, or fishing work; or (d) Is under 18 years of age and absents himself or herself from home or place of legal residence without the permission of his or her family (i.e., runaway youth). 1 = Individual meets the definition of Homeless
0 = Individual does not meet the definition of Homeless 9 = Barrier to Employment information unknown
66 Ex-Offender INT 1 No Modified Code Values 801 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes A person who either (a) has been subject to any stage of the criminal justice process for committing a status offense or delinquent act, or (b) requires assistance in overcoming barriers to employment resulting from a record of arrest or conviction. 1 = Individual meets the definition of an Ex-Offender 0 = Individual does not meet the definition of an Ex-Offender
9 = Barrier to Employment information unknown
67 Low Income INT 1 No Modified Code Values 802 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes (a) Receives, or in the six months prior to application to the program has received, or is a member of a family that is receiving or in the past six months prior to application to the program has received public assistance (SNAP, TANF, SSI, other State/local assistance);
(b) Is in a family with total family income that does not exceed the higher of the poverty line or 70% of the lower living standard income level;
(c) Is a youth who receives or is eligible to receive a free or reduced price lunch
(d) Is a foster child on behalf of whom State or local government payments are made;
(e) Is an participant with a disability whose own income is the poverty line but who is a member of a family whose income does not meet this requirement;
(f) Is a homeless participant or a homeless child or youth or runaway youth (see PIRL Data Element #700); or (g) Is a youth living in a high-poverty area.
1 = Individual meets the definition of Low Income
0 = Individual does not meet the definition of Low Income
9 = Barrier to Employment information unknown
68 English Language Learner INT 1 No Modified Code Values 803 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes A person who has limited ability in speaking, reading, writing, or understanding the English language and also meets at least one of the following two conditions: (a) his or her native language is a language other than English, or (b) he or she lives in a family or community environment where a language other than English is the dominant language. 1 = Individual meets the definition of English Language Learner
0 = Individual does not meet the definition of English Language Learner 9 = Barrier to Employment information unknown
69 Basic Skills Deficient/Low Levels of Literacy INT 1 No Modified Code Values 804 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes A) a youth, who has English reading, writing, or computing skills at or below the 8th grade level on a generally accepted standardized test; or
B) a youth or adult who is unable to compute and solve problems, or read, write, or speak English at a level necessary to function on the job, in the participant’s family, or in society.
1 = Individual meets the definition of Basic Skills Deficient/Low Levels of Literacy
0 = Individual does not meet the definition of Basic Skills Deficient/Low Levels of Literacy
9 = Barrier to Employment information unknown
70 Cultural Barriers INT 1 No Modified Code Values 805 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes An individual who perceives him or herself as possessing attitudes, beliefs, customs, or practices that influence a way of thinking, acting, or working that may serve as a hindrance to employment. 1 = Individual meets the definition of Cultural Barriers
0 = Individual does not meet the definition of Cultural Barriers
9 = Barrier to Employment information unknown
71 Single Parent INT 1 No Modified Code Values 806 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes An individual who is single, separated, divorced, or a widowed individual who has primary responsibility for one or more dependent children under age 18 (including single pregnant women). 1 = Individual meets the definition of a Single Parent
0 = Individual does not meet the definition of a Single Parent
9 = Barrier to Employment information unknown
72 Displaced Homemaker INT 1 No Modified Code Values 807 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes An individual who has been providing unpaid services to family members in the home and who:
(A)(i) has been dependent on the income of another family member but is no longer supported by that income; or (ii) is the dependent spouse of a member of the Armed Forces on active duty and whose family income is significantly reduced because of a deployment, a call or order to active duty, a permanent change of station, or the service- connected death or disability of the member; and
(B) is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment.
1 = Individual meets the definition of a Displaced Homemaker
0 = Individual does not meet definition of a Displaced Homemaker
9 = Barrier to Employment information unknown
73 Migrant and Seasonal Farmworker INT 1 No Modified code values and reporting instructions 808 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes An individual who meets the definition a Migrant and Seasonal Farmworker as outlined in the code values. 1 = Individual is a low-income individual (i) who for 12 consecutive months out of the 24 months prior to application for the program involved, has been primarily employed in agriculture or fish farming labor that is characterized by chronic unemployment or underemployment; and (ii) faces multiple barriers to economic self-sufficiency 2 = Individual is a seasonal farmworker whose agricultural labor requires travel to a job site such that the farmworker is unable to return to a permanent place of residence within the same day 3 = Individual is a dependent of the individual described as a seasonal or migrant seasonal farmworker 0 = Individual does not meet any of the migrant or seasonal farmworker conditions listed above 9 = Barrier to Employment information unknown
74 State Definition for Age of Students with Disabilities VARCHAR 5 Yes Modified reporting instructions
Application or Initial Receipt of Pre-Employment Transition Service Data Elements Quarterly Yes Record the two-digit lower limit for the age of the students with disabilities followed by a semicolon and then the two-digit upper limit for the age of the students with disabilities.
If the State has two VR agencies, this DE must be reported as the same for all students with disabilities served by both VR agencies in the State.
XX;XX
77 Highest Elementary or Secondary School Grade Completed at Program Entry INT 2 No Deleted DE 407 Individualized Plan for Employment (IPE) Data Elements Quarterly No Use the appropriate code to report the highest school grade completed by the individual.
Report 1-12 for the number of the highest school grade completed by the individual.
XX
78 Enrolled in Secondary Education Leading to Recognized Secondary Credential INT 1 No Modified DE name, code values and reporting instructions 1401 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes This DE is reported if the eligible individual was either already enrolled in secondary education at the time of program entry or became enrolled in a secondary education program at or above the 9th grade level, at any point while participating in the program, and achieving the secondary credential is a goal on the IPE. DE 78 allows updates from “not enrolled” to “enrolled”. Once a participant is enrolled, this data element should not be reverted to "not enrolled", regardless of training completion or interruption. 1 = Individual was enrolled in a secondary education program at or above the 9th grade level and achieving the secondary credential is a goal on the IPE.
2 = Individual is enrolled in a secondary education program at or above the 9th grade level and achieving a secondary school diploma is not a goal on his or her IPE
0 = Individual was not enrolled in a secondary education program at or above the 9th grade level.
400 Enrolled in Secondary School Equivalency Program Leading to Recognized Secondary Credential INT 1 No Modified DE name, code values and reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes This DE is reported if the eligible individual was either already enrolled in a recognized secondary school equivalency program at the time of program entry or became enrolled in a recognized secondary equivalency program at the 9th grade level, at any point while participating in the program, and achieving the secondary credential was a goal on the IPE. DE 400 allows updates from “not enrolled” to “enrolled”. Once a participant is enrolled, this data element should not be reverted to "not enrolled", regardless of training completion or interruption. 1 = Individual was enrolled in a recognized secondary school equivalency program at or above the 9th grade level and achieving the secondary credential is a goal on the IPE.
0 = Individual was not enrolled in a recognized secondary school equivalency program at or above the 9th grade level.
79 Date Received Special Education Certificate of Completion DATE No Deleted DE
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the date the eligible individual attained a special education certificate of completion.
Leave blank if the eligible individual did not attain a special education certificate of completion.
YYYYMMDD
81 Date Attained Secondary School Diploma during Program Participation DATE No Modified DE name and reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the date the eligible individual completed secondary education and attained a secondary school diploma during program participation.
The date must be verifiable through supporting documentation.
Leave blank if the individual did not attain a secondary school diploma.
YYYYMMDD
82 Date Attained Recognized Secondary School Equivalency during Program Participation DATE No Modified DE name and reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the date the eligible individual attained a recognized secondary school equivalency during program participation.
The date must be verifiable through supporting documentation.
Leave blank if individual did not attain a recognized secondary school equivalency.
YYYYMMDD
84 Enrolled in Postsecondary Education or Career or Technical Training Leading to Recognized Postsecondary Credential INT 1 No Modified DE name, code values and reporting instructions 1332 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report if the eligible individual was either already enrolled in a postsecondary education or career or technical training program or became enrolled in a postsecondary education or career or technical training program at any point while participating in the program, and achieving a recognized post-secondary credential was a goal on the IPE.
DE 84 allows updates from “not enrolled” to “enrolled”. Once a participant is enrolled, this data element should not be reverted to "not enrolled", regardless of training completion or interruption.
1 = Individual was enrolled in a postsecondary education program that leads to a credential or degree from an accredited institution or program
2 = Individual was enrolled in a career or technical training program that leads to a recognized postsecondary credential
0 = Individual was not enrolled in a postsecondary education, career, or technical training program that leads to a recognized postsecondary credential.
85 Date Enrolled During Program Participation in an Education or Training Program Leading to a Recognized Postsecondary Credential or Employment DATE No Modified DE name and reporting instructions 1811 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the date the participant was enrolled in an education or training program that leads to a recognized secondary or postsecondary credential or employment at the time of initial IPE development (if the participant was enrolled before IPE, use Initial IPE Date) or the date the participant became enrolled in an education or training program after the initial IPE development (if the participant enrolled after IPE, use actual enrollment date).
Leave blank if the DE does not apply to the individual.
YYYYMMDD
401 Date Completed/Disenrolled During Program Participation in an Education or Training Program Leading to a Recognized Postsecondary Credential or Employment DATE No Modified DE name and reporting instructions 1813 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the date the participant completed or disenrolled from an education or training program that leads to a recognized secondary or postsecondary credential or employment after initial IPE development.
Leave blank if the DE does not apply to the individual.
YYYYMMDD
86 Completed Some Postsecondary Education, No Degree or Certificate INT 1 No Deleted DE
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Leave blank if the element does not apply to the individual. 1 = Individual has completed some postsecondary education but, has no degree or certificate 0 = Individual has not completed any postsecondary education and has no degree or certificate
87 Date Attained Associate Degree DATE No Modified reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the date the eligible individual attained the Associate Degree during program participation or within one year of exit.
The date must be verifiable through supporting documentation if earned during program participation.
Leave blank if an Associate Degree was not attained.
YYYYMMDD
88 Date Attained Bachelor's Degree DATE No Modified reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the date the eligible individual attained the Bachelor’s Degree during program participation or within one year of exit.
The date must be verifiable through supporting documentation if earned during program participation.
Leave blank if a Bachelor’s Degree was not attained.
YYYYMMDD
89 Date Attained Master’s Degree DATE No Modified reporting instructions 1814 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the date the eligible individual attained the Master’s Degree during program participation or within one year of exit.
The date must be verifiable through supporting documentation if earned during program participation.
Leave blank if a Master’s Degree was not attained.
YYYYMMDD
90 Date Attained Graduate Degree DATE No Modified reporting instructions 1814 Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the date the eligible individual attained a Graduate Degree (e.g., PhD), other than a Master's Degree during program participation or within one year of exit. The date must be verifiable through supporting documentation if earned during program participation. Leave blank if a Graduate Degree was not attained. YYYYMMDD
93 Date Attained Vocational/Technical License DATE No Modified reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the date the eligible individual attained the Vocational/Technical License during program participation or within one year of exit.
The date must be verifiable through supporting documentation if earned during program participation.
Leave blank if a Vocational/Technical License was not attained.
YYYYMMDD
94 Date Attained Vocational/Technical Certificate or Certification DATE No Modified reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the date the eligible individual attained the Vocational/Training Certificate or Certification during program participation or within one year of exit.
The date must be verifiable through supporting documentation if earned during program participation.
Leave blank if a Vocational/Training Certificate or Certification was not attained.
YYYYMMDD
95 Date Attained Other Recognized Credential DATE No Modified reporting instructions
Individualized Plan for Employment (IPE) Data Elements Quarterly Yes Report the date the eligible individual attained some other form of recognized credential during program participation or within one year of exit.
The date must be verifiable through supporting documentation if earned during program participation.
Leave blank if the individual did not attain some other form of recognized credential.
YYYYMMDD
96 Start Date of Pre-Employment Transition Services DATE No Modified reporting instructions
Pre-Employment Transition Services Data Elements Upon Occurrence Must request correction from RSA. Report the date the student with a disability received the first pre-employment transition service. This DE applies to students with disabilities who received pre-employment transition services before they applied for VR services as well as applicants, eligible individuals, and participants (i.e., services provided under an IPE) who received these services.
Leave blank if the individual has not received a pre-employment transition service. The date must be verifiable through supporting documentation.
YYYYMMDD
97 Job Exploration Counseling, Service Provided by VR Agency Staff INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
98 Job Exploration Counseling, Service Provided through VR Agency Purchase INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No Report at the time the service is provided.
Leave blank if service was not provided through VR agency purchase.
1 = Service was provided in whole or part through purchase by the VR agency
99 Job Exploration Counseling, Purchased Service Provider Type INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. Report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP
3 = Other Public Service Provider
4 = Other Private Service Provider
100 Job Exploration Counseling, VR Program Expenditure for Purchased Service INT 6 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No If the service was purchased by the agency, report the actual cost of a Job Exploration Counseling service.
Report at the time the expenditure is paid.
XXXXXX
103 Work Based Learning Experience, Service Provided by VR Agency Staff INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
104 Work Based Learning Experience, Service Provided through VR Agency Purchase INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No Report at the time the service is provided.
Leave blank if service was not provided through VR agency purchase.
1 = Service was provided in whole or part through purchase by the VR agency
105 Work Based Learning Experience, Purchased Service Provider Type INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP
3 = Other Public Service Provider
4 = Other Private Service Provider
106 Work Based Learning Experience, VR Program Expenditure for Purchased Service INT 6 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No If the service was purchased by the agency, report the actual cost of a Work Based Learning Experience service.
Report at the time the expenditure is paid.
XXXXXX
109 Counseling on Enrollment Opportunities, Service
Provided by VR Agency Staff
INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
110 Counseling on Enrollment Opportunities, Service
Provided through VR Agency Purchase
INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No Report at the time the service is provided.
Leave blank if service was not provided through VR agency purchase.
1 = Service was provided in whole or part through purchase by the VR agency
111 Counseling on Enrollment Opportunities, Purchased Service Provider Type INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. Report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
112 Counseling on Enrollment Opportunities, VR
Program Expenditure for Purchased Service
INT 6 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No If the service was purchased by the agency, report the actual cost of a Counseling on Enrollment Opportunities service.
Report at the time the expenditure is paid.
XXXXXX
115 Workplace Readiness Training, Service Provided by VR Agency Staff INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
116 Workplace Readiness Training, Service Provided through VR Agency Purchase INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No Report at the time the service is provided.
Leave blank if service was not provided through VR agency purchase.
1 = Service was provided in whole or part through purchase by the VR agency
117 Workplace Readiness Training, Purchased Service Provider Type INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. Report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP
3 = Other Public Service Provider
4 = Other Private Service Provider
118 Workplace Readiness Training, VR Program Expenditure for Purchased Service INT 6 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No If the service was purchased by the agency, report the actual cost of a Workplace Readiness Training service.
Report at the time the expenditure is paid.
XXXXXX
121 Instruction in Self Advocacy, Service Provided by VR Agency Staff INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
122 Instruction in Self Advocacy, Service Provided through VR Agency Purchase INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No Report at the time the service is provided.
Leave blank if service was not provided through VR agency purchase.
1 = Service was provided in whole or part through purchase by the VR agency
123 Instruction in Self Advocacy, Purchased Service Provider Type INT 1 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. Report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
124 Instruction in Self Advocacy, VR Program Expenditure for Purchased Service INT 6 No No
Pre-Employment Transition Services Data Elements Upon Occurrence No If the service was purchased by the agency, report the actual cost of an Instruction in Self Advocacy service.
Report at the time the expenditure is paid.
XXXXXX
127 Start Date of Initial VR Service on or after IPE DATE No Modified reporting instructions 900 Individualized Plan for Employment (IPE) Data Elements Upon Occurrence No Report the date the eligible individual received the first VR service on or after the Initial IPE Date (DE 398). Reporting of this element informs whether the eligible individual with an IPE is a participant for purposes of the WIOA performance indicators.
Leave blank if the eligible individual has not received a VR service yet or did not receive a VR service after the IPE was developed. The VR agency cannot change this date after it is reported.
The date must be verifiable through supporting documentation.
YYYYMMDD
128 Date of Most Recent Career Service DATE No Deleted DE 1004 VR and SE Service Data Elements Upon Occurrence Yes Career services refer to the services described in WIOA Sec 134(c)(2)(A)(xii). For VR purposes, these services are the ones identified in Elements (X-X)
This date must occur after the Start Date of Initial VR Services on or after IPE (DE 127).
Leave blank if this element does not apply
YYYYMMDD
130 Graduate College or University, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Full-time or part-time academic training leading to a degree recognized as beyond a Baccalaureate Degree, such as a Master of Science, Master of Arts, or Doctor of Philosophy.
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency. The costs associated with training are for tuition, fees and books only. Costs associated with housing or meals during periods of training are to be recorded under Maintenance.
1 = Service was provided in whole or part through purchase by the VR agency
131 Graduate College or University, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
132 Graduate College or University, Amount of VR Title I Funds Expended INT 6 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency. The costs associated with training are for tuition, fees and books only. Costs associated with housing or meals during periods of training are to be recorded under Maintenance.
XXXXXX
134 Graduate College or University, Service Provided by Comparable Services and Benefits Providers INT 1 No No
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers. 1 = Service was provided in whole or part by comparable services and benefits providers
135 Graduate College or University, Comparable Service Provider Type VARCHAR 8 Yes Modified reporting instructions
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
137 Four-Year College or University Training, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Full-time or part-time academic training leading to a baccalaureate degree, a certificate, or other recognized less than postgraduate educational credential. Such training may be provided by a four-year college or university or technical college.
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency. The costs associated with training are for tuition, fees and books only. Costs associated with housing or meals during periods of training are to be recorded under Maintenance.
1 = Service was provided in whole or part through purchase by the VR agency
138 Four-Year College or University Training, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
139 Four-Year College or University Training, Amount of VR Funds Expended for Service (Title I) INT 6 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency. The costs associated with training are for tuition, fees and books only. Costs associated with housing or meals during periods of training are to be recorded under Maintenance.
XXXXXX
141 Four-Year College or University Training, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Training Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
142 Four-Year College or University Training, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
144 Junior or Community College Training, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Full-time or part-time academic training above the secondary school level leading to an Associate’s Degree, a certificate, or other recognized educational credential. Such training is provided by a community college, junior college, or technical college.
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency. The costs associated with training are for tuition, fees and books only. Costs associated with housing or meals during periods of training are to be recorded under Maintenance.
1 = Service was provided in whole or part through purchase by the VR agency
145 Junior or Community College Training, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
146 Junior or Community College Training, Amount of VR Funds Expended for Service (Title I) INT 6 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency. The costs associated with training are for tuition, fees and books only. Costs associated with housing or meals during periods of training are to be recorded under Maintenance.
XXXXXX
148 Junior or Community College Training Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Training Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
149 Junior or Community College Training, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describe the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
150 Occupational or Vocational Training, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Occupational, vocational, or job skill training provided by an institution of higher education, business, or a vocational/trade or technical school that may or may not lead to a recognized postsecondary credential.
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
151 Occupational or Vocational Training, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Occupational, vocational, or job skill training provided by an institution of higher education, business, or a vocational/trade or technical school that may or may not lead to a recognized postsecondary credential. Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE. Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
152 Occupational or Vocational Training, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
153 Occupational or Vocational Training, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
155 Occupational or Vocational Training, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by a comparable services and benefits provider.
This Training Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
156 Occupational or Vocational Training, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
157 On The Job Training, Service Provided by
VR Agency Staff (in-house)
INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Training in specific job skills by a prospective employer. Generally, the trainee is paid during this training. Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
158 On The Job Training, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Training in specific job skills by a prospective employer. Generally, the trainee is paid during this training.
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
159 On The Job Training, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
160 On The Job Training, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
162 On The Job Training, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Training Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
163 On The Job Training, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
164 Registered Apprenticeship Training, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No A work-based employment and training program that combines hands-on, on-the-job work experience in a skilled occupation with related classroom instruction. Structured apprenticeship programs generally have minimum requirements for the duration of on-the job work experience, classroom instruction, and provide a recognized certificate of completion.
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part through purchase by the VR agency
165 Registered Apprenticeship Training, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No A work-based employment and training program that combines hands-on, on-the-job work experience in a skilled occupation with related classroom instruction. Structured apprenticeship programs generally have minimum requirements for the duration of on-the job work experience, classroom instruction, and provide a recognized certificate of completion.
Report at the time the service is provided.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP
3 = Other Public Service Provider
4 = Other Private Service Provider
166 Registered Apprenticeship Training, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
168 Registered Apprenticeship Training, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Training Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
169 Registered Apprenticeship Training, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
170 Basic Academic Remedial or Literacy Training, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Literacy training or training provided to remediate basic academic skills that are needed to function on the job in the competitive labor market.
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
171 Basic Academic Remedial or Literacy Training, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Literacy training or training provided to remediate basic academic skills that are needed to function on the job in the competitive labor market.
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
172 Basic Academic Remedial or Literacy Training, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
173 Basic Academic Remedial or Literacy Training, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
175 Basic Academic Remedial or Literacy Training, Service Provided by Comparable Services
and Benefits Providers
INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Training Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
176 Basic Academic Remedial or Literacy Training, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
177 Job Readiness Training, Service, Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Training provided to prepare an individual for work (e.g., work behaviors, interpersonal communication skills, increasing productivity, etc.).
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
178 Job Readiness Training, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Training provided to prepare an individual for work (e.g., work behaviors, interpersonal communication skills, increasing productivity).
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
179 Job Readiness Training, Service, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
180 Job Readiness Training, Service, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances. Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
182 Job Readiness Training, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Training Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
183 Job Readiness Training, Comparable Services
and Benefits Provider Type
VARCHAR 8 Yes No
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable services and benefits. See Appendix 5 for a list of comparable benefits providers
184 Disability Related Skills Training, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Disability-related augmentative skills training includes but is not limited to: orientation and mobility; rehabilitation teaching; training in the use of low vision aids; braille; speech reading; sign language; and cognitive training/retraining.
Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
185 Disability Related Skills Training, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Disability-related augmentative skills training includes but is not limited to: orientation and mobility; rehabilitation teaching; training in the use of low vision aids; braille; speech reading; sign language; and cognitive training/retraining.
Report at the time the service is provided.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
186 Disability Related Skills Training, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
187 Disability Related Skills Training, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances. Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
189 Disability Related Skills Training, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
1 = Service was provided in whole or part by comparable services and benefits providers
190 Disability Related Skills Training, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
191 Miscellaneous Training, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Any training not included in one of the other Training services listed.
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
192 Miscellaneous Training, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Any training not included in one of the other Training Services listed.
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
193 Miscellaneous Training, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
194 Miscellaneous Training, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
196 Miscellaneous Training, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Training Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
197 Miscellaneous Training, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
198 Randolph-Sheppard Entrepreneurial Training, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Training for establishing a small business or individualized training through the Randolph-Sheppard program.
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
199 Randolph-Sheppard Entrepreneurial Training, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Training for establishing a small business or individualized training through the Randolph-Sheppard program.
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
200 Randolph-Sheppard Entrepreneurial Training, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
201 Randolph-Sheppard Entrepreneurial Training, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
203 Randolph-Sheppard Entrepreneurial Training, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Training Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
204 Randolph-Sheppard Entrepreneurial Training, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
205 Customized Training, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No A training program designed to meet the special requirements of an employer who has entered into an agreement with a service delivery area to hire individuals who are trained to the employer's specifications. This Training Service is not to be confused with Customized Employment (DE 275).
Report at the time the service is provided.
This Training Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
206 Customized Training, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No A training program designed to meet the special requirements of an employer who has entered into an agreement with a service delivery area to hire individuals who are trained to the employer's specifications. This Training Service is not to be confused with Customized Employment (DE 275). Report at the time the service is provided. Leave blank if service was not provided through purchase by VR agency. 1 = Service was provided in whole or part through purchase by the VR agency
207 Customized Training, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP
3 = Other Public Service Provider
4 = Other Private Service Provider
208 Customized Training, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
210 Customized Training, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Training Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
211 Customized Training, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
402 Work Based Learning Experience, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Includes apprenticeships, internships, short-term employment, and other work-based learning experiences not elsewhere classified. These opportunities are provided in an integrated environment in the community to the maximum extent possible and may be paid or unpaid.
Report Registered Apprenticeships in DEs 164-169, On the Job Training in DEs 158-163, and Work Based Learning Experience, as a Pre-Employment Transition Service for students with disabilities, in DEs 103-106.
Report at the time the service is provided.
This Training Service may only be provided to eligible individuals under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
403 Work Based Learning Experience, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Includes apprenticeships, internships, short-term employment, and other work-based learning experiences not elsewhere classified. These opportunities are provided in an integrated environment in the community to the maximum extent possible and may be paid or unpaid.
Report Registered Apprenticeships in DEs 164-169, On the Job Training in DEs 158-163, and Work Based Learning Experience, as a Pre-Employment Transition Service for students with disabilities, in DEs 103-106.
Report at the time the service is provided.
This Training Service may only be provided to eligible individuals under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
404 Work Based Learning Experience, Purchased Service Provider Type INT 1 No No
Training Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP
3 = Other Public Service Provider
4 = Other Private Service Provider
405 Work Based Learning Experience, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Training Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
406 Work Based Learning Experience, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Training Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Training Service may only be provided to eligible individuals under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
407 Work Based Learning Experience, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Training Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
212 Assessment, Service Provided by VR Agency Staff (in- house) INT 1 No No
Career Services Data Elements Upon Occurrence No Assessment means services provided and activities performed to determine an individual’s eligibility for VR services, to assign an individual to a priority category of a VR program that operates under an order of selection, and/or to determine the nature and scope of VR services to be included in the IPE. It also includes trial work experiences. Report at the time the service is
provided. Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
213 Assessment, Service Provided through VR Agency Purchase INT 1 No No
Career Services Data Elements Upon Occurrence No Assessment means services provided and activities performed to determine an individual’s eligibility for VR services, to assign an individual to a priority category of a VR program that operates under an order of selection, and/or to determine the nature and scope of VR services to be included in the IPE. It also includes trial work experiences.
Report at the time the service is provided.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
214 Assessment, Purchased Service Provider Type INT 1 No No
Career Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
215 Assessment, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service.
Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
217 Assessment, Service Provided by Comparable Services and Benefits Providers INT 1 No No
Career Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit. 1 = Service was provided in whole or part by comparable services and benefits providers
218 Assessment, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Career Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
219 Diagnosis and Treatment of Impairments, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Corrective surgery or therapeutic treatment, diagnosis and treatment of mental and emotional disorders, dentistry, nursing services, necessary hospitalization, drugs and supplies, prosthetics, eye glasses, podiatry, physical therapy, occupation therapy, speech or hearing therapy, mental health services, treatment of acute or chronic medical complications, other medical or medically related rehabilitation services. This Career Service does not include assessments for determining eligibility or assessments for determining the nature/scope of services provided on the IPE. Report these assessments using DEs 213-218.
This Career Service may only be provided to an eligible individual under an IPE.
Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
220 Diagnosis and Treatment of Impairments, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Corrective surgery or therapeutic treatment, diagnosis and treatment of mental and emotional disorders, dentistry, nursing services, necessary hospitalization, drugs and supplies, prosthetics, eye glasses, podiatry, physical therapy, occupation therapy, speech or hearing therapy, mental health services, treatment of acute or chronic medical complications, other medical or medically related rehabilitation services.
This Career Services does not include assessments for determining eligibility or assessments for determining the nature/scope of services provided on the IPE. Report these assessments using DEs 213-218. This Career Service may only be provided to an eligible individual under an IPE.
Report at the time the service is provided.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
221 Diagnosis and Treatment of Impairments, Purchased Service Provider Type INT 1 No No
Career Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
222 Diagnosis and Treatment of Impairments, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
224 Diagnosis and Treatment of Impairments, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers. This Career Services does not include assessments for determining eligibility or assessments for determining the nature/scope of services provided on the IPE. Report these assessments using DEs 213-218.
This Career Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
225 Diagnosis and Treatment of Impairments, Comparable Services and Benefits Provider
Type
VARCHAR 8 Yes No
Career Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable benefits providers
226 Vocational Rehabilitation Counseling and Guidance, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Vocational rehabilitation counseling and guidance includes information and support services to assist an individual in exercising informed choice.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
227 Vocational Rehabilitation Counseling and Guidance, Service Provided by through VR Agency Purchase INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Vocational rehabilitation counseling and guidance includes information and support services to assist an individual in exercising informed choice.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
228 Vocational Rehabilitation Counseling and Guidance, Purchased Service Provider Type INT 1 No No
Career Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
229 Vocational Rehabilitation Counseling and Guidance, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service.
Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
231 Vocational Rehabilitation Counseling and Guidance, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Career Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
232 Vocational Rehabilitation Counseling and Guidance, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Career Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable service or benefit
See Appendix 5 for a list of comparable services and benefits providers
233 Job Search Assistance, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Job search activities support and assist an individual in searching for an appropriate job. Job search assistance may include help in resume preparation, identifying appropriate job opportunities, developing interview skills, and making contacts with companies on behalf of the consumer.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
234 Job Search Assistance, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Job search activities support and assist an individual in searching for an appropriate job. Job search assistance may include help in resume preparation, identifying appropriate job opportunities, developing interview skills, and making contacts with companies on behalf of the consumer.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
235 Job Search Assistance, Purchased Service Provider Type INT 1 No No
Career Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
236 Job Search Assistance, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
238 Job Search Assistance, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Career Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
239 Job Search Assistance, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Career Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
240 Job Placement Assistance, Service Provided by VR Job Placement Assistance, Agency Staff (in-house) INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Job placement assistance is a referral to a specific job resulting in an interview, regardless of whether or not the individual obtained the job.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
241 Job Placement Assistance, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Job placement assistance is a referral to a specific job resulting in an interview, regardless of whether or not the individual obtained the job.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
242 Job Placement Assistance, Purchased Service Provider Type INT 1 No No
Career Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
243 Job Placement Assistance, Amount of VR Funds Expended for Service (Title I) INT 6 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
This Career Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
245 Job Placement Assistance, Service Provided by Comparable Services and Benefits Providers INT 1 No No
Career Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers. 1 = Service was provided in whole or part by comparable services and benefits providers
246 Job Placement Assistance, Comparable Services
and Benefits Provider Type
VARCHAR 8 Yes No
Career Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit. Leave blank if service
was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
247 Short Term Job Supports, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Support services provided to an individual who has been placed in employment in order to stabilize the placement and enhance job retention.
This Career Service is not Supported Employment Services.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
248 Short Term Job Supports, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Support services provided to an individual who has been placed in employment in order to stabilize the placement and enhance job retention.
This Career Service is not Supported Employment Services.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
249 Short Term Job Supports, Purchased Service Provider Type INT 1 No No
Career Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
250 Short Term Job Supports, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
252 Short Term Job Supports, Service Provided by
Comparable Services and Benefits Providers
INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Career Service is not Supported Employment Services.
This Career Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
253 Short Term Job Supports, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Career Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit. Leave blank if service
was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
254 Supported Employment Services, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Supported employment services are ongoing support services, including customized employment, and other appropriate services needed to support an individual with a most significant disability in maintaining supported employment.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual with a most significant disability under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
255 Supported Employment Services, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Supported employment services are ongoing support services, including customized employment, and other appropriate services needed to support an individual with a most significant disability in maintaining supported employment.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual with a most significant disability under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
256 Supported Employment Services, Purchased Service Provider Type INT 1 No No
Career Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
257 Supported Employment Services, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
258 Supported Employment Services, Amount of SE Funds Expended for Service (Title VI) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly Supported Employment Services program expenditures for the purchased service. Recipients of these funds must have a supported employment goal in their IPEs and have already been placed in an employment setting.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
259 Supported Employment Services, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Career Service may only be provided to an eligible individual with a most significant disability under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
260 Supported Employment Services, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Career Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
261 Information and Referral Services, Service Provided by VR Agency Staff (in-house) INT 1 No No
Career Services Data Elements Upon Occurrence No Designed to meet the specific abilities of the individual with a significant disability a business needs of the employer; and carried out through flexible strategies such as job exploration.
Report at the time the service is provided.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part by VR agency staff
262 Information and Referral Services, Service Provided
through VR Agency Purchase
INT 1 No No
Career Services Data Elements Upon Occurrence No Information and referral services are provided to individuals who need services from other agencies.
Report at the time the service is provided.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
263 Information and Referral Services, Purchased Service Provider Type INT 1 No No
Career Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
264 Information and Referral Services, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
266 Information and Referral Services, Service Provided by Comparable Services and Benefits Providers INT 1 No No
Career Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers. 1 = Service was provided in whole or part by comparable services and benefits providers
267 Information and Referral Services, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Career Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
268 Benefits Counseling, Service Provided by VR Agency Staff (in-house) INT 1 No No
Career Services Data Elements Upon Occurrence No Assistance provided to an individual who is interested in becoming employed, but is uncertain of the impact work income may have on any disability benefits and entitlements being received, and/or is not aware of benefits, such as access to healthcare, that might be available to support employment efforts.
Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
269 Benefits Counseling, Service Provided through VR Agency Purchase INT 1 No No
Career Services Data Elements Upon Occurrence No Assistance provided to an individual who is interested in becoming employed, but is uncertain of the impact work income may have on any disability benefits and entitlements being received, and/or is not aware of benefits, such as access to healthcare, that might be available to support employment efforts.
Report at the time the service is provided.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
270 Benefits Counseling, Purchased Service Provider Type INT 1 No No
Career Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
271 Benefits Counseling, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
273 Benefits Counseling, Service Provided by
Comparable Services and Benefits Providers
INT 1 No No
Career Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers. 1 = Service was provided in whole or part by comparable services and benefits providers
274 Benefits Counseling, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Career Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
275 Customized Employment Services, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Designed to meet the specific abilities of the individual with a significant disability and the business needs of the employer; and carried out through flexible strategies such as job exploration.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
276 Customized Employment Services, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Designed to meet the specific abilities of the individual with a significant disability and the business needs of the employer; and carried out through flexible strategies such as job exploration.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
277 Customized Employment Services, Purchased Service Provider Type INT 1 No No
Career Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
278 Customized Employment Services, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
279 Customized Employment Services, Amount of SE Funds Expended for Service (Title VI) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly Supported Employment Services program expenditures for the purchased service. Recipients of these funds must have a supported employment goal in their IPEs and have already been placed in an employment setting.
Report at the time the expenditure is paid. Leave blank if service was not provided through purchase by VR agency.
XXXXXX
280 Customized Employment Services, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Career Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
281 Customized Employment Services, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Career Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
282 Extended Services, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Ongoing support services and other appropriate services that are needed to support and maintain a youth with a most significant disability.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual who is a youth with the most significant disability under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
283 Extended Services, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Career Services Data Elements Upon Occurrence No Ongoing support services and other appropriate services that are needed to support and maintain a youth with a most significant disability.
Report at the time the service is provided.
This Career Service may only be provided to an eligible individual who is a youth with the most significant disability under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
284 Extended Services, Purchased Service Provider Type INT 1 No No
Career Services Data Elements Upon Occurrence No If the service was provided to a youth with a most significant disability in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
285 Extended Services, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service for a youth with a most significant disability. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
286 Extended Services, Amount of SE Funds Expended for Service (Title VI) INT 6 No No
Career Services Data Elements Upon Occurrence No Report the quarterly Supported Employment Services program expenditures for the purchased service for a youth with a most significant disability. Recipients of these funds must have a supported employment goal in their IPEs and have already been placed in an employment setting.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
287 Transportation Data Elements, Service Provided by VR Agency Staff (in-house) INT 1 No No
Other Services Data Elements Upon Occurrence No Travel and related expenses that are necessary to enable an applicant or eligible individual to participate in a VR service, including expenses for training in the use of public transportation vehicles and systems.
Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
288 Transportation Data Elements, Service Provided through VR Agency Purchase INT 1 No No
Other Services Data Elements Upon Occurrence No Travel and related expenses that are necessary to enable an applicant or eligible individual to participate in a VR service, including expenses for training in the use of public transportation vehicles and systems.
Report at the time the service is provided.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
289 Transportation Data Elements, Purchased Service Provider Type INT 1 No No
Other Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
290 Transportation Data Elements, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Other Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
292 Transportation Data Elements, Service Provided by Comparable Services and Benefits Providers INT 1 No No
Other Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers. 1 = Service was provided in whole or part by comparable services and benefits providers
293 Transportation Data Elements, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Other Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
294 Maintenance, Service Provided by VR Agency Staff (in-house) INT 1 No No
Other Services Data Elements Upon Occurrence No Monetary support provided for living expenses such as food, shelter and clothing that are in excess of the normal expenses of the individual.
Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
295 Maintenance, Service Provided through VR Agency Purchase INT 1 No No
Other Services Data Elements Upon Occurrence No Monetary support provided for living expenses such as food, shelter and clothing that are in excess of the normal expenses of the individual. Report at the time the service is provided. Leave blank if service was not provided through purchase by VR agency. 1 = Service was provided in whole or part through purchase by the VR agency
296 Maintenance, Purchased Service Provider Type INT 1 No No
Other Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
297 Maintenance, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Other Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
299 Maintenance, Service Provided by Comparable Services and Benefits Providers INT 1 No No
Other Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers. 1 = Service was provided in whole or part by comparable services and benefits providers
300 Maintenance, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Other Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
301 Rehabilitation Technology, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Other Services Data Elements Upon Occurrence No Systematic application of technologies, engineering methodologies, or scientific principles to meet the needs of, and address the barriers confronted by, individuals with disabilities.
Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
302 Rehabilitation Technology, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Other Services Data Elements Upon Occurrence No Systematic application of technologies, engineering methodologies, or scientific principles to meet the needs of, and address the barriers confronted by, individuals with disabilities.
Report at the time the service is provided.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
303 Rehabilitation Technology, Purchased Service Provider Type INT 1 No No
Other Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
304 Rehabilitation Technology, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Other Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
306 Rehabilitation Technology, Service Provided by
Comparable Services and Benefits Providers
INT 1 No Modified reporting instructions
Other Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers 1 = Service was provided in whole or part by comparable services and benefits providers
307 Rehabilitation Technology, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Other Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
308 Personal Assistance Services, Service Provided by VR Agency Staff (in-house) INT 1 No No
Other Services Data Elements Upon Occurrence No Services designed to assist an individual with a disability perform daily living activities, increase control in life and ability to perform routine tasks, provided in conjunction with other VR services, and are necessary for achieving an employment outcome.
Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
309 Personal Assistance Services, Service Provided through VR Agency Purchase INT 1 No No
Other Services Data Elements Upon Occurrence No Services designed to assist an individual with a disability perform daily living activities, increase control in life and ability to perform routine tasks, provided in conjunction with other VR services, and are necessary for achieving an employment outcome.
Report at the time the service is provided.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
310 Personal Assistance Services, Purchased Service Provider Type INT 1 No No
Other Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
311 Personal Assistance Services, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Other Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
313 Personal Assistance Services, Service Provided by
Comparable Services and Benefits Providers
INT 1 No No
Other Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers. 1 = Service was provided in whole or part by comparable services and benefits providers
314 Personal Assistance Services, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Other Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
315 Technical Assistance Services related to Self-Employment, Service Provided by VR Agency Staff (in-house) INT 1 No Modified DE name and reporting instructions
Other Services Data Elements Upon Occurrence No Consultation and other services provided to conduct market analyses, to develop business plans, and to provide resources to individuals in the pursuit of self-employment, telecommuting and small business operation outcomes.
Report at the time the service is provided.
This Other Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
316 Technical Assistance Services related to Self-Employment, Service Provided through VR Agency Purchase INT 1 No Modified DE name and reporting instructions
Other Services Data Elements Upon Occurrence No Consultation and other services provided to conduct market analyses, to develop business plans, and to provide resources to individuals in the pursuit of self-employment, telecommuting and small business operation outcomes.
Report at the time the service is provided.
This Other Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
317 Technical Assistance Services related to Self-Employment, Purchased Service Provider Type INT 1 No Modified DE Name
Other Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
318 Technical Assistance Services related to Self-Employment, Amount of VR Funds Expended for Service (Title I) INT 6 No Modified DE Name
Other Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
320 Technical Assistance Services related to Self-Employment, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified DE name and reporting instructions
Other Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers.
This Other Service may only be provided to an eligible individual under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
321 Technical Assistance Services related to Self-Employment, Comparable Services and Benefits Provider Type VARCHAR 8 Yes Modified DE Name
Other Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
322 Reader Services, Service Provided by VR Agency Staff (in-house) INT 1 No No
Other Services Data Elements Upon Occurrence No Services for individuals who cannot read print because of blindness which include: reading aloud, transcription of printed information into braille, or sound recordings if the individual requests such transcription.
Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
323 Reader Services, Service Provided through VR Agency Purchase INT 1 No No
Other Services Data Elements Upon Occurrence No Services for individuals who cannot read print because of blindness which include: reading aloud, transcription of printed information into braille. or sound recordings if the individual requests such transcription.
Report at the time the service is provided.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
324 Reader Services, Purchased Service Provider Type INT 1 No No
Other Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
325 Reader Services, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Other Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
327 Reader Services, Service Provided by Comparable Services and Benefits Providers INT 1 No No
Other Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers. 1 = Service was provided in whole or part by comparable services and benefits providers
328 Reader Services, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Other Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
329 Interpreter Services, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Other Services Data Elements Upon Occurrence No Sign language or oral interpretation services for individuals who are deaf or hard of hearing and tactile interpretation services for individuals who are deaf-blind. Interpreter Services also include foreign language interpretation.
Report at the time the service is provided.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
330 Interpreter Services, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Other Services Data Elements Upon Occurrence No Sign language or oral interpretation services for individuals who are deaf or hard of hearing and tactile interpretation services for individuals who are deaf-blind. Interpreter Services also include foreign language interpretation.
Report at the time the service is provided.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
331 Interpreter Services, Purchased Service Provider Type INT 1 No No
Other Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
332 Interpreter Services, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Other Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
334 Interpreter Services, Service Provided by Comparable Services and Benefits Providers INT 1 No Modified reporting instructions
Other Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers
Interpreter Services also include foreign language interpretation.
1 = Service was provided in whole or part by comparable services and benefits providers
335 Interpreter Services, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Other Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
336 Other Services, Service Provided by VR Agency Staff (in-house) INT 1 No Modified reporting instructions
Other Services Data Elements Upon Occurrence No Use this category ONLY for other VR services that cannot be recorded elsewhere. Include in this category such services as the provision of funds for occupational licenses, tools and equipment, initial stocks and supplies.
Report at the time the service is provided. This Other Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
337 Other Services, Service Provided through VR Agency Purchase INT 1 No Modified reporting instructions
Other Services Data Elements Upon Occurrence No Use this category ONLY for other VR services that cannot be recorded elsewhere. Include in this category such services as the provision of funds for occupational licenses, tools and equipment, initial stocks and supplies.
Report at the time the service is provided. This Other Service may only be provided to an eligible individual under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
338 Other Services, Purchased Service Provider Type INT 1 No No
Other Services Data Elements Upon Occurrence No If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
339 Other Services, Amount of VR Funds Expended for Service (Title I) INT 6 No No
Other Services Data Elements Upon Occurrence No Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
341 Other Services, Service Provided by Comparable Services and Benefits Providers INT 1 No No
Other Services Data Elements Upon Occurrence No Leave blank if service was not provided by comparable services and benefits providers. 1 = Service was provided in whole or part by comparable services and benefits providers
342 Other Services, Comparable Services and Benefits Provider Type VARCHAR 8 Yes No
Other Services Data Elements Upon Occurrence No Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
409 Home Modification, Service Provided by VR Agency Staff (in-house) INT 1 No New DE
Other Services Data Elements Upon Occurrence Yes Includes necessary home modification services that address appropriate accommodations to, and modifications of, any living space occupied by a VR program participant. These may include additions, improvements, modifications, replacements, rearrangements, reinstallations, renovations or alterations to capital assets that materially increase their value or useful life.
Report at the time the service is provided.
This Other Service may only be provided to eligible individuals under an IPE.
Leave blank if service was not provided by VR agency staff.
1 = Service was provided in whole or part by VR agency staff
410 Home Modification, Service Provided through VR Agency Purchase INT 1 No New DE
Other Services Data Elements Upon Occurrence Yes Includes necessary home modification services that address appropriate accommodations to, and modifications of, any living space occupied by a VR program participant. These may include additions, improvements, modifications, replacements, rearrangements, reinstallations, renovations or alterations to capital assets that materially increase their value or useful life.
Report at the time the service is provided.
This Other Service may only be provided to eligible individuals under an IPE.
Leave blank if service was not provided through purchase by VR agency.
1 = Service was provided in whole or part through purchase by the VR agency
411 Home Modification, Purchased Service Provider Type INT 1 No New DE
Other Services Data Elements Upon Occurrence Yes If the service was provided in whole or part through purchase by the VR agency, the Purchased Service Provider Type must be reported. For each service category, report the code value that best describes the primary service provider.
Leave blank if service was not provided through purchase by VR agency.
1 = Public Community Rehabilitation Program (CRP) 2 = Private CRP 3 = Other Public Service Provider 4 = Other Private Service Provider
412 Home Modification, Amount of VR Funds Expended for Service (Title I) INT 6 No New DE
Other Services Data Elements Upon Occurrence Yes Report the quarterly VR program expenditures for the purchased service. Expenditures may include non-Federal share and VR program Federal funds, including program income, used to purchase the service. Expenditures do not include unliquidated obligations or encumbrances.
Report at the time the expenditure is paid.
Leave blank if service was not provided through purchase by VR agency.
XXXXXX
413 Home Modification, Service Provided by Comparable Services and Benefits Providers INT 1 No New DE
Other Services Data Elements Upon Occurrence Yes Leave blank if service was not provided by comparable services and benefits providers.
This Other Service may only be provided to eligible individuals under an IPE.
1 = Service was provided in whole or part by comparable services and benefits providers
414 Home Modification, Comparable Services and Benefits Provider Type VARCHAR 8 Yes New DE
Other Services Data Elements Upon Occurrence Yes Report up to three codes, separated by semicolons, that best describes the service providers who provided the individual with a comparable service or benefit.
Leave blank if service was not provided by a comparable services and benefits provider.
See Appendix 5 for a list of comparable services and benefits providers
343 Measurable Skill Gains: Educational Functional Level (EFL) DATE No Modified reporting instructions 1806 Measurable Skill Gains
Data Elements
Upon Occurrence Yes Report the most recent date the participant, who received instruction below the postsecondary education level, achieved at least one EFL. This progress must be made towards earning a recognized credential.
The date must be verifiable through supporting documentation
Leave blank if this DE does not apply to the participant.
YYYYMMDD
344 Measurable Skill Gains: Secondary Diploma or Equivalency DATE No Modified DE name and reporting instructions 1808 Measurable Skill Gains
Data Elements
Upon Occurrence Yes Report the most recent date that the participant attained a secondary school diploma or its recognized equivalent.
The date must be verifiable through supporting documentation.
Leave blank if this DE does not apply to the participant.
YYYYMMDD
345 Measurable Skill Gains: Secondary or Postsecondary Transcript/Report Card DATE No Modified reporting instructions 1807 Measurable Skill Gains
Data Elements
Upon Occurrence Yes Secondary: Report the most recent date of the participant's secondary transcript or report card showing the participant is achieving the policies for academic standards. This progress must be made towards earning a secondary credential.
Postsecondary: Report the most recent date of the participant's postsecondary transcript or report card showing a sufficient number of credit hours have been completed and the participant is achieving the policies for academic standards. This progress must be made towards earning a postsecondary credential.
The date must be verifiable through supporting documentation.
Leave blank if this DE does not apply to the participant.
YYYYMMDD
346 Measurable Skill Gains: Training Milestone DATE No No 1809 Measurable Skill Gains
Data Elements
Upon Occurrence Yes Report the most recent date that the participant achieved a satisfactory or better progress report toward established milestones from an employer/training provider who is providing training (e.g., completion of on-the-job training (OJT), completion of one year of a registered apprenticeship program).
The date must be verifiable through supporting documentation Leave blank if this DE does not apply to the participant.
YYYYMMDD
347 Measurable Skill Gains: Skills Progression DATE No No 1810 Measurable Skill Gains
Data Elements
Upon Occurrence Yes Report the most recent date the participant successfully completed an exam that is required for a particular occupation, or progress in attaining technical or occupational skills as evidenced by trade-related benchmarks such as knowledge-based exams.
The date must be verifiable through supporting documentation
Leave blank if this DE does not apply to the participant.
YYYYMMDD
350 Start Date of Employment in Primary Occupation DATE No No
Individualized Plan for Employment (IPE) Data Elements Upon Occurrence Yes Report the date when the individual started in the occupation related to his or her IPE goal.
The date must be verifiable through supporting documentation
YYYYMMDD
353 Date of Exit DATE No Modified reporting instructions 901 Exit Data Elements Upon Occurrence No Report the date the individual exited from the VR or SE program consistent with the requirements in the regulations.
Leave blank if this DE does not apply to the individual.
The date must be verifiable through supporting documentation. The VR agency cannot change this date after it is reported.
YYYYMMDD
354 Type of Exit INT 1 No Modified reporting instructions
Exit Data Elements Upon Occurrence No Report from which stage in the VR process an individual exited the program. The VR agency cannot change this date after it is reported. 0 = Individual exited as an applicant prior to eligibility determination or trial work
1 = Individual exited during or after a trial work experience
2 = Individual exited after eligibility, but from an order of selection waiting list
3 = Individual exited after eligibility, but prior to a signed IPE
4 = Individual exited after a signed IPE without an employment outcome
5 = Individual exited after a signed IPE in noncompetitive and/or nonintegrated employment 6 = Individual exited after a signed IPE in competitive and integrated employment or supported employment 7 = Individual exited as an applicant after being determined ineligible for VR services
355 Reason for Program Exit INT 2 No Modified reporting instructions 923 Exit Data Elements Upon Occurrence No Report the code that identifies the reason the individual exited. This DE is reported in the same quarter as the Date of Exit (DE 353) occurs. The VR agency cannot change this date after it is reported. See Appendix 6 for reasons for exit
356 Employment Outcome at Exit INT 1 No Modified code values and reporting instructions
Exit Data Elements Upon Occurrence No Report the code that identifies the type of employment outcome at exit. This DE is reported in the same quarter as the Date of Exit (DE 353) occurs. The VR agency cannot change this date after it is reported. 1 = Competitive Integrated Employment
2 = Self-Employment
3 = Randolph-Sheppard BEP 4 = State Agency Managed BEP
5 = Supported Employment in Competitive Integrated Employment 7 = Homemaker
357 Primary Occupation at Exit INT 6 No Modified reporting instructions
Exit Data Elements Upon Occurrence Yes For an individual who is employed, enter the current 2018 Standard Occupational Classification (SOC) code that best describes the individual’s occupation from which he/she derives the majority of his/her hourly earnings. Special Codes for Randolph-Sheppard Participants:899999 Randolph-Sheppard Vending Facility Clerk: Refers to persons employed as clerks, sales persons, or helpers in a vending facility operated under the Randolph-Sheppard Vending Facility Program. Use this special code even though these occupations are classifiable.999999 Randolph- Sheppard Vending Facility Operator: Refers to individuals employed as operators or managers of vending facilities operated under the Randolph-Sheppard Vending Facility Program. Use this special code even though these occupations are classifiable. XXXXXX
359 Hourly Wage at Exit DECIMAL 5, 2 No Modified reporting instructions
Exit Data Elements Upon Occurrence Yes Report individual’s hourly wage (rounded to the nearest cent) earned at the time of exit.
The wage reported in this DE must be verifiable through supporting documentation.
Report 0 if individual had no earnings at the time of exit.
This DE captures cash earnings of the individual expressed as an hourly wage and includes all wages, salaries, tips, profits from self-employment and commissions received as income. These earnings are before payroll deductions of Federal, State, and local income taxes and Social Security.
Wages for salespersons, consultants, self-employed individuals, and other similar occupations are based on the adjusted gross income. Adjusted gross income is gross income minus unreimbursed business expenses. Do not include estimates of in-kind payments, such as meals and lodging. Estimate profits of farmers, if necessary.
Where wages are based on commissions that are irregular (e.g., real estate, automobile sales, etc.), they should be calculated as an average hourly wage over a representative period of time, such as one month or one quarter, to obtain a reportable figure. Commissions are generally not paid when earned, but rather are paid periodically, such as weekly, biweekly, or even monthly. To bring standardization to this data element, wages should be based on the actual receipt of the payment and not on amounts accruing until the next commission payout.
XXX.XX
360 Hours Worked in a Week at Exit INT 2 No No
Exit Data Elements Upon Occurrence Yes Report the number of hours the individual worked for earnings in a typical week at the time of exit.
Report 0 if individual was unemployed.
XX
396 Monthly Public Support at Exit VARCHAR 7 Yes No
Exit Data Elements Upon Occurrence Yes Report the individual’s monthly public support at exit. If the individual receives more than one type of public support, use a semicolon between each type. 0 = Individual does not receive public support
1 = Individual receives Social Security Disability Insurance (SSDI)
2 = Individual receives Supplemental Security Income (SSI)
3 = Individual receives Temporary Assistance for Needy Families (TANF)
4 = Individual receives other public support from another source
397 Medical Insurance Coverage at Exit VARCHAR 5 Yes No
Exit Data Elements Upon Occurrence Yes Report the individual’s medical insurance coverage at exit. If the individual has more than one type of medical insurance, use a semicolon between each type. A limit of three types of insurance may be provided 0 = Applicant does not have medical insurance coverage 1 = Applicant has Medicaid 2 = Applicant has Medicare 3 = Applicant is receiving benefits through the State or Federal Affordable Care Act Exchange at the time of application
4 = Applicant has public insurance outside of Medicare, Medicaid, or the Affordable Care Act exchange
5 = Applicant has private insurance through employer
6 = Applicant is not eligible for private insurance through a current employer, but will be eligible for private insurance after a certain period of employment
7 = Applicant has private insurance through other means
376 Date Enrolled in Post-Exit Education or Training Program Leading to a Recognized
Postsecondary Credential
DATE No Modified reporting instructions 1406 Post-Exit Data Elements Upon Occurrence No Credential Attainment Special Rule: This DE only applies to participants who exited secondary education and obtained a secondary school diploma or its equivalent. Report the date the participant enrolled in an education or training program leading to a recognized postsecondary credential within one year following exit from the VR program.
Leave blank if this data element does not apply to individual.
YYYYMMDD
377 Date of Attainment of Post-Exit Recognized Credential DATE No Modified reporting instructions
Post-Exit Data Elements Upon Occurrence No Report the date the participant attained a recognized postsecondary credential within one year after exit from the VR program.
The date must be verifiable through supporting documentation.
Leave blank if this data element does not apply to individual.
YYYYMMDD
378 Type of Recognized Secondary or Postsecondary Credential Attained Post-Exit INT 1 No Modified DE name, code values and reporting instructions
Post-Exit Data Elements Upon Occurrence No Report the type of recognized secondary or postsecondary credential the participant attained within one year after exit from the VR program.
This must be verifiable through supporting documentation.
Leave blank if this data element does not apply to individual.
1 = Secondary Diploma or Equivalency 2 = Associates Diploma/Degree 3 = Bachelors Diploma/Degree 4 = Graduate/Post Graduate Degree 5 = Occupational Licensure 6 = Occupational Certificate 7 = Occupational Certification 8 = Other Recognized Credential
379 Employment - First Quarter After Exit Quarter INT 1 No Modified reporting instructions 1600 Post-Exit Data Elements Upon Occurrence Yes Credential Attainment Special Rule: This DE only applies to participants who exited secondary education and obtained a secondary school diploma or its equivalent.
Employment must be verifiable through supporting documentation.
4 = Individual is employed in the first quarter after exit quarter
9 = Individual has exited but employment information is not yet available
0 = Individual is not employed in the first quarter after exit quarter
383 Employment - Second Quarter After Exit Quarter INT 1 No Modified reporting instructions 1602 Post-Exit Data Elements Upon Occurrence Yes Employment must be verifiable through supporting documentation.
Employment status in the Second Quarter After Exit Quarter must be reported no later than the Fourth Quarter After Exit Quarter; code value 9 or NULL are not permitted for this DE by the time the Fourth Quarter After Exit Quarter is reported.
4 = Individual is employed in the second quarter after exit quarter
9 = Individual has exited but employment information is not yet available
0 = Individual is not employed in the second quarter after exit quarter
385 Quarterly Wages - Second Quarter After Exit Quarter DECIMAL 8, 2 No Modified reporting instructions 1704 Post-Exit Data Elements Upon Occurrence Yes Record the total quarterly wages, including cents, earned during the second quarter after exit quarter.
These earnings are before payroll deductions of Federal, State and local income taxes and Social Security payroll tax.
Wages must be verifiable through supporting documentation.
Quarterly wages earned during the Second Quarter After Exit Quarter must be reported no later than the Fourth Quarter After Exit Quarter.
XXXXXX.XX
386 Employment - Third Quarter After Exit Quarter INT 1 No Modified reporting instructions 1604 Post-Exit Data Elements Upon Occurrence Yes Credential Attainment Special Rule: This DE only applies to participants who exited secondary education and obtained a secondary school diploma or its equivalent.
Employment must be verifiable through supporting documentation.
4 = Individual is employed in the third quarter after exit quarter
9 = Individual has exited but employment information is not yet available
0 = Individual is not employed in the third quarter after exit quarter
389 Employment - Fourth Quarter After Exit Quarter INT 1 No Modified reporting instructions 1606 Post-Exit Data Elements Upon Occurrence Yes Employment must be verifiable through supporting documentation.
Employment status in the Fourth Quarter After Exit Quarter must be reported by the Sixth Quarter After Exit Quarter; code value 9 or NULL are not permitted for this DE by the time the Sixth Quarter After Exit Quarter is reported.
4 = Individual is employed in the fourth quarter after exit quarter
9 = Individual has exited but employment information is not yet available
0 = Individual is not employed in the fourth quarter after exit quarter
392 Retention with the Same Employer in the Second Quarter and Fourth Quarter After Exit INT 1 No Modified reporting instructions 1618 Post-Exit Data Elements Upon Occurrence No This DE is used for the Effectiveness in Serving Employers measure. This DE must be reported by the Sixth Quarter After Exit Quarter for all participants who have exited and have Unemployment Insurance wage records or other documentation of supplemental verification. 1 = Individual’s employer in the second quarter after exit matches the employer in the fourth quarter after exit.
0 = Individual is not employed in the second or fourth quarters after exit, or the employer in the second quarter after exit does not match the employer in the fourth quarter after exit.

Sheet 2: Revision Summary

Attachment I: Summary of Revisions to Case Service Report (RSA-911)

Number Data Element (DE) Name Change
1 Program Year No
2 Program Year Quarter No
4 Agency Code No
5 Unique Identifier No
6 Social Security Number Modified reporting instructions
7 Date of Application Modified reporting instructions
8 Date of Birth No
9 Gender Modified DE name, code values and reporting instructions
10 American Indian/Alaska Native Modified reporting instructions
11 Asian Modified reporting instructions
12 Black/African American Modified reporting instructions
13 Native Hawaiian/Other Pacific Islander Modified reporting instructions
14 White Modified reporting instructions
15 Ethnicity: Hispanic/Latino Modified reporting instructions
16 Veteran No
18 State Postal Code of Residence No
19 County FIPS Code No
20 ZIP Code Modified reporting instructions
21 Source of Referral No
394 Monthly Public Support at Application No
395 Medical Insurance Coverage at Application No
22 Student with a Disability Modified reporting instructions
38 Date of Eligibility Determination Modified reporting instructions
39 Date of Eligibility Determination Extension Modified DE name and reporting instructions
408 Eligibility Status New DE
40 Date of Placement on OOS Waiting List Modified reporting instructions
41 Date of Exit from OOS Waiting List Modified reporting instructions
42 Individual with a Disability Modified reporting instructions
43 Primary Disability No
44 Secondary Disability No
45 Significance of Disability Modified code values and reporting instructions
46 Start Date of Trial Work Experience No
47 End Date of Trial Work Experience No
399 Date of IPE Development Extension Modified DE name and reporting instructions
398 Date of Initial IPE Modified reporting instructions
49 Supported Employment Goal on Current IPE Modified code values and reporting instructions
50 Employment at Initial IPE Modified code values and reporting instructions
51 Primary Occupation at Initial IPE Modified reporting instructions
52 Hourly Wage at Initial IPE Modified reporting instructions
53 Hours Worked in a Week at Initial IPE Modified reporting instructions
54 Adult Modified Code Values
55 Adult Education Modified Code Values
56 Dislocated Worker Modified Code Values
57 Job Corps Modified Code Values
58 Vocational Rehabilitation Modified code values and reporting instructions
59 Wagner-Peyser Employment Service Modified Code Values
60 Youth Modified Code Values
61 Youth Build Modified data type, code values, and reporting instructions
62 Long-Term Unemployed Modified Code Values
63 Exhausting TANF within 2 Years Modified Code Values
64 Foster Care Youth Modified code values and reporting instructions
65 Homeless Individual, Homeless Children and Youths, or Runaway Youth Modified Code Values
66 Ex-Offender Modified Code Values
67 Low Income Modified Code Values
68 English Language Learner Modified Code Values
69 Basic Skills Deficient/Low Levels of Literacy Modified Code Values
70 Cultural Barriers Modified Code Values
71 Single Parent Modified Code Values
72 Displaced Homemaker Modified Code Values
73 Migrant and Seasonal Farmworker Modified code values and reporting instructions
74 State Definition for Age of Students with Disabilities Modified reporting instructions
77 Highest Elementary or Secondary School Grade Completed at Program Entry Deleted DE
78 Enrolled in Secondary Education Leading to Recognized Secondary Credential Modified DE name, code values and reporting instructions
400 Enrolled in Secondary School Equivalency Program Leading to Recognized Secondary Credential Modified DE name, code values and reporting instructions
79 Date Received Special Education Certificate of Completion Deleted DE
81 Date Attained Secondary School Diploma during Program Participation Modified DE name and reporting instructions
82 Date Attained Recognized Secondary School Equivalency during Program Participation Modified DE name and reporting instructions
84 Enrolled in Postsecondary Education or Career or Technical Training Leading to Recognized Postsecondary Credential Modified DE name, code values and reporting instructions
85 Date Enrolled During Program Participation in an Education or Training Program Leading to a Recognized Credential or Employment Modified DE name and reporting instructions
401 Date Completed/Disenrolled During Program Participation in an Education or Training Program Leading to a Recognized Credential or Employment Modified DE name and reporting instructions
86 Completed Some Postsecondary Education, No Degree or Certificate Deleted DE
87 Date Attained Associate Degree Modified reporting instructions
88 Date Attained Bachelor's Degree Modified reporting instructions
89 Date Attained Master’s Degree Modified reporting instructions
90 Date Attained Graduate Degree Modified reporting instructions
93 Date Attained Vocational/Technical License Modified reporting instructions
94 Date Attained Vocational/Technical Certificate or Certification Modified reporting instructions
95 Date Attained Other Recognized Credential Modified reporting instructions
96 Start Date of Pre-Employment Transition Services Modified reporting instructions
97 Job Exploration Counseling, Service Provided by VR Agency Staff No
98 Job Exploration Counseling, Service Provided through VR Agency Purchase No
99 Job Exploration Counseling, Purchased Service Provider Type No
100 Job Exploration Counseling, VR Program Expenditure for Purchased Service No
103 Work Based Learning Experience, Service Provided by VR Agency Staff No
104 Work Based Learning Experience, Service Provided through VR Agency Purchase No
105 Work Based Learning Experience, Purchased Service Provider Type No
106 Work Based Learning Experience, VR Program Expenditure for Purchased Service No
109 Counseling on Enrollment Opportunities, Service
Provided by VR Agency Staff
No
110 Counseling on Enrollment Opportunities, Service
Provided through VR Agency Purchase
No
111 Counseling on Enrollment Opportunities, Purchased Service Provider Type No
112 Counseling on Enrollment Opportunities, VR
Program Expenditure for Purchased Service
No
115 Workplace Readiness Training, Service Provided by VR Agency Staff No
116 Workplace Readiness Training, Service Provided through VR Agency Purchase No
117 Workplace Readiness Training, Purchased Service Provider Type No
118 Workplace Readiness Training, VR Program Expenditure for Purchased Service No
121 Instruction in Self Advocacy, Service Provided by VR Agency Staff No
122 Instruction in Self Advocacy, Service Provided through VR Agency Purchase No
123 Instruction in Self Advocacy, Purchased Service Provider Type No
124 Instruction in Self Advocacy, VR Program Expenditure for Purchased Service No
127 Start Date of Initial VR Service on or after IPE Modified reporting instructions
128 Date of Most Recent Career Service Deleted DE
130 Graduate College or University, Service Provided through VR Agency Purchase Modified reporting instructions
131 Graduate College or University, Purchased Service Provider Type No
132 Graduate College or University, Amount of VR Title I Funds Expended Modified reporting instructions
134 Graduate College or University, Service Provided by Comparable Services and Benefits Providers No
135 Graduate College or University, Comparable Service Provider Type Modified reporting instructions
137 Four-Year College or University Training, Service Provided through VR Agency Purchase Modified reporting instructions
138 Four-Year College or University Training, Purchased Service Provider Type No
139 Four-Year College or University Training, Amount of VR Funds Expended for Service (Title I) Modified reporting instructions
141 Four-Year College or University Training, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
142 Four-Year College or University Training, Comparable Services and Benefits Provider Type No
144 Junior or Community College Training, Service Provided through VR Agency Purchase Modified reporting instructions
145 Junior or Community College Training, Purchased Service Provider Type No
146 Junior or Community College Training, Amount of VR Funds Expended for Service (Title I) Modified reporting instructions
148 Junior or Community College Training Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
149 Junior or Community College Training, Comparable Services and Benefits Provider Type No
150 Occupational or Vocational Training, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
151 Occupational or Vocational Training, Service Provided through VR Agency Purchase Modified reporting instructions
152 Occupational or Vocational Training, Purchased Service Provider Type No
153 Occupational or Vocational Training, Amount of VR Funds Expended for Service (Title I) No
155 Occupational or Vocational Training, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
156 Occupational or Vocational Training, Comparable Services and Benefits Provider Type No
157 On The Job Training, Service Provided by
VR Agency Staff (in-house)
Modified reporting instructions
158 On The Job Training, Service Provided through VR Agency Purchase Modified reporting instructions
159 On The Job Training, Purchased Service Provider Type No
160 On The Job Training, Amount of VR Funds Expended for Service (Title I) No
162 On The Job Training, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
163 On The Job Training, Comparable Services and Benefits Provider Type No
164 Registered Apprenticeship Training, Service Provided through VR Agency Purchase Modified reporting instructions
165 Registered Apprenticeship Training, Purchased Service Provider Type No
166 Registered Apprenticeship Training, Amount of VR Funds Expended for Service (Title I) No
168 Registered Apprenticeship Training, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
169 Registered Apprenticeship Training, Comparable Services and Benefits Provider Type No
170 Basic Academic Remedial or Literacy Training, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
171 Basic Academic Remedial or Literacy Training, Service Provided through VR Agency Purchase Modified reporting instructions
172 Basic Academic Remedial or Literacy Training, Purchased Service Provider Type No
173 Basic Academic Remedial or Literacy Training, Amount of VR Funds Expended for Service (Title I) No
175 Basic Academic Remedial or Literacy Training, Service Provided by Comparable Services
and Benefits Providers
Modified reporting instructions
176 Basic Academic Remedial or Literacy Training, Comparable Services and Benefits Provider Type No
177 Job Readiness Training, Service, Provided by VR Agency Staff (in-house) Modified reporting instructions
178 Job Readiness Training, Service Provided through VR Agency Purchase Modified reporting instructions
179 Job Readiness Training, Service, Purchased Service Provider Type No
180 Job Readiness Training, Service, Amount of VR Funds Expended for Service (Title I) No
182 Job Readiness Training, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
183 Job Readiness Training, Comparable Services
and Benefits Provider Type
No
184 Disability Related Skills Training, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
185 Disability Related Skills Training, Service Provided through VR Agency Purchase Modified reporting instructions
186 Disability Related Skills Training, Purchased Service Provider Type No
187 Disability Related Skills Training, Amount of VR Funds Expended for Service (Title I) No
189 Disability Related Skills Training, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
190 Disability Related Skills Training, Comparable Services and Benefits Provider Type No
191 Miscellaneous Training, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
192 Miscellaneous Training, Service Provided through VR Agency Purchase Modified reporting instructions
193 Miscellaneous Training, Purchased Service Provider Type No
194 Miscellaneous Training, Amount of VR Funds Expended for Service (Title I) No
196 Miscellaneous Training, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
197 Miscellaneous Training, Comparable Services and Benefits Provider Type No
198 Randolph-Sheppard Entrepreneurial Training, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
199 Randolph-Sheppard Entrepreneurial Training, Service Provided through VR Agency Purchase Modified reporting instructions
200 Randolph-Sheppard Entrepreneurial Training, Purchased Service Provider Type No
201 Randolph-Sheppard Entrepreneurial Training, Amount of VR Funds Expended for Service (Title I) No
203 Randolph-Sheppard Entrepreneurial Training, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
204 Randolph-Sheppard Entrepreneurial Training, Comparable Services and Benefits Provider Type No
205 Customized Training, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
206 Customized Training, Service Provided through VR Agency Purchase Modified reporting instructions
207 Customized Training, Purchased Service Provider Type No
208 Customized Training, Amount of VR Funds Expended for Service (Title I) No
210 Customized Training, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
211 Customized Training, Comparable Services and Benefits Provider Type No
402 Work Based Learning Experience, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
403 Work Based Learning Experience, Service Provided through VR Agency Purchase Modified reporting instructions
404 Work Based Learning Experience, Purchased Service Provider Type No
405 Work Based Learning Experience, Amount of VR Funds Expended for Service (Title I) No
406 Work Based Learning Experience, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
407 Work Based Learning Experience, Comparable Services and Benefits Provider Type No
212 Assessment, Service Provided by VR Agency Staff (in- house) No
213 Assessment, Service Provided through VR Agency Purchase No
214 Assessment, Purchased Service Provider Type No
215 Assessment, Amount of VR Funds Expended for Service (Title I) No
217 Assessment, Service Provided by Comparable Services and Benefits Providers No
218 Assessment, Comparable Services and Benefits Provider Type No
219 Diagnosis and Treatment of Impairments, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
220 Diagnosis and Treatment of Impairments, Service Provided through VR Agency Purchase Modified reporting instructions
221 Diagnosis and Treatment of Impairments, Purchased Service Provider Type No
222 Diagnosis and Treatment of Impairments, Amount of VR Funds Expended for Service (Title I) No
224 Diagnosis and Treatment of Impairments, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
225 Diagnosis and Treatment of Impairments, Comparable Services and Benefits Provider
Type
No
226 Vocational Rehabilitation Counseling and Guidance, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
227 Vocational Rehabilitation Counseling and Guidance, Service Provided by through VR Agency Purchase Modified reporting instructions
228 Vocational Rehabilitation Counseling and Guidance, Purchased Service Provider Type No
229 Vocational Rehabilitation Counseling and Guidance, Amount of VR Funds Expended for Service (Title I) No
231 Vocational Rehabilitation Counseling and Guidance, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
232 Vocational Rehabilitation Counseling and Guidance, Comparable Services and Benefits Provider Type No
233 Job Search Assistance, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
234 Job Search Assistance, Service Provided through VR Agency Purchase Modified reporting instructions
235 Job Search Assistance, Purchased Service Provider Type No
236 Job Search Assistance, Amount of VR Funds Expended for Service (Title I) No
238 Job Search Assistance, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
239 Job Search Assistance, Comparable Services and Benefits Provider Type No
240 Job Placement Assistance, Service Provided by VR Job Placement Assistance, Agency Staff (in-house) Modified reporting instructions
241 Job Placement Assistance, Service Provided through VR Agency Purchase Modified reporting instructions
242 Job Placement Assistance, Purchased Service Provider Type No
243 Job Placement Assistance, Amount of VR Funds Expended for Service (Title I) Modified reporting instructions
245 Job Placement Assistance, Service Provided by Comparable Services and Benefits Providers No
246 Job Placement Assistance, Comparable Services
and Benefits Provider Type
No
247 Short Term Job Supports, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
248 Short Term Job Supports, Service Provided through VR Agency Purchase Modified reporting instructions
249 Short Term Job Supports, Purchased Service Provider Type No
250 Short Term Job Supports, Amount of VR Funds Expended for Service (Title I) No
252 Short Term Job Supports, Service Provided by
Comparable Services and Benefits Providers
Modified reporting instructions
253 Short Term Job Supports, Comparable Services and Benefits Provider Type No
254 Supported Employment Services, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
255 Supported Employment Services, Service Provided through VR Agency Purchase Modified reporting instructions
256 Supported Employment Services, Purchased Service Provider Type No
257 Supported Employment Services, Amount of VR Funds Expended for Service (Title I) No
258 Supported Employment Services, Amount of SE Funds Expended for Service (Title VI) No
259 Supported Employment Services, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
260 Supported Employment Services, Comparable Services and Benefits Provider Type No
261 Information and Referral Services, Service Provided by VR Agency Staff (in-house) No
262 Information and Referral Services, Service Provided
through VR Agency Purchase
No
263 Information and Referral Services, Purchased Service Provider Type No
264 Information and Referral Services, Amount of VR Funds Expended for Service (Title I) No
266 Information and Referral Services, Service Provided by Comparable Services and Benefits Providers No
267 Information and Referral Services, Comparable Services and Benefits Provider Type No
268 Benefits Counseling, Service Provided by VR Agency Staff (in-house) No
269 Benefits Counseling, Service Provided through VR Agency Purchase No
270 Benefits Counseling, Purchased Service Provider Type No
271 Benefits Counseling, Amount of VR Funds Expended for Service (Title I) No
273 Benefits Counseling, Service Provided by
Comparable Services and Benefits Providers
No
274 Benefits Counseling, Comparable Services and Benefits Provider Type No
275 Customized Employment Services, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
276 Customized Employment Services, Service Provided through VR Agency Purchase Modified reporting instructions
277 Customized Employment Services, Purchased Service Provider Type No
278 Customized Employment Services, Amount of VR Funds Expended for Service (Title I) No
279 Customized Employment Services, Amount of SE Funds Expended for Service (Title VI) No
280 Customized Employment Services, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
281 Customized Employment Services, Comparable Services and Benefits Provider Type No
282 Extended Services, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
283 Extended Services, Service Provided through VR Agency Purchase Modified reporting instructions
284 Extended Services, Purchased Service Provider Type No
285 Extended Services, Amount of VR Funds Expended for Service (Title I) No
286 Extended Services, Amount of SE Funds Expended for Service (Title VI) No
287 Transportation Data Elements, Service Provided by VR Agency Staff (in-house) No
288 Transportation Data Elements, Service Provided through VR Agency Purchase No
289 Transportation Data Elements, Purchased Service Provider Type No
290 Transportation Data Elements, Amount of VR Funds Expended for Service (Title I) No
292 Transportation Data Elements, Service Provided by Comparable Services and Benefits Providers No
293 Transportation Data Elements, Comparable Services and Benefits Provider Type No
294 Maintenance, Service Provided by VR Agency Staff (in-house) No
295 Maintenance, Service Provided through VR Agency Purchase No
296 Maintenance, Purchased Service Provider Type No
297 Maintenance, Amount of VR Funds Expended for Service (Title I) No
299 Maintenance, Service Provided by Comparable Services and Benefits Providers No
300 Maintenance, Comparable Services and Benefits Provider Type No
301 Rehabilitation Technology, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
302 Rehabilitation Technology, Service Provided through VR Agency Purchase Modified reporting instructions
303 Rehabilitation Technology, Purchased Service Provider Type No
304 Rehabilitation Technology, Amount of VR Funds Expended for Service (Title I) No
306 Rehabilitation Technology, Service Provided by
Comparable Services and Benefits Providers
Modified reporting instructions
307 Rehabilitation Technology, Comparable Services and Benefits Provider Type No
308 Personal Assistance Services, Service Provided by VR Agency Staff (in-house) No
309 Personal Assistance Services, Service Provided through VR Agency Purchase No
310 Personal Assistance Services, Purchased Service Provider Type No
311 Personal Assistance Services, Amount of VR Funds Expended for Service (Title I) No
313 Personal Assistance Services, Service Provided by
Comparable Services and Benefits Providers
No
314 Personal Assistance Services, Comparable Services and Benefits Provider Type No
315 Technical Assistance Services related to Self-Employment, Service Provided by VR Agency Staff (in-house) Modified DE name and reporting instructions
316 Technical Assistance Services related to Self-Employment, Service Provided through VR Agency Purchase Modified DE name and reporting instructions
317 Technical Assistance Services related to Self-Employment, Purchased Service Provider Type Modified DE Name
318 Technical Assistance Services related to Self-Employment, Amount of VR Funds Expended for Service (Title I) Modified DE Name
320 Technical Assistance Services related to Self-Employment, Service Provided by Comparable Services and Benefits Providers Modified DE name and reporting instructions
321 Technical Assistance Services related to Self-Employment, Comparable Services and Benefits Provider Type Modified DE Name
322 Reader Services, Service Provided by VR Agency Staff (in-house) No
323 Reader Services, Service Provided through VR Agency Purchase No
324 Reader Services, Purchased Service Provider Type No
325 Reader Services, Amount of VR Funds Expended for Service (Title I) No
327 Reader Services, Service Provided by Comparable Services and Benefits Providers No
328 Reader Services, Comparable Services and Benefits Provider Type No
329 Interpreter Services, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
330 Interpreter Services, Service Provided through VR Agency Purchase Modified reporting instructions
331 Interpreter Services, Purchased Service Provider Type No
332 Interpreter Services, Amount of VR Funds Expended for Service (Title I) No
334 Interpreter Services, Service Provided by Comparable Services and Benefits Providers Modified reporting instructions
335 Interpreter Services, Comparable Services and Benefits Provider Type No
336 Other Services, Service Provided by VR Agency Staff (in-house) Modified reporting instructions
337 Other Services, Service Provided through VR Agency Purchase Modified reporting instructions
338 Other Services, Purchased Service Provider Type No
339 Other Services, Amount of VR Funds Expended for Service (Title I) No
341 Other Services, Service Provided by Comparable Services and Benefits Providers No
342 Other Services, Comparable Services and Benefits Provider Type No
409 Home Modification, Service Provided by VR Agency Staff (in-house) New DE
410 Home Modification, Service Provided through VR Agency Purchase New DE
411 Home Modification, Purchased Service Provider Type New DE
412 Home Modification, Amount of VR Funds Expended for Service (Title I) New DE
413 Home Modification, Service Provided by Comparable Services and Benefits Providers New DE
414 Home Modification, Comparable Services and Benefits Provider Type New DE
343 Measurable Skill Gains: Educational Functional Level (EFL) Modified reporting instructions
344 Measurable Skill Gains: Secondary Diploma or Equivalency Modified DE name and reporting instructions
345 Measurable Skill Gains: Secondary or Postsecondary Transcript/Report Card Modified reporting instructions
346 Measurable Skill Gains: Training Milestone No
347 Measurable Skill Gains: Skills Progression No
350 Start Date of Employment in Primary Occupation No
353 Date of Exit Modified reporting instructions
354 Type of Exit Modified reporting instructions
355 Reason for Program Exit Modified reporting instructions
356 Employment Outcome at Exit Modified code values and reporting instructions
357 Primary Occupation at Exit Modified reporting instructions
359 Hourly Wage at Exit Modified reporting instructions
360 Hours Worked in a Week at Exit No
396 Monthly Public Support at Exit No
397 Medical Insurance Coverage at Exit No
376 Date Enrolled in Post-Exit Education or Training Program Leading to a Recognized
Postsecondary Credential
Modified reporting instructions
377 Date of Attainment of Post-Exit Recognized Credential Modified reporting instructions
378 Type of Recognized Secondary or Postsecondary Credential Attained Post-Exit Modified DE name, code values and reporting instructions
379 Employment - First Quarter After Exit Quarter Modified reporting instructions
383 Employment - Second Quarter After Exit Quarter Modified reporting instructions
385 Quarterly Wages - Second Quarter After Exit Quarter Modified reporting instructions
386 Employment - Third Quarter After Exit Quarter Modified reporting instructions
389 Employment - Fourth Quarter After Exit Quarter Modified reporting instructions
392 Retention with the Same Employer in the Second Quarter and Fourth Quarter After Exit Modified reporting instructions

Sheet 3: Appendix 1

Appendix 1: State Abbreviations and Agency Codes


State or Territory Abbreviation General/Combined Code Blind Code
Alabama AL 001 057
Alaska AK 002 058
American Samoa AS 003 059
Arizona AZ 004 060
Arkansas AR 005 061
California CA 006 062
Colorado CO 007 063
Connecticut CT 008 064
Delaware DE 009 065
District of Columbia DC 010 066
Florida FL 011 067
Georgia GA 012 068
Guam GU 013 069
Hawaii HI 014 070
Idaho ID 015 071
Illinois IL 016 072
Indiana IN 017 073
Iowa IA 018 074
Kansas KS 019 075
Kentucky KY 020 076
Louisiana LA 021 077
Maine ME 022 078
Maryland MD 023 079
Massachusetts MA 024 080
Michigan MI 025 081
Minnesota MN 026 082
Mississippi MS 027 083
Missouri MO 028 084
Montana MT 029 085
Nebraska NE 030 086
Nevada NV 031 087
New Hampshire NH 032 088
New Jersey NJ 033 089
New Mexico NM 034 090
New York NY 035 091
North Carolina NC 036 092
North Dakota ND 037 093
Northern Marianas MP 038 094
Ohio OH 039 095
Oklahoma OK 040 096
Oregon OR 041 097
Pennsylvania PA 042 098
Puerto Rico PR 043 099
Rhode Island RI 044 100
South Carolina SC 045 101
South Dakota SD 046 102
Tennessee TN 047 103
Texas TX 048 104
Utah UT 049 105
Vermont VT 050 106
Virginia VA 051 107
Virgin Islands VI 052 108
Washington WA 053 109
West Virginia WV 054 110
Wisconsin WI 055 111
Wyoming WY 056 112

Sheet 4: Appendix 3

Appendix 3: Type of Disability
Code Type of Disability Classification
00 No Disability No Disability
01 Blindness Visual Disability
02 Other Visual Disabilities Visual Disability
03 Deafness, Primary Communication Visual Auditory/Communicative Disabilities
04 Deafness, Primary Communication Auditory Auditory/Communicative Disabilities
05 Hearing Loss, Primary Communication Visual Auditory/Communicative Disabilities
06 Hearing Loss, Primary Communication Auditory Auditory/Communicative Disabilities
07 Other Hearing Disabilities (Tinnitus, Meniere's Disease, hyperacusis, etc.) Auditory/Communicative Disabilities
08 Deaf-Blindness Visual Disability
09 Communicative Disabilities (expressive/receptive) Auditory/Communicative Disabilities
10 Mobility Orthopedic/Neurological Disabilities Physical Disabilities
11 Manipulation/Dexterity Orthopedic/Neurological Disabilities Physical Disabilities
12 Both Mobility and Manipulation/Dexterity Orthopedic/Neurological Disabilities Physical Disabilities
13 Other Orthopedic Disabilities (e.g., limited range of motion) Physical Disabilities
14 Respiratory Disabilities Physical Disabilities
15 General Physical Debilitation (e.g., fatigue, weakness, pain, etc.) Physical Disabilities
16 Other Physical Disabilities (not listed above) Physical Disabilities
17 Cognitive Disabilities (e.g., Disabilities involving learning, thinking, processing information and concentration) Intellectual and Learning Disability
18 Psychosocial Disabilities (e.g., interpersonal and behavioral Disabilities, difficulty coping) Psychological/Psychosocial Disability
19 Other Mental Disabilities Psychological/Psychosocial Disability

Sheet 5: Appendix 2

Appendix 2: Source of Referral
Code Source of Referral
01 14(c) Certificate Holders
02 Adult Education and Family Literacy Act Program (Title II of WIOA)
03 American Indian VR Services Program (AIVRS)
04 Centers for Independent Living
06 Service Providers
08 Adult, Dislocated Worker, and Youth Programs (Title I of WIOA)
09 Elementary and Secondary Schools
10 Post-secondary Education Institutions
11 Employers
12 Extended Employment Providers
15 Intellectual and Developmental Disability Agencies
16 Medical Health Providers
17 Mental Health Providers
19 Self-referral, friends, family
20 Social Security Administration
22 Temporary Assistance for Needy Families (TANF)
23 Veteran’s Benefits or Health Administration
25 Wagner-Peyser Act Employment Service Program (Title III of WIOA)
27 Worker’s Compensation
29 Other Sources
32 Other American Job Center or Workforce Development Programs

Sheet 6: Appendix 4

Appendix 4: Source of Disability
Code Source of Disability
00 Cause Unknown
01 Accident/Injury (other than TBI or SCI)
02 Alcohol Abuse or Dependence
03 Amputations
04 Anxiety Disorders
05 Arthritis and Rheumatism
06 Asthma and Other Allergies
07 Attention-Deficit Hyperactivity Disorder (ADHD)
08 Autism
09 Blood Disorders
10 Cancer
11 Cardiac and Other Conditions of the Circulatory System
12 Cerebral Palsy
13 Congenital Condition or Birth Injury
14 Cystic Fibrosis
15 Depressive and Other Mood Disorders
16 Diabetes Mellitus
17 Digestive
18 Drug Abuse or Dependence (other than alcohol)
19 Eating Disorders (e.g., anorexia, bulimia, or compulsive overeating)
20 End-Stage Renal Disease and Other Genitourinary System Disorders
21 Epilepsy
22 HIV or AIDS
23 Immune Deficiencies Excluding HIV or AIDS
24 Mental Illness (not listed elsewhere)
25 Intellectual Disability
26 Multiple Sclerosis
27 Muscular Dystrophy
28 Parkinson's Disease and Other Neurological Disorders
29 Personality Disorders
30 Physical Disorders/Conditions (not listed elsewhere)
31 Polio
32 Respiratory Disorders Other than Cystic Fibrosis or Asthma
33 Schizophrenia and Other Psychotic Disorders
34 Specific Learning Disabilities
35 Spinal Cord Injury (SCI)
36 Stroke
37 Traumatic Brain Injury (TBI)

Sheet 7: Appendix 5

Appendix 5: Classification Options for Comparable Services and Benefits Providers
Code Comparable Services and Benefits Provider Type
01 Adult Education and Family Literacy Act program (Title II of WIOA)
02 Adult, Dislocated Worker and Youth programs (Title I of WIOA)
03 American Indian VR Services Program
04 Centers for Independent Living
06 Public Rehabilitation Program
07 Employer Provided Benefits
08 Public Educational Institution (elementary/secondary)
09 Public Educational Institution (postsecondary)
11 Federal Student Aid (e.g., Pell grants, Supplemental Educational Opportunity Grant, work study, etc.)
12 Intellectual and Developmental Disabilities Agency (Public)
13 Medical Health Provider (Public)
14 Mental Health Provider (Public)
15 American Job Center Partner (not listed separately)
18 State Department of Correction/Juvenile Justice
20 Veteran's Benefits or Health Administration (which includes VA Vocational Rehabilitation, VA hospital system, as well as the VA transitional living, transitional employment, and compensated work therapy programs)
22 Wagner-Peyser Act Employment Service program (Title III of WIOA)
23 Public Assistance Not Otherwise Listed
24 Other
25 Temporary Assistance for Needy Families (TANF)

Sheet 8: Appendix 6

Appendix 6: Reason for Exit
Code Reason for Exit
02 Health/Medical: Individual is hospitalized or receiving medical treatment that is expected to last longer than 90 days and precludes entry into competitive integrated employment or continued participation in the program.
03 Death of the Individual
04 Reserve Forces Called to Active Duty: Individual is a member of the National Guard or other reserve military unit of the armed forces and is called to active duty for at least 90 days.
06 Ineligible: The individual was determined eligible for the VR program; however, the individual was no longer eligible because he or she no longer wished to seek competitive integrated employment or the individual’s disability prevented the individual’s ability to seek competitive integrated employment.
07 Criminal Offender: Individual entered a correctional institution (e.g., prison, jail, reformatory, work farm, detention center) or other institution designed for confinement or rehabilitation of criminal offenders (section 225 of WIOA).
08 Ineligible: The individual was found to have no disabling condition, no impediment to employment, or did not require VR services to prepare for, secure, retain, advance in, or regain competitive integrated employment.
13 Transferred to Another Agency: Individual needs services that are more appropriately obtained elsewhere. Transfer to another agency indicates that appropriate referral information is forwarded to the other agency so that agency may provide services more effectively. Include individuals transferred to other VR agencies.
14 Achieved Competitive Integrated Employment Outcome: Applicable only to Type of Exit code value 6 (Individual exited after an IPE in competitive and integrated employment, or supported employment).
15 Extended Employment: Individuals who received services and were placed in a non-integrated or sheltered setting for a public or private nonprofit agency or organization that provides compensation in accordance with the Fair Labor Standards Act (34 CFR 361.5(c)(18)).
16 Extended Services Not Available: Individual has received VR services but requires long term extended services for which no long term source of funding is available. This code is used only for individuals who have received VR services.
17 Unable to Locate or Contact: Individual has relocated or left the State without a forwarding address, or when individual has not responded to repeated attempts to contact the individual by mail, telephone, text, or email.
18 No Longer Interested in Receiving Services or Further Services: Individual actively chose not to participate or continue in the VR program. Also use this code to indicate when an individual’s actions make it impossible to begin or continue a VR program. Examples would include repeated failures to keep appointments for assessment, counseling, or other services.
19 All Other Reasons: This code is used for all other reasons not included in other code values.
20 Short Term Basis Period: The individual achieved supported employment in integrated employment, but did not earn a competitive wage after exhausting the short-term basis period.
21 Ineligible: The individual applied for VR services pursuant to section 511 of the Rehabilitation Act and was determined ineligible because he or she did not wish to pursue competitive integrated employment.
22 Ineligible: Following Trial Work Experience(s), the individual was determined ineligible because the individual was unable to benefit due to the severity of his or her disability.
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