AoD Evaluation of TA for IL Grantees

Technical Assistance for Independent Living Grantee Survey
Introduction
Public Burden Statement: According to the Paperwork Reduction Act of 1995, no persons are required
to respond to a collection of information unless such collection displays a valid OMB control number
(OMB 0985-xxxx). Public reporting burden for this collection of information is estimated to average 25
minutes per response, including time for gathering and maintaining the data needed and completing
and reviewing the collection of information. The obligation to respond to this collection is voluntary.
Send comments regarding the burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to the Administration for Community Living, U.S.
Department of Health and Human Services, 330 C Street, SW, Washington, DC 20201-0008, Attention
Peter Nye, or [email protected].

The Technical Assistance for Independent Living Grantee Survey is being conducted to collect
information about technical assistance (TA) used by independent living grantees to strengthen
independent living (IL) and IL programs. The survey is being conducted by the Administration for
Community Living (ACL). The results of this survey will highlight barriers and benefits to current TA and
inform ACL’s approach to improve TA efforts. Participation in this survey is voluntary. There are no
penalties for nonparticipation. If you have questions or comments about this survey, please contact
Dustin Williams by email at [email protected] or toll-free by phone at 1-877-834-7087 or contact Peter
Nye at [email protected].
Instructions and Definitions
Who should complete the survey? The survey should be completed by an administrator, director, or
other person knowledgeable about [ORGANIZATION NAME]’s delivery of programs, services and their
organization’s use or non-use of TA to strengthen IL and IL programs. If preferred, that person may call
to provide their responses over the phone (1-877-834-7087) or may request a paper copy of the
survey via mail.
For this survey, please only include responses for [ORGANIZATION NAME]. Do NOT include any other
organizations you represent or support.
Do not include information that would identify yourself or other representatives of [ORGANIZATION
NAME] (e.g., your name or the names of anyone who works for the organization) in any open-ended
questions. Survey data will be associated with a case ID number—data files will not include the
organization name.
1. Do you agree to participate in the Technical Assistance for Independent Living Grantee Survey?
a. Yes
b. No
[CONTINUED ON NEXT PAGE]

Demographics
First, we would like to collect demographic information on [ORGANIZATION NAME].
2. Which of the following describes the areas your organization serves? Please check all that apply.
a. Rural
b. Suburban
c. Urban
3. What type of organization best describes [ORGANIZATION NAME]?
a. Designated State Entity (DSE)
b. Center for Independent Living (CIL)
c. Statewide Independent Living Council (SILC)
4. Please enter the number of full-time and part-time paid personnel working for [ORGANIZATION
NAME] on April 30, 2023:
a. Full-Time: _____ Check if estimate [ ]
b. Part-Time: _____ Check if estimate [ ]
5. Please select the response that includes the total income for [ORGANIZATION NAME]’s
independent living program during your most recent, completed fiscal year. Please only include
income for the independent living program.
a. $0–$435,000
b. $435,001–$770,000
c. $770,001–$1,270,000
d. $1,270,001–$2,330,000
e. More than $2,300,000
TA Receipt
Next, I would like to ask you a few questions about any TA your organization may or may not have
received from the Independent Living Research Unit (ILRU) and other TA providers. Examples of TA
include peer-to-peer support, on-demand videos, webinars, trainings, fact sheets and other published
reports, online resources, mentoring, and peer discussion groups.
6. From May 1, 2022, to April 30, 2023, did your organization receive any TA from ILRU?
a. Yes
b. No
7. From May 1, 2022, to April 30, 2023, did your organization receive TA from any non-ILRU TA
providers? Please select all that apply.
a. National Council on Independent Living (NCIL)
b. National Association of Statewide Independent Living Councils (NASILC)
c. Association of Programs for Rural Independent Living (APRIL)
d. Disability Employment Technical Assistance Center
e. Housing and Services Resource Center
f. Veterans Directed Care Program
g. Other, specify: _____
h. None
[Q7 POST LOGIC: IF Q6=NO and Q7=NONE, GO TO QUESTION 21]

[CONTINUED ON NEXT PAGE]

8. From May 1, 2022, to April 30, 2023, what led your organization to seek TA from ILRU or nonILRU TA providers? Please select all that apply.
a. Outreach from Administration on Disabilities (AoD) staff
b. Outreach from ILRU staff
c. Outreach from non-ILRU TA providers
d. Federal policy changes
e. State and local policy changes
f. Changes in reporting requirements
g. New staff at your organization
h. Change in organization’s mission
i. New program or initiative (e.g., a new transportation program or housing initiative)
j. Challenges with marketing or participant recruitment
k. Networking opportunity
l. Other, please specify:
9. From May 1, 2022, to April 30, 2023, what types of TA did your organization receive from ILRU
or non-ILRU TA Providers? Please select neither, ILRU, non-ILRU TA Providers, or ILRU and nonILRU TA providers for each row.

TA Type
a. Peer-to-Peer Mentoring
b. TA Office Hours
c. Peer Group TA Discussions
d. One-on-One TA/Intensive Support
(provided by contacting TA provider)
e. In-Person Trainings or Webinars
f. Online, Live Trainings or Webinars
g. On-Demand (Recorded) Trainings or
Webinars
i. On-Demand Publications and Resources
(e.g., fact sheets, reports)
j. Other; please specify: ______________

Did not
receive
TA

Received
from NonReceived ILRU TA
from ILRU Providers

Received
from ILRU
and non
ILRU TA
providers

[CONTINUED ON NEXT PAGE]

10. From May 1, 2022, to April 30, 2023, did your organization receive TA on the following topics
from ILRU or non-ILRU TA providers? Please select neither, ILRU, non-ILRU TA Providers, or ILRU
and non-ILRU TA providers for each row.

TA Topic
a. Community and institutional
transition/diversion
b. Transition of youth
c. Consumer information files or consumer
service records (e.g., release
authorizations, goal forms, and
independent living plans)
d. COVID-19 & emergency preparedness
resources
e. Disability, diversity, intersectionality,
and outreach to underserved groups
f. Home and community-based services
g. Transportation
h. Expanding housing options
i. Independent living skills training
j. Independent living history and
philosophy
k. Individual/systems advocacy
l. Information and referral support
m. Peer counseling and peer support
n. Succession planning, staff development,
benefits, and remote working
o. Business acumen, financial
management, fundraising and grant
writing
p. Performance measurement (gathering,
analyzing, and utilizing data), program
performance reporting, compliance
reporting, and evaluation/outcome
measurement
q. SILC and DSE roles and responsibilities;
State Plan for Independent Living (SPIL)
r. Board training and development
s. Assistive device/technology support
t. Other; please specify: ______________

Did not
receive TA

Received
from ILRU

Received
from NonILRU TA
Providers

Received
from ILRU
and NonILRU TA
providers

[QUESTION 11 POST-LOGIC: IF Q6=NO, GO TO OTHER TA SECTION]

ILRU TA
Now, we would like to ask you a few questions about the TA your organization received from ILRU.
Please do not include TA provided by any non-ILRU TA providers.

[QUESTION 11 PRE-LOGIC: ONLY SHOW ROW IF THE RESPONDENT SELECTED 2 OR 4 FOR THE TA TYPE IN
QUESTION 9]
11. How satisfied was your organization with the types of TA received from ILRU between May 1,
2022, and April 30, 2023? Please select very dissatisfied, dissatisfied, neither satisfied or
dissatisfied, satisfied, or very satisfied for each row.
Please only include TA received from ILRU in your responses.

TA Type
a. Peer-to-Peer Mentoring
b. TA Office Hours
c. Peer Group TA Discussions
d. One-on-One TA/Intensive
Support (provided by contacting
TA provider)
e. In-Person Trainings or Webinars
f. Online, Live Trainings or
Webinars
g. On-Demand (Recorded) Trainings
or Webinars
i. On-Demand Publications and
Resources (e.g., fact sheets,
reports)
j. Other; please specify:
______________

Very
Dissatisfied

Neither
Satisfied or
Dissatisfied Dissatisfied Satisfied

[CONTINUED ON NEXT PAGE]

Very
Satisfied

[QUESTION 12 PRE-LOGIC: ONLY SHOW ROW IF RESPONDENT SELECTED THE TA TYPE IN QUESTION 9]
12. How often did your organization obtain to the following TA types from ILRU between May 1,
2022, and April 30, 2023? Please select 1-4 times, 5-8 times, 9-11 times, 12-24 times, or 25 or
more times for each row.
Please only include TA received from ILRU in your responses.

TA Type
a. Peer-to-Peer Mentoring
b. TA Office Hours
c. Peer Group TA Discussions
d. One-on-One TA/Intensive
Support (provided by contacting
TA provider)
e. In-Person Trainings or Webinars
f. Online, Live Trainings or
Webinars
g. On-Demand (Recorded) Trainings
or Webinars
i. On-Demand Publications and
Resources (e.g., fact sheets,
reports)
j. Other; please specify:
______________

Rarely (1-4
times)

Often
Occasionally (9-11
(5-8 times)
times)

[CONTINUED ON NEXT PAGE]

Very
Frequently
Frequently (25 or
(12-24
more
times)
times)

[QUESTION 13 PRE-LOGIC: ONLY SHOW ROW IF RESPONDENT SELECTED THE TA TOPIC IN QUESTION 10]
13. How satisfied was your organization with the TA received from ILRU on the following topics
between May 1, 2022, and April 30, 2023? Please select very dissatisfied, dissatisfied, neither
satisfied or dissatisfied, satisfied, or very satisfied for each row.
Please only include TA received from ILRU in your responses.

TA Topic
a. Community and institutional
transition/diversion
b. Transition of youth
c. Consumer information files or consumer
service records (e.g., release authorizations,
goal forms, and independent living plans)
d. COVID-19 and emergency preparedness
resources
e. Disability, diversity, intersectionality, and
outreach to underserved groups
f. Home and community-based services
g. Transportation
h. Expanding housing options
i. Independent living skills training
j. Independent living history and philosophy
k. Individual/systems advocacy
l. Information and referral support
m. Peer counseling and peer support
n. Succession planning, staff development,
benefits, and remote working
o. Business acumen, financial management,
fundraising and grant writing
p. Performance measurement (gathering
analyzing, and utilizing data), program
performance reporting, compliance reporting,
and evaluation/outcome measurement
q. SILC and DSE roles & responsibilities; State
Plan for Independent Living (SPIL)
r. Board training and development
s. Assistive device/technology support
t. Other; please specify: ______________

Very
Dissatisfied

[CONTINUED ON NEXT PAGE]

Neither
Satisfied or
Dissatisfied Dissatisfied Satisfied

Very
Satisfied

14. Were there barriers that prevented your organization from using additional TA from ILRU from
May 1, 2022, to April 30, 2023? Please select all that apply.
a. No additional TA needed
b. TA was not timely
c. TA was poor quality
d. TA types did not occur frequently enough or at times my organization could attend
e. Limited staff and could not make time for anyone to participate in TA
f. Past TA has not been appropriately tailored for my organization and was not relevant
g. TA is not accessible for people with disabilities
h. Did not know about it
i. Other, please specify: __________
[IF 14=G, ASK 14a, ELSE GO TO 15]
14a. Could you please describe the accessibility barriers people with disabilities in your
organization have experienced with TA from ILRU?
15. Overall, from May 1, 2022, to April 30, 2023, how would you rate ILRU’s TA in terms of helping
your organization fulfill its mission?
a. Poor
b. Fair
c. Good
d. Very Good
e. Excellent
[QUESTION 15 POST LOGIC: SKIP TO QUESTION 32 IF QUESTION 7=NONE]

[CONTINUED ON NEXT PAGE]

Non-ILRU TA
Now, we would like to ask you a few questions about the TA your organization received from non-ILRU
TA providers to strengthen IL and IL programs. Please do not include TA provided by ILRU in your
responses to questions in this section.
[QUESTION 16 PRE-LOGIC: ONLY SHOW ROW IF RESPONDENT SELECTED THE TA TYPE IN QUESTION 9]
16. How satisfied was your organization with types of TA you received from non-ILRU TA providers
between May 1, 2022, and April 30, 2023? Please select very dissatisfied, dissatisfied, neither
satisfied or dissatisfied, satisfied, or very satisfied for each row. Please only include TA received
from non-ILRU TA providers in your responses.

TA Types
a. Peer-to-Peer Mentoring
b. TA Office Hours
c. Peer Group TA Discussions
d. One-on-One TA/Intensive
Support (provided by contacting
TA provider)
e. In-Person Trainings or Webinars
f. Online, Live Trainings or
Webinars
g. On-Demand (Recorded) Trainings
or Webinars
i. On-Demand Publications and
Resources (e.g., fact sheets,
reports)
j. Other; please specify:
______________

Very
Dissatisfied

Neither
Satisfied or
Dissatisfied Dissatisfied Satisfied

[CONTINUED ON NEXT PAGE]

Very
Satisfied

[QUESTION 17 PRE-LOGIC: ONLY SHOW ROW IF RESPONDENT THE TA TYPE IN QUESTION 9]
17. How often did your organization obtain the following TA types from non-ILRU TA providers
between May 1, 2022, and April 30, 2023? Please select rarely, occasionally, frequently, monthly,
or weekly for each row. Please only include TA received from non-ILRU TA providers in your
responses.

TA Type
a. Peer-to-Peer Mentoring
b. TA Office Hours
c. Peer Group TA Discussions
d. One-on-One TA/Intensive
Support (provided by contacting
TA provider)
e. In-Person Trainings or Webinars
f. Online, Live Trainings or
Webinars
g. On-Demand (Recorded) Trainings
or Webinars
i. On-Demand Publications and
Resources (e.g., fact sheets,
reports)
j. Other; please specify:
______________

Rarely (1-4
times)

Often
Occasionally (9-11
(5-8 times)
times)

[CONTINUED ON NEXT PAGE]

Very
Frequently
Frequently (25 or
(12-24
more
times)
times)

[QUESTION 18 PRE-LOGIC: ONLY SHOW ROW IF RESPONDENT SELECTED THE TA TOPIC IN QUESTION 10]
18. How satisfied was your organization with the TA they received from non-ILRU TA providers on
the following topics between May 1, 2022, and April 30, 2023? Please select very dissatisfied,
dissatisfied, neither satisfied or dissatisfied, satisfied, or very satisfied for each row. Please only
include TA received from non-ILRU TA providers in your responses.

TA Topic
a. Community and institutional
transition/diversion
b. Transition of youth
c. Consumer information files or consumer
service records (e.g., release
authorizations, goal forms, and
independent living plans)
d. COVID-19 and emergency preparedness
resources
e. Disability, diversity, intersectionality, and
outreach to underserved groups
f. Home and community-based services
g. Transportation
h. Expanding housing options
i. Independent living skills training
j. Independent living history and philosophy
k. Individual/systems advocacy
l. Information and Referral Support
m. Peer counseling and peer support
n. Succession planning, staff development,
benefits, and remote working
o. Business acumen, financial management,
fundraising and grant writing
p. Performance measurement (gathering
analyzing, & utilizing data), program
performance reporting, compliance
reporting, and evaluation/outcome
measurement
q. SILC and DSE roles and responsibilities;
State Plan for Independent Living (SPIL)
r. Board training and development
s. Assistive device/technology support
t. Other; please specify: ______________

Very
Dissatisfied

Neither
Satisfied or
Dissatisfied Dissatisfied Satisfied

[CONTINUED ON NEXT PAGE]

Very
Satisfied

19. Were there barriers that prevented your organization from using additional TA from non-ILRU
TA providers from May 1, 2022, to April 30, 2023? Please select all that apply.
a. No additional TA needed
b. TA was not timely
c. TA was poor quality
d. TA types did not occur frequently enough or at times my organization could attend
e. Limited staff and could not make time for anyone to participate in TA
f. Past TA has not been appropriately tailored for my organization and was not relevant
g. TA is not accessible for people with disabilities
h. Did not know about it
i. Other, please specify: __________
[IF 19=G, ASK 21a, ELSE GO TO 20]
19a. Could you please describe the accessibility barriers people with disabilities in your
organization have experienced with TA from non-ILRU TA providers?
20. Overall, from May 1, 2022, to April 30, 2023, how would your organization rate the TA received
from non-ILRU TA providers in terms of helping your organization fulfill its mission?
a. Poor
b. Fair
c. Good
d. Very Good
e. Excellent
[QUESTION 21 PRE-LOGIC: GO TO QUESTION 25, IF QUESTION 6=YES OR QUESTION <>NONE]
No TA
We understand your organization has not received TA from ILRU or non-ILRU TA providers, and we’d like
to learn more about that.
21. ILRU and non-ILRU TA providers offer on-demand videos, fact sheets and other published
reports and resources, 1:1 TA, webinars, and facilitates peer discussions. ACL also funds its own
TA centers that focus on issues related to employment, veterans directed care, and housing.
Prior to this survey, was your organization aware of any of these TA opportunities?
a. Yes
b. No [GO TO QUESTION 25]

[CONTINUED ON NEXT PAGE]

22. What is the primary reason your organization did not use any TA?
a. No TA needed
b. TA was not timely
c. Poor quality of past TA
d. TA types did not occur frequently enough or at times my organization could attend
e. Limited staff and could not make time for anyone to participate in TA
f. Past TA has not been appropriately tailored for my organization and was not relevant
g. Past TA has not been accessible for people with disabilities
h. Did not know about it
i. Other, please specify: __________
[IF 22=G, ASK 22a, ELSE GO TO 23]
22a. Could you please describe the accessibility issues people with disabilities
encountered with past TA?
23. Thinking about the availability of TA, how would you describe TA opportunities from all
providers offered between May 1, 2022, and April 30, 2023?
TA Type
a. Peer-to-Peer Mentoring
b. TA Office Hours
c. Peer Group TA Discussions
d. One-on-One TA/Intensive
Support (provided by contacting
TA provider)
e. In-Person Trainings or Webinars
f. Online, Live Trainings or
Webinars
g. On-Demand (Recorded) Trainings
or Webinars
i. On-Demand Publications and
Resources (e.g., fact sheets,
reports)
j. Other; please specify:
______________

Not very
available

Available

[CONTINUED ON NEXT PAGE]

Very available

24. From May 1, 2022, to April 30, 2023, how useful for your organization would TA have been on
the following topics?

Very not
Not
TA Topic
useful
useful
a. Community and institutional
transition/diversion
b. Transition of youth
c. Consumer information files or
consumer service records (e.g., release
authorizations, goal forms, and
independent living plans)
d. COVID-19 and emergency
preparedness resources
e. Disability, diversity, intersectionality,
and outreach to underserved groups
f. Home and community-based services
g. Transportation
h. Expanding housing options
i. Independent living skills training
j. Independent living history and
philosophy
k. Individual/systems advocacy
l. Information and Referral support
m. Peer counseling and peer support
n. Succession planning, staff
development, benefits, and remote
working
o. Business acumen, financial
management, fundraising and grant
writing
p. Performance measurement (gathering
analyzing, and utilizing data), program
performance reporting, compliance
reporting, and evaluation/outcome
measurement
q. SILC and DSE roles and responsibilities;
State Plan for Independent Living
(SPIL)
r. Assistive device/technology support
s. Other; specify: ______________
[CONTINUED ON NEXT PAGE]

Neither
useful or
not useful

Useful

Very useful

General TA
25. How would your organization prefer to receive information about future TA opportunities?
Please select all that apply.
a. Listservs
b. Live Webinar
c. Referral
d. Phone
e. Email
f. Conference (e.g., Annual Conference on Independent Living)
g. Virtual meeting
h. On-demand recordings of webinars or virtual meetings
i. Website
j. Social media
k. Administration for Community Living or Office of Independent Living
l. Mail notifications
m. Other, please specify: ____
26. In your opinion, what makes TA most effective to your organization? Please select all that apply.
a. Timeliness
b. Relevance
c. Convenience (e.g., on-demand/remote options)
d. Accessibility (e.g., usable for people of all disability types)
e. Personalized Content, including intensive support and one-on-one TA
f. Other: Please specify
27. In your opinion, what are the benefits of TA to your organization? Please select all that apply.
a. Improved operational efficiency
b. Improved performance on key outcomes
c. Staff retention
d. Improved financial performance
e. Improved outreach
f. Other: Please specify
28. From May 1, 2022, to April 30, 2023, were there types of TA your organization requested but did
not receive? Please include TA requests to ILRU and all non-ILRU TA providers.
a. Yes
b. No
c. Don’t Know
[QUESTION 29 PRE-LOGIC: IF QUESTION 28=NO OR DON’T KNOW, GO TO CLOSING.]
29. What types of TA did your organization request and not receive between May 1, 2022, and April
30, 2023?
Closing
Thank you for participating in the TA for Independent Living Grantee Survey! If you have any questions,
please contact Dustin Williams by email at [email protected] or toll-free by phone at 1-877-834-7087
or contact Peter Nye at [email protected].