Performance Report for State Independent Living Program

Independent Living Services (ILS) Program Performance Report (PPR)

0043 ILS PPR Instructions Final 2024

Performance Report for State Independent Living Program

OMB: 0985-0043

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INSTRUCTIONS
OMB Control Number: 0985-0043
Expiration Date:
UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES
ADMINISTRATION FOR COMMUNITY LIVING
ADMINISTRATION ON DISABILITIES
OFFICE OF INDEPENDENT LIVING PROGRAMS

SECTION 704
ANNUAL PERFORMANCE REPORT
For

STATE INDEPENDENT LIVING SERVICES
PROGRAM
(Title VII, Chapter 1, Part B of the Rehabilitation Act of 1973, as amended)

Program Performance Report
INSTRUCTIONS
(To be completed by Designated State Entities
And Statewide Independent Living Councils)
Paperwork Reduction Act Public Burden Statement:
According to the Paperwork Reduction Act of 1995 5 CFR § 1320.8(b)(3), no persons are required to respond to a
collection of information unless such collection displays a valid OMB control number (OMB 0985-0043). Public
reporting burden for this collection of information is estimated to average 36 hours per response, including time for
gathering, maintaining the data needed, completing, and reviewing the collection of information. The obligation to
respond to this collection is required to obtain or retain benefits (P.L. 105-220 Section 410 Workforce Investment
Act). The ILS PPR is used by ACL to assess grantees’ compliance with Title VII of the Act, with 45 CFR part 1329
of the Code of Federal Regulations, and with applicable provisions of the HHS Regulations at 45 CFR part 75.
Based on the review and analysis of PPRs, ACL provides technical assistance, assesses compliance, and grants and
denies continuation of funding. The PPR is also used by ACL to design CIL and SILC training and technical
assistance activities authorized by section 721 of the Act. See 29 U.S.C. § 721(b)(1) (which is 29 U.S.C. 796f(b)(1));
see 45 CFR 1329.24. Data will be kept private to the extent allowed by law. There are no assurances of
confidentiality. 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
[email protected] and reference the OMB Control Number 0985-0043. Note: Please do not return the
completed Program Performance Report to this address.

1

TABLE OF CONTENTS
Page #
in the
Instrument
--

Page #
in the
Instructions
4

Glossary of Terms

--

8

General Instructions

--

11

Subpart I – Administrative Data

2

11

Section A – Comparison of Sources and Amounts of Funds
and Resources for Reporting Year Versus the SPIL

2

11

Section B – Distribution of Title VII, Chapter 1, Part B
Funds
Section C – Grants or Contracts Used to Distribute Title
VII, Chapter 1, Part B Funds
Section D – Grants or Contracts for Purposes Other Than
Providing IL Services or for the General Operation of CILs
Section E – Monitoring Title VII, Chapter 1, Part B Funds

4

12

5

12

6

12

6

12

Section F – Administrative Support Services and Staffing

6

13

Section G – For Section 723 States ONLY

6

13

Subpart II – Number and Types of Individuals with
Significant Disabilities Receiving Services
Section A – Number of Consumers Served During the
Reporting Year
Section B – Number of CSRs Closed by September 30 of
the Reporting Year
Section C – Number of CSRs Active on September 30 of
the Reporting Year
Section D – IL Plans and Waivers

8

14

8

14

8

14

9

15

9

15

Section E – Age

9

15

Section F – Sexual Orientation and Gender Identity

10

15

Topic
Frequently Asked Questions

2

Page #
in the
Instrument
10

Page #
in the
Instructions
16

Section H – Disability

10

16

Subpart III – Individual Services and Achievements
Funded Through Title VII, Chapter 1, Part B Funds
Section A – Individual Services and Achievements

12

17

12

19

Section B – Increased Independence and Community
Integration
Section C – Additional Information Concerning Individual
Services or Achievement
Subpart IV – Outreach and Coordination

13

21

15

23

16

24

Section A – Outreach to Unserved and Underserved

16

24

Section B – Coordination

16

27

Subpart V – Statewide Independent Living Council
(SILC)
Section A – Composition and Appointment

17

27

17

27

Section B – SILC Membership Qualifications

18

27

Section C – SILC Staffing and Support

19

28

Section D – SILC Duties

19

28

Section E – Training and Technical Assistance Needs

20

29

Subpart VI – State Plan for Independent Living (SPIL)
Comparison and Updates, Other Accomplishments And
Challenges
Section A – Comparison of Reporting Year Activities with
the SPIL
Section B – Significant Activities and Accomplishments

23

30

24

30

Topic
Section G – Race and Ethnicity

Section C – Substantial Challenges
Section D – Additional Information
Section E – Standards and Assurances
Subpart VII – Signatures

24
24

30
30

24

30

25

30

FREQUENTLY ASKED QUESTIONS
3

Question: WHAT IS THE PURPOSE OF THE INDEPENDENT LIVING SERVICES (ILS)
PROGRAM PERFORMANCE REPORT (PPR)?
Answer: The Administration for Community Living (ACL) oversees the ILS program to not
only ensure that services funded through Part B meet statutory requirements, but that promising
practices and state accomplishments and outcomes are reported so they can be shared with
grantees, decision-makers and the general public. To that end, the purpose of the ILS PPR is to:
A) Serve as a performance activity measuring instrument of independent living (IL)
programs, including both quantitative and qualitative information, to identify barriers
and promising practices and outcomes and impact.
B) Determine the training and technical assistance needs of SILCs as required by Section
721(b)(3) of the Rehabilitation Act of 1973, as amended (Act).
C) Collect information on the administration of the Part C program by states who
administer that program under section 723 of the Act.
D) Collect information necessary to determine compliance with statutory requirements
for the State Independent Living Services (ILS) program.
E) Collect the data required by Section 13, 706, and 721 of the Act for the ILS program.
F) Serve as the basis for on-site reviews of the ILS program.
G) Obtain a report on SILCs, designated state entities (DSEs), and other Part B funded
organizations and activities.
H) Establish a uniform reporting system to compile an accurate national report on
independent living.
I) Serve as the state’s official request for continued funding under Part B or Part C of
Chapter 1 of Title VII of the Act.
J) Collect information on the distribution of Title VII, Chapter 1, Part B funds within the
state and the monitoring of the use of those funds by grantees and contractors of the
state.
K) Enable each state to access information on all funds expended for independent living
in the state, including individuals served, services provided and outcomes achieved,
and to enable ACL to identify innovation and partnership among the states.
(Authority: Section 13, 704(m)(4)(D); 705 (c)(5); 706(d); 721; 723; of the Act; 45
CFR 1329.6(b)).
Question: WHAT KIND OF INFORMATION IS REPORTED IN THE PPR? HOW IS THE
PPR STRUCTURED?
Answer: The ILS PPR reports on the SILC’s and DSE’s activities for the reporting year. It also
contains data from consumer service records (CSRs) from the DSEs, DSE contractors and
grantees and any center for independent living (CIL) receiving Part B funds from the DSE. .

4

The ILS PPR contains:
Subpart I – Administrative Data: This subpart contains information reflecting the duties
of the DSE (including section 723 states) to account for and disburse funds according to
the State Plan for Independent Living (SPIL). The DSE duties are further outlined in
section 704(c) of the Act. This subpart includes:
• the reporting of funds received by the DSE during the reporting year, in
accordance with the SPIL,
• the DSE’s administrative support services, staffing and monitoring activities
involving grantees and contractors.
Note: This subpart includes Part B funded CILs that also receive part C funding.
Subpart II – Numbers and Types of Individuals with Significant Disabilities Receiving
Services: This subpart asks for information from CSRs maintained by the DSE and
grantees/contractors receiving Part B funds on the numbers and types of consumers
receiving IL services. Note: This subpart does NOT include information from CILs
receiving any Part C funding.
Subpart III – Individual Services and Achievements: This subpart asks for information
from CSRs maintained by the DSE and grantees/contractors receiving Part B funds:
• individual IL services provided and received
• goals set and met, and
• outcomes achieved. Note: This subpart does NOT include information from CILs
receiving any Part C funding.
Subpart IV – Outreach and Coordination: This subpart asks for a report on the
community outreach activities for unserved and underserved communities identified in
the SPIL involving the DSE, SILC and DSE contractors and grantees and the outcomes
of such activities. Note: This subpart also includes information from Part B funded CILs
that also receive any Part C funding.
Subpart V – SILC: This subpart asks for a report on the composition, qualifications, and
activities of the SILC (including technical assistance and training needs for next fiscal
year that is reported to the TA center(s) to prioritize annual training needs.
Subpart VI – SPIL Comparison and Updates, Other Accomplishments and Challenges:
This subpart asks for program accomplishments and goal achievements, updates to the
SPIL, substantial problems or difficulties, and any additional information.
Subpart VII – Signatures: Signatures, printed names, titles and phone numbers of DSE
director(s) and SILC chair.
Question: WHO MUST COMPLETE THE ILS PPR?
Answer: Each DSE and SILC must jointly complete the ILS PPR. The SILC and the DSE must
be given the freedom to independently prepare the portions of the report for which they are
responsible. Subpart VI is designed to be a cooperative venture of both the DSE and SILC. In
this manner, a complete report of activities that is jointly developed and shared within the state is
assured.
Only a single ILS PPR, with data aggregated from the state’s reporting entities, will be accepted
by ACL.
5

Question: WHERE MUST THE PPR BE SUBMITTED?
Answer: Detailed instructions for the electronic submittals will be provided to DSEs and SILCs
when ACL officially transmits the PPR.
Question: WHEN MUST THE DSE AND SILC SUBMIT THE ILS PPR TO OILP?
Answer: The deadline for submission is January 31 after the fiscal year ends.
Question: HOW LONG MUST RECORDS BE RETAINED?
Answer: Three Years. Information provided in this report by federal grantees is subject to
confirmation at an on-site review; therefore, financial records, statistical records, and all
supporting documents and other records pertinent to the grant award, adequate to document the
accuracy of the information and statements in the 704 Annual Performance Report, must be kept
for three years.

6

GLOSSARY OF TERMS
Act

The Rehabilitation Act of 1973, as amended.

AoD

Administration on Disabilities is the federal division within the
United States Department of Health and Human Services,
Administration for Community Living, that houses the Office of
Independent Living programs.

CIL

A Center for Independent Living meeting the definition in Section
702 of the Act, and included in the state’s network of centers.

Community-based
Living

These living arrangements include apartments, privately owned
housing, self-directed assisted living, or self-directed living with
family or friends.

Consumer

Any individual with a significant disability who is eligible for IL
services and is currently receiving or has been provided with any
IL service(s) under the program, other than information and
referral.

Consumer control

The center or eligible agency vests power and authority in terms of
the management, staffing, decision-making, operation, and
provisions of services, of the center in individuals with
disabilities, including individuals who are or have been recipients
of IL services.

Core Services

IL services defined in Section 7(17) of the Act means: information
and referral services; IL skills training; peer counseling (including
cross-disability peer counseling); individual and systems advocacy;
and services that: facilitate the transition of individuals with
significant disabilities from nursing homes and other institutions to
home and community-based residences; provide assistance to
individuals with significant disabilities who are at risk of entering
institutions so that the individuals may remain in the community;
and facilitate the transition of youth who are individuals with
significant disabilities who were eligible for individualized
education programs under section 614(d) of the Individuals with
Disabilities Education Act (20 U.S.C. 1414(d)), and who have
completed their secondary education or otherwise left school, to
postsecondary life. (See “independent living core services,” below,
which this Instrument and Instructions use to mean the same
thing.)

CSR

A Consumer Service Record maintained for an eligible consumer
receiving IL services. In cases where IL services are provided to
7

the parent or guardian of a consumer, the CSR is established for
the consumer and the services provided are reflected in that CSR.
Cross-disability

Designated State
Entity (DSE)

with respect to a center, that a center provides IL services to
individuals representing a range of significant disabilities and does
not restrict eligibility to individuals who have one or more specific
significant disabilities.

The designated state entity means the agency that the State Plan
designates to receive, account for, and disburse Part B funds in
accordance with section 704(c) of the Act. It is also identified
under section 704(c) of the Act, and authorized to jointly develop
and sign, with the Statewide Independent Living Council (SILC),
the State Plan for Independent Living (SPIL) under section 704 of
the Act. The term includes a state agency solely designated under
state law to provide IL services to individuals who are blind. In
such states, the state agency for the blind may administer the
provisions in the state plan related to services for individuals who
are blind. In a section 723 state, the DSE receiving, accounting
for, and disbursing the funds for the Center for Independent Living
program is always the general agency.

Disability

in accordance with the Americans with Disabilities Act of 1990, as
amended, § 12102, “physical or mental impairment that
substantially limits one or more major life activities[;] . . .; a record
of such an impairment; or being regarded as having such an
impairment . . . . [This] definition . . . shall be construed in favor of
broad coverage of individuals.”

Earmarked Funds

Funds appropriated by the state and expressly or clearly identified
as state expenditures in the relevant fiscal year for the sole purpose
of funding the general operation of CILs meeting the requirements
of Sections 702 and 725 of the Act.

Equity

defined as it is in Executive Order 13985: “the consistent and
systematic fair, just, and impartial treatment of all individuals,
including individuals who belong to underserved communities that
have been denied such treatment, such as Black, Latino, and
Indigenous and Native American persons, Asian Americans and
Pacific Islanders and other persons of color; members of religious
minorities; lesbian, gay, bisexual, transgender, and queer
(LGBTQ+) persons; persons with disabilities; persons who live in
rural areas; and persons otherwise adversely affected by persistent
poverty or inequality.

FTE

The equivalent of one person working full-time for one year.

Independent Living

8

(IL)

Independent living
core services

Independent Living
Philosophy

maximizing the ability of people with disabilities to control their
own lives; participate in the community; live independently (as
opposed to in institutions); and have economic security.

information and referral services; IL skills training; peer
counseling (including cross-disability peer counseling); individual
and systems advocacy; and services that: facilitate the transition of
individuals with significant disabilities from nursing homes and
other institutions to home and community-based residences;
provide assistance to individuals with significant disabilities who
are at risk of entering institutions so that the individuals may
remain in the community; and facilitate the transition of youth who
are individuals with significant disabilities who were eligible for
individualized education programs under section 614(d) of the
Individuals with Disabilities Education Act (20 U.S.C. 1414(d)),
and who have completed their secondary education or otherwise
left school, to postsecondary life. (See “core services,” above,
which this Instrument and Instructions use to mean the same
thing.)

a philosophy of consumer control, peer support, self-help, selfdetermination, equal access, and individual and system advocacy,
in order to maximize the leadership, empowerment, independence,
and productivity of individuals with disabilities, and the integration
and full inclusion of individuals with disabilities into the
mainstream of American society (Section 796).

ILS

Independent Living Services Program funded under Part B,
Chapter 1 of Title VII of the Act.

ILP

An Independent Living Plan for the provision of IL services
mutually agreed upon by an appropriate staff member of a service
provider and an individual with significant disabilities.

Individual with a
significant disability an individual with a severe physical, mental, cognitive or sensory
impairment whose ability to function independently in the family
or community or whose ability to obtain, maintain, or advance in
employment is substantially limited and for whom the delivery of
IL services will improve the ability to function, continue
functioning, or move toward functioning independently in the
family or community or to continue in employment.
Minority group

American Indian or Alaskan Native, Asian American, Black or
African American (not of Hispanic origin), Hispanic or Latino
(including persons of Mexican, Puerto Rican, Cuban, and Central
or South American origin), Native Hawaiian or other Pacific
Islander.

9

Nonresidential

with respect to a center for independent living, that the center, as of
October 1, 1994, does not provide or manage residential housing.

OILP

The federal entity within the United States Department of Health
and Human Services, Administration for Community Living,
Administration on Disabilities that administers the Independent
Living Services and Center for Independent Living programs.

Pass Through

Funds that a provider receives on behalf of a consumer that are
subsequently issued by the provider directly to the consumer (e.g.,
representative payee funds, Medicaid or state Personal Assistance
Services funds).

Reporting Year

The most recently completed federal fiscal project year starting
October 1 and ending September 30.

Section 722 State

A state in which OILP issues grants under Part C directly to
eligible agencies for the planning, establishment, and operation of
Centers for Independent Livings.

Section 723 State

A state where the DSE issues grants or assistance contracts under
Part C to eligible entities for the planning, establishment, and
operation of Centers Independent Livings.

Service Provider

Can mean: 1) A Designated State Entity that directly provides
Independent Living services to consumers; 2) A Center for
Independent Living; or 3) An entity that provides IL services under
a grant or contract from the Designated State Entity.

SILC

The Statewide Independent Living Council established in each
state as required by Section 705 of the Act.

SPIL

A State Plan for Independent Living jointly developed by the
Statewide Independent Living Council, and the directors of the
centers for independent living in the state, after receiving input
from individuals with disabilities through the State; and signed by
the chairperson of the Statewide Independent Living Council,
acting on behalf of and at the direction of the Council; the director
of the designated state entity; and not less than 51% of the
directors of the centers for independent living in the State. The
plan addresses the provision of state IL services, the development
and support of a statewide network of centers for independent
living and the working relationships among programs providing IL
services, CILs, the state VR program, and other programs
providing services for individuals with disabilities.

State

The term state includes, in addition to each of the several states of
the United States, the District of Columbia, the Commonwealth of
Puerto Rico, the United States Virgin Islands, Guam, American
Samoa, and the Commonwealth of the Northern Mariana Islands,
except where otherwise noted.
10

State Match

Unserved and
Underserved
Populations

the resources provided by the state (cash, in kind, or any
combination thereof) to match the state’s total award of Part B
funds. The required match is 10% of the sum of the state’s total
expenditure of Part B funds and the state’s total expenditure of
resources provided to match the Part B funds that the state
provides. (Example included in the Instructions for section)

Populations such as individuals from racial and ethnic minority
backgrounds, disadvantaged individuals, individuals with limited
English proficiency, and individuals from underserved geographic
areas (rural or urban).

11

Instructions: Independent Living Services Program
Performance Report
General Instructions: Please respond to each subpart of this preprint.
1) When a question/section requests a description, list or other non-data information but does not
apply to your state, a “NOT APPLICABLE” response is appropriate.
2) When a subpart requests data or a numerical response but does not apply to your state, enter
zero, “0”.

Specific Instructions: Please carefully read the instructions below and provide the
requested details and/or data.

SUBPART I – ADMINISTRATIVE DATA
Section A – Comparison of Sources and Amounts of Funds and Resources for
Reporting Year Versus the SPIL
Sections 704(m)(3) and (4) of the Act
Item 1 -Sources and Amounts of Funds Received by the DSE
Indicate amount received by the DSE as per each funding source for the reporting year. Please
note that the amounts aren’t necessarily actual funds spent. Enter “0” for none.
List the Federal and non-Federal funds received by the DSE for the reporting year to meet the
objectives identified in the SPIL, e.g., how the grantee met the financial plan in the SPIL.
Notes regarding Sources:
– Other Federal Funds include, but are not limited to, title I funds available under section
101(a)(18) of the Act, Social Security payments, funding from Housing and Urban
Development, and funding received from other Federal programs such as the Work
Incentives Planning and Assistance (WIPA) program.
– Non-Federal Funds include, but are not limited to, State and local government funds as
well as nongovernment funds from individual donors, foundations, corporations, and
community organizations. State government funds include matching funds in compliance
with section 712(b) of the Act, general revenue funds and funds made available through
other State programs such as Medicaid reimbursements, Aging and Developmental
Disabilities Councils, etc.
Sources

Funding Amounts Received by the DSE and Designated Uses for the
Reporting Year
SILC
IL Services
General CIL
Other SPIL
Retained by
Resource
Operations
Activities
DSE for
Plan
Administrative
costs (applies
12

only to Part B
funding)
Title VII Funds
Chapter 1, Part
B
Chapter 1, Part
C (for 723 states
only)
Other Federal
Funds
Sec. 101(a)(18)
of the Act
(Innovation and
Expansion –
should not be
$0)
Social Security
Reimbursement
Other
Non-Federal
Funds
Part B State
Match
Other State
Match for Funds
in SPIL
State Funds
Other
Item 2- Sources and Amounts of Funds Received by the DSE as Planned in the SPIL
As a comparison, please list the amount that the SPIL listed for each funding source for which
the DSE was responsible for the reporting year. (Note: Please do not include Part C amounts
unless the State is administering a grant under Section 723.)
Sources

Projected (in SPIL) Funding Amounts and Uses for the Reporting Year
SILC
IL Services
General CIL
Other SPIL
Retained by
Resource
Operations
Activities
DSE for
Plan
Administrative
costs (applies
only to Part B
funding)

Title VII Funds
Chapter 1, Part
B
Chapter 1, Part
C (for 723 states
only)
13

Other Federal
Funds
Sec. 101(a)(18)
of the Act
(Innovation and
Expansion –
should not be
$0)
Social Security
Reimbursement
Other
Non-Federal
Funds
Part B State
Match
Other State
Match for Funds
in SPIL
State Funds
Other
Item 3- Deviations from the SPIL (if applicable)
After comparing the two tables listed under items 1 and 2, please explain any deviations from the
SPIL. Note that any deviations more than 25% of any line item would have required a substantial
amendment. If more than 30% of the Part B appropriation was used for the SILC Resource Plan,
a justification must be included here. Please provide any additional comments you would like to
share about this year’s funding.

14

Section B – Distribution of Title VII, Chapter 1, Part B Funds
Section 713 of the Act; 45 CFR 1329.10
Complete the table by providing in items (1) through (9) the amount of Part B funds expended by
the state directly or through grant or contract in each category in the appropriate column. If
funds were not used for a purpose listed, please indicate by placing $0 in the appropriate column.

Section C – Grants or Contracts Used to Distribute Title VII, Chapter 1, Part
B Funds
Sections 704(f) and 713 of the Act; 45 CFR 1329.17, and 45 CFR 1329.10
Item 1 – Grants or Contracts
Review your answers to Section B and enter the requested information for all grants or contracts
funded at least in part by Part B funds, in the table. Include Part C funded centers if they also
received Part B funds. Add more rows as necessary.
A contractor or grantee that receives Part B funds for more than one activity (e.g., to provide IL
services, as well as to conduct IL philosophy training), must be listed for as many different
activities it performs.
If there were no non-Part B funds (e.g., title VII, Chapter 2 funds, other federal funds or state
funds) provided to this grantee or contractor for the purpose listed, enter “$0” in that column.
Item 2 – Amount of Funds
Review the amount of the Part B award to the state in Subpart 1, Section A. This amount should
be the amount reflected on the Notice of Award to the DSE for the reporting period.
If the total amount of Part B funds distributed in grants and contracts in Section C, Item 1 differs
from the amount in Subpart 1, Section A, provide an explanation for the difference.
If the DSE retained any funds for administrative purposes, describe how the DSE ensured that
this amount did not exceed the allowed 5%.

Section D – Grants or Contracts for Purposes Other Than Providing IL
Services or For the General Operation of Centers
Section 713 of the Act; 45 CFR 1329.10
For Part B funds awarded as grants or contracts for purposes other than to provide IL services
or for the general operation of centers, provide a brief narrative description of the objectives for
each agreement, what activities were conducted during the year, and what results were achieved.
(Note: Allowable activities are listed in the table under Subpart I, Section B of the ILS PPR.)

Section E – Monitoring Part B Funds
45 CFR 1329.12
Provide a summary with outcomes of the program or fiscal review, evaluation, and monitoring
activities conducted by the state during the reporting year for any of the grantees/contractors
receiving Part B funds. Examples of review, evaluation and monitoring activities include review
15

of CIL PPRs or other program reports, on-site reviews by DSE and/or SILC, fiscal audits of
expenditures of Part B funds, summaries of corrective action plans, etc. (Copies of monitoring
reports should be sent to your program officer). For CILs that do not receive Part C funding,
describe how it is confirmed that they meet the definition of a CIL, as defined under Section
702(2). CILs are defined as agencies that are:
• consumer-controlled
• community-based
• cross-disability
• non-residential
• private
• nonprofit
• for individuals with significant disabilities (regardless of age or income)
• designed and operated within a local community by individuals with disabilities;
• and provide an array of independent living services, including, at a minimum,
independent living core services as defined in section 7(17) of the Rehab Act.

Section F – Administrative Support Services and Staffing
Section 704(m)(2) and (4) of the Act
Item 1 – Administrative Support Services
Section 704(c)(2); 45 CFR 1329.12
Describe any administrative support services, including staffing, provided by the DSE to the Part
B program.
Item 2 – Staffing
Referring to Subpart I, Section C, report the total number of Full Time Equivalents (FTEs)
employed in the ILS program administered by the DSE(s) and by service providers, excluding
CILs that receive any Part C funding. Report the total decision making and other staff and the
number of FTEs filled by individuals with disabilities.
•

To compute FTEs, determine the number of hours (excluding overtime) for which all
employees were actually paid during the last six months of the reporting year. Multiply
the hours worked by 2 (two), divide by 2,080 (approximate number of hours worked by
an FTE), the subsequent total is the equivalent fraction of the FTEs.

Section G – For Section 723 States ONLY
Section 723 of the Act, 45 CFR 1329.12
Item 1 – Distribution of Part C Funds to Centers
In the table provided, please respond with the following information:
A) the name of each center within your state that received Part C funding during the
reporting year;
B) the amount of Part C funding each center received;
16

C) whether the Part C funding included a cost-of-living increase, with a yes or no response;
D) whether the Part C funding included any excess funds remaining after cost-of-living
increases were provided, with a yes or no response;
E) whether any of the centers received its Part C funding pursuant to a competition for a new
center in the state, with a yes or no response; and
F) whether the center was the subject of an on-site compliance review conducted by the
DSE during the reporting year, with a yes or no response.
Add additional rows as necessary.
Item 2 – Administrative Support Services
Section 704(c)(2); 45 CFR 1329.12(a)(2)
Describe the administrative support services used by the DSE to administer the Part C program.
Item 3 – Monitoring and On-site Compliance Reviews
Section 723(g), (h), and (i)
Provide a summary of the monitoring activities involving Part C centers conducted by the state
during the current reporting year, including the on-site reviews of at least 15% of centers
receiving Part C funds under section 723. The summary should include, at least, the following:
A) the center’s level of compliance with the standards and assurances in section 725 of the
Act;
B) any adverse actions taken against centers;
C) any corrective action plans entered into with centers; and
D) exemplary, replicable or model practices of centers.
Please submit copies of the final reports to your Program Officer.
Item 4 – Updates or Issues
Provide any updates to the administration of the Part C program by the DSE, including any
significant changes in the amount of earmarked funds or any changes in the order of priorities in
the distribution of Part C funds. Provide a description of any issues of concern addressed by the
DSE in its administration of the Part C program.

SUBPART II – NUMBER AND TYPES OF INDIVIDUALS WITH
SIGNIFICANT DISABILITIES RECEIVING SERVICES
Section 704(m)(4) of the Act; 45 CFR 1329.12(a)(3–4)
In this section, provide data from all service providers (DSE, grantees, contractors) who received
Part B funds and who were listed in subpart I, section C of this report, except centers for
independent living that receive Part C funds. (Part C centers will provide this data themselves on
their annual CIL PPRs.)

Section A – Number of Consumers Served During the Reporting Year
Include CSRs for ALL consumers served during the reporting year.

17

(1) Enter the number of active CSRs carried over from September 30 of the year
preceding the reporting year. Active CSRs are those corresponding to consumers who
were actually served during the reporting year.
(2) Enter the number of new CSRs opened since October 1 of the reporting year.
(3) To get the number of consumers served during the reporting year, add the number of
active CSRs carried over from the preceding year to the number of new CSRs opened for
the reporting year. Enter this number in line A(3). A(1) + A(2) = A(3).

Section B – Number of CSRs Closed by September 30 of the Reporting Year
In the appropriate category, enter the number of CSRs that have been closed out of the active
CSR files during the reporting year because the consumer has:
(1) Moved - The consumer has moved out of the service provider’s service area and/or
has moved and left no forwarding address (e.g. unable to locate consumer).
(2) Withdrawn - The consumer has stated he or she is no longer interested in receiving
services at this time.
(3) Died.
(4) Completed all goals set - The consumer has completed all goals and objectives,
whether or not listed in the Independent Living Plan (ILP), and does not need/is not
interested in receiving additional services at this time.
(5) Other - The CSR has been closed for any other reason than those listed above.
Total the number of CSRs for each category to get the number of CRSs closed for the reporting
year. Example: line B(1) + B(2) + B(3) + B(4) + B(5) = B(6).

Section C – Number of CSRs Active on September 30 of the Reporting Year
To get the number of CSRs active on September 30 of the Reporting Year subtract the total
number of CSRs closed by September 30 (line B(6)) from the total number of consumers served
during the reporting year (line A(3)). Enter this number in the table in Section C.

Section D – IL Plans and Waivers
(1) Enter the total number of consumers with active CSRs during the reporting year who have
knowingly and voluntarily signed a waiver stating an IL plan was unnecessary.
(2) Enter the total number consumers with active CSRs during the reporting year with whom an
ILP was developed.
(3) Add the total number of consumers who signed a waiver to the total number of consumers
who developed ILPs. Enter this figure in line D(3). D(1) + D(2) = D(3). This is the total
18

number of consumers served during the reporting year and MUST equal the “number of
consumers served” in Section A, line 3 above.

Section E – Age
(1) through (6) - Enter the number of consumers served during the reporting year in each age
category as self reported by each consumer.

Section F – Sexual Orientation and Gender Identity
Enter the number of consumers served during the reporting year as self-reported by each
consumer.

Section G – Race and Ethnicity
(1) through (8) - Enter the number of consumers served during the reporting year in each
category, as self-reported by each consumer. Each consumer may be counted under ONLY
ONE of the following categories in the PPR, even if the consumer reported more than one
race and/or Hispanic/Latino ethnicity.
(1) American Indian or Alaska Native. American Indian or Alaska Native means a person
having origins in any of the original peoples of North and South America (including Central
America), and who maintains tribal affiliation or community attachment.
(2) Asian means a person having origins in any of the original peoples of the Far East, Southeast
Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan,
Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
(3) Black or African American means a person having origins in any of the black racial groups
of Africa. Terms such as “Haitian” may be used.
(4) Native Hawaiian or Other Pacific Islander means a person having origins in any of the
original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
(5) White means a person having origins in any of the original peoples of Europe, the Middle
East or North Africa.
(6) Hispanic/Latino of any race or Hispanic/ Latino only. Hispanic or Latino means a person of
Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or
origin, regardless of race. Any consumer who reports Hispanic/Latino ethnicity can only
be counted as “Hispanic/Latino,” even if the consumer also reported one or more race
categories.
(7) Two or more races. If a consumer self-reports more than one race, that consumer must
counted once in the PPR, that is, as “Two or More Races.”
(8) “Race and ethnicity unknown” – A consumer is counted as Race/Ethnicity Unknown if the
consumer does not report any race or ethnicity.
Note: The total of G1 through G8 must agree with subpart II, A3.
19

Section H – Disability
(1) through (7) – Enter the total number of consumers served in each category during the current
reporting year as self-reported by each consumer. These categories are meant to describe the
functional limitations involved with a consumer’s disability rather than a grouping of specific
diagnoses of disabilities.

20

SUBPART III – INDIVIDUAL SERVICES AND ACHIEVEMENTS
FUNDED THROUGH TITLE VII, CHAPTER 1, PART B FUNDS
Sections 13, 704(m)(4) of the Act; 45 CFR 1329.12(a)(3–4); Government Performance Results
Act (GPRA) Performance Measures
Subpart III features three related tables designed to measure how IL core services and other IL
services help maximize the leadership, empowerment, independence, and productivity of
individuals with disabilities, and the integration and full inclusion of individuals with disabilities
into the mainstream of American society. Each table is described below.
Section A – Individual Services – Quantifies the IL services requested by, and provided to,
consumers during the reporting year. These services can be considered as the independent
living program’s outputs contributing to the consumers’ expected outcomes, that is, greater
independence and community integration.

Section A – Individual Services

List the number of consumers requesting and the number of consumers receiving each of the
following services during the reporting year, including the IL core services. Include all
consumers who were provided services during the reporting year through Part B funds, either
directly by DSE staff or via grants or contracts with other providers. Do not include consumers
who were served by any centers that received Part C funds during the reporting year.
Note: The total number of individual services provided is not expected to equal the number of
active CSRs during the reporting year, because one consumer may receive multiple services
during the reporting year. Also, individuals who receive information and referral (I&R) services
would not necessarily have CSRs.
A) Advocacy/Legal Services – Assistance and /or representation in obtaining access to
benefits, services, and programs to which a consumer may be entitled.
B) Assistive Technology – Any assistive technology device, that is, any item, piece of
equipment or product system that is used to increase, maintain or improve functional
capabilities of individuals with disabilities and any assistive technology service that
assists an individual with a disability in the selection, acquisition or use of an assistive
technology device.
C) Children’s Services – The provision of specific IL services designed to serve individuals
with significant disabilities under the age of 14.
D) Communication Services – Services directed to enable consumers to better communicate,
such as interpreter services, training in communication equipment use, Braille instruction,
and reading services.
E) Counseling and Related Services – These include information sharing, psychological
services of a non-psychiatric, non-therapeutic nature, parent-to-parent services, and
related services.
21

F) Family Services – Services provided to the family members of an individual with a
significant disability when necessary for improving the individual’s ability to live and
function more independently, or ability to engage or continue in employment. Such
services may include respite care. Record the service in the consumer’s CSR on behalf of
whom services were provided to the family.
G) Housing, Home Modifications, and Shelter Services – These services are related to
securing housing or shelter, adaptive housing services (including appropriate
accommodations to and modifications of any space used to serve, or occupied by
individuals with significant disabilities).
•

Note: A CIL may not provide housing or shelter as an IL service on either a
temporary or long term basis unless the housing or shelter is incidental to the
overall operation of the CIL and is provided to any individual for a period not to
exceed eight weeks during any six-month period.

H) IL Skills Training and Life Skill Training Services – These may include instruction to
develop independent living skills in areas such as personal care, coping, financial
management, social skills, and household management. This may also include education
and training necessary for living in the community and participating in community
activities.
I) Information and Referral Services – Identify all individuals who requested this type of
assistance. This is the only service (other then services to family members) that may be
provided to all individuals, whether or not the individual has a disability. Some entities
record this service using strokes on an answering pad without opening a CSR, others
create a CSR or other such file for future contact and outreach.
J) Mental Restoration Services – Psychiatric restoration services including maintenance on
psychotropic medication, psychological services, and treatment management for
substance abuse.
K) Mobility Training Services – A variety of services involving assisting consumers to get
around their homes and communities.
L) Peer Counseling Services – Counseling, teaching, information sharing, and similar kinds
of contact provided to consumers by other people with disabilities.
M) Personal Assistance Services – These include, but are not limited to, assistance with
personal bodily functions; communicative, household, mobility, work, emotional,
cognitive, personal, and financial affairs; community participation; parenting; leisure; and
other related needs.
N) Physical Restoration Services – Restoration services including medical services, health
maintenance, eyeglasses, and visual services.
O) Preventive Services – Services intended to prevent additional disabilities, or to prevent an
increase in the severity of an existing disability.

22

P) Prostheses, Orthotics, and Other Appliances – Provision of, or assistance in obtaining
through other sources, an adaptive device or appliance to substitute for one or more parts
of the human body.
Q) Recreational Services – Provision or identification of opportunities for the involvement
of consumers in meaningful leisure time activities. These may include such things as
participation in community affairs and other recreation activities that may be competitive,
active, or quiet.
R) Rehabilitation Technology Services – Any service that assists an individual with a
disability in the selection, acquisition or use of applied technologies, engineering
methodologies or scientific principles to meet the needs of the individual and address the
barriers confronted by individuals with significant disabilities with respect to education,
rehabilitation, employment, transportation, IL and/or recreation.
Note: Rehabilitation technology services may include assistive technology
devices and services. However, for the purpose of this report, include the
provision of assistive technology devices and services under item B, above.
S) Therapeutic Treatment – Services provided by registered occupational, physical,
recreational, hearing, language, or speech therapists.
T) Transportation Services – Provision of, or arrangements for, transportation.
U) Youth/Transition Services – Any service that develops skills specifically designed for
youth with significant disabilities between the ages 14 and 24 to promote self-awareness
and esteem, develop advocacy and self-empowerment skills and career exploration,
including the transition from school to post school activities such as postsecondary
education, vocational training, employment, continuing and adult education, adult
services, independent living or community participation.
V) Vocational Services – Any services designed to achieve or maintain employment.
W) Other Services – Any IL services not listed above in A–V.
Section B – Independence And Community Integration – Quantifies the independent living
program’s outcomes, expressed in terms of the diverse goals that consumers have achieved
through the provision of IL services (outputs), including the four core services. Section B
consists of two related tables:
Item 1 (Goals Related to Increased Independence in a Significant Life Area). This table
tracks the number of consumers who achieved independence in at least one significant
life area. The term significant life area (SLA) is a way to classify the multiplicity of
possible consumer goals into a few categories representing the range of life achievements
made possible through IL services. SLAs represent the varying ways in which diverse
consumers with disabilities can realize their particular potential – ranging from
competence in self-care to relocation from a nursing home/institution to fulfillment of
educational and vocational aspirations.
Item 2 (Improved Access to Transportation, Health Care and Assistive Technology). The
lack of access to essential opportunities such as transportation, appropriate health care
23

services, or assistive technology may prevent an individual from achieving independence
in one or more significant life areas. This table measures how the independent living
program enables consumers to overcome barriers to their independence by helping them
to access previously unavailable transportation, health care services, and assistive
technology. These are certainly not the only barriers faced by individuals with
disabilities. However, data provided in these areas will enhance OILP’s ability to
document the impact of the independent living program on individuals in these areas.
Individuals with disabilities can overcome barriers to accessing transportation, health
care services, or assistive technology through a combination of the IL services listed in
the table under section A, including the four core services -- information and referral
services, independent living skills training, peer counseling, and individual advocacy.
[Systems advocacy is addressed in subpart IV.] For example, a service provider may
facilitate a consumer’s access to previously unavailable transportation through mobility
training, assistive devices, prosthesis or personal attendant care assistance; or
independent living skills training to help consumers avail themselves of existing
community transportation services. Access to appropriate health care services may be
enhanced through information and referral services, such as the provision of directories
of local medical facilities with available interpreters or Telecommunication Device for
the Deaf (TDD) phone numbers; individual advocacy efforts resulting in accessible
ramps or examining tables at doctors’ offices; peer counseling services to improve
consumers’ self-advocacy abilities; or the arrangement of assistive technology services
for consumers to better communicate with their doctors. Access to assistive technology
may be expanded through information and referral to public and private sector sources of
funding or equipment, independent living skills training on the use of assistive
technology, and peer counseling and individual advocacy to help consumers advocate for
the services and equipment for which they are eligible.
Note: The term “assistive technology” (as defined in subpart III, section A) encompasses
a broad range of IL resources such as daily living, mobility, cognitive and
communications aids as well as information technology.
The subpart III tables (section A, section B, item 1 and section B, item 2) are closely related.
Transportation and assistive technology, for example, appear in each table. There are important
differences, however, as the following examples illustrate:
•

•

A consumer whose goal is Mobility/Transportation (section B, item 1) may receive
Transportation Services such as information and referral to the community’s para-transit
system (section A). Yet it may be that the consumer cannot achieve the
Mobility/Transportation goal until he or she gains the necessary confidence to utilize the
para-transit system through IL skills training and peer counseling services. In this
example, the Mobility/Transportation goal (section B, item 1) involves more than just
Transportation Services (section A).
A consumer whose goal is Community-Based Living (section B, item 1) may be impeded
from reaching that goal because he/she lacks Access To Transportation (section B, item
2). Access to transportation is not the consumer’s goal, but simply the means to the
consumer’s goal, community-based living.

Consumers may appear in more than one of the subpart III tables:

24

•

•

In the first example, the successful consumer would appear in section A (under
Transportation Services, Peer Counseling and IL Skills Training); in section B, item 1
(under the Mobility/Transportation goal); and in section B, item 2 (under Access to
Transportation).
In the second example, the consumer would also appear in the three tables, except that
he/she would appear under the Community-Based Living goal instead of the
Mobility/Transportation goal in section B, item 1.

25

Detailed instructions for completing subpart III follow below:

Section B – Increased Independence and Community Integration
Item 1 – Goals Related to Increased Independence in a Significant Life Area
For each of the significant life areas below, indicate the number of consumers who set goals, the
number who achieved their goals, and the number whose goals were in progress at the end of the
reporting year. Goal achievement is to be determined through self-reporting by the consumer
and recorded in the individual’s CSR.
(A) Self-Advocacy/Self-Empowerment – Goals involving improvement in a consumer’s
ability to represent himself/herself with public and/or private entities, the ability to
make key decisions involving himself/herself, or the ability to organize and manage
his/her own activities to achieve desired objectives.
(B) Communication – Goals involving either improvement in a consumer’s ability to
understand communication by others (receptive skills), and/or improvement in a
consumer’s ability to share communication with others (expressive skills).
(C) Mobility/Transportation – Goals to improve a consumer’s access to her/his life
space, environment, and community. This may occur by improving the consumer’s
ability to move, travel, transport himself/herself, or use public transportation.
(D) Community-Based Living – Goals that provide for a change in living situations with
increased autonomy for the consumer. This may involve a consumer’s goals related
to obtaining/modifying an apartment or house. Community-based living
arrangements may include apartments, privately owned housing, self-directed
assisted living, or self-directed living with family/friends.
(E) Educational – Academic or training goals that are expected to improve the
consumer’s knowledge or ability to perform certain skills that would expand his/her
independence, productivity or income-generating potential.
(F) Vocational – Goals related to obtaining, maintaining, or advancing in employment.
(G) Self-Care – Goals to improve/maintain a consumer’s autonomy with respect to
activities of daily living such as personal grooming and hygiene, meal preparation
and nutrition, shopping, eating, and other aspects of personal health and safety.
(H) Information Access/Technology – Goals related to a consumer obtaining and/or
using information necessary for the consumer’s independence and community
integration. These may include use of a computer or other assistive technology,
devices, or equipment, as well as developing information technology skills, such as
using computer screen-reading software.
(I) Personal Resource Management – Goals related to a consumer learning to establish
and maintain a personal/family budget, managing a checkbook, and/or obtaining
knowledge of available direct and indirect resources related to income, housing,
food, medical, and/or other benefits.
26

(J) Relocation from a Nursing Home or Institution– Goals related to relocation from
nursing homes or other institutions to community-based living arrangements. This
significant life area specifically pertains to consumers who live in a nursing home or
institution, unlike the Community-Based Living life area, above, which includes any
consumer regardless of his/her living situation prior to receiving IL services.
(K) Community/Social Participation – Goals related to full participation in the
mainstream of American society, including the ability to participate in community
events such as community fairs and government functions, attend worship services
and access recreational activities and facilities.
(L) Other – IL goals not included in the above categories.
Item 2 – Improved Access to Transportation, Health Care Services and Assistive
Technology
(A) Table:
Please complete the columns in the Access Table found at (A) as follows:
Column 1 (Consumers Requiring Access) – Indicate the number of consumers – whether
or not they originally requested the assistance – who required access to previously
unavailable transportation, assistive technology or health care services in order to reach
one or more of their IL goals listed in Item 1.
•

The lack of transportation, health care services or assistive technology as barriers
to independence may be identified by the consumer and/or by the service
provider’s staff (as the consumer’s advisor).

Column 2 (Consumers Achieving Access) – Of the consumers counted in column 1,
indicate the number who gained access to previously unavailable transportation, assistive
technology or health care services as a result of the provision of IL services. Include all
consumers whose access in these areas was facilitated through the IL services provided –
whether or not such access had been the consumers’ originally stated goal.
Column 3 (Consumers Whose Access Is In Progress) – Indicate the number of consumers
who, at the end of the reporting year, were in the process of attaining access to previously
unavailable transportation, assistive technology or health care services through the
provision of IL services.
•

Any consumer counted in column 2 or 3 must also be counted in column 1. In
the case of a consumer who achieves access as a result of I&R services, for
example, that consumer should be counted under “Consumers Requiring Access”
(column 1) as well as under “Consumers Achieving Access” (column 2).

Note: For most IL services, a consumer’s access to previously unavailable transportation, health
care and assistive technology is documented through his or her CSR. In some instances,
consumers may achieve an outcome solely through I&R services. In order to report these
instances as successful outcomes, providers are not required to create CSRs for these consumers
but must be able to document that follow-up contacts with these consumers showed access to
previously unavailable transportation, health care and assistive technology.
27

(B) Information and Referral Information:
To inform OILP how many service providers engaged in I&R follow-up contacts regarding
access to transportation, health care services or assistive technology, please respond to the
corresponding question in the instrument.

Section C – Additional Information Concerning Individual Services or
Achievements
Please provide any additional description or explanation concerning individual services or
achievements reported in subpart III, including outstanding success stories and/or major
obstacles encountered.

28

SUBPART IV – OUTREACH AND COORDINATION
Section 704(i), (l), and (m)(4) of the Act; 45 CFR 1329.17(c)

Section A – Outreach to Unserved and Underserved Populations
Item 1 – Outreach to Unserved and Underserved
With respect to services and centers funded with Part B and C funds and included in the SPIL
outreach plan, please give a summary of the outreach activities that the SPIL identifies to
populations that are unserved or underserved involving the DSE staff, SILC members/staff and
CIL board members or staff during the reporting year. Include, in this description, services and
activities in the SPIL outreach plan funded with both Part B and C funds. Note that this is not
supposed to be a listing of all Part C outreach activities. This section only lists activities
identified in the outreach plan of the SPIL to determine effectiveness of the outreach activity.
For the outreach activities mentioned, provide any additional details such as the role of the DSE,
SILC, CIL, and/or consumers, names of any partner organizations and further descriptions of the
specific activities and services performed and benefits conferred to unserved or underserved
populations

29

Section B – Coordination
Describe DSE and SILC activities to maximize the cooperation, coordination, and working
relationships among the independent living program, the SILC, and CILs (including Part C
CILs); and the DSE, other state agencies represented on the SILC, other councils that address the
needs of specific disability populations and unserved or underserved populations, and other
public and private entities. Describe the expected or actual outcomes of these activities.

PART V – STATEWIDE INDEPENDENT LIVING COUNCIL (SILC)
Section 705 of the Act; 45 CFR Part 1329.14–16

Section A - Composition and Appointment
Item 1 - Current SILC Composition
Provide the requested information for each SILC member in the table. Employment data is
requested in order to ascertain whether the SILC member is employed by a center, a state
agency, or neither. The category in which the member was appointed can be described, for
example, as ex-officio state agency representative, other state agency representative, center
representative, person with a disability not employed by a center or state agency, section 121
funded project director, parent of person with a disability, community advocate, other service
provider, etc.). Include current vacancies, along with the corresponding appointment category
for each. Add more rows as necessary.

Name of
SILC
member

Individual with
a Disability?
(Yes/No)

Employed by
CIL, State
Agency or
Neither

Appointment
Category

Voting or Term
NonStart
Voting
Date

Term
End
Date

Item 2 – SILC Composition Requirements
Provide the number of SILC members requested in each category. Include any current vacancies
in a particular appointment category.
# of SILC
SILC Composition
members
(A) How many members are on the SILC?
(B) How many members of the SILC are individuals with disabilities not
employed by a state agency or a center for independent living?
30

(C) How many members of the SILC are voting members?
(D) How many of the voting members of the SILC are individuals with
disabilities not employed by a state agency or a center for independent
living?

Section B – SILC Membership Qualifications
Section 705(b)(4) of the Act; 45 CFR 1329.14(a)
Item 1 – Statewide Representation
Describe how the SILC is composed of members who provide statewide representation. For
example, you may list the service areas currently represented in the SILC by center
representatives or section 121 representatives. You may also describe the policies and practices
adopted by the SILC to ensure continued statewide representation on the SILC.

31

Item 2 – Broad Range of Individuals with Disabilities from Diverse Backgrounds
Describe how the SILC members represent a broad range of individuals with disabilities from
diverse backgrounds. For example, you may list the different disability groups and minority,
urban and rural populations represented. You may also describe the policies and practices
adopted by the SILC to ensure continued diversity on the SILC.
Item 3 – Knowledgeable about IL
Describe how SILC members are knowledgeable about centers for independent living and
independent living services. For example, you may describe in general terms the SILC
members’ IL background or expertise or efforts made to train members on IL philosophy, laws,
or best practices. You may also describe the policies and practices adopted by the SILC to
ensure continued IL knowledge possessed by members of the SILC. Please, include how the
SILC maintains a training plan for the SILC members and how that work is completed.
Item 4 – Barriers to SILC Appointment
If applicable, please list any barriers encountered meeting the SILC composition requirement this
reporting year; if you list barriers, then please describe the current appointment process.

Section C – SILC Staffing and Support
Item 1 – SILC Staff
Please provide the name and contact information for the SILC executive director, if applicable.
Indicate the number and titles of any other SILC staff, if applicable. Also indicate whether any
SILC staff is also a state agency employee and how the SILC maintains authority over that
person.
Item 2 – SILC Support
Describe the administrative support services for the SILC provided by the DSE, if any.

Section D – SILC Duties
Section 705(c); 45 CFR 1329.15
Item 1 – SILC Duties
Provide a summary of SILC activities conducted during the reporting year related to the SILC’s
duties outlined in section 705(c) of the Act:
(A) State Plan Development or Amendment
Describe any activities related to the joint development or amendment of the state plan. Include
any activities in preparation for developing/modifying the state plan, such as needs assessments,
evaluations of consumer satisfaction, or hearings and forums.
32

(B) Monitor, Review and Evaluate the Implementation of the State Plan
Describe any activities related to the monitoring, review and evaluation of the implementation of
the state plan. Examples of discussion issues may include review of PPRs, SILC participation on
site reviews conducted by OILP, the DSE, and/or other relevant federal or state agencies,
comments from persons with disabilities, surveys conducted, etc. Describe how the evaluation
plan is being followed. Please, include how the satisfaction of consumers is being included in the
evaluation.
(C) Coordination with Other Disability Councils
Describe the SILC’s coordination of activities with the State Rehabilitation Council (SRC)
established under section 105, if the state has such a Council, or the commission described in
section 101(a)(21)(A), if the state has such a commission, and councils that address the needs of
specific disability populations and issues under other federal law. Please state whether the SILC
has at least one representative serving as a member of the SRC and whether the SILC has any
members serving on other councils, boards or commissions in the state.
(D) Public Meeting Requirements
Describe how the SILC has ensured that all regularly scheduled board and committee meetings
and other public hearings and forums hosted by the SILC are open and accessible to the public
and to people with disabilities and sufficient advance notice is provided. This summary may
include, for example, how meetings were publicized, what methods were used to ensure that
individuals across the state had access to meetings and outreach to special populations, state
notification requirements, if and how virtual meetings were used, publicized, and accessible
(e.g., materials available electronically are 508 compliant and, upon request, available in
alternative and accessible formats, etc.).
Item 2 – Other Activities
Describe any other SILC activities funded by non-Part B funds. Please note that the SILC may
use Part B funds only to conduct the activities outlined in section 705 of the Act. For example,
DSE and or SILC staff may be providing information and referrals (I&Rs) I&R in the form of
referrals. If so, use this section to explain how I&R is provided by the DSE or SILC. Include
numbers if available Any activities that do not fall into the SILC’s federal duties may only be
conducted with non-federal funds.

Section E – Training and Technical Assistance Needs
Section 721(b)(3) of the Act
Please choose up to 10 priorities that reflect the technical assistance and training needs of the
SILC. Using the column on the right, indicate the SILC’s top priorities rating items 1 through
10, with 1 being the top priority. Report any comments or clarifications using the blank space at
the end of the subpart. The needs identified will be used to design CIL and SILC training
opportunities offered through the training and technical assistance program. Please provide any
additional comments in the write-in space provided.
33

34

SUBPART VI – SPIL COMPARISON AND UPDATES, OTHER
ACCOMPLISHMENTS AND CHALLENGES
Section 704(n) of the Act

Section A – Comparison of Reporting Year Activities with the SPIL
Item 1 – Progress in Achieving Objectives and Goals
Describe progress made in achieving the objectives and goals outlined in the most recently
approved SPIL. Discuss goals achieved and/or in progress as well as barriers encountered.
Item 2 – Updates to SPIL Information
Provide any changes to the information contained in the currently approved SPIL. In particular,
discuss any changes that may have occurred to the DSE administration of the ILS program, SILC
placement, legal status, membership or autonomy, SILC budget, or the statewide network of
centers.
Note: All SPIL changes must be approved by ACL. An amendment to the SPIL is
required, in addition to this update, if there has been a significant and relevant change in
the information or assurances in the plan, the administration or operation of the plan; or
the organization, policies, or operations of the DSE (if the change materially affects the
information or assurances in the plan).

Section B – Significant Activities and Accomplishments
Describe any significant activities and accomplishments that relate to the SPIL achieved by the
DSE and SILC during the reporting year and not included elsewhere in the report, e.g., brief
summaries of outcomes met, innovative practices identified through SPIL activities, improved
service delivery to consumers, etc.

Section C – Substantial Challenges
Describe any substantial problems encountered by the DSE and SILC not included elsewhere in
this report and discuss resolutions/attempted resolutions. Examples include difficulty in outreach
efforts, disagreements between the SILC and the DSE, complications recruiting SILC members,
complications working with other State agencies or organizations within the State, and funding
challenges.

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Section D – Additional Information
Provide any other information, comments or explanations of the reporting year activities and data
that were not previously included in other sections of the report. Please include any suggestions
that may be helpful to other state agencies, SILCs, CILs and OILP.

Section E – Standards and Assurances
Please, describe barriers—if any—in meeting the standards and assurances for the DSE, for the
SILC, and meeting the SILC minimum indicators, which are listed at
https://acl.gov/sites/default/files/about-acl/2020-06/SILC%20Indicators%209.2017.pdf.

SUBPART VII - SIGNATURES
Provide signatures, printed names, titles and phone numbers of DSE director(s) and SILC chair.

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