Ils Ppr

REPORTING INSTRUMENT
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)

INSTRUMENT
(To be completed by Designated State Entities
and Statewide Independent Living Councils)
Reporting Fiscal Year: _____________________________
State: ___________________________________________

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 0985-00043). 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.

Contents
Reporting Instrument ...................................................................................................................... 1
STATE INDEPENDENT LIVING SERVICES PROGRAM ........................................................ 1
SubPart I – Administrative Data ..................................................................................................... 4
Section A – Comparison of Sources and Amounts of Funds and Resources for Reporting Year
Versus the SPIL .......................................................................................................................... 4
Item 1 -Sources and Amounts of Funds Received by the DSE
Item 2 - Sources and Amounts of Funds Received by the DSE as Planned in the SPIL
Item 3 - Deviations from the SPIL …………………………….
Section B – Distribution of Title VII, Chapter 1, Part B Funds.................................................. 6
Section C – Grants or Contracts Used to Distribute Title VII, Chapter 1, Part B Funds............ 7
Section D - Grants or Contracts for Purposes Other than Providing IL Services or for the
General Operation of Centers ..................................................................................................... 7
Section E – Monitoring Title VII, Chapter 1, Part B Funds ........................................................... 9
Section F – Administrative Support Services and Staffing ........................................................ 9
Section G – For Section 723 States ONLY ................................................................................ 9
Item 1 – Distribution of Part C Funds to Centers ........................................................................... 9
Item 2 – Administrative Support Services .................................................................................... 10
Item 3 – Monitoring and Onsite Compliance Reviews ................................................................. 10
Item 4 – Updates or Issues ............................................................................................................ 10
SubPart II – Number and Types of Individuals with significant disabilities receiving services .. 11
Section A – Number of Consumers Served During the Reporting Year .................................. 11
Section B –Number of CSRs Closed by September 30 of the Reporting Year ........................ 11
Section C –Number of CSRs Active on September 30 of the Reporting Year......................... 12
Section D – IL Plans and Waivers ............................................................................................ 12
Section E – Age ........................................................................................................................ 12
Section F – Sexual Orientation and Gender Identity ................................................................ 12
Section G – Race and Ethnicity ................................................................................................ 13
Section H – Disability ............................................................................................................... 14
SubPart III – Individual Services and Achievements funded through Title VII, Chapter 1, PART
B funds .......................................................................................................................................... 15
Section A – Individual Services and Achievements ................................................................. 15
Services ......................................................................................................................................... 15
Section B – Increased Independence and Community Integration ........................................... 16
Subpart IV – Outreach andCoordination ...................................................................................... 19
Section A – Outreach to Unserved and Underserved .................................................................. 19
Section B– Coordination ................................................................Error! Bookmark not defined.
SUBPart V – Statewide Independent Living Council (SILC) ...................................................... 20
Section A - Composition and Appointment .............................................................................. 20
Item 1 – Current SILC Composition............................................................................................. 20
Item 2 – SILC Composition Requirements ....................................Error! Bookmark not defined.
Section B – SILC Membership Qualifications ......................................................................... 21
Item 1 – Statewide Representation ............................................................................................... 21
Item 2 – Broad Range of Individuals with Disabilities from Diverse Backgrounds .................... 21
Item 3 -- Knowledgeable about IL
Item 4 - Barriers to SILC Appointments
Section C – SILC Staffing and Support…………………………………………………….…23
2

Section D – SILC Duties........................................................................................................... 22
Item 1 – SILC Duties .................................................................................................................... 22
Item 2 – Other Activities............................................................................................................... 22
Section E – Training and Technical Assistance Needs ............................................................. 24
SubPart VI – State plan for independent living (SPIL) Comparison and updates, Other
Accomplishments and Challenges of the Reporting Year ............................................................ 28
Section A – Comparison of Reporting Year Activities with the SPIL ..................................... 28
Item 1 – Progress in Achieving Objectives and Goals ................................................................. 28
Item 2 – SPIL Information Updates .............................................................................................. 28
Section B– Significant Activities and Accomplishments ......................................................... 28
Section C – Substantial Challenges .......................................................................................... 28
Section D – Additional Information ......................................................................................... 28
Section E – Standards and Assurances ..................................................................................... 28
SubPart VII - signatures ................................................................................................................ 30

3

SUBPART I – ADMINISTRATIVE DATA
Section A – Comparison of Sources and Amounts of Funds and Resources for
Reporting Year Versus the SPIL
Sections 704(c) and 704(m)(3)(4)
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 actual funds spent. Enter “0” for none.
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
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

4

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)
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)
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 and its uses.

5

Section B – Distribution of Title VII, Chapter 1, Part B Funds
Section 713 of the Act; 45 CFR 1329.10

What Activities were
Conducted with Part B Funds?

Expenditures of
Part B Funds for
Services by DSE
Staff

Expenditures for
Services
Rendered by
Grant or
Contract

(1) Provided resources to the SILC to carry out its
functions

$

$

(2) Provided IL services to individuals with
significant disabilities

$

$

(3) Demonstrated ways to expand and improve IL
services

$

$

(4) Supported the general operation of CILs that
are in compliance with the standards and
assurances set forth in subsections (b) and (c)
of section 725 of the Act

$

$

(5) Supported activities to increase capacity to
develop approaches or systems for providing
IL services

$

$

(6) Conducted studies and analyses, gathered
information, developed model policies, and
presented findings in order to enhance IL
services

$

$

(7) Provided training regarding the IL philosophy

$

$

(8) Provided outreach to unserved or underserved
populations, including minority groups and
urban and rural populations

$

$

(9) Performance of DSE services, as outlined in
Section 704c(1-4) (cannot be more than 5%)

$

$

6

Section C – Grants or Contracts Used to Distribute Title VII, Chapter 1, Part B Funds
Sections 704(f) and 713 of the Act
Enter the requested information for all DSE grants or contracts, funded at least in part by Part B funds, in the chart below. Please
exclude Part C amounts from the listing of Non-Part B funds, but include Part C CILs if they are also receiving Part B funds. If a
column is not applicable to a particular grant or contract, enter “N/A.” If there were no non-Part B funds provided to this grantee or
contractor for the purpose listed, enter “$0” in that column. Please check ‘yes’ in the last clumn if the grantee or contractor is a CIL as
designated in the SPIL. Add more rows as necessary.

Name of Grantee or
Contractor

Total Amount of Grants
and Contracts

Use of Funds
(based on the activities listed in
Subpart I, Section B)

Amount of
Part B
Funds

Amount of
Non-Part B
Funds

$

$

Designated as a
CIL in the
SPIL? (Yes/No)

Section D - Grants or Contracts for Purposes Other than Providing IL Services or for the General
Operation of Centers
Section 713 of the Act

7

Describe the objectives, activities and results for each Part B grant or contract awarded for purposes other than IL services or the
general operation of centers.

8

Section E – Monitoring Title VII, Chapter 1, Part B Funds
45 CFR 1329.12
Provide a summary of the program and / or fiscal review, evaluation and monitoring conducted
by the state of any of the grantees/contractors receiving Part B funds during the reporting year.
For CILs that only receive part B money, describe how it is confirmed that they meet the
definition of a CIL, as described in Section 702(2). See instructions for the definition.

Section F – Administrative Support Services and Staffing
Section 704(c)(2) and 704 (m)(2) and (4) of the Act
Item 1 – Administrative Support Services
Describe any administrative support services, including staffing, provided by the DSE to the Part
B Program.
Item 2 - Staffing
Enter requested staff information for the DSE and service providers listed in Section C, above
(excluding Part C funded CILs):

Type of Staff

Total Number
of FTEs

FTEs filled by
Individuals with
Disabilities

Decision-Making Staff
Other Staff

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 chart below, please provide the following information:
A) name of each center within your state that received Part C funding during the reporting
year;
B) amount of Part C funding each center received;
C) whether the Part C funding included a cost-of-living increase;

9

D) whether the Part C funding included any excess funds remaining after cost-of-living
increases were provided;
E) whether any of the centers received its Part C funding pursuant to a competition for a new
center in the state; and
F) whether the center was the subject of an onsite compliance review conducted by the DSE
during the reporting year.

Name of CIL

Amount of
Part C
Funding
Received

Cost of
Living
Increase?
(Yes/No)

Excess
Funds
After Cost
of Living New
Increase? Center?
(Yes/No)
(Yes/No)

Onsite
Compliance
Review of
Center?
(Yes/No)

Add additional rows as necessary.
Item 2 – Administrative Support Services
Section 704(c)(2) of the Act
Describe the administrative support services used by the DSE to administer the Part C program.
Item 3 – Monitoring and Onsite 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 onsite reviews of at least 15% of centers
receiving Part C funds under section 723. The summary should include, at least, the following:
A)
B)
C)
D)

centers’ level of compliance with the standards and assurances in Section 725 of the Act;
any adverse actions taken against centers;
any corrective action plans entered into with centers; and
exemplary, replicable or model practices for centers.

Item 4 – Updates or Issues
Provide any updates to the administration of the Part C program by the DSE, if any, 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.

10

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 for the centers 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 Consumer Service Records (CSRs) for all consumers served during the year.
# of CSRs
(1) Enter the number of active CSRs carried over from September 30 of
the preceding reporting year
(2) Enter the number of CSRs started since October 1 of the reporting
year
(3) Add lines (1) and (2) to get the total number of consumers served

Section B –Number of CSRs Closed by September 30 of the Reporting Year
Include the number of consumer records closed out of the active CSR files during the reporting
year because the individual has:
# of CSRs
(1) Moved
(2) Withdrawn
(3) Died
(4) Completed all goals set
(5) Other
(6) Add lines (1) + (2) + (3) + (4) +(5) to get total CSRs closed

11

Section C –Number of CSRs Active on September 30 of the Reporting Year
Indicate the number of CSRs active on September 30th of the reporting year.
# of CSRs
Section A(3) Section (B)(6) = Section C

Section D – IL Plans and Waivers
Indicate the number of consumers in each category below.
# of Consumers
(1) Number of consumers who signed a waiver
(2) Number of consumers with whom an ILP was developed
(3) Total number of consumers served during the reporting year

Section E – Age
Indicate the number of consumers in each category below.
# of Consumers
(1) Under 5 years old
(2) Ages 5 – 19
(3) Ages 20 – 24
(4) Ages 25 – 59
(5) Age 60 and Older
(6) Age unavailable

Section F – Sexual Orientation & Gender Identity
Which of the following best represents how you self-identify? [Select ONE]:

12

# of Consumers
(1) Number of individuals served who identify as female
(2) Number of individuals served who identify as male
(3) Number of individuals served who identify as non-binary
(4) Number of individuals served who identify as two-spirit
(5) Number of individuals served who identify as transgender
Which of the following best represents how you self-identify? [Select ONE]
# of Consumers
(1) Number of individuals served who identify as lesbian or gay
(2) Number of individuals served who identify as straight, that is, not gay
or lesbian
(3) Number of individuals served who identify as bisexual
(4) Number of individuals served who identify as two-spirit (among
AIAN)
(5) Number of individuals served who use a different term
(6) Number of individuals served who prefer not to answer

Section G – Race and Ethnicity
Indicate the number of consumers served in each category below. Each consumer may be
counted under ONLY ONE of the following categories in the Program Performance Report,
even if the consumer reported more than one race and/or Hispanic/Latino ethnicity).
This section reflects a new OMB directive.
Please refer to the Instructions before completing.
# of Consumers
(1) American Indian or Alaska Native
(2) Asian
(3) Black or African American
(4) Native Hawaiian or Other Pacific Islander
(5) White

13

(6) Hispanic/Latino of any race or Hispanic/ Latino only
(7) Two or more races
(8) Race and ethnicity unknown

Section H – Disability
Indicate the number of consumers in each category below.
# of Consumers
(1) Cognitive
(2) Mental/Emotional
(3) Physical
(4) Hearing
(5) Vision
(6) Multiple Disabilities
(7) Other

14

SUBPART III – INDIVIDUAL SERVICES AND
ACHIEVEMENTS FUNDED THROUGH TITLE VII, CHAPTER
1, PART B FUNDS
Sections 13 and 704(m)(4); 45 CFR 1329.12(a)(3–4); Government Performance Results Act
(GPRA) Performance Measures
Subpart III contains new data requests. Please refer to the Instructions before completing.

Section A – Individual Services and Achievements
For the reporting year, indicate in the chart below how many consumers requested and received
each of the following IL 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.

Services

Consumers
Requesting
Services

Consumers
Receiving
Services

(A) Advocacy/Legal Services
(B) Assistive Technology
(C) Children’s Services
(D) Communication Services
(E) Counseling and Related Services
(F) Family Services
(G) Housing, Home Modifications, and Shelter Services
(H) IL Skills Training and Life Skills Training
(I) Information and Referral Services
(J) Mental Restoration Services
(K) Mobility Training
(L) Peer Counseling Services
(M) Personal Assistance Services
(N) Physical Restoration Services
(O) Preventive Services

15

Services

Consumers
Requesting
Services

Consumers
Receiving
Services

(P) Prostheses, Orthotics, and Other Appliances
(Q) Recreational Services
(R) Rehabilitation Technology Services
(S) Therapeutic Treatment
(T) Transportation Services
(U) Youth/Transition Services
(V) Vocational Services
(W) Other Services

Section B – Increased Independence and Community Integration
Item 1 – Goals Related to Increased Independence in a Significant Life Area
Indicate the number of consumers who set goals related to the following significant life areas, the
number whose goals are still in progress, and the number who achieved their goals as a result of
the provision of IL services.

Significant Life Area

Goals Set

Goals
Achieved

In
Progress

(A) Self-Advocacy/Self-Empowerment
(B) Communication
(C) Mobility/Transportation
(D) Community-Based Living
(E) Educational
(F) Vocational
(G) Self-care
(H) Information Access/Technology
(I) Personal Resource Management
(J) Relocation from a Nursing Home or Institution
to Community-Based Living
16

Significant Life Area

Goals Set

Goals
Achieved

In
Progress

(K) Community/Social Participation
(L) Other (text field; Please describe)
Item 2 – Improved Access to Transportation, Health Care and Assistive Technology
(A) Table
In column one, indicate the number of consumers who required access to previously unavailable
transportation, health care services, or assistive technology during the reporting year. Of the
consumers listed in column one, indicate in column two, the number of consumers who, as a
result of the provision of IL services (including the core services), achieved access to previously
unavailable transportation, health care services, or assistive technology during the reporting year.
In column three, list the number of consumers whose access to transportation, health care
services or assistive technology is still in progress at the end of the reporting year.

Areas

# of Consumers
Requiring Access

# of Consumers
Achieving Access

# of Consumers
Whose Access is
in Progress

(A) Transportation
(B) Health Care Services
(C) Assistive Technology
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 information and referral (I&R) services. To
document 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.
(B) I&R Information
To inform ACL how many service providers engage in I&R follow-up contacts regarding access
to transportation, health care services or assistive technology, please indicate the following:
The service provider did ___ / did not ___ engage in follow-up contacts with I & R
recipients to document access gained to previously unavailable transportation, health care
or assistive technology.

17

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.

18

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
With respect to services and centers funded with Part B & C funds and IL network activities
included in the SPIL outreach plan, summarize the outreach activities to populations that are
unserved or underserved during the reporting year. In the summary, identify the disability
issue(s) addressed as well as the type of activity conducted. Indicate the entity(ies) primarily
involved and the unserved/underserved group identified in the activity. Describe the primary
objective(s) and outcome(s) for these activities and benefits to unserved or underserved
populations.

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 outreach activities.

19

SUBPART 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
In the chart below, provide the requested information for each SILC member. 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
Appointment Voting or Term Start
Neither
Category
Non-Voting Date

Term End
Date

Item 2 – SILC Composition Requirements
Please provide the information requested in the chart below. Include any current vacancies in a
particular appointment category.

SILC Composition

# of SILC
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?
(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?

20

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.
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.
Item 3 – Knowledgeable about IL
Describe how SILC members are knowledgeable about centers for independent living and
independent living services and t how the SILC maintains a training plan for the SILC members
and how that work is completed.
Item 4 – Barriers to SILC Appointments
If applicable, please list any barriers encountered meeting the SILC composition requirement this
reporting year; if barriers are listed, then please describe the current appointment process.

21

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 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 listed below:
(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, hearings and forums.

(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 and how the evaluation plan is being followed. Please, include how consumer
satisfaction 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.

22

23

(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,
including people with disabilities,and sufficient advance notice is provided.
Item 2 – Other Activities
Describe any other SILC activities funded by non-Part B funds. For example, DSE and or SILC
staff may be providing I&R in the form of referrals. Please explain how I&R is provided by DSE
or SILC, if applicable. Include numbers if available.

Section E – Training and Technical Assistance Needs
Section 721(b)(3) of the Act
Please identify the SILC’s training and technical assistance needs. The needs identified in this
chart will guide the priorities set by ACL for the training and technical assistance provided to
CILs and SILCs.

Training and Technical Assistance Needs

Choose up to 10
Priority Needs —
Rate items 1–10
with 1 being most
important

Advocacy/Leadership Development
General Overview
Community/Grassroots Organizing
Individual Empowerment
Systems Advocacy
Legislative Process
Applicable Laws
General overview and promulgation of various disability laws
Americans with Disabilities Act
Air-Carrier’s Access Act
Fair Housing Act
Individuals with Disabilities Education Improvement Act
Medicaid/Medicare/PAS/waivers/long-term care
Rehabilitation Act of 1973, as amended
Social Security Act
Workforce Innovation and Opportunity Act of 2014
Ticket to Work and Work Incentives Improvement Act of 1999
24

Training and Technical Assistance Needs
Government Performance Results Act of 1993
Assistive Technologies
General Overview
Data Collecting and Reporting
General Overview
704 Reports / Program Performance Reports

Choose up to 10
Priority Needs —
Rate items 1–10
with 1 being most
important

Performance Measures contained in Program Performance Report
Dual Reporting Requirements
Case Service Record Documentation
Disability Awareness and Information
Specific Issues
Evaluation
General Overview
CIL Standards and Indicators
Community Needs Assessment
Consumer Satisfaction Surveys
Focus Groups
Outcome Measures
Financial: Grant Management
General Overview
Federal Regulations
Budgeting
Fund Accounting
Financial: Resource Development
General Overview
Diversification of Funding Base
Fee-for-Service Approaches
For Profit Subsidiaries
Fund-Raising Events of Statewide Campaigns
Grant Writing

25

Training and Technical Assistance Needs
Independent Living Philosophy
General Overview
Innovative Programs
Best Practices
Specific Examples
Management Information Systems

Choose up to 10
Priority Needs —
Rate items 1–10
with 1 being most
important

Computer Skills
Software
Marketing and Public Relations
General Overview
Presentation/Workshop Skills
Community Awareness
Networking Strategies
General Overview
Electronic
Among CILs & SILCs
Community Partners
Program Planning
General Overview of Program Management and Staff Development
CIL Executive Directorship Skills Building
Conflict Management and Alternative Dispute Resolution
First-Line CIL Supervisor Skills Building
IL Skills Modules
Peer Mentoring
Program Design
Time Management
Team Building

26

Training and Technical Assistance Needs
Outreach to Unserved/Underserved Populations
General Overview
Disability
Minority
Institutionalized Potential Consumers
Rural

Choose up to 10
Priority Needs —
Rate items 1–10
with 1 being most
important

Urban
SILC Roles/Relationship to CILs
General Overview
Development of State Plan for Independent Living
Implementation (monitor & review) of SPIL
Public Meetings
Role and Responsibilities of Executive Board
Role and Responsibilities of General Members
Collaborations with In-State Stakeholders
CIL Board of Directors
General Overview
Roles and Responsibilities
Policy Development
Recruiting/Increasing Involvement
Volunteer Programs
General Overview
Optional Areas and/or Comments (write-in)

27

SUBPART VI – STATE PLAN FOR INDEPENDENT LIVING
(SPIL) COMPARISON AND UPDATES, OTHER
ACCOMPLISHMENTS AND CHALLENGES OF THE
REPORTING YEAR
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 – SPIL Information Updates
If applicable, describe any changes to the information contained in the SPIL that occurred during
the reporting year, including the placement, legal status, membership or autonomy of the SILC;
the SILC resource plan, the design of the statewide network of centers; and the DSE
administration of the ILS program.

Section B– Significant Activities and Accomplishments
If applicable, describe any significant activities and accomplishments achieved by the DSE and
SILC not included elsewhere in the report, e.g. brief summaries of innovative practices,
improved service delivery to consumers, etc.

Section C – Substantial Challenges
If applicable, describe any substantial problems encountered by the DSE and SILC, not included
elsewhere in this report, and discuss resolutions/attempted resolutions, e.g., 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.

Section D – Additional Information
Include any additional information, suggestions, comments or explanations not included
elsewhere in the report.

Section E – Standards and Assurances
28

Please, describe barriers—if any—in meeting the standards and assurances for the DSE, for the
SILC, and meeting the SILC minimum indicators.

29

SUBPART VII - SIGNATURES
Please sign and print the names, titles and telephone numbers of the DSE directors(s) and SILC
chairperson.

SIGNATURE OF SILC CHAIRPERSON

NAME AND TITLE OF SILC CHAIRPERSON

SIGNATURE OF DSE DIRECTOR

NAME AND TITLE OF DSE DIRECTOR

DATE

PHONE NUMBER

DATE

PHONE NUMBER

30