OMB control number
State Plan of Assistive Technology
OMB 0985-0048 · HHS/ACL.
Section 4 of the Assistive Technology Act of 2004 (AT Act) provides grants to states to operate comprehensive statewide assistive technology programs (Statewide AT Programs) that increase access to and acquisition of AT devices and services for individuals with disabilities and older Americans. States are required to submit an application to ACL in order to receive funds under this grant program. Section 4(d) of the AT Act requires that this application contain: (1) Information identifying and describing the lead agency and implementing entity (if applicable) responsible for carrying out the Statewide AT Program and a description of how the implementing entity (if applicable) coordinates and collaborates with the state; (2) A description of how public and private entities were involved in the development of the application and will be involved in implementation of the grant, including the resources to be committed by these entities; (3) A description of how the Statewide AT Program will implement the activities required under the grant, which include state financing, device reutilization, device loans, device demonstrations, training, technical assistance, and public awareness. Statewide AT Programs must conduct these activities in coordination and collaboration with other appropriate entities; (4) An explanation of how the grant funds will be allocated, used, and tracked; (5) A set of assurances; and (6) A description of the activities that will be supported with State funds. The information collected through this State Plan for AT instrument is necessary for ACL and states to comply with Sections 4 and 7 of the AT Act.
The latest form for State Plan of Assistive Technology expires 2027-09-30 and can be found here.
Document Name |
|---|
Form and Instruction |
Supplementary Document |
Supporting Statement A |
| Revision of a currently approved collection | 2024-06-28 | ||
|
Approved without change |
Reinstatement without change of a previously approved collection | 2021-05-26 | |
|
Approved without change |
Reinstatement with change of a previously approved collection | 2018-02-07 | |
|
Approved without change |
Extension without change of a currently approved collection | 2015-05-18 |