0 training: general training is not public awareness – training has more depth and breadth. if the...
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Training:Training:GeneralGeneral
Training is not public awareness – training has more Training is not public awareness – training has more depth and breadth.depth and breadth.
If the purpose is to create awareness, the training If the purpose is to create awareness, the training session is public awareness. session is public awareness.
Working with individual consumers on devices or Working with individual consumers on devices or troubleshooting problems is “Individual Assistance” troubleshooting problems is “Individual Assistance” under Public Awareness. under Public Awareness.
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Training:Training:General General
Training is provided to individuals (even if they Training is provided to individuals (even if they attend as a group) and increases attend as a group) and increases skills/competencies.skills/competencies.
Technical assistance is provided to agencies and Technical assistance is provided to agencies and involves problem solving involves problem solving
Technical assistance may include training. Technical assistance may include training.
If you train as part of TA it can be included here – but If you train as part of TA it can be included here – but if training was the ONLY TA activity, you don’t if training was the ONLY TA activity, you don’t include it in TA as wellinclude it in TA as well
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Training:Training:Geographic DistributionGeographic Distribution
Geographic distribution of those to whom you provided Geographic distribution of those to whom you provided training – not where you provided the training.training – not where you provided the training.
For consumers, use county of residence.For consumers, use county of residence.
For professionals, use county in which the professional For professionals, use county in which the professional provides services.provides services.
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Training:Training:ParticipantsParticipants
Type of ParticipantArea of Residence
TotalMetroRUCC 1-3
UrbanRUCC 4-7
RuralRUCC 8-9 Unknown
Individuals with disabilities System- generated
Family members, guardians, and authorized representatives
System- generated
Educational organizations System- generated
Employers and businesses System- generated
Providers of employment and/or training services
System- generated
Health, allied health, and rehabilitation organizations
System- generated
Others System- generated
Unable to categorize System- generated
Total System- generated
System- generated
System- generated
System- generated
System- generated
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Training: Training: Training TopicsTraining Topics
Primary Topic of Training Number of Training Participants
1. AT Products/Services
Training focused on AT: such as instruction to increase skills and competency in using AT, and integrating AT into different settings
Computers and related
Daily living
Environmental adaptations
Hearing
Learning, cognition. and developmental
Mobility, seating and positioning
Recreation, sports, and leisure
Speech communication
Vehicle modification and transportation
Vision
Other (specify)
2. AT Funding/Policy/Practice Funding sources and related laws, policies, and procedures
Accessible IT, telecommunications, voting, or textbooks
Other funding/policy/practice topic (specify)
3. Combination of AT Products/Services and AT Funding/Policy/Practice
4. Transition Education transition (including school to work or postsecondary education and Part C to Part B)
Community transition (adults to community living)
Other (specify)
Other Topic (Specify)
Total System- generated
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Training:Training:NotesNotes
Describe one Describe one innovative or high-impact training* activityinnovative or high-impact training* activity conducted during this reporting period. conducted during this reporting period.
Describe one Describe one transition trainingtransition training conducted during this conducted during this reporting period. reporting period.
Who conducted the training? Who conducted the training?
Who attended (including number)?Who attended (including number)?
What was the topic, content, and/or approach? What was the topic, content, and/or approach?
What was the result?What was the result?
Do not include overall descriptions of conferences.Do not include overall descriptions of conferences.
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TrainingTraining
No performance measuresNo performance measures
No customer satisfactionNo customer satisfaction
Coordination and CollaborationCoordination and Collaboration
NotesNotes
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Technical Assistance:Technical Assistance:GeneralGeneral
TA is provided to agencies, not individuals.TA is provided to agencies, not individuals.
Troubleshooting devices for individuals is “Individual Troubleshooting devices for individuals is “Individual Assistance” under Public Awareness.Assistance” under Public Awareness.
Training focuses on increasing skills and is done for Training focuses on increasing skills and is done for individuals (even in groups) – TA is problem solving for individuals (even in groups) – TA is problem solving for an entity.an entity.
If training was the only kind of TA you provided, this is If training was the only kind of TA you provided, this is training and not TA.training and not TA.
If training was only one part of TA, it can be both TA If training was only one part of TA, it can be both TA and training.and training.
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TA: TA: Frequency and NatureFrequency and Nature
1.1. How many How many majormajor technical assistance activities did technical assistance activities did you conduct during the reporting period? ___ you conduct during the reporting period? ___
(Respondents who enter “1” or more will receive (Respondents who enter “1” or more will receive balance of section.) balance of section.)
(If Item 1=0)(If Item 1=0) You can see a read-only. You can see a read-only.
Complete this section for each major technical Complete this section for each major technical assistance activity that you conducted. If you have assistance activity that you conducted. If you have more than one activity to report, you will need to more than one activity to report, you will need to complete this section more than once. After you have complete this section more than once. After you have completed your first entry, you will be given an completed your first entry, you will be given an opportunity to repeat this section in order to report opportunity to repeat this section in order to report additional activities. additional activities.
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TA:TA:Frequency and NatureFrequency and Nature
1. Recipient of technical assistance: 1. Recipient of technical assistance:
Radio buttons for “check all that apply”: Radio buttons for “check all that apply”:
(1)(1) education agency or organization;education agency or organization;
(2)(2) employer or business; employer or business;
(3) provider of employment/training services; (3) provider of employment/training services;
(4) public or private agency or organization not (4) public or private agency or organization not otherwise classified above; otherwise classified above;
(5) manufacturer/ vendor; (5) manufacturer/ vendor;
(6) other (specify)(6) other (specify)
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TA:TA:Frequency and NatureFrequency and Nature
3. For this technical assistance activity, identify the policy expertise areas and3. For this technical assistance activity, identify the policy expertise areas and product/service expertise areas that were addressed. If the technical assistance product/service expertise areas that were addressed. If the technical assistance activity included both policy and product/service expertise, select both. activity included both policy and product/service expertise, select both.
Note that mandatory transition activities that are technical assistance activities are Note that mandatory transition activities that are technical assistance activities are reported here under product/service expertise. Mandatory transition activities that are reported here under product/service expertise. Mandatory transition activities that are training activities are reported in the training section. training activities are reported in the training section.
Radio buttons for “check all that apply”: (1) policy area; (2) product/service areaRadio buttons for “check all that apply”: (1) policy area; (2) product/service area
(If policy area) Identify the policy areas on which the technical assistance* focused. (If policy area) Identify the policy areas on which the technical assistance* focused. Choose all that apply. Choose all that apply.
Radio buttons: (1) ADA/504; (2) IDEA Part C; (3) IDEA Part B; (4) Section 508 and Radio buttons: (1) ADA/504; (2) IDEA Part C; (3) IDEA Part B; (4) Section 508 and Section 255; (5) WIA/Rehabilitation Act/VR; (6) Medicaid; (7) Medicare; (8) Private Section 255; (5) WIA/Rehabilitation Act/VR; (6) Medicaid; (7) Medicare; (8) Private insurance; (9) HAVA; (10) Older Americans Act; (11) SSI/SSDI/Work Incentives; insurance; (9) HAVA; (10) Older Americans Act; (11) SSI/SSDI/Work Incentives; (12) Olmstead (13) other (specify)(12) Olmstead (13) other (specify)
(If product/service area) Identify the product/service areas on which the technical (If product/service area) Identify the product/service areas on which the technical assistance* focused. Choose all that apply. assistance* focused. Choose all that apply.
Radio buttons: (1) Web accessibility; (2) accessible IT procurement; (3) AT Radio buttons: (1) Web accessibility; (2) accessible IT procurement; (3) AT purchasing (cost-effective options);(4) accessible voting systems; (5) AT eligibility purchasing (cost-effective options);(4) accessible voting systems; (5) AT eligibility determinations; (6) AT personnel development; (7) AT resource allocation; (8) AT determinations; (6) AT personnel development; (7) AT resource allocation; (8) AT service delivery options; (8) AT legislation/policy development; (9) specific AT service delivery options; (8) AT legislation/policy development; (9) specific AT device assistance; (10) transition–education; (11) transition–community living; device assistance; (10) transition–education; (11) transition–community living; (12) other (specify) (12) other (specify)
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TA:TA:Frequency and NatureFrequency and Nature
4.4. Duration of technical assistance* during this reporting Duration of technical assistance* during this reporting period: period:
Drop-down box: (1) less than 3 months; (2) 3 to 5 months; Drop-down box: (1) less than 3 months; (2) 3 to 5 months; (3) 6 to 8 months; (3) 6 to 8 months; (4) 9 to 12 months; (5) other (specify) (4) 9 to 12 months; (5) other (specify)
5.5. Approximate number of person hours expended by AT Approximate number of person hours expended by AT program staff to deliver the technical assistance:* program staff to deliver the technical assistance:* (Numeric (Numeric field)field)
6.6. Do you have additional activities to report? If so, select Do you have additional activities to report? If so, select “Yes” and the system will repeat this section. If you select “Yes” and the system will repeat this section. If you select “no,” it will take you to the next section of the reporting form. “no,” it will take you to the next section of the reporting form.
Drop-down box: (1) yes; (2) noDrop-down box: (1) yes; (2) no
(Respondents who choose “1” will repeat Items 1 through 5.)(Respondents who choose “1” will repeat Items 1 through 5.)
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TATA
Coordination and CollaborationCoordination and Collaboration
Description of TA Activity:Description of TA Activity:
One high-impact or innovativeOne high-impact or innovative
One transitionOne transition
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Public Awareness:Public Awareness:GeneralGeneral
Public awareness is intended to reach large audiences Public awareness is intended to reach large audiences and is not as in-depth as training.and is not as in-depth as training.
Public awareness includes:Public awareness includes:
1. Public Awareness1. Public Awareness
2.2. Information DisseminationInformation Dissemination
Information and Referral (not to be confused with Information and Referral (not to be confused with referral related to device demonstration!)referral related to device demonstration!)
IndividualIndividual AssistanceAssistance
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Public Awareness Public Awareness ActivitiesActivities
Public Awareness Activity Estimated Number
of Individuals Reached
Newsletters
Other print materials
Listservs
Internet information
PSA/radio/TV
Presentations/expos/conferences*
Other
Total
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Public Awareness:Public Awareness:Individual AssistanceIndividual Assistance
Report the number of individuals to whom you provided Report the number of individuals to whom you provided individual assistanceindividual assistance, by primary type of , by primary type of information/assistance provided.information/assistance provided.
Provide a count of the number of individuals assistedProvide a count of the number of individuals assisted, , rather than the number of contacts made. rather than the number of contacts made.
If one person made three phone calls in one week, that If one person made three phone calls in one week, that should be counted as one person assisted, not three. should be counted as one person assisted, not three.
If the three phone calls are for different purposes, If the three phone calls are for different purposes, select the primary purpose. select the primary purpose.
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Public Awareness:Public Awareness:Individual AssistanceIndividual Assistance
Individuals Assisted AT Device/Service
At Funding
Related Disability
TopicsTotal
Individuals with disabilities System- generated
Family members, guardians, and authorized representatives
System- generated
Educational organizations System- generated
Employers and businesses System- generated
Providers of employment and/or training services
System- generated
Health, allied health, and rehabilitation organizations
System- generated
Others System- generated
Total System- generated
System- generated
System- generated
System- generated
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Public Awareness:Public Awareness:I&RI&R
Individuals Provided with Information or Referred
AT Device/Service
At Funding
Related Disability
TopicsTotal
Individuals with disabilities System- generated
Family members, guardians, and authorized representatives
System- generated
Educational organizations System- generated
Employers and businesses System- generated
Providers of employment and/or training services
System- generated
Health, allied health, and rehabilitation organizations
System- generated
Others System- generated
Total System- generated
System- generated
System- generated
System- generated
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Public Awareness:Public Awareness:I&RI&R
Each individual assisted with information and/or a Each individual assisted with information and/or a referral should be counted only once, regardless of the referral should be counted only once, regardless of the number of contacts made.number of contacts made.
Coordination and CollaborationCoordination and Collaboration
NotesNotes
2020
Coordination and CollaborationCoordination and Collaboration or State Improvement not or State Improvement not
Previously AddressedPreviously Addressed
Additional Coordination and CollaborationAdditional Coordination and Collaboration
same as in other sectionssame as in other sections
Additional State Improvement InitiativesAdditional State Improvement Initiatives same as in other sectionssame as in other sections
2121
Expenditures and Other Expenditures and Other Financial InformationFinancial Information
In this table, report: In this table, report:
a. The amount of AT Act funds expended for each a. The amount of AT Act funds expended for each state-levelstate-level activity. activity.
b. The b. The totaltotal amount of AT Act funds expended for amount of AT Act funds expended for allall state-level activities.* state-level activities.*
c. The amount of AT Act funds expended for each c. The amount of AT Act funds expended for each state leadership state leadership activity (not including mandatory activity (not including mandatory transition). transition).
d. The amount of AT Act funds expended for d. The amount of AT Act funds expended for transitiontransition activities.activities.
e. The e. The totaltotal amount of AT Act funds expended for amount of AT Act funds expended for allall state leadership activities.state leadership activities.
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Expenditures and Other Expenditures and Other Financial InformationFinancial Information
Integrated Programs: Integrated Programs:
Enter MD into the rows for which you cannot Enter MD into the rows for which you cannot individually report expenditures. individually report expenditures.
Then report the total amount of funds used for Then report the total amount of funds used for “integrated activities” in the integrated activities row.“integrated activities” in the integrated activities row.
Funding only should be reported as integrated when Funding only should be reported as integrated when the activities are truly integrated.the activities are truly integrated.
For example, your device demonstration and device For example, your device demonstration and device loan programs may share both staff and devices, loan programs may share both staff and devices, making it difficult to know how much funds are used for making it difficult to know how much funds are used for each activity. each activity.
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Expenditures and Other Expenditures and Other Financial InformationFinancial InformationActivities AT Act Funds
ExpendedPercentage of Total
Expenditures
Expenditure for stale level activities
State Financing System- generated
Reutilization $ System- generated
Device loans $ System- generated
Device demonstrations $ System- generated
Integrated activities $ System- generated
Total expenditures for state-level activities $ System- generated
Expenditures for state leadership activities
Training and technical assistance (other than transition) $ System- generated
Public awareness $ System- generated
Coordination and collaboration $ System- generated
Transition $ System- generated
Integrated activities $ System- generated
Total expenditures for state leadership activities $ System- generated
Total expenditures for all activities System- generated System- generated
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Additional and Additional and Leveraged FundsLeveraged Funds
Enter the sources and amounts of non-AT Act funds Enter the sources and amounts of non-AT Act funds that you received during this reporting period that you received during this reporting period
Indicate to which activities those funds were allocated. Indicate to which activities those funds were allocated.
Report each source and amount in the reporting period Report each source and amount in the reporting period that it was received, even if not all of the funds were that it was received, even if not all of the funds were expended. expended.
Do not report AFP endowments or matching funds.Do not report AFP endowments or matching funds.
If funds were used for neither State-level or State If funds were used for neither State-level or State Leadership activities report in “Other” and complete Leadership activities report in “Other” and complete narrative section. narrative section.
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Additional and Additional and Leveraged FundsLeveraged Funds
Name of Funding Source
Amount of Funds
1. $ 0 0 0 0 0 0 0 0
2. $ 0 0 0 0 0 0 0 0
3. $ 0 0 0 0 0 0 0 0
4. $ 0 0 0 0 0 0 0 0
5. $ 0 0 0 0 0 0 0 0
6. $ 0 0 0 0 0 0 0 0
7. $ 0 0 0 0 0 0 0 0
8. 0 0 0 0 0 0 0 0
9. $ 0 0 0 0 0 0 0 0
10. (additional rows available as needed
$ 0 0 0 0 0 0 0 0
Sta
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Fin
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Reu
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Dem
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Devic
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Tra
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Tech
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Assis
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Pu
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Aw
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Oth
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Additional and Additional and Leveraged FundsLeveraged Funds
2. (If “other” is selected in Item B.1, Row 1) You 2. (If “other” is selected in Item B.1, Row 1) You indicated that funds from (name of funding source) were indicated that funds from (name of funding source) were used for activities other than the state-level and state used for activities other than the state-level and state leadership activities.leadership activities.
a. Describe the “other” activities for which these fundsa. Describe the “other” activities for which these funds were used. were used.
b. How many individuals were served with theseb. How many individuals were served with these additional funds? If you are unable to report this additional funds? If you are unable to report this number, enter “MD” for missing data and provide an number, enter “MD” for missing data and provide an explanation under “Notes” at the end of this section. explanation under “Notes” at the end of this section. ( (Numeric fieldNumeric field))
c. What outcomes were accomplished with thesec. What outcomes were accomplished with these additional funds? additional funds? (Narrative field) (Narrative field)