**U.S. DEPARTMENT OF EDUCATION**

**OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES**

**REHABILITATION SERVICES ADMINISTRATION**

**WASHINGTON, DC 20202**

> **[POLICY DIRECTIVE]{.underline}**
>
> **RSA-PD-99-09**
>
> **Date: September 8, 1999**

**ADDRESSEES:** STATE VOCATIONAL REHABILITATION AGENCIES (GENERAL)

> STATE VOCATIONAL REHABILITATION AGENCIES (BLIND)
>
> CLIENT ASSISTANCE PROGRAMS
>
> REGIONAL REHABILITATION CONTINUING EDUCATION PROGRAMS (RRCEPS)
>
> AMERICAN INDIAN VOCATIONAL REHABILITATION SERVICE PROGRAMS
>
> RSA SENIOR MANAGEMENT TEAM

**SUBJECT:** Announcement of OMB Approval for Continued Collection of
the Case Service Report (RSA-911), OMB Number: 1820-0508

**POLICY**

**STATEMENT:** This is to inform you that the RSA-911, Case Service
Report, has been approved by the Office of Management and Budget through
January 31, 2000. Please use this form to report on individuals whose
service records were closed in FY 1999 and continue to use this form to
report FY 2000 data. The instructions for this report form are identical
to those transmitted to you under RSA-PD-95-04, dated May 1, 1995, and
RSA-PD-97-02 dated March 12, 1997.

> The due date for submitting the RSA-911 data remains as November 30,
> following the end of a fiscal year. State VR agencies should examine
> their data for accuracy before submitting it to RSA by the deadline of
> November 30. An edit program was provided to each State VR agency on
> diskette. When the proposed Evaluation Standards and Performance
> Indicators under Section 106 of the Rehabilitation Act become final,
> it is very likely that failure to meet this deadline for submitting
> data in a valid, accurate, and consistent format will result in the
> State VR agency being required to develop a program improvement plan.
>
> We expect revised RSA-911 instructions to be issued by the end of this
> calendar year. In order to give State agencies adequate time to
> implement these new instructions, we expect that FY 2001 will be the
> first year that data will be collected and reported in accordance with
> the new instructions.
>
> Submitting RSA-911 data on diskette or CD-ROM is now preferred to
> magnetic tape. All submittals, in whatever form, should be sent to:
>
> Rehabilitation Services Administration
>
> Office of Program Operations
>
> Basic State Grants Branch
>
> Statistical Unit
>
> Switzer Building, Room 3211
>
> 330 C Street S.W.
>
> Washington, DC 20202-2735

**CITATIONS**

**IN LAW:** Sections 12(a), 13, 14(a), 101(a)(10), 131 and 626 of the
Rehabilitation Act of 1973, as amended, and the Paperwork Reduction Act
of 1995, as amended.

**CITATIONS IN**

**REGULATIONS:** 34 CFR 361.38, 361.40, and 361.56

**EXPIRATION**

**DATE:** January 31, 2000

**INQUIRIES**

**TO:** RSA Central Office (202-245-7488) or Regional Offices.

> Fredric K. Schroeder, Ph.D.
>
> Commissioner

Enclosure

Cc: CSAVR

NAPAS

NCIL

NRFC

**Summary of How New RSA-911 System Differs in Content or Instructions
from**

**Previous RSA-911 System, by Data Element in Alphabetical Order**

  ------------------------------------ ------------ --------------------------
  **Data element name**                **Record     **Change, if any,\
                                       position**   from current RSA-911**

  Agency code                          2-3          

  Cost of case services                77-81        

  Date of application                  14-19        

  Date of birth                        20-25        

  Date of closure                      124-129      

  Date of eligibility                  65-70        New data element.

  Highest grade completed              33-34        Code XX for special
                                                    education no longer
                                                    confined to persons with
                                                    mental retardation.

  Hispanic origin                      29           

  Hours worked (application)           56-57        

  Hours worked (closure)               114-115      

  Major disabling condition            46-48        Clarifies reporting for
                                                    TBI.

  Marital status                       28           

  Medical insurance (application)      63           

  Medical insurance (closure)          132          

  Medical insurance available through  64           
  job (application)                                 

  Medical insurance available through  133          
  job (closure)                                     

  Migratory agricultural worker        138          

  Monthly public assistance amount     58-60        
  (application)                                     

  Monthly public assistance amount     116-118      
  (closure)                                         

  Multiple closure code                13           

  Occupation (closure)                 82-87        

  Personal assistance services         140          New data element-includes
                                                    codes for readers,
                                                    interpreters, and
                                                    attendants.

  Previous closure status              30           Clarifies item to show
                                                    that codes pertain to the
                                                    most recent active case
                                                    closure.

  Previous employment status           71           New data element-if ever
                                                    worked.

  Primary source of support            61-62        
  (application)                                     

  Primary source of support (closure)  119-120      

  Projects-with-Industry               139          

  Race                                 27           
  ------------------------------------ ------------ --------------------------

**Summary of How New RSA-911 System Differs in Content or Instructions
from**

**Previous RSA-911 System, by Data Element in Alphabetical Order**

+-----------------------------------+-------+--------------------------+
| **Data element name**             | **R   | **Change, if any,\       |
|                                   | ecord | from current RSA-911**   |
|                                   | posit |                          |
|                                   | ion** |                          |
+-----------------------------------+-------+--------------------------+
| Reason for closure                | 12    | Deletes one code made    |
|                                   | 2-123 | obsolete by the 1992     |
|                                   |       | Amendments.              |
+-----------------------------------+-------+--------------------------+
| Record identifier                 | 1     |                          |
+-----------------------------------+-------+--------------------------+
| Rehabilitation technology         | 14    | New data element.        |
| services                          | 1-143 |                          |
+-----------------------------------+-------+--------------------------+
| > a\. Rehabilitation engineering  | 141   |                          |
+-----------------------------------+-------+--------------------------+
| > b\. Assistive tech devices      | 142   |                          |
+-----------------------------------+-------+--------------------------+
| > c\. Assistive tech services     | 143   |                          |
+-----------------------------------+-------+--------------------------+
| Secondary disabling condition     | 49-51 | Clarifies reporting for  |
|                                   |       | TBI.                     |
+-----------------------------------+-------+--------------------------+
| Services provided                 | 8     | Reduces number of codes  |
|                                   | 8-100 | for reporting services   |
|                                   |       | from 8 to 2 (whether     |
|                                   |       | provided or not).        |
+-----------------------------------+-------+--------------------------+
| > a\. Assessment                  | 88    | Formerly                 |
|                                   |       | diagnosis/evaluation.    |
+-----------------------------------+-------+--------------------------+
| > b\. Restoration                 | 89    | No longer includes       |
|                                   |       | devices.                 |
+-----------------------------------+-------+--------------------------+
| > c\. College/university training | 90    |                          |
+-----------------------------------+-------+--------------------------+
| > d\. Business/vocational         | 91    |                          |
| > training                        |       |                          |
+-----------------------------------+-------+--------------------------+
| > e\. Adjustment training         | 92    | No longer includes       |
|                                   |       | training in the use of   |
|                                   |       | devices.                 |
+-----------------------------------+-------+--------------------------+
| > f\. On-the-job training         | 93    |                          |
+-----------------------------------+-------+--------------------------+
| > g\. Miscellaneous training      | 94    |                          |
+-----------------------------------+-------+--------------------------+
| > h\. Counseling & guidance       | 95    | Narrows reporting to     |
|                                   |       | cases where C&G is       |
|                                   |       | substantial.             |
+-----------------------------------+-------+--------------------------+
| > i\. Job-finding services        | 96    | Expands \"job referral\" |
|                                   |       | to include other job     |
|                                   |       | help services.           |
+-----------------------------------+-------+--------------------------+
| > j\. Job placement               | 97    |                          |
+-----------------------------------+-------+--------------------------+
| > k\. Transportation              | 98    |                          |
+-----------------------------------+-------+--------------------------+
| > l\. Maintenance                 | 99    |                          |
+-----------------------------------+-------+--------------------------+
| > m\. Other services              | 100   | No longer includes       |
|                                   |       | reader and interpreter   |
|                                   |       | services.                |
+-----------------------------------+-------+--------------------------+
| Severe disability                 | 135   | Applies Sec. 7(15)       |
|                                   |       | definition.\             |
|                                   |       | (Current definition      |
|                                   |       | abolished.)              |
+-----------------------------------+-------+--------------------------+
| Sex                               | 26    |                          |
+-----------------------------------+-------+--------------------------+
| Social Security Account Number    | 4-12  | Adds RSA-SSA Data        |
|                                   |       | Exchange as another      |
|                                   |       | rationale for item.      |
+-----------------------------------+-------+--------------------------+
| Source of referral                | 31-32 |                          |
+-----------------------------------+-------+--------------------------+
| Supported employment status       | 130   |                          |
+-----------------------------------+-------+--------------------------+
| Supported employment outcome      | 131   |                          |
+-----------------------------------+-------+--------------------------+

**Summary of How New RSA-911 System Differs in Content or Instructions
from**

**Previous RSA-911 System, by Data Element in Alphabetical Order**

+-----------------------------------+-------+--------------------------+
| **Data element name**             | **R   | **Change, if any,\       |
|                                   | ecord | from current RSA-911**   |
|                                   | posit |                          |
|                                   | ion** |                          |
+-----------------------------------+-------+--------------------------+
| Type of closure whose VR was      | 121   | Adds closure code for    |
| delayed because of order of       |       | eligible persons         |
| selection.                        |       |                          |
+-----------------------------------+-------+--------------------------+
| Type of facility/agency           | 10    |                          |
| furnishing service                | 1-109 |                          |
+-----------------------------------+-------+--------------------------+
| > a\. Educational institution     | 101   |                          |
+-----------------------------------+-------+--------------------------+
| > b\. Business/vocational school  | 102   |                          |
+-----------------------------------+-------+--------------------------+
| > c\. Hospital/sanatorium         | 103   |                          |
+-----------------------------------+-------+--------------------------+
| > d\. Health organization/agency  | 104   |                          |
+-----------------------------------+-------+--------------------------+
| > e\. Community rehabilitation    | 105   | Formerly                 |
| > program                         |       | \"rehabilitation         |
|                                   |       | facility\".              |
+-----------------------------------+-------+--------------------------+
| > f\. Welfare agency              | 106   |                          |
+-----------------------------------+-------+--------------------------+
| > g\. Other public agency         | 107   | Clarifies that \"other\" |
|                                   |       | excludes respondent.     |
+-----------------------------------+-------+--------------------------+
| > h\. Other private agency        | 108   |                          |
+-----------------------------------+-------+--------------------------+
| > i\. Individuals                 | 109   |                          |
+-----------------------------------+-------+--------------------------+
| Type of institution               | 44-45 |                          |
+-----------------------------------+-------+--------------------------+
| Type of public support during VR: | 35-43 |                          |
+-----------------------------------+-------+--------------------------+
| > a\. SSI-aged                    | 35    |                          |
+-----------------------------------+-------+--------------------------+
| > b\. SSI-blind                   | 36    |                          |
+-----------------------------------+-------+--------------------------+
| > c\. SSI-disabled                | 37    |                          |
+-----------------------------------+-------+--------------------------+
| > d\. AFDC                        | 38    |                          |
+-----------------------------------+-------+--------------------------+
| > e\. General assistance          | 39    |                          |
+-----------------------------------+-------+--------------------------+
| > f\. SSDI                        | 40    |                          |
+-----------------------------------+-------+--------------------------+
| > g\. Veterans disability         | 41    |                          |
+-----------------------------------+-------+--------------------------+
| > h\. Other disability            | 42    |                          |
+-----------------------------------+-------+--------------------------+
| > i\. Other public support        | 43    |                          |
+-----------------------------------+-------+--------------------------+
| Veteran status                    | 134   |                          |
+-----------------------------------+-------+--------------------------+
| Weekly earnings (application)     | 53-55 | Code XXX for farmer\'s   |
|                                   |       | profits is eliminated.   |
+-----------------------------------+-------+--------------------------+
| Weekly earnings (closure)         | 11    | Code XXX for farmer\'s   |
|                                   | 1-113 | profits is eliminated.   |
+-----------------------------------+-------+--------------------------+
| Work status (application)\        | 52    | Sheltered workshop work  |
| \"extended employment\".          |       | is now                   |
+-----------------------------------+-------+--------------------------+
| Work status (closure)\            | 110   | Sheltered workshop work  |
| \"extended employment\".          |       | is now                   |
+-----------------------------------+-------+--------------------------+
| Year last employed                | 72-73 | New data element.        |
+-----------------------------------+-------+--------------------------+

***Reporting Manual for the***

**CASE SERVICE REPORT**

**[(RSA-911)]{.smallcaps}**

**[State-Federal Program of]{.smallcaps}**

**[Vocational Rehabilitation]{.smallcaps}**

**[⨪]{.smallcaps}Reporting Manual for the Case Service Report
(RSA-911)**

[Table of Contents]{.underline}

[Page]{.underline}

A.  RSA-911 Record Layout iii

```{=html}
<!-- -->
```
B.  Listing of RSA-911 data elements: Their record positions and
    applicable closure codes v

C.  Element-by element instructions **(numbers in parentheses are record
    positions in the RSA-911 card image layout)** 1

1\. Record identifier **(1)** 3

2\. Agency code **(2-3)** 3

3\. Social Security Account Number **(4-12)** 4

4\. Multiple closure code **(13)** 4

5\. Date of application **(14-19)** 4

6\. Date of birth **(20-25)** 4

7\. Sex **(26)** 4

8\. Race **(27)** 5

9\. Marital status **(28)** 5

10\. Hispanic origin **(29)** 5

11\. Previous closure status **(30)** 6

12\. Source of referral **(31-32)** 6

13\. Highest grade completed **(33-34)** 7

14\. Type of public support during VR **(35-43)** 8

15\. Type of institution **(44-45)** 9

16\. Major disabling condition **(46-48)** 10

17\. Secondary disabling condition **(49-51)** 11

\-- Listing of disability codes 12

\-- Hearing impairments: special definitions 20

\-- Mental/emotional conditions: special definitions 20

\-- Deaf/blind: special definition 21

18\. Work status at application **(52)** 23

19\. Weekly earnings at application **(53-55)** 25

20\. Hours worked at application **(56-57)** 26

21\. Monthly public assistance amount at application **(58-60)** 26

22\. Primary source of support at application **(61-62)** 28

23\. Medical insurance coverage at application **(63)** 28

24\. Medical insurance through job at application **(64)** 29

25\. Date of eligibility for VR **(65-70)** 30

26\. Previous employment status **(71)** 30

27\. Year last employed **(72-73)** 30

28\. (Reserved for future use) **(74-76)** 30

29\. Cost of case services **(77-81)** 30

30\. Occupation at closure **(82-87)** 31

31\. Services provided **(88-100)** 32

32\. Type of facility/agency furnishing service **(101-109)** 35

33\. Work status at closure **(110)** 37

34\. Weekly earnings at closure **(111-113)** 39

35\. Hours worked at closure **(114-115)** 39

36\. Monthly public assistance amount at closure **(116-118)** 40

37\. Primary source of support at closure **(119-120)** 41

38\. Type of closure **(121)** 42

39\. Reason for closure **(122-123)** 42

40\. Date of closure **(124-129)** 44

41\. Supported employment status **(130)** 45

42\. Supported employment outcome **(131)** 45

43\. Medical insurance coverage at closure **(132)** 46

44\. Medical insurance through job at closure **(133)** 46

45\. Veteran status **(134)** 47

46\. Severe disability **(135)** 47

47\. (Reserved for future use) **(136-137)** 48

48\. Migratory agricultural worker **(138)** 48

49\. Projects-with-Industry **(139)** 48

50\. Personal assistance services **(140)** 48

51\. Rehabilitation technology services **(141-143)** 49

52\. (Reserved for future use) **(144-150)** 50

D. Edit, tape and diskette specifications 51

E. Special crosschecks to be applied between data elements\* 65

F. The caseload status system 73

**\* Comparison checks between data elements\--designed to enhance
reporting consistency and reasonableness\--are interspersed throughout
Sections C and D. Section E contains the same crosschecks in one place
for the convenience of State agency staff involved in data quality
assurance activities.**

+--------+------------------------------------+-----------------------+
| **RP** | **ELEMENT**                        |                       |
+--------+------------------------------------+-----------------------+
| 1      | \"\*\" ID Single Record Format     |                       |
+--------+------------------------------------+-----------------------+
| 2      | Agency Code                        |                       |
+--------+------------------------------------+-----------------------+
| 3      |                                    |                       |
+--------+------------------------------------+-----------------------+
| 4      | Social Security Account Number     |                       |
+--------+------------------------------------+-----------------------+
| 5      |                                    |                       |
+--------+------------------------------------+-----------------------+
| 6      |                                    |                       |
+--------+------------------------------------+-----------------------+
| 7      |                                    |                       |
+--------+------------------------------------+-----------------------+
| 8      |                                    |                       |
+--------+------------------------------------+-----------------------+
| 9      |                                    |                       |
+--------+------------------------------------+-----------------------+
| 10     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 11     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 12     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 13     | Multiple Closure Code              |                       |
+--------+------------------------------------+-----------------------+
| 14     | Month                              | DATE OF APPLICATION   |
+--------+------------------------------------+-----------------------+
| 15     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 16     | Day                                |                       |
+--------+------------------------------------+-----------------------+
| 17     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 18     | Year                               |                       |
+--------+------------------------------------+-----------------------+
| 19     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 20     | Month                              | DATE OF BIRTH         |
+--------+------------------------------------+-----------------------+
| 21     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 22     | Day                                |                       |
+--------+------------------------------------+-----------------------+
| 23     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 24     | Year                               |                       |
+--------+------------------------------------+-----------------------+
| 25     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 26     | Sex                                |                       |
+--------+------------------------------------+-----------------------+
| 27     | Race                               |                       |
+--------+------------------------------------+-----------------------+
| 28     | Marital Status                     |                       |
+--------+------------------------------------+-----------------------+
| 29     | Hispanic Origin                    |                       |
+--------+------------------------------------+-----------------------+
| 30     | Previous Closure Status            |                       |
+--------+------------------------------------+-----------------------+
| 31     | Referral Source                    |                       |
+--------+------------------------------------+-----------------------+
| 32     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 33     | Highest Grade                      |                       |
|        |                                    |                       |
|        | Completed                          |                       |
+--------+------------------------------------+-----------------------+
| 34     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 35     | SSI-Aged                           | PUBLIC                |
|        |                                    |                       |
|        |                                    | SUPPORT               |
|        |                                    |                       |
|        |                                    | DURING                |
|        |                                    |                       |
|        |                                    | VR                    |
+--------+------------------------------------+-----------------------+
| 36     | SSI-Blind                          |                       |
+--------+------------------------------------+-----------------------+
| 37     | SSI-Disabled                       |                       |
+--------+------------------------------------+-----------------------+
| 38     | AFDC                               |                       |
+--------+------------------------------------+-----------------------+
| 39     | General Assistance                 |                       |
+--------+------------------------------------+-----------------------+
| 40     | SSDI                               |                       |
+--------+------------------------------------+-----------------------+
| 41     | Veteran\'s Disability              |                       |
+--------+------------------------------------+-----------------------+
| 42     | Other Disability                   |                       |
+--------+------------------------------------+-----------------------+
| 43     | Other Public Support               |                       |
+--------+------------------------------------+-----------------------+
| 44     | Type of Institution                |                       |
+--------+------------------------------------+-----------------------+
| 45     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 46     | Major Disabling Condition          |                       |
+--------+------------------------------------+-----------------------+
| 47     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 48     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 49     | Secondary Disabling Condition      |                       |
+--------+------------------------------------+-----------------------+
| 50     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 51     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 52     | Work Status                        | At                    |
|        |                                    |                       |
|        |                                    | Application           |
+--------+------------------------------------+-----------------------+
| 53     | Weekly Earnings                    |                       |
+--------+------------------------------------+-----------------------+
| 54     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 55     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 56     | Hours Worked                       |                       |
+--------+------------------------------------+-----------------------+
| 57     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 58     | Monthly Public Assistance Dollars  |                       |
|        | (\$)                               |                       |
+--------+------------------------------------+-----------------------+
| 59     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 60     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 61     | Primary Source Of Support          |                       |
+--------+------------------------------------+-----------------------+
| 62     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 63     | Medical Insurance Coverage         |                       |
+--------+------------------------------------+-----------------------+
| 64     | Insurance Avail. On Job            |                       |
+--------+------------------------------------+-----------------------+
| 65     | Month                              | Date of               |
|        |                                    |                       |
|        |                                    | Eligibility           |
+--------+------------------------------------+-----------------------+
| 66     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 67     | Day                                |                       |
+--------+------------------------------------+-----------------------+
| 68     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 69     | Year                               |                       |
+--------+------------------------------------+-----------------------+
| 70     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 71     | Previous Employment Status         |                       |
+--------+------------------------------------+-----------------------+
| 72     | Year Last Employed                 |                       |
+--------+------------------------------------+-----------------------+
| 73     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 74     | RESERVED FOR FUTURE USE            |                       |
+--------+------------------------------------+-----------------------+
| 75     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 76     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 77     | Cost of Case Services              |                       |
+--------+------------------------------------+-----------------------+
| 78     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 79     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 80     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 81     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 82     | Occupation at Closure              |                       |
+--------+------------------------------------+-----------------------+
| 83     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 84     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 85     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 86     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 87     |                                    |                       |
+--------+------------------------------------+-----------------------+
| 88     | Assessment                         | Service Types         |
+--------+------------------------------------+-----------------------+
| 89     | Restoration                        |                       |
+--------+------------------------------------+-----------------------+
| 90     | College/University Training        |                       |
+--------+------------------------------------+-----------------------+
| 91     | Business/Vocational Training       |                       |
+--------+------------------------------------+-----------------------+
| 92     | Adjustment Training                |                       |
+--------+------------------------------------+-----------------------+
| 93     | On-the-job Training                |                       |
+--------+------------------------------------+-----------------------+
| 94     | Miscellaneous Training             |                       |
+--------+------------------------------------+-----------------------+
| 95     | Counseling - substantial           |                       |
+--------+------------------------------------+-----------------------+
| 96     | Job-Finding Services               |                       |
+--------+------------------------------------+-----------------------+
| 97     | Job Placement                      |                       |
+--------+------------------------------------+-----------------------+
| 98     | Transportation                     |                       |
+--------+------------------------------------+-----------------------+
| 99     | Maintenance                        |                       |
+--------+------------------------------------+-----------------------+
| 100    | Other Services                     |                       |
+--------+------------------------------------+-----------------------+
| 101    | Educational Institutions           | Service Sources       |
+--------+------------------------------------+-----------------------+
| 102    | Business/Vocational School         |                       |
+--------+------------------------------------+-----------------------+
| 103    | Hospital/Sanatorium                |                       |
+--------+------------------------------------+-----------------------+
| 104    | Health Organization/Agency         |                       |
+--------+------------------------------------+-----------------------+
| 105    | Community Rehab Program            | Service Sources       |
+--------+------------------------------------+-----------------------+
| 106    | Welfare Agency                     |                       |
+--------+------------------------------------+-----------------------+
| 107    | Other Public Agency                |                       |
+--------+------------------------------------+-----------------------+
| 108    | Other Private Agency               |                       |
+--------+------------------------------------+-----------------------+
| 109    | Individuals (Private)              |                       |
+--------+------------------------------------+-----------------------+
| 110    | Work Status                        | At Closure            |
+--------+------------------------------------+-----------------------+
| 111    | Weekly Earnings                    |                       |
+--------+------------------------------------+-----------------------+
| 112    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 113    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 114    | Hours Worked                       |                       |
+--------+------------------------------------+-----------------------+
| 115    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 116    | Monthly Public Assistance Dollars  |                       |
|        | (\$)                               |                       |
+--------+------------------------------------+-----------------------+
| 117    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 118    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 119    | Primary Source Of Support          |                       |
+--------+------------------------------------+-----------------------+
| 120    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 121    | Type of Closure                    |                       |
+--------+------------------------------------+-----------------------+
| 122    | Reason for Closure                 |                       |
+--------+------------------------------------+-----------------------+
| 123    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 124    | Month                              | Date of Closure       |
+--------+------------------------------------+-----------------------+
| 125    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 126    | Day                                |                       |
+--------+------------------------------------+-----------------------+
| 127    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 128    | Year                               |                       |
+--------+------------------------------------+-----------------------+
| 129    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 130    | Supported Employment Status        |                       |
+--------+------------------------------------+-----------------------+
| 131    | Supported Employment Outcome       |                       |
+--------+------------------------------------+-----------------------+
| 132    | Medical Insurance Coverage at      |                       |
|        | Closure                            |                       |
+--------+------------------------------------+-----------------------+
| 133    | Insurance Avail. On Job at Closure |                       |
+--------+------------------------------------+-----------------------+
| 134    | Veteran Status                     |                       |
+--------+------------------------------------+-----------------------+
| 135    | Severe Disability                  |                       |
+--------+------------------------------------+-----------------------+
| 136    | RESERVED FOR FUTURE USE            |                       |
+--------+------------------------------------+-----------------------+
| 137    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 138    | Migratory Agricultural Worker      |                       |
+--------+------------------------------------+-----------------------+
| 139    | Projects-with-Industry             |                       |
+--------+------------------------------------+-----------------------+
| 140    | Personal Assistance Services       |                       |
+--------+------------------------------------+-----------------------+
| 141    | Rehabilitation Engineering         |                       |
+--------+------------------------------------+-----------------------+
| 142    | Assistive Technology Devices       |                       |
+--------+------------------------------------+-----------------------+
| 143    | Assistive Technology Services      |                       |
+--------+------------------------------------+-----------------------+
| 144    | RESERVED FOR FUTURE USE            |                       |
+--------+------------------------------------+-----------------------+
| 145    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 146    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 147    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 148    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 149    |                                    |                       |
+--------+------------------------------------+-----------------------+
| 150    |                                    |                       |
+--------+------------------------------------+-----------------------+

**Listing of RSA-911 Data Elements: Their Record Position/s (RP),**

**Applicable Closure Codes and Page Where Defined**

Data Data Located Applies to Found

Element element in closure on page

[number\* name RP codes number]{.underline}

2\. Agency code 2-3 1-6 3

29\. Cost of case services 77-81 1-6 30

5\. Date of application 14-19 1-6 4

6\. Date of birth 20-25 1-6 4

40\. Date of closure 124-129 1-6 44

25\. Date of eligibility 65-70 3-6 30

13\. Highest grade completed 33-34 1-6 7

10\. Hispanic origin 29 1-6 5

20\. Hours worked (application) 56-57 1-6 26

35\. Hours worked (closure) 114-115 3 39

16\. Major disabling condition 46-48 1-6 10

9\. Marital status 28 1-6 5

23\. Medical insurance (application) 63 3-6 28

43\. Medical insurance (closure) 132 3 46

24\. Medical insurance available

through job (application) 64 3-6 29

44\. Medical insurance available

through job (closure) 133 3 46

48\. Migratory agricultural worker 138 1-6 48

21\. Monthly public assistance

amount (application) 58-60 3-6 26

36\. Monthly public assistance

amount (closure) 116-118 3 40

4\. Multiple closure code 13 1-6 4

30\. Occupation (closure) 82-87 3 31

50\. Personal assistance services 140 3-5 48

11\. Previous closure status 30 3-6 6

26\. Previous employment status 71 3-6 30

22. Primary source of support

(application) 61-62 3-6 28

37\. Primary source of support

(closure) 119-120 3 41

[49. Projects-with-Industry 139 1-6 48]{.underline}

\* Represents field sequence in the RSA-911 format.

(See end of data element listing for closure code designations.)

**Listing of RSA-911 Data Elements: Their Record Position (RP),**

**Applicable Closure Codes and Page Where Defined**

Data Data Located Applies to Found

Element element in closure on page

[number\* name RP codes number]{.underline}

8\. Race 27 1-6 5

1\. Record identifier 1 1-6 3

39\. Reason for closure 122-123 1,2,4-6 42

51. **Rehabilitation technology**

**services provided 141-143 3-5 49**

a\. Rehabilitation engineering 141 3-5 50

b\. Assistive technology devices 142 3-5 50

c\. Assistive technology services 143 3-5 50

28\. Reserved for future use 74-76 N/A 30

47\. Reserved for future use 136-137 N/A 48

52\. Reserved for future use 142-150 N/A 50

17\. Secondary disabling condition 49-51 1-6 11

31. **Services provided (other than**

**personal assistance and**

**rehabilitation technology) 88-100 3-5 33**

a\. Assessment 88 3-5 33

b\. Restoration 89 3-5 33

c\. College/university training 90 3-5 33

d\. Business/vocational training 91 3-5 33

e\. Adjustment training 92 3-5 34

f\. On-the-job training 93 3-5 34

g\. Miscellaneous training 94 3-5 34

h\. Counseling/guidance-substantial 95 3-5 34

i\. Job-finding services 96 3-5 34

j\. Job placement 97 3-5 35

k\. Transportation 98 3-5 35

l\. Maintenance 99 3-5 35

m\. Other services 100 3-5 35

46\. Severe disability 135 1-6 47

7\. Sex 26 1-6 4

3\. Social Security Account Number 4-12 1-6 4

12\. Source of referral 31-32 1-6 6

41\. Supported employment status 130 3-6 45

[42. Supported employment outcome 131 3-6 45]{.underline}

\* Represents field sequence in the RSA-911 format.

N/A Not applicable

(See end of data element listing for closure code designations.)

**Listing of RSA-911 Data Elements: Their Record Position (RP),**

**Applicable Closure Codes and Page Where Defined**

Data Data Located Applies to Found

Element element in closure on page

[number\* name RP codes number]{.underline}

38\. Type of closure 121 1-6 42

**32. Type of facility/agency**

**furnishing service: 101-109 3-5 35**

a\. Educational institution 101 3-5 36

b\. Business/vocational school 102 3-5 36

c\. Hospital/sanatorium 103 3-5 36

d\. Health organization/agency 104 3-5 36

e\. Community Rehab. Program 105 3-5 37

f\. Welfare agency 106 3-5 37

g\. Other public agency 107 3-5 37

h\. Other private agency 108 3-5 37

i\. Individuals 109 3-5 37

15\. Type of institution 44-45 3-6 9

14. **Type of public support**

**during VR: 35-43 3-6 8**

a\. SSI-aged 35 3-6 8

b\. SSI-blind 36 3-6 8

c\. SSI-disabled 37 3-6 8

d\. AFDC 38 3-6 8

e\. General assistance 39 3-6 8

f\. SSDI 40 3-6 8

g\. Veterans disability 41 3-6 8

h\. Other disability 42 3-6 8

i\. Other public support 43 3-6 9

45\. Veteran status 134 1-6 47

19\. Weekly earnings (application) 53-55 3-6 25

34\. Weekly earnings (closure) 111-113 3 39

18\. Work status (application) 52 3-6 23

33\. Work status (closure) 110 3 37

[27. Year last employed 72-73 3-6 30]{.underline}

27. \* Represents field sequence in the RSA-911 format.

[Closure Codes:]{.underline}

1 Not accepted for services (Status 08 from Status 02)

2 Not accepted for services (Status 08 from Status 06)

3 Rehabilitated (Status 26)

4 Not rehabilitated (Status 28)

5 Not rehabilitated (Status 30)

6 Closed from pre-service listing (Status 38 from Status 04)

**Element-by-Element Instructions:**

**CASE SERVICE REPORT**

**[(RSA-911)]{.smallcaps}**

**CASE SERVICE REPORT (RSA-911): ELEMENT-BY-ELEMENT INSTRUCTIONS**

**1. [Record Identifier: Record Position 1]{.underline}**

Enter \* (asterisk) to indicate the beginning of a new record.

**2. [Agency Code: Record Positions 2 - 3]{.underline}**

Enter the two-digit code assigned to each State rehabilitation agency
from the following list. Please note that codes have been pre-assigned
to non-existing agencies for the blind in the event that they are
established in the future.

State or [Agency Code]{.underline} State or [Agency Code]{.underline}

Territory General/ Blind territory General/ Blind

[Combined Combined]{.underline}

Alabama 00 5A Nebraska 26 76

Alaska XX 5B Nevada 27 77

American Samoa 60 5C New Hampshire 28 78

Arizona 01 52 New Jersey 29 79

Arkansas 02 53 New Mexico 30 80

California 03 54 New York 31 81

Colorado 04 55 North Carolina 32 82

Connecticut 05 56 North Dakota 33 83

Delaware 06 57 Northern Marianas GG 5G

Dist. of Columbia 07 5D Ohio 34 84

Florida 08 58 Oklahoma 35 85

Georgia 09 59 Oregon 36 86

Guam YY 62 Pennsylvania 37 87

Hawaii 10 63 Palau 99 5H

Idaho 11 61 Puerto Rico 38 88

Illinois 12 5E Rhode Island 39 89

Indiana 13 5F South Carolina 40 90

Iowa 14 64 South Dakota 41 91

Kansas 15 65 Tennessee 42 92

Kentucky 16 66 Texas 43 93

Louisiana 17 67 Utah 44 94

Maine 18 68 Vermont 45 95

Maryland 19 69 Virginia 46 96

Massachusetts 20 70 Virgin Islands 51 5J

Michigan 21 71 Washington 47 97

Minnesota 22 72 West Virginia 48 98

Mississippi 23 73 Wisconsin 49 5K

Missouri 24 74 Wyoming 50 5L

[Montana 25 75]{.underline}

**3. [Social Security Account Number: Record Positions 4 -
12]{.underline}**

Enter the client\'s nine-digit Social Security Account number (SSAN).
Every effort should be made to determine and accurately record this
number as it will be used (a) for record control purposes, such as
culling out duplicates, and (b) to satisfy the requirements of Section
141 of the Rehabilitation Act, as amended, for the exchange of data
between the Social Security Administration and the Rehabilitation
Services Administration.

In the absence of the SSAN, a unique nine-digit number must be assigned.
Agencies are asked to insure that this unique number does not
inadvertently duplicate a genuine SSAN. This can be accomplished by
starting the nine-digit number with a Code 8 or 9 in RP 4. For Closure
Code 1 (Status 08 from Status 02), an alpha code may be inserted in RP
4. The assignment of unique nine-digit numbers will technically be
considered \"errors\" for editing purposes, but it is understood that
the SSAN will not be available in certain instances.

**4. [Multiple Closure Code: Record Position 13]{.underline}**

Enter a one-digit code to indicate that the reported data pertain to the
first, second, third or fourth case closure for the same individual in
the Federal fiscal year of reference. Multiple Closure Code will be used
to prevent cases with identical Social Security Account Numbers from
being edited out as duplicates when other closures for the same
individual have occurred during the fiscal year. Enter Code O to
indicate the first case closure for the individual during the fiscal
year, Code 1 to designate a second closure, Code 2 a third closure, and
Code 3 a fourth closure.

**5. [Date of Application: Record Positions 14 - 19]{.underline}**

Enter the month, day and year in which the individual applied for
vocational rehabilitation services and is considered to be in Status 02.
The first two digits of the six-digit field pertain to the month (e.g.,
January = 01), the next two digits to the day (e.g., the seventh = 07),
and the last two digits to the year.

**6. [Date of Birth: Record Positions 20 - 25]{.underline}**

Enter the month, day, and year of the individual\'s birth. The first two
digits of the six-digit field pertain to the month (e.g., January = 01),
the next two digits to the day (e.g., the seventh = 07), and the last
two digits to the year.

**7. [Sex: Record Position 26]{.underline}**

Enter Code 1 for males and Code 2 for females.

**8. [Race: Record Position 27]{.underline}**

Enter one of the following one-digit codes:

1 White

2 Black

3 American Indian or Alaskan Native

4 Asian or Pacific Islander

These definitions apply:

**[White]{.underline}:** A person having origins in any of the original
peoples of Europe, North Africa, or the Middle East.

**[Black]{.underline}:** A person having origins in any of the black
racial groups of Africa.

**[American Indian or Alaskan Native]{.underline}:** A person having
origins in any of the original peoples of North America, and who
maintains cultural identification through affiliation or community
recognition.

**[Asian or Pacific Islander]{.underline}:** A person having origins in
any of the original peoples of the Far East, Southeast Asia, the Indian
subcontinent, or the Pacific Islands. This area includes, for example,
China, India, Japan, Korea, the Philippine Islands, and Samoa.

**Do not use the item on Race to report Hispanic Origin. The latter is
to be reported in RP 29.**

**9. [Marital Status: Record Position 28]{.underline}**

Enter a one-digit code to indicate the individual\'s marital status at
the time of application for services. The codes for this item are:

1 Married

2 Widowed

3 Divorced

4 Separated

5 Never Married

Persons in common law marriages should be coded 1 (married) and persons
whose only marriage has been annulled should be coded 5 (never married).

**10. [Hispanic Origin: Record Position 29]{.underline}**

Enter Code 1 for a person of Hispanic origin and Code 2 for a person who
is not of Hispanic origin. A person is considered to be Hispanic if he
or she is of Mexican, Puerto Rican, Cuban, Central or South American or
other Spanish culture or origin.

**Report the race for persons of Hispanic Origin in RP 27.**

**11. [Previous Closure: Record Position 30]{.underline}**

Enter a one-digit code to indicate whether the individual was previously
rehabilitated (Status 26) or not rehabilitated (Statuses 28 and 30)
within 36 months of the most recent date of application. If more than
one closure into Status 26, 28, or 30 occurred in this time span, code
for the last closure only. The following three codes apply:

1 Not previously closed into any of Statuses 26, 28, or 30 within 36
months of last application date

2 Previously closed rehabilitated (Status 26)

3 Previously closed not rehabilitated (Statuses 28 and 30)

**12. [Source of Referral: Record Positions 31 - 32]{.underline}**

Enter a two-digit code designating the agency, organization,
institution, or person initially bringing the applicant to the attention
of the State rehabilitation agency. Wherever possible and appropriate,
record an agency, organization or institution rather than an individual
as the source of referral. For example, if a State employment service
employee refers a person to the State rehabilitation agency, the proper
referral source would be the State employment service (Code 53) and not
an individual. An effort should be made, also, to ascertain whether the
coding for an applicant appearing to be self-referred might more
properly be assigned to an agency, organization or institution. The
following referral source codes apply:

**[(1-) Educational Institutions (public and private)]{.underline}**

10 College or university (institution offering higher than secondary
education, including junior college)

12 Vocational school (including business, trade, and other technical
school)

14 Elementary or high school

16 School for persons with physical or mental disabilities

19 Other educational institution

**[(2-) Hospitals and Sanatoriums (public and private)]{.underline}**

20 Mental hospital

22 Other chronic condition or specialized hospital or sanatorium

24 General hospital

29 Other hospital or clinic (except public health clinic, Code 38)

**[(3-) Health Organizations and Agencies]{.underline}**

30 Community rehabilitation program (except community mental health
center, Code 32)

32 Community mental health center

34 State crippled children\'s agency

38 Other public health department, organization, or agency (including
public health nurse or clinic)

39 Other private health organization or agency

**[(4-) Welfare Agencies]{.underline}**

40 Public welfare agency (State and local government)

44 Private welfare agency (including labor union welfare funds and civic
or community welfare organization)

**[(5-) Public Organizations and Agencies (not specifically educational,
health, or welfare)]{.underline}**

50 Social Security Disability Determination Service

51 Social Security District Office

52 Workers\' compensation agency (Federal and State)

53 State employment service

54 Selective service system

55 State vocational rehabilitation agency

56 Correctional institution, court, or officer (Federal, State and
local)

59 Other public organization or agency (including public official not
representing above organizations or agencies)

**[(6-) Private Organizations and Agencies (not specifically
educational, health, or welfare)]{.underline}**

60 Artificial appliance company

62 Employer

69 Other private organization or agency

**[(7-) Individuals]{.underline}**

70 Self-referral\*

72 Physician, not elsewhere classified

79 Other individual, not elsewhere classified

**\* Check to see if an agency, organization or institution instead of
\"self-referral\" can properly be coded as the source of referral.**

**13. [Highest Grade Completed: Record Positions 33 - 34]{.underline}**

Enter a two-digit code denoting the highest grade of school completed at
the time of application for services for persons educated under a
regular educational system. Enter Code XX to represent \"special
education\" in instances where the person was not educated under a
regular educational system. \"Special education\" may apply to
individuals of any disability group.

When the individual presents evidence of a level of educational
attainment through a GED or an equivalency certification from the Armed
Forces, a State Department of Education, or another accredited source
which is higher than the level reached through regular schooling, record
the higher grade for this item. Fill in the leading zero when it
applies. An individual completing 8 grades, for example, should be coded
08, not (blank)8.

**14. [Type of Public Support Received at Any Time During the
Rehabilitation Process: Record Positions 35 - 43]{.underline}**

Enter a Code 0 or a Code 1 in each of the nine record positions of which
this item is composed to indicate whether the individual received the
type of public support in question at any point in the rehabilitation
process (at application, at closure, or during the rehabilitation
process). Use Code 0 to indicate that the person did not receive the
particular type of public support, and Code 1 to indicate that he or she
received a support payment from the source cited at some time during the
rehabilitation process. One payment is sufficient to establish
\"receipt\".

This item refers to cash payments made by Federal, State and local
governments for a variety of reasons such as the individual\'s
disability, age, poverty status, retirement and survivor status.
Include, too, instances of payments to a [family]{.underline} unit
because of the individual\'s disability, or when the individual\'s
presence is taken into account in the computation of the family benefit.
An institutionalized person is also to be reported as a recipient of a
given support category if payments are sent directly to him or her in
the institution, or to dependents on the individual\'s behalf.

Exclude as public support for this item any non-cash support payments
such as Medicaid, Medicare, food stamps and rental subsidies. If the
individual did not receive any of the listed public support payments
during the rehabilitation process, a zero would appear in each of the
nine record positions. The types of public support are as follows:

RP 35 - Supplemental Security Income (SSI)-Aged

RP 36 - Supplemental Security Income (SSI)-Blind

RP 37 - Supplemental Security Income (SSI)-Disabled

RP 38 - Aid to Families with Dependent Children (AFDC)

RP 39 - General Assistance

RP 40 - Social Security Disability Insurance (SSDI)

RP 41 - Veterans\' Disability Benefits

RP 42 - Other Disability Benefits

RP 43 - All Other Public Support Payments

General Assistance (RP 39) is a payment made by a State or local
government and would include State supplements to the Federal SSI
program.

Veterans\' Disability Benefits (RP 41) are payments made by the
Department of Veterans Affairs for partial or total disability.

Other Disability Benefits (RP 42) are cash payments to individuals by
reason of disability other than those previously listed. Included would
be disability payments by (a) Federal, State and local governments for
public employee retirement on disability, (b) the Railroad Retirement
Board, (c) Workers\' compensation agencies and (d) the Social Security
Administration under the Black Lung program.

All Other Public Support payments (RP 43) are cash payments to
individuals, not listed elsewhere, for any reason other than disability.
Included would be retirement and survivor payments made by Federal,
State and local governments to the individual. Also included would be
unemployment insurance benefits.

**[Special Crosschecks Between Type of Public Support and Primary Source
of Support at Application and at Closure]{.underline}**

**1. General Assistance (RP 39) should be coded 1 if the individual\'s
Primary Source of Support at Application (RP 61-62) or at Closure (RP
119-120) is reported as Code 04 (Public Assistance, Without Federal
Funds-General Assistance Only).**

**2. Social Security Disability Insurance (RP 40) should be coded 1 if
the individual\'s Primary Source of Support at Application (RP 61-62) or
at Closure (RP 119-120) is reported as Code 07 (Social Security
Disability Insurance).**

**15. [Type of Institution at Application: Record Positions 44 -
45]{.underline}**

Enter a two-digit code describing the type of institution in which the
individual was residing on the date of application to the rehabilitation
agency. The item covers group quarters or special living arrangements
needed because of disability, health or corrections. A college or school
dormitory would [not]{.underline} be an institution for this item. Codes
for this item are as follows:

00 Not in institution at application

01 Public mental hospital

02 Private mental hospital

03 Psychiatric inpatient unit of general hospital

04 Community mental health center - inpatient

05 Public institution for persons with mental retardation

06 Private institution for persons with mental retardation

07 Alcoholism treatment center

08 Drug abuse treatment center

09 School and other institution for persons who are blind

10 School and other institution for persons who are deaf

11 General hospital

12 Hospital or specialized facility for chronic illness

13 Institution for persons who are aged

14 Halfway house

15 Correctional institution-adult

16 Correctional institution-juvenile

17 Other institutions and special living arrangements including group
homes and quarters, not elsewhere specified

**16. [Major Disabling Condition: Record Positions 46 -
48]{.underline}**

Enter the three-digit code that best describes the client\'s major
disabling condition. This is the physical or mental condition,
impairment, or disease most responsible for the client\'s work
limitation.

In the event that an applicant is not accepted for services before the
existence of a disability is determined, or is found not to have a
disability (closure into Status 08 from Status 02), the disability field
may be left blank. This will technically be an \"error\" for editing
purposes, but it is understood that information concerning disability is
not always available or applicable.

All disability codes from 100 through 449 pertain to conditions which
affect particular parts of the body and have specific causes. For these
codes, the first two digits pertain to the disabling condition itself,
and the last digit to the cause of the condition. Thus, if a client is
missing at least one upper and one lower extremity (40-) due to an
accident, injury, or poisoning (\--9), the disability code would be 409.
If a client\'s disabling condition resulted from two different causes,
use the last cause in recording the third digit. For example, if a blind
person with some light perception lost one eye in a childhood accident
and the other to glaucoma later in life, the disability code would be
111 (Blindness, Both Eyes, Due to Glaucoma).

Codes from 500 through 699 pertain to disabling conditions where
specific body sites may not be involved and/or etiology is not usually
appropriate. Do not use these codes if the disabling condition is a
visual, hearing, or orthopedic impairment, or an amputation (Codes
100-499). For example, if a diabetic condition has led to the amputation
of both legs, the proper code would be 434 (Loss of One or Both Lower
Extremities Due to Disease) rather than Code 614 (Diabetes). As often as
appropriate in such instances, however, diabetes should be coded as the
Secondary Disabling Condition (RP 49-51). Code 614 would be used as the
Major Disabling Condition when the person\'s diabetes, itself, is the
condition that contributes primarily toward the work limitation.

It may occasionally appear that either of two codes in the 600 through
699 series can be recorded as the Major Disabling Condition as, for
example, when a benign neoplasm (609) leads to a cardiac condition
(643). In this case, distinguish between the condition and its cause and
enter the code (643-cardiac condition) that describes the limiting
effect. A condition is more directly and immediately associated with the
work limitation than is a cause.

Codes in the 700 series are to be used for individuals whose disability
or disabilities have resulted from a traumatic brain injury (TBI). The
clustering of codes for TBI is intended to emphasize that TBI is a
discrete disabling condition which, for coding purposes, takes
\"precedence\" over other codes that equally describe the resulting
disabling effect.

For example, a TBI leading to lower limb paralysis should be coded 728
(TBI Leading to Orthopedic Impairment Involving One or Both Lower Limbs)
instead of Code 379 (Orthopedic Impairment Involving One or Both Lower
Limbs Due to All Other Accidents, Injuries and Poisonings). Do
[not]{.underline} record Code 379 as the Secondary Disabling Condition
(RP 49-51) because it indicates the same disability as does Code 728.
Indeed, no codes from 360 to 379 should be recorded as the Secondary
Disabling Condition because all of them describe the same disabling
effect as does Code 728.

If the TBI denoted by Code 728 [also]{.underline} led to epilepsy, use
Code 738 (rather than Code 630) to denote the Secondary Disabling
Condition (TBI Leading to Epilepsy).

Use Code 744 as seldom as possible (TBI Leading to All Other Disabling
Conditions Singly or in Combination, Not Elsewhere Classified) because
it conveys limited data and entails the maximum amount of loss in
disability detail.

The use of Codes 290 to 298 to indicate that the individual is
deaf-blind precludes the use of any visual codes (100-149) or hearing
codes (231-289) for Major or Secondary Disabling Condition.

**17. [Secondary Disabling Condition: Record Positions 49 -
51]{.underline}**

Enter the three-digit code that best describes the secondary disabling
condition. This is the physical or mental condition, impairment or
disease that contributes to, but is not the major basis of, the work
disability. Enter Code 999 to indicate that the individual does not have
a secondary disabling condition contributing to his or her limitation in
employment.

**[Special Crosschecks Between Major and Secondary Disabling
Conditions]{.underline}**

**1. The three-digit code reported for Secondary Disabling Condition
should [not]{.underline} equal the three-digit code reported for an
individual\'s Major Disabling Condition.**

**2. A traumatic brain injury code ranging from 700 to 742 precludes the
use of another code in the 100 to 600 series as the Major or Secondary
Disabling Condition [that indicates the same disability]{.underline}.**

**3. A deaf-blind code (290-298) precludes the use of a visual or
hearing code (100-289) as the Major or Secondary Disabling Condition.**

**(Agencies are encouraged to determine other combinations of major and
secondary disabling conditions which are contradictory, e.g., moderate
and mild mental retardation, deafness and hard of hearing, etc., and to
rectify such inconsistencies).**

**[CODES FOR MAJOR AND SECONDARY DISABLING CONDITION]{.underline}**

[Code **VISUAL IMPAIRMENTS\***]{.underline}

[Blindness, both eyes, no light perception,]{.underline} due to:

100 cataract

101 glaucoma

102 all other diseases

106 congenital condition

107 accident, poisoning, exposure or injury

[109 ill-defined, unspecified or unknown cause]{.underline}

Blindness, both eyes (with correction not more than

20/200 in better eye or limitation in field within 20 degrees, but not
Codes 100 - 109), due to:

110 cataract

111 glaucoma

112 all other diseases

116 congenital condition

117 accident, poisoning, exposure or injury

[119 ill-defined, unspecified or unknown cause]{.underline}

[Blindness, one eye, other eye defective]{.underline} (better eye

with correction less than 20/60, but better than 20/200, or
corresponding loss in visual field), due to:

120 cataract

121 glaucoma

122 all other diseases

126 congenital condition

127 accident, poisoning, exposure or injury

[129 ill-defined, unspecified or unknown cause]{.underline}

[Blindness, one eye, other eye good,]{.underline} due to:

130 cataract

131 glaucoma

132 all other diseases

136 congenital condition

137 accident, poisoning, exposure or injury

[139 ill-defined, unspecified or unknown cause]{.underline}

[Other visual impairments]{.underline}, due to:

140 cataract

141 glaucoma

142 all other diseases

146 congenital condition

147 accident, poisoning, exposure or injury

[149 ill-defined, unspecified or unknown cause]{.underline}

**\* Use codes in the 700 series if traumatic brain injuries are
involved.**

[Code **HEARING IMPAIRMENTS\*** (See definitions after code
listing)]{.underline}

[Deafness, pre-lingual,]{.underline} due to:

231 congenital condition

233 degenerative or infectious disease

234 accident, injury or poisoning

[239 ill-defined, unspecified or unknown cause]{.underline}

[Deafness, pre-vocational]{.underline}, due to:

241 (Do not use.)

243 degenerative or infectious disease

244 accident, injury or poisoning

[249 ill-defined, unspecified or unknown cause]{.underline}

[Deafness, post-vocational]{.underline}, due to:

251 (Do not use.)

253 degenerative or infectious disease

254 accident, injury or poisoning

[259 ill-defined, unspecified or unknown cause]{.underline}

[Hard of hearing, pre-lingual]{.underline}, due to:

261 congenital condition

263 degenerative or infectious disease

264 accident, injury or poisoning

[269 ill-defined, unspecified or unknown cause]{.underline}

[Hard of hearing, pre-vocational]{.underline}, due to:

271 (Do not use.)

273 degenerative or infectious disease

274 accident, injury or poisoning

[279 ill-defined, unspecified or unknown cause]{.underline}

[Hard of hearing, post-vocational]{.underline}, due to:

281 (Do not use.)

283 degenerative or infectious disease

284 accident, injury or poisoning

[289 ill-defined, unspecified or unknown cause]{.underline}

[DEAF-BLIND (See definition after code listing) Combined visual and
hearing loss]{.underline}, as indicated:

290 both congenital

292 both adventitious

294 visual loss congenital-hearing loss adventitious

296 hearing loss congenital-visual loss adventitious

[298 ill-defined, unspecified or unknown cause]{.underline}

**\* Use codes in the 700 series if traumatic brain injuries are
involved.**

**ORTHOPEDIC IMPAIRMENTS,\***

[Code **EXCEPT AMPUTATlONS**]{.underline}

[Impairment involving three or more limbs or entire]{.underline}
[body]{.underline}, due to:

300 cerebral palsy

301 congenital condition or ill-defined birth injury

303 diseases unspecified in code listing

310 arthritis and rheumatism

312 intracranial hemorrhage, embolism, and thrombosis (stroke)

314 polio

315 muscular dystrophy

316 multiple sclerosis

317 Parkinson\'s disease

318 accidents and injuries involving the spinal cord

[319 all other accidents, injuries and poisonings]{.underline}

[Impairment involving one upper and one lower limb]{.underline}

[(including side)]{.underline}, due to:

320 cerebral palsy

321 congenital condition or ill-defined birth injury

323 diseases unspecified in code listing

330 arthritis and rheumatism

332 intracranial hemorrhage, embolism, and thrombosis (stroke)

334 polio

335 muscular dystrophy

336 multiple sclerosis

337 Parkinson\'s disease

338 accidents and injuries involving the spinal cord

[339 all other accidents, injuries and poisonings]{.underline}

[Impairment involving one or both upper limbs]{.underline}

[including hands, fingers and thumbs)]{.underline}, due to:

340 cerebral palsy

341 congenital condition or ill-defined birth injury

343 diseases unspecified in code listing

350 arthritis and rheumatism

352 intracranial hemorrhage, embolism, and thrombosis (stroke)

354 polio

355 muscular dystrophy

356 multiple sclerosis

357 Parkinson\'s disease

358 accidents and injuries involving the spinal cord

[359 all other accidents, injuries and poisonings]{.underline}

**\* Use codes in the 700 series if traumatic brain injuries are
involved.**

**ORTHOPEDIC IMPAIRMENTS,\***

[Code **EXCEPT AMPUTATIONS**]{.underline}

[Impairment involving one or both lower limbs]{.underline}

[(including feet and toes)]{.underline}, due to:

360 cerebral palsy

361 congenital condition or ill-defined birth injury

363 diseases unspecified in code listing

370 arthritis and rheumatism

372 intracranial hemorrhage, embolism, and thrombosis (stoke)

374 polio

375 muscular dystrophy

376 multiple sclerosis

377 Parkinson\'s disease

378 accidents and injuries involving the spinal code

[379 all other accidents, injuries and poisonings]{.underline}

[Other and ill-defined impairments (including trunk,]{.underline}

[back and spine)]{.underline}, due to:

380 cerebral palsy

381 congenital condition or ill-defined birth injury

383 diseases unspecified in code listing

390 arthritis and rheumatism

392 intracranial hemorrhage, embolism, and thrombosis (stroke)

394 polio

395 muscular dystrophy

396 multiple sclerosis

397 Parkinson\'s disease

398 accidents and injuries involving the spinal cord

[399 all other accidents, injuries and poisonings]{.underline}

**[ABSENCE OR AMPUTATION OF MAJOR AND MINOR MEMBERS]{.underline}**

[Loss of at least one upper and one lower major]{.underline} [extremity
(including hands, thumbs and feet)]{.underline}, due to:

400 malignant neoplasm

402 congenital condition

404 diseases unspecified in code listing

[409 accident, injury or poisoning]{.underline}

[Loss of both major upper extremities (including]{.underline} [hands or
thumbs)]{.underline}, due to:

410 malignant neoplasm

412 congenital condition

414 diseases unspecified in code listing

[419 accident, injury or poisoning]{.underline}

**\* Use codes in the 700 series if traumatic brain injuries are
involved.**

**ABSENCE OR AMPUTATION OF**

[Code **MAJOR AND MINOR MEMBERS**]{.underline}

[Loss of one major upper extremity (including hand or
thumb)]{.underline}, due to:

420 malignant neoplasm

422 congenital condition

424 diseases unspecified in code listing

[429 accident, injury or poisoning]{.underline}

[Loss of one or both major lower extremities (including
feet),]{.underline} due to:

430 malignant neoplasm

432 congenital condition

434 diseases unspecified in code listing

[439 accident, injury or poisoning]{.underline}

[Loss of other and unspecified parts (including]{.underline}

[fingers and toes, but excluding thumbs),]{.underline} due to:

440 malignant neoplasm

442 congenital condition

444 diseases unspecified in code listing

[449 accident, injury or poisoning]{.underline}

**DISABLING CONDITIONS (CODES 500 - 699) FOR WHICH**

[**ETIOLOGY IS UNKNOWN OR NOT APPROPRIATE\***]{.underline}

[Mental and emotional conditions:]{.underline}

500 psychotic disorders\*\*

510 neurotic disorders\*\*

520 alcohol abuse or dependence\*\*

521 other drug abuse or dependence\*\*

522 mental and emotional disorders, not elsewhere classified\*\*

526 autism

530 mental retardation, mild

532 mental retardation, moderate

[534 mental retardation, severe (including profound)]{.underline}

**\* Use codes in the 700 series if traumatic brain injuries are
involved.**

**\*\* See additional information on these categories after code
listing.**

[Other conditions resulting from neoplasms]{.underline}, not elsewhere
classified:

600 colostomies resulting from malignant neoplasms

601 laryngectomies resulting from malignant neoplasms

602 leukemia and aleukemia

605 other malignant neoplasms

[609 benign and unspecified neoplasms]{.underline}

[Allergic, endocrine system, metabolic and nutritional
diseases:]{.underline}

610 asthma and hay fever

611 other allergies

614 diabetes mellitus

615 other endocrine system disorders (except Code 616, cystic fibrosis)

616 cystic fibrosis

[619 avitaminoses and other metabolic diseases]{.underline}

[Diseases of the blood and blood-forming organs]{.underline}:

620 hemophilia

621 sickle cell anemia

629 other anemia and diseases of the blood and blood-forming organs

[(except Code 602, leukemia and aleukemia)]{.underline}

[Other specified disorders of the nervous system]{.underline}:

630 epilepsy

632 specific developmental disorders (learning disabilities)

[639 other disorders of the nervous system, not elsewhere
classified]{.underline}

[Cardiac and circulatory system conditions]{.underline}:

640 congenital heart disease

641 rheumatic fever and chronic rheumatic heart disease

642 arteriosclerotic and degenerative heart disease

643 other diseases or conditions of heart

644 hypertensive heart disease

645 other hypertensive disease

646 varicose veins and hemorrhoids

[649 other conditions of circulatory system]{.underline}

[Respiratory system conditions]{.underline}:

650 tuberculosis of the respiratory system

651 emphysema

652 pneumoconiosis and asbestosis

653 bronchiectasis

654 chronic bronchitis and sinusitis

[659 other conditions of respiratory system]{.underline}

[Code Disabling Conditions (Continued)]{.underline}

[Digestive system conditions]{.underline}:

660 conditions of teeth and supporting structures

661 ulcer of stomach and duodenum

662 chronic enteritis and ulcerative colitis

663 hernia

664 colostomies (from other than malignant neoplasm)

[669 other conditions of digestive system]{.underline}

[Genitourinary system conditions]{.underline}:

670 genitourinary system conditions (except Code 671, end-stage renal
failure)

[671 end-stage renal failure]{.underline}

[Speech impairments]{.underline}:

680 cleft palate (with or without cleft lip)

682 stammering and stuttering

684 laryngectomies (from other than malignant neoplasms)

685 aphasia resulting from intracranial hemorrhage, embolism, or
thrombosis (stroke)

[689 other speech impairments]{.underline}

[Other disabling diseases and conditions]{.underline}, not elsewhere
classified (NEC):

690 diseases and conditions of the skin and cellular tissue

[699 all other disabling diseases and conditions, (NEC)]{.underline}

**[TRAUMATIC BRAIN INJURY]{.underline}**, leading to:

700 blindness, both eyes no light perception

702 blindness, both eyes, some light perception

704 blindness, one eye, other eye defective

706 blindness, one eye, other eye good

708 other visual impairments

710 deafness, pre-lingual

712 deafness, pre-vocational

714 deafness, post-vocational

716 hard of hearing, pre-lingual

718 hard of hearing, pre-vocational

720 hard of hearing, post-vocational

722 orthopedic impairment involving three or more limbs or entire body

724 orthopedic impairment involving one upper and one lower limb
(including side)

726 orthopedic impairment involving one or both upper limbs (including
hands, fingers and thumbs)

728 orthopedic impairment involving one or both lower limbs (including
feet

[and toes)]{.underline}

[Code Disabling Conditions (continued)]{.underline}

**[TRAUMATIC BRAIN INJURY]{.underline},** leading to:

730 other and ill-defined orthopedic impairments (including trunk, back
and spine)

732 psychotic disorders

734 neurotic disorders

736 other mental and emotional disorders

738 epilepsy

740 specific developmental disorders (learning disabilities)

742 speech impairments

744 all other disabling conditions singly or in [combination, not
elsewhere classified]{.underline}

998 major disabling condition unknown

[999 no secondary disabling condition]{.underline}

**Special Definitions/Instructions for Selected Major and Secondary
Disabling Conditions**

**A. Definitions for Terms Used in Coding Hearing Impairments**

1.  [Deafness]{.underline} - A hearing impairment of such severity that
    the individual must depend primarily upon visual communication such
    as writing, lip reading, manual communication, and gestures.

2.  [Hard of hearing]{.underline} - A hearing impairment resulting in a
    functional loss, but not to the extent that the individual must
    depend primarily upon visual communication.

3.  [Pre-lingual hearing impairment]{.underline} - An impairment that is
    known or is assumed to have occurred prior to the third birthday.

4.  [Pre-vocational hearing impairment]{.underline} - An impairment that
    is known or is assumed to have occurred on or after the third
    birthday, but prior to the 19th birthday.

5.  [Post-vocational hearing impairment]{.underline} - An impairment
    that is known or is assumed to have occurred on or after the 19th
    birthday.

6.  [Congenital condition]{.underline} - A hearing loss that is known or
    is assumed to have been present at birth. Examples would include,
    but not be limited to, maternal rubella and hemolytic disease of the
    newborn.

7.  [Degenerative or infectious disease]{.underline} - A cause of
    hearing loss that would include, but not be limited to, meningitis,
    scarlet fever and diphtheria. A condition present at birth which
    does not result in a hearing loss until later in life is, for
    reporting purposes, caused by \"degenerative or infectious
    disease.\"

8.  [Accident, injury or poisoning]{.underline} - A traumatic cause of
    hearing loss, including noise-induced loss. This cause would
    encompass, but not be limited to, ototoxic agents.

**B. Crosswalk Between RSA-911 Codes for Mental and Emotional Conditions
and the American Psychiatric Association\'s Diagnostic and Statistical
Manual of Mental Disorders (DSM-IV)\***

[Code 500 - Psychotic Disorders]{.underline}

[DSM-IV Categories]{.underline}

1\. Schizophrenia

2\. Delusional disorders

3\. Psychotic disorders, not elsewhere classified

[Code 510 - Neurotic Disorders]{.underline}

[DSM-IV Categories]{.underline}

1\. Anxiety disorders

2\. Somatoform disorders

3\. Dissociative disorders

4\. Delirium, dementia, and amnestic and other cognitive disorders

5\. Mood disorders including depressive and bipolar disorders

[Code 520 - Alcohol Abuse or Dependence]{.underline}

[DSM-IV Categories]{.underline}

1\. Substance-related disorders - abuse of and dependence on alcohol

2\. Organic mental disorders, as induced by alcohol

[Code 521 - Other Drug Abuse or Dependence]{.underline}

[DSM-IV Categories]{.underline}

1\. Substance-related disorders - abuse of and dependence on drugs other
than alcohol

2\. Organic mental disorders, as induced by drugs other than alcohol

[Code 522 - Other Mental and Emotional Disorders]{.underline}

[DSM-IV Categories]{.underline}

1\. Personality disorders (DSM-IV Axis II category)

2\. Attention deficit and disruptive behavior disorders of childhood or
adolescence

3\. Adjustment disorders

4\. Sexual and gender identity disorders

5\. Eating disorders

6\. Sleep disorders

7\. Factitious disorders

8\. Impulse control disorders, not elsewhere classified

9\. Other conditions that may be a focus of clinical attention

**\* The crosswalk between RSA-911 codes and DSM-IV categories is
suggestive rather than explicitly defining. The proper classification
rests with the State agency using the diagnostic information found in an
individual\'s case folder.**

**C. Definition of Individual Who is Deaf-Blind**

The term \"individual who is deaf-blind\" means any individual-

> \(A\) (i) who has a central visual acuity of 20/200 or less in the
> better eye with corrective lenses, or a field defect such that the
> peripheral diameter of visual field subtends an angular distance no
> greater than 20 degrees, or a progressive visual loss having a
> prognosis leading to one or both these conditions;
>
> \(ii\) who has a chronic hearing impairment so severe that most speech
> cannot be understood with optimum amplification, or a progressive
> hearing loss having a prognosis leading to this condition; and
>
> \(iii\) for whom the combination of impairments described in clauses
> (i) and (ii) cause extreme difficulty in attaining independence in
> daily life activities, achieving psychosocial adjustment, or obtaining
> a vocation;
>
> \(B\) who despite the inability to be measured accurately for hearing
> and vision loss due to cognitive or behavioral constraints, or both,
> can be determined through functional and performance assessment to
> have severe hearing and visual disabilities that cause extreme
> difficulty in attaining independence in daily life activities,
> achieving psychosocial adjustment, or obtaining vocational objectives.

**18. [Work Status at Application: Record Position 52]{.underline}**

Enter the one-digit code which best defines the work activity performed
by the individual in the week prior to application for services. The
nine work status codes are as follows:

1 Competitive employment

2 Extended employment (workshops)

3 Self-employment (except BEP)

4 State-agency-managed business enterprise (BEP)

5 Homemaker

6 Unpaid family worker

7 Not working: Student

8 Not working: Other

9 Not working: Trainee or worker in non-competitive

employment

Any of the first six codes counts as \"work\" for purposes of vocational
rehabilitation. Individuals not meeting the definitions for Codes 1 to 6
below would be classified as not working at the time of application for
services.

This item seeks to ascertain whether a work activity took place in the
week prior to application for services, and not the extent or level of
such activity. Thus, homemakers who were able to do only some of their
usual tasks around the house, factory workers who could work only
part-time, and laborers who had to do lighter work than usual, all were
working for purposes of the work status item.

In some instances, it may be possible to classify the individual into
two different work statuses. When this overlap involves two of the first
six codes (the codes signifying \"work\"), select the code more
descriptive of the individual\'s work status prior to application. When
an overlap of possible work statuses involves one among the \"work\"
codes (Codes 1 to 6) and one among the \"non-work\" codes (Codes 7, 8
and 9), use the appropriate \"work\" code. For example, the correct code
for a full-time student with a part-time job in a department store would
be \"Competitive employment\" (Code 1) and not \"Not working: Student\"
(Code 7).

**[Wage or salaried worker]{.underline}:** (Codes 1 and 2) A wage or
salaried worker is an individual who works during the week before
application for services for wages, salary, commissions, tips, or
piece-rates. Do not include as a wage or salaried worker any person
working only for pay in-kind (Code 8), or in any of the following
groups: work in his or her own business (Code 3); work in
State-agency-managed-business enterprises (BEP) (Code 4); homemakers
(Code 5); work for which there was no wage or salary on a family farm or
in a family business (Code 6); volunteer work for the Red Cross, a
church, a hospital or other nonprofit agencies, or unpaid work for a
friend or relative (Code 8); or trainees or workers in the
non-competitive labor market (Code 9).

**1 [Competitive employment]{.underline}**

This refers to work for wages, salary, commissions, tips, or
piece-rates, but does not include work in extended employment
(workshops\--Code 2) . Included would be wage-earners on farms, but not
sharecroppers or self-employed farmers (Code 3).

**2 [Extended employment (workshops)]{.underline}**

This refers to work for wages or salary in a setting conducted by a
nonprofit organization for persons with disabilities unable to enter
into or not ready for competitive employment. Such settings are
variously referred to as rehabilitation, community, curative, sheltered,
industrial, or occupational workshops.

Not everyone employed in an extended employment setting is necessarily a
workshop worker. Code 2 relates solely to individuals who
[require]{.underline} a sheltered environment in order to perform their
work. Those who do not need sheltered work conditions but who are,
nonetheless, employed by the workshop (e.g., as office workers,
janitors, etc.) should be coded as being competitively employed (Code
1).

**[Workers not wage or salaried]{.underline}:** (Codes 3 - 6) Classify
under Codes 3 through 6 those individuals who are gainfully occupied,
but are not receiving a wage or salary.

**3 [Self-employment (except BEP)]{.underline}**

This refers to work for profit or fees in one\'s own business, farm,
shop, or office. Superintendents, managers and other executives hired to
manage a business or farm, officers of corporations, and persons working
for sales commissions should not be classified under this code, but
under Code 1 (competitive employment). \"Self-employment\" includes
sharecroppers, but not wage-earners on farms.

**4 [State-agency-managed business enterprises (BEP)]{.underline}**

This refers to vending stands and other small businesses operated by
persons with severe disabilities under the management and supervision of
a State agency. It includes home industry, farming, and other
enterprises. Home industry involves work performed under the management
and supervision of a State agency in the client\'s own home or residence
for wages or salary on a piece-rate, hourly, weekly, or monthly basis.
Such employment may be engaged in by persons capable of activity outside
the home, as well as by homebound persons.

**5 [Homemaker]{.underline}**

This refers to men and women whose activity is keeping house for their
families or for themselves, if they live alone.

**6 [Unpaid family worker]{.underline}**

This refers to persons who work without pay on a family farm or in a
family business.

**[Not working]{.underline}:** (Codes 7 - 9) Classified here are
students and other persons who cannot be included in the \"working\"
categories.

**7 [Student]{.underline}**

This refers to persons who were attending school in the week before
application.

**8 [Other]{.underline}**

This refers to persons not in any of the previous categories and not a
trainee as defined below. Examples include (a) persons just out of
school who have been unable to get jobs; (b) persons unable to retain or
obtain work; (c) homemakers who could not perform their homemaking
duties; (d) persons confined in institutions, including places providing
specialized medical care, nursing homes, prisons, and jails; (e) persons
receiving only pay in-kind (meals, lodgings, etc.); and (f) persons who
perform volunteer work for which they were not paid. Do not include
those attending school in a home or specialized school for children
(Code 7).

**9 [Trainee or worker (non-competitive employment)]{.underline}**

This refers to persons who, although they may have received stipends
during the week before application for rehabilitation for work or
services performed, were functioning essentially in a non-competitive
environment. This code should be used mainly for persons participating
in work experience, work training, or work adjustment programs. Use Code
2 for individuals in extended employment (workshops)

**19. [Earnings in the Week Before Application: Record Positions 53 -
55]{.underline}**

Enter the amount of money (to the nearest dollar) earned in the week
prior to the date of application for rehabilitation services. If the
client had no earnings, enter Code 000. If the client had earnings of
\$999 or more, use Code 999. Fill in leading zeroes when they apply.
Record 055, for example, for clients earning \$55 in the in the week
before application instead of (blank)55.

This item is intended to provide data on the [cash]{.underline} earnings
of the individual in the week before application regardless of the
earnings record at any earlier time. Earnings for this purpose include
total wages, salaries, tips, and commissions received as regular income
[before]{.underline} payroll deductions such as State and Federal income
taxes, Social Security payroll tax, union dues, etc. Earnings also
include profits from self-employment in a business or profession.
Earnings for salespersons should be based on the [adjusted gross
income]{.underline}, derived by deducting business expenses from gross
income. The earnings of persons with similarly deductible expenses
(e.g., consultants) should be treated in the same manner. Business
expenses should not include those expenses for which the client has been
reimbursed. [Do not]{.underline} include estimates of payments in-kind,
such as meals and lodgings. Estimate profits of farmers, if necessary.

**[Special Crosscheck Between Earnings at Application and Work Status at
Application]{.underline}**

**Earnings in the Week Before Application (RP 53-55) should range from
001 to 999 if the Work Status at Application (RP 52) is coded 1
(competitive employment) or 2 (extended employment (workshops)).**

**20. [Hours Worked in the Week Before Application: Record Positions
56 - 57]{.underline}**

Enter a two-digit code to indicate the number of hours worked by the
client in the week before application for services [for which the client
was paid]{.underline}. Payment may have been in the form of wages,
salaries, tips, commissions, profits from self-employment, adjusted
gross income for salespersons, etc. Record a positive number of hours
only when the individual has generated some amount of earnings. If the
client worked 80 or more hours, enter Code 79. Fill in the leading zero
when it applies. A person working six hours, for example, should be
coded 06, not (blank)6.

**[Special Crosschecks Between Hours Worked at Application and Earnings
at Application]{.underline}**

**1. Hours Worked at Application (RP 56-57) should be coded 00 if
Earnings at Application (RP 53-55) is coded 000.**

**2. Hours Worked at Application (RP 56-57) should range from 01 to 79
if Earnings at Application (RP 53-55) is coded from 001 to 999. ([Under
no circumstances, however, should a code such as 01 be inserted in the
hours field to signify that the hours worked was not known.]{.underline}
This improper procedure leads to grossly inflated hourly wage rates. In
general, agencies should perform hourly wage rate calculations for all
clients, flag instances where these rates appear to be improbable,
perhaps \$50 an hour or more, and correct the recorded figures for
earnings or hours, or both earnings and hours.)**

**21. [Monthly Public Assistance Amount at Application: Record Positions
58-60]{.underline}**

Enter the monthly amount of money (to the nearest dollar) received by
the individual in the form of public assistance payments at the time of
application for rehabilitation services. If no public assistance
payments were received, enter Code 000. If payments totaled \$999 or
more, use Code 999.

For purposes of this item, public assistance refers solely to money
payments [made to the individual or to his or her
dependents]{.underline} (except for nursing home care) under (a) the
Federal program of Supplemental Security Income (SSI) for the aged,
blind, and disabled; (b) the Federally-aided program of Aid to Families
with Dependent Children (AFDC); (c) State and/or locally-financed
General Assistance (GA); and (d) State supplements to SSI recipients.
AFDC includes, if applicable, assistance provided under the unemployed
father provisions of the program. General Assistance includes, if
applicable, State assistance for persons who are aged, blind, and
disabled.

This item relates to (a) cash public assistance payments made directly
to the individual; (b) cash public assistance payments made to the
family unit [because of the disability of the individual;]{.underline}
and (c) only the individual\'s portion of a cash public assistance
payment if he or she is included in the computation of a payment to the
family unit for a reason other than the individual\'s disability. The
assistance agency\'s judgment should be accepted as to the amount of the
individual\'s portion of the payment. If that agency provides no
guidance, take the total monthly payment that is shared, and divide it
by the total number of persons whom the assistance agency considers in
computing the payment.

Payments made directly to the individual in an institution, or to his or
her dependents, are included. An example of this is the payment to SSI
recipients while they are in a hospital, extended care facility, nursing
home, or intermediate care facility receiving payments under a State
plan approved in accordance with Title XIX of the Social Security Act
(Medicaid). However, payments of public assistance funds to a public or
private institution (except for nursing home care) are excluded when the
assistance agency incorporates them in a general computation of funds to
be paid to the institution.

The item [excludes]{.underline} medical assistance vendor payments to
vendors for medical care and services, except vendor payments made for
the client for nursing home care, which [are]{.underline} included.
Excluded also are surplus foods or other commodities supplied in any
form other than cash; pensions not based on need such as pensions for
blind persons in certain States; and payments made to the individual
through any third party (employers or other government agencies) in the
form of wages, work incentives, etc.

Most persons will receive money payments under just one type of public
assistance. In the event that two or more types of assistance apply, add
the amounts and record the sum in completing this item.

**[Special Crosscheck Between Monthly Public Assistance Amount at
Application and Primary Source of Support at Application]{.underline}**

**Monthly Amount of Public Assistance at Application (RP 58-60) should
be greater than 000 if the Primary Source of Support at Application (RP
61-62) is coded 03 (Public Assistance-Federal funds) or 04 (Public
Assistance-No Federal funds).**

**[Special Crosscheck Between Monthly Public Assistance Amount at
Application and Type of Public Support During VR]{.underline}**

**A recorded Monthly Public Assistance Amount at Application (RP 58-60)
greater than 000 must be associated with a Code 1 in at least one of the
following record positions:**

**RP 35 Supplemental Security Income (SSI)-Aged**

**RP 36 Supplemental Security Income (SSI)-Blind**

**RP 37 Supplemental Security Income (SSI)-Disabled**

**RP 38 Aid to Families with Dependent Children (AFDC)**

**RP 39 General Assistance (GA)**

**These five types of support constitute Public Assistance for which
dollar amounts are to be reported. Do [not]{.underline} report dollar
amounts for any other types of support.**

**22. [Primary Source of Support at Application: Record Positions 61
-62]{.underline}**

Enter a two-digit code from the list below to describe the individual\'s
largest single source of public support at application. It is possible
for the largest support source to account for less than one-half of the
individual\'s total support. Fill in the leading zero when it applies.
An individual primarily supported by family and friends, for example,
should be coded 0l, not (blank)1. The codes are as follows:

00 Client income (earnings, interest, dividends, rent)

01 Family and friends

02 Private relief agency

03 Public assistance, at least partly with Federal funds (i.e., SSI and
AFDC)

04 Public assistance, without Federal funds (General Assistance only)

05 Public institution\--tax supported

06 Workers\' compensation

07 Social Security Disability Insurance

08 All other public sources

09 Annuity or other non-disability insurance benefits (private
insurance)

10 All other sources of support

A possible source of error in coding primary source of support involves
assigning the earnings of, or payments to, other household members as
\"client income\". For example, if a person is supported by the earnings
of a spouse or by the spouse\'s unemployment insurance checks, record
Code 01 as the Primary Source of Support (family and friends) and not
Code 00 (client income) or Code 08 (all other public sources).

Use Code 05 for institutionalized persons if public monies go directly
to the institution. If, rather, support payments go directly to the
institutionalized individual, use the appropriate source code (e.g.,
public assistance (Code 03 or 04)). If the individual is maintained in
the institution primarily by the family, use Code 01 (family and
friends).

**23. [Medical Insurance Coverage at Application: Record Position
63]{.underline}**

Enter a one-digit code to indicate whether the individual has medical
insurance coverage which includes a hospital plan at the time that he or
she applies for rehabilitation services. This coverage need not be in
the individual\'s name and may be obtained through any source such as a
current employer, a former employer, a spouse, a union, a private
company, Medicare, Medicaid, CHAMPUS or any other veterans or military
plan.

The codes for this item are:

0 Does not have medical insurance coverage at application

1 Has medical insurance coverage at application

**24. [Availability of Medical Insurance Through Employment at
Application: Record Position 64]{.underline}**

Enter a one-digit code to indicate whether an individual working for
wages or a salary at the time of application for services can enroll in
(if not already enrolled in) a medical insurance plan, which includes
hospitalization, that is made available through his or her place of
employment.

The applicable codes are as follows:

0 Medical insurance plan not available through job

1 Medical insurance plan available through job

2 Not working for a salary or wages (i.e., individual is self-employed,
a homemaker, an unpaid family worker or is not working including
students and trainees)

For purposes of this item, the term \"available\" means that the working
individual can enroll in a medical insurance plan containing a
hospitalization provision through his or her place of employment, if
desired. It is not necessary to determine (a) whether the individual has
enrolled or will enroll in such a plan; (b) whether he or she has to pay
for all, some or none of the premiums; and (c) how adequate the plan is
for his or her needs. It is necessary to learn only that such an
employment-based plan exists and that the individual working at
application has the option of enrolling in it.

Some employers may have coverage available for some employees, but not
others (e.g., full-time workers, but not part-time workers). In these
instances, a person who is in a category of employment which is not
covered when applying for rehabilitation services, will be considered as
not having an option to enroll in a medical insurance plan through
employment. Use Code 0 (medical insurance plan not available through
job) in these instances.

**[Special Crosschecks Between Availability of Medical Insurance Through
Employment at Application and Work Status at Application]{.underline}**

**1. Availability of Medical Insurance Through Employment at Application
(RP 64) should be coded 0 or 1 if the Work Status at Application (RP 52)
is coded 1 or 2 (competitive employment and extended employment
(workshops), respectively).**

**2. Availability of Medical Insurance Through Employment at Application
(RP 64) should be coded 2 if the Work Status at Application (RP 52) is
coded 3 to 9.**

**25. [Date of Eligibility for Services: Record Positions 65 -
70]{.underline}**

Enter the month, day and year in which the individual was determined to
be eligible for rehabilitation services and the case was placed into
either Status 04 (Pre-Service Listing) or Status 10 (Development of the
Individualized Written Rehabilitation Program). The first two digits of
the six-digit field pertain to the month (e.g., January = 01), the next
two digits to the day (e.g., the seventh = 07), and the last two digits
to the year.

**26. [Previous Employment Status: Record Position 71]{.underline}**

Enter a one-digit code to indicate whether the individual had ever
worked for pay or profit on or prior to the most recent date of
application. The following two codes apply:

0 No previous employment

1 Previous employment

Typically, the receipt of earned income from wages, salaries, tips,
commissions, and self-employment in a profession or business on or prior
to the latest date of application would establish previous employment
for this data element.

Do [not]{.underline} count as employment instances where the
individual\'s earnings were sporadic or incidental and were produced,
for example, by occasionally babysitting for a neighbor\'s child or
running an errand. (If these activities were conducted with regularity,
though, they would constitute employment.) Volunteer work, homemaking,
and unpaid family work, no matter how regular or extensive, would not be
considered employment for this item.

**[Special Crosscheck Between Previous Employment Status and Work Status
at Application]{.underline}**

**Code 1 should appear for Previous Employment Status (RP 71) when the
Work Status at Application (RP 52) is coded 1 to 4.**

**27. [Year Last Employed: Record Positions 72 - 73]{.underline}**

Enter a two-digit code to indicate the last two digits of the year in
which the individual last worked for pay or profit. Since the year of
last employment may have been a long time in the past, it may be
estimated. The definition of \"employment\" for this item is the same as
that described above for Previous Employment Status (RP 71). Leave RP
72-73 blank if the individual had never worked before as indicated by
Code 0 for Previous Employment Status (RP 71).

**28. [Reserved: Record Positions 74 - 76]{.underline}**

**29. [Cost of Case Services: Record Positions 77-81]{.underline}**

Enter a five-digit code indicating, to the nearest dollar, the total
amount of money spent by the State rehabilitation agency in providing or
arranging for services on behalf of the client. These expenditures are
\"life-of-the-case\" costs and do not refer to any particular fiscal
year.

For this item, the source of funding does not matter. All monies spent
for services for the individual originating from Federal, State or other
sources should be included if these monies were under the control of the
State agency. Do [not]{.underline} net out refunds received from third
parties. Similarly, the type of vendor does not matter. Expenditures
made by the State agency to any vendor, public or private, whether to an
individual or to an organization, are to be included.

This item does not require a distinction to be made as to the type of
case service provided or arranged for. Amounts spent by the State agency
on behalf of the individual for assessment, training, medical services,
maintenance, transportation, rehabilitation technology services,
personal assistance, or any other rehabilitation services are to be
included in the total. [Exclude]{.underline} costs incurred for program
administration and for salaries to counselors and other staff.

For this item to be of greatest utility, it is important that the
reporting of case service costs be as inclusive as possible.

In the event that a case is closed without an expense having been
incurred by the State agency, enter Code 00000. If the agency expended
\$99,999 or more, enter Code 99999. Fill in leading zeros when they
apply. A cost of \$768, for example, should be recorded as 00768 instead
of (blank)(blank)768.

**30. [Occupation at Closure: Record Positions 82-87]{.underline}**

Enter a six-digit code which indicates the type of occupation in which
the client is employed at the time of rehabilitation closure. With five
exceptions, explained below, the six-digit codes are obtained directly
from the Dictionary of Occupational Titles (DOT) published by the U.S.
Department of Labor. The code to be entered for this item is made up of
the first six digits of the DOT code. Fill in leading zeros when they
apply. Closure into an architectural occupation, for example, should be
recorded as 001061 and not (blank)(blank)1061. (Agencies wishing to
record only the first four digits may do so.)

For the following five employment situations, applicable to the
rehabilitation program, special codes have been devised. These codes do
not duplicate any six-digit codes in the DOT structure:

[Code]{.underline}

599999 Homemaker (own home)

699999 Worker in extended employment (workshop) (Use [only]{.underline}
if regular DOT codes do not apply.)

799999 Unpaid family worker (Use [only]{.underline} if regular DOT codes
do not apply.)

899999 Vending stand clerk

999999 Vending stand operator

A brief description of each of the five special codes follows:

**599999 [Homemaker (own home)]{.underline}**

This category refers to men and women whose activity is keeping house
for their families or themselves, if they live alone.

**699999 [Worker in extended employment, not elsewhere
classified]{.underline}**

This category is used [only]{.underline} if the type of work in an
extended employment setting (workshop) cannot be classified according to
any of the DOT occupations. Extended employment is work performed for
wages or salary in a setting conducted by a non-profit organization for
persons with disabilities unable to enter into or not ready for
competitive employment.

**799999 [Unpaid family worker (own family), not elsewhere
classified]{.underline}**

This category is used [only]{.underline} if the type of unpaid family
work cannot be classified according to any of the DOT occupations. An
unpaid family worker is one who works without pay on a family farm or in
a family business.

**899999 [Vending stand clerk]{.underline}**

This category should [always]{.underline} be used for clients employed
as clerks, sales persons, or helpers in a vending stand operated under
the Vending Stand Program. This special code should be used even though
these occupations are classifiable in the DOT. Not included within this
code are vending stand operators, who should be coded 999999. Clients
employed in vending stands outside the Vending Stand Program should be
classified according to their DOT occupation.

**999999 [Vending stand operator]{.underline}**

This category should [always]{.underline} be used for clients employed
as operators or managers of vending stands operated under the Vending
Stand Program. This special code should be used even though these
occupations are classifiable in the DOT. Not included within this code
are vending standing clerks, who should be coded 899999. Clients
employed as vending stand operators outside the Vending Stand Program
should be classified according to their DOT occupation.

**[Special Crosscheck Between Occupation at Closure and Work Status at
Closure]{.underline}**

**Occupation at Closure (RP 82-87) should be coded 599999 if the Work
Status at Closure (RP 110) is coded 5 (homemaker).**

**31. [Types of Services Provided: Record Positions
88-100]{.underline}**

Enter a one-digit code in each of the record positions for this item to
indicate whether the individual received the listed service at any time
during the rehabilitation process. The service may have been provided
directly or arranged for by the State rehabilitation agency. The source
of payment for the service does not matter. The following codes apply:

0 Individual did not receive the specified service

1 Individual received the specified service

The types of services to be reported in RP 88-100 do [not]{.underline}
include any services that can be classified under Personal Assistance
Services (RP 140) and Rehabilitation Technology Services (RP 141-143).

**RP 88 [Assessment]{.underline}**

This complex of services is designed to enable the rehabilitation agency
to determine the applicant\'s eligibility for vocational rehabilitation
services, and/or to determine the nature and scope of services to be
provided. Assessment involves diagnosis and evaluation and can be
medical, psychological, social or vocational in scope.

**RP 89 [Restoration (Physical and Mental)]{.underline}**

This category includes those medical and medically-related services
which are necessary to correct or substantially modify a physical or
mental condition. Examples of restoration services are surgery, therapy,
treatment and hospitalization. Devices provided to improve or maintain
the individual\'s ability to function would be recorded under Assistive
Technology Devices (RP 142).

**RP 90-94 [Training]{.underline}**

Training is a service designed to help the individual improve
educationally or vocationally, or to adjust to the disabling effects of
his or her medical impairment. Five broad types of training have been
identified. If the individual receives more than one type of training,
each type should be recorded.

**RP 90 [College/University Training]{.underline}**

Included is all academic training on a level beyond secondary schooling.
Persons attending full- or part-time or evening courses conducted by a
university, college, junior college, or a college-level extension school
would be recorded as receiving this training. Academic training in an
elementary or high school is to be recorded under miscellaneous training
(RP 94).

**RP 91 [Business and Vocational Training]{.underline}**

This is non-collegiate post-secondary education. Included is training in
(a) a business/commercial school or college and (b) a vocational/trade
school. Training in the business/commercial school or college would
prepare the individual for work in areas of office practice, typing,
word processing, bookkeeping, accounting, data processing, etc. Training
in the vocational/ trade school would typically prepare the person for
occupations such as welding, woodworking, TV repair, electrical wiring,
auto and aviation mechanics, drafting, cosmetology, barbering, etc. (Any
school offering a baccalaureate degree in business or related fields
should be included under college/university training (RP 90)).

**RP 92 [Adjustment Training]{.underline}**

This is training which will help the individual adjust to a particular
situation hindering his or her ability to work. Included would be work
conditioning, developing work tolerance, mobility training, remedial
training, literacy training, lip reading, braille, etc. Training in the
use of Assistive Technology Devices would be recorded as Assistive
Technology Services (RP 143).

**RP 93 [On-the-Job Training]{.underline}**

This is training by a prospective employer in which the individual
usually works for wages while learning the skills of a job. There should
be an understanding that if the training is successful, the person will
remain on the same or a similar job.

**RP 94 [Miscellaneous Training]{.underline}**

This category is provided to allow classification of types of training
that do not readily fit into the previous groupings. Included would be
academic training on a secondary education level or lower as well as
specialized schools for persons who are blind or deaf which are academic
in nature.

**RP 95 [Counseling and Guidance-Substantial]{.underline}**

Record Code 1 [only]{.underline} when Counseling and Guidance services
are provided to the individual to a substantial degree. This means that
Counseling and Guidance services were of overriding importance in the
totality of rehabilitation services delivered to the individual, as
determined by a large amount of time and effort expended to provide such
services.

**RP 96 [Job-Finding Services]{.underline}**

A job-finding service is provided when enough information has been
imparted to permit the individual to arrange for a job interview with a
possible employer on his or her own. Such information, provided singly
or in groups, would include instruction in how to read the want ads and
other sources of employment opportunities, prepare job resumes, write
cover letters, and prepare for job interviews. A job-finding service is
also rendered when the State agency directly refers or arranges for the
direct referral of the individual to a prospective employer.

**[Special Crosscheck Between Job-Finding Services and Job
Placement]{.underline}**

**Code 1 must be used for Job-Finding Services (RP 96) if Code 1 is used
to indicate the provision of Job Placement (RP 97). By definition, a
person receiving a job placement service also received a job-finding
service. (It is possible, of course, for an individual to have received
a job-finding service, but not job placement.)**

**RP 97 [Job Placement]{.underline}**

A job placement service is rendered when the individual is referred to
and is [hired]{.underline} by an employer. This service may be provided
by the State rehabilitation agency, the State employment service, or any
other job-finding source such as a private employment agency. Exclude
instances in which (a) the individual found his or her own job without
training in job-finding skills that were provided or arranged for by the
State agency, and (b) an employer at the time of application for
rehabilitation services retained the individual in employment. A key
feature of this service is that the individual became employed as a
result of the job referral. However, the employment need not have been
successful. Closures into homemaking and unpaid family work are not to
be reported as job placement services. It is possible, however, that the
homemaker or unpaid family worker was previously referred to and hired
by an employer, but the employment did not succeed. In these instances,
a placement service was rendered.

**RP 98 [Transportation]{.underline}**

Transportation is any service provided or arranged for by the State
agency to enable the individual to arrive at appointments for
assessment, medical services, training, or any other rehabilitation
service, as well as to permit the individual to get to work. Included
would be the provision of vans, taxi cabs, private cars, etc., for the
person as well as payments made to these carriers.

**RP 99 [Maintenance]{.underline}**

Included under this category are services provided to cover the
additional costs incurred by the individual while he or she is
undergoing rehabilitation services.

**RP 100 [Other Services]{.underline}**

This category allows classification of rehabilitation services that
cannot be recorded elsewhere. Included are occupational tools and
equipment, initial stocks and licenses, and services to family members
for the benefit of the individual. Medical care for acute conditions
arising during rehabilitation and constituting a hazard to the
determination of rehabilitation potential or to the achievement of the
vocational objective is also to be included in this category. Do
[not]{.underline} include reader and interpreter services here, but,
rather, under Personal Assistance Services (RP 140).

**32. [Type of Facility or Agency Furnishing Services: Record Positions
101 - 109]{.underline}**

Enter a one-digit code in each of the nine fields of this item to
indicate the type of facility or agency which furnished one or more
services to the individual during the rehabilitation process, and
whether the facility or agency was a public or private organization.

If the facility or agency in question did not furnish any service to the
individual, enter Code 0. If the source did, indeed, provide a
rehabilitation service for the individual, enter any of Codes 1, 2 or 3,
as appropriate.

These codes are:

1 Service(s) furnished-public source

2 Service(s) furnished-private source

3 Service(s) furnished-both public and private sources

Code 3 would be used when, for example, a client attended both public
and private universities during the course of the rehabilitation
process.

In instances of an employee of one organization providing services in
another setting, code the organization to which the employee belongs,
and ignore the setting. For example, if an employee of the State
employment service provides job counseling in a private setting housing
a community rehabilitation program, use Code 1 (service(s)
furnished-public) in RP 107 (Other Public Organizations and Agencies)
and not Code 2 (service(s) furnished-private) in RP 105 (Community
Rehabilitation Program).

The categories chosen for this item follow the broad groupings of
agencies, organizations and facilities used in coding Source of Referral
(RP 31-32). In addition to the seven broad referral source groups,
special attention has been paid to business/vocational schools
(separated from educational institutions) and community rehabilitation
programs (separated from health organizations and agencies). The content
of each of the broad groupings is the same as for Source of Referral,
apart from the cited exceptions. The nine groupings of facilities or
agencies furnishing services are as follows:

**RP 101 [Educational Institutions (except Business/Vocational
Schools)]{.underline}**

These include colleges, universities, junior colleges, elementary or
high schools, and schools for persons with physical or mental
disabilities.

**RP 102 [Business/Vocational Schools]{.underline}**

These include business, commercial, vocational, technical or trade
schools.

**RP 103 [Hospitals and Sanitariums]{.underline}**

These include general hospitals, mental hospitals, and other chronic
condition or specialized hospitals.

**RP 104 [Health Organization and Agencies (except Community
Rehabilitation Programs)]{.underline}**

These include community mental health centers, State crippled
children\'s agencies and all other public and private health
organizations and agencies.

**RP 105 [Community Rehabilitation Programs]{.underline}**

These include programs providing services directly or facilitating the
provision of services to individuals to help them overcome the disabling
effects of their impairments and to maximize their opportunities for
employment, including advancement.

**RP 106 [Welfare Agencies]{.underline}**

These include State and local welfare agencies, labor unions, and civic
and community welfare organizations.

**RP 107 [Other Public Organizations and Agencies (not specifically
educational, health, or welfare)]{.underline}**

These include sources such as the State employment service, Workers\'
compensation agencies, Social Security, correctional institutions, etc.
Also included are State vocational rehabilitation agencies [other
than]{.underline} the one closing the case of the individual client. For
example, an agency for the blind may close the case of a client who
received some services from the general agency in the same State, or
from a rehabilitation agency in another State. In both instances, use
Code 1. Since this RP pertains only to public sources, legitimate codes
would be confined to 0 (did not furnish service) and 1 (service(s)
furnished-public).

**RP 108 [Other Private Organizations and Agencies (not specifically
educational, health, or welfare)]{.underline}**

These include employers, artificial appliance companies, and other
private sources. Since this RP pertains only to private sources,
legitimate codes would be confined to 0 (did not furnish service) and 2
(service(s) furnished - private).

**RP 109 [Individuals (Private)]{.underline}**

These include physicians and other persons providing services who cannot
be classified with an organization or agency. Since this RP pertains
only to private sources, legitimate codes would be confined to 0 (did
not furnish service) and 2 (service(s) furnished - private).

**33. [Work Status at Closure: Record Position 110]{.underline}**

Enter the one-digit code which best defines the work activity performed
by the individual in the week prior to rehabilitation closure. The six
work status codes that apply are as follows:

1 Competitive employment

2 Extended employment (workshops)

3 Self-employment (except (BEP))

4 State-agency-managed business enterprises (BEP)

5 Homemaker

6 Unpaid family worker

In the event that it is possible to classify the individual into two
different work statuses, select a code designating the principal work
status.

**[Wage or salaried worker]{.underline}:** (Codes 1 and 2) A wage or
salaried worker is an individual who worked during the week before
rehabilitation closure for wages, salary, commissions, tips, or
piece-rates. Do not include as a wage or salaried worker any person
working in his or her own business (Code 3); in State-agency-managed
business enterprises (BEP) (Code 4); as a homemaker in one\'s own home
(Code 5); or without a wage or salary on a family farm or in a family
business (Code 6). Codes for salaried workers are:

**1 [Competitive employment]{.underline}**

This refers to work for wages, salary, commissions, tips, or
piece-rates, but does not include work in extended employment
(workshops\--Code 2). Included would be wage-earners on farms, but not
sharecroppers or self-employed farmers (Code 3).

**2 [Extended employment (workshops)]{.underline}**

This refers to work for wages or salary in a setting conducted by a
nonprofit organization for persons with disabilities unable to enter
into or not ready for competitive employment. Such settings are
variously referred to as rehabilitation, community, curative, sheltered,
industrial, or occupational workshops.

Not everyone employed in an extended employment setting is necessarily a
workshop worker. Code 2 relates solely to individuals who
[require]{.underline} a sheltered environment in order to perform their
work. Those who do not need sheltered work conditions but who are,
nonetheless, employed by the workshop (e.g., as office workers,
janitors, etc.) should be coded as being competitively employed (Code
1).

**[Workers not wage or salaried]{.underline}:** (Codes 3 - 6) Classify
under Codes 3 through 6 those individuals who are gainfully occupied,
but are not receiving a wage or salary.

**3 [Self-employment (except BEP)]{.underline}**

This refers to work for profit or fees in one\'s own business, farm,
shop, or office. Superintendents, managers, and other executives hired
to manage a business or farm, officers of corporations, and persons
working for sales commissions should not be classified under this code,
but under Code 1 (competitive employment). \"Self-employment\" includes
sharecroppers, but not wage-earners on farms.

**4 [State-agency-managed business enterprises (BEP)]{.underline}**

This refers to vending stands and other small businesses operated by
persons with severe disabilities under the management and supervision of
a State agency. It includes home industry, farming, and other
enterprises. Home industry involves work performed under the management
and supervision of a State agency in the client\'s own home or residence
for wages or salary on a piece-rate, hourly, weekly, or monthly basis.
Such employment may be engaged in by persons capable of activity outside
the home, as well as by homebound persons.

**5 [Homemaker]{.underline}**

This refers to men and women whose activity is keeping house for their
families or for themselves, if they live alone. Code 5 must be used when
the item on Occupation at Closure is coded 599999 (homemaker).

**6 [Unpaid family worker]{.underline}**

This refers to persons who work without pay on a family farm or in a
family business.

**[Special Crosscheck Between Work Status at Closure and Occupation at
Closure]{.underline}**

**Work Status at Closure (RP 110) should be coded 5 if the Occupation at
Closure (RP 82-87) is coded 599999 (homemaker).**

**34. [Earnings in the Week Before Closure: Record Positions
111-113]{.underline}**

Enter the amount of money (to the nearest dollar) earned in the week
prior to the date of closure in Status 26 (rehabilitated). If the client
had no earnings, enter Code 000. If the client had earnings of \$999 or
more, use Code 999. Fill in leading zeros when they apply. Record 055,
for example, for clients earning \$55 in the week before rehabilitation
closure instead of (blank)55.

This item is intended to provide data on the cash earnings of the
rehabilitated client in the week before closure regardless of the
earnings record at any earlier time. Earnings for this purpose include
total wages, salaries, tips, and commissions received as regular income
[before]{.underline} payroll deductions such as State and Federal income
taxes, Social Security payroll tax, union dues, etc. Earnings also
include profits from self-employment in a business or profession.
Earnings for salespersons should be based on the [adjusted gross
income]{.underline}, derived by deducting business expenses from gross
income. The earnings of persons with similarly deductible expenses
(e.g., consultants) should be treated in the same manner. Business
expenses should not include those expenses for which the client has been
reimbursed. [Do not]{.underline} include estimates of payments in-kind,
such as meals and lodgings. Estimate profits of farmers, if necessary.

**[Special Crosscheck Between Earnings at Closure and Work Status at
Closure]{.underline}**

**Earnings in the Week Before Closure (RP 111-113) should range from 001
to 999 if the Work Status at Closure (RP 110) is coded 1 (competitive
employment) or 2 (extended employment (workshops)).**

**35. [Hours Worked in the Week Before Closure: Record Positions 114 -
115]{.underline}**

Enter a two-digit code to indicate the number of hours worked by the
client in the week before rehabilitation closure [for which the client
was paid]{.underline}. Payment may have been in the form of wages,
salaries, tips, commissions, profits from self-employment, adjusted
gross income for salespersons, etc. Record a positive number of hours
only when the individual has generated some amount of earnings. If the
client worked 80 or more hours, enter Code 79. Fill in the leading zero
when it applies. A person working six hours, for example, should be
coded 06, not (blank)6.

**[Special Crosschecks Between Hours Worked at Closure and Earnings at
Closure]{.underline}**

**1. Hours Worked at Closure (RP 114-115) should be coded 00 if Earnings
at Closure (RP 111-113) is coded 000.**

**2. Hours Worked at Closure (RP 114-115) should range from 01 to 79 if
Earnings at Closure (RP 111-113) is coded from 001 to 999. ([Under no
circumstances, however, should a code such as 01 be inserted in the
hours field to signify that the item on hours worked was not
known.]{.underline} This improper procedure leads to grossly inflated
hourly wage rates. In general, agencies should perform hourly wage rate
calculations for all clients, flag instances where these rates appear to
be improbable, perhaps \$50 an hour or more, and correct the recorded
figures for earnings or hours, or both earnings and hours.)**

**36. [Monthly Public Assistance Amount at Closure: Record Positions
116 - 118 ]{.underline}**

Enter the monthly amount of money (to the nearest dollar) received by
the client in the form of public assistance payments at the time of
closure from the rehabilitation process. If the client did not receive
any public assistance payments, enter Code 000. If payments totaled
\$999 or more, use Code 999.

For purposes of this item, public assistance refers solely to money
payments [made to the client or dependents of the client]{.underline}
(except for nursing home care) under (a) the Federal program of
Supplemental Security Income (SSI) for the aged, blind, and disabled;
(b) the Federally-aided program of Aid to Families with Dependent
Children (AFDC); (c) State and/or locally-financed General Assistance
(GA); and (d) State supplements to SSI recipients. AFDC includes, if
applicable, assistance provided under the unemployed father provisions
of the program. General Assistance includes, if applicable, State
assistance for the aged, blind, and disabled.

This item relates to (a) cash public assistance payments made directly
to the client; (b) cash public assistance payments made to the client\'s
family unit [because of the disability of the client]{.underline}; and
(c) only the client\'s portion of a cash public assistance payment if he
or she is included in the assistance agency\'s computation of such a
payment made to the family unit for some reason other than the client\'s
disability. The assistance agency\'s judgment should be accepted as to
the amount of the client\'s portion of the payment. If that agency
provides no guidance, take the total monthly payment that is shared, and
divide it by the total number of persons whom the assistance agency
considers in computing the payment.

Payments made directly to a client in an institution, or to his or her
dependents, are included. An example of this is the payment to SSI
recipients while they are in a hospital, extended care facility, nursing
home, or intermediary care facility receiving payments under a State
plan approved in accordance with Title XIX of the Social Security Act
(Medicaid). However, payments of public assistance funds to a public or
private institution (except for nursing home care) are excluded when the
assistance agency incorporates them in a general computation of funds to
be paid the institution.

The item [excludes]{.underline} medical assistance vendor payment to
vendors for medical care and services, except vendor payments made for
the client for nursing home care, which are included. Excluded also are
surplus foods or other commodities supplies in any form other than cash;
pensions not based on need such as pensions for the blind in certain
States; and payments made to the individual through any third party
(employers or other government agencies) in the form of wages, work
incentives, etc.

Most clients will receive money payments under just one type of public
assistance. In the event that two or more types of public assistance
apply, add the amounts and record the sum in completing this item.

**[Special Crosscheck Between Monthly Public Assistance Amount at
Closure and Primary Source of Support at Closure]{.underline}**

**Monthly Amount of Public Assistance at Closure (RP 116-118) should be
greater than 000 if the Primary Source of Support at Closure (RP
119-120) is coded 03 (Public Assistance-Federal funds) or 04 (Public
Assistance-No Federal funds).**

**[Special Crosscheck Between Monthly Public Assistance Amount at
Closure and Type of Public Support During VR]{.underline}**

**A recorded Monthly Public Assistance Amount at Closure (RP 116-118)
greater than 000 must be associated with a Code 1 in at least one of the
following record positions:**

**RP 35 Supplemental Security Income (SSI)-Aged**

**RP 36 Supplemental Security Income (SSI)-Blind**

**RP 37 Supplemental Security Income (SSI)-Disabled**

**RP 38 Aid to Families with Dependent Children (AFDC)**

**RP 39 General Assistance (GA)**

**These five types of support constitute Public Assistance for which
dollar amounts are to be reported. Do [not]{.underline} report dollar
amounts for any other types of support.**

**37. [Primary Source of Support at Closure: Record Positions
119-120]{.underline}**

Enter a two-digit code from the list below to describe the individual\'s
largest single source of economic support at rehabilitation closure. It
is possible for the largest support source to account for less than
one-half of the individual\'s total support. Fill in the leading zero
when it applies. An individual primarily supported by family and
friends, for example, should be coded 01, not (blank)1. The codes are as
follows:

00 Client income (earnings, interest, dividends, rent)

01 Family and friends

02 Private relief agency

03 Public assistance, at least partly with Federal funds (i.e., SSI and
AFDC)

04 Public assistance, without Federal funds (General Assistance only)

05 Public institution\--tax supported

06 Workers\' compensation

07 Social Security Disability Insurance

08 All other public sources

09 Annuity or other non-disability insurance benefits (private
insurance)

10 All other sources of support

A possible source of error in coding primary source of support involves
assigning the earnings of, or payments to, other household members as
\"client income\". For example, if a client is supported by the earnings
of a spouse or by the spouse\'s unemployment insurance checks, record
Code 01 as the Primary Source of Support (family and friends) and not
Code 00 (client income) or Code 08 (all other public sources).

Use Code 05 for institutionalized clients if public monies go directly
to the institution. If, rather, support payments go directly to the
institutionalized client, use the appropriate source code (e.g., public
assistance (Code 03 or 04)). If the client is maintained in the
institution primarily by the family, use Code 01 (family and friends).

**38. [Type of Closure: Record Position 121]{.underline}**

Enter a one-digit code from the following list to designate the point in
the vocational rehabilitation process at which the individual\'s case
was closed out:

1 Closed, not accepted for VR services, from the applicant status
(Status 08 from Status 02)

2 Closed, not accepted for VR services, from extended evaluation (Status
08 from Status 06)

3 Closed rehabilitated (Status 26)

4 Closed, not rehabilitated, after individualized written rehabilitation
program initiated (Status 28)

5 Closed, not rehabilitated, before individualized written
rehabilitation program initiated (Status 30)

6 Closed from the pre-service listing (Status 38 from Status 04)

For closure Codes 1, 2, 4, 5, and 6, a two-digit code for Reason for
Closure should be entered in RP 122-123. For closure Code 3, there
should be no entry in RP 122-123.

**39. [Reason for Closure: Record Positions 122 - 123]{.underline}**

Enter a two-digit code that broadly explains why the individual was not
accepted for vocational rehabilitation services (Status 08 from either
Status 02 or Status 06), was closed from the pre-service waiting list
(Status 38 from Status 04), or could not be rehabilitated (closure in
Status 28 or 30). Fill in the leading zero when it applies. If, for
example, the case of an applicant is closed because he or she could not
be located, or had moved, use Code 01 and not (blank)1.

All of the designated codes below apply to applicants not accepted for
vocational rehabilitation (closures into Status 08). For closures into
Statuses 28, 30, and 38, however, use [only]{.underline} Codes 1 to 7,
10 and 12. The codes for reasons for closure are as follows:

**01 [Unable to locate or contact; or moved]{.underline}**

This code is used when the individual has moved without leaving a
forwarding address or has otherwise disappeared. It is also used when
the individual leaves the State and gives little or no evidence of
returning in the foreseeable future.

**02 [Disability too severe or unfavorable medical
prognosis]{.underline}**

This code is used to identify an individual whose mental or physical
disability is so severely limiting that there is little chance the
individual can be vocationally rehabilitated. Include, also, individuals
with disorders that are expected to progress to such a severely limiting
degree in a fairly short period of time that rehabilitation services
will be of little or no help.

**03 [Refused services or further services]{.underline}**

This code is used when the individual declines to accept, participate
in, or use vocational rehabilitation services.

**04 [Death]{.underline}**

**05 [Client institutionalized]{.underline}**

This code is used when an individual has entered an institution and will
be unavailable to receive rehabilitation services for an indefinite or
considerable period of time, and continuance of an open case would not
be beneficial to the person. For this item, an institution would include
hospitals, nursing homes, prisons and jails, treatment centers, etc.

**06 [Transferred to another agency]{.underline}**

This code is used when services needed by the individual are more
appropriately provided elsewhere. Transfer to the other agency should be
accompanied by referral information that can assist the other agency to
serve the individual. This code includes a transfer of an individual
from one vocational rehabilitation agency in a State to another.

**07 [Failure to cooperate]{.underline}**

This code is used when the individual\'s actions (or non-actions)
convince the counselor that it is not possible to begin or continue
appropriate rehabilitation services. Non-cooperation would include
repeated failures to keep appointments for assessment, counseling, or
other services.

**08 [No disabling condition]{.underline}**

This code applies only to applicants not accepted for rehabilitation
services (Status 08 from Status 02 and Status 08 from Status 06). The
use of this code means that no physical or mental impairment is present.
This code may be used when only an acute (as opposed to chronic)
condition is observed, e.g., a broken bone. The code may also be used in
instances when a chronic condition appears to have no, or
inconsequential, effects in a medical sense.

**09 [No impediment to employment]{.underline}**

This code applies only to applicants not accepted for rehabilitation
services (Status 08 from Status 02 and Status 08 from Status 06). The
use of this code would generally mean that a physical or mental
impairment is present, but does not constitute a substantial barrier to
employment. The individual may be employed on a regular basis, for
example, in a position more or less in keeping with his or her
abilities. Or, the individual is unemployed, but his or her physical or
mental impairment is so minor that it is not the reason for the
unemployment.

**10 [Transportation not feasible or available]{.underline}**

This code is used to indicate that the provision of suitable
transportation for the acceptance or maintenance of employment was
either not feasible or not available.

**11 [DO NOT USE]{.underline}**

**12 [All other reasons]{.underline}**

This code is used to cover reasons not encompassed by Codes 01 to 10
above. It is much preferred, however, to use Codes 01 to 10, if at all
possible, instead of Code 12.

**40. [Date of Closure: Record Positions 124 - 129]{.underline}**

Enter the month, day and year in which the client\'s case was closed
from the vocational rehabilitation process, regardless of the type of
closure. The first two digits of the six-digit field pertain to the
month (e.g., January = 01), the next two to the day (e.g., the seventh =
07), and the last two digits to the year.

**41. [Supported Employment Status: Record Position 130]{.underline}**

Enter a one-digit code to indicate (a) whether the client\'s case was
classified as supported employment and, if so, (b) whether he or she
received services paid for with funds appropriated under Title VI-C of
the Rehabilitation Act. The following three codes apply:

0 Not a supported employment case

1 Supported employment case: some Title VI-C funds expended

2 Supported employment case: no Title VI-C funds expended

Use Code 1 or 2, as applicable, if, at any time during the
rehabilitation process, supported employment is established as a goal
for the client in his or her Individualized Written Rehabilitation
Program. Use Code 1 when any amount of money is spent on behalf of the
client from funds allocated under Title VI-C of the Rehabilitation Act.
Use Code 2 when no Title VI-C money is used in providing services for
the client.

**42. [Supported Employment Outcome: Record Position 131]{.underline}**

Enter a one-digit code to indicate whether [rehabilitated]{.underline}
supported employment cases met the special criteria of success sought
for in such cases.

The three codes for this item apply [only]{.underline} to persons (a)
whose cases were classified as supported employment cases in the item on
Supported Employment Status through the use of Code 1 or Code 2 in RP
130 item [and]{.underline} who were (b) rehabilitated (Status 26).

The applicable codes are as follows:

1 **Supported employment case rehabilitated into competitive
employment-special outcome criteria met** \-- Use this code when the
rehabilitated person meets [all]{.underline} of the following four
criteria:

\(a\) Identification as a supported employment case as indicated by Code
1 or Code 2 in RP 130;

\(b\) Placement into the competitive labor market as indicated by Code 1
in RP 110;

\(c\) Placement into an integrated work setting; and

\(d\) Receipt of ongoing support services at closure.

2 **Supported employment case rehabilitated into competitive
employment-special outcome criteria not met** \-- Use this code when
criteria (a) and (b) for Code 1 immediately above are met, but one or
both of criteria (c) and (d) are not met. Two examples of situations for
which Code 2 would apply for rehabilitated supported employment cases
placed into the competitive labor market are as follows:

\(a\) individual receives ongoing support services at closure, but is
not employed in an integrated work setting; or

\(b\) individual is in an integrated work setting, but does not need
ongoing support services at closure.

3 **Supported employment case rehabilitated, but not into competitive
employment -**- Use this code when the rehabilitated individual
identified as a supported employment case is placed into a work status
other than the competitive labor market such as homemaking, unpaid
family work, extended employment (workshops), and self-employment as
indicated by Codes 2, 3, 4, 5 and 6 in RP 110.

(Definitions for the terms \"integrated work setting\" and \"ongoing
support services\" are found in the applicable program regulations.)

**[Special Crosschecks Between Supported Employment Outcome, Supported
Employment Status and Work Status at Closure]{.underline}**

**1. Supported Employment Outcome (RP 131) should be coded 1 or 2 if
Supported Employment Status (RP 130) is coded 1 or 2 [and]{.underline}
Work**

**Status at Closure is coded 1 (competitive employment).**

**2. Supported Employment Outcome (RP 131) should be coded 3 if
Supported Employment Status (RP 130) is coded 1 or 2 [and]{.underline}
Work Status at Closure is coded 2 through 6 (other than competitive
employment).**

**43. [Medical Insurance Coverage at Closure: Record Position
132]{.underline}**

Enter a one-digit code to indicate whether the client has medical
insurance coverage which includes a hospital plan at the time of
rehabilitation closure. This coverage need not be in the client\'s name
and may be obtained through any source such as a current employer, a
former employer, a spouse, a union, a private company, Medicare,
Medicaid, CHAMPUS or any other veterans or military plan.

The codes for this item are:

0 Does not have medical insurance coverage at closure

1 Has medical insurance coverage at closure

**44. [Availability of Medical Insurance Through Employment at Closure:
Record Position 133]{.underline}**

Enter a one-digit code to indicate whether a client who is working for
wages or a salary at the time of rehabilitation closure can enroll in a
medical insurance plan, which includes hospitalization, that is made
available through the client\'s place of employment.

The applicable codes are as follows:

0 Medical insurance plan not available through client\'s job

1 Medical insurance plan available through client\'s job

2 Client not working for a salary or wages (i.e., client is
self-employed, a homemaker or an unpaid family worker)

For purposes of this item, the term \"available\" means that the working
client can enroll in a medical insurance plan containing a
hospitalization provision through his or her place of employment if he
or she wishes to do so. It is not necessary to determine (a) whether the
client has enrolled or will enroll in such a plan; (b) whether the
client has to pay for all, some or none of the premiums; and (c) how
adequate the plan is for the client\'s needs. It is necessary to learn
only that such an employment-based plan exists and that the client
working at closure has the option of enrolling in it.

Some employers may have coverage available for some employees, but not
others (e.g., full-time workers, but not part-time workers). In these
instances, a person who is in a category of employment which is not
covered when rehabilitated will be considered as not having an option to
enroll in a medical insurance plan through employment. Use Code 0
(medical insurance plan not available through client\'s job).

Special Crosschecks Between Availability of Medical Insurance Through
Employment at Closure and Work Status at Closure

**1. Availability of Medical Insurance Through Employment at Closure (RP
133) should be coded 0 or 1 if the Work Status at Closure (RP 110) is
coded 1 or 2 (competitive employment and extended employment
(workshops), respectively).**

**2. Availability of Medical Insurance Through Employment at Closure (RP
133) should be coded 2 if the Work Status at Closure (RP 110) is coded 3
to 6.**

**45. [Veteran Status: Record Position 134]{.underline}**

Enter Code 1 if the client had served in the active military, naval or
air service, and was discharged or released under conditions other than
dishonorable. Otherwise, enter Code 0.

**[Special Crosscheck between Veteran Status and Type of Public Support
During VR]{.underline}**

**Veteran Status (RP 134) should be coded 1 if the Type of Public
Support is Code 1 in RP 41 (Veterans Disability Benefits).**

**46. [Severe Disability: Record Position 135]{.underline}**

Enter a one-digit code to indicate whether the individual had a severe
disability at any time while he or she was in the vocational
rehabilitation process. The codes for this item are:

0 Not Severely Disabled

1 Severely Disabled

A person with a severe disability is one:

\(i\) who has a severe physical or mental impairment which seriously
limits one or more functional capacities (such as mobility,
communication, self-care, self-direction, interpersonal skills, work
tolerance, or work skills) in terms of an employment outcome;

\(ii\) whose vocational rehabilitation can be expected to require
multiple vocational rehabilitation services over an extended period of
time; and

\(iii\) who has one or more physical or mental disabilities or
combination of disabilities determined on the basis of an assessment for
determining eligibility and vocational rehabilitation needs to cause
comparable substantial functional limitation.

**47. [Reserved: Record Positions 136 - 137]{.underline}**

**48. [Migratory Agricultural Worker: Record Position 138]{.underline}**

Enter Code 1 if the individual was enrolled in a migratory agricultural
workers project under Section 312 of the Rehabilitation Act of 1973, as
amended, while he or she was in the rehabilitation process.

**49. [Projects-With-Industry: Record Position 139]{.underline}**

Enter Code 1 if the individual was enrolled in one of the
projects-with-industry established under Section 621 of the
Rehabilitation Act of 1973, as amended, while he or she was in the
rehabilitation process.

**50. [Personal Assistance Services: Record Position 140 ]{.underline}**

Enter a one-digit code to indicate whether the individual received
personal assistance services at any time during the rehabilitation
process and, if so, whether this was a reader for a visually impaired
person, an interpreter for a hearing impaired or deaf-blind person, or
an attendant for any disabled person.

The following codes apply:

0 Individual did not receive a personal assistance service

1 Visually impaired person received the assistance of a reader

2 Hearing impaired or deaf-blind person received the assistance of an
interpreter

3 Individual received assistance from one or more personal attendants
exclusive of readers and interpreters

4 All other personal assistance services

Personal assistance services mean a range of services, provided by one
or more persons, designed to assist an individual with a disability to
perform daily living activities on or off the job that the individual
would typically perform if the individual did not have a disability.
Such services shall be designed to increase the individual\'s control in
life and ability to perform everyday activities on or off the job.

Use Code 1 (reader) if the visually impaired individual also received
another personal assistance service. Use Code 2 (interpreter) if the
hearing impaired or deaf-blind individual also received another personal
assistance service.

Apply Code 3 if (a) a visually impaired person had an attendant, but not
a reader, or (b) a hearing impaired person or deaf-blind person had an
attendant but not an interpreter.

Apply Code 4 in all other instances when personal assistance was
provided, but not by a reader, interpreter, or an attendant.

**[Special Crosschecks Between Personal Assistance Services and Major
and Secondary Disabling Condition]{.underline}**

**1. When Code 1 (reader assistance) is used for Personal Assistance
Services (RP 140), either the Major or Secondary Disabling Condition (RP
46-48 and RP 49-51, respectively) should indicate a visual impairment
(Codes 100-149).**

**2. When Code 2 (interpreter assistance) is used for Personal
Assistance Services (RP 140), either the Major or Secondary Disabling
Condition (RP 46-48 and RP 49-51, respectively) should indicate a
hearing impairment (Codes 231-289) or a deaf-blind disability (Codes
290-298).**

**51. [Rehabilitation Technology Services Provided: Record Positions
141 - 143]{.underline}**

Enter a one-digit code in each of the record positions for this item to
indicate whether the individual received the listed service at any time
during the rehabilitation process. The service may have been provided
directly or arranged for by the State rehabilitation agency. The source
of payment for the service does not matter. The following codes apply:

0 Individual did not receive the specified service

1 Individual received the specified service

Rehabilitation Technology Services represent the systematic application
of technologies, engineering methodologies, or scientific principles to
meet the needs of and address the barriers confronted by individuals
with disabilities in areas which include education, rehabilitation,
employment, transportation, independent living, and recreation. The term
includes rehabilitation engineering, assistive technology devices, and
assistive technology services.

**RP 141 - [Rehabilitation Engineering]{.underline}**

Rehabilitation engineering is a complex of services entailing an
original design or concept intended to help the individual maintain or
enhance his or her ability to function personally, socially, and/or
vocationally. The original design or concept encompasses not only
devices, equipment, and aids, but also modifications to the environment,
work site, and in transportation on behalf of the individual. To count
as Rehabilitation Engineering, the service must be innovative and not an
adaptation of an existing mode of accommodation. Typically, the
involvement of a rehabilitation technology specialist would be required.

**RP 142 - [Assistive Technology Devices]{.underline}**

These are devices that enable the individual to receive rehabilitation
services, improve his or her personal status, or make it possible for
the person to work or become more productive. These devices include any
item, piece of equipment, or product system, whether acquired
commercially off the shelf, modified, or customized, that is used to
increase, maintain, or improve functional capabilities of individuals
with disabilities.

**RP 143 - [Assistive Technology Services]{.underline}**

These are services that directly assist an individual in the selection,
acquisition, or use of an assistive technology device. Such services
include:

\(a\) the evaluation of the needs of individuals, including a functional
evaluation of the individual in his or her customary environment;

\(b\) purchasing, leasing, or otherwise providing for the acquisition of
assistive technology devices;

\(c\) selecting, designing, fitting, customizing, adapting, applying,
maintaining, repairing, or replacing of assistive technology devices;

\(d\) coordinating and using other therapies and interventions, or
services with assistive technology devices, such as those associated
with existing education and rehabilitation plans and programs;

\(e\) training or technical assistance for the client or, where
appropriate, the client\'s family.

**[Special Crosscheck Between Assistive Technology Devices and Assistive
Technology Services]{.underline}**

**Code 1 must be used for Assistive Technology Services (RP 142) if Code
1 is used for Assistive Technology Devices (RP 141).**

**52. [Reserved: Record Positions 144 - 150]{.underline}**

**Edit Specifications**

**CASE SERVICE REPORT**

**[(RSA-911)]{.smallcaps}**

**Case Service Report (RSA-911)**

**[Edit Specifications]{.underline}**

**[(One-Card Image)]{.underline}**

**[General Instructions]{.underline}**

This section provides detailed edit and relational edit specifications
for reporting RSA-911 data in a one-card, 150-character record image
layout.

Reported records pertain to all cases closed from State agency caseloads
in a given fiscal year. The due date for RSA-911 submittals is November
30 following the Federal fiscal year of reference (October 1 to
September 30).

All cases reported **[MUST BE UNIQUE]{.underline}**. The Agency Code,
Social Security Number, and Closure Order Code determine the
\"uniqueness\" of a given record.

Duplicate records will be rejected. For example, records with codes in
positions 2 through 13 that are identical to the codes in another record
will be considered duplicates and will be rejected. In order to indicate
that a second closure for an individual has taken place in the same
Federal fiscal year; use Code 1 in position 13 (Multiple Closure Code).
Use Code 2 for a third closure and Code 3 for a fourth closure.

Case Service Records **[MUST]{.underline}** include Type of Closure
within the valid range of 1 through 6; otherwise, records will be
rejected in their entirety. Counts of each code 1 through 6 must equal
counts derived from the 4th Quarter of the Quarterly Cumulative Caseload
Report (Form RSA-113). Agencies may be required to resubmit data if
there are discrepancies in closure counts between these two systems.

All dates in the RSA-911 System must be in the format of MMDDYY, where
MM is Month, DD is Day and YY is Year.

Unless otherwise noted, all fields will be alphanumeric fields with no
embedded blanks or special characters.

Actual values must be right-justified and zero-filled when reporting
amounts for data elements such as Weekly Earnings at Application and
Closure, Cost of Case Services, and Monthly Amount of Public Support at
Application and Closure. Code values, too, should be right justified and
zero-filled. If the Highest Grade Completed, for example, is 8 grades,
record 08 and not (blank)8.

**Relational Edits are indicated in boldfaced type, as shown here.**

**Case Service Report (RSA-911)**

**[Edit Specifications]{.underline}**

**[(One-Card Image)]{.underline}**

**[Instructions for Preparation of Floppy Diskette or
CD-ROM]{.underline}**

1.  Sending in RSA-911 data on floppy diskettes or CD-RROM is preferred
    to magnetic tape submissions.

2.  The floppy diskette or CD-ROM will, preferably, be in a flat file in
    the ASCII code set. A dBase III Plus or dBase IV format is also
    acceptable, but should be so specified on the external label.

3.  Floppies may be recorded at high (preferable) or low densities on
    3.5 inch or 5.25 inch diskettes.

4.  Each record must be [150 characters]{.underline} in length.

5.  The diskette or CD-ROM will have an external label identifying the
    contents as \"RSA-911 Data for FY .\" The name of the submitting
    agency should also be included.

**Case Service Report (RSA-911)**

**[Edit Specifications]{.underline}**

**[(One-Card Image)]{.underline}**

**[Instructions for Preparation of Magnetic Tape]{.underline}**

1.  In the event the State agency wishes to submit RSA-911 data on
    magnetic tape, the following specifications are preferred:

```{=html}
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```
a.  9 Track Reels (NOT Cartridges)

b.  6250 BPI

c.  Odd Parity

d.  EBCDIC Code Set

e.  Standard IBM Labels which include:

```{=html}
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```
(1) Header Label: an identifying record will be written at the beginning
    of each reel, followed by a tapemark. The contents of this record
    will be determined by each agency.

(2) Data Record: the data records will follow the header. The record
    length must be [150 characters]{.underline}.

(3) Trailer Label: this record will follow the data records, and will be
    preceded and followed by a tapemark. The contents of this record
    will be determined by each agency.

```{=html}
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```
2.  The following alternative specifications may be used if the file
    cannot be produced as outlined above:

```{=html}
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```
a.  800 or 1600 BPI

b.  Unlabeled

3\. The tape reel will specify the contents as \'RSA-911 Data for Fiscal
Year \'. Also specify the name of the agency submitting the data, the
block size, the number of records, and exceptions, if any, to the
specifications in paragraph 1. above.

**Case Service Report (RSA-911)**

**[Edit Specifications]{.underline}**

+----------------+----------+---------------------+--------------------+
| **ELEMENT      | **       | **EDIT              | **APPLICABLE TYPE  |
| NAME**         | RECORD** | SPECIFICATION**     | OF CLOSURE CODE**  |
|                |          |                     |                    |
|                | **PO     |                     |                    |
|                | SITION** |                     |                    |
+----------------+----------+---------------------+--------------------+
| 1\. Record     | 1        | Must equal \'\*\".  | 1 thru 6           |
| Identifier     |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 2\. Agency     | 2-3      | Must match Agency   | 1 thru 6           |
| Code           |          | Code Table as       |                    |
|                |          | outlined in         |                    |
|                |          | reporting           |                    |
|                |          | instructions.       |                    |
+----------------+----------+---------------------+--------------------+
| 3\. Social     | 4-12     | a.  Must be         | 1 thru 6           |
| Security       |          |     numeric.        |                    |
| Number         |          |                     |                    |
|                |          | b.  1^st^ character |                    |
|                |          |     must not equal  |                    |
|                |          |     8 or 9.         |                    |
|                |          |                     |                    |
|                |          | c.  **If type of    |                    |
|                |          |     closure is 1,   |                    |
|                |          |     1^st^ character |                    |
|                |          |     may be numeric  |                    |
|                |          |     or alpha, but   |                    |
|                |          |     2^nd^ thru last |                    |
|                |          |     characters must |                    |
|                |          |     be numeric.**   |                    |
+----------------+----------+---------------------+--------------------+
| 4\. Multiple   | 13       | Must range 0 - 3.   | 1 thru 6           |
| Closure Code   |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 5\. Date of    | 14-19    | Format MMDDYY       | 1 thru 6           |
| Application    |          |                     |                    |
|                | 14-15    | Must range 01 - 12. |                    |
| > Month        |          |                     |                    |
| >              | 16-17    | Must range 01 - 31. |                    |
| > Day          |          |                     |                    |
| >              | 18-19    | Must range from     |                    |
| > Year         |          | fiscal year of      |                    |
|                |          | closure up to 12    |                    |
|                |          | years prior to      |                    |
|                |          | fiscal year of      |                    |
|                |          | closure.            |                    |
+----------------+----------+---------------------+--------------------+
| 6\. Date of    | 20-25    | Format MMDDYY       | 1 thru 6           |
| Birth          |          |                     |                    |
|                | 20-21    | Must range 01 - 12. |                    |
| > Month        |          |                     |                    |
| >              | 22-23    | Must range 01 - 31. |                    |
| > Day          |          |                     |                    |
| >              | 24-25    | Must range from     |                    |
| > Year         |          | year of application |                    |
|                |          | minus 94 thru year  |                    |
|                |          | of application      |                    |
|                |          | minus 11.           |                    |
+----------------+----------+---------------------+--------------------+
| 7\. Sex        | 26       | Must equal 1 or 2.  | 1 thru 6           |
+----------------+----------+---------------------+--------------------+
| 8\. Race       | 27       | Must range 1 - 4.   | 1 thru 6           |
+----------------+----------+---------------------+--------------------+
| 9\. Marital    | 28       | Must range 1 - 5.   | 1 thru 6           |
| Status         |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 10\. Hispanic  | 29       | Must equal 1 or 2.  | 1 thru 6           |
| Origin         |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 11\. Previous  | 30       | Must range 1 - 3.   | 1 thru 6           |
| Closure        |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 12\. Referral  | 31-32    | Must match one of   | 1 thru 6           |
| Source         |          | the following valid |                    |
|                |          | codes: 10, 12, 14,  |                    |
|                |          | 16, 19, 20, 22, 24, |                    |
|                |          | 29, 30, 32, 34,     |                    |
|                |          | 38-40, 44, 50-56,   |                    |
|                |          | 59, 60, 62, 69. 70, |                    |
|                |          | 72, 79.             |                    |
+----------------+----------+---------------------+--------------------+
| 13\. Highest   | 33-34    | Must range 00 - 21, | 1 thru 6           |
| Grade          |          | or equal XX.        |                    |
| Completed      |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 14\. Type of   | 35-43    | Must equal 0 or 1.  | 3 thru 6           |
| Public Support |          |                     |                    |
| During VR      | 35       | Must equal 0 or 1.  |                    |
|                |          |                     |                    |
| > SSI-Aged     | 36       | Must equal 0 or 1.  |                    |
| >              |          |                     |                    |
| > SSI-Blind    | 37       |                     |                    |
| >              |          |                     |                    |
| > SSI-Disabled |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| > AFDC         | 38       | Must equal 0 or 1.  | 3 thru 6           |
| >              |          |                     |                    |
| > General      | 39       | a\. Must equal 0 or |                    |
| > Assistance   |          | 1.                  |                    |
| >              | 40       |                     |                    |
| > SSDI         |          | **b. Must equal 1,  |                    |
| >              | 41       | if Primary Source   |                    |
| > Veteran      |          | of Support at       |                    |
| > Disability   | 42       | Application or      |                    |
| >              |          | Primary Source of   |                    |
| > Other        | 43       | Support at Closure  |                    |
| > Disability   |          | equals 04.**        |                    |
| >              |          |                     |                    |
| > Other Public |          | a\. Must equal 0 or |                    |
| > Support      |          | 1.                  |                    |
|                |          |                     |                    |
|                |          | b\. **Must equal 1, |                    |
|                |          | if Primary Source   |                    |
|                |          | of Support at       |                    |
|                |          | Application or      |                    |
|                |          | Primary Source of   |                    |
|                |          | Support at Closure  |                    |
|                |          | equals 07.**        |                    |
|                |          |                     |                    |
|                |          | a\. Must equal 0 or |                    |
|                |          | 1.                  |                    |
|                |          |                     |                    |
|                |          | b\. **If code       |                    |
|                |          | equals 1, Veteran   |                    |
|                |          | status Code MUST be |                    |
|                |          | 1.**                |                    |
|                |          |                     |                    |
|                |          | Must equal 0 or 1.  |                    |
|                |          |                     |                    |
|                |          | Must equal 0 or 1.  |                    |
+----------------+----------+---------------------+--------------------+
| 15\. Type of   | 44-45    | Must range 11 thru  | 3 thru 6           |
| Institution    |          | 17.                 |                    |
+----------------+----------+---------------------+--------------------+
| 16\. Major     | 46-48    | a\. Must match code | 1 thru 6           |
| Disabling      |          | in Disabling        |                    |
| Condition      |          | Condition Table as  |                    |
|                |          | outlined in         |                    |
|                |          | Reporting           |                    |
|                |          | Instructions.       |                    |
|                |          |                     |                    |
|                |          | b\. Must NOT equal  |                    |
|                |          | 999.                |                    |
|                |          |                     |                    |
|                |          | **c. MUST NOT be    |                    |
|                |          | equal to 100 - 289, |                    |
|                |          | if Secondary        |                    |
|                |          | Disabling Condition |                    |
|                |          | equals 290 - 298.** |                    |
+----------------+----------+---------------------+--------------------+
| 17\. Secondary | 49-51    | a\. If present,     | 1 thru 6           |
| Disabling      |          | must match code in  |                    |
| Condition      |          | Disabling Condition |                    |
|                |          | Table as outlined   |                    |
|                |          | in Reporting        |                    |
|                |          | Instructions.       |                    |
|                |          |                     |                    |
|                |          | b\. Enter 999 is no |                    |
|                |          | Secondary Disabling |                    |
|                |          | Condition exists.   |                    |
|                |          |                     |                    |
|                |          | **c. MUST NOT be    |                    |
|                |          | equal to Major      |                    |
|                |          | Disabling           |                    |
|                |          | Condition.**        |                    |
|                |          |                     |                    |
|                |          | **d. MUST NOT be    |                    |
|                |          | equal to 100 -      |                    |
|                |          | 289,if Major        |                    |
|                |          | Disabling Condition |                    |
|                |          | equals 100 -289.**  |                    |
+----------------+----------+---------------------+--------------------+
| 18\. Work      | 52       | Must range 1 thru   | 3 thru 6           |
| Status at      |          | 9.                  |                    |
| Application    |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 19\. Weekly    | 53-55    | a\. Must be         | 3 thru 6           |
| Earnings at    |          | numeric.            |                    |
| Application    |          |                     |                    |
|                |          | b\. Must NOT be     |                    |
|                |          | negative.           |                    |
|                |          |                     |                    |
|                |          | **c. MUST be        |                    |
|                |          | greater than 000,   |                    |
|                |          | if Work Status at   |                    |
|                |          | Application equals  |                    |
|                |          | 1 or 2.**           |                    |
+----------------+----------+---------------------+--------------------+
| 20\. Hours     | 56-57    | **a. MUST range 01  | 3 thru 6           |
| Worked at      |          | thru 79, if Weekly  |                    |
| Application    |          | Earnings at         |                    |
|                |          | Application is      |                    |
|                |          | greater than 000.** |                    |
|                |          |                     |                    |
|                |          | **b. MUST be 00, is |                    |
|                |          | Weekly Earnings at  |                    |
|                |          | Application is      |                    |
|                |          | 000.**              |                    |
+----------------+----------+---------------------+--------------------+
| **\--          | *        | **Calculate hourly  |                    |
| Earnings/Hours | *53-57** | wage rate; flag if  |                    |
| Comparison**   |          | \$50 per hour or    |                    |
|                |          | more and correct    |                    |
|                |          | earnings and/or     |                    |
|                |          | hours, as           |                    |
|                |          | needed.**[^1]       |                    |
+----------------+----------+---------------------+--------------------+
| 21\. Monthly   | 58-60    | a\. Must be         | 3 thru 6           |
| Amount of      |          | numeric.            |                    |
| Public         |          |                     |                    |
| Assistance at  |          | b\. Must NOT be     |                    |
| Application    |          | negative.           |                    |
|                |          |                     |                    |
|                |          | **c. NUST be        |                    |
|                |          | greater than 000,   |                    |
|                |          | if Primary Source   |                    |
|                |          | of Support at       |                    |
|                |          | Application equals  |                    |
|                |          | 03 or 04.**         |                    |
+----------------+----------+---------------------+--------------------+
| 22\. Primary   | 61-62    | a\. Must range 00   | 3 thru 6           |
| Source of      |          | thru 10.            |                    |
| Support at     |          |                     |                    |
| Application    |          | **b. If code is 04, |                    |
|                |          | then General        |                    |
|                |          | Assistance          |                    |
|                |          | (position 39) MUST  |                    |
|                |          | equal 1.**          |                    |
|                |          |                     |                    |
|                |          | **c. If code is 07, |                    |
|                |          | then SSDI (position |                    |
|                |          | 40) MUST equal 1.** |                    |
+----------------+----------+---------------------+--------------------+
| 23\. Medical   | 63       | Must equal 0 or 1.  | 3 thru 6           |
| Insurance      |          |                     |                    |
| Coverage at    |          |                     |                    |
| Application    |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 24\. Medical   | 64       | a\. Must range 0    | 3 thru 6           |
| Insurance      |          | thru 2.             |                    |
| Available      |          |                     |                    |
| Through Job at |          | **b. MUST equal 0   |                    |
| Application    |          | or 1, if Work       |                    |
|                |          | Status at           |                    |
|                |          | Application equals  |                    |
|                |          | 1 or 2.**           |                    |
|                |          |                     |                    |
|                |          | **c. MUST equal 2,  |                    |
|                |          | if Work Status at   |                    |
|                |          | Application equals  |                    |
|                |          | 3 thru 9.**         |                    |
+----------------+----------+---------------------+--------------------+
| 25\. Date of   | 65-70    | Format MMDDYY       | 3 thru 6           |
| Eligibility    |          |                     |                    |
|                | 65-66    | Must range 01-12.   |                    |
| > Month        |          |                     |                    |
| >              | 67-68    | Must range 01-31.   |                    |
| > Day          |          |                     |                    |
| >              | 69-70    | Must range from     |                    |
| > Year         |          | fiscal year of      |                    |
|                |          | closure up to 12    |                    |
|                |          | years prior to      |                    |
|                |          | fiscal year of      |                    |
|                |          | closure.            |                    |
+----------------+----------+---------------------+--------------------+
| **ELEMENT      | **RECORD | **EDIT              | **APPLICABLE TYPE  |
| NAME**         | P        | SPECIFICATION**     | OF CLOSURE CODE**  |
|                | OSITON** |                     |                    |
+----------------+----------+---------------------+--------------------+
| 26\. Previous  | 71       | a\. Must equal 0 or | 3 thru 6           |
| Employment     |          | 1.                  |                    |
| Status         |          |                     |                    |
|                |          | **b. MUST equal 1   |                    |
|                |          | if Work Status at   |                    |
|                |          | Application equals  |                    |
|                |          | 1 thru 4.**         |                    |
+----------------+----------+---------------------+--------------------+
| 27\. Year Las  | 72-73    | **Format YY if      | 3 thru 6           |
| Employed       |          | Previous Employment |                    |
|                |          | Status equals 1.    |                    |
|                |          | Otherwise leave     |                    |
|                |          | blank.**            |                    |
+----------------+----------+---------------------+--------------------+
| 28\. RESERVED  | 74-76    |                     |                    |
+----------------+----------+---------------------+--------------------+
| 29\. Cost of   | 77-81    | a\. If reported,    | 1 thru 6           |
| Case Services  |          | MUST be numeric and |                    |
|                |          | may not be          |                    |
|                |          | negative.           |                    |
|                |          |                     |                    |
|                |          | b\. If unknown,     |                    |
|                |          | [MUST]{.underline}  |                    |
|                |          | be blank.           |                    |
+----------------+----------+---------------------+--------------------+
| 30. Occupation | 82-83    | **MUST equal        | 3                  |
|     at Closure |          | 5999\*\* if Work    |                    |
|                | 82-83    | Status at Closure   |                    |
| Summary        |          | equals 5. CANNOT    |                    |
|                | 84-87    | equal 5999\*\* is   |                    |
| > (1^st^ and   |          | Work Status at      |                    |
| > 2^nd^        | 84       | Closure equals 1    |                    |
| > digits)      |          | thru 4 or equals    |                    |
|                | 85       | 6.**                |                    |
| Detail         |          |                     |                    |
|                | 86       | [Must]{.underline}  |                    |
| > 3^rd^ digit  |          | match one of the    |                    |
| >              | 87       | following valid     |                    |
| > 4^th^ digit  |          | codes:              |                    |
| >              |          |                     |                    |
| > 5^th^ digit  |          | 00 thru 05, 07, 09  |                    |
| >              |          | thru 16, 18 thru    |                    |
| > 6^th^ digit  |          | 27, 29 thru 38, 40  |                    |
|                |          | thru 46, 50 thru    |                    |
|                |          | 82, 84 thru 86, 89  |                    |
|                |          | thru 93, 95 thru 97 |                    |
|                |          | and 99.             |                    |
|                |          |                     |                    |
|                |          | Must range 0 thru   |                    |
|                |          | 9.                  |                    |
|                |          |                     |                    |
|                |          | Must range o thru   |                    |
|                |          | 6, or equal 9 for   |                    |
|                |          | special VR codes    |                    |
|                |          | for homemaker,      |                    |
|                |          | vending stand       |                    |
|                |          | clerk, vending      |                    |
|                |          | stand operator,     |                    |
|                |          | unpaid family       |                    |
|                |          | worker-NEC, or      |                    |
|                |          | worker in extended  |                    |
|                |          | employment-NEC.     |                    |
|                |          |                     |                    |
|                |          | Can equal 0 thru 9, |                    |
|                |          | or be blank.        |                    |
|                |          |                     |                    |
|                |          | Can equal 0 thru 9, |                    |
|                |          | or be blank.        |                    |
+----------------+----------+---------------------+--------------------+

+----------------+----------+---------------------+--------------------+
| **ELEMENT      | **RECORD | **EDIT              | **APPLICABLE TYPE  |
| NAME**         | PO       | SPECIFICATION**     | OF CLOSURE CODE**  |
|                | SITION** |                     |                    |
+----------------+----------+---------------------+--------------------+
| 31\. Services  | 88-100   | Must equal 0 or 1.  | 3 thru 5           |
| Provided[^2]   |          |                     |                    |
|                | 88       | Must equal 0 or 1.  |                    |
| Assessment     |          |                     |                    |
|                | 89       | Must equal 0 or 1.  |                    |
| Restoration    |          |                     |                    |
|                | 90       | Must equal 0 or 1.  |                    |
| > Coll         |          |                     |                    |
| ege/University | 91       | Must equal 0 or 1.  |                    |
| > Training     |          |                     |                    |
| >              | 92       | Must equal 0 or 1.  |                    |
| > Busin        |          |                     |                    |
| ess/Vocational | 93       | Must equal 0 or 1.  |                    |
| > Training     |          |                     |                    |
| >              | 94       | Must equal 0 or 1.  |                    |
| > Adjustment   |          |                     |                    |
| > Training     | 95       | a\. Must equal 0 or |                    |
| >              |          | 1.                  |                    |
| > On-the-job   | 96       |                     |                    |
| > Training     |          | **b. Must equal 1   |                    |
| >              | 97       | if Job Placement    |                    |
| >              |          | equals 1.**         |                    |
|  Miscellaneous | 98       |                     |                    |
| > Training     |          | Must equal 0 or 1.  |                    |
| >              | 99       |                     |                    |
| >              |          | Must equal 0 or 1.  |                    |
|  (Substantial) | 100      |                     |                    |
| >              |          | Must equal 0 or 1.  |                    |
| > Counseling & |          |                     |                    |
| > Guidance     |          | Must equal 0 or 1.  |                    |
| >              |          |                     |                    |
| > Job-finding  |          |                     |                    |
| > Services     |          |                     |                    |
| >              |          |                     |                    |
| > Job          |          |                     |                    |
| > Placement    |          |                     |                    |
| >              |          |                     |                    |
| >              |          |                     |                    |
| Transportation |          |                     |                    |
| >              |          |                     |                    |
| > Maintenance  |          |                     |                    |
| >              |          |                     |                    |
| > Other        |          |                     |                    |
| > Services\*   |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 32\. Type of   | 101-109  | Must range 0 thru   | 3 thru 5           |
| Facility or    |          | 3.                  |                    |
| Agency         | 101      |                     |                    |
| Furnishing     |          | Must range 0 thru   |                    |
| Services       | 102      | 3.                  |                    |
|                |          |                     |                    |
| > Educational  | 103      | Must range 0 thru   |                    |
| > Institution  |          | 3.                  |                    |
| >              | 104      |                     |                    |
| > Business and |          | Must range 0 thru   |                    |
| > Vocational   | 105      | 3.                  |                    |
| > School       |          |                     |                    |
| >              | 106      | Must range 0 thru   |                    |
| > Hospital and |          | 3.                  |                    |
| > Sanatorium   | 107      |                     |                    |
| >              |          | Must range 0 thru   |                    |
| > Health       | 108      | 3.                  |                    |
| > Organ        |          |                     |                    |
| ization/Agency | 109      | Must equal 0 or 1.  |                    |
| >              |          |                     |                    |
| > Community    |          | Must equal 0 or 2.  |                    |
| >              |          |                     |                    |
| Rehabilitation |          | Must equal 0 or 2.  |                    |
| > Program      |          |                     |                    |
| >              |          |                     |                    |
| > Welfare      |          |                     |                    |
| > Agency       |          |                     |                    |
| >              |          |                     |                    |
| > Other Public |          |                     |                    |
| > Agency       |          |                     |                    |
| >              |          |                     |                    |
| > Other        |          |                     |                    |
| > Private      |          |                     |                    |
| > Agency       |          |                     |                    |
| >              |          |                     |                    |
| > Individuals  |          |                     |                    |
| > (Private)    |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 33\. Work      | 110      | a\. Must range 1    | 3                  |
| Status at      |          | thru 6.             |                    |
| Closure        |          |                     |                    |
|                |          | **b. If code = 5,   |                    |
|                |          | then Occupation at  |                    |
|                |          | Closure MUST equal  |                    |
|                |          | 599999.**           |                    |
+----------------+----------+---------------------+--------------------+
| 34\. Weekly    | 111-113  | a\. Must be         | 3                  |
| Earnings at    |          | numeric.            |                    |
| Closure        |          |                     |                    |
|                |          | b\. Must NOT be     |                    |
|                |          | negative.           |                    |
|                |          |                     |                    |
|                |          | **c. MUST be        |                    |
|                |          | greater than 000,   |                    |
|                |          | is Work Status at   |                    |
|                |          | Closure equals 1 or |                    |
|                |          | 2.**                |                    |
+----------------+----------+---------------------+--------------------+

+----------------+----------+---------------------+--------------------+
| **ELEMENT      | **RECORD | **EDIT              | **APPLICABLE TYPE  |
| NAME**         | PO       | SPECIFICATION**     | OF CLOSURE CODE**  |
|                | SITION** |                     |                    |
+----------------+----------+---------------------+--------------------+
| 35\. Hours     | 114-115  | **a. MUST range 01  | 3                  |
| Worked at      |          | thru 79, if Weekly  |                    |
| Closure        |          | Earnings at Closure |                    |
|                |          | is greater than     |                    |
|                |          | 000.**              |                    |
|                |          |                     |                    |
|                |          | **b. MUST be 00, if |                    |
|                |          | Weekly Earnings at  |                    |
|                |          | Closure is 000.**   |                    |
+----------------+----------+---------------------+--------------------+
| **\--          | **1      | **Calculate hourly  |                    |
| Earnings/Hours | 11-115** | wage rate; flag if  |                    |
| Comparison**   |          | \$50/hour or more   |                    |
|                |          | and correct         |                    |
|                |          | earnings and/or     |                    |
|                |          | hours, as           |                    |
|                |          | needed.**[^3]       |                    |
+----------------+----------+---------------------+--------------------+
| 36\. Monthly   | 116-118  | a\. Must be numeric | 3                  |
| Amount of      |          |                     |                    |
| Public         |          | b\. Must NOT be     |                    |
| Assistance at  |          | negative.           |                    |
| Closure        |          |                     |                    |
|                |          | **c. MUST be        |                    |
|                |          | greater than 000,   |                    |
|                |          | if Primary Source   |                    |
|                |          | of Support at       |                    |
|                |          | Closure equals 03   |                    |
|                |          | or 04.**            |                    |
+----------------+----------+---------------------+--------------------+
|                |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 37\. Primary   | 119-120  | a\. Must range 00   | 3                  |
| Source of      |          | thru 10.            |                    |
| Support at     |          |                     |                    |
| Closure        |          | **b. If code equal  |                    |
|                |          | 4, then General     |                    |
|                |          | Assistance          |                    |
|                |          | (position 39) MUST  |                    |
|                |          | equal 1.**          |                    |
|                |          |                     |                    |
|                |          | **c. If code equal  |                    |
|                |          | 07, then SSDI       |                    |
|                |          | (position 40) MUST  |                    |
|                |          | equal 1.**          |                    |
+----------------+----------+---------------------+--------------------+
| 38\. Type of   | 121      | Must range 1 thru 6 | 1 thru 6           |
| Closure[^4]   |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 39\. Reason    | 122-123  | **a. MUST range 01  | 1, 2, 4, 5, 6      |
| for Closure    |          | thru 10, or equal   |                    |
|                |          | 12, if Type of      |                    |
|                |          | Closure equals 1 or |                    |
|                |          | 2.**                |                    |
|                |          |                     |                    |
|                |          | **b. MUST range 01  |                    |
|                |          | thru 07, or equal   |                    |
|                |          | 10 or 12, if Type   |                    |
|                |          | of Closure equals   |                    |
|                |          | 4, 5, or 6.**       |                    |
+----------------+----------+---------------------+--------------------+

+----------------+----------+---------------------+--------------------+
| **ELEMENT      | **RECORD | **EDIT              | **APPLICABLE TYPE  |
| NAME**         | PO       | SPECIFICATION**     | OF CLOSURE CODE**  |
|                | SITION** |                     |                    |
+----------------+----------+---------------------+--------------------+
| 40\. Date of   | 124-129  | Format MMDDYY       | 1 thru 6           |
| Closure        |          |                     |                    |
|                | 124-125  | a\. Must range 01   |                    |
| Month          |          | thru 09, if year    |                    |
|                | 126-127  | equals Federal      |                    |
| Day            |          | Fiscal Year of      |                    |
|                | 128-129  | closure.            |                    |
| Year           |          |                     |                    |
|                |          | b\. Must range 10   |                    |
|                |          | thru 12, if year    |                    |
|                |          | equals Federal Year |                    |
|                |          | of closure minus    |                    |
|                |          | one.                |                    |
|                |          |                     |                    |
|                |          | Must range 01 thru  |                    |
|                |          | 31.                 |                    |
|                |          |                     |                    |
|                |          | Must equal Federal  |                    |
|                |          | Fiscal Year of      |                    |
|                |          | closure of Federal  |                    |
|                |          | Fiscal Year of      |                    |
|                |          | closure minus one.  |                    |
+----------------+----------+---------------------+--------------------+
| 41\. Supported | 130      | Must range 0 thru   | 3 thru 5           |
| Employment     |          | 2.                  |                    |
| Status         |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 42\. Supported | 131      | **a. MUST equal 1,  | 3                  |
| Employment     |          | 2, of 3, if         |                    |
| Outcome        |          | Supported           |                    |
|                |          | Employment Status   |                    |
|                |          | equals 1 or 2.**    |                    |
|                |          |                     |                    |
|                |          | **b. MUST equal 1   |                    |
|                |          | or 2, if Work       |                    |
|                |          | Status at Closure   |                    |
|                |          | equals 1.**         |                    |
|                |          |                     |                    |
|                |          | **c. MUST equal 3,  |                    |
|                |          | if Work Status at   |                    |
|                |          | Closure equals 2    |                    |
|                |          | thru 6.**           |                    |
+----------------+----------+---------------------+--------------------+
| 43\. Medical   | 132      | Must equal 0 or 1.  | 3                  |
| Insurance      |          |                     |                    |
| Coverage at    |          |                     |                    |
| Closure        |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 44\. Medical   | 133      | a\. Must range 0    | 3                  |
| Insurance      |          | thru 2.             |                    |
| Available      |          |                     |                    |
| Through Job at |          | **b. MUST equal 0   |                    |
| Closure        |          | or 1, if Work       |                    |
|                |          | Status at Closure   |                    |
|                |          | equals 1 0r 2.**    |                    |
|                |          |                     |                    |
|                |          | **c. MUST equal 2,  |                    |
|                |          | if Work Status at   |                    |
|                |          | Closure equals 3    |                    |
|                |          | thru 6.**           |                    |
+----------------+----------+---------------------+--------------------+
| 45\. Veteran   | 134      | a\. Must equal 0 or | 1 thru 6           |
| Status         |          | 1.                  |                    |
|                |          |                     |                    |
|                |          | **b. MUST equal 1   |                    |
|                |          | if Veterans         |                    |
|                |          | Disability Support  |                    |
|                |          | Code equals 1.**    |                    |
+----------------+----------+---------------------+--------------------+
| 46\. Severe    | 135      | Must equal 0 or 1.  | 1 thru 6           |
| Disability     |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 47\. RESERVED  | 136-137  |                     |                    |
+----------------+----------+---------------------+--------------------+
| 48\. Migratory | 138      | Must equal 0 or 1.  | 1 thru 6           |
| Agricultural   |          |                     |                    |
| Worker         |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| 49\.           | 139      | Must equal 0 or 1.  | 1 thru 6           |
| Projects       |          |                     |                    |
| -with-Industry |          |                     |                    |
+----------------+----------+---------------------+--------------------+

+----------------+----------+---------------------+--------------------+
| **ELEMENT      | **RECORD | **EDIT              | **APPLICABLE TYPE  |
| NAME**         | PO       | SPECIFICATION**     | OF CLOSURE CODE**  |
|                | SITION** |                     |                    |
+----------------+----------+---------------------+--------------------+
| 50\. Personal  | 140      | a\. Must equal 0    | 3 thru 5           |
| Assistance     |          | thru 4.             |                    |
| Services       |          |                     |                    |
| Provided       |          | **b. If code equals |                    |
|                |          | 1, the Major or     |                    |
|                |          | Secondary Disabling |                    |
|                |          | Condition MUST      |                    |
|                |          | range from 100 thru |                    |
|                |          | 149.**              |                    |
|                |          |                     |                    |
|                |          | **c. If code equals |                    |
|                |          | 2, the Major or     |                    |
|                |          | Secondary Disabling |                    |
|                |          | Condition MUST      |                    |
|                |          | range from 231 thru |                    |
|                |          | 298.**              |                    |
+----------------+----------+---------------------+--------------------+
| 51\.           | 141-143  | Must equal 0 or 1.  | 3 thru 5           |
| Rehabilitation |          |                     |                    |
| Technology     | 141      | Must equal 0 or 1.  |                    |
| Services       |          |                     |                    |
| Provided       | 142      |                     |                    |
|                |          |                     |                    |
| >              |          |                     |                    |
| Rehabilitation |          |                     |                    |
| > Engineering  |          |                     |                    |
| >              |          |                     |                    |
| > Assistive    |          |                     |                    |
| > Technology   |          |                     |                    |
| > Devices      |          |                     |                    |
+----------------+----------+---------------------+--------------------+
| Assistive      |          | a\. Must equal 0 or | 3 THRU 5           |
| Technology     |          | 1.                  |                    |
| Services       |          |                     |                    |
|                |          | **b. Must equal 1   |                    |
|                |          | if Assistive        |                    |
|                |          | Technology Devices  |                    |
|                |          | equals 1**          |                    |
+----------------+----------+---------------------+--------------------+
| 52\. RESERVED  | 144-150  |                     |                    |
+----------------+----------+---------------------+--------------------+

***The Monitoring of Data Quality:***

***Special Crosschecks to be Applied Between Data Elements in the***

**CASE SERVICE REPORT**

**[(RSA-911)]{.smallcaps}**

**CASE SERVICE REPORT (RSA-911): SPECIAL CROSSCHECKS TO BE APPLIED
BETWEEN DATA ELEMENTS**

The following listing of comparison checks is offered to promote the
consistency, coherence, and utility of RSA-911 data elements, and the
validity of measurements derived from these data elements. This \"stand
alone\" section is a repetition of comparison checks appearing (a)
throughout the body of RSA-911 instructions and (b) in the listing of
edit specifications. They are repeated here as a convenience for persons
responsible for issues of data quality and integrity.

It is incumbent on State agencies to institute a systematic way to
continuously monitor recorded information for correctness and
reasonableness. The crosschecks that follow do not cover the totality of
comparisons that can be made between RSA-911 variables, but would be
part of a comprehensive data quality monitoring system. Systematic data
quality monitoring followed by appropriate corrective action will
contribute significantly to the usefulness of the resulting data and the
program-related inferences that may fairly be drawn from them.

(The references below are to the Record Position (RP) of the specified
RSA-911 data elements.)

**1. [Type of Public Support and Primary Source of Support at
Application and at Closure]{.underline}**

\(a\) General Assistance (RP 39) should be coded 1 if the individual\'s
Primary Source of Support at Application (RP 61-62) or at Closure (RP
119-120) is reported as Code 04 (Public Assistance, Without Federal
Funds-General Assistance Only).

\(b\) Social Security Disability Insurance (RP 40) should be coded 1 if
the individual\'s Primary Source of Support at Application (RP 61-62) or
at Closure (RP 119-120) is reported as Code 07 (Social Security
Disability Insurance).

**2. [Major and Secondary Disabling Condition]{.underline}**

\(a\) The three-digit code reported for Secondary Disabling Condition
(RP 49-51) should [not]{.underline} equal the three-digit code reported
for the Major Disabling Condition (RP 46-48).

\(b\) A traumatic brain injury code ranging from 700 to 742 precludes
the use of another code as the Major or Secondary Disabling Condition
indicating the [same]{.underline} disability.

\(c\) A deaf-blind code (290-298) precludes the use of a visual or
hearing code (100-289) for the Major or Secondary Disabling Condition.
(Agencies are encouraged to determine other combinations of major and
secondary disabling conditions which are contradictory, e.g., moderate
and mild mental retardation, deafness and hard of hearing, etc.)

**3. [Earnings at Application and Work Status at
Application]{.underline}**

Earnings in the Week Before Application (RP 53-55) should range from 001
to 999 if the Work Status at Application (RP 52) is coded 1 (competitive
labor market) or 2 (extended employment (workshops)).

**4. [Hours Worked at Application and Earnings at
Application]{.underline}**

\(a\) Hours Worked at Application (RP 56-57) should be coded 00 if
Earnings at Application (RP 53-55) is coded 000.

\(b\) Hours Worked at Application (RP 56-57) should range from 01 to 79
if Earnings at Application (RP 53-55) is coded from 001 to 999. ([Under
no circumstances, however, should a code such as 01 be inserted in the
hours field to signify that the item on hours worked was not
known.]{.underline} This improper procedure leads to grossly inflated
hourly wage rates. In general, agencies should perform hourly wage rate
calculations for all clients, flag instances where rates appear to be
improbable, perhaps \$50 an hour or more, and correct the recorded
figures for earnings or hours, or both earnings and hours.)

**5. [Monthly Public Assistance Amount at Application and Primary Source
of Support at Application]{.underline}**

Monthly Amount of Public Assistance at Application (RP 58-60) should be
greater than 000 if the Primary Source of Support at Application (RP
61-62) is coded 03 (Public Assistance-Federal funds) or 04 (Public
Assistance-No Federal funds).

**6. [Monthly Public Assistance Amount at Application and Type
of]{.underline} [Public Support During VR]{.underline}**

A recorded Monthly Public Assistance Amount at Application (RP 58-60)
greater than 000 must be associated with a Code 1 in at least one of the
following record positions:

RP 35 Supplemental Security Income (SSI)-Aged

RP 36 Supplemental Security Income (SSI)-Blind

RP 37 Supplemental Security Income (SSI)-Disabled

RP 38 Aid to Families with Dependent Children (AFDC)

RP 39 General Assistance (GA)

These five types of support constitute Public Assistance for which
dollar amounts are to be reported. Do [not]{.underline} report dollar
amounts for any other types of support.

**7. [Availability of Medical Insurance Through Employment at
Application and Work Status at Application]{.underline}**

\(a\) Availability of Medical Insurance Through Employment at
Application (RP 64) should be coded 0 or 1 if the Work Status at
Application (RP 52) is coded 1 or 2 (competitive employment and extended
employment (workshops), respectively).

\(b\) Availability of Medical Insurance Through Employment at

Application (RP 64) should be coded 2 if the Work Status at Application
(RP 52) is coded 3 to 9.

**8. [Previous Employment Status and Work Status at
Application]{.underline}**

Code 1 should appear for Previous Employment Status (RP 71) when the
Work Status at Application (RP 52) is coded 1 to 4.

**9. [Occupation at Closure and Work Status at Closure]{.underline}**

\(a\) Occupation at Closure (RP 82-87) should be coded 599999 if the
Work Status at Closure (RP 110) is coded 5 (homemaker).

\(b\) Work Status at Closure (RP 110) should be coded 5 if the
Occupation at Closure (RP 82-87) is coded 599999 (homemaker).

**10. [Job-Finding Services and Job Placement]{.underline}**

Code 1 must be used for Job-Finding Services (RP 96) if Code 1 is used
to indicate the provision of Job Placement (RP 97). By definition, a
person receiving a job placement service also received a job-finding
service. (It is possible, of course, for an individual to have received
a job-finding service, but not job placement.)

**11. [Earnings at Closure and Work Status at Closure]{.underline}**

Earnings in the Week Before Closure (RP 111-113) should range from 001
to 999 if the Work Status at Closure (RP 110) is coded 1 (competitive
labor market) or 2 (extended employment (workshops)).

**12. [Hours Worked at Closure and Earnings at Closure]{.underline}**

\(a\) Hours Worked at Closure (RP 114-115) should be coded 00 if
Earnings at Closure (RP 111-113) is coded 000.

\(b\) Hours Worked at Closure (RP 114-115) should range from 01 to 79 if
Earnings at Closure (RP 111-113) is coded from 001 to 999. ([Under no
circumstances, however, should a code such as 01 be inserted in the
hours field to signify that the item on hours worked was not
known.]{.underline} This improper procedure leads to grossly inflated
hourly wage rates. In general, agencies should perform hourly wage rate
calculations for all clients, flag instances where rates appear to be
improbable, perhaps \$50 an hour or more, and correct the recorded
figures for earnings or hours, or both earnings and hours.)

**13. [Supported Employment Outcome, Supported Employment Status and
Work Status at Closure]{.underline}**

\(a\) Supported Employment Outcome (RP 131) should be coded 1 or 2 if
Supported Employment Status (RP 130) is coded 1 or 2 [and]{.underline}
Work Status at Closure is coded 1 (competitive employment).

\(b\) Supported Employment Outcome (RP 131) should be coded 3 if
Supported Employment Status (RP 130) is coded 1 or 2 [and]{.underline}
Work Status at Closure is coded 2 through 6 (other than competitive
employment).

**14. [Monthly Public Assistance Amount at Closure and Primary Source of
Support at Closure]{.underline}**

Monthly Amount of Public Assistance at Closure (RP 116-118) should be
greater than 000 if the Primary Source of Support at Closure (RP
119-120) is coded 03 (Public Assistance-Federal funds) or 04 (Public
Assistance-No Federal funds).

**15. [Monthly Public Assistance Amount at Closure and Type of Public
Support During VR]{.underline}**

A recorded Monthly Public Assistance Amount at Closure (RP 116-118)
greater than 000 must be associated with a Code 1 in at least one of the
following record positions:

RP 35 Supplemental Security Income (SSI)-Aged

RP 36 Supplemental Security Income (SSI)-Blind

RP 37 Supplemental Security Income (SSI)-Disabled

RP 38 Aid to Families with Dependent Children (AFDC)

RP 39 General Assistance (GA)

These five types of support constitute Public Assistance for which
dollar amounts are to be reported. Do [not]{.underline} report dollar
amounts for any other types of support.

**16. [Availability of Medical Insurance Through Employment at Closure
and Work Status at Closure]{.underline}**

\(a\) Availability of Medical Insurance Through Employment at Closure
(RP 133) should be coded 0 or 1 if the Work Status at Closure (RP 110)
is coded 1 or 2 (competitive employment and extended employment
(workshops), respectively).

\(b\) Availability of Medical Insurance Through Employment at Closure
(RP 133) should be coded 2 if the Work Status at Closure (RP 110) is
coded 3 to 6.

**17. [Veteran Status and Type of Public Support During
VR]{.underline}**

Veteran Status (RP 134) should be coded 1 if the Type of Public Support
During VR is shown as Code 1 in RP 41 (Veterans Disability Benefits).

**18. [Personal Assistance Services and Major and Secondary Disabling
Condition]{.underline}**

\(a\) When Code 1 (reader assistance) is used for Personal Assistance
Services (RP 140), either the Major or Secondary Disabling Condition (RP
46-48 and RP 49-51, respectively) should indicate a visual impairment
(Codes 100-149).

\(b\) When Code 2 (interpreter assistance) is used for Personal
Assistance Services (RP 140), either the Major or Secondary Disabling
Condition (RP 46-48 and RP 49-51, respectively) should indicate a
hearing impairment (Codes 231-289) or a deaf-blind disability (Codes
290-298).

**19.** **[Assistive Technology Devices and Assistive Technology
Services]{.underline}**

Code 1 must be used for Assistive Technology Services (RP 142) if Code 1
is used for Assistive Technology Devices (RP 141).

**The Caseload Status System**

**[STATE-FEDERAL PROGRAM OF VOCATIONAL REHABILITATION]{.smallcaps}**

**THE CASELOAD STATUS SYSTEM**

Progress and decisions points in the vocational rehabilitation (VR)
process have traditionally been referred to as statuses and represented
as even numbered two-digit codes. The chief distinction in these
statuses is between those representing cases that remain open vs. cases
that have been closed. Both the open and closure statuses are composed
of five components. The Case Service Report (RSA-911) calls for personal
and program-related information only on the five closure statuses. The
following list summarizes these closure statuses and, in addition,
briefly describes the five components under the open statuses for
reference purposes. The actual codes to use to designate the different
types of closure in the RSA-911 system are found in the instructions for
Record Position 121 (Type of Closure).

**[Open Statuses]{.underline}**

**[Status 02 - Applicant]{.underline}**: When an individual signs a
document to request VR services, he or she is an applicant and the case
is placed into Status 02. While an applicant, the individual\'s
eligibility for VR services is determined within 60 days in most
instances. If eligible, the applicant\'s case is moved either to (1) the
Pre-Service Listing (Status 04) where services will be delayed because
he or she does not meet an agency\'s order of selection priorities or
(2) the Service Statuses (10 to 24) where no delay in the delivery of
services is intended. If not eligible for VR services, the applicant\'s
case will be closed to Status 08. If a determination of eligibility
cannot readily be made, the applicant will be moved to extended
evaluation (Status 06) and more information obtained in determining
eligibility.

**[Status 04 - Pre-Service Listing]{.underline}**: An applicant placed
into this status has been determined eligible for VR services, but
cannot receive them because he or she does not meet a State agency\'s
order of selection priorities. Typically, the name of the individual
will be placed on a waiting list for services until such time as the
State agency has sufficient funds available to provide services.
Placement of the person\'s name on the waiting list for services
indicates that there will be a delay in the initiation of services which
the individual is otherwise entitled to receive. A case leaving this
status will either be (1) moved to the Service Statuses (10 to 24) to
signify that services will be provided without further delay or (2)
closed from Status 38 to indicate that services will not be provided for
whatever reason).

**[Status 06 - Extended evaluation]{.underline}**: An applicant is
placed into this status when a rehabilitation counselor certifies the
need to provide certain services to help in determining whether the
individual can benefit from the full range of rehabilitation services in
terms of an employment outcome. Applicants leaving this status, if
eligible for VR, will be moved to the Pre-Service Listing (Status 04) or
to the Service Statuses (10 to 24). If not eligible, the applicant\'s
case will be closed to Status 08 within the 18-month period allowed for
extended evaluation.

**[Statuses 10 to 24 - The Service Statuses]{.underline}**: In the
service statuses, the rehabilitation agency may conduct any or all of
the following activities on behalf of the individual who has been
determined eligible for VR services (the list is not intended to be
all-inclusive, just illustrative).

-assess the rehabilitation needs of the individual and formulate the
Individualized Written Rehabilitation Program (IWRP).

-provide counseling and guidance to prepare the client for employment.

-provide or arrange for any physical or mental restoration services
(e.g., surgery, psychiatric treatment, rehabilitation technology
services, etc.)

-provide or arrange for many different kinds of training such
college/university, business, vocational, on-the-job, or personal and
vocational adjustment training.

-provide or arrange for the delivery of job-seeking skills and placement
into suitable employment.

A person remains in the service statuses in instances when services have
been interrupted.

**[Status 32 - Post-employment services]{.underline}:** This status is
used to identify individuals who have previously been successfully
rehabilitated, but who need additional rehabilitation services to help
them maintain, regain or advance in their employment.

\[No information on this status is reported on Form RSA-113.\]

**[Closure Statuses]{.underline}**

**[Status 08 - Closed not accepted/ineligible for VR]{.underline}**:
This status is used to identify persons determined ineligible or who are
otherwise not accepted for VR services, whether closed from the
applicant status (Status 02) or extended evaluation (Status 06).

**[Status 26 - Rehabilitated]{.underline}**: Cases closed as
rehabilitated must, as a minimum, (1) have been declared eligible for
services, (2) have received appropriate assessment and related services,
(3) have had a program for VR services formulated, (4) have completed
the program, (5) have been provided counseling, and (6) have been
determined to be suitably employed for a minimum of 60 days.

**[Status 28 - Closed other reasons after IWRP initiated]{.underline}**:
Cases closed into this category must have met criteria (1), (2) and (3)
above, and at least one of the services provided for by the IWRP must
have initiated, but, for some reason, one or more of criteria (4), (5)
and (6) above were not met.

**[Status 30 - Closed other reasons before IWRP
initiated]{.underline}**: Cases placed into Status 30 are those which,
although accepted for VR services, did not progress to the point that
services were actually initiated under a rehabilitation program.

**[Status 38 - Closed from Pre-Service Listing]{.underline}:** This
status is used to identify individuals eligible for VR who will not
advance to the Service Statuses (10 to 24) and whose names have been
removed from the Pre-Service Listing (Status 04).

[^1]:  **Agencies are encouraged to set criteria for flagging below
    \$50 per hour.**

[^2]: \* Excludes Personal Assistance Services (Record Position 140) and
    Rehabilitation Technology Services (Record Positions 141 to 143).

[^3]:  **Agencies are encouraged to set criteria for flagging below
    \$50/hour.**

[^4]: 

    ∗∗ NOTES: 1. If no code or incorrect code entered, entire record
    will be rejected.

    2\. Counts of each code 1 thru 6 **[MUST]{.underline}** equal counts
    derived from the 4^th^ Quarter, Quarterly Cumulative Caseload Report
    (Form RSA-113). Agencies may be required to resubmit data, if there
    are discrepancies in counts of closures between the two systems.