UCEDD Program Performance Reporting Template

COVER PAGE

Date of Report

AIDD Project Officer

AIDD Grant Officer

AIDD Grant Number

UCEDD Name

Address

Phone

Period of Performance

Approved Project Period

Project Title

Principal Investigator

Author of this Report

Part 1: Work Plan Progress Report 

Part 1.a. Detailed Work Plan Progress Report (annual report)

Each UCEDD has a ‘work plan’ for the 5-year plan. To this end, application guidance requires the 

UCEDD to provide quantitative monthly or quarterly projections of the accomplishments to be 

achieved for each function or activity in such terms as the number of people to be served and 

the number of activities accomplished. Data may be organized and presented as project tasks 

and subtasks with their corresponding timelines during the project period. For example, each 

project task could be assigned to a row in the first column of a grid. Then, a unit of time could be 

assigned to each subsequent column, beginning with the first unit (i.e., week, month, quarter) of 

the project and ending with the last. Shading, arrows, or other markings could be used across 

the applicable grid boxes or cells, representing units of time, to indicate the approximate 

duration and/or frequency of each task and its start and end dates within the project period.
When accomplishments cannot be quantified by activity or function, they can be listed in 

chronological order to show the schedule of accomplishments and their target dates.

The guidance also requires that the UCEDD provide a list of organizations, cooperating entities, 

consultants, or other key individuals who will work on the project, along with a short description 

of the nature of their effort or contribution.

This section would provide a progress report on the UCEDD workplan. They would use the work 

plan from the 5-year application to provide annual updates along with a narrative report of 

progress for each section of the workplan that has activities planned for the time period.

Activities not planned for during the reporting period can be reported but must be reflected in a 

revised work plan or Part 1.b. if the work plan is not yet revised.

UCEDDs would need to tailor this part of the report to the individual work plan style.

UCEDDs should be sure to include information about faculty specialties, their experience with 

disabilities, and how their racial, ethnic, and spoken language reflect that of the communities in 

which they work. Additionally, discuss the UCEDD’s plan for offering academic credit for 

interdisciplinary pre-service training.

Part 1.a.(1) Final Report on UCEDD Accomplishments (final 5-year report)

Describe the extent to which each goal was achieved by providing qualitative and quantitative 

information about major accomplishments and outcomes for the five-year time period. It is not 

necessary to describe all activities implemented to achieve a goal. Instead, you can describe 

major activities over the five-year period. Where possible, describe the use of capacity building, 

advocacy, and systemic change activities to achieve a goal.

Part 1.b. Summary of Evaluation Results (annual report)

The UCEDD provides an evaluation plan in its 5-year core grant application. This section will be 

used to provide a summary report of the results of the evaluation for that year. This information 

should be different from the information reported in Part 1A and should be a broad/high level 

summative report of the progress the UCEDD is making in the implementation of the 5-year 

plan. If this type of information is already provided as part of the report in 1A, then it does not 

need to be repeated in Part 1B. Since the UCEDD describes the methodology for data collection 

in the 5 year application, it is not required in this section of the Annual Report. 

Other relevant information not reported elsewhere should also be reported in this section.

UCEDDs should describe how the CAC is involved in an annual review of the 5-year plan, and 

also describe how often the CAC meets.

Part 1.b.(1) Final Summary of Evaluation Results (final 5-year report)
The UCEDD provides an evaluation plan in its 5-year core grant application. This section will be 

used to provide a summary report of the results of the evaluation for the full 5-year core grant 

period of performance. Discuss CAC involvement in evaluating UCEDD activities, and in the 

development and review of the final program progress report.

Part 2. Measures of Improvement and Consumer Satisfaction:

AIDD allows UCEDDs to adapt data collection instruments to ensure accessibility while also 

ensuring consistency in the data collection process. The language for the initial outcomes 

measures and consumer satisfaction measures identified below may be revised when presenting 

these questions to participants or recipients of training, TA, or services.

CORE FUNCTION Interdisciplinary Pre-Service Preparation

Instructional program offered by the UCEDD that: (1) integrates knowledge and methods from 

two or more distinct disciplines; (2) integrates direct contributions to the field made by people 

with disabilities and family members; (3) examines and advances professional practice, 

scholarship and policy that impacts the lives of people with developmental and other disabilities 

and their families; (4) is designed to advance an individual’s academic or professional 

credentials; and (5) takes place in an academic setting or program.

It may: (1) lead to the award of an initial academic degree, professional certificate, or advanced 

academic credential; and (2) contribute to a discipline-specific course of study offered by the 

UCEDD or by another academic department.

Output Measures

(annual report)

• Number and type (discipline, intermediate, long-term) of UCEDD 

trainees trained in the DD field

• Total number of UCEDD trainees

• Number of UCEDD interdisciplinary training programs 

o List of interdisciplinary training programs 

• Number of UCEDD discipline specific training programs

o List of discipline specific training programs 

• Diversity of UCEDD trainees (e.g., gender, person w/disability, family 

member, race/culture/language spoken)

• Regarding pre-service preparation trainings conducted outside the 

UCEDD:

• Number of training events

• Number of hours for each training event

• Number of students trained

Initial Outcome 

Measure

(annual report)

• Percent of UCEDD long-term trainees reporting an increase in 

knowledge or skills and/or change in attitude

Intermediate 

Outcome 

Measure (final 5-

year report)

• Percent of UCEDD long term trainees who report they applied 

knowledge and skills one time or more

• Percent of former UCEDD long-term trainees working in areas of 

high need
• Percent of individuals with DD receiving services from former 

UCEDD long-term trainees

• Percent of former UCEDD long-term trainees in leadership positions 

• Cumulative numbers for output & initial outcomes measures over 

all 5 years 

Consumer 

Satisfaction 

Measure

(annual report)

• Percentage of trainees who reported satisfaction with the knowledge 

and skills gained to promote quality assurance activities for IWDD.

CORE FUNCTION: Continuing Education

Seminars or courses of instruction offered by the UCEDD that: (1) serve to maintain professional 

credentials; (2) encourage professionals to expand their knowledge base and stay up-to-date on 

new developments; and (3) offer certificates of completion or CEUs (or their equivalents).

Output Measures

(annual report)

• Number of professionals participating in UCEDD continuing education 

programs

• Number of UCEDD continuing education programs

• Length (amount of course time) of CE program

Intermediate 

Outcome 

Measure (final 5-

year report)

• Cumulative numbers for output & initial outcomes measures over all 5 

years 

Consumer 

Satisfaction 

Measure

(annual report)

• Percentage of continuing education participants who reported 

satisfaction with the knowledge and skills gained to serve as a resource 

for achieving the developmental and educational goals of IWDD from 

birth to 22 years of age

CORE FUNCTION: Community Services: Training

Training provided by UCEDD faculty/staff to enhance knowledge of a variety of community 

members (individuals with developmental and other disabilities, their families, professionals, 

paraprofessionals, policy-makers, students or others in the community).

Output Measures 

(annual report)

• Number of people trained by participant type (e.g., individuals with 

D/OD, family members, Service providers, professionals, 

paraprofessionals, Policy makers, Community members IN AREA OF 

EMPHASIS

• Number of discrete training events and/or training series IN AREA OF 

EMPHASIS

Initial Outcome 

Measure

(annual report)

For recipients of regular, on-going trainings, percent reporting an increase 

in knowledge gained:

• in area of emphasis OR

• in training topic in area of emphasis 
Intermediate 

Outcome 

Measure (final 5-

year report)

• Cumulative numbers for output & initial outcomes measures over all 5 

years

Consumer 

Satisfaction 

Measure

(annual report)

• Percentage of individuals in the community who reported satisfaction 

with the knowledge and skills gained related to promoting quality 

assurance activities for IWDD.

CORE FUNCTION: Community Services: Technical Assistance

Direct problem-solving services provided by UCEDD faculty/staff to assist programs, agencies, or 

other entities in improving their outcomes, services, management, and/or policies. This includes 

TA provided to self-advocacy organizations, family support groups, and other organizations.

Output Measures

(annual report)

• Number of hours of technical assistance provided in the areas of 

emphasis

• Number of hours of technical assistance per type of organization

Initial Outcome 

Measures

(annual report)

For TA recipients with a sustained relationship with the UCEDD, percent 

reporting an increase in any of the identified or requested item(s) below:

• Enhanced resources 

• Enhanced services

• Strengthened networking of public and private entities across 

communities 

• Increased awareness of evidence-based practices 

• Enhanced capacity to assess current practices in relation to evidencedbased approaches

• Identification of policy changes needed within the areas of emphasis

Intermediate 

Outcome 

Measure (final 5-

year report)

• Impact statement(s) for at least one TA projects/activities over the 5 

years. Impact statements briefly summarize, in lay terms, the 

difference the project’s teaching/learning, research/discovery, and 

extension and outreach/engagement efforts have made. They state 

accomplishments and create strong support for programs. (Narrative)

• Cumulative numbers for output & initial outcomes measures over all 5 

years 

Consumer 

Satisfaction 

Measure

(annual report)

• Percentage of individuals in the community who reported satisfaction 

with the knowledge and skills gained related to the health care needs 

of IWDD.

CORE FUNCTION: Community Services: Model Services 

Specialized services delivered with the intention to enhance the well being and status of the 

recipient and not for testing new practices and may be integrated with training, research,

and/or dissemination functions. Includes direct problem-solving services provided by UCEDD 

faculty/staff to assist individuals with developmental and other disabilities and their families.
Output measure

(annual report)

• Number of specialized services offered by the UCEDD to enhance the 

well being and status of the recipient

Initial Outcome 

Measure

(annual report)

• Number of individuals who received specialized services from the 

UCEDD to enhance the well being and status of the recipient

Intermediate 

Outcome 

Measure (final 5-

year report)

• Impact statement(s) for at least one model service over the 5 years. 

Impact statements briefly summarize, in lay terms, the difference 

the project’s teaching/learning, research/discovery, and extension 

and outreach/engagement efforts have made. They state 

accomplishments and create strong support for programs. 

• Cumulative numbers for output & initial outcomes measures over 

all 5 years.

Consumer 

Satisfaction 

Measure

(annual report)

• Percentage of individuals in the community who reported satisfaction 

with the services and/or supports received related to employment, job 

choice, and career opportunities for IWDD.

CORE FUNCTION: Community Services: Demonstration Services 

Services that field test promising or exemplary practices and may be integrated with training, 

research, and/or dissemination functions.

Output Measures

(annual report)

• Number of services offered solely by the UCEDD that are being field 

tested as promising or exemplary/best practices 

• Number of services offered in partnership with others that are being 

field tested as promising or exemplary/best practices

Initial Outcome 

Measure

(annual report)

• UCEDD and/or partnering agency adopts findings from field test to 

make at least one modification to the UCEDD services being field 

tested (Y/N)

Intermediate 

Outcome 

Measure (final 5-

year report)

• Impact statement(s) for at least one demonstration service over the 

5 years. Impact statements briefly summarize, in lay terms, the 

difference the project’s teaching/learning, research/discovery, and 

extension and outreach/engagement efforts have made. They state 

accomplishments and create strong support for programs. 

• Cumulative numbers for output & initial outcomes measures over 

all 5 years.

Consumer 

Satisfaction 

Measure

(annual report)

• Percentage of individuals in the community who reported satisfaction 

with the services and/or supports received related to IWDD choosing 

where and with whom they will live and to facilitate the level of 

services needed to support those choices.
CORE FUNCTION: Research

Implementation of basic and applied research, program evaluation, and analysis of public policy 

on issues impacting individuals with developmental disabilities

Output Measure

(annual report)

• Number of active research activities 

Intermediate 

Outcome 

Measure (final 5-

year report)

• Using specific case examples, describe at least one instances of 

UCEDD-generated research findings:

• Leading to changes in systems, practice, policy at any level 

(e.g., local, state, regional, tribal, territorial, national)

• Translated into practice and/or policy

• Leading to adoption of evidence-based practices

• Cumulative numbers for output & initial outcomes measures over 

all 5 years.

Initial Outcome 

Measure

(annual report)

• UCEDD adopts research findings by modifying activities in the other 

core functions (Y/N)

CORE FUNCTION: Information Dissemination

Distribution of knowledge-based information through UCEDD developed products and activities

Output Measure 

(annual report)

• Number of products developed 

• Number of products disseminated 

• Number of conferences and conference presentations

Intermediate 

Outcome 

Measure (final 5-

year report)

• Discuss how information dissemination plan, as outlined in the 5-

year application, was implemented over the 5 years. 

• Cumulative numbers for output & initial outcomes measures over 

all 5 years.

Consumer 

Satisfaction 

Measure

(annual report)

• Percent of people satisfied with the information on the UCEDD's 

website

Leveraging 

Efforts to leverage funds for carrying out the core functions (proposal writing and submission, 

partnership development)

Output Measure 

(annual report)

• Number of grants and contracts and other sources of funds leveraged 

• Total amount of funds leveraged

• Source of funding (e.g., federal, state, local, other) 

Intermediate 

Outcome 

Measure (final 5-

year report)

• Total amount of funds leveraged over the course of the 5- year grant using 

the following categories:

o Federal

o State

o Local

o Private Sources (Foundation/Donation/Corporate)
o Fee-for Services

o Other

• Average dollar amount leveraged per core dollar across the five-year period. 

Part 3. Measures of Collaboration: 

1. (annual report) Identify the critical issues/barriers affecting individuals with developmental 

disabilities and their families in your State that the DD Network (The State DD Council, 

Protection and Advocacy Agency, and UCEDD) has jointly identified:

2. (annual report) Describe the strategies collaboratively implemented by the DD Network for 

at least one of the issues/barriers identified above: 

a. Issue/Barrier:

b. Provide a brief description of the collaborative strategies to address issue/barrier 

and expected outcome(s):

c. Check applicable areas of emphasis:

___Quality Assurance

___Education and Early Intervention

___Child Care

___Health

___Employment

___Housing

___Transportation

___Recreation 

___Quality of Life

___Other – Assistive Technology

___Other – Cultural Diversity

___Other - Leadership

___Other – please specify:

d. Describe the UCEDD’s specific role and responsibilities in this collaborative effort. 

Include any technical assistance expertise you can provide to other States in this 

area: 

e. Briefly identify problems encountered as a result of this collaboration, and technical 

assistance, if any, desired:

f. Describe any unexpected benefits of this collaborative effort:

3. (annual report) Describe your collaborations with non-DD Act funded programs*: 

a. List which disability populations benefited from your collaborations. 

b. Estimate the number of individuals with disabilities, other than developmental 

disabilities, who were affected by your collaborations with non-DD Act funded 

programs.

 This information is provided on an optional basis.
c. Estimate the number of individuals with developmental disabilities who were 

affected by your collaborations with non-DD Act funded programs.

4. (final 5-year report) Provide a summary of one or more collaborative effort(s) across the 

five-year period, including a narrative focused on major outcomes resulting from the 

collaboration(s).

In this narrative, be sure to clarify the impact, or outcomes, of collaborations among DD 

Network and other partners.

Part 4. UCEDD Government Performance and Results Act (GPRA) Measures: 

1. (annual report) Percent of individuals with developmental disabilities who are receiving 

services through activities in which UCEDD-trained professionals are involved.

Survey question at 2, 5, 10 years: What is the number of individuals with developmental 

disabilities who are receiving direct services through activities in which you are involved?

2. (annual report) Percent of UCEDD trainees who demonstrate leadership in the 

developmental disabilities field at 2, 5, and 10 years after completion of UCEDD training.

Survey question at 2, 5, 10 years: Are you in a leadership position in the field of 

developmental disabilities?

Part 5. Expanding the Public Health Workforce within the Disability Network Program

Measures

1. Total number of full-time equivalent staff hired [enter text in digits]

2. Type of public health professional(s) hired [drop-down with “other” option]

3. Summary of activities these public health professionals engaged in to advance public health 

[enter text narrative]