Technical Assistance for Independent Living Grantee Survey

Introduction

Public Burden Statement: According to the Paperwork Reduction Act of 1995, no persons are required 

to respond to a collection of information unless such collection displays a valid OMB control number 

(OMB 0985-xxxx). Public reporting burden for this collection of information is estimated to average 25 

minutes per response, including time for gathering and maintaining the data needed and completing 

and reviewing the collection of information. The obligation to respond to this collection is voluntary. 

Send comments regarding the burden estimate or any other aspect of this collection of information, 

including suggestions for reducing this burden, to the Administration for Community Living, U.S. 

Department of Health and Human Services, 330 C Street, SW, Washington, DC 20201-0008, Attention 

Peter Nye, or OILPPRAComments@acl.hhs.gov.

The Technical Assistance for Independent Living Grantee Survey is being conducted to collect 

information about technical assistance (TA) used by independent living grantees to strengthen 

independent living (IL) and IL programs. The survey is being conducted by the Administration for 

Community Living (ACL). The results of this survey will highlight barriers and benefits to current TA and

inform ACL’s approach to improve TA efforts. Participation in this survey is voluntary. There are no 

penalties for nonparticipation. If you have questions or comments about this survey, please contact 

Dustin Williams by email at AoDsurvey@rti.org or toll-free by phone at 1-877-834-7087 or contact Peter 

Nye at OILPPRAComments@acl.hhs.gov.

Instructions and Definitions

Who should complete the survey? The survey should be completed by an administrator, director, or 

other person knowledgeable about [ORGANIZATION NAME]’s delivery of programs, services and their 

organization’s use or non-use of TA to strengthen IL and IL programs. If preferred, that person may call 

to provide their responses over the phone (1-877-834-7087) or may request a paper copy of the 

survey via mail.

For this survey, please only include responses for [ORGANIZATION NAME]. Do NOT include any other 

organizations you represent or support. 

Do not include information that would identify yourself or other representatives of [ORGANIZATION 

NAME] (e.g., your name or the names of anyone who works for the organization) in any open-ended

questions. Survey data will be associated with a case ID number—data files will not include the 

organization name. 

1. Do you agree to participate in the Technical Assistance for Independent Living Grantee Survey?

a. Yes

b. No

[CONTINUED ON NEXT PAGE]
Demographics

First, we would like to collect demographic information on [ORGANIZATION NAME]. 

2. Which of the following describes the areas your organization serves? Please check all that apply.

a. Rural

b. Suburban

c. Urban

3. What type of organization best describes [ORGANIZATION NAME]? 

a. Designated State Entity (DSE)

b. Center for Independent Living (CIL)

c. Statewide Independent Living Council (SILC)

4. Please enter the number of full-time and part-time paid personnel working for [ORGANIZATION 

NAME] on April 30, 2023:

a. Full-Time: _____ Check if estimate [ ]

b. Part-Time: _____ Check if estimate [ ]

5. Please select the response that includes the total income for [ORGANIZATION NAME]’s 

independent living program during your most recent, completed fiscal year. Please only include 

income for the independent living program. 

a. $0–$435,000

b. $435,001–$770,000

c. $770,001–$1,270,000

d. $1,270,001–$2,330,000

e. More than $2,300,000

TA Receipt 

Next, I would like to ask you a few questions about any TA your organization may or may not have 

received from the Independent Living Research Unit (ILRU) and other TA providers. Examples of TA 

include peer-to-peer support, on-demand videos, webinars, trainings, fact sheets and other published 

reports, online resources, mentoring, and peer discussion groups.

6. From May 1, 2022, to April 30, 2023, did your organization receive any TA from ILRU?

a. Yes

b. No 

7. From May 1, 2022, to April 30, 2023, did your organization receive TA from any non-ILRU TA 

providers? Please select all that apply. 

a. National Council on Independent Living (NCIL)

b. National Association of Statewide Independent Living Councils (NASILC)

c. Association of Programs for Rural Independent Living (APRIL)

d. Disability Employment Technical Assistance Center

e. Housing and Services Resource Center 

f. Veterans Directed Care Program

g. Other, specify: _____

h. None

[Q7 POST LOGIC: IF Q6=NO and Q7=NONE, GO TO QUESTION 21]

[CONTINUED ON NEXT PAGE]
8. From May 1, 2022, to April 30, 2023, what led your organization to seek TA from ILRU or nonILRU TA providers? Please select all that apply.

a. Outreach from Administration on Disabilities (AoD) staff

b. Outreach from ILRU staff 

c. Outreach from non-ILRU TA providers

d. Federal policy changes

e. State and local policy changes

f. Changes in reporting requirements

g. New staff at your organization 

h. Change in organization’s mission

i. New program or initiative (e.g., a new transportation program or housing initiative)

j. Challenges with marketing or participant recruitment

k. Networking opportunity

l. Other, please specify:

9. From May 1, 2022, to April 30, 2023, what types of TA did your organization receive from ILRU

or non-ILRU TA Providers? Please select neither, ILRU, non-ILRU TA Providers, or ILRU and nonILRU TA providers for each row. 

TA Type

Did not 

receive 

TA

Received 

from ILRU

Received 

from NonILRU TA 

Providers

Received 

from ILRU 

and non 

ILRU TA 

providers

a. Peer-to-Peer Mentoring

b. TA Office Hours

c. Peer Group TA Discussions

d. One-on-One TA/Intensive Support 

(provided by contacting TA provider)

e. In-Person Trainings or Webinars

f. Online, Live Trainings or Webinars

g. On-Demand (Recorded) Trainings or 

Webinars

i. On-Demand Publications and Resources 

(e.g., fact sheets, reports)

j. Other; please specify: ______________

[CONTINUED ON NEXT PAGE]

10. From May 1, 2022, to April 30, 2023, did your organization receive TA on the following topics 

from ILRU or non-ILRU TA providers? Please select neither, ILRU, non-ILRU TA Providers, or ILRU 

and non-ILRU TA providers for each row.
TA Topic

Did not 

receive TA

Received 

from ILRU

Received 

from NonILRU TA 

Providers

Received 

from ILRU 

and NonILRU TA 

providers

a. Community and institutional 

transition/diversion

b. Transition of youth

c. Consumer information files or consumer 

service records (e.g., release 

authorizations, goal forms, and 

independent living plans)

d. COVID-19 & emergency preparedness 

resources

e. Disability, diversity, intersectionality, 

and outreach to underserved groups

f. Home and community-based services

g. Transportation 

h. Expanding housing options

i. Independent living skills training

j. Independent living history and

philosophy

k. Individual/systems advocacy

l. Information and referral support

m. Peer counseling and peer support

n. Succession planning, staff development, 

benefits, and remote working

o. Business acumen, financial 

management, fundraising and grant 

writing

p. Performance measurement (gathering,

analyzing, and utilizing data), program 

performance reporting, compliance 

reporting, and evaluation/outcome 

measurement

q. SILC and DSE roles and responsibilities; 

State Plan for Independent Living (SPIL)

r. Board training and development

s. Assistive device/technology support

t. Other; please specify: ______________

[QUESTION 11 POST-LOGIC: IF Q6=NO, GO TO OTHER TA SECTION]

ILRU TA

Now, we would like to ask you a few questions about the TA your organization received from ILRU. 

Please do not include TA provided by any non-ILRU TA providers. 
[QUESTION 11 PRE-LOGIC: ONLY SHOW ROW IF THE RESPONDENT SELECTED 2 OR 4 FOR THE TA TYPE IN 

QUESTION 9]

11. How satisfied was your organization with the types of TA received from ILRU between May 1, 

2022, and April 30, 2023? Please select very dissatisfied, dissatisfied, neither satisfied or 

dissatisfied, satisfied, or very satisfied for each row. 

Please only include TA received from ILRU in your responses.

TA Type

Very 

Dissatisfied Dissatisfied

Neither 

Satisfied or 

Dissatisfied Satisfied

Very 

Satisfied

a. Peer-to-Peer Mentoring

b. TA Office Hours

c. Peer Group TA Discussions

d. One-on-One TA/Intensive 

Support (provided by contacting 

TA provider)

e. In-Person Trainings or Webinars

f. Online, Live Trainings or 

Webinars

g. On-Demand (Recorded) Trainings 

or Webinars

i. On-Demand Publications and 

Resources (e.g., fact sheets, 

reports)

j. Other; please specify: 

______________

[CONTINUED ON NEXT PAGE]
[QUESTION 12 PRE-LOGIC: ONLY SHOW ROW IF RESPONDENT SELECTED THE TA TYPE IN QUESTION 9]

12. How often did your organization obtain to the following TA types from ILRU between May 1, 

2022, and April 30, 2023? Please select 1-4 times, 5-8 times, 9-11 times, 12-24 times, or 25 or 

more times for each row. 

Please only include TA received from ILRU in your responses.

TA Type

Rarely (1-4 

times)

Occasionally 

(5-8 times)

Often

(9-11 

times)

Frequently 

(12-24 

times)

Very 

Frequently 

(25 or 

more 

times)

a. Peer-to-Peer Mentoring

b. TA Office Hours

c. Peer Group TA Discussions

d. One-on-One TA/Intensive 

Support (provided by contacting 

TA provider)

e. In-Person Trainings or Webinars

f. Online, Live Trainings or 

Webinars

g. On-Demand (Recorded) Trainings 

or Webinars

i. On-Demand Publications and 

Resources (e.g., fact sheets, 

reports)

j. Other; please specify: 

______________

[CONTINUED ON NEXT PAGE]
[QUESTION 13 PRE-LOGIC: ONLY SHOW ROW IF RESPONDENT SELECTED THE TA TOPIC IN QUESTION 10]

13. How satisfied was your organization with the TA received from ILRU on the following topics 

between May 1, 2022, and April 30, 2023? Please select very dissatisfied, dissatisfied, neither 

satisfied or dissatisfied, satisfied, or very satisfied for each row. 

Please only include TA received from ILRU in your responses.

TA Topic

Very 

Dissatisfied Dissatisfied

Neither 

Satisfied or 

Dissatisfied Satisfied

Very 

Satisfied

a. Community and institutional 

transition/diversion

b. Transition of youth

c. Consumer information files or consumer 

service records (e.g., release authorizations, 

goal forms, and independent living plans)

d. COVID-19 and emergency preparedness 

resources

e. Disability, diversity, intersectionality, and 

outreach to underserved groups

f. Home and community-based services

g. Transportation 

h. Expanding housing options

i. Independent living skills training

j. Independent living history and philosophy

k. Individual/systems advocacy

l. Information and referral support

m. Peer counseling and peer support

n. Succession planning, staff development, 

benefits, and remote working

o. Business acumen, financial management, 

fundraising and grant writing

p. Performance measurement (gathering 

analyzing, and utilizing data), program 

performance reporting, compliance reporting, 

and evaluation/outcome measurement

q. SILC and DSE roles & responsibilities; State 

Plan for Independent Living (SPIL)

r. Board training and development

s. Assistive device/technology support

t. Other; please specify: ______________

[CONTINUED ON NEXT PAGE]
14. Were there barriers that prevented your organization from using additional TA from ILRU from 

May 1, 2022, to April 30, 2023? Please select all that apply.

a. No additional TA needed

b. TA was not timely

c. TA was poor quality

d. TA types did not occur frequently enough or at times my organization could attend

e. Limited staff and could not make time for anyone to participate in TA

f. Past TA has not been appropriately tailored for my organization and was not relevant

g. TA is not accessible for people with disabilities

h. Did not know about it

i. Other, please specify: __________

[IF 14=G, ASK 14a, ELSE GO TO 15]

14a. Could you please describe the accessibility barriers people with disabilities in your 

organization have experienced with TA from ILRU?

15. Overall, from May 1, 2022, to April 30, 2023, how would you rate ILRU’s TA in terms of helping 

your organization fulfill its mission?

a. Poor

b. Fair

c. Good

d. Very Good

e. Excellent

[QUESTION 15 POST LOGIC: SKIP TO QUESTION 32 IF QUESTION 7=NONE]

[CONTINUED ON NEXT PAGE]
Non-ILRU TA

Now, we would like to ask you a few questions about the TA your organization received from non-ILRU

TA providers to strengthen IL and IL programs. Please do not include TA provided by ILRU in your 

responses to questions in this section. 

[QUESTION 16 PRE-LOGIC: ONLY SHOW ROW IF RESPONDENT SELECTED THE TA TYPE IN QUESTION 9]

16. How satisfied was your organization with types of TA you received from non-ILRU TA providers 

between May 1, 2022, and April 30, 2023? Please select very dissatisfied, dissatisfied, neither 

satisfied or dissatisfied, satisfied, or very satisfied for each row. Please only include TA received 

from non-ILRU TA providers in your responses.

TA Types

Very 

Dissatisfied Dissatisfied

Neither 

Satisfied or 

Dissatisfied Satisfied

Very 

Satisfied

a. Peer-to-Peer Mentoring

b. TA Office Hours

c. Peer Group TA Discussions

d. One-on-One TA/Intensive 

Support (provided by contacting 

TA provider)

e. In-Person Trainings or Webinars

f. Online, Live Trainings or 

Webinars

g. On-Demand (Recorded) Trainings 

or Webinars

i. On-Demand Publications and 

Resources (e.g., fact sheets, 

reports)

j. Other; please specify: 

______________

[CONTINUED ON NEXT PAGE]
[QUESTION 17 PRE-LOGIC: ONLY SHOW ROW IF RESPONDENT THE TA TYPE IN QUESTION 9]

17. How often did your organization obtain the following TA types from non-ILRU TA providers 

between May 1, 2022, and April 30, 2023? Please select rarely, occasionally, frequently, monthly, 

or weekly for each row. Please only include TA received from non-ILRU TA providers in your 

responses.

TA Type

Rarely (1-4 

times)

Occasionally 

(5-8 times)

Often

(9-11 

times)

Frequently 

(12-24 

times)

Very 

Frequently 

(25 or 

more 

times)

a. Peer-to-Peer Mentoring

b. TA Office Hours

c. Peer Group TA Discussions

d. One-on-One TA/Intensive 

Support (provided by contacting 

TA provider)

e. In-Person Trainings or Webinars

f. Online, Live Trainings or 

Webinars

g. On-Demand (Recorded) Trainings 

or Webinars

i. On-Demand Publications and 

Resources (e.g., fact sheets, 

reports)

j. Other; please specify: 

______________

[CONTINUED ON NEXT PAGE]
[QUESTION 18 PRE-LOGIC: ONLY SHOW ROW IF RESPONDENT SELECTED THE TA TOPIC IN QUESTION 10]

18. How satisfied was your organization with the TA they received from non-ILRU TA providers on 

the following topics between May 1, 2022, and April 30, 2023? Please select very dissatisfied, 

dissatisfied, neither satisfied or dissatisfied, satisfied, or very satisfied for each row. Please only 

include TA received from non-ILRU TA providers in your responses.

TA Topic

Very 

Dissatisfied Dissatisfied

Neither 

Satisfied or 

Dissatisfied Satisfied

Very 

Satisfied

a. Community and institutional 

transition/diversion

b. Transition of youth

c. Consumer information files or consumer 

service records (e.g., release 

authorizations, goal forms, and 

independent living plans)

d. COVID-19 and emergency preparedness 

resources

e. Disability, diversity, intersectionality, and 

outreach to underserved groups

f. Home and community-based services

g. Transportation 

h. Expanding housing options

i. Independent living skills training

j. Independent living history and philosophy

k. Individual/systems advocacy

l. Information and Referral Support

m. Peer counseling and peer support

n. Succession planning, staff development, 

benefits, and remote working

o. Business acumen, financial management, 

fundraising and grant writing

p. Performance measurement (gathering 

analyzing, & utilizing data), program 

performance reporting, compliance 

reporting, and evaluation/outcome 

measurement

q. SILC and DSE roles and responsibilities; 

State Plan for Independent Living (SPIL)

r. Board training and development

s. Assistive device/technology support

t. Other; please specify: ______________

[CONTINUED ON NEXT PAGE]
19. Were there barriers that prevented your organization from using additional TA from non-ILRU

TA providers from May 1, 2022, to April 30, 2023? Please select all that apply.

a. No additional TA needed

b. TA was not timely

c. TA was poor quality

d. TA types did not occur frequently enough or at times my organization could attend

e. Limited staff and could not make time for anyone to participate in TA

f. Past TA has not been appropriately tailored for my organization and was not relevant

g. TA is not accessible for people with disabilities

h. Did not know about it

i. Other, please specify: __________

[IF 19=G, ASK 21a, ELSE GO TO 20]

19a. Could you please describe the accessibility barriers people with disabilities in your 

organization have experienced with TA from non-ILRU TA providers?

20. Overall, from May 1, 2022, to April 30, 2023, how would your organization rate the TA received 

from non-ILRU TA providers in terms of helping your organization fulfill its mission?

a. Poor

b. Fair

c. Good

d. Very Good

e. Excellent

[QUESTION 21 PRE-LOGIC: GO TO QUESTION 25, IF QUESTION 6=YES OR QUESTION <>NONE]

No TA

We understand your organization has not received TA from ILRU or non-ILRU TA providers, and we’d like 

to learn more about that.

21. ILRU and non-ILRU TA providers offer on-demand videos, fact sheets and other published 

reports and resources, 1:1 TA, webinars, and facilitates peer discussions. ACL also funds its own 

TA centers that focus on issues related to employment, veterans directed care, and housing.

Prior to this survey, was your organization aware of any of these TA opportunities?

a. Yes

b. No [GO TO QUESTION 25]

[CONTINUED ON NEXT PAGE]
22. What is the primary reason your organization did not use any TA?

a. No TA needed

b. TA was not timely

c. Poor quality of past TA

d. TA types did not occur frequently enough or at times my organization could attend

e. Limited staff and could not make time for anyone to participate in TA

f. Past TA has not been appropriately tailored for my organization and was not relevant

g. Past TA has not been accessible for people with disabilities

h. Did not know about it

i. Other, please specify: __________

[IF 22=G, ASK 22a, ELSE GO TO 23]

22a. Could you please describe the accessibility issues people with disabilities 

encountered with past TA?

23. Thinking about the availability of TA, how would you describe TA opportunities from all 

providers offered between May 1, 2022, and April 30, 2023?

TA Type

Not very 

available Available Very available

a. Peer-to-Peer Mentoring

b. TA Office Hours

c. Peer Group TA Discussions

d. One-on-One TA/Intensive 

Support (provided by contacting 

TA provider)

e. In-Person Trainings or Webinars

f. Online, Live Trainings or 

Webinars

g. On-Demand (Recorded) Trainings 

or Webinars

i. On-Demand Publications and 

Resources (e.g., fact sheets, 

reports)

j. Other; please specify: 

______________

[CONTINUED ON NEXT PAGE]
24. From May 1, 2022, to April 30, 2023, how useful for your organization would TA have been on 

the following topics?

TA Topic

Very not 

useful

Not 

useful

Neither 

useful or 

not useful Useful Very useful

a. Community and institutional 

transition/diversion

b. Transition of youth

c. Consumer information files or 

consumer service records (e.g., release 

authorizations, goal forms, and 

independent living plans)

d. COVID-19 and emergency 

preparedness resources

e. Disability, diversity, intersectionality, 

and outreach to underserved groups

f. Home and community-based services

g. Transportation 

h. Expanding housing options

i. Independent living skills training

j. Independent living history and

philosophy

k. Individual/systems advocacy

l. Information and Referral support

m. Peer counseling and peer support

n. Succession planning, staff 

development, benefits, and remote 

working

o. Business acumen, financial 

management, fundraising and grant 

writing

p. Performance measurement (gathering 

analyzing, and utilizing data), program 

performance reporting, compliance 

reporting, and evaluation/outcome 

measurement

q. SILC and DSE roles and responsibilities; 

State Plan for Independent Living 

(SPIL)

r. Assistive device/technology support

s. Other; specify: ______________

[CONTINUED ON NEXT PAGE]
General TA

25. How would your organization prefer to receive information about future TA opportunities? 

Please select all that apply.

a. Listservs

b. Live Webinar

c. Referral 

d. Phone

e. Email

f. Conference (e.g., Annual Conference on Independent Living)

g. Virtual meeting

h. On-demand recordings of webinars or virtual meetings

i. Website

j. Social media

k. Administration for Community Living or Office of Independent Living

l. Mail notifications 

m. Other, please specify: ____

26. In your opinion, what makes TA most effective to your organization? Please select all that apply.

a. Timeliness

b. Relevance

c. Convenience (e.g., on-demand/remote options)

d. Accessibility (e.g., usable for people of all disability types)

e. Personalized Content, including intensive support and one-on-one TA

f. Other: Please specify 

27. In your opinion, what are the benefits of TA to your organization? Please select all that apply. 

a. Improved operational efficiency

b. Improved performance on key outcomes

c. Staff retention

d. Improved financial performance

e. Improved outreach

f. Other: Please specify

28. From May 1, 2022, to April 30, 2023, were there types of TA your organization requested but did 

not receive? Please include TA requests to ILRU and all non-ILRU TA providers.

a. Yes

b. No

c. Don’t Know

[QUESTION 29 PRE-LOGIC: IF QUESTION 28=NO OR DON’T KNOW, GO TO CLOSING.]

29. What types of TA did your organization request and not receive between May 1, 2022, and April 

30, 2023?

Closing

Thank you for participating in the TA for Independent Living Grantee Survey! If you have any questions, 

please contact Dustin Williams by email at AoDsurvey@rti.org or toll-free by phone at 1-877-834-7087

or contact Peter Nye at OILPPRAComments@acl.hhs.gov.