Instructions for performance reporting for ACL/CDC supplemental funding to Expand COVID-19 Vaccine Access for People with Disabilities

Complete the tables of quantitative and qualitative data for service activities conducted between April 1, 2021 and September 30, 2022. 

[question for ACL: how should UCEDDs respond/report on activities not yet conducted at the time this report will be due? 

The report will be submitted July 30 and this funding period ends September 30. We'd like to ensure instructions reflect this.]

• Enter data for the full project period 4/1/21 through 9/30/22.

• Ensure that the information you enter is complete and correct.

• Enter the information in the column as specified in both Quantitative and Qualitative worksheets.

• If a list of valid values is provided, select only from these values. Do not add or change any values.

• Do not add or delete any columns in the worksheets.

•Do not change the sequence of the columns.

• Do not delete worksheets.

• In the Quantitative worksheet, enter digits only (no letters, punctuation, or symbols).

• In the Qualitative worksheet, enter up to 2,500 characters to describe your narrative, successes, and challenges for the service activities

 completed. Completion of all service activities was not required. For service activities not completed, enter N/A. 

• In the Qualitative worksheet, enter up to 2,500 characters to describe collaborations with ACL partners, collaborations with other

 community-based organizations, lessons learned, and recommendations for future activities. These fields are not optional.

• In addition to completing this spreadsheet, include a project with related activities and products in NIRS to reflect this effort and

 its associated leveraged funds.

• Direct any questions related to the completion of this spreadsheet to Dawn Rudolph at drudolph@aucd.org. 

• Upload completed data sheets as an attachment in the annual UCEDD PPR due July 30, 2022.
Project Title

Center Name (select option)

Project Timeline

Service Activity

Number of people with disabilities 

reached by your education activities

Number of all other people (including 

family members, direct support 

providers/workers, personal care 

attendants, and other support providers) 

reached by your education activities

Identifying people unable to independing 

travel to a vaccination site

Number of people unable to 

independently travel to a site

Providing technical assistance (TA) to local 

health departments or other entities on 

vaccine accessibility

Number of local health departments or 

other entities assisted with TA on vaccine 

appointments

Helping with scheduling a vaccine 

appointment

Number of people helped in scheduling 

vaccine appointments

Arranging or providing accessible 

transportation

Number of people assisted with 

accessible transportation to a vaccination 

site

Providing companion/personal support Number of people assisted with 

companion/personal support to receive 

vaccines

Reminding people of their second 

vaccination appointment if needed

Number of people who needed and 

received a reminder of their second 

vaccination appointment

Number of people with disabilities vaccinated as a result of implementing one or 

more of the service activities

Total number of all other people vaccinated as a result of implementing one or more 

of the service activities

Education about the importance of 

receiving a vaccine

Overall outcome: Number of people vaccinated as a result of implementing one or more of the service activities

Expand COVID-19 Vaccine Access for People with Disabilities

April 1, 2021 - September 30, 2022

Number of People Served
Project Title

Center Name (select option)

Project Timeline

Service Activity Successes Challenges

Describe the most successful/effective education activities 

implemented

Describe Challenges that limited your ability to 

educate others about the importance of the vaccine

April 1, 2021 - September 30, 2022

Expand COVID-19 Vaccine Access for People with Disabilities

Education about the importance 

of receiving a vaccine

Narrative

Describe the type of education activities conducted (e.g., one on one assistance, 

brochures/pamphlets/fliers, social media postings, social stories)
Describe the strategy to identify people unable 

to independently travel to a vaccination site

Describe the most commonly cited 

reasons for why they couldn't travel to the 

site

Describe successes achieved as a result of identifying people 

unable to independently travel to a site (e.g., were such individuals 

able to get vaccinated at an alternative site)

Describe challenges that limited your ability to 

identify people unable to independently travel to a 

site

Describe successes achieved as a result of TA activities provided to 

local health departments

 

provide technical assistance to local health 

departments or other entities on vaccine 

accessibility

Describe the type of strategies/TA activities to assist local health departments or other 

entities on vaccine accessibility

Identifying people unable to 

independing travel to a 

vaccination site

Providing technical assistance 

(TA) to local health departments 

or other entities on vaccine 

accessibility
Describe successes achieved as a result of assistance provided to 

help schedule vaccine appointments

Describe challenges that limited your ability to help 

with scheduling a vaccine appointment

Describe successes achieved as a result of accessible 

transportation activities

Describe challenges that limited your ability to 

arrange or provide accessible transportation

Describe successes achieved as result of providing 

companion/personal support services for people to receive 

vaccines

Describe challenges that limited your ability to 

provide companion/personal support

Arranging or providing 

accessible transportation Describe the type of activities used to assist people with accessible transportation to a 

vaccination site

Providing companion/personal 

support Describe the type of activites to provide companion/personal support services for people to 

receive vaccines

Helping with scheduling a 

vaccine appointment

Describe the type of activities used to assist people in scheduling vaccines
Describe successes achieved as a result of providing reminders to 

people on their second vaccination appointment

Describe challenges that limited your ability to 

provide people reminders on their second 

vaccination appointment

Reminding people of their 

second vaccination appointment 

if needed

Describe the type of activities to provide people with reminders on their second vaccination 

appointment
Collaboration with other community-based organizations

Collaboration with ACL partners (ADRCs, AAA, CIL, DDC, P&A, UCEDD)

Describe the collaboration and joint activities with other community-based organizations, including successes and challenges in your collaboration efforts

Overall lessons learned

Describe the leading key lessons learned, as a result of, your overall implementation activities

Describe the nature of collaboration and joint activities with ACL partners, including successes and challenges in your collaboration efforts
Recommendations for future activities

Provide recommendations for ACL to consider that will maximize the impact of future responses to disasters or pandemics
UCEDD

AL - Civitan International Research Center & Sparks Clinics

AK - Center for Human Development

AR - Partners for Inclusive Communities

AZ - Institute for Human Development

AZ - Sonoran UCEDD

CA - Center for Excellence in Developmental Disabilities at the UC Davis MIND Institute

CA - Tarjan Center at UCLA

CA - USC UCEDD at the Children's Hospital Los Angeles

CO - JFK Partners School of Medicine

CT - A.J. Pappanikou Center for Excellence in Developmental Disabilities

DC - Georgetown UCEDD Center for Child and Human Development

DE - Center for Disabilities Studies

FL - Florida Center for Inclusive Communities

FL - Mailman Center for Child Development

GA - Center for Leadership in Disability

GA - Institute on Human Development and Disability

GU - Guam CEDDERS

HI - Center on Disability Studies

IA - Iowa's University Center for Excellence on Disabilities

ID - Idaho Center on Disabilities and Human Development

IL - Institute on Disability and Human Development

IN - Indiana Institute on Disability and Community

KS - Kansas University Center on Developmental Disabilities

KY – Human Development Institute

LA - Louisiana UCEDDERS

MA - Eunice Kennedy Shriver Center

MA - Institute for Community Inclusion

MD - Maryland Center for Developmental Disabilities

ME – Center for Community Inclusion and Disability Studies

MI - Michigan Developmental Disabilities Institute

MN - Institute on Community Integration

MS - Institute for Disability Studies

MO - UMKC Institute for Human Development

MT - The Rural Institute for Inclusive Communities

NC - Carolina Institute for Developmental Disabilities

ND - North Dakota Center for Persons with Disabilities

NE - Nebraska UCEDD

NH - Institute on Disability

NJ - The Boggs Center on Developmental Disabilities

NM - Center for Development and Disability

NV - Nevada Center for Excellence in Disabilities

NY - Rose F. Kennedy University Center for Excellence in Developmental Disabilities

NY - Strong Center for Developmental Disabilities

NY – Westchester Institute for Human Development

OH - Nisonger Center

OH - University of Cincinnati University Center for Excellence in Developmental Disabilities
OK - Center for Interdisciplinary Learning and Leadership

OR - Institute on Development & Disability

OR - University of Oregon UCEDD

PA - Institute on Disabilities

PB - Pacific Basin UCEDD

PR - Puerto Rico University Center for Excellence on Developmental Disabilities

RI - Paul V. Sherlock Center on Disabilities

SC - Center for Disability Resources

SD - Center for Disabilities

TN - Center on Developmental Disabilities

TN - Vanderbilt Kennedy Center for Excellence in Developmental Disabilities

TX - Center for Disability Studies

TX - Center on Disability and Development

UT - Institute for Disability Research, Policy, & Practice

VA - Partnership for People with Disabilities

VI - Virgin Islands University Center for Excellence in Developmental Disabilities

VT - Center on Disability and Community Inclusion

WA - Center on Human Development and Disabilities

WV - Center for Excellence in Disabilities 

WI - Waisman Center

WY - Wyoming Institute for Disabilities (WIND)