**CIL CARES ACT PERFORMANCE REPORT**

**for**

**CENTERS FOR INDEPENDENT LIVING PROGRAM**

**(Title VII, Chapter 1, Part C of the Rehabilitation Act of 1973, as amended)**

**General Instructions**

1. CILs are required to submit a CIL CARES Act (CCA) cumulative program performance report (CCA PPR) that will cover the period from January 20, 2020 through September 30, 2022. 

2. CCA PPRs will be due March 31, 2023. 

3. All data reported on the CCA PPR should contain only activities funded by the CIL CARES Act. ACL recognizes that braided funding may result in some duplication of data with the annual CIL PPR.  Documentation to support CCA activities must be available, upon request. 

4. ACL understands it may be difficult to complete some data fields in the CCA PPR.  It is ACL’s expectation the CILs practice due diligence to acquire data requested and to otherwise document when data is unavailable.

5. You may not have data for all of the data fields in the CCA CIL PPR.  A “non-applicable” (N/A) response is appropriate in any field that does not apply to your CIL.

6. The CCA PPR mirrors some, but not all, sections and data fields of the CIL PPR.  Only sections relevant to the CIL CARES Act funds have been identified and included in the CCA PPR.  Therefore, numbering appears out of sequence on the CCA PPR.  This is intentional.

7. Unless otherwise indicated, instructions and guidance provided for the CIL PPR apply to the CCA PPR.

8. CCA PPRs will be emailed by the grantee to the Program Officer by the deadline. The email subject line will be, “CIL CARES Act PPR.” 

CIL CARES Act PPR Instructions

Please complete the following:

1) Grant #: Enter the pr/award (grant) number listed in block 9a on the Notice of Award (NOA) for CARES Act funding. 

2) Name of Center: Enter the official name of the grantee as it appears on the NOA. 

3) Acronym for Center: Enter the acronym for the center, if applicable.

4) State: Enter the state where the center provides services 

**ADMINISTRATIVE DATA**

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## **Section A – Funding**

(A)  Total CIL CARES Act funds made available to the CIL. This should match the figure on your CIL CARES Act NOA.

(B)  CIL CARES Act Funds drawn: List the amount of CIL CARES Act funds drawn.

(C)  CIL CARES Act funds remaining for expenditure (A-B).

**Section B – Number of CIL CARES Act only CSRs**

This section refers to CSRs that contain activities that are funded by the CIL CARES Act, i.e., are related to addressing COVID-19 needs. 

(1) CSRs that contain activities that are funded by the CIL CARES Act.

## **Section C – Age**

(1) – (6) - Enter the number of consumers served in each age category, as self-reported by each consumer.

## 

## **Section D – Sex**

(1) – (2) - Enter the number of male and female consumers served, as self-reported by each consumer.

## **Section E – Race and Ethnicity**

(1) – (8) - Enter the number of consumers served in each category, as self-reported by each consumer.  **Each consumer may be counted under ONLY ONE of the following categories.**

## **Section F – Disability**

(1) – (7) - Enter the total number of consumers served in each category as self-reported by each consumer.

# SubPart III – Individual Services and Achievements 

Subpart III intends to capture specific CARES Act activities, including the areas of emphasis found in the CIL CARES Act FAQ.  

## **Section A – Individual Services** - 

**Due to the CIL CARES Act focus, not all of the services available in the CIL PPR are available in the CCA PPR.** List the number of consumers requesting, and the number of consumers receiving, each of the following services. Please note that “consumers” includes everyone who received a CARES Act-funded service, which could include a caregiver and thus not necessarily a person with a disability, e.g., individuals without disabilities who received food or PPE distributions as a result of a caregiver relationship.

A) Advocacy/Legal Services – Assistance and/or representation in obtaining access to benefits, services, and programs that a consumer may be entitled to.

B) Assistive Technology – Any assistive technology device, that is, any item, piece of equipment, or product system that is used to increase, maintain, or improve functional capabilities of individuals with disabilities and any assistive technology service that assists an individual with a disability in the selection, acquisition, or use of an assistive technology device.

C) Counseling and Related Services – These include information sharing, psychological services of a non-psychiatric, non-therapeutic nature, parent-to-parent services, and related services.

D) Housing, Home Modifications, and Shelter Services – These services are related to securing housing or shelter, adaptive housing services (including appropriate accommodations to, and modifications of, any space used to serve, or occupied by, individuals with significant disabilities).

E) IL Skills Training and Life Skill Training Services – These may include instruction to develop independent living skills in areas such as personal care, coping, financial management, social skills, and household management.  This may also include education and training necessary for living in the community and participating in community activities.

F) Information and Referral Services – Identify all individuals who requested this type of assistance.  

G) Peer Counseling Services – Counseling, teaching, information sharing, and similar kinds of contact provided to consumers by other people with disabilities.

H) Personal Assistance Services – These include, but are not limited to, assistance with personal bodily functions; communicative, household, mobility, work, emotional, cognitive, personal, and financial affairs; community participation; parenting; leisure; and other related needs. This would include goods provided to caregivers to enable personal assistant services to be provided.

I) Physical Restoration Services – Restoration services including medical services, health maintenance, eyeglasses, and visual services.

J) Preventive Services – Services intended to prevent additional disabilities, or to prevent an increase in the severity of an existing disability.

K) Rehabilitation Technology Services – Provision of, or assistance to obtain through other sources, adaptive modifications, such as wheelchairs and lifts, that address the barriers confronted by individuals with significant disabilities with respect to education, rehabilitation, employment, transportation, IL, and/or recreation.

L) Transportation Services – Provision of, or arrangements for, transportation.

M) Other Services – Any CIL CARES Act services not listed above. Services to address food insecurity and the provision of PPE.   

**Section B – Additional Information Concerning Individual Services or Achievements -**Please provide any additional description or explanation concerning individual services or achievements reported in Subpart III, including outstanding success stories. 

SUBPART IV 

# Section A 

**Item 4 - Equal Access**

**(B) Equal Access for Individuals with Disabilities**

Briefly describe how the CIL has advocated for, and conducted activities that promote, equal access to all services, programs, activities, resources, and facilities in society, whether public or private, and regardless of funding source, for individuals with significant disabilities. 

· Equal access means that the same access provided to individuals without disabilities is provided in the center’s service area to individuals with significant disabilities.

# Section D 

# Item 1 – Community Activities Table

In the table provided, give a summary of the community activities involving the CIL board members or staff.  Add more rows, as needed.

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# Item 2 – Description of Community Activities

# 

# For the community activities mentioned above, provide additional details such as the role of the CIL staff, board members, and/or consumers, names of any partner organizations, and further descriptions of the specific activities, services, and benefits.

# 

**SUBPART VII – ADDITIONAL INFORMATION**

## **Section A – Other Accomplishments, Activities and Challenges -**Describe any additional significant accomplishments, activities and/or challenges not included elsewhere in the report, e.g., brief summaries of innovative practices, improved service delivery to consumers, etc.

### Section B – Additional Information - Provide additional information, comments, explanations, or suggestions not included elsewhere in the report. 

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