**FORM RSA -**  **722 AN**  **NUA L REPORT ON A**  **PPEA LS PROCESS** 

**INSTRUCTIONS Purpose:**  Form RSA

- 722 was developed to comply with the specific reporting requirements of Section 102(c) of the Rehabilitation Act (the Act) as amended by the W orkforce Innovation and Opportunity Act . This section delineates the procedures by which applicants for and eligible individuals of State vocational rehabilitation (VR) programs may appeal decisions made by personnel of the VR unit/agency that affect the provision of VR services to them. Individuals may request that their disputes be resolved through mediation and/or an impartial due process hearing. (In some States, a Fair Hearing Board, established by a State before January 1, 1985, carries out the responsibilities of the impartial hea ring officer (IHO).) The State may elect to establish a procedure that enables either party to seek review of a decision rendered by the IHO. Finally, either party may file a civil action if either remains unsatisfied with the final administrative decisi on. Section 102(c)(8) of the Act requires the State VR Director to collect and report data on the appeals process to the Commissioner. A summary of this information is included in the Commissioner's Annual Report submitted to Congress pursuant to section 13 of the Act. Section 102(c)(8)(B) specifies the information that is to be collected: 1. A copy of the standards used by State reviewing officials for reviewing decisions made by IHOs; 2. Information on the number of hearings and reviews sought from the IHOs and the State reviewing officials, including the type of complaints and the issues involved; 3. Information on the number of hearing decisions made that were not reviewed by the State reviewing officials; 4. Information on the number of the hear ing decisions that were reviewed by the State reviewing officials, and, based on the reviews, the number of hearing decisions that were: a. sustained in favor of the individual; b. reversed in favor of the individual; c. sustained in favor of the age ncy; and d. reversed in favor of the agency; and 5. Copies of all decisions rendered by the IHOs and State reviewing officials. Wh ile Form RSA

- 722 was designed initially to respond to the mandate of law, it also will enable the Commissioner to monitor the appeals process in the State agencies that has been set up to safeguard the rights of individuals withdisabilities. The form itself is devised to approximate the sequence of the

appeals process and contains a series of checks and balances throughout to simplify the completion of the report. **Line -**  **by -**  **line Instructions:** State & Agency : Enter the name of the State and check the appropriate box to indicate whether the agency is a general or combined agency, or whether the agency serves only individuals who are blind. Fiscal Year : Enter the Federal fiscal year to which the form relates.

**I. MEDIA** **TION: A.**  **Requests for Mediation: NOTE:**  Section 102(c)(4) of the Act sets forth the requirements for the mediation process. A "mediation request" can be cou nted in several wa ys, including: (1) when an individual actually requests mediation directly; (2) when an individual requests a hearing, but agrees to mediation when it is suggested by the agency; and (3) when an individual is in the hearing process and t he individual agrees to engage in mediation upon the IHO’s recommendation. Each of these examples would constitute a "request for mediation." Line 1: Enter the number of requests for mediation that were pending on

October 1. These mediation requests were carried over from the prior fiscal year. Line 2: Enter the number of mediation requests made since October 1. It

does not matter who actually made the request. Line 3: Enter the total number of mediation requests during the fiscal year.

Add lines I.A 1 and I.A2. It does not matter whether a mediator actually acted on these requests during the fiscal year. This number also forms the basis for the data in column (a) of Part V of this form (Types of Complaints/Issues Involved in Disputes).**B. Disputes**  **Resolved During the Mediation Process:**

Line 1: Enter the number of disputes resolved/settled prior to a written

mediation agreement. There may have been one or more mediation sessions. However, there is no requirement that any mediation sessions occurre d. The key here is that settlement was reached prior to the development of a mediation agreement. Line 2: Enter the number of disputes resolved with a mediation agreement.

In these instances, the parties met with a mediator and reached a settlement that was put into writing. Line 3: Add lines I.B1 and I.B2. This is the total number of disputes

resolved during the mediation process. Line 4: Enter the number of disputes that were not resolved during the

mediation process. In these instances, one or bot h of the parties halted the mediation process before it was completed. **C. Mediation Requests Carried Over:**  Line 1: Enter the number of requests for mediation that were pending on

September 30 and will go through the mediation process during the next fiscal year. There was insufficient time to act on these requests during the fiscal year. Subtract lines I.B3 and I.B4 from I.A3. **II. IMPA**  **RTI AL** **HE ARI**  **NG PROCESS: A.**  **Requests for Impartial Hearings: NOTE:**  Section 102(c)(5) of the Act sets forth the require ments for the impartial hearing process. Line 1: Enter the number of appeals that have yet to be concluded by the

impartial hearing officer (IHO) and remain in any stage of processing as of October 1, the beginning of the Federal fiscal year. This figure should be the same as the number of appeals in process on September 30 from the report submitted for the prior fiscal year. Line 2: Enter the number of requests for an impartial hearing filed during

the fiscal year. This number does not include the numb er of requests that were pending at the start of the fiscal year.Line 3: Add lines II.A1 and II.A2. This is the total number of appeals requiring action by the IHO during the fiscal year. It does not matter whether the IHO actually heard these cases du ring the fiscal year. This number is also the basis for data reported in column (b) of Part V of this form (Types of Complaints/Issues Involved in Disputes). Line 4: Enter the total number of appeals, for which a request for a hearing

was made (from line II.A3), in which the parties attempted mediation prior to requesting a hearing. The Act makes it clear that parties are not required to attempt mediation first; however, many will attempt to resolve the dispute at the lowest possible level (i.e., mediati on) prior to requesting a formal hearing. **B. Disputes Resolved during the Impartial Hearing Process:**  Line 1: Enter the number of disputes that were resolved before an IHO

could render a decision. In most of these cases, the parties settled the dispute p rior to actually getting to the hearing. However, sometimes, the parties reached a settlement just as the hearing was beginning or soon after it began. The key fact to keep in mind when recording data for this line entry is that the dispute was resolved w ithout the IHO rendering a decision. Line 2: Enter the number of decisions rendered by an IHO that largely or

entirely supported the position of the individual on the major issue(s). A major issue is one deemed vital to the individual in his/her initiati on or successful completion of VR services. Line 3: Enter the number of decisions rendered by an IHO that largely or

entirely supported the position of the State VR agency on the major issue(s). Line 4: Add lines II.B2 and II.B3. This is the total numbe r of decisions

actually rendered by an IHO during the fiscal year. Line 5: Add lines II.B1 and II.B4. This is the total number of disputes that

were resolved somehow at some point during the hearing process (i.e., after a request for a hearing was made) Line 6: Enter the number of disputes that were not resolved during the

hearing process during the fiscal year. This line entry includes those situations in which the individual died, left the State, or withdrew his/her request for a hearing for whatever reason. **C. Impartial Hearing Requests Carried Over:** Line 1: Enter the number of requests for impartial hearings that were pending on September 30 and will go through the impartial hearing process during the next fiscal year. There was insufficient time to act on these requests during the fiscal year. Subtract lines II.B5 and II.B6 from II.A3. **III. REVIEW OF IHO DECISIONS:**  **NOTE 1:** Section 102(c)(5)(D) gives States the option of establishing

procedures by which a party may seek an impartial review of an IHO decision prior to filing a civil action. If the State has established such a procedure, either party may request a review of the IHO decision. The form asks agencies to check the appropriate box as to whether their State has established these re view procedures. If your State has NOT established these procedures, then you should skip the entire section III. If your State HAS established these review procedures, you must provide the data requested in section III. **NOTE 2:** For those State VR agenc ies that must complete Section III, it is

important to enter information (in section III.B of this form) for only those times when the reviewing official actually reviewed the IHO decision in accordance with the "standards of review" established by the age ncy. **A. Requests for Review** **of IHO Decisions:** Line 1: Enter the total number of requests for review of IHO decisions that

were pending on October 1 of this fiscal year. These are requests that were carried over from the prior fiscal year because these requests had not been acted upon before the end of the prior fiscal year. Line 2: Enter the total number of new requests for review of IHO decisions

that were made since October 1 of this fiscal year. Line 3: Add lines III.A1 and III.A2. This is the to tal number of requests for

review of IHO decisions available during this fiscal year. This information forms the basis of the data reported in column (c) of Part V of this form. **B. Reviews of IHO Decisions Completed:** Line 1: Enter the number of IHO deci sions largely or entirely favoring the individual that were substantially, if not totally, sustained by the reviewing official. In other words, the position of the individual was upheld on the major issue(s) by the reviewing official in this final adminis trative decision. Line 2: Enter the number of IHO decisions largely or entirely favoring the

individual that were substantially, if not totally, reversed by the reviewing official. In other words, the reviewing official found clear and convincing evidenc e that the IHO's decision was erroneous as a matter of law and/or policy. As a result of this final administrative decision, the position of the State agency was ultimately upheld on the major issue(s). Line 3: Enter the number of IHO decisions largely o r entirely favoring the

State agency that were substantially, if not totally, sustained by the reviewing official. In other words, the reviewing official upheld the position of the agency on the major issue(s) in this final administrative decision. Line 4: Enter the number of IHO decisions largely or entirely favoring the

State agency that were substantially, if not totally, reversed by the reviewing official. As a result of this final administrative decision, the reviewing official ultimately upheld the position of the individual on the major issue(s). Line 5: Add lines III.B1 through III.B4. This is the total number of reviews

of IHO decisions that were completed during the fiscal year. Line 6: Enter the number of IHO decisions that were not reviewed

.

Subtract line III.B5 from II.B4.

**C Review of IHO Decisions Carried Over:**  Line 1: Subtract line III.B5 from line III.A3. This is the total number of

requests for reviews that were unable to be completed during the fiscal year. These will be carri ed over to the next fiscal year. **IV. CIVIL A** **CTIONS: A.**  **Civ il A** **ctions Filed: NOTE:**  Section 102(c)(5)(J) grants the right for either party to file a civil

action. Line 1: Enter the total number of civil actions that were pending on October

1 of this fi scal year. These civil actions had been filed (regardless of by whom) in a previous year, but had not been resolved by the end of the prior fiscal year. These were carried over from last fiscal year. Line 2: Enter the number of new civil actions that we re filed since October

1. It does not matter which party filed the civil action. Line 3: Add lines IV.A1 and IV.A2. This is the total number of civil actions

requiring resolution by the court system during this fiscal year. This information forms the b asis for the data reported in column (d) of Part V of this form. **B. Civ**  **il A ctions Resolved:**  Line 1: Enter the number of civil actions in which the court resolved the

dispute largely, if not entirely, in favor of the individual's position on the major iss ue(s) and, in so doing, sustained the final administrative decision, which also had favored the individual's position. Line 2: Enter the number of civil actions in which the court resolved the

dispute largely, if not entirely, in favor of the individual's position on the major issue(s) and, in so doing, reversed the final administrative decision, which had favored the agency's position. Line 3: Enter the number of civil actions in which the court resolved the

dispute largely, if not entirely, in favor of the agency's position on the major issue(s) and, in so doing, sustained the final administrative decision, which also had favored the agency's position. Line 4: Enter the number of civil actions in which the court resolved the

dispute largely, if not enti rely, in favor of the agency's position on the major issue(s) and, in so doing, reversed the final administrative decision, which had favored the individual's position. Line 5: Add lines IV.B1 through IV.B4. This is the total number of civil

actions reso lved during this fiscal year. Line 6: Enter the number of disputes that were not resolved during the civil

action process during the fiscal year. This line entry includes thosesituations in which at least one of the parties filed a civil action but th e action was dismissed for some reason. The individual may have died or left the State or one of the parties may have withdrawn the request for civil action for any reason. **C. Civ**  **il A ctions Carried Over:**  Line 1: Subtract lines IV.B5 and IV.B6 from IV.A 3. This is the total number

of civil actions that were still pending on September 30 of this fiscal year and will be carried over to the next fiscal year. **V. TYPES OF COMPLA**  **INTS/ISSUES INVOLVED IN DISPUTES:** It is possible for two or more of the complain ts/issues listed on lines 1 through 7 to be involved in any given appeal. To complete Part V, State agencies are asked to record each complaint/issue that can be identified per dispute in the appropriate column. Column (a)

-- Mediation : For each line entry in Part V, enter the number of requests for mediation, according to the type of complaint or issue involved. It does not matter whether the dispute was resolved during the mediation process. The total number of requests for mediation is found on L ine I.A3. Column (b)

-- Impartial Hearings : For each line entry in Part V, enter the number of requests for an impartial hearing, according to the type of complaint or issue involved. It does not matter whether the issue was resolved during the hearin g process or whether the IHO actually rendered a decision. The total number of requests for an impartial hearing is found on Line II.A3. Column (c)

-- Reviews of IHO Decisions : For each line entry in Part V, enter the number of requests for review o f IHO decisions, according to the type of complaint or issue involved. It does not matter whether the reviewing official actually completed the review. The total number of requests for a review of IHO decisions is found on Line III.A3. Column (d)

-- Civ il Actions : For each line entry in Part V, enter the number of civil actions filed, according to the type of complaint or issue involved. It does not matter whether the civil action was resolved. The total number of civil actions available to the court is found on Line IV.A3. Line 1: **Ap plicant Eligibility**  **for VR:** Enter the number of disputes in which the major issue involved the applicant's eligibility for VR services. An example of a situation that would fit this category is: the State VR agency clo ses an individual's service record before a determination of eligibility, but the applicant believes he/she should receive services.Line 2: **Nature/content/scope of IPE:** Enter the number of disputes in which the individual's major issue involved the natu re or content or scope of the Individualized Plan for Employment (IPE). This would include disagreements about what course of action should be taken and what services should be provided to affect an employment outcome. It would also include disagreements about the employment goal desired by the individual. Line 3: **Quality**

**of Counseling Services:** Enter the number of disputes in which the individual's major issue involved the delivery and quality of counseling services that the individual received. Examp les would include complaints about counselor responsiveness, attentiveness and competence. Line 4: **Delivery/quality of other VR Services:** Enter the number of

disputes in which the individual's major issue involved the delivery or quality of one or more s ervices other than counseling (i.e., diagnostic and evaluative testing, restoration, training, placement, etc.). This category also includes those disputes in which the individual is complaining about how useful or effective the services were, the locatio n of sites where the services were to be provided, and the timing and frequency of services. Line 5: **Cost of Services:** Enter the number of disputes in which the

individual's major issue involved some aspect of the cost of services. This category could i nclude complaints regarding issues of comparable services and benefits, fee for services, needs

- based determinations, an agency's refusal to pay for certain services, etc. Line 6: **Termination of Services/Service Record Closure:** Enter the

number of disput es in which the individual's major issue involved the suitability and desirability of the service record closure. For example, this category could include situations in which the individual is dissatisfied with a particular job placement for which the Sta te agency has claimed or will claim that an employment outcome has been achieved. This category should also be used to report those disputes in which the agency wants to terminate services and close the service record on the ground that the individual is not cooperating. Line 7: **Al l other Complaints/Issues:**  Enter the number of disputes in

which the individual's major issue involves a complaint that is not covered by any of the above categories. **VI. DESCRIPTION OF DUE PROCESS PROCEDURES:** Section 102(c)(1) of the Act requires that State agencies establish procedures for

mediation and review through an impartial due process hearing in order for disputes regarding determinations made by agency personnel to be resolved. Section 102(c)(8)(B)(i) requires that t he State develop standards of review to be used by the reviewing official when reviewing IHO decisions. State agencies should describe fully in this narrative portion of the report their mediation, due process procedures, and standards for review. This descrip tion should be sufficiently detailed so that responses can be summarized and reported to the Congress in the Annual Report. State agencies are required to describe the review process as an attachment to their State plan. Any agency that has revi sed its procedures for review since the last State Plan submission should attach a copy of those revisions to Form RSA

- 722. In no event, however, should the data in Parts I through V of Form RSA

- 722 be withheld because of any timing, legal or other proble m in providing a revised description of the review process. **VII. FINA**  **L IHO and REVIEW DECISIONS** Section 102(c)(8)(A) requires RSA to collect copies of the final decisions issued by IHOs and reviewing officials conducting the reviews of IHO decisions. Pl ease send copies of all of these decisions along with the completed RSA

- 722. **Person to Contact about this Form:** Print the name of a person who can answer questions about the contents of Form RSA

- 722 should they arise. Include this person's phone number and e

- mail address (if applicable). **Au thorized Signature:**  The appropriate State agency official should sign the form to certify that it is complete and correct. The person should also date the form. **TRA NSMITTA**  **L OF THE REPORT:** Wi thin 30 days after the end of the fiscal year covered by the report, send a copy of Form RSA

- 722 to RSA. The RSA

- 722 reports may be sent by mail or electronically using one of the options listed below. Electronic Mail addresses Specific instructions and the URL for key entry/on

- line and editing of data directly into the RSA management information system can be found at : http://rsa. ed.gov

.The RSA Central Office E

- Mail address for the RSA

- 722 is:

Edward. We st@ed.gov US Mail This report may be mailed via U

. S

. mail to: U

. S

. Department of Education Rehabilitation Services Administration Attn : Ed We st 400 Maryland Avenue , S. W. PCP 50 98 Wa shington, DC 20202

- 2800 **PA PERWORK REDUCTION A** **CT BURDEN STA TEMENT:**  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. Public reporting burden for this collection of information is estimated to average 2 hours per response, including time for reviewing instruction s, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is required to obtain or retain a benefit ( Rehabilitation Act of 1973, a s amended by the W orkforce Innovation and Opportunity Act ). Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW , Wa shington, DC 20210

- 4537 or email ICDocketMgr@ed.gov and reference the OMB Control Number 1820

- 0563. Note: Please do not return the completed Annual Report on Appeals Process (RSA

- 722 ) form to this address.