### Form RSA

**– 15: REPORT OF VENDING FACILITY PROGRAM**  REPORTI

NG INSTRUCTIONS State Li censing Agencies (SLAs) under the Randolph

- Sheppard Act (the Act) are required annually to complete the RSA

- 15 Report of Vending Facility Program (RSA

- 15) that reports activ ities for the prior F ederal fiscal year. The RSA

- 15 should be submitted electronically via the rsa.ed.gov website to the Rehabilitation Services Administration (RSA) within 90 day s after the close of the Federal fiscal year. The report covers the period October 1 through September 30 of the most recentl y completed Federal fiscal year. The intent of the RSA

- 15 is to collect data on ALL vending facilities managed and operated by the SLA under the Act. For the purposes of completing the RSA

- 15, the SLA s hould treat military troop dining facilities like any other vending facility

. It is understood that these operations are unique but RSA must capture accurate data in order to reflect true program activity and the overall impact of the Randolph

- Sheppard Pr ogram. This would include military dining contracts, either through a teaming partner arrangement or operated solely by a blind vendor. The SLA should have the vendor or the teaming partner report the following revenues and expenses: gross sales, merchan dise purchases (if part of the contract), pay roll expenses, other operating expenses, net profit of teaming partner, and vendor’s net profit. This information can then be used to complete this form properl y. Please follow the instructions closely so that these items are captured accuratel y on this report. I. EARNINGS AND EMPLOYMENT Part Iwill provide a summary of the earnings and employ ment generated by

the Vending Facility Program during the Federal fiscal ye ar. Gross Sales (Line 1) Enter the gross sales, that is, the total amount of money received from customers for goods and services sold. For military

contracts include the total gross amount that is collected from the government for pay ment. Merchandise Purchases (Line 2) Enter the cost of merchandise purchased, that is, the total value of the inventory on hand at the beginning of the year, in terms of the cost paid for the goods; add the dollar amount of goods purchased during the ye ar; and then subtract the total value of goods on hand at the close of the year. If a military contractor or vendor purchases food supplies as part of the contract, include that amount here. If the government is responsible for the purchase of food supplies and this cost is outside the requirements of the contract , do not include that cost. Gross Profit (L ine 3) Enter the gross profit. This is the difference between what the goods were sold for and what was paid for them (subtract line 2 from line 1). Pay roll Expenses (Line 4) Enter the total dollar amount of v endor pay roll expenses for the ye ar. This figure should reflect the amount of salaries and fringe benefits (all labor costs) paid to employees of vending facilities during the reporting period. Salaries paid to blind vendors who may or may not be incorpo rated should not be reported here. Pay

roll or labor costs for employ ees of the military contracts must be included with labor costs of all other vending facilities.Other Operating Expenses (L ine 5)

Enter other operating expenses, that is, all other co sts excluding merchandise purchases incurred in carryi ng out the business. Other operating expenses, as far as the Vending Facility Program is concerned, are the non

- reimbursed expenditures by the vendors for the State agency - approved pay ments for the fol lowing: equipment, maintenance and repairs, supplies, rent, utilities, pest control, delivery services, cleaning services, insurance, licenses, and State and local taxes. Operating expenses must not include levied set

- aside charges or expenses defray ed b y the SLAs. All other identifiable expenses of the military contract are included here. These expenses include: general and administrative, management fees, insurance, transportation and other costs, and profits received b y the teaming partner. Total Exp enses (L ine 6) Add lines 4 and 5. Operating Profit (Line 7) Enter the operating profit, that is, the amount gained from the operation of the business (subtract line 6 from line 3). Vending Machine and Other Income (Line 8) Enter the vending machine in come (not part of direct sales) distributed to the vendors, and an y income accruing to the vending facilities from subsidies, commissions, rebates, or other sources. Do not include fair minimum return paid to blind vendors. Retirement and Other Benefits Paid to/for Vendors During the Operating Year (Line 9) Enter in this line the total amount of retirement or other benefits (e.g. health insurance, vacation or sick leave pay ments) paid directly

to or indirectl y to or on behalf of active blind vendors. Do not include pay ments to retired vendors. Include any fringe benefit pay

ments made directly

to the vendor, contributions to a retirement account, and/or health insurance premiums paid on behalf of a vendor. If additional fringe benefits are made from non

- F ederal sources of funding, please include these as well and note them in the Notes/Explanations section of the form. Net Proceeds (Line 10) Enter the net proceeds, that is, operating profit plus the income from vending machines and other sources (add lines 7, 8, and 9). Levied Set

- Aside Funds (L ine 11) Enter the amount of levied set

- aside funds. Levied set

- aside funds are assessed against the net proceeds of each vending facility

and accrue to the SLA for the program purposes set forth in the State ' s regulations. Set

- aside funds are an item in the financial State ment unique to the Vending Facility Program. Figures entered here must reflect set

- aside funds collected from October 1 through September 30. Net Profit to Vendors (Line 12)Enter the amo unt of net profit to the vendors. Net profit to vendors equals net proceeds minus set

- aside

funds (subtract line 11 from line 10). Net profit for vendors on military contracts will be automatically included in this total without any additional calculatio ns if the data has been reported properl y above. Fair Minimum Return to Vendors (Line 13) Enter the fair minimum return pay ments to vendors. Fair minimum return, which is optional with each State agency , is the amount that may be paid to vendors from s et
- aside funds in order to provide a uniform minimum income to all vendors under the program. Vendor Earnings (Line 14) Enter the amount of vendors’ earnings. One of the most important data elements in the financial s tate ment, Vendor Earnings equal net profit to vendors plus fair minimum return (add lines 12 and 13). Vendor Person Years of Employ ment (Line 15) Enter the number of vendor person ye ars. To compute the number of vendor person years, add the number of months each vendor worked (disregard fractions of a month of two weeks or less) and divide by 12. Example: vendor A worked 12 months, vendor B worked 6 months, and vendor C worked 9 months, total months worked, 27; 27 divided by 12 equals 2.25; number of vendor person ye ars equals 2.25. If a vendor is assigned to more than one facility at the same time, the additional facility assignment(s) will not affect the vendor person ye ars calculation. For example, if vendor A operates his permanent facility

for 12 months and assumes responsibility f or a second facility

for 9 months, this would still constitute only

1 vendor person ye ar. Average Vendor Earnings (L ine 16) To determine the average income per blind vendor in the State , divide line 14 by line 15. The accuracy

of this figure is very

imp ortant since it is one of the key indicators of the success of a State ’s program. The Median of Vendor Earnings in the State (Line 17) Enter the median of vendor earnings in the State

. Vendor earnings are net profit (operating profit, vending machine and other income, retirement and other benefits, minus set

- aside) plus fair minimum return, if applicable

. To calculat e the median of vender earnings , first complete a ranking of each vendor’s earnings. T he median would be the vendor earnings figure that falls in the middle. There would be an equal number of earnings figures above and below the median. If there is no middle number then the median is the arithmetic mean between the two middle numbers. For example, if a program has 51 licensed vendors the n the median would be the one for which there are 25 individual vendor earnings figures above and below; if a State has 30 vendors in its program the median would be the mean of the vendor earnings for the two vendors whose earnings fall in the middle. Th e vendors in the middle in this example would be 15 and 16 if counted from the highest to the lowest, or the lowest to the highest. Number of Other Persons with Visual Disabilities Employ ed (Line 18) Enter the actual number of other persons with visual d isabilities provided employ ment in the program. Please note this is not “person years” but the actual integer number of persons with visual disabilities provided employ

ment as of September 30 (the end of the F ederal fiscal year). Number of Other Persons w ith Disabilities Employed (Line 19)Enter the actual number of other persons with disabilities provided employment in the program. Please

note this is not “person years” but the actual integer number of other persons with disabilities provided employ ment as of September 30 (the end of the Federal fiscal y ear). For purposes of this report, the definition of “disability” found in the Americans with Disabilities Act (ADA) should be used as guidance. The term "disability " means, with respect to an individua l (A) a ph ys ical or mental impairment that substantially

limits one or more major life activities of such individual; (B) a record of such an impairment; or (C) being regarded as having such an impairment. State s are encouraged to make every effort to acc uratel y report the number of persons with disabilities employed so the true value of the program can be assessed. Number of Persons Having No Disability Employed (Line 20) Enter the total integer number of non

- disabled persons employed. Please note thi s is not “person y ears” but the actual integer number of non

- disabled persons provided employ ment as of September 30 (the end of the F ederal fiscal year). Total Number Employed in the Program (Line 21) This figure indicates the total number of persons, e xcluding blind vendors assigned to a vending facility , who are employ ed in the program. Add lines 18, 19, and 20 to arrive at the total number employed in the program. This figure is another important indicator of the economic impact the program has at the State level. II. VENDING FACILIT IES AND VENDORS The numbers of vending facilities and vendors are indicators of program growth and are reported b y Federal, public, and private locations. Part II contains eight sections (A through H). For the purposes of this Section, a “vending facility” is the total operation assigned to a vendor whether it is on a single propert y or on multiple properties. It is understood that sometimes vending in multiple buildings will be combined in order to generate enough reve nue to make the operation viable for a blind vendor. These are often referred to as “vending routes.” Although a vending route may consist of multiple locations, for the purposes of this report, the SLA should report such a route as a single vending faci lity

. Some routes may include vending in buildings governed b y different propert y management. For example, a route may include vending in Federal buildings, other public properties, and private properties. In order to determine which category to report s uch a route, the SLA should consider from what ty pe of property most of the sales are generated. If a route is “anchored” b y a Federal location and most sales are generated from F ederal properties, it should be considered a Federal vending facility

. Conv ersel y, if most of the sales are generated on State propert y, then the facilit y should be reported under “Public Property.” This same principle would apply to an y vending facility

that encompasses more than one phy sical location even if it is n o t consider ed a vending route. Definitions Federal Property

– A facility operated by

a blind vendor under the Vending Facilit y Program on “an y building, land, or real property owned, leased or occupied by an y department, agency or instrumentality of the U.S....” (34 CFR Sect. 395.1). Public Property

– A facility operated b y a blind vendor under the Vending Facility Program on State , municipal, or county

property
. Private Propert y
– A facility operated by

a blind vendor under the Vending Facilit y Program on private propert y.A. FACILIT IES ON FEDERALPROPERTY

Number at Beginning of the Year (Line 1) This figure will be pre

- populated based upon the previous y ear’s RSA

- 15 report data. Number Established During the Year (Line 2) Enter the number of vending facilitie s established during the Federal fiscal year. The number of facilities established should include both new facilities and the acquisition of existing facilities previousl y not in the program. A small satellite location that is attached to an existing fac ility should not be reported here. Number Closed During the Year (Line 3) Enter the number of vending facilities closed during the Federal fiscal year. Number at End of the Year (Line 4) Enter the number of vending facilities remaining at the end of the Federal fiscal y ear. This number equals the sum of lines 1 and 2, minus line 3. The number shown on line 4 must be the same as the number shown in Part II. B., line 10. B. VENDING FACILIT IES L OCATED ON FEDERALPROPERTY, END OF YEAR Enter the number of vending facilities remaining at the end of the Federal fiscal y ear on Federal property for each Federal agency

listed that grants the permit or contract by which the SLA is authorized to establish a vending facility , namel y: General Services Administration (GSA) (Line 1) Report on this line the total number of vending facilities on General Services Administration properties. U.S. Postal Service (USPS) (L ine 2) Report on this line the total number of vending facilities on U.S. Postal Service proper ties. Department of Defense (Line 3) This line should be used to indicate the total number of vending facilities operated on Department of Defense properties (add lines 3.a. and 3.b.). Military Dining Facility

Contracts (L ine 3.a.) This line should reflect the number of contracts held by the SLA for operation of cafeterias/military

dining facilities. Other Department of Defense Vending Facilities (Line 3.b.) Enter on this line the number of vending facilities on Department of Defense properties ex cluding troop
- dining facilities. This would include snack bars, vending machine routes, gift shops, etc. Department of Homeland Security (L ine 4) Report on this line the total number of vending facilities on Department of Homeland Securit y properties.Health and Human Services (Line 5)

Report on this line the total number of vending facilities on Health and Human Services properties. Veterans Administration (L ine 6) Report on this line the total number of vending facilities on Veterans Administrat ion properties. Department of the Interior ( Li ne 7) Report on this line the total number of vending facilities on Department of Interior properties. Vending Routes on Multiple Federal Locations (Line 8) This line should be used to report the total number of vending routes that include several different Federal properties (i.e., a GSA site, a USPS site, etc. that are combined to make a single vending facility). Other Federal Agencies (Line 9) Please specify

all other Federal agencies by name. Plea se note that facilities operated at safety rest areas on the inter s tate highways are not considered to be on Federal properties and should not be reported here but should be included in Part III. Total (L ine 10) Enter the total of lines 1 through 9. T his total should be the same as the total in Part II. A. line 4. C. CONTRACTS FOR OPERAT ION OF CAFETERIAS AN D MILITARY DINING FA CILIT IES In formation in this section applies to all contracts for operation of cafeterias and to all military dining faciliti es funded with F ederal appropriated funds. Proceeds from these operations are generall y derived from pay ments made b y the contracting entity rather than over the counter or retail sales. For each contract:  Enter the agency

or branch of the military that issued the contract.  Enter the name of the military installation (fort, base, or camp) where the dining hall services are provided. (If applicable)  Enter the beginning date of the contract.  Enter the date that the contract is anticipated to end. Th is projection should include possible option years.  Enter the gross sales (value) for the contract for the most recentl y completed contract ye ar. If the contract was awarded during this reporting period please enter the contract award amount for the fir st y ear of operation. D. VENDORS ON FEDERALPROPERTY Number at Beginning of the Year (Line 1)This figure will be pre

- populated based upon the previous y ear’s RSA

- 15 report data.

Number Entering During the Year (Line 2) Enter the number of vendors ent ering the program during the F ederal fiscal year. This should be the net number of vendors assigned during the year and should not reflect each individual promotion or transfer. Number Leaving During the Year (Line 3) Enter the number of vendors leavi ng during the Federal fiscal year. This should be the net number of vendors leaving during the y ear and should not reflect each individual promotion or transfer. Do not report as “Vendors leaving” when a vendor transfers from facilities on Federal proper ty to facilities on non - Federal propert y during the Federal fiscal year. Transfers will be reflected in the end of ye ar balance. Number at End of the Year (Line 4) Enter the number of vendors remaining at the end of the Federal fiscal ye ar. This number equals the sum of lines 1 and 2, minus line 3. E. FACILIT IES ON PUBLIC PROPERTY ( STATE , COUNTY, MUNICIPAL) Lines 1, 2, 3, and 4 use the same instructions as for l ines I , 2, 3, and 4 of Part II. A. Under line 4, please categorize facilities as State , count y, or c) municipal. Remember to include inter s tate highway facilities as State public propert y. F. VENDORS ON PUBLIC PROPERTY ( STATE , COUNTY, MUNICIPAL) Lines 1, 2, 3, and 4 use the same instructions as for l ines 1, 2, 3, and 4 of Part II. D. Remember to include vendors operating inter s tate highway facilities as vendors on public property

. G. FACILIT IES ON PRIVATE PROPERTY Lines 1, 2, 3, and 4 use the same instructions as for l ines 1, 2, 3, and 4 of Part II. A. H. VENDORS ON PRIVATE PROPERTY Lines 1 , 2, 3, and 4 use the same instructions as for l ines 1, 2, 3, and 4 of Part II. D. III. VENDING LOCATIONS UNDER THE INTERSTATE HIGHWAY PROGRAM (Surface Transportation Assistance Act amended by the Intermodal Surface Transportation Efficiency Act of 1991 amende d by

the Transportation Equity Act for the 21 st Century

of June 9, 1998) The amendments do not alter the content of Section 111 of the earlier legislation. This part of the form is designed to collect specific data on vending machine locations placed in safety rest areas of the national sy stem of inter s tate highway s. SLAs designated under the Randolph

- Sheppard Act shall be given priority by the State to operate such vending machine locations. The data in this part will provide a summary of activities di rectly

resulting from the above

- cited legislation. The information is important to determine the impact of that legislation on the Randolph

Sheppard program in terms of employ ment and revenue.Total Number of Vending Locations (Line 1)

Enter the numbe r of all vending locations operated under the Inter s tate Highway Program in Column (1). This figure represents the actual number of locations. For example, if there is a rest area on both the eastbound and westbound side of an inter s tate highway , this sh ould be reported as two locations (even if both locations are operated by one vendor as part of a vending facility). Number of Locations Operated b y Vendors (L ine 2) Of the total number of locations reported in line 1, enter the number of locations that are operated b y blind vendors (Column (1)) and the total receipts (net profit) of those locations (Column (2)). A vendor may operate more than one location. Number of Locations Operated b y Third

- Part y Contractors (Line 3) Enter the number of locatio ns operated b y third

- party contractors (Column (1)) and the total receipts from those locations (Column (2)). The amount in Column (2) represents the amount of commissions or other remuneration paid by

the third

- part y contractor to the SLA. Number of V endors Operating Locations in the Highway Program (Line 4) Enter the number of blind vendors that are operating locations in the Inter s tate Highway Program. Total earnings are not needed for this line. IV
. PROGRAM EXPENDI TURES BY SOURCE OF FUNDS This part is designed to collect, for accountability purposes, comprehensive information on all program expenditure categories by source of funds during the Federal fiscal year. The Vending Facility Program generall y has four different sources of funding expenditur e categories. They are: the Federal and/or non

Federal vending machine income that is not assigned to the vendors, set

- aside funds from the net proceeds of the vending facilities (levied set

- aside), State appropriated funds, and Federal funds allotted to the State for vocational rehabilitation services under section 110 of the Rehabilitation Act of 1973, as amended . In rare instances, SLAs may have “other” sources of non

- Federal funding unique to their program. Please use Column (6) to reflect these fund s on the appropriate lines. Please note that the source of such funds may have statutory

or other restrictions related to their use. Federal law and regulations set forth the purposes for which funds from the different sources may be used. In Columns (1 ) through (6), enter the dollar amount by

funding source(s) for each of the expenditure categories listed below in rows 1 through 11 and enter the total dollar amount for each expenditure category in Column (7). Also, remember that “pass through” funds ar e not characterized as program expenditures and should not be reflected in this section. Purchase of New Equipment (L ine 1) Enter, b y source of funds, the cost of new equipment purchased for the program during the Federal fiscal ye ar. This include s equi pment purchased for new facilities and new equipment for existing facilities. Only allowable sources of funding may be used to finance the cost of new equipment. Maintenance of Equipment (L ine 2) Enter, b y source of funds, the cost (except when paid dir ectl y b y the vendor) of maintaining the equipment in good repair. Report the cost of normal maintenance, that is, the cost for repairs directed primarily at keeping the facilities operational in their various components. Examples include the purchase of a new compressor for a refrigerator, the replacement of glass in a showcase, the painting of countersand shelves not for refurbishing purposes but as simple normal maintenance. Only allowable sources of funding may

be used to finance the cost of maintenance of equipment. Replacement of Equipment (L ine 3) Enter, b y source of funds, the cost for replacement of equipment. Only total replacements (e.g. a new refrigerator, various units of equipment replaced at one time, counters replaced in total , etc.) wi ll be considered replacement for this purpose. The purpose of replacement is to keep the facility operational. Federal funds may

be used for replacement of equipment. Only allowable sources of funding may be used to finance the cost of replacement equip ment. Refurbishment of Facilities (L ine 4) Enter, b y source of funds, the cost of renovating the existing facilities that were expended only during the reported Federal fiscal ye ar. Painting, remodeling, changing the layout design, upgrading the equipme nt as part of a process whereby the facilities are being redecorated or renovated for the purpose of improving their appearance and efficiency would be t ypical examples of expenditures in this category . Expenditures to totally refurbish vending machine equipment would also be reported in this category

. Expenditures shown in this category

should not be repeated or duplicated on any other line in this section. Only allowable sources of funding may be used to finance the cost of refurbishment. Management S ervices (Line 5) Enter, b y source of funds, the amount of expenditures made during the reported Federal fiscal ye ar for management services. Management services include supervision, inspection, regulating, quality control, consultation, accounting, in

- ser vice training, and related services necessary to support and improve the operation of the Vending Facilit y Program
. These costs include salary and expenses of all management services staff, such as supervisors, BEP counselors, accountants, secretaries, et c. This category also includes the development of new locations, and activities related to the selection and operation of the Elected State Committee of Blind Vendors. Costs associated with the ongoing operation of vending facilit ies , after their establi shed, should not be charged to management services. Fair Minimum Return (Line 6) Enter, b y source of funds, the amount of expenditures made during the reported Federal fiscal ye ar for the pay ment of a fair minimum return to vendors that provides a unifor m minimum income to all vendors under the program. Federal funds are not allowed for fair minimum return pay ments. The amount shown on line 6, column (7) must equal the amount shown in Part I , Line 13. Retirement/Pension Programs (Line 7) Enter, b y so urce of funds, the amount of expenditures made during the reported Federal fiscal ye ar for a retirement or pension program. Note that Federal funds may NOT be used for this purpose. Health Insurance Programs (L ine 8) Enter, b y source of funds, the amount of expenditures made during the reported Federal fiscal ye ar for a health insurance program for vendors. Note that Federal funds may NOT be used for this purpose. Paid Sick L eave/Vacation Time (L ine 9)Enter, b y source of funds, the amount of expenditures made during the reported Federal fiscal ye ar for

paid sick leave and vacation time for vendors. Note that Federal funds may NOT be used for this purpose. Initial Stock and Supplies (L ine 10) Enter, b y source of funds, the amount of expenditures made during the reported Federal fiscal year for initial stock and supplies for facilities. Also, when a change in vendors occurs in a facilit y, this line item should reflect funds expended to bring inventory to an acceptable operating level. Note that set

- a side funds and machine income accruing from machines on Federal property may NOT be used for this purpose. All Other Expenditures (Line 11) Enter all other expenditures made during the reported Federal fiscal ye ar from State funds and non

Federal vending machine income, or if applicable from “other” funds. Total (L ine 12) Enter, b y source of funds, the sum of lines 1 through 11. Make sure of the following:  Line 12, Column (1) must equal the figure shown in Part V, L ine 5, Column (1).  Line 12, Column (2) must equal the figure shown in Part V, L ine 5, Column (2).  Line 12, Column (3) must equal the figure shown in Part V, L ine 5, Column (3) The totals of line 12, columns (1), (2), and (3) must equal the figure shown in Part V, line 5, column (4). V. DI S TRIBUTION AND EXPENDITURE OF PROGRAM FUNDS FROM VENDING MACHINE INCOME AND LEVIED SET

- ASIDE This part is designed to collect, for accountability purposes, information on the distribution and expenditure of program funds from vending machine income and le vied set

- aside fees. Vending machine income is separated into two columns showing Federal and non

- Federal funds. Vending machine income is revenue accruing to the SLA from vending machines located on Federal propert y (Federal regulations) and non

- Federal property ( State regulations). The non

- Federal category would include vending machine income from inter state highway rest stops authorized by

the Surface Transportation Assistance Act amended b y the Intermodal Surface Transportation Efficiency Act of 1991 amended b y the Transportation Equity Act for the 21 st Century

of June 9, 1998. Levi ed set

- aside fees are funds that accrue to the SLA from an assessment against the net proceeds of each Federal and non

- Federal location under the program. Amount at Beginning of the Year (Line 1) This figure will be pre

- populated based upon the previous y ear’s RSA

- 15 report data. This amount must equal the amount remaining at the end of the ye ar that was reported in the previous reporting period. Funds Added During the Year (L ine 2) Enter, b y source of program funds, the amount added during the reported Federal fiscal ye ar.Total Funds Available (Line 3)

Enter, b y source of program funds, the sum of lines 1 and 2. Funds Distributed to Vendors (L ine 4) Enter the amo unt of machine income that was distributed directl y to vendors (for Federal propert y, this is the amount assigned pursuant to the machine income distribution provision under the Act). Other Funds Expended (Line 5) Enter, b y source of funds, the total of all other funds expended during the Federal fiscal ye ar. The figures in line 5, columns (1), (2) and (3), should equal the figures in Section IV, line 12, columns (1), (2), and (3) respectivel y. Total Funds Distributed and Expended (L ine 6) Enter, b y s ource of funds, the sum of lines 4 and 5. Amount at the End of the Year (L ine 7) This is the amount of funds available at the end of the Federal fiscal year. Subtract line 6 from line 3. VI
. NUMBER OF SITES SURVEYED The Act (Section 107a (a) (2), (4)) req uires the Secretary

of Education to “...make annual survey s of concession vending opportunities for blind vendors on F ederal and other property ...” and to “... make available to the public ... information obtained as a result of such survey s.” Part VI of the form RSA

- 15 reports the number and the outcome of the sites surveyed on Federal and non

- Federal propert y during the reported Federal fiscal ye ar. At a minimum, a site survey requires an on

- site visit and a consultation between the SLA and the manageme nt of the property being surveyed. Number of Sites Survey ed During the Reporting Year (L ine 1) Enter, b y typ e of property , the total number of sites survey ed during the reported Federal fiscal ye ar. Number of Sites Accepted by the SLA (L ine 2) Enter the total number of surveyed sites that were accepted b y the SLA during the reported Federal fiscal ye ar (add 2. a., b., c., and d.). Number of Accepted Sites Added to Existing Vending Facilities (Line 2.a.) Enter, b y typ e of property , the number of accepted sites added to existing vending facilities. Number of Accepted Sites Used to Create New Vending Facilities (Line 2.b.) Enter, b y typ e of property , the number of accepted sites used to create new vending facilities Number of Accepted Sites Pending Assignment to a Blind Vendor (Line 2.c.) Enter, b y typ e of property , the number of accepted sites pending assignment to a blind vendorNumber of Accepted Sites Contracted to a Third

- Party (Line 2.d.)

Enter, b y typ e of property , the number of accepted si tes contracted to a third part y Number of Sites Not Accepted by the SLA (Line 3) Enter the total number of surveyed sites that were not accepted by the SLA during the reported Federal fiscal year (add 3. a., b., and c.). Due to Infeasibility

of Site (Line 3.a.) Enter, b y typ e of property , the number of sites survey ed that were not accepted by the SLA due to lack of potential of the site itself. Due to Lack of Available SLA Funds (Line 3.b.) Enter, b y typ e of property , the number of sites s urveyed that were not accepted by the SLA as vending facility

sites, due to the State agency 's lack of funds. Due to Lack of Qualified Vendors (Line 3.c.) Enter, b y typ e of property , the number of sites survey ed that were not accepted for vendin g facility sites by the SLA due to the lack of qualified vendors. Number of Sites Denied to the SLA b y Propert y Management Officials (Line 4) Enter, b y typ e of property , the number of survey ed sites reported during the Federal fiscal ye ar that the SLA found feasible for vending facility sites but that were not approved b y the propert y management. Number of Survey ed Sites with a Decision Pending (Line 5) Enter, b y typ e of property , the number of survey ed sites during the reported Federal fiscal ye ar for which the decision as to their acceptability is pending. VII. VENDOR TRAINING This information is needed to determine the effectiveness of the State agencies’ training programs (including vocational, on

- the

- job, upward mobility , and post

- employ ment) , that may

help the vendors to achieve their maximum employ ment potential, as set forth in 34 CFR 395.11 Number of Individuals Completing Training in the Reporting Year to Become Vendors (Line 1) Use this line to report the total number of blind persons who completed initial training for the Vending Facilit y Program during the reported Federal fiscal year. This figure is the total of lines a, b, c, and d below. Number Licensed and Placed as Vendors (Line 1.a.) Enter the number of trainees from l ine 1 above that were licensed to operate a vending facility and were placed as vendors. Number Certified Awaiting Placement as Vendors (L ine 1.b.)Enter the number of trainees from l ine 1 above that were certified as qualified or licensed to

operate a vend ing facility and were waiting to be placed as vendors. Please note that this figure relates onl y to those vendors who received initial training during the year covered b y this report. Vendors trained in previous y ears who are awaiting placement are not reported as part of this figure. Number Placed as Employees in the Vending Facility Program (Line 1.c.) Enter the number of trainees from l ine 1 above that were not assigned to manage a vending facilit y but who were placed as employees in the Vending Fac ility Program. Number Employed in Allied Food Service Occupations (L ine 1.d.) Enter the number of trainees from l ine 1 above that were not assigned to manage a vending facilit y but who were placed as employees in allied food service occupations. Total Number of Certified/Qualified Individuals Awaiting Placement As Vendors (Line 2) On this line report the cumulative number of individuals who are certified or who have been determined qualified to operate vending facilities and are awaiting placement as a vendor regardless of the ye ar in which they

received initial training. Number of Vendors Provided In - Service Training (L ine 3) Enter the number of vendors that were provided one or more in

- service trainings (including on

- line training) during the report ed Federal fiscal year. In
- service training is designed to maintain vendor skill levels and improve current operations. This training would generally be of short duration, such as the annual vendors' meeting during which some generic training is provided to all in attendance. Number of Vendors Provided Upward Mobility Training (Line 4) Enter the number of vendors that were provided one or more upward mobility trainings during the Federal fiscal year (including on

- line training). Upward mobility refers to training which would enable a vendor to achieve increased skill levels necessary for transfer and promotion to more complex facilities. This does not include training on rules and regulations or generic training provided to all vendors. Number of Ven dors Participating in National Consumer

- Driven Conferences (L ine 5) On this line report the number of licensed vendors that participated in one or more national conferences organized and conducted by consumer organizations of blind vendors. For example, this would include national conferences conducted b y the National Association of Blind Merchants and the Randolph

Sheppard Vendors of America. Number of Vendors Who Received Certification or Re

- Certification in Food Safety Through a Nationally Recognized or State Recognized Program (Line 6) On this line please report the number of licensed vendors that received initial training and certification or re - certification in food safety by virtue of successfully

completing a nationally

recognized or State recogn ized training course. This would include the National Restaurant Association's ServSafe program and/or training and certification offered b y State and local health departments. Itdoes not include training offered b y the SLA that does not result in a cer tification issued by

an outside certifying body

. VIII. STATE AND NOMINEE AGENCY PERSONNELDefinitions

A State Li censing Agency is a State agency

designated by

the Commissioner of the RSA to issue licenses to blind persons for the operation of vending facilit ies on Federal and non

- Federal propert y. A Nominee agency

is an agency

or organization designated by the State Li censing Agency to act as its agent in providing services to blind licensees under the State 's Vending Facility Program. A. AGENCY PERSONNEL In the appropriate column ( State agency personnel (1), or nominee agency personnel (2), if applicable) enter the following information and then the corresponding total (3) for each of lines 1 and 2. Vending Facility

Program Staff (FTE) (Line1) Enter the actual FTE for the Federal fiscal year for the State agency , and, if applicable, for the nominee agency . FTE is defined as the number of total hours worked divided b y the compensable hours in a work ye ar as defined by

law. To determine the actual FTE, d ivide the total number of hours worked by all employees throughout the y ear, irrespective of the total numbers employed at any point in time, and divide by the State ’s defined work year. For example, if the total hours worked b y all emplo yees during the year is 13,520 and the defined work y ear is 2,080 hours for one FTE, then the total actual FTE for the program ye ar would be 6.5. Number of Business Consultant/Counselor Staff (FTE) Enter the actual FTE of Business Consultant/Counselor staff for the rep orted Federal fiscal year for the State agency , and, if applicable, for the nominee agency

. FTE is defined as above. Business consultants/ counselors may

also be known by

other titles such as business enterprise program (BEP) managers, business management analy sts and are the staff members that perform the day

- to
- day oversight and management assistance to individual licensed vendors through routine contact and visits to assigned vending facilities. B. TRAINING In the appropriate column ( State agency personnel (1), or nominee agency personnel (2), if applicable) enter the following information and then the corresponding total (3) for each of l ines 1 through 4. Number Who Received Training Related to Blindness, Business Management, or Aspects of the Randolph

- Sheppard Vending Facility Program (Line 1) On this line report the number of State and, if applicable, nominee agency staff that received one or more agency sponsored or external trainings in skills that directly impact services provided to license d vendors. Number Who Participated in National Consumer

- Driven Conferences (Line 2) On this line report the number of State and, if applicable, nominee program personnel that participated in one or more national consumer

- driven conferences. Training con ferences conducted by the Randolph

Sheppard Vendors of America and the National Association of Blind Merchants are examples of national consumer - driven conferences. The Number Who Received Certification or Re

- Certification in Food Safety through a Nationa lly Recognized or State Recognized Program (Line 3)On this line report the number of State agency and, if applicable, nominee personnel that received one or more initial trainings and certifications or re

- certifications in food safet y b y virtue of succes sfully completing a nationally

recognized or State recognized training course. This would include the National Restaurant Association's ServSafe program and/or training and certification offered by State and local health departments. It does not include training offered b y the SLA that does not result in a certification issued by an outside certifying body

. At the end of your report, please add an y notes or explanations that will assist in clarifying your data. Also, please be sure to add an agency cont act, telephone number and email address for follow

- up questions that RSA may

need to resolve.