RSA-113 OMB Approval No.: 1820-0013 Expiration Date: 02/28/2006 QUARTERLY CUMULATIVE CASELOAD REPORT Rehabilitation Services Administration OSERS/US DEPARTMENT OF EDUCATION Fiscal Year: 2009 Period Covered: 4 State: MI [X] Blind Agency [ ] Oct-Dec [ ] Oct-Jun [ ] General/Combined Agency [ ] Oct-Mar [X] Oct-Sep Operated Under Order of Selection During Period? [ ] Yes [X] No 1. CASELOAD ITEMS | TOTAL NUMBER|NUMBER WITH SIGNIFICANT DISABILITY A. APPLICATIONS AND ELIGIBILITY Applicants 1. Applicants On Hand October 1 | 124 | 2. Applicants, New This FY | 489 | 3. Applicants at End of Period (A1+A2-A5-A8-A12-D7) | 97 | 4. Individuals in Trial Work/EE On Hand, October 1 | 3 | 3 5. Individuals in Trial Work/EE Referred This FY | 4 | 4 6. Individuals in Trial Work/EE at End of Period (A4+A5-A9-A13-D6) | 5 | 5 Eligible Individuals On Order of Selection (OOS) Waiting List) 7. Individuals On OOS Waiting List On Hand October 1 | 0 | 0 8. Individuals On OOS Waiting List, New This FY from Application | 0 | 0 9. Individuals On OOS Waiting List, New This FY from Trial Work/EE | 0 | 0 10. Individuals On OOS Waiting List at End of Period (A7+A8+A9-A14-D5) | 0 | 0 Individuals Determined Eligible, Before Signed IPE 11. Eligible Individuals Before Signed IPE On Hand, October 1 | 95 | 94 12. Eligible Individuals Before Signed IPE, New This FY from Application | 421 | 421 13. Eligible Individuals Before Signed IPE, New This FY From Trial Work/EE | 1 | 1 14. Eligible Individuals Before Signed IPE, New This FY from OOS From OOS Waiting List | 0 | 0 15. Eligible Individuals Before Signed IPE at End of Period (A11+A12+A13+A14-B2-D3) | 110 | 110 B. SIGNED INDIVIDUALIZED PLAN FOR EMPLOYMENT (IPE) AND AWAITING SERVICES 1. Individuals With Signed IPE, Before Receiving Services, On Hand October 1 | 70 | 70 2. Individuals With Signed IPE, Before Receiving Services, This FY | 372 | 371 3. Individuals With Signed IPE, Before Receiving Services at End of Period (B1+B2-C2-D4| 60 | 60 C. SERVICE IMPLEMENTATION 1. Individuals Receiving Services, On Hand October 1 | 1212 | 1212 2. Individuals Receiving Services, Beginning This FY | 372 | 371 3. Individuals Receiving Services, at End of Period (C1+C2-D1-D2) | 1251 | 1250 D. OUTCOMES FOR INDIVIDUALS EXITING THE PROGRAM 1. Individuals Exiting with Employment Outcomes | 165 | 165 2. Individuals Exiting without Employment, after Receiving Services | 168 | 168 3. Individuals Exiting without Employment, after Eligibility, Before Signed IPE | 35 | 35 4. Individuals Exiting without Employment, after Signed IPE, Before Receiving Services | 10 | 10 5. Individuals Exiting from OOS Waiting List | 0 | 0 6. Individuals Exiting from Trial Work/EE | 1 | 1 7. Individuals Exiting As Applicants | 91 | 8. Total Numbers of Individuals Exiting The Program (D1+D2+D3+D4+D5+D6+D7) | 470 | 379 Contact Person (Please Print) _________________________________ Phone Number __________________________ E-mail Address __________________________ Date _________________ Authorized Signature __________________________