Reporting Manual For The Case Service Report (RSA 911) Rsa 911 2016

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REPORTING MANUAL FOR THE

CASE SERVICE REPORT
(RSA-911)

STATE VOCATIONAL REHABILITATION SERVICES
AND
STATE SUPPORTED EMPLOYMENT SERVICES PROGRAMS

U.S. DEPARTMENT OF EDUCATION
OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES
REHABILITATION SERVICES ADMINISTRATION

OMB CONTROL NUMBER: 1820-0508
JUNE 2016

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

TABLE OF CONTENTS
I. GENERAL INFORMATION........................................................................................................................... 1
A. Data Reporting Requirements ....................................................................................................................... 1
1. Internal Controls .................................................................................................................................................. 1
2. Supporting Documentation ................................................................................................................................ 2
B. Case Service Records .................................................................................................................................... 2
C. Unique Individuals ........................................................................................................................................ 3
D. Data Elements................................................................................................................................................ 4
E. Data Submission ............................................................................................................................................ 5
F. Edit Checks.................................................................................................................................................... 6
G. WIOA Participant Individual Record Layout (WIOA PIRL) ........................................................................ 6
H. Pre-Employment Transition Services ............................................................................................................ 7
II. REPORTING PERIOD IDENTIFICATION DATA ELEMENTS............................................................... 8
A. Program Year ................................................................................................................................................. 8
B. Program Year Quarter .................................................................................................................................... 8
C. Date Report Submitted .................................................................................................................................. 8
D. Agency Code ................................................................................................................................................. 8
III. UNIQUE IDENTIFIER DATA ELEMENTS ...............................................................................................10
A. Unique Identifier ......................................................................................................................................... 10
B. Social Security Number ............................................................................................................................... 11
IV. DATA ELEMENTS AT APPLICATION ......................................................................................................11

A. Date of Application ..................................................................................................................................... 11
B. Date of Birth ................................................................................................................................................ 12
C. Individual Characteristics ............................................................................................................................ 12
1. Sex ....................................................................................................................................................................... 12
2. American Indian or Alaska Native .................................................................................................................. 13
3. Asian ................................................................................................................................................................... 13
4. Black or African American............................................................................................................................... 14

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

5.
6.
7.
8.
9.

Native Hawaiian or Other Pacific Islander .................................................................................................... 14
White ................................................................................................................................................................... 14
Ethnicity - Hispanic or Latino ......................................................................................................................... 15
Veteran ................................................................................................................................................................ 16
Living Arrangement .......................................................................................................................................... 16

D. Location Information ................................................................................................................................... 16
1. State Postal Code of Residence ....................................................................................................................... 16
2. County FIPS Code ............................................................................................................................................. 18
3. Zip Code ............................................................................................................................................................. 18
E. Source of Referral ....................................................................................................................................... 19
F. Student with a Disability ............................................................................................................................. 20
G. Support ........................................................................................................................................................ 20
1. Social Security Disability Insurance (SSDI) at Application........................................................................ 20
2. Supplemental Security Income (SSI) for the Aged, Blind, or Disabled at Application ........................... 21
3. Temporary Assistance for Needy Families (TANF) at Application ........................................................... 21
4. General Assistance (State or local government) at Application .................................................................. 21
5. Veterans' Disability Benefits at Application .................................................................................................. 21
6. Workers' Compensation at Application .......................................................................................................... 21
7. Unemployment Insurance at Application ....................................................................................................... 22
8. Primary Source of Support at Application ..................................................................................................... 22
H. Medical Insurance Coverage ....................................................................................................................... 22
1. Medicaid at Application ................................................................................................................................... 22
2. Medicare at Application ................................................................................................................................... 23
3. State or Federal Affordable Care Act Exchange at Application.................................................................. 23
4. Public Insurance from Other Sources at Application ................................................................................... 23
5. Private Insurance Through Employer at Application ................................................................................... 23
6. Not Yet Eligible for Private Insurance Through Employer at Application................................................ 23
7. Private Insurance Through Other Means at Application .............................................................................. 24
V. ELIGIBILITY DATA ELEMENTS ..............................................................................................................24
A. Date of Eligibility Determination ................................................................................................................ 24
B. Eligibility Determination Extension ............................................................................................................ 24
VI. ORDER OF SELECTION (OOS) DATA ELEMENTS ...............................................................................24
A. Date of Placement on OOS Waiting List ..................................................................................................... 24
B. Date of Exit from OOS Waiting List ........................................................................................................... 25

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

VII.

DISABILITY DATA ELEMENTS ..........................................................................................................25

A. Individual with a Disability ......................................................................................................................... 25
B. Primary Disability ....................................................................................................................................... 25
C. Secondary Disability ................................................................................................................................... 27
D. Significance of Disability ............................................................................................................................ 28
VIII.

TRIAL WORK EXPERIENCE DATA ELEMENTS ............................................................................29

A. Start Date of Trial Work Experience ........................................................................................................... 29
B. End Date of Trial Work Experience............................................................................................................. 29
IX. INDIVIDUALIZED PLAN FOR EMPLOYMENT (IPE) DATA ELEMENTS........................................29
A. Date of Most Recent or Amended IPE ........................................................................................................ 29
B. Supported Employment Goal on Current IPE ............................................................................................. 30
C. Employment ................................................................................................................................................ 30
1. Employment at IPE ........................................................................................................................................... 30
2. Primary Occupation at IPE............................................................................................................................... 32
3. Hourly Wage at IPE........................................................................................................................................... 33
4. Hours Worked in a Week at IPE ...................................................................................................................... 33
D. WIOA Program Involvement ...................................................................................................................... 34
1. Adult .................................................................................................................................................................... 34
2. Adult Education ................................................................................................................................................. 34
3. Dislocated Worker ............................................................................................................................................. 35
4. Job Corps ............................................................................................................................................................ 36
5. Vocational Rehabilitation ................................................................................................................................. 36
6. Wagner-Peyser Employment Service ............................................................................................................. 36
7. Youth ................................................................................................................................................................... 37
8. YouthBuild ......................................................................................................................................................... 37

E. Barriers to Employment .............................................................................................................................. 37
1. Long-Term Unemployed .................................................................................................................................. 37
2. Exhausting TANF Within Two Years.............................................................................................................. 38
3. Foster Care Youth .............................................................................................................................................. 38
4. Homeless Individual, Homeless Children and Youths, or Runaway Youth .............................................. 38
5. Ex-Offender........................................................................................................................................................ 39
6. Low Income ....................................................................................................................................................... 40
7. English Language Learner ............................................................................................................................... 41

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8.
9.
10.
11.
12.

Basic Skills Deficient/Low Levels of Literacy ............................................................................................. 41
Cultural Barriers ................................................................................................................................................ 42
Single Parent ...................................................................................................................................................... 42
Displaced Homemaker...................................................................................................................................... 42
Migrant and Seasonal Farmworker ................................................................................................................. 43

F. Education ..................................................................................................................................................... 43
1. State Definition for Age of Students with Disabilities ................................................................................. 43
2. School Status ...................................................................................................................................................... 44
3. Highest Educational Level Completed ........................................................................................................... 44
4. Highest Elementary or Secondary School Grade Completed ..................................................................... 45
5. Enrolled in Secondary Education .................................................................................................................... 45
6. Date Received Special Education Certificate of Completion ..................................................................... 46
7. Enrolled in a State Adult Secondary School at the High Adult Secondary Education (ASE)
Level .................................................................................................................................................................... 46
8. Attained Secondary School Diploma.............................................................................................................. 46
9. Date Attained Secondary School Equivalency (GED) ................................................................................. 46
10. Enrolled in Postsecondary Education - Highest Academic Year ................................................................ 47
11. Enrolled in Postsecondary Education ............................................................................................................. 47
12. Date Enrolled During Program Participation in an Education or Training Program Leading to a
Recognized Postsecondary Credential or Employment ............................................................................... 48
13. Completed Some Postsecondary Education, No Degree or Certificate ..................................................... 48
14. Date Attained Associate’s Degree ................................................................................................................... 48
15. Date Attained Bachelor's Degree..................................................................................................................... 49
16. Date Attained Master’s Degree........................................................................................................................ 49
17. Date Attained Graduate Degree (e.g., Ph.D., Ed.D., J.D., M.D.) ............................................................... 49
G. Vocational/Technical Credential, License or Certificate ............................................................................. 49
1. Enrolled in a Career or Technical Training Program, Not Leading to a Recognized
Postsecondary Credential ................................................................................................................................. 49
2. Enrolled in a Career or Technical Training Program, Leading to a Recognized Postsecondary
Credential ........................................................................................................................................................... 50
3. Date Attained Vocational/Technical License ................................................................................................. 50
4. Date Attained Vocational/Technical Certificate ............................................................................................ 50
H. Other Education or Training ........................................................................................................................ 50
1. Date Attained Other Recognized Diploma, Degree, or Certificate ............................................................ 50
X. PRE-EMPLOYMENT TRANSITION SERVICES DATA ELEMENTS ..................................................51
A. Start Date of Pre-Employment Transition Services ..................................................................................... 51
B. Job Exploration Counseling ........................................................................................................................ 55
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 55

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

2. Service Provided Through VR Agency Purchase ......................................................................................... 55
2.1 Purchased Service Provider Type ........................................................................................................... 55
2.2 VR Program Expenditure for Purchased Service ................................................................................. 55
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 55
3.1 Comparable Services and Benefits Provider Type ............................................................................... 55
C. Work Based Learning Experiences.............................................................................................................. 55
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 55
2. Service Provided Through VR Agency Purchase ......................................................................................... 55
2.1 Purchased Service Provider Type ........................................................................................................... 55
2.2 VR Program Expenditure for Purchased Service ................................................................................. 55
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 56
3.1 Comparable Services and Benefits Provider Type ............................................................................... 56
D. Counseling on Enrollment Opportunities .................................................................................................... 56
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 56
2. Service Provided Through VR Agency Purchase ......................................................................................... 56
2.1 Purchased Service Provider Type ........................................................................................................... 56
2.2 VR Program Expenditure for Purchased Service ................................................................................. 56
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 56
3.1 Comparable Services and Benefits Provider Type ............................................................................... 56
E. Workplace Readiness Training .................................................................................................................... 56
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 56
2. Service Provided Through VR Agency Purchase ......................................................................................... 56
2.1 Purchased Service Provider Type ........................................................................................................... 57
2.2 VR Program Expenditure for Purchased Service ................................................................................. 57
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 57
3.1 Comparable Services and Benefits Provider Type ............................................................................... 57
F. Instruction in Self Advocacy ....................................................................................................................... 57
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 57
2. Service Provided Through VR Agency Purchase ......................................................................................... 57
2.1 Purchased Service Provider Type ........................................................................................................... 57
2.2 VR Program Expenditure for Purchased Service ................................................................................. 57
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 57
3.1 Comparable Services and Benefits Provider Type ............................................................................... 57

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

XI. VR AND SE SERVICE DATA ELEMENTS (APPLICANTS AND ELIGIBLE INDIVIDUALS) .........58
A. Start Date of Initial VR Service ................................................................................................................... 58
B. Date of Most Recent Career Service ........................................................................................................... 58
XII.

TRAINING SERVICES DATA ELEMENTS ........................................................................................61

A. Graduate College or University ................................................................................................................... 61
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 62
2. Service Provided Through VR Agency Purchase ......................................................................................... 62
2.1 Purchased Service Provider Type ........................................................................................................... 62
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 62
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 62
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 62
3.1 Comparable Services and Benefits Provider Type ............................................................................... 62
B. Four-Year College or University Training ................................................................................................... 62
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 62
2. Service Provided Through VR Agency Purchase ......................................................................................... 62
2.1 Purchased Service Provider Type ........................................................................................................... 62
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 63
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 63
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 63
3.1 Comparable Services and Benefits Provider Type ............................................................................... 63
C. Junior or Community College Training ....................................................................................................... 63
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 63
2. Service Provided Through VR Agency Purchase ......................................................................................... 63
2.1 Purchased Service Provider Type ........................................................................................................... 63
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 63
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 63
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 63
3.1 Comparable Services and Benefits Provider Type ............................................................................... 64

D. Occupational or Vocational Training ........................................................................................................... 64
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 64
2. Service Provided Through VR Agency Purchase ......................................................................................... 64
2.1 Purchased Service Provider Type ........................................................................................................... 64
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 64
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 64
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 64
3.1 Comparable Services and Benefits Provider Type ............................................................................... 64

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

E. On The Job Training .................................................................................................................................... 65
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 65
2. Service Provided Through VR Agency Purchase ......................................................................................... 65
2.1 Purchased Service Provider Type ........................................................................................................... 65
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 65
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 65
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 65
3.1 Comparable Services and Benefits Provider Type ............................................................................... 65
F. Registered Apprenticeship Training ............................................................................................................ 65
1. Service Provided Through VR Agency Purchase ......................................................................................... 66
1.1 Purchased Service Provider Type ........................................................................................................... 66
1.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 66
1.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 66
2. Service Provided by Comparable Services and Benefits Providers ........................................................... 66
2.1 Comparable Services and Benefits Provider Type............................................................................... 66
G. Basic Academic Remedial or Literacy Training .......................................................................................... 66
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 66
2. Service Provided Through VR Agency Purchase ......................................................................................... 66
2.1 Purchased Service Provider Type ........................................................................................................... 66
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 66
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 67
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 67
3.1 Comparable Services and Benefits Provider Type ............................................................................... 67
H. Job Readiness Training ................................................................................................................................ 67
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 67
2. Service Provided Through VR Agency Purchase ......................................................................................... 67
2.1 Purchased Service Provider Type ........................................................................................................... 67
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 67
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 67
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 67
3.1 Comparable Services and Benefits Provider Type ............................................................................... 67
I.

Disability Related Skills Training ............................................................................................................... 68
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 68
2. Service Provided Through VR Agency Purchase ......................................................................................... 68
2.1 Purchased Service Provider Type ........................................................................................................... 68
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 68
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 68

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3. Service Provided by Comparable Services and Benefits Providers ........................................................... 68
3.1 Comparable Services and Benefits Provider Type ............................................................................... 68
J. Miscellaneous Training ............................................................................................................................... 68
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 68
2. Service Provided Through VR Agency Purchase ......................................................................................... 69
2.1 Purchased Service Provider Type ........................................................................................................... 69
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 69
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 69
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 69
3.1 Comparable Services and Benefits Provider Type ............................................................................... 69
K. Randolph-Sheppard Entrepreneurial Training ............................................................................................. 69
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 69
2. Service Provided Through VR Agency Purchase ......................................................................................... 69
2.1 Purchased Service Provider Type ........................................................................................................... 69
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 69
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 70
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 70
3.1 Comparable Services and Benefits Provider Type ............................................................................... 70
L. Customized Training ................................................................................................................................... 70
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 70
2. Service Provided Through VR Agency Purchase ......................................................................................... 70
2.1 Purchased Service Provider Type ........................................................................................................... 70
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 70
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 70
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 70
3.1 Comparable Services and Benefits Provider Type ............................................................................... 71
XIII.

CAREER SERVICES DATA ELEMENTS ............................................................................................71

A. Assessment .................................................................................................................................................. 71
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 71
2. Service Provided Through VR Agency Purchase ......................................................................................... 71
2.1 Purchased Service Provider Type ........................................................................................................... 71
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 71
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 71
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 71
3.1 Comparable Services and Benefits Provider Type ............................................................................... 72
B. Diagnosis and Treatment of Impairments.................................................................................................... 72
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 73

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2. Service Provided Through VR Agency Purchase ......................................................................................... 73
2.1 Purchased Service Provider Type ........................................................................................................... 73
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 73
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 73
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 73
3.1 Comparable Services and Benefits Provider Type ............................................................................... 73
C. Vocational Rehabilitation Counseling and Guidance .................................................................................. 73
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 73
2. Service Provided Through VR Agency Purchase ......................................................................................... 73
2.1 Purchased Service Provider Type ........................................................................................................... 73
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 74
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 74
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 74
3.1 Comparable Services and Benefits Provider Type ............................................................................... 74
D. Job Search Assistance .................................................................................................................................. 74
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 74
2. Service Provided Through VR Agency Purchase ......................................................................................... 74
2.1 Purchased Service Provider Type ........................................................................................................... 74
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 74
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 74
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 74
3.1 Comparable Services and Benefits Provider Type ............................................................................... 75
E. Job Placement Assistance ............................................................................................................................ 75
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 75
2. Service Provided Through VR Agency Purchase ......................................................................................... 75
2.1 Purchased Service Provider Type ........................................................................................................... 75
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 75
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 75
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 75
3.1 Comparable Services and Benefits Provider Type ............................................................................... 75

F. Short Term Job Supports ............................................................................................................................. 75
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 76
2. Service Provided Through VR Agency Purchase ......................................................................................... 76
2.1 Purchased Service Provider Type ........................................................................................................... 76
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 76
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 76
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 76
3.1 Comparable Services and Benefits Provider Type ............................................................................... 76

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

G. Supported Employment Services ................................................................................................................ 76
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 76
2. Service Provided Through VR Agency Purchase ......................................................................................... 77
2.1 Purchased Service Provider Type ........................................................................................................... 77
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 77
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 77
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 77
3.1 Comparable Services and Benefits Provider Type ............................................................................... 77
H. Information and Referral Services............................................................................................................... 77
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 77
2. Service Provided Through VR Agency Purchase ......................................................................................... 77
2.1 Purchased Service Provider Type ........................................................................................................... 77
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 77
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 78
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 78
3.1 Comparable Services and Benefits Provider Type ............................................................................... 78
I.

Benefits Counseling .................................................................................................................................... 78
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 78
2. Service Provided Through VR Agency Purchase ......................................................................................... 78
2.1 Purchased Service Provider Type ........................................................................................................... 78
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 78
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 78
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 79
3.1 Comparable Services and Benefits Provider Type ............................................................................... 79

J. Customized Employment Services .............................................................................................................. 79
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 79
2. Service Provided Through VR Agency Purchase ......................................................................................... 79
2.1 Purchased Service Provider Type ........................................................................................................... 79
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 79
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 79
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 80
3.1 Comparable Services and Benefits Provider Type ............................................................................... 80
K. Extended Services ....................................................................................................................................... 80
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 80
2. Service Provided Through VR Agency Purchase ......................................................................................... 80
2.1 Purchased Service Provider Type ........................................................................................................... 80
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 80
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 80

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

XIV.

OTHER SERVICE DATA ELEMENTS ................................................................................................81

A. Transportation.............................................................................................................................................. 81
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 81
2. Service Provided Through VR Agency Purchase ......................................................................................... 81
2.1 Purchased Service Provider Type ........................................................................................................... 81
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 81
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 81
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 82
3.1 Comparable Services and Benefits Provider Type............................................................................... 82

B. Maintenance ................................................................................................................................................ 82
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 82
2. Service Provided Through VR Agency Purchase ......................................................................................... 82
2.1 Purchased Service Provider Type ........................................................................................................... 82
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 82
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 83
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 83
3.1 Comparable Services and Benefits Provider Type ............................................................................... 83
C. Rehabilitation Technology ........................................................................................................................... 83
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 84
2. Service Provided Through VR Agency Purchase ......................................................................................... 84
2.1 Purchased Service Provider Type ........................................................................................................... 84
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 84
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 84
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 84
3.1 Comparable Services and Benefits Provider Type ............................................................................... 84
D. Personal Assistance Services ....................................................................................................................... 84
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 85
2. Service Provided Through VR Agency Purchase ......................................................................................... 85
2.1 Purchased Service Provider Type ........................................................................................................... 85
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 85
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 85
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 85
3.1 Comparable Services and Benefits Provider Type ............................................................................... 85
E. Technical Assistance Services Including Self-Employment........................................................................ 85
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 86
2. Service Provided Through VR Agency Purchase ......................................................................................... 86
2.1 Purchased Service Provider Type ........................................................................................................... 86
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 86

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 86
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 86
3.1 Comparable Services and Benefits Provider Type ............................................................................... 86
F. Reader Services ........................................................................................................................................... 86
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 86
2. Service Provided Through VR Agency Purchase ......................................................................................... 86
2.1 Purchased Service Provider Type ........................................................................................................... 87
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 87
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 87
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 87
3.1 Comparable Services and Benefits Provider Type ............................................................................... 87
G. Interpreter Services...................................................................................................................................... 87
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 87
2. Service Provided Through VR Agency Purchase ......................................................................................... 87
2.1 Purchased Service Provider Type ........................................................................................................... 87
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 87
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 88
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 88
3.1 Comparable Services and Benefits Provider Type ............................................................................... 88
H. Other Services ............................................................................................................................................. 88
1. Service Provided by VR Agency Staff (in-house) ........................................................................................ 88
2. Service Provided Through VR Agency Purchase ......................................................................................... 88
2.1 Purchased Service Provider Type ........................................................................................................... 88
2.2 Amount of VR Funds Expended for Service (Title I) ......................................................................... 88
2.3 Amount of SE Funds Expended for Service (Title VI) ....................................................................... 88
3. Service Provided by Comparable Services and Benefits Providers ........................................................... 88
3.1 Comparable Services and Benefits Provider Type ............................................................................... 88
XV. MEASURABLE SKILL GAIN DATA ELEMENTS (WIOA SECTION 116(B)(2)(A)(I)) .......................89
A. Date of Most Recent Measurable Skill Gain: Educational Functioning Level (EFL) ................................. 89

B. Date of Most Recent Measurable Skill Gain: Secondary ............................................................................ 89
C. Date of Most Recent Measurable Skill Gain: Postsecondary Transcript/Report Card ................................ 89
D. Date of Most Recent Measurable Skill Gain: Training Milestone .............................................................. 90
E. Date of Most Recent Measurable Skill Gain: Skills Progression ................................................................ 90

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R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

XVI.

EMPLOYMENT DATA ELEMENTS ....................................................................................................90

A. Employment Outcome ................................................................................................................................. 90
B. Primary Occupation at Employment Outcome ............................................................................................ 92
C. Start Date of Employment in Primary Occupation...................................................................................... 93
D. Hourly Wage at Employment ...................................................................................................................... 94
E. Hours Worked in a Week at Employment Outcome .................................................................................... 94
XVII. EXIT DATA ELEMENTS ........................................................................................................................94
A. Date of Exit ................................................................................................................................................. 94
B. Type of Exit ................................................................................................................................................. 95
C. Reason for Exit ............................................................................................................................................ 95
D. Employment at Exit ..................................................................................................................................... 97
1. Employment Outcome at Exit ......................................................................................................................... 97
2. Primary Occupation at Exit .............................................................................................................................. 99
3. Start Date of Employment in Primary Occupation at Exit ........................................................................ 100
4. Hourly Wage at Exit ........................................................................................................................................ 101
5. Hours Worked in a Week at Exit ................................................................................................................... 101
E. Support at Exit ........................................................................................................................................... 102
1. Social Security Disability Insurance (SSDI) at Exit ................................................................................... 102
2. Supplemental Security Income (SSI) for the Aged, Blind, or Disabled at Exit ...................................... 102
3. Temporary Assistance for Needy Families (TANF) at Exit....................................................................... 102
4. General Assistance (State or local government) at Exit ............................................................................. 103
5. Veterans' Disability Benefits at Exit ............................................................................................................. 103
6. Workers' Compensation at Exit ..................................................................................................................... 103
7. Other Public Support at Exit .......................................................................................................................... 103
8. Primary Source of Support at Exit ................................................................................................................ 103
F. Medical Insurance Coverage at Exit.......................................................................................................... 104
1. Medicaid at Exit............................................................................................................................................... 104
2. Medicare at Exit............................................................................................................................................... 104
3. State or Federal Affordable Care Act Exchange at Exit ............................................................................. 105
4. Public Insurance from Other Sources at Exit .............................................................................................. 105
5. Private Insurance Through Employer at Exit .............................................................................................. 105
6. Not Yet Eligible for Private Insurance Through Employer at Exit ........................................................... 105
7. Private Insurance Through Other Means at Exit ......................................................................................... 106

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R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

XVIII. POST-EXIT DATA ELEMENTS ......................................................................................................... 106
A. Date Enrolled in Post-Exit Education or Training Program Leading to a Recognized
Postsecondary Credential .......................................................................................................................... 106
B. Date of Attainment of Post-Exit Recognized Credential ........................................................................... 106
C. Type of Recognized Credential Attained Post-Exit ................................................................................... 107
D. First Quarter After Exit Quarter ................................................................................................................ 107
1. Employment - First Quarter After Exit Quarter .......................................................................................... 108
2. Type of Employment Match – First Quarter After Exit Quarter ............................................................... 108
3. Wages – First Quarter After Exit Quarter .................................................................................................... 109
E. Second Quarter After Exit Quarter ............................................................................................................ 109
1. Employment Related to Training – Second Quarter After Exit Quarter .................................................. 109
2. Employment - Second Quarter After Exit Quarter ..................................................................................... 110
3. Type of Employment Match – Second Quarter After Exit Quarter .......................................................... 110
4. Wages – Second Quarter After Exit Quarter ................................................................................................ 111
F. Third Quarter After Exit Quarter ............................................................................................................... 111
1. Employment - Third Quarter After Exit Quarter......................................................................................... 112
2. Type of Employment Match – Third Quarter After Exit Quarter ............................................................. 112
3. Wages – Third Quarter After Exit Quarter ................................................................................................... 113
G. Fourth Quarter After Exit Quarter ............................................................................................................. 113
1. Employment - Fourth Quarter After Exit Quarter....................................................................................... 113
2. Type of Employment Match – Fourth Quarter After Exit Quarter ........................................................... 113
3. Wages – Fourth Quarter After Exit Quarter ................................................................................................. 114
4. Retention with the Same Employer in the Second Quarter and the Fourth Quarter – Fourth
Quarter After Exit Quarter ............................................................................................................................. 115
XIX.

INDEX OF DATA ELEMENTS ........................................................................................................... 116

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R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

General Information
A.

Data Reporting Requirements
The data comprising the Case Service Report (RSA-911) are mandated by the
Rehabilitation Act of 1973 (the Act), as amended by title IV of the Workforce Innovation
and Opportunity Act (WIOA). Applicable portions of the Act explicitly or implicitly
require the collecting and reporting of specific data elements by State Vocational
Rehabilitation (VR) agencies to the Rehabilitation Services Administration (RSA) for the
VR and Supported Employment (SE) programs. In addition, reporting requirements to
support the performance accountability system under section 116 of title I of WIOA are
applicable to the VR program, as one of the six core programs of the Workforce
Development System.
This revised data collection incorporates new reporting requirements in section 116(b) in
title I of WIOA and sections 101(a)(10) and 607 of the Act, as amended by WIOA. New
requirements under section 101(a)(10) include, for example, the reporting of data on the
number of individuals with open service records and the types of services these
individuals are receiving (including SE services); students with disabilities receiving preemployment transition services; and individuals referred to the VR program by one-stop
operators and individuals referred to such one-stop operators by VR agencies.
Section 116 of title I of WIOA requires the reporting of data needed to calculate State
performance on the primary indicators of performance for the core programs. In addition,
States must report information on barriers to employment for participants under each of
the core programs. The data reported by States will be used by both the Departments of
Education and Labor to determine State levels of performance on the primary indicators
that could form the basis for the imposition of financial sanctions against a State, as
described in the WIOA Joint Final Rule. Therefore, it is critical that the data reported be
accurate and submitted timely.
1.

Internal Controls
In accordance with 34 CFR 361.12, VR agencies must implement policies and
procedures that ensure the proper and efficient administration of the VR program,
including those necessary to carry out all functions for which the State is
responsible under this program. These methods must include procedures to ensure
accurate data collection and financial accountability. It is incumbent on VR
agencies to establish policies and procedures that ensure the accurate collection,
retention, and timely reporting of all data.
The Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards (Uniform Guidance) (2 CFR 200.61) defines
internal controls as:
a process, implemented by a non-Federal entity, designed to provide
reasonable assurance regarding the achievement of objectives in the
following categories:
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R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

(a) Effectiveness and efficiency of operations;
(b) Reliability of reporting for internal and external use; and
(c) Compliance with applicable laws and regulations.
VR agencies must establish and maintain internal control processes necessary to
ensure the State’s ability to meet the internal control requirements.
The RSA Commissioner (Commissioner) is responsible for the review and
monitoring of State VR programs to determine whether a State is complying
substantially with the provisions of the VR portion of the Unified or Combined
State Plan. The reliability and validity of data reported in the RSA-911 may be
subject to desk review, monitoring and/or audits. Sections 107(b) and (c) of the
Act specify the remedies available to the Commissioner if a State fails to satisfy
Federal requirements governing the VR program, including requirements related
to data reporting. States that fail to meet the data reporting requirements may also
face potential consequences resulting from audit findings stemming from
Inspector General, State, or Single Audits.
2.

Supporting Documentation
The requirements in 34 CFR 361.47 and 34 CFR 361.56, taken together, require
VR agencies to maintain verifying documentation in an individual’s case file,
particularly regarding eligibility determinations, development of the
individualized plan for employment, services provided, and case closure. It is
important to note that the use of an electronic case management system, does not
remove the requirement for the agency to maintain either hard copies or scanned
copies of required supporting documentation in the individual’s service record. An
electronic case management system is merely a data entry process that is
susceptible to data entry errors. Requiring staff to note the source of the
employment data also does not provide documentation necessary to ensure data
validity and reliability. RSA will maintain a table that lists the RSA-911
supporting documentation requirements on RSA’s website at https://rsa.ed.gov.

Case Service Records
The case service record documents the application for and/or provision of VR and SE
services to individuals with disabilities, including program outcomes. An individual may
have multiple service records resulting from repeated involvement with the VR and SE
programs. For example, an individual may receive pre-employment transition services
and/or other VR services in secondary school and then years later apply for additional VR
services. These two periods of participation in the VR program would constitute separate
service records.
Opening of Case Service Record: Under this data collection, VR agencies are required to
report data on open service records on a quarterly basis. A service record is opened when
either an individual applies for VR services (Date of Application (IV.A)) or, in the case of
a student with a disability that is solely receiving pre-employment transition services, the
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R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Start Date of Pre-Employment Transition Services (X.A). These dates initiate the
quarterly reporting requirement for all individuals with an open service record.
Closure of the Case Service Record: The case service record is considered closed when
the individual has a Date of Exit (XVII.A) and all of the required data elements,
including the post-exit data elements when required, have been reported. For a student
with a disability who solely received pre-employment transition services and has not
applied to receive other VR services, the service record is closed when the student is no
longer receiving such services as indicated in the pre-employment transition services data
elements (X.B-E).
Duplicate individual records will not be accepted. For example, records with the same
Social Security Number and Date of Application would be considered a duplicate case
service record. If an individual has multiple exits within the same program year, each exit
must be reported and cannot overlap. For example, if an individual had more than one
Date of Application in a quarter, the Date of Exit (XVII.A) associated with the first
application must be a date before the second Date of Application.
C.

Unique Individuals
All service record data submitted for the same reporting period must be associated with a
unique individual. Therefore, each individual receiving services must be assigned a
Unique Identifier (III.A). This identifier allows RSA to report an unduplicated count of
individuals receiving services in accordance with the Joint WIOA Performance
Information Collection Request (Joint Performance ICR). The unique identifier will also
be used to calculate a count of unique program participants for each State, which will be
reported on the State Performance Reporting Template. In addition, the unique identifier
provides RSA a means to communicate with agencies regarding an individual’s data
elements without the exchange of Personally Identifiable Information (PII). RSA will use
the data elements in the table below to identify a unique individual within a data set.
Table 1.1:

Individual Identification Data Elements

Date Element Report Due Date
III.A Unique Identifier, and
III.B Social Security Number
If an individual does not have a Social Security Number (SSN) or chooses not to provide
an SSN, only the Unique Identifier is reported. An individual’s SSN is reported only once
to RSA with the Unique Identifier. After that, the Unique Identifier is the only unique
individual data element reported with each data submission.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Data Elements
Each data element has an associated data element type that serves as a guide for
submitting valid values.
Table 1.2:

RSA-911 Data Element Types

Data Type
VARCHAR n

Description
Data can include any letters or numbers with a maximum length
defined by “n”. All variable character (VARCHAR) data
elements that require numbers use only positive numbers.
DATE
Data can include dates in the eight-digit format of year, month,
(YYYYMMDD) and day. All dates reported on the RSA-911 must be in the format
of (YYYYMMDD), where (YYYY) is year, (MM) is month and
(DD) is day.
For Year (YYYY): Record the calendar year using all four digits
of the year (e.g., 2016).
For Month (MM): Record the months using two digits (e.g., 01
for January, 02 for February, etc.)

Decimal n,x
INT n

For Day (DD): Record the day of the month using two digits.
When the day is a single digit, add a "0" prefix (e.g., 01, 02, 03,
etc.).
Data can include a decimal number with a total of number of “n”
digits, of which “x” can be after the decimal point.
Data can include any integer (whole number) with a maximum
length of integers as defined by “n”. All integers must be
positive.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Due to the length of some of the data element descriptions, each data element has been
assigned an “Element Number” to make referencing a data element easier. “Element
Number” refers to the assigned data element number (e.g., element number 6 refers to
Social Security Number). When “data element” is used, the associated reference is to the
location in this document where that data element is located (e.g., data element III.B
refers to outline section III.B where the data element, Social Security Number is located).
The data elements have been categorized to indicate the point in the VR process when the
data should be collected. The data elements are designed to collect information at a
particular point (e.g., application, eligibility, IPE, etc.). In order to ensure data validity, it
is important that VR agencies collect and report the data at the correct time.

Data Submission
RSA-911 data must be submitted to RSA on a quarterly basis, no later than 45 days after
the end of each quarter in accordance with the following schedule:
Table 1.3:
Quarter
1
2
3
4

Reporting Dates
Reporting Period
July 1 – September 30
October 1 – December 31
January 1 – March 31
April 1 – June 30

Report Due Date
November 15
February 15
May 15
August 15

VR agencies will submit a comma delimited data file through an RSA-911 data portal via
RSA’s website, https://rsa.ed.gov. Though some elements may be left blank, a comma
delimited space must be included for each data element in each submission. The element
number refers to the location of the reported response in the comma delimited text string
(e.g., the second comma delimited position in the text file would be for Social Security
Number).
Each VR Director will receive a userid and password necessary to access the RSA-911
upload data webpage. The VR Director will be responsible for ensuring submission and
certification of the RSA-911 data on a quarterly basis. The VR Director may formally
delegate this responsibility to another individual who is authorized to certify the data on
behalf of the VR agency. End users will be required to reset the password periodically for
security purposes.
When uploading data, the RSA-911 upload webpage will capture the following data
elements:
1. Name of Individual Submitting Data – Entered by end user.
2. Title of Individual Submitting Data – Entered by end user.
3. Phone Number for Individual Submitting Data – Entered by end user.
4. Email Address for Individual Submitting Data – Entered by end user.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

End users will follow the RSA-911 webpage prompts to upload the data file. Prior to the
submission of the data, the VR Director, or individual formally delegated the authority to
submit the data on behalf of the VR Director, will be required to certify the following
statement:
By submitting this report, I certify to the best of my knowledge and belief that the
report is true, complete, and accurate, and the expenditures reported are for the
purposes and objectives set forth in the terms and conditions of the Federal award.
I am aware that any false, fictitious, or fraudulent information, or the omission of
any material fact, may subject me to criminal, civil or administrative penalties for
fraud, false statements, false claims or otherwise.

Edit Checks
RSA will maintain a comprehensive edit check table on RSA’s website,
https://www.rsa.ed.gov. The table will detail, by data element, the edit checks required to
ensure the integrity of data submissions. Edits describe constraints that should be
satisfied by the data. Each data submission will be analyzed to determine whether the
data is consistent with the edit checks. Data submissions that fail to pass the edit check
will be returned to the VR agency for correction and resubmission. Any corrections made
must be consistent with the agency’s electronic case management system and the
supporting documentation maintained by the agency.
RSA’s data editing process will utilize both hard and soft edits. Hard edits identify
records that “fail” based upon erroneous combinations or missing values. Soft edits are
constraints that identify (combinations of) values that are suspicious but not necessarily
incorrect.
Due to the number of data elements, RSA will not be issuing an edit check database
application to VR agencies. VR agencies are responsible for ensuring that any data
submitted conforms to edit check and data submission requirements.

WIOA Participant Individual Record Layout (WIOA PIRL)
The WIOA PIRL is derived from the Joint Performance ICR and provides a standardized
set of data elements, definitions, and reporting instructions that will be used to describe
the characteristics, activities, and outcomes of WIOA participants. Under the WIOA
PIRL, a “participant” for the purpose of the VR program is an individual who has an
approved and signed Individualized Plan for Employment (IPE) and has begun to receive
services. VR agencies are required to collect participant information that corresponds
with the data elements and descriptions delineated within the WIOA PIRL. Once
collected, RSA will then aggregate this information as specified in the WIOA Annual
Statewide Performance Report Specifications, which details the common data elements
and technical specifications necessary for calculation of the State and Local Area
performance report elements that will be used in reporting across all core programs.
Where there is a direct correlation between a WIOA PIRL data element and an RSA-911
data element, the WIOA PIRL data element number and name have been included. There

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

are additional WIOA PIRL data elements that must be calculated from other RSA-911
data elements. A list of the calculated WIOA PIRL data elements and the methodology
used to calculate them will be posted on RSA’s website, https://www.rsa.ed.gov.
H.

Pre-Employment Transition Services
The data elements in the table below are the only ones required if an individual is
receiving pre-employment transition services and has not applied for or been determined
eligible for VR services.
Table 1.4:

Required Data Elements for Individuals Receiving Pre-Employment
Transition Services

Data Element
III.A
III.B
IV.B
IV.C.2 – IV.C.6
IV.C.7
IV.F
X.A
X.B – X.E

Name
Unique Identifier
Social Security Number (if available)
Date of Birth
Race – Required if student is in elementary or secondary
education.
Ethnicity – Required if student is in elementary or secondary
education.
Student with a Disability
Start Date of Pre-Employment Transition Services
Pre-Employment Transition Services

Note: While these are the only required fields for pre-employment transition services, you
must report all comma-delimited fields in accordance with the data submission
guidelines in Section E, above.

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 1,604 hours per response, including time for reviewing
instructions, 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 mandatory as required by
the Rehabilitation Act of 1973, as amended. 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, Rehabilitation Services Administration, Data Unit, 400 Maryland Ave., SW, Washington, DC 202022800 or email ICDocketMgr@ed.gov and reference the OMB Control Number 1820-0508.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

II.

Reporting Period Identification Data Elements
The information in this section must be submitted quarterly for all data submissions.
A.

Program Year
Data Type: INT 4
Element Number: 1

Change: New
Multiple Values Allowed: No

Record the calendar year associated with the reporting period.
B.

Program Year Quarter
Data Type: INT 1
Data Element Reference Number: 2

Change: New
Multiple Values Allowed: No

Record the program year quarter applicable to this data collection reporting period.
Quarter
1
2
3
4
C.

Period
July 1 – September 30
October 1 – December 31
January 1 – March 31
April 1 – June 30

Date Report Submitted
Data Type: DATETIME (YYYYMMDD)
Data Element Reference Number: 3

Change: New
Multiple Values Allowed: No

Record the date the report is submitted to RSA through https://rsa.ed.gov.
D.

Agency Code
Data Type: INT 3
Data Element Reference Number: 4

Change: Revised
Multiple Values Allowed: No

Record the code value assigned to the VR agency submitting the data from the following
table. Codes have been pre-assigned to nonexistent agencies for individuals who are blind
or visually impaired in the event that these agencies are established in the future.

State or Territory
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado

Abbreviation
AL
AK
AM
AZ
AR
CA
CO

General/
Combined
Code
001
002
003
004
005
006
007

Blind
Code
057
058
059
060
061
062
063

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

State or Territory
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas
Ohio
Oklahoma
Oregon
Pennsylvania

Abbreviation
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PA

General/
Combined
Code
008
009
010
011
012
013
014
015
016
017
018
019
020
021
022
023
024
025
026
027
028
029
030
031
032
033
034
035
036
037
038
039
040
041
042

Blind
Code
064
065
066
067
068
069
070
071
072
073
074
075
076
077
078
079
080
081
082
083
084
085
086
087
088
089
090
091
092
093
094
095
096
097
098

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

State or Territory
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
III.

Abbreviation
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY

General/
Combined
Code
043
044
045
046
047
048
049
050
051
052
053
054
055
056

Blind
Code
099
100
101
102
103
104
105
106
107
108
109
110
111
112

Unique Identifier Data Elements
Each individual must be assigned a twelve-digit unique identifier. The Unique Identifier must be
submitted quarterly for all applicants and eligible individuals, as well as students with a
disability who are solely receiving pre-employment transition services and who have not yet
applied for VR services. If an individual does not have an SSN or chooses not to provide an
SSN, then only the Unique Identifier is reported. An individual’s SSN is reported only one time
to RSA with the Unique Identifier. After that, the Unique Identifier is the only unique individual
data element reported with each data submission. Once either of these data elements has been
reported, the data elements may ONLY be changed by contacting RSA Data Unit staff to initiate
a modification.
A.

Unique Identifier
Report: Each Data Submission
Data Type: VARCHAR 12
Element Number: 5

Change: New
Multiple Values Allowed: No



Data entry is required if individual is receiving pre-employment transition services.



WIOA PIRL data element number 100, Unique Individual Identifier.

When assigning the identifier, the first two digits are the State’s Postal Code (IV.D.1)
followed by a unique ten-digit number that is not associated with the individual’s SSN.
The number must not duplicate any other assigned unique identifiers.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

When assigning a unique identifier, ensure that the same twelve-digit identifier is used in
subsequent years for the same individual if additional service records are opened for the
individual in the future. When a Blind or General agency in the same State identifies that
an individual has been or is being served by the other agency, every effort should be
made to ensure the same unique identifier is used for both agencies. This is necessary in
order to obtain an unduplicated count of individuals being served in a State.
B.

Social Security Number
Report: When Available
Data Type: VARCHAR 9
Element Number: 6

Change: None
Multiple Values Allowed: No



Must be left blank after initial report.



Enter data, if available, for individuals receiving pre-employment transition services.

Record the individual’s nine-digit SSN. Please note that if no SSN is provided, the
individual’s wage information cannot be verified through unemployment insurance data
and would need to be determined through supplemental information.
IV.

Data Elements at Application
The data elements contained in this section are to be reported for each individual who has
submitted an application to receive services under the VR program during the quarter. Some of
these data elements, as indicated below, must also be reported for students with disabilities who
are receiving pre-employment transition services and have not submitted an application to
receive VR services consistent with the start date of pre-employment transition services.
A.

Date of Application
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Element Number: 7

Change: Revised
Multiple Values Allowed: No

Record the date (year, month, and day) that the agency received a completed and signed
application form for VR services from the applicant. The date must be verifiable through
supporting documentation.
If a student with a disability is receiving pre-employment transition services only and has
not submitted an application for VR services this data element should be left blank and,
as stated above, the Start Date of Pre-Employment Transition Services (X.A) is reported.
However, if the individual has submitted an application to receive VR services other than
pre-employment transition services, this data element is required.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Date of Birth
Report: Either at Application or Start Date of Pre-Employment Transition Services
whichever comes first
Data Type: DATETIME (YYYYMMDD)
Change: Revised
Element Number: 8
Multiple Values Allowed: No


Data entry is also required for an individual who is solely receiving pre-employment
transition services.



WIOA PIRL data element number 200, Date of Birth.

Record the individual’s date (year, month, and day) of birth.

Individual Characteristics
1.

Sex
Report: At Application
Data Type: INT 1
Element Number: 9


Change: Revised
Multiple Values Allowed: No

WIOA PIRL data element number 201, Sex.

Record the applicant’s sex.
Code
1
2
9

Description
Individual indicates that he is male.
Individual indicates that she is female.
Individual did not self-identify their sex.

Race Reporting (IV.C.2-IV.C.6) General Information:
Race information should be recorded for all individuals whose service records were
opened in the quarter being reported. For students or youth with disabilities in elementary
or secondary education, reporting on race is required. If such students or youth refuses to
identify his/her race, the counselor should, at a minimum, notify the individual that if
he/she fails to self-identify, an observer-identification method will be used. The counselor
or interviewer would then provide the best assessment of the individual's race. This
guidance is consistent with the Department of Education's and the Office of Management
and Budget’s (OMB's) standards for collecting race data.
For individuals not in elementary or secondary education, self-identification is required to
the greatest extent possible. It is generally expected that the information recorded will
reflect the individual’s own identification of race from the categories provided. Observer
identification is not required for individuals with disabilities who are not in elementary or
secondary education.
When reporting on multi-racial individuals, use more than one race variable indicating
the individual is of that race (i.e., more than one code value 1). If the individual is not in

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

elementary or secondary education and refuses to self-identify, record code value 9 to
indicate the individual did not self-identify.
Agencies may leave the data element blank only for individuals with Type of Exit
(XVII.B) code value 0 (Individual exited as an applicant, prior to eligibility determination
or trial work). For example, if an individual applies for services via an application form
or letter and exits the agency without being seen by agency personnel, this individual's
race would not be known and could not be observed and therefore all race codes would
be left blank.
2.

American Indian or Alaska Native
Report: Either at Application or Start Date of Pre-Employment Transition
Services whichever comes first.
Data Type: INT 1
Change: Revised
Element Number: 10
Multiple Values Allowed: No


Data entry is required if individual is in elementary or secondary education.



WIOA PIRL data element number 211, American Indian/Alaska Native.

An individual having origins in any of the original peoples of North and South
America (including Central America), and who maintains a tribal affiliation or
community attachment.
Code
1
0
9
3.

Description
Individual is American Indian or Alaska Native.
Individual is not American Indian or Alaska Native.
Individual did not self-identify his/her race.

Asian
Report: Either at application or Start Date of Pre-Employment Transition Services
whichever comes first.
Data Type: INT 1
Change: Revised
Element Number: 11
Multiple Values Allowed: No


Data entry is required if individual is in elementary or secondary education.



WIOA PIRL data element number 212, Asian.

An individual having origins in any of the original peoples of the Far East,
Southeast Asia, or the Indian subcontinent, including for example, Cambodia,
China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand,
and Vietnam.
Code
1
0
9

Description
Individual is Asian.
Individual is not Asian.
Individual did not self-identify his/her race.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Black or African American
Report: Either at Application or Start Date of Pre-Employment Transition
Services whichever comes first.
Data Type: INT 1
Change: Revised
Element Number: 12
Multiple Values Allowed: No


Data entry is required if individual is in elementary or secondary education.



WIOA PIRL data element number 213, Black/African American.

An individual having origins in any of the Black racial groups of Africa.
Code
1
0
9
5.

Description
Individual is Black or African American.
Individual is not Black or African American.
Individual did not self-identify his/her race.

Native Hawaiian or Other Pacific Islander
Report: Either at Application or Start Date of Pre-Employment Transition
Services whichever comes first.
Data Type: INT 1
Change: Revised
Element Number: 13
Multiple Values Allowed: No


Data entry is required if individual is in elementary or secondary education.



WIOA PIRL data element number 214, Native Hawaiian/Other Pacific Islander.

An individual having origins in any of the original peoples of Hawaii, Guam,
Samoa, or other Pacific Islands.
Code
1
0
9
6.

Description
Individual is Native Hawaiian or Other Pacific Islander.
Individual is not Native Hawaiian or Other Pacific Islander.
Individual did not self-identify his/her race.

White
Report: Either at Application or Start Date of Pre-Employment Transition
Services whichever comes first.
Data Type: INT 1
Change: Revised
Element Number: 14
Multiple Values Allowed: No


Data entry is required if individual is in elementary or secondary education.



WIOA PIRL data element number 215, White.

An individual having origins in any of the original peoples of Europe, the Middle
East or North Africa.
Code
1
0
9

Description
Individual is White.
Individual is not White.
Individual did not self-identify his/her race.
14

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Ethnicity - Hispanic or Latino
Report: Either at Application or Start Date of Pre-Employment Transition
Services whichever comes first.
Data Type: INT 1
Change: Revised
Element Number: 15
Multiple Values Allowed: No


Data entry is required if individual is in elementary or secondary education.



WIOA PIRL data element number 210, Ethnicity Hispanic/Latino.

This data element should be recorded for all individuals whose service records
were opened in the quarter being reported. For students or youth with disabilities
in secondary education, reporting on ethnicity is required.
If such student or youth refuses to identify his/her ethnicity, the counselor should,
at a minimum, notify the individual that if he/she fails to self-identify, an
observer-identification method will be used. The counselor or interviewer would
then provide the best assessment of the individual's ethnicity. This guidance is
consistent with the Department of Education’s and OMB’s standards for
collecting ethnicity data.
If the elementary or secondary student or youth self-identifies as Hispanic or
Latino, but refuses or is unable to identify one or more race categories in addition,
code the student or youth as Hispanic or Latino for ethnicity and follow the
observer-identification method as described above for the race categories.
For individuals not in secondary education, self-identification is required to the
greatest extent possible. It is generally expected that the information recorded will
reflect the individual’s own identification of ethnicity. Observer identification is
not required for individuals with disabilities who are not in elementary or
secondary education.
If the individual is not in secondary education and refused to self-identify, record
9 to indicate that the individual did not self-identify ethnicity. Individuals who
identify as Hispanic (an individual of Cuban, Mexican, Puerto Rican, South or
Central American, or other Spanish culture or origin, regardless of race) may
belong to any race group.
Code
1
0
9

Description
Individual is Hispanic or Latino.
Individual is not Hispanic or Latino.
Individual did not self-identify his/her ethnicity.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Veteran
Report: At Application
Data Type: INT 1
Element Number: 16

Change: None
Multiple Values Allowed: No

Record code value to indicate whether applicant served in the active military,
navel or air service, and was discharged or released under conditions other than
dishonorable.
Code Description
1 Applicant is a veteran.
0 Applicant is not a veteran.
9.

Living Arrangement
Report: At Application
Data Type: INT 2
Element Number: 17

Change: Revised
Multiple Values Allowed: No

Record the living arrangements of the applicant, either temporarily or
permanently, at application, using the following code values:
Code
1
2
3
4
5
6
7
8
9
10
D.

Description
Private Residence (independent, or with family or other person)
Community Residential Facility/Group Home
Rehabilitation Facility
Mental Health Facility
Nursing Home
Correctional Facility
Halfway House
Substance Abuse Treatment Center
Homeless/Shelter
Other

Location Information
1.

State Postal Code of Residence
Report: At Application and Update as Needed
Data Type: VARCHAR 2
Change: New
Element Number: 18
Multiple Values Allowed: No


WIOA PIRL data element number 101, State Code of Residence.

Record the two-letter State Postal Code for the State or U.S. Territory
corresponding to the location of the individual’s residence. For example, South
Dakota would be represented as "SD."

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

For persons on active military duty, VR agencies should record the two-letter
Air/Army Post Office (APO) or Fleet Post Office (FPO) as defined by the
Military Postal Service Agency.
Code FIPS Description
AE
(ZIPs 09xxx) for Armed Forces Europe which includes Canada, Middle
East, and Africa
AP
(ZIPs 962xx - 966xx) for Armed Forces Pacific
AA
(ZIPs 340xx) for Armed Forces (Central and South) Americas
AL
Alabama
AK
Alaska
AS
American Samoa
AZ
Arizona
AR
Arkansas
CA
California
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FL
Florida
GA
Georgia
GU
Guam
HI
Hawaii
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
KY
Kentucky
LA
Louisiana
ME
Maine
MD
Maryland
MA
Massachusetts
MS
Mississippi
MO
Missouri
MT
Montana
NE
Nebraska
NV
Nevada
NH
New Hampshire
NJ
New Jersey
NM
New Mexico
MI
Michigan
NY
New York
NC
North Carolina
MN
Minnesota

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Code
ND
MP
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
88
99
XX
2.

FIPS Description
North Dakota
Northern Marianas
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Mexico
Canada
Other (Not Listed Above)

County FIPS Code
Report: At Application and Update as Needed
Data Type: INT 5
Change: New
Element Number: 19
Multiple Values Allowed: No


Joint Department of Education and Department of Labor data element.

Record the FIPS county code for the individual’s residence. This code is a fivedigit Federal Information Processing Standard (FIPS) that uniquely identifies
counties, county equivalents, and certain U.S. territories. The first two digits are
the FIPS State code and the last three are the county code within the State or
territories. The codes can be located at the U.S. Census Bureau website:
https://www.census.gov/geo/reference/codes/cou.html
3.

Zip Code
Report: At Application and Update as Needed
Data Type: INT 5
Change: None
Element Number: 20
Multiple Values Allowed: No
Record the five-digit numeric U.S. Postal Service Zip Code corresponding to the
location where the individual resides.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Source of Referral
Report: At Application
Data Type: INT 2
Element Number: 21

Change: Revised
Multiple Values Allowed: No

Record the individual, agency, or other entity that first referred the applicant to the VR
agency by using one of the following code values. If the applicant approached the VR
agency on his/her own, record code value 19 (self-referral).
Code
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

25
26
27
28
29
30
31

Source of Referral at Application
14(c) Certificate Holders
Adult Education and Literacy Programs
American Indian VR Services Program
Centers for Independent Living
Child Protective Services
Community Rehabilitation Programs
Consumer Organizations or Advocacy Groups
Department of Labor Employment and Training Service Programs for Adults,
Dislocated Workers, and Youth
Educational Institutions (Elementary/Secondary)
Educational Institutions (Postsecondary)
Employers
Extended Employment Providers
Faith Based Organizations
Family/Friends
Intellectual and Developmental Disabilities Providers
Medical Health Provider (Public or Private)
Mental Health Provider (Public or Private)
Public Housing Authority
Self-referral
Social Security Administration (Disability Determination Service or District
office)
State Department of Correction/Juvenile Justice
Temporary Assistance for Needy Families (TANF)
Veteran's Benefits Administration (which includes VA Vocational
Rehabilitation)
Veteran's Health Administration (the VA hospital system, as well as the VA
transitional living, transitional employment, and compensated work therapy
programs)
Wagner-Peyser Employment Service Program
Welfare Agency (State or local government)
Worker's Compensation
Other One-stop Partner
Other Sources
Other State Agencies
Other VR State Agencies
19

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Code
32
F.

Source of Referral at Application
Other WIOA-funded Programs including Job Corps, YouthBuild, Indian and
Native Americans, and Migrant and Seasonal Farmworker Programs

Student with a Disability
Report: Either at Application or Start Date of Pre-Employment Transition Services
whichever comes first.
Data Type: INT 1
Change: Revised
Element Number: 22
Multiple Values Allowed: No


Data entry is required if individual is receiving pre-employment transition services.

A student with a disability (34 CFR 361.5(c)(51) means, in general, an individual with a
disability in a secondary, postsecondary, or other recognized education program who-(A)(1) Is not younger than the earliest age for the provision of transition services under
section 614(d)(1)(A)(i)(VIII) of the Individuals with Disabilities Education Act
(20 U.S.C. 1414(d)(1)(A)(i)(VIII)); or
(2) If the State involved elects to use a lower minimum age for receipt of preemployment transition services under this Act, is not younger than that minimum age;
and
(B)(1) Is not older than 21 years of age; or
(2) If the State law for the State provides for a higher maximum age for receipt of
services under the Individuals with Disabilities Education Act (20 U.S.C. 1400 et
seq.), is not older than that maximum age; and
(C)(1) Is eligible for, and receiving, special education or related services under Part B of
the Individuals with Disabilities Education Act (20 U.S.C. 1411 et seq.); or
(2) Is a student who is an individual with a disability, for purposes of section 504.
Code Description
1 Individual is a student with a disability and has a section 504 accommodation.
2 Individual is a student with a disability and is receiving transition services
under an Individualized Education Program (IEP).
3 Individual is a student with a disability who does not have a section 504
accommodation and is not receiving services under an IEP.
0 Individual is not a student with a disability.
G.

Support
1.

Social Security Disability Insurance (SSDI) at Application
Data Type: INT 1
Change: None
Element Number: 23
Multiple Values Allowed: No
Code Description
1 Applicant receives SSDI.
0 Applicant does not receive SSDI.
20

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Supplemental Security Income (SSI) for the Aged, Blind, or Disabled at
Application
Data Type: INT 1
Change: None
Element Number: 24
Multiple Values Allowed: No
Code Description
1 Applicant receives SSI for the Aged, Blind, or Disabled program.
0 Applicant does not receive SSI for the Aged, Blind, or Disabled.

Temporary Assistance for Needy Families (TANF) at Application
Data Type: INT 1
Change: None
Element Number: 25
Multiple Values Allowed: No
Code Description
1 Applicant receives TANF benefits.
0 Applicant does not receive TANF benefits.

General Assistance (State or local government) at Application
Data Type: INT 1
Change: None
Element Number: 26
Multiple Values Allowed: No
Code Description
1 Applicant receives General Assistance.
0 Applicant does not receive General Assistance.

Veterans' Disability Benefits at Application
Data Type: INT 1
Change: None
Element Number: 27
Multiple Values Allowed: No
Veterans' Disability Benefits are payments made by the Department of Veterans
Affairs for partial or total disability.
Code Description
1 Applicant receives Veterans’ Disability Benefits.
0 Applicant does not receive Veterans’ Disability Benefits.

Workers' Compensation at Application
Data Type: INT 1
Element Number: 28

Change: None
Multiple Values Allowed: No

Code Description
1 Applicant receives Workers’ Compensation.
0 Applicant does not receive Workers’ Compensation.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Unemployment Insurance at Application
Data Type: INT 1
Change: None
Element Number: 29
Multiple Values Allowed: No
Code Description
1 Applicant receives Unemployment Insurance benefits.
0 Applicant does not receive Unemployment Insurance benefits.

Primary Source of Support at Application
Data Type: INT 1
Change: None
Element Number: 30
Multiple Values Allowed: No
Record a code value from the table below to indicate the applicant’s largest single
source of economic support.
Code Description
1 Applicant’s primary source of support is personal income (employment
earnings, interest, dividends, rent, or retirement including social
security).
2 Applicant’s primary source of support is family and friends.
3 Applicant’s primary source of support is public support (SSI, SSDI,
TANF, etc.).
4 Applicant’s primary source of support is from other sources (e.g., private
disability insurance and private charities).
If the applicant is supported by the earnings of a spouse, or by the spouse's
unemployment insurance benefits, record code value 2 (family and friends) as the
Primary Source of Support and not code value 1 (personal income). If an
applicant is primarily supported by a governmental entity with no cash support –
for example, incarcerated individuals – record code value 3 (public support) as the
Primary Source of Support only if the applicant is the recipient of the support. If
the family receives public support, record code value 2 (family and friends).

Medical Insurance Coverage
1.

Medicaid at Application
Data Type: INT 1
Element Number: 31

Change: None
Multiple Values Allowed: No

Code Description
1 Applicant has Medicaid.
0 Applicant does not have Medicaid.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Medicare at Application
Data Type: INT 1
Element Number: 32

Change: None
Multiple Values Allowed: No

Code Description
1 Applicant has Medicare.
0 Applicant does not have Medicare.
3.

State or Federal Affordable Care Act Exchange at Application
Data Type: INT 1
Change: None
Element Number: 33
Multiple Values Allowed: No
State or Federal Affordable Care Act Exchange refers to individuals receiving
benefits through their enrollment in an Affordable Care Act Exchange.
Code Description
1 Applicant is receiving benefits through the State or Federal Affordable
Care Act Exchange at the time of application.
0 Applicant is not receiving benefits through the State or Federal
Affordable Care Act Exchange at the time of application.

Public Insurance from Other Sources at Application
Data Type: INT 1
Change: Revised
Element Number: 34
Multiple Values Allowed: No
Code Description
1 Applicant has public insurance from sources not listed in data elements
(IV.H.1-IV.H.3).
0 Applicant does not have public insurance.

Private Insurance Through Employer at Application
Data Type: INT 1
Change: Revised
Element Number: 35
Multiple Values Allowed: No
Code Description
1 Applicant has private insurance through employer.
0 Applicant does not have private insurance through employer.

Not Yet Eligible for Private Insurance Through Employer at Application
Data Type: INT 1
Change: None
Element Number: 36
Multiple Values Allowed: No
Code Description
1 Applicant is not eligible for private insurance through a current
employer, but will be eligible for private insurance after a certain period
of employment.
0 Applicant does not meet the conditions described above.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Private Insurance Through Other Means at Application
Data Type: INT 1
Change: None
Element Number: 37
Multiple Values Allowed: No
Private insurance through other means refers to applicants who are self-insured or
receiving benefits through their parent/family members’ insurance plan.
Code Description
1 Applicant has private insurance through other means.
0 Applicant does not have private insurance through other means.

Eligibility Data Elements
A.

Date of Eligibility Determination
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Element Number: 38

Change: None
Multiple Values Allowed: No

Record the date that the initial eligibility determination was made.
This date will be maintained regardless of whether the individual is later determined
ineligible. This situation may occur when an individual acquires additional disabilities or
functional limitations during the service delivery process that result in the individual
being unable to continue benefitting from VR services.
B.

Eligibility Determination Extension
Report: Upon Occurrence
Data Type: INT 1
Element Number: 39

Change: New
Multiple Values Allowed: No

This data element records whether the applicant and counselor completed a signed
extension (of time) for eligibility determination within 60 days of the individual’s
application for VR services.
Code Description
1 A signed eligibility determination extension was complete.
0 A signed eligibility determination extension was not completed.
VI.

Order of Selection (OOS) Data Elements
A.

Date of Placement on OOS Waiting List
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Element Number: 40

Change: Revised
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Record the date, if applicable, that the applicant was placed on an OOS waiting list. This
date must be equal to or later than both the Date of Application (IV.A) and the Date of
Eligibility Determination (V.A).
B.

Date of Exit from OOS Waiting List
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Element Number: 41

Change: Revised
Multiple Values Allowed: No

Record the date, if applicable, that the applicant exited from an OOS waiting list. This
date must be after the Date of Placement on OOS Waiting List (VI.A).
Leave blank if the applicant was not placed on an OOS wait list.
If the applicant exited the VR program from an OOS waiting list, this data element must
contain a valid date and be equal to the Date of Exit (XVII.A) and Type of Exit (XVII.B),
must be code 2 (Individual exited after eligibility, but from an order of selection waiting
list).
VII.

Disability Data Elements
A.

Individual with a Disability
Report: At Eligibility Determination and Update as Needed
Data Type: INT 1
Change: New
Element Number: 42
Multiple Values Allowed: No


WIOA PIRL data element number 202, Individual with a Disability.

Code Description
1 Individual indicates that he/she has any "disability”, as defined in section
3(2)(a) of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102).
Under that definition, a "disability" is a physical or mental impairment that
substantially limits one or more of the person's major life activities.
0 Individual indicates that he/she does not have a disability that meets the
definition.
9 Individual did not self-identify.
B.

Primary Disability
Report: At Eligibility Determination and Update as Needed
Data Type: VARCHAR 5
Change: Revised
Element Number: 43
Multiple Values Allowed: Yes
Record the code value that best describes the individual's primary physical or mental
impairment that causes or results in a substantial impediment to employment. The data
reported is a combination of the Type of Impairment code and the Source of Impairment
code. The first two digits designate the Type of Impairment (sensory, physical or mental),
and the last two digits indicate the cause or Source of Impairment. Use a semi-colon

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

between the Type of Impairment code and the Source of Impairment code. Do not use
spaces or commas between the code values. If the individual is found not to have a
disability, this item should be coded 0;0.
Leave blank if the information is not available for individuals who exited as an applicant
prior to eligibility determination or trial work, Type of Exit (XVII.B) code value 0.
Code Type of Impairment
0 No Impairment
Sensory/Communicative Impairments
1 Blindness
2 Other Visual Impairments
3 Deafness, Primary Communication Visual
4 Deafness, Primary Communication Auditory
5 Hearing Loss, Primary Communication Visual
6 Hearing Loss, Primary Communication Auditory
7 Other Hearing Impairments (Tinnitus, Meniere's Disease, hyperacusis, etc.)
8 Deaf-Blindness
9 Communicative Impairments (expressive/receptive)
Physical Impairments
10 Mobility Orthopedic/Neurological Impairments
11 Manipulation/Dexterity Orthopedic/Neurological Impairments
12 Both Mobility and Manipulation/Dexterity Orthopedic/Neurological Impairments
13 Other Orthopedic Impairments (e.g., limited range of motion)
14 Respiratory Impairments
15 General Physical Debilitation (e.g., fatigue, weakness, pain, etc.)
16 Other Physical Impairments (not listed above)
Mental Impairments
17 Cognitive Impairments (e.g., impairments involving learning, thinking, processing
information and concentration)
18 Psychosocial Impairments (e.g., interpersonal and behavioral impairments,
difficulty coping)
19 Other Mental Impairments
Code
0
1
2
3
4
5
6
7
8
9
10

Source of Impairment
Cause Unknown
Accident/Injury (other than TBI or SCI)
Alcohol Abuse or Dependence
Amputations
Anxiety Disorders
Arthritis and Rheumatism
Asthma and Other Allergies
Attention-Deficit Hyperactivity Disorder (ADHD)
Autism
Blood Disorders
Cancer
26

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Code
11
12
13
14
15
16
17
18
19
20
21
22
23
23
25
26
27
28
29
30
31
32
33
34
35
36
37
C.

Source of Impairment
Cardiac and Other Conditions of the Circulatory System
Cerebral Palsy
Congenital Condition or Birth Injury
Cystic Fibrosis
Depressive and Other Mood Disorders
Diabetes Mellitus
Digestive
Drug Abuse or Dependence (other than alcohol)
Eating Disorders (e.g., anorexia, bulimia, or compulsive overeating)
End-Stage Renal Disease and Other Genitourinary System Disorders
Epilepsy
HIV and AIDS
Immune Deficiencies Excluding HIV/AIDS
Mental Illness (not listed elsewhere)
Mental Retardation
Multiple Sclerosis
Muscular Dystrophy
Parkinson's Disease and Other Neurological Disorders
Personality Disorders
Physical Disorders/Conditions (not listed elsewhere)
Polio
Respiratory Disorders Other than Cystic Fibrosis or Asthma
Schizophrenia and Other Psychotic Disorders
Specific Learning Disabilities
Spinal Cord Injury (SCI)
Stroke
Traumatic Brain Injury (TBI)

Secondary Disability
Report: At Eligibility Determination and Update as Needed
Data Type: VARCHAR 5
Change: Revised
Element Number: 44
Multiple Values Allowed: Yes
Record the code value that best describes the individual's secondary physical or mental
impairment that causes or results in a substantial impediment to employment. Select from
the code values listed in the Primary Disability (VII.B.) data element. The number
reported is a combination of the Type of Impairment code and the Source of Impairment
code. The first two digits designate the Type Impairment (sensory, physical or mental),
and the last two digits indicate the cause or Source of Impairment. Use a semi-colon
between the Type of Impairment code and the Source of Impairment code. Do not use
spaces or commas between the code values.
If the individual is found not to have a disability, this item should be coded 0;0.
Leave blank if the information is not available for individuals who exited as an applicant
prior to eligibility determination or trial work, Type of Exit (XVII.B) code value 0.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Significance of Disability
Report: At Eligibility Determination and Update as Needed
Data Type: INT 1
Change: None
Element Number: 45
Multiple Values Allowed: No
Record the appropriate code value to indicate whether the individual is classified by the
agency as an individual with a significant disability or a most significant disability. If an
individual is receiving Social Security benefits at application or exit due to their own
disabling condition, he/she is presumed eligible and must be classified as an individual
with at least a significant disability and may be classified in a more significantly disabled
category consistent with the VR agency's approved criteria.
An individual with a significant disability is an individual:
a) who has a physical or mental impairment that seriously limits one or more functional
capacities (such as mobility, communication, self-care, self-direction, interpersonal
skills, work tolerance, or work skills) in terms of an employment outcome; AND
b) whose VR can be expected to require multiple VR services over an extended period
of time; AND
c) who has one or more physical or mental disabilities resulting from amputation,
arthritis, autism, blindness, burn injury, cancer, cerebral palsy, cystic fibrosis,
deafness, head injury, heart disease, hemiplegia, hemophilia, respiratory or pulmonary
dysfunction, intellectual disability, mental illness, multiple sclerosis, muscular
dystrophy, musculo-skeletal disorders, neurological disorders (including stroke and
epilepsy), spinal cord conditions (including paraplegia and quadriplegia), sickle cell
anemia, specific learning disability, end-stage renal disease, or another disability or
combination of disabilities determined on the basis of an assessment for determining
eligibility and VR needs to cause comparable substantial functional limitation.
Individuals are to be coded as most significantly disabled if they meet the VR
agency's definition of most significantly disabled using criteria consistent with the
statutory definition of most significantly disabled described in section 101(a)(5)(c) of
the Act as amended.
Code
1
2
0

Description
Individual has a significant disability.
Individual is most significantly disabled.
Individual has no significant disability.

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VIII.

Trial Work Experience Data Elements
A.

Start Date of Trial Work Experience
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Element Number: 46

Change: Revised
Multiple Values Allowed: No

This data element captures the start of assessment activities related to the provision of
trial work as part of the initial VR eligibility process. This element may also be used to
capture the start dates for subsequent instances of trial work for the purposes of additional
assessment in the IPE development or service delivery process, as well as a subsequent
determination of whether the individual can continue to benefit from services due to the
occurrence of additional disabling condition(s) and/or additional functional limitations.
Record the date that the individual’s trial work experience began. If the individual has
been placed in more than one trial work experience, the first occurrence of trial work
must have an End Date of Trial Work Experience (VIII.B) before another Start Date of
Trial Work Experience can be entered.
Leave blank if individual did not have a trial work experience.
B.

End Date of Trial Work Experience
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Element Number: 47

Change: None
Multiple Values Allowed: No

Record the date that the individual’s trial work experience ended.
Leave blank if individual did not have a trial work experience.
IX.

Individualized Plan for Employment (IPE) Data Elements
A.

Date of Most Recent or Amended IPE
Report: At Each IPE and Amendment
Data Type: DATETIME (YYYYMMDD)
Element Number: 48

Change: Revised
Multiple Values Allowed: No

Record the date on which the most recent IPE for the individual became effective (date
signed by both VR Counselor and individual).
Leave blank if individual does not have an IPE.
The IPE is effective on the date on which both the VR Counselor and individual reach
agreement, as indicated by the signatures and dates on the IPE. If the two signatures bear
different dates, the later date should be considered the effective date of the IPE. If the IPE
is amended more than once during the same reporting quarter, record the most recent

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date. If the IPE is amended in subsequent quarters, record the subsequent date in the
reporting quarter in which the IPE was amended.
B.

Supported Employment Goal on Current IPE
Report: At Each IPE and Amendment
Data Type: INT 1
Element Number: 49

Change: Revised
Multiple Values Allowed: No

Code Description
1 Individual has a supported employment goal on the current IPE.
0 Individual does not have a supported employment goal on the IPE.
The term “supported employment” (34 CFR 361.5(c)(53)) means competitive integrated
employment, including customized employment, or employment in an integrated work
setting in which an individual with a most significant disability, including a youth with a
most significant disability, is working on a short-term basis toward competitive integrated
employment that is individualized, and customized, consistent with the unique strengths,
abilities, interests, and informed choice of the individual, including with ongoing support
services for individual with the most significant disabilities – (A) For whom competitive
integrated employment has not historically occurred, or for whom competitive integrated
employment has been interrupted or intermittent as a result of a significant disability; and
(B) Who, because of the nature and severity of their disabilities, need intensive supported
employment services and extended services after the transition from support provided by
the designated State unit, in order to perform this work. See 34 CFR 361.5(c)(53) for the
complete definition.
C.

Employment
1.

Employment at IPE
Data Type: INT 2
Element Number: 50


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 400, Employment Status at Program Entry.

Record the code value that best describes the employment status of the individual.
The first six codes are considered "employment" for purposes of this data
element. Individuals not meeting the definitions for code values 1 through 6
below would be classified as "not employed" (code values 7 through 10).
If an individual’s employment status can be recorded in two different code values,
record the code value that is most descriptive of the individual's employment.
Code
1

Description
Competitive Integrated Employment - (34 CFR 361.5(c)(9)) refers to
work that (i) is performed on a full-time or part-time basis (including
self-employment) and for which an individual is compensated at a rate
that –
(A) Is not less than the higher of the rate specified in section 6(a)(1) of
30

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Code

Description
the Fair Labor Standards Act of 1938 (29 U.S.C. 206(a)(1)) or the
rate required under the applicable State or local minimum wage law
for the place of employment;
(B) Is not less than the customary rate paid by the employer for the same
or similar work performed by other employees who are not
individuals with disabilities and who are similarly situated in similar
occupations by the same employer and who have similar training,
experience, and skills; and
(C) In the case of an individual who is self-employed, yields an income
that is comparable to the income received by other individuals who
are not individuals with disabilities and who are self-employed in
similar occupations or on similar tasks and who have similar
training, experience, and skills; and
(D) Is eligible for the level of benefits provided to other employees; and
(ii) Is at a location-(A) Typically found in the community; and
(B) Where the employee with a disability interacts for the purpose of
performing the duties of the position with other employees within
the particular work unit and the entire work site, and, as appropriate
to the work performed, other persons (e.g., customers and vendors),
who are not individuals with disabilities (not including supervisory
personnel or individuals who are providing services to such
employee) to the same extent that employees who are not individuals
with disabilities and who are in comparable positions interact with
these persons; and

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Code
4

Description
Employed: State Agency-managed Business Enterprise Program (BEP)
means Randolph-Sheppard vending facilities and other small businesses
operated by individuals with significant disabilities under the
management and supervision of a State VR agency. Include home
industry where the work is done under the management and supervision
of a VR agency in the individual's own home or residence for wages,
salary, or on a piece-rate. Individuals capable of activity outside the
home, as well as homebound individuals, may engage in such
employment.
Employed: Extended Employment means work in a non-integrated or
sheltered setting for a public or private nonprofit agency or organization
that provides compensation in accordance with the Fair Labor Standards
Act (34 CFR 361.5(c)(18)).
Employed: Meets One of the Following Criteria - (a) has received a
notice of termination of employment or the employer has issued a Worker
Adjustment and Retraining Notification (WARN) or other notice that the
facility or enterprise will close, or (b) is a transitioning service member.
Not Employed: Student in Secondary Education, including GED classes
and special education classes, with the goal of obtaining a secondary
school diploma or GED.
Not Employed: All Other Students attending school full or part-time
other than students in secondary education (for example, students in
postsecondary education, adult education, or vocational training).
Not Employed: Trainee, Intern or Volunteer means persons engaging in
unpaid work experiences, internships or volunteer work for purposes of
increasing their employability. Such individuals may receive a stipend to
defray the cost of transportation or other incidental expenses.
Not Employed: Other means persons not in any of the other categories
(e.g., persons just out of school who are not yet employed; persons
unable to retain or obtain work; and persons who have recently left
specialized medical facilities).

Primary Occupation at IPE
Data Type: VARCHAR 6
Element Number: 51

Change: New
Multiple Values Allowed: No

For an individual who is employed, enter the current Standard Occupational
Classification (SOC) code that best describes the individual’s occupation from
which he/she derives the majority of their hourly earnings. If the individual is not
employed at application, leave blank.

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Hourly Wage at IPE
Data Type: DECIMAL 5, 2
Element Number: 52

Change: New
Multiple Values Allowed: No

This data element captures cash earnings of the individual expressed as an hourly
wage and includes all wages, salaries, tips, profits from self-employment and
commissions received as income. These earnings are before payroll deductions of
Federal, State and local income taxes and Social Security.
Wages for salespersons, consultants, self-employed individuals, and other similar
occupations are based on the adjusted gross income. Adjusted gross income is
gross income minus unreimbursed business expenses. Do not include estimates of
in-kind payments, such as meals and lodging. Estimate profits of farmers, if
necessary.
Where wages are based on commissions that are irregular (e.g., real estate,
automobile sales, etc.), they should be calculated as an average hourly wage over
a representative period of time, such as one month or one quarter, to obtain a
reportable figure. Commissions are generally not paid when earned, but rather are
paid periodically, such as weekly, biweekly, or even monthly. To bring
standardization to this data element, wages should be based on the actual receipt
of the payment and not on amounts accruing until the next commission payout.
Record individual’s hourly wage (rounded to the nearest cent) earned at the time
of the IPE.
Record 0 if individual had no earnings at the time of application.
4.

Hours Worked in a Week at IPE
Data Type: INT 2
Element Number: 53

Change: New
Multiple Values Allowed: No

Record the number of hours the individual worked for earnings in a typical week
at the time of the IPE.
Record 0 if individual was unemployed and/or generated no earnings.

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WIOA Program Involvement
The data elements in this section are completed at each IPE and updated as necessary.
They should be reviewed and any changes noted with each subsequent IPE or more
frequently if indicated.
1.

Adult
Report: At Each IPE and Update as Needed
Data Type: INT 1
Change: New
Element Number: 54
Multiple Values Allowed: No


WIOA PIRL data element number 903, Adult.

Code Description
1 Individual received services under WIOA section 133(b)(2)(A) [Adult
Employment and Training Activities] as an individual who is not less
than age 18 at the time of program entry.
2 Individual received services under WIOA section 133(a)(1) [Statewide
Workforce Investment Activities].
3 Individual received services under WIOA sections 133(b)(2)(A) [Adult
Employment and Training Activities] and 132(b)(1) [Statewide
Workforce Investment Activities].
0 Individual did not receive services under the WIOA sections listed above.
2.

Adult Education
Report: At Each IPE and Update as Needed
Data Type: INT 1
Change: New
Element Number: 55
Multiple Values Allowed: No


WIOA PIRL data element number 910, Adult Education.

Adult Education is defined under WIOA Title II as:
Academic instruction and education services below the postsecondary level
that increases an individual’s ability to-(A) read, write, and speak in English and perform mathematics or other
activities necessary for the attainment of a secondary school diploma or its
recognized equivalent;
(B) transition to postsecondary education and training; and
(C) obtain employment.
Code
1
0
9

Description
Individual did not receive Adult Education services.
Individual did not receive any Adult Education services.
Unable to track enrollment in the program.

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Dislocated Worker
Report: At Each IPE and Update as Needed
Data Type: INT 1
Change: New
Element Number: 56
Multiple Values Allowed: No


WIOA PIRL data element number 904, Dislocated Worker.

Code Description
1 Individual received services under section 133(b)(2)(B) of WIOA as a
person who—
(A)(i) has been terminated or laid off, or who has received a notice of
termination or layoff, from employment; (ii)(I) is eligible for or has
exhausted entitlement to unemployment compensation; or (II) has
been employed for a duration sufficient to demonstrate, to the
appropriate entity at a one-stop center referred to in section 121(e),
attachment to the workforce, but is not eligible for unemployment
compensation due to insufficient earnings or having performed
services for an employer that were not covered under a State
unemployment compensation law; and (iii) is unlikely to return to a
previous industry or occupation;
(B)(i) has been terminated or laid off, or has received a notice of
termination or layoff, from employment as a result of any permanent
closure of, or any substantial layoff at, a plant, facility, or enterprise;
(ii) is employed at a facility at which the employer has made a
general announcement that such facility will close within 180 days;
or (iii) for purposes of eligibility to receive services other than
training services described in section 134(c)(3) of WIOA, career
services described in section 134(c)(2)(A)(xii) of WIOA, or
supportive services, is employed at a facility at which the employer
has made a general announcement that such facility will close;
(C) was self-employed (including employment as a farmer, a rancher, or a
fisherman) but is unemployed as a result of general economic
conditions in the community in which the individual resides or
because of natural disasters;
(D) is a displaced homemaker; or
(E)(i) is the spouse of a member of the Armed Forces on active duty (as
defined in section 101(d)(1) of title 10, United States Code), and who
has experienced a loss of employment as a direct result of relocation
to accommodate a permanent change in duty station of such member;
or (ii) is the spouse of a member of the Armed Forces on active duty
and who meets the criteria described in section 3(16)(B) of WIOA.
2 Individual received services under section 133(a) of WIOA.
3 Individual received services under sections 133(b)(2)(B) and 133(a) of
WIOA.
0 Individual did not receive services under the WIOA sections listed above.

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Job Corps
Report: At Each IPE and Update as Needed
Data Type: INT 1
Change: New
Element Number: 57
Multiple Values Allowed: No


WIOA PIRL data element number 911, Job Corps.

Code
1
0
9
5.

Description
Individual received services under WIOA title I Chapter 4, Subtitle C.
Individual did not receive services under WIOA title I Chapter 4, Subtitle C.
Unable to track enrollment in program.

Vocational Rehabilitation
Report: At Each IPE and Update as Needed
Data Type: INT 1
Change: New
Element Number: 58
Multiple Values Allowed: No


WIOA PIRL data element number 917, Vocational Rehabilitation.

Code Description
1 Individual received services under parts A and B of title I of the
Rehabilitation Act of 1973 (29 USC 720 et seq.), WIOA title IV (VR), and
Sec. 411(B)(15) defined as transition services for students with
disabilities, that facilitate the transition from school to postsecondary life,
such as achievement of an employment outcome in competitive integrated
employment, or pre-employment transition services.
2 Individual received services from the Department of Veterans Affairs
Vocational Rehabilitation and Employment (VR&E) Program authorized
by 38 USC Chapter 31.
3 Individual received services from both vocational rehabilitation programs
listed above.
0 Individual did not receive any services described above.
9 Unknown
6.

Wagner-Peyser Employment Service
Report: At Each IPE and Update as Needed
Data Type: INT 1
Change: New
Element Number: 59
Multiple Values Allowed: No


WIOA PIRL data element number 918, Wagner-Peyser Employment Service.

Code Description
1 Individual received services under the Wagner-Peyser Act, as amended by
title III of WIOA (29 USC 49 et seq.) (Wagner-Peyser Act).
0 Individual did not receive services under the Wagner-Peyser Act.
9 Unable to track enrollment in program.

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Youth
Report: At Each IPE and Updated as Needed
Data Type: INT 1
Change: New
Element Number: 60
Multiple Values Allowed: No


WIOA PIRL data element number 905, Youth.

Code
1
2
3
0

Description
Individual received services under section 128(b) of WIOA.
Individual received services under section 128(a) of WIOA.
Individual received services under sections 128(b) and 128(a) of WIOA.
Individual did not receive services under the WIOA sections listed above.

YouthBuild
Report: At Each IPE and Updated as Needed
Data Type: VARCHAR 14
Change: New
Element Number: 61
Multiple Values Allowed: No


WIOA PIRL data element number 919, YouthBuild.

Record the 14 character grant number if the participant received services under
the YouthBuild Program as authorized under WIOA section 171. The grant
number should be entered in the following format without dashes: Two alphabetic
characters representing the grant program code – five numeric characters – two
numeric characters representing the fiscal year when the grant was awarded – two
numeric characters identifying the type of grant awarded – one alphabetic
character identifying the relevant agency at ETA – two numeric characters
identifying the State that received the grant was served under (e.g., AA-12345-1255-A-26).
If the individual is being served by the YouthBuild program and the grant number
is unknown, enter all 9’s. Leave blank if the individual did not receive services
funded by YouthBuild.
E.

Barriers to Employment
1.

Long-Term Unemployed
Report: At Initial IPE
Data Type: INT 1
Element Number: 62


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 402, Long-Term Unemployed at Program
Entry.

Code Description
1 Individual has been unemployed for 27 or more consecutive weeks.
0 Individual has not been unemployed for 27 or more consecutive weeks.

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Exhausting TANF Within Two Years
Report: At Initial IPE
Data Type: INT 1
Element Number: 63


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 601, Exhausting TANF Within 2 Years
(Part A Title IV of the Social Security Act) at Program Entry.

Code Description
1 Individual is within two years of exhausting lifetime eligibility under
part A of Title IV of the Social Security Act (42 U.S.C. 601 et seq.),
regardless of whether receiving these benefits at the time of the initial
IPE.
0 Individual does not meet the condition described above.
9 Individual has never received TANF or the individual has already
exhausted lifetime TANF eligibility.
3.

Foster Care Youth
Report: At Initial IPE
Data Type: INT 1
Element Number: 64

Change: New
Multiple Values Allowed: No



WIOA PIRL data element 704, Foster Care Youth Status at Program Entry.



Data element is only applicable to youth.

Code Description
1 Individual is currently in foster care or has aged out of the foster care
system.
0 Individual is not currently in foster care and has not aged out of the
foster care system.
4.

Homeless Individual, Homeless Children and Youths, or Runaway Youth
Report: At Initial IPE
Data Type: INT 1
Change: New
Element Number: 65
Multiple Values Allowed: No


WIOA PIRL data element number 800, Homeless Individual, Homeless
Children and Youths, or Runaway Youth at Program Entry.

An individual is considered homeless if he/she:
(a)

Lacks a fixed, regular, and adequate nighttime residence; this includes an
individual who:

(i) is sharing the housing of other persons due to loss of housing, economic
hardship, or a similar reason;
(ii) is living in a motel, hotel, trailer park, or campground due to a lack of
alternative adequate accommodations;

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(iii) is living in an emergency or transitional shelter;
(iv) is abandoned in a hospital; or
(v) is awaiting foster care placement;
(b) Has a primary nighttime residence that is a public or private place not
designed for or ordinarily used as a regular sleeping accommodation for
human beings, such as a car, park, abandoned building, bus or train station,
airport, or camping ground;
(c) Is a migratory child who in the preceding 36 months was required to move
from one school district to another due to changes in the parent’s or parent’s
spouse’s seasonal employment in agriculture, dairy, or fishing work; or
(d) Is under 18 years of age and absents himself or herself from home or place of
legal residence without the permission of his or her family (i.e., runaway
youth).
This definition does not include an individual imprisoned or detained under an
Act of Congress or State law. An individual who may be sleeping in a temporary
accommodation while away from home should not, as a result of that fact alone,
be recorded as homeless.
Code Description
1 Individual meets the definition of homeless.
0 Individual does not meet the definition of homeless.

Ex-Offender
Report: At Initial IPE
Data Type: INT 1
Element Number: 66


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 801, Ex-Offender Status at Program Entry.

Individual is considered an ex-offender if he/she is a person who either (a) has
been subject to any stage of the criminal justice process for committing a status
offense or delinquent act, or (b) requires assistance in overcoming barriers to
employment resulting from a record of arrest or conviction.
Code
1
0
9

Description
Individual meets the definition of an ex-offender.
Individual does not meet the definition of ex-offender.
Individual did not self-identify.

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Low Income
Report: At Initial IPE
Data Type: INT 1
Element Number: 67


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 802, Low Income Status at Program Entry.

An individual is considered low income if he/she:
(a)

Receives, or in the 6 months prior to application to the program has
received, or is a member of a family that is receiving or in the past 6 months
prior to application to the program has received:

(i)

Assistance through the supplemental nutrition assistance program (SNAP)
under the Food and Nutrition Act of 2008 (7 USC 2011 et seq.);

(ii)

Assistance through the temporary assistance for needy families program
under part A of Title IV of the Social Security Act (42 USC 601 et seq.);

(iii) Assistance through the supplemental security income program under Title
XVI of the Social Security Act (42 USC 1381); or
(iv) State or local income-based public assistance.
(b)

Is in a family with total family income that does not exceed the higher of the
poverty line or 70% of the lower living standard income level;

(c)

Is a youth who receives, or is eligible to receive a free or reduced price
lunch under the Richard B. Russell National School Lunch Act (42 USC
1751 et seq.);

(d)

Is a foster child on behalf of whom State or local government payments are
made;

(e)

Is an individual with a disability whose own income is the poverty line but
who is a member of a family whose income does not meet this requirement;

(f)

Is a homeless individual or a homeless child or youth or runaway youth
(B.8.5).

Code Description
1 Individual meets the definition of low income
0 Individual does not meet the definition of low income.

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English Language Learner
Report: At Initial IPE
Data Type: INT 1
Element Number: 68


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 803, English Language Learner at Program
Entry.

An individual is considered an English language learner if he/she is a person who
has limited ability in speaking, reading, writing or understanding the English
language and also meets at least one of the following two conditions (a) his or her
native language is a language other than English, or (b) he or she lives in a family
or community environment where a language other than English is the dominant
language.
Code Description
1 Individual meets the definition of English language learner.
0 Individual does not meet the definition of English language learner.
8.

Basic Skills Deficient/Low Levels of Literacy
Report: At Initial IPE
Data Type: INT 1
Change: New
Element Number: 69
Multiple Values Allowed: No


WIOA PIRL data element number 804, Low Levels of Literacy at Program Entry.

An individual is considered to be basic skills deficient/low levels of literacy if he/she
is: a) a youth, who has English reading, writing, or computing skills at or below the
8th grade level on a generally accepted standardized test; or b) a youth or adult, who
is unable to compute and solve problems, or read, write, or speak English at a level
necessary to function on the job, in the individual’s family, or in society.
Code Description
1 Individual meets the criteria for basic skills deficient/low levels of
literacy.
0 Individual does not meet the criteria for basic skills deficient/low levels
of literacy.

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Cultural Barriers
Report: At Initial IPE
Data Type: INT 1
Element Number: 70


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 805, Cultural Barriers at Program Entry.

Code Description
1 Individual perceives himself or herself as possessing attitudes, beliefs,
customs or practices that influence a way of thinking, acting or working
that may serve as a hindrance to employment.
0 Individual does not perceive himself or herself as possessing attitudes,
beliefs, customs or practices that influence a way of thinking, acting or
working that may serve as a hindrance to employment.
9 Individual did not self-identify.
10.

Single Parent
Report: At Initial IPE
Data Type: INT 1
Element Number: 71


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 806, Single Parent at Program Entry.

An individual is a single parent if they are single, separated, divorced or widowed
and have primary responsibility for one or more dependent children under age 18
(including single pregnant woman).
Code
1
0
9
11.

Description
Individual meets the definition of a single parent.
Individual does not meet the definition of single parent.
Individual did not self-identify.

Displaced Homemaker
Report: At Initial IPE
Data Type: INT 1
Element Number: 72


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 807, Displaced Homemaker at Program
Entry.

An individual is considered to be a displaced homemaker if he/she has been
providing unpaid services to family members in the home and who:
(A)(i) has been dependent on the income of another family member but is no
longer supported by that income; or (ii) is the dependent spouse of a member
of the Armed Forces on active duty (as defined in section 101(d)(1) of title 10,
United States Code) and whose family income is significantly reduced
because of a deployment (as defined in section 991(b) of title 10, United
States Code, or pursuant to paragraph (4) of such section), a call or order to

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active duty pursuant to a provision of law referred to in section 101(a)(13)(B)
of title 10, United States Code, a permanent change of station, or the serviceconnected (as defined in section 101(16) of title 38, United States Code) death
or disability of the member; and
(B) is unemployed or underemployed and is experiencing difficulty in obtaining
or upgrading employment.
Code Description
1 Individual meets the definition of a displaced homemaker.
0 Individual does not meet definition of a displaced homemaker.
12.

Migrant and Seasonal Farmworker
Report: At Initial IPE
Data Type: INT 1
Element Number: 73


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 808, Migrant and Seasonal Farmworker
Status.

Code Description
1 Individual is a low-income individual (i) who for 12 consecutive months
out of the 24 months prior to application for the program involved, has
been primarily employed in agriculture or fish farming labor that is
characterized by chronic unemployment or underemployment; and (ii)
faces multiple barriers to economic self-sufficiency.
2 Individual is a seasonal farmworker whose agricultural labor requires
travel to a job site such that the farmworker is unable to return to a
permanent place of residence within the same day.
3 Individual is a dependent (as defined in 20 CFR 685.110) of the individual
described as a seasonal or migrant seasonal farmworker above.
0 Individual does not meet any of the migrant or seasonal farmworker
conditions listed above.
F.

Education
1.

State Definition for Age of Students with Disabilities
Report: At Initial IPE and Updated as Needed
Data Type: VARCHAR 5
Change: New
Element Number: 74
Multiple Values Allowed: Yes
If the State defines age of students with disabilities at the beginning of the
reporting quarter to be other than ages 16 to 21, record the two-digit lower limit
for the age of the students with disabilities followed by a semi-colon and then the
two-digit upper limit for the age of the students with disabilities. For example, if
the State defines the ages of students with disabilities to be 14 to 24 instead of 16
to 21, record "14;24," or if the State defines the ages of students with disabilities
to be 16 to 24, record "16;24."

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

School Status
Report: At Initial IPE
Data Type: INT 1
Element Number: 75


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 409, School Status at Participation.

Code Description
1 Individual has not received a secondary school diploma or its recognized
equivalent and is attending any elementary or secondary school (including
elementary, intermediate, junior high school, whether full or part-time), or
is between school terms and intends to return to school.
2 Individual has not received a secondary school diploma or its recognized
equivalent and is attending an alternative secondary school or an
alternative course of study approved by the local educational agency
whether full or part-time.
3 Individual has received a secondary school diploma or its recognized
equivalent and is attending a postsecondary school or program (whether
full or part-time), or is between school terms and is enrolled to return to
school.
4 Individual is not within the age of compulsory school attendance; and is
no longer attending any school and has not received a secondary school
diploma or its recognized equivalent.
5 Individual is not attending any school and has either a secondary school
diploma or has attained a secondary school equivalency.
6 Individual is within the age of compulsory school attendance, but has not
attended school for at least the most recent complete school year calendar
quarter and has not received a secondary school diploma or its recognized
equivalent.
3.

Highest Educational Level Completed
Report: At Initial IPE
Data Type: INT 1
Element Number: 76


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 408, Highest Educational Level Completed
at Program Entry.

Code
1
2
3

Description
Individual attained a secondary school diploma.
Individual attained a secondary school equivalency.
Individual has a disability and attained a certificate of
attendance/completion as a result of successfully completing an
Individualized Education Program (IEP).
4 Individual completed one or more years of postsecondary education.
5 Individual attained a postsecondary certification, license, or educational
certificate (non-degree).
6 Individual attained an Associate’s Degree.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Code
7
8
9
4.

Description
Individual attained a Bachelor’s Degree.
Individual attained a degree beyond a Bachelor’s Degree.
No educational level was completed.

Highest Elementary or Secondary School Grade Completed
Report: At Initial IPE
Data Type: INT 2
Change: New
Element Number: 77
Multiple Values Allowed: No


WIOA PIRL data element number 407, Highest School Grade Completed at
Program Entry.

Use the appropriate code to report the highest school grade completed by the
individual.
Record 1-12 for the number of the highest school grade completed by the
individual.
Record 0 if no school grades were completed.
5.

Enrolled in Secondary Education
Report: At Initial IPE and Updated as Needed
Data Type: INT 1
Change: New
Element Number: 78
Multiple Values Allowed: No


WIOA PIRL data element number 1401, Enrolled in Secondary Education
Program at Program Entry.

This data element may be used if the individual was either already enrolled in
secondary education at the time of application to the program or became enrolled
in a secondary education program at the 9th Grade level at any point while
participating in the program.
Code Description
1 Individual is enrolled in a secondary education program at or above the
9th grade level.
0 Individual is not enrolled in a secondary education program at or above
the 9th grade level.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Date Received Special Education Certificate of Completion
Report: At Initial IPE or Upon Achievement
Data Type: DATETIME (YYYYMMDD) Change: New
Element Number: 79
Multiple Values Allowed: No
Record date individual attained special education certificate of completion.
Leave blank if individual did not attain a special education certificate of
completion.

Enrolled in a State Adult Secondary School at the High Adult Secondary
Education (ASE) Level
Report: At Initial IPE and Updated as Needed
Data Type: INT 1
Change: New
Element Number: 80
Multiple Values Allowed: No
Code Description
1 Individual is enrolled in a State Adult Secondary School at the High
ASE level.
0 Individual is not currently enrolled in a State Adult Secondary School at
the High ASE level.

Attained Secondary School Diploma
Report: At Initial IPE or Upon Achievement
Data Type: INT 1
Change: New
Element Number: 81
Multiple Values Allowed: No
Code Description
1 Individual completed secondary education and attained secondary
school diploma.
0 Individual did not complete secondary education and attain a secondary
school diploma.

Date Attained Secondary School Equivalency (GED)
Report: At Initial IPE or Upon Achievement
Data Type: DATETIME (YYYYMMDD) Change: New
Element Number: 82
Multiple Values Allowed: No
Record date individual attained secondary school equivalency (GED).
Leave blank if individual did not attain a secondary school equivalency (GED).

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

10.

Enrolled in Postsecondary Education - Highest Academic Year
Report: At Initial IPE and Updated as Needed
Data Type: INT 1
Change: New
Element Number: 83
Multiple Values Allowed: No
Record the highest level of postsecondary education the individual is enrolled in
regardless of whether the individual is enrolled on a full-time or part-time basis.
Code Description
1 Highest level of postsecondary education the individual is enrolled in is
the first academic year (Freshman).
2 Highest level of postsecondary education the individual is enrolled in is
the second academic year (Sophomore).
3 Highest level of postsecondary education the individual is enrolled in is
the third academic year (Junior).
4 Highest level of postsecondary education the individual is enrolled in is
the fourth academic year (Senior).
0 Individual is not enrolled in postsecondary education.

11.

Enrolled in Postsecondary Education
Report: At Initial IPE or Upon Enrollment
Data Type: INT 1
Element Number: 84


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number 1332, Participated in Postsecondary
Education During Program Participation.

Do not report code value 1 if the participant was first enrolled in postsecondary
education after exiting the program. This data element relates to the credential
indicator denominator and individuals reported as code value 1 are included in the
credential rate denominator. This element is a subset of the data element Date
Enrolled During Program Participation in an Education or Training Program
Leading to a Recognized Postsecondary Credential or Employment (IX.F.12).
Code Description
1 Individual is in a postsecondary education program that leads to a
credential or degree from an accredited postsecondary education
institution.
0 Individual is not in a postsecondary education program that leads to a
credential or degree from an accredited postsecondary education
institution during program participation.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

12.

Date Enrolled During Program Participation in an Education or Training
Program Leading to a Recognized Postsecondary Credential or Employment
Report: At Initial IPE or Upon Enrollment
Data Type: DATETIME (YYYYMMDD) Change: New
Element Number: 85
Multiple Values Allowed: No


WIOA PIRL data element number 1811, Date Enrolled During Program
Participation in an Education or Training Program Leading to a Recognized
Postsecondary Credential or Employment.

Record the date the participant was enrolled during program participation in an
education or training program that leads to a recognized postsecondary credential
or employment as defined by the core program in which the participant
participates. States may use this coding value if the individual was either already
enrolled in education or training at the time of the initial IPE or became enrolled
in education or training at any point while participating in the program. If the
individual was enrolled in postsecondary education at the initial IPE, the date in
this field should be the Date of Application (IV.A). This includes, but is not
limited to, participation in Job Corps, YouthBuild, Adult Education, or secondary
education programs.
This data element applies to the Measurable Skill Gains Indicator, and will be
utilized to calculate the denominator. It encompasses all education and training
program enrollment.
Leave blank if the data element does not apply to the individual.
13.

Completed Some Postsecondary Education, No Degree or Certificate
Report: At Initial IPE
Data Type: INT 1
Change: New
Element Number: 86
Multiple Values Allowed: No
Code Description
1 Individual has completed some postsecondary education but, has no
degree or certificate.
0 Individual has not completed some postsecondary education and has no
degree or certificate.

14.

Date Attained Associate’s Degree
Report: At Initial IPE or Upon Attainment
Data Type: DATETIME (YYYYMMDD)
Element Number: 87

Change: New
Multiple Values Allowed: No

Record date Associate’s Degree was attained.
Leave blank if Associate’s Degree was not attained.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

15.

Date Attained Bachelor's Degree
Report: At Initial IPE or Upon Attainment
Data Type: DATETIME (YYYYMMDD)
Element Number: 88

Change: New
Multiple Values Allowed: No

Record date Bachelor’s Degree was attained.
Leave blank if Bachelor’s Degree was not attained.
16.

Date Attained Master’s Degree
Report: At Initial IPE or Upon Attainment
Data Type: DATETIME (YYYYMMDD) Change: New
Element Number: 89 Multiple Values Allowed: No
Record date Master’s Degree was attained.
Leave blank if Master’s Degree was not attained.

17.

Date Attained Graduate Degree (e.g., Ph.D., Ed.D., J.D., M.D.)
Report: At Initial IPE or Upon Attainment
Data Type: DATETIME (YYYYMMDD) Change: New
Element Number: 90 Multiple Values Allowed: No
Record date Graduate Degree was attained.
Leave blank if no Graduate Degree was attained.

Vocational/Technical Credential, License or Certificate
1.

Enrolled in a Career or Technical Training Program, Not Leading to a
Recognized Postsecondary Credential
Report: At Each IPE
Data Type: INT 1
Change: New
Element Number: 91
Multiple Values Allowed: No
Code Description
1 Individual is enrolled in a career or technical training program that leads
to a recognized postsecondary credential.
0 Individual is not enrolled in a career or technical training program that
leads to a recognized postsecondary credential.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Enrolled in a Career or Technical Training Program, Leading to a
Recognized Postsecondary Credential
Report: At Each IPE
Data Type: INT 1
Change: New
Element Number: 92
Multiple Values Allowed: No
Code Description
1 Individual is enrolled in a career or technical training program that
leads to a recognized postsecondary credential.
0 Individual is not enrolled in a career or technical training program
that leads to a recognized postsecondary credential.

Date Attained Vocational/Technical License
Report: At Initial IPE or Upon Attainment
Data Type: DATETIME (YYYYMMDD) Change: New
Element Number: 93
Multiple Values Allowed: No
Record date Vocational/Technical License was attained.
Leave blank if Vocational/Technical License was not attained.

Date Attained Vocational/Technical Certificate
Report: At Initial IPE or Upon Attainment
Data Type: DATETIME (YYYYMMDD) Change: New
Element Number: 94 Multiple Values Allowed: No
Record date Vocational/Training Certificate was attained.
Leave blank if Vocational/Training Certificate was not attained.

Other Education or Training
1.

Date Attained Other Recognized Diploma, Degree, or Certificate
Report: At Initial IPE or Upon Attainment
Data Type: DATETIME (YYYYMMDD) Change: New
Element Number: 95 Multiple Values Allowed: No
Record the date on which the individual attained some other form of recognized
diploma, degree, or certificate not listed above.
Leave blank if individual did not attain some other form of recognized diploma,
degree, or certificate not listed above.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Pre-Employment Transition Services Data Elements
A.

Start Date of Pre-Employment Transition Services
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Change: New
Element Number: 96
Multiple Values Allowed: No


Data entry is required if individual is receiving pre-employment transition services,
regardless of whether the individual has applied or been determined eligible for VR
services.



Once this data element has been reported, the data element may ONLY be changed by
contacting RSA Data Unit staff to initiate a modification.

Students with disabilities receiving only pre-employment transition services are not
required to apply for or be determined eligible for the VR program services. However, if
a student with a disability receives a VR service other than a pre-employment transition
service, a Date of Application (IV.A) is required.
Pre-Employment Transition Services Reporting General Information:
As described in 34 CFR 361.48, the following exclusive list of pre-employment transition
services may be provided:
(i)

Job exploration counseling;

(ii)

Work-based learning experiences, which may include in-school or after school
opportunities, or experience outside the traditional school setting (including
internships), that is provided in an integrated environment in the community to the
maximum extent possible;

(iii) Counseling on opportunities for enrollment in comprehensive transition or
postsecondary educational programs at institutions of higher education;
(iv) Workplace readiness training to develop social skills and independent living; and
(v)

Instruction in self-advocacy (including instruction in person-centered planning),
which may include peer mentoring (including peer mentoring from individuals with
disabilities working in competitive integrated employment).

Record the date that the student with a disability started receiving pre-employment
transition services.
Leave blank if individual is not receiving pre-employment transition services.
For each pre-employment transition service category (i.e., Job Exploration Counseling,
Work Based Learning Experiences, Counseling on Enrollment Opportunities, Workplace
Readiness Training, and Instruction in Self Advocacy), there are six potential data
elements to report. These elements record how the service was provided, the type of
service provider and the amount expended for the service. These data elements must be
reported for all individuals receiving pre-employment transition services, including

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

applicants and eligible individuals. If any of the categories of service included in this
section are being received by an individual, the appropriate code values must be included
with each data submission. When reporting that a pre-employment transition service is no
longer being provided, code value 2 must be entered in the quarter in which the services
are discontinued, regardless of when payment for the services is made.
Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Multiple Values Allowed: No
Record 1 if service was provided in whole or part by VR agency staff (in-house).
Record 2 if service was provided in whole or part by VR agency staff (in-house) and is
no longer being provided.
Leave blank if service was not provided by VR agency staff (in-house).
Service Provided Through VR Agency Purchase
Data Type: INT 1
Multiple Values Allowed: No
Record 1 if service was provided in whole or part through purchase by the VR agency.
Record 2 if service was provided in whole or part through purchase by the VR agency
and is no longer being provided.
Leave blank if service was not provided through purchase by VR agency.
If code value 1 is recorded, the VR agency must also provide responses to the next two
data elements, Purchased Service Provider Type and VR Program Expenditure for
Purchased Service. If not, Purchased Service Provider Type and VR Program Expenditure
for Purchased Service may be left blank.
Purchased Service Provider Type
Data Type: INT 1

Multiple Values Allowed: No

If the pre-employment transition service was purchased in whole or part by the
VR agency, the Purchased Service Provider Type must be reported. For each
service category, record the code value that best describes the primary service
provider.
The majority of purchased services were provided directly by:
Code Description
1 Community Rehabilitation Programs (CRPs): Public CRPs are
programs that are operated by a State, county, municipal or other local
government.
2 Private CRP: Private CRPs are programs that are operated as not-forprofit organizations.
3 Public Service Provider: Public service providers are organizations or

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Code Description
agencies of State, county, municipal or other local governments.
4 Other Private Service Provider: Private service providers include
private not-for-profit organizations, such as VR providers (other than
CRPs), proprietary businesses; such as private hospitals and mental
health clinics, and contracted service delivery staff.
VR Program Expenditure for Purchased Service
Data Type: INT 6
Multiple Values Allowed: No
For pre-employment transition services, this data element captures the
expenditures (amounts) per quarter for the purchased service. Expenditures may
include non-Federal share and VR program Federal funds, including program
income, used to purchase the service. Expenditures do not include unliquidated
obligations or encumbrances.
Do not include costs incurred for program administration, salaries of counselors,
and other staff who contribute to the authorization process.
Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Multiple Values Allowed: No
Comparable services and benefits are defined at 34 CFR 361.5(c)(8).
Record 1 if service was provided in whole or part by comparable services and benefits
providers.
Record 2 if service was provided in whole or part by comparable services and benefits
and is no longer being provided.
Leave blank if service was not provided by comparable services and benefits providers.
Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Multiple Values Allowed: Yes
For each of the service categories, record up to three codes, separated by semicolons, that best describe the service providers who provided the individual with a
comparable service or benefit. Make sure to use semi-colons between the codes.
Do not use commas or spaces.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Examples: If the individual received comparable services or benefits from the
Veteran’s Benefits Administration and Federal Student Aid, record “21;12”. If the
individual received comparable services or benefits from a public Community
Rehabilitation Program as well as from a developmental disability agency, record
“6;13”. If comparable services or benefits were received by an individual from an
elementary or secondary educational institution only, then record “8”.
Code
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

22
23

Comparable Services and Benefits Provider Type
Adult education and Literacy program administered by the Department
of Education
Adult, Dislocated Worker and Youth program administered by
Department of Labor (DOL)
American Indian VR Services Program
Public Centers for Independent Living
Child Protective Service
Public Rehabilitation Program
Employer Provided Benefits
Public Educational Institution (elementary/secondary)
Public Educational Institution (postsecondary)
Public Employment Network (not otherwise listed)
Federal Student Aid (e.g., Pell grants, Supplemental Educational
Opportunity Grant, work study, etc.)
Intellectual and Developmental Disabilities Agency (Public)
Medical Health Provider (Public)
Mental Health Provider (Public)
One-stop Partner (not listed separately)
Public Housing Authority
Social Security Administration (Disability Determination Service or
District office)
State Department of Correction/Juvenile Justice
State Employment Service Agency
Veteran's Benefits Administration (which includes VA Vocational
Rehabilitation)
Veteran's Health Administration (the VA hospital system, as well as the
VA transitional living, transitional employment, and compensated work
therapy programs)
Wagner-Peyser Employment Service Program
Welfare Agency (State or local government)

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Job Exploration Counseling
Change: New
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 97
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 98
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 99
Multiple Values Allowed: No

2.2

VR Program Expenditure for Purchased Service
Data Type: INT 6
Element Number: 100
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 101
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 102
Multiple Values Allowed: Yes

Work Based Learning Experiences
Change: New
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 103
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 104
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 105
Multiple Values Allowed: No

2.2

VR Program Expenditure for Purchased Service
Data Type: INT 6
Element Number: 106
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 107
Multiple Values Allowed: No
3.1
Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 108
Multiple Values Allowed: Yes

Counseling on Enrollment Opportunities
Change: New
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 109
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 110
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT1
Element Number: 111
Multiple Values Allowed: No

2.2

VR Program Expenditure for Purchased Service
Data Type: INT 6
Element Number: 112
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 113
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 114
Multiple Values Allowed: Yes

Workplace Readiness Training
Change: New

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 115
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 116
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

2.1

Purchased Service Provider Type
Data Type: INT1
Element Number: 117
Multiple Values Allowed: No

2.2

VR Program Expenditure for Purchased Service
Data Type: INT 6
Element Number: 118
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 119
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 120
Multiple Values Allowed: Yes

Instruction in Self Advocacy
Change: New
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 121
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 122
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT1
Element Number: 123
Multiple Values Allowed: No

2.2

VR Program Expenditure for Purchased Service
Data Type: INT 6
Element Number: 124
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 125
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 126
Multiple Values Allowed: Yes

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

XI.

VR and SE Service Data Elements (Applicants and Eligible Individuals)
A.

Start Date of Initial VR Service
Report: Upon Start Date of Initial VR Service
Data Type: DATETIME (YYYYMMDD)
Element Number: 127

Change: New
Multiple Values Allowed: No

Record the date on which the initial VR service, service listed in Sections XII, XIII or
XIV, began after the IPE for the individual became effective.
Leave blank if individual has not received an initial VR service after the IPE for the
individual became effective.
B.

Date of Most Recent Career Service
Data Type: DATETIME (YYYYMMDD)
Element Number: 128


Change: New
Multiple Values Allowed: No

WIOA PIRL data element number1004, Date of Most Recent Career Service.

Career services refer to the services described in WIOA Sec 134(c)(2)(A)(xii). For VR
purposes, these services are the ones identified in Sections XIII of this manual.
Record the date on which career services were last received (excluding information
services or activities or follow-up services).
Leave blank if the individual did not receive career services.
VR and SE Services Reporting General Information:
For each service category, there are seven potential reporting data elements. These data elements
record how the service was provided, the type of service provider, the amount expended for the
service, etc.
Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Multiple Values Allowed: No
Record 1 if service was provided in whole or part by VR agency staff (in-house).
Leave blank if service was not provided by VR agency staff (in-house).
Service Provided Through VR Agency Purchase
Data Type: INT 1
Multiple Values Allowed: No
Record 1 if service was provided in whole or part through purchase by the VR agency.
Leave blank if service was not provided through purchase by VR agency.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

If code value 1 is recorded, the VR agency must also provide responses to the next data
element, Purchased Service Provider Type. If not, Purchased Service Provider Type may
be left blank.
Purchased Service Provider Type
Data Type: INT 1

Multiple Values Allowed: No

If the service was provided in whole or part through purchase by the VR agency,
the Purchased Service Provider Type must be reported. For each service category,
record the code value that best describes the primary service provider.
The majority of purchased services were provided directly by:
Code Description
1 Public Community Rehabilitation Program (CRP): Public CRPs are
programs that are operated by a State, county, municipal or other local
government.
2 Private CRP: Private CRPs are programs that are operated as not-forprofit organizations.
3 Other Public Service Provider: Public service providers are organizations
or agencies of State, county, municipal or other local governments.
4 Other Private Service Provider: Private service providers include private
not-for-profit organizations, such as VR providers (other than CRPs),
proprietary businesses; such as private hospitals and mental health clinics,
and contracted service delivery staff.
Once the service provider type has been reported, the VR agency must record the
source of funds and the quarterly amount of payment for each purchased service.
Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Multiple Values Allowed: No
This data element captures the quarterly VR program expenditures for the
purchased service. Expenditures may include non-Federal share and VR program
Federal funds, including program income, used to purchase the service.
Expenditures do not include unliquidated obligations or encumbrances.
Do not include administrative costs, salaries of counselors, and other staff who
contribute to the authorization process.
Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Multiple Values Allowed: No
This data element captures the quarterly Supported Employment Services
program expenditures for the purchased service. Recipients of these funds must
have a supported employment goal in their IPEs and have already been placed in
an employment setting. Individuals with a supported employment goal stated in
their IPEs may receive any category of services depending on their particular
59

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

needs. Therefore, to identify the use of these funds, each service category includes
this data element.
Expenditures may include outlays of non-Federal share and Supported
Employment Services program Federal funds, including program income, used to
purchase the service. Expenditures do not include unliquidated obligations or
encumbrances, or projections/budgets for expenditures.
Do not include administrative costs, salaries of counselors, and other staff who
contribute to the authorization process.
Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Multiple Values Allowed: No
Comparable services and benefits are defined at 34 CFR 361.5(c)(8).
Record 1 if service was provided in whole or part by comparable services and benefits
providers.
Leave blank if service was not provided by comparable services and benefits providers.
If code 1 is recorded, the VR agency must also provide responses to data element
Comparable Services and Benefits Provider Type. If not, Comparable Services and
Benefits Provider Type may be left blank.
Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Multiple Values Allowed: Yes
For each of the service categories, record up to three codes, separated by semicolons, that best describes the service providers who provided the individual with
a comparable service or benefit. Make sure to use semi-colons between the codes.
Do not use commas or spaces.
Examples: If the individual received comparable services/benefits from an
employer, the Veteran’s Benefits Administration and Federal Student Aid, record
“7;21;12”. If the individual received comparable services or benefits from a
public Community Rehabilitation Program as well as from a developmental
disability agency, record “6;13”. If comparable services or benefits were received
by an individual from an elementary or secondary educational institution only,
then record “8”.
Code
1
2
3
4

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Code
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

22
23
XII.

Comparable Services and Benefits Provider Type
Child Protective Service
Public Rehabilitation Program
Employer Provided Benefits
Public Educational Institution (elementary/secondary)
Public Educational Institution (postsecondary)
Public Employment Network (not otherwise listed)
Federal Student Aid (e.g., Pell grants, Supplemental Educational
Opportunity Grant, work study, etc.)
Intellectual and Developmental Disabilities Agency (Public)
Medical Health Provider (Public)
Mental Health Provider (Public)
One-stop Partner (not listed separately)
Public Housing Authority
Social Security Administration (Disability Determination Service or
District office)
State Department of Correction/Juvenile Justice
State Employment Service Agency
Veteran's Benefits Administration (which includes VA Vocational
Rehabilitation)
Veteran's Health Administration (the VA hospital system, as well as the
VA transitional living, transitional employment, and compensated
work therapy programs)
Wagner-Peyser Employment Service Program
Welfare Agency (State or local government)

Training Services Data Elements
Training services are defined in WIOA Sec 134(c)(3). For VR purposes, these training services
are designed to help the individual improve educationally or vocationally or to adjust to the
functional limitations of his or her impairment. If the individual receives more than one type of
training, each type should be recorded. For individuals not seeking a degree or certificate and
attending a course in a college or university, code this type of training under Miscellaneous
Training.
The costs associated with training are for tuition, fees and books only. Costs associated with
housing or meals during periods of training are to be recorded under Maintenance (XIV.B).
A.

Graduate College or University
Change: Revised
Full-time or part-time academic training leading to a degree recognized as beyond a
Baccalaureate Degree, such as a Master of Science, Arts (M.S. or M.A.) or Doctor of
Philosophy (Ph.D.) or Doctor of Jurisprudence (J.D.). Such training would be provided
by a college or university.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 129
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 130
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 131
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 132
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 133
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 134
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 135
Multiple Values Allowed: Yes

Four-Year College or University Training
Change: Revised
Full-time or part-time academic training leading to a baccalaureate degree, a certificate,
or other recognized educational credential. Such training may be provided by a four-year
college or university or technical college.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 136
Multiple Values Allowed: No
Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 137
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 138
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 139
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 140
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 141
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 142
Multiple Values Allowed: Yes

Junior or Community College Training
Change: Revised
Full-time or part-time academic training above the secondary school level leading to an
Associate’s Degree, a certificate, or other recognized educational credential. Such
training may be provided by a community college, junior college, or technical college.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 143
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 144
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 145
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 146
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 147
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 148
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 149
Multiple Values Allowed: Yes

Occupational or Vocational Training
Change: Revised
Occupational, vocational, or job skill training provided by a community college and/or
business, vocational/trade or technical school to prepare students for gainful employment
in a recognized occupation, not leading to an academic degree. This would include
selected courses or programs of study at a community college, four-year college,
university, technical college or proprietary school or program.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 150
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 151
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 152
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 153
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 154
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 155
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 156
Multiple Values Allowed: Yes

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

On The Job Training
Change: Revised
Training in specific job skills by a prospective employer. Generally, the trainee is paid
during this training and will remain in the same or a similar job upon successful
completion.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 157
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 158
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 159
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 160
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 161
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 162
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 163
Multiple Values Allowed: Yes

Registered Apprenticeship Training
Change: Revised
A work-based employment and training program that combines hands-on, on-the-job
work experience in a skilled occupation with related classroom instruction. Structured
apprenticeship programs generally have minimum requirements for the duration of on-the
job work experience and classroom instruction, and/or could utilize competency-based
elements but should have mechanisms in place to ensure quality and consistency of skills
acquisition. The following elements distinguish apprenticeship programs from other
work-based efforts including co-op education, on-the-job training, and internships:
supervision and structured mentoring; providing for wage increases as an apprentice's
skills increase; based on an employer-employee relationship; and providing an industry
recognized certificate of completion of the program.
65

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 164
Multiple Values Allowed: No
1.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 165
Multiple Values Allowed: No

1.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 166
Multiple Values Allowed: No

1.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 167
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 168
Multiple Values Allowed: No
2.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 169
Multiple Values Allowed: Yes

Basic Academic Remedial or Literacy Training
Change: Revised
Literacy training or training provided to remediate basic academic skills that are needed
to function on the job in the competitive labor market.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 170
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 171
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 172
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 173
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

2.3

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 175
Multiple Values Allowed: No
3.1

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 174
Multiple Values Allowed: No

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 176
Multiple Values Allowed: Yes

Job Readiness Training
Change: Revised
Training provided to prepare an individual for work (e.g., work behaviors, getting to
work on time, dress and grooming, increasing productivity, etc.).
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 177
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 178
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 179
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 180
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 181
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 182
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 183
Multiple Values Allowed: Yes

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Disability Related Skills Training
Change: Revised
Disability-related augmentative skills training includes but is not limited to: orientation
and mobility; rehabilitation teaching; training in the use of low vision aids; Braille;
speech reading; sign language; and cognitive training/retraining.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 184
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 185
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 186
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 187
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 188
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 189
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 190
Multiple Values Allowed: Yes

Miscellaneous Training
Change: Revised
Any training not recorded in one of the other categories listed, including GED or
secondary school training leading to a diploma, or courses taken at four-year, junior or
community colleges not leading to a certificate or diploma.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 191
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 192
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 193
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 194
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 195
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 196
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 197
Multiple Values Allowed: Yes

Randolph-Sheppard Entrepreneurial Training
Change: Revised
Training for establishing a small business or individualized training through RandolphSheppard program and identified on an IPE.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 198
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 199
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 200
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 201
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

2.3

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 203
Multiple Values Allowed: No
3.1

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 202
Multiple Values Allowed: No

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 204
Multiple Values Allowed: Yes

Customized Training
Change: Revised
A training program designed to meet the special requirements of an employer who has
entered into an agreement with a service delivery area to hire individuals who are trained
to the employer's specifications. The training may occur at the employer's site or provided
by a training vender able to meet the employer's requirements. Such training usually
requires a commitment from the employer to hire a specified number of trainees who
satisfactorily complete the training.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 205
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 206
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 207
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 208
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 209
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 210
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 211
Multiple Values Allowed: Yes

XIII. Career Services Data Elements
A.

Assessment
Change: Revised
Assessment means services provided and activities performed to determine an
individual’s eligibility for VR services, to assign an individual to a priority category of a
VR program that operates under an order of selection, and/or to determine the nature and
scope of VR services to be included in the IPE. It also includes trial work experiences.
Assessments to determine eligibility, assignment of a priority category or the nature or
scope of services to be included on the IPE include, but are not limited to psychological
assessments, audio logical evaluations, dental and medical exams and other assessments
of personality, interests, interpersonal skills, intelligence and related functional capacities,
educational achievements, work experience, vocational aptitudes, personal and social
adjustments, and employment opportunities of the individual and the medical,
psychiatric, psychological, and other pertinent vocational, educational, cultural, social,
recreational, and environmental factors that affect the employment and rehabilitation
needs of the individual.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 212
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 213
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 214
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 215
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 216
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 217
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 218
Multiple Values Allowed: Yes

Diagnosis and Treatment of Impairments
Change: Revised
Diagnosis and treatment of impairments includes:
a) Corrective surgery or therapeutic treatment that is likely, within a reasonable period
of time, to correct or modify substantially a physical or mental impairment that
constitutes a substantial impediment to employment;
b) Diagnosis and treatment for mental and emotional disorders by qualified personnel
who meet State licensure laws;
c) Dentistry:
d) Nursing services;
e) Necessary hospitalization (either inpatient or outpatient care) in connection with
surgery or treatment;
f) Drugs and supplies;
g) Prescription of prosthetics and/or orthotics related to the individual’s diagnosed
disability and is necessary for the achievement of the employment outcome;
h) Prescription of eyeglasses and visual services, including visual training, related to the
individual’s diagnosed disability and necessary for the achievement of the
employment outcome;
i) Podiatry;
j) Physical therapy;
k) Occupational therapy;
l) Speech or hearing therapy;
m) Mental health services;
n) Treatment of either acute or chronic medical complications and emergencies that are
associated with or arise out of the provision of physical and mental restoration
services or that are inherent in the condition under treatment (34 CFR 365.1(c)(39));
o) Special services for the treatment of individuals with end-stage renal disease,
including transplantation, dialysis, artificial kidneys, and supplies;
p) Other medical or medically related rehabilitation services; and
q) Medical care for acute conditions arising during rehabilitation and constituting a
barrier to the achievement of an employment outcome.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 219
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 220
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 221
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 222
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 223
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 224
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 225
Multiple Values Allowed: Yes

Vocational Rehabilitation Counseling and Guidance
Change: Revised
Vocational rehabilitation counseling and guidance includes information and support
services to assist an individual in exercising informed choice and is distinct from the case
management relationship that exists between the counselor and the individual during the
VR process.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 226
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 227
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 228
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 229
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 230
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 231
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 232
Multiple Values Allowed: Yes

Job Search Assistance
Change: Revised
Job search activities support and assist an individual in searching for an appropriate job.
Job search assistance may include help in resume preparation, identifying appropriate job
opportunities, developing interview skills, and making contacts with companies on behalf
of the consumer.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 233
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 234
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 235
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 236
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 237
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 238
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 239
Multiple Values Allowed: Yes

Job Placement Assistance
Change: Revised
Job placement assistance is a referral to a specific job resulting in an interview, regardless
of whether or not the individual obtained the job.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 240
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 241
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 242
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 243
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 244
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 245
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 246
Multiple Values Allowed: Yes

Short Term Job Supports
Change: Revised
Support services provided to an individual who has been placed in employment in order
to stabilize the placement and enhance job retention. Such services include short-term job
coaching for persons who do not have a supported employment goal consistent with the
employment goal on the IPE.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 247
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 248
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 249
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 250
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 251
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 252
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 253
Multiple Values Allowed: Yes

Supported Employment Services
Change: New
Supported employment services (34 CFR 361.5(c)(54)) means ongoing support services,
including customized employment, and other appropriate services needed to support and
maintain an individual with a most significant disability, including a youth with a most
significant disability in supported employment that are – (i) Organized and made
available, singly or in combination, in such a way as to assist an eligible individual to
achieve competitive integrated employment; (ii) Based on a determination of the needs of
an eligible individual, as specified in an individualized plan for employment; (iii)
Provided by the designated State unit for a period of time not to exceed 24 months, unless
under special circumstances the eligible individual and the rehabilitation counselor jointly
agree to extend the time to achieve the employment outcome identified in the
individualized plan for employment; and (iv) Following transition, as post-employment
services that are unavailable from an extended services provider and that are necessary to
maintain or regain the job placement or advance in employment.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 254
Multiple Values Allowed: No
76

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 255
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 256
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 257
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 258
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 259
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 260
Multiple Values Allowed: Yes

Information and Referral Services
Change: Revised
Information and referral services are provided to individuals who need services from
other agencies (e.g., cooperative agreements).
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 261
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 262
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 263
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 264
Multiple Values Allowed: No

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

2.3

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 266 Multiple Values Allowed: No
3.1

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 265
Multiple Values Allowed: No

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 267
Multiple Values Allowed: Yes

Benefits Counseling
Change: Revised
Assistance provided to an individual who is interested in becoming employed, but is
uncertain of the impact work income may have on any disability benefits and
entitlements being received, and/or is not aware of benefits, such as access to healthcare,
that might be available to support employment efforts.
This typically involves an analysis of an individual’s current benefits, such as SSDI and
SSI, the individual’s financial situation, and the effect different income levels from work
will have on the individual’s future financial situation. This assistance is intended to
provide the individual an opportunity to make an informed choice regarding the pursuit
of employment.
Ongoing assistance may also be provided as the individual decides on employment goals,
searches for jobs, and becomes employed.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 268 Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 269 Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 270
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 271
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 272
Multiple Values Allowed: No

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Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 273 Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 274
Multiple Values Allowed: Yes

Customized Employment Services
Change: Revised
Customized employment (34 CFR 361.5(c)(11)) means competitive integrated
employment for an individual with a significant disability that is - based on an
individualized determination of the unique strengths, needs, and interests of the
individual with a significant disability; designed to meet the specific abilities of the
individual with a significant disability and the business needs of the employer; and
carried out through flexible strategies. Flexible strategies include job exploration by the
individual and working with an employer to facilitate placement, including:
a) customizing a job description based on current employer needs or on previously
unidentified and unmet employer needs;
b) developing a set of job duties, a work schedule and job arrangement, and specifics of
supervision (including performance evaluation and review), and determining a job
location;
c) using a professional representative chosen by the individual, or if elected selfrepresentation, to work with an employer to facilitate placement; and
d) providing services and supports at the job location.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 275
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 276
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 277
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 278
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 279
Multiple Values Allowed: No
79

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Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 280
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 281
Multiple Values Allowed: Yes

Extended Services
Change: New
Extended services (34 CFR 361.5(c)(19)) are ongoing support services and other
appropriate services that are needed to support and maintain an individual with a most
significant disability including a youth with a most significant disability , in supported
employment. See 34 CFR 361.5(c)(19) for the complete definition. Agencies are to only
report data for youth who have achieved a supported employment outcome and are
receiving extended services provided with VR and/or SE funds for a period not to exceed
four years. The service records for these individuals remain open until these services are
terminated. VR agencies are not to report data for individuals, including youth, who have
achieved a supported employment outcome and are receiving extended services provided
through other sources following record closure.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 282
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 283
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 284
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 285
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 286
Multiple Values Allowed: No

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XIV.

Other Service Data Elements
A.

Transportation
Change: Revised
Transportation (34 CFR 361.5(c)(56)) means travel and related expenses that are
necessary to enable an applicant or eligible individual to participate in a VR service,
including expenses for training in the use of public transportation vehicles and systems.
Examples of transportation services include, but are not limited to:
a) travel and related expenses for a personal care attendant or aide if the services of that
person are necessary to enable the applicant or eligible individual to travel to
participate in any vocational rehabilitation service;
b) purchase and repair of vehicles, including vans, but not the modification of these
vehicles as modification would be considered a rehabilitation technology service;
c) relocation expenses incurred by an eligible individual in connection with a job
placement that is a significant distance from the eligible individual’s current
residence; or
d) purchase of a bus pass for an individual to get to training or work.
This specifically excludes the modification of vehicles, which is to be reported in
rehabilitation technology. If a vehicle is purchased with modifications, the pro-rata cost
of the vehicle is reported here and the pro-rata cost of the modifications will be reported
in Rehabilitation Technology.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 287
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 288
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 289
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 290
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 291
Multiple Values Allowed: No

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Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 292
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 293
Multiple Values Allowed: Yes

Maintenance
Change: Revised
Maintenance (34 CFR 361.5(c)(34)) means monetary support provided for expenses such
as food, shelter and clothing that are in excess of the normal expenses of the individual,
and that are necessitated by the individual’s participation in an assessment for
determining eligibility and VR needs or while receiving services under an IPE. Examples
of maintenance expenses include, but are not limited to:
a) cost of uniforms or other suitable clothing required for an individual's job placement
or job seeking activities;
b) cost of short-term expenses, such as food and shelter, that is required in order for an
individual to participate in assessment or vocational training at a site that is not within
commuting distance of an individual's home;
c) cost of food and lodging expenses while an individual is participating in four-year or
graduate college or university;
d) initial one-time costs, such as security deposits or charges for the initiation of utilities,
that are required in order for an individual to relocate for a job placement; and
e) cost of an individual’s participation in enrichment activities related to that individual's
training program.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 294
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 295
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 296
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 297
Multiple Values Allowed: No

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2.3

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 299
Multiple Values Allowed: No
3.1

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 298
Multiple Values Allowed: No

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 300
Multiple Values Allowed: Yes

Rehabilitation Technology
Change: Revised
Rehabilitation technology (34 CFR 361.5(c)(45)) means the systematic application of
technologies, engineering methodologies, or scientific principles to meet the needs of,
and address the barriers confronted by, individuals with disabilities in areas that include
education, rehabilitation, employment, transportation, independent living, recreation,
home and vehicular modification, other assistive devices including, but not limited to
hearing aids, low vision aids and wheelchairs. This includes the hardware portion of
neuroprosthetic devices, such as cochlear implants, visual prosthetics, and motor
prosthetic devices, but does not include medical and surgical procedures required for
implantation of neuroprosthetic devices which should be coded as diagnosis and
treatment of impairments. Rehabilitation technology includes rehabilitation engineering,
assistive technology devices, and assistive technology services. The term includes the
following:
a) Rehabilitation Engineering Services are the systematic application of engineering
sciences to design, develop, test, evaluate, apply, and distribute technological
solutions to problems confronted by VR individuals in functional areas such as
mobility, communications, hearing, vision, and cognition, and in activities associated
with employment, independent living, education, and integration into the community.
b) Assistive Technology Devices are any items, piece of equipment, or product system,
whether acquired commercially off the shelf, modified or customized, that is used to
increase, maintain, or improve the functional capabilities of a VR customer.
c) Assistive Technology Services (34 CFR 361.5(c)(6)) are any services that directly
assist an individual with a disability in the selection, acquisition, or use of an assistive
technology device. Services may include:
1. the evaluation of the needs of an individual, including a functional evaluation of
the individual in his/her customary environment;
2. purchasing, leasing, or otherwise providing for the acquisition by an individual of
an assistive technology device;
3. selecting, designing, fitting, customizing, adapting, applying, maintaining,
repairing, or replacing assistive technology devices;

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4. coordinating and using other therapies, interventions, or services with assistive
technology devices, such as those associated with existing education and
rehabilitation plans and programs;
5. training or providing technical assistance for an individual or, if appropriate, the
family members, guardians, advocates, or authorized representatives of the
individual; and
6. training or providing technical assistance for professionals (including individuals
providing education and rehabilitation services), employers, or others who
provide services to, employ, or are otherwise substantially involved in the major
life functions of individuals with disabilities, to the extent that training or
technical assistance is necessary to the achievement of an employment outcome.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 301
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 302
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 303
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 304
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 305
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 306
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 307
Multiple Values Allowed: Yes

Personal Assistance Services
Change: Revised
Personal assistance services (34 CFR 361.5(c)(38)) means a range of services, including,
among other things, training in managing, supervising, and directing personal assistance
services, provided by one or more persons, that are –

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(i) Designed to assist an individual with a disability to perform daily living activities on
or off the job that the individual would typically perform without assistance if the
individual did not have a disability;
(ii) Designed to increase the individual's control in life and ability to perform everyday
activities on or off the job;
(iii) Necessary to the achievement of an employment outcome; and
(iv) Provided only while the individual is receiving other vocational rehabilitation
services. The services may include training in managing, supervising, and directing
personal assistance services.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 308
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 309
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 310
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 311
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 312
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 313
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 314
Multiple Values Allowed: Yes

Technical Assistance Services Including Self-Employment
Change: Revised
Technical assistance includes consultation and other services provided to conduct market
analyses, to develop business plans, and to provide resources to individuals in the pursuit
of self-employment, telecommuting and small business operation outcomes.

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Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 315
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 316
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 317
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 318
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 319
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 320
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 321
Multiple Values Allowed: Yes

Reader Services
Change: Revised
Reader services are for individuals who cannot read print because of blindness or other
disabilities. Reader services include, in addition to reading aloud, transcription of printed
information into Braille or sound recordings if the individual requests such transcription.
Reader services are generally for individuals who are blind or deaf-blind, but may also
include individuals unable to read because of serious neurological disorders, specific
learning disabilities, or other physical or mental impairments.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 322
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 323
Multiple Values Allowed: No

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2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 324
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 325
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 326
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 327
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 328
Multiple Values Allowed: Yes

Interpreter Services
Change: Revised
Interpreter services are sign language or oral interpretation services for individuals who
are deaf or hard of hearing and tactile interpretation services for individuals who are deafblind. Specially trained individuals perform sign language or oral interpretation.
Interpreter services also include real-time captioning services for persons who are deaf or
hard of hearing. Do not include language interpretation in this category, but in Other
Services (XIV.H).
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 329
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 330
Multiple Values Allowed: No
2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 331
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 332
Multiple Values Allowed: No

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2.3

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 334
Multiple Values Allowed: No
3.1

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 333
Multiple Values Allowed: No

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 335
Multiple Values Allowed: Yes

Other Services
Change: Revised
Use this category ONLY for other VR services that cannot be recorded elsewhere. Include
in this category such services as the provision of funds for occupational licenses, tools
and equipment, initial stocks and supplies.
1.

Service Provided by VR Agency Staff (in-house)
Data Type: INT 1
Element Number: 336
Multiple Values Allowed: No

Service Provided Through VR Agency Purchase
Data Type: INT 1
Element Number: 337
Multiple Values Allowed: No

2.1

Purchased Service Provider Type
Data Type: INT 1
Element Number: 338
Multiple Values Allowed: No

2.2

Amount of VR Funds Expended for Service (Title I)
Data Type: INT 6
Element Number: 339
Multiple Values Allowed: No

2.3

Amount of SE Funds Expended for Service (Title VI)
Data Type: INT 6
Element Number: 340
Multiple Values Allowed: No

Service Provided by Comparable Services and Benefits Providers
Data Type: INT 1
Element Number: 341
Multiple Values Allowed: No
3.1

Comparable Services and Benefits Provider Type
Data Type: VARCHAR 8
Element Number: 342
Multiple Values Allowed: Yes

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XV.

Measurable Skill Gain Data Elements (WIOA section 116(b)(2)(A)(i))
A.

Date of Most Recent Measurable Skill Gain: Educational Functioning Level (EFL)
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Change: New
Element Number: 343
Multiple Values Allowed: No


WIOA PIRL data element 1806, Date of Most Recent Measurable Skill Gains:
Educational Attainment.

Record the most recent date the participant, who received instruction below the
postsecondary education level, achieved at least one EFL. EFL gain may be documented
in one of three ways: 1) by comparing a participant’s initial EFL, as measured by a pretest, with the participant’s EFL as measured by the participant’s post-test; or 2) for States
that offer postsecondary programs that lead to a secondary school diploma or its
recognized equivalent, an EFL gain may be measured through the awarding of credits or
Carnegie units; or 3) States may report an EFL gain for participants who exit the program
and enroll in postsecondary education or training during the program year.
Leave blank if this data element does not apply to the participant.
B.

Date of Most Recent Measurable Skill Gain: Secondary
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Change: New
Element Number: 344
Multiple Values Allowed: No


WIOA PIRL data element number 1808, Date of Most Recent Measurable Skill
Gains: Secondary Transcript/Report Card.

Record the most recent date of the individual’s transcript or report card for secondary
education for one semester demonstrating that the individual is achieving the VR
program’s policies for academic standards.
Leave blank if this data element does not apply to individual.
C.

Date of Most Recent Measurable Skill Gain: Postsecondary Transcript/Report Card
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Change: New
Element Number: 345
Multiple Values Allowed: No


WIOA PIRL data element number 1807, Date of Most Recent Measurable Skill
Gains: Postsecondary Transcript/Report Card.

Record the most recent date of the individual’s transcript or report card for postsecondary
education students who complete a minimum of 12 hours per semester, or for part time
students, a total of at least 12 credit hours over the course of two completed consecutive
semesters during the program year, that demonstrates the individual is achieving the VR
program’s policies for academic standards.
Leave blank if this data element does not apply to the individual.

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Date of Most Recent Measurable Skill Gain: Training Milestone
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Change: New
Element Number: 346
Multiple Values Allowed: No


WIOA PIRL data element number 1809, Date of Most Recent Measurable Skill
Gains: Training Milestone.

Record the most recent date that the individual achieved a satisfactory or better progress
report toward established milestones from an employer/training provider who is
providing training (e.g., completion of on-the-job training (OJT), completion of one year
of a registered apprenticeship program, etc.).
Leave blank if this data element does not apply to the individual.
E.

Date of Most Recent Measurable Skill Gain: Skills Progression
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Change: New
Element Number: 347
Multiple Values Allowed: No


WIOA PIRL data element number 1810, Date of Most Recent Measurable Skill
Gains: Skills Progression.

Record the most recent date the individual successfully completed an exam that is
required for a particular occupation, or progress in attaining technical or occupational
skills as evidenced by trade-related benchmarks such as knowledge-based exams.
Leave blank if this data element does not apply to the individual.
XVI.

Employment Data Elements
A.

Employment Outcome
Report: Upon Achievement
Data Type: INT 1
Element Number: 348

Change: New
Multiple Values Allowed: No

For an individual who achieved employment, record the applicable code value that
describes the employment of the individual when the employment is achieved. If
classifying the individual into two different employment statuses from code values 1-6 is
possible, record the code value designating the principal status.
Code Description
1 Competitive Integrated Employment: (34 CFR 361.5(c)(9)) Refers to
work that (i) is performed on a full-time or part-time basis (including
self-employment) and for which an individual is compensated at a rate
that - (A) Is not less than the higher of the rate specified in section 6(a)(1)
of the Fair Labor Standards Act of 1938 (29 U.S.C. 206(a)(1)) or the rate
required under the applicable State or local minimum wage law for the
90

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Code Description
place of employment;
(B) Is not less than the customary rate paid by the employer for the same
or similar work performed by other employees who are not
individuals with disabilities and who are similarly situated in similar
occupations by the same employer and who have similar training,
experience, and skills; and
(C) In the case of an individual who is self-employed, yields an income
that is comparable to the income received by other individuals who
are not individuals with disabilities and who are self-employed in
similar occupations or on similar tasks and who have similar
training, experience, and skills; and
(D) Is eligible for the level of benefits provided to other employees; and
(ii) Is at a location-(A) Typically found in the community; and
(B) Where the employee with a disability interacts for the purpose of
performing the duties of the position with other employees within the
particular work unit and the entire work site, and, as appropriate to
the work performed, other persons (e.g., customers and vendors),
who are not individuals with disabilities (not including supervisory
personnel or individuals who are providing services to such
employee) to the same extent that employees who are not individuals
with disabilities and who are in comparable positions interact with
these persons; and

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Code Description
employment outcome while working toward competitive integrated
employment on a short-term basis.
6 Uncompensated Employment: Refers to uncompensated employment
outcomes for Homemakers and Unpaid Family Workers only, during the
transition period. This code value can only be used when the Primary
Occupation at Employment Outcome (XVI.B) code value is 599999
(Homemaker) or 799999 (Unpaid Family Worker). Note: A VR agency
may only continue services to individuals with uncompensated
employment goals (e.g., homemaker and unpaid family workers) on their
approved individualized plans for employment prior to the effective date
of the final regulations until June 30, 2017, unless a longer period of time
is required based on the needs of the individual with the disability.
7 Termination Notice, WARN, or Transitioning Service Member:
Individual attained employment outcome and (a) has received a notice of
termination of employment or the employer has issued a Worker
Adjustment and Retraining Notification (WARN) or other notice that the
facility or enterprise will close, or (b) is a transitioning service member.
B.

Primary Occupation at Employment Outcome
Data Type: VARCHAR 6
Element Number: 349

Change: New
Multiple Values Allowed: No

For an individual who is employed, enter the current Standard Occupational
Classification (SOC) code that best describes the individual’s occupation that is
consistent with the employment goal on the individual's IPE. If the individual is not
employed, leave blank.
For individuals with multiple jobs, this data element should be populated with the code
for the occupation consistent with the employment goal on an individual's IPE and
primary SOC codes from which the exiting individual derives the majority of their
weekly earnings. The following procedures should be followed to determine which
occupation code to use:
a. If the earnings amounts of the multiple jobs are reported at the time of entering the
occupation code, enter the occupation consistent with the employment goal specified
on the IPE that encompasses the majority of the earnings per week at closure.
b. If the earnings amounts of the various jobs are not reported at the time of entry, the
occupation code should be populated with the code for the occupation consistent with
the employment goal specified on the IPE that encompasses the majority of the hours
worked per week at closure.
c. If neither hours nor wages per occupation are known, then individual self-reporting of
the primary occupation consistent with the employment goal specified on the IPE
should be used to determine the appropriate occupation code.

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For the employment situations unique to the VR program, use the special codes indicated
below.
Special
Codes Special Code Descriptions
599999 Homemaker (own home): Refers to men and women whose activity is
keeping house for their families, or themselves if they live alone.
Note: A VR agency may only continue services to individuals with
uncompensated employment goals (e.g., homemaker and unpaid
family workers) on their approved individualized plans for
employment prior to the effective date of the final regulations until
June 30, 2017, unless a longer period of time is required based on the
needs of the individual with the disability.
799999 Unpaid Family Worker (own family): Use only if the type of unpaid
family work cannot be classified according to any of the occupations.
Note: A VR agency may only continue services to individuals with
uncompensated employment goals (e.g., homemaker and unpaid
family workers) on their approved individualized plans for
employment prior to the effective date of the final regulations until
June 30, 2017, unless a longer period of time is required based on the
needs of the individual with the disability.
899999 Randolph-Sheppard Vending Facility Clerk: Refers to persons
employed as clerks, sales persons, or helpers in a vending facility
operated under the Randolph-Sheppard Vending Facility Program. Use
this special code even though these occupations are classifiable under
SOCs. Do not include vending facility operators (999999), or
individuals employed in vending facilities outside the Vending Facility
Program (use their occupation code).
999999 Randolph-Sheppard Vending Facility Operator: Refers to individuals
employed as operators or managers of vending facilities operated
under the Vending Facility Program. Use this special code even
though these occupations are classifiable. Do not include vending
facility clerks (899999), or individuals employed as vending facility
operators outside the Randolph-Sheppard Vending Facility Program
(use their occupation code).
C.

Start Date of Employment in Primary Occupation
Data Type: DATETIME (YYYYMMDD)
Change: New
Element Number: 350
Multiple Values Allowed: No
Record the date when the individual began the job coded in data element Primary
Occupation at Employment (XVI.C).
Note: For individuals who were employed at the initial IPE, Employment Status (IX.C.1),
this date may be prior to the Date of Application (IV.A).

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Hourly Wage at Employment
Data Type: DECIMAL 5,2
Element Number: 351

Change: New
Multiple Values Allowed: No

Record the hourly wage including cents earned after achieving employment consistent
with the employment goal on an individual’s IPE. If the individual is employed in more
than one job that is consistent with the employment goal on the individual’s IPE, record
the hourly wage for the primary source of income.
This data element captures cash earnings of the individual at the time employment was
achieved as an hourly wage and includes all wages, salaries, tips, profits from selfemployment and commissions received as income. These earnings are before payroll
deductions of Federal, State and local income taxes and Social Security payroll tax are
taken.
Wages for salespersons, consultants, self-employed individuals, and other similar
occupations are based on the adjusted gross income. Adjusted gross income is gross
income minus unreimbursed business expenses. Do not include estimates of payments inkind, such as meals and lodging. Estimate profits of farmers, if necessary.
Where wages are based on commissions that are irregular (e.g., real estate, automobile
sales, etc.), they should be calculated as an hourly wage average over a representative
period of time such as one month or one quarter to obtain a meaningful figure.
Commissions are generally not paid when earned, but rather are paid periodically, such as
weekly, biweekly, or even monthly. To bring standardization to this data element, wages
should be based on the actual receipt of the payment and not on amounts accruing until
the next commission payout.
If the individual was unemployed and/or generated no earnings or did not achieve an
employment outcome, record 0.
E.

Hours Worked in a Week at Employment Outcome
Data Type: INT 3
Change: New
Element Number: 352
Multiple Values Allowed: No
For an individual who achieved an employment outcome, record the number of hours
worked for the Primary Occupation at Employment (XVI.E) consistent with the
employment goal on the individual’s IPE.

XVII. Exit Data Elements
A.

Date of Exit
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Element Number: 353


Change: Revised
Multiple Values Allowed: No

WIOA PIRL data element number 901, Date of Program Exit.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Record the last date the individual exited from the VR or SE program consistent with the
requirements in the regulations.
Leave blank if this data element does not apply to the individual.
B.

Type of Exit
Report: At Exit
Data Type: INT 1
Element Number: 354

Change: Revised
Multiple Values Allowed: No

Record a code value from the following table to indicate when in the VR process an
individual exited the program.
Code
1
2
3
4
5

Description
Individual exited during or after a trial work experience.
Individual exited after eligibility, but from an order of selection waiting list.
Individual exited after eligibility, but prior to a signed IPE.
Individual exited after an IPE without an employment outcome.
Individual exited after an IPE in noncompetitive and/or nonintegrated
employment.
6 Individual exited after an IPE in competitive and integrated employment or
supported employment.
0 Individual exited as an applicant, prior to eligibility determination or trial work.

Reason for Exit
Report: At Exit
Data Type: INT 2
Element Number: 355


Change: Revised
Multiple Values Allowed: No

WIOA PIRL data element number 923, Other Reasons for Exit.

Record the code that identifies the reason the individual exited. Data are reported in the
same quarter as the Date of Exit (XVII.A) occurs.
Code Reason for Exit Description
1 Institutionalized: Individual exits the program because he or she has
become incarcerated in a correctional institution or has become a resident
of an institution or facility providing 24-hour support such as a hospital or
treatment center during the course of receiving services as an individual.
2 Health/Medical: Individual is receiving medical treatment that is expected
to last longer than 90 days and precludes entry into unsubsidized
employment or continued participation in the program.
3 Death of Individual
4 Reserve Forces Called to Active Duty: Individual is a member of the
National Guard or other reserve military unit of the armed forces and is
called to active duty for at least 90 days.

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Code Reason for Exit Description
5 Foster Care: Individual is in the foster care system as defined in 45 CFR
1355.20(a), and has moved from the area as part of such a program or
system (youth individuals only).
6 Ineligible: After the individual was determined to be eligible, is later
determined not to have met eligibility criteria.
7 Criminal Offender: Individual is in a correctional institution under section
225 of WIOA.
8 No Disabling Condition: Individual is no longer eligible for VR services
because no physical or mental impairment exists, such as when the
reported disability is an acute condition with no residual impairment, e.g.,
a broken bone that heals.
9 No Impediment to Employment: Individual is not eligible for VR services
because their physical or mental impairment does not constitute a
substantial impediment to employment.
10 Does Not Require VR Service: Individual no longer requires VR services
to prepare for, enter into, engage in, or retain gainful employment
consistent with their strengths, resources, priorities, concerns, abilities,
capabilities, and informed choice.
11 Disability Too Significant to Benefit from Services: - Individual whose
mental and/or physical disability and resulting functional limitations are so
significant that the individual cannot benefit from VR services. Also use
this code for eligible individuals who later acquire additional disabilities
and/or functional limitations that are so significant that the individual
cannot continue to benefit from VR services.
12 No Long Term Source of Extended Services Available: Individual who
would have benefited from the provision of VR and supported
employment services but was determined ineligible because a long term
source of extended services is not available, AND is not anticipated to be
available.
13 Transferred to Another Agency: Individual needs services that are more
appropriately obtained elsewhere. Transfer to another agency indicates
that appropriate referral information is forwarded to the other agency so
that agency may provide services more effectively. Include individuals
transferred to other VR agencies.
14 Achieved Competitive Integrated Employment Outcome: Applicable only
to Type of Exit (XVII.B) code value 6 (Individual exited after an IPE in
competitive and integrated employment, or supported employment).
15 Extended Employment: Individuals who received services and were
placed in a non-integrated or sheltered setting for a public or private
nonprofit agency or organization that provides compensation in
accordance with the Fair Labor Standards Act (34 CFR 361.5(c)(18)).
16 Extended Services Not Available: Individual has received VR services but
requires long term extended services for which no long term source of
funding is available.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Code Reason for Exit Description
17 Unable to Locate or Contact: Individual has relocated or left the State
without a forwarding address, or when the individual has not responded to
repeated attempts to contact the individual by mail, telephone, text or email.
18 No Longer Interested in Receiving Services or Further Services:
Individuals who choose not to participate or continue in their VR program
at this time. Also use this code to indicate when an individual’s actions (or
non-actions) make it impossible to begin or continue a VR program.
Examples would include repeated failures to keep appointments for
assessment, counseling, or other services.
19 Individual is No Longer Available for Services Due to Residence in an
Institutional Setting Other Than a Prison or Jail: Individual has entered an
institution other than a prison or jail, and will be unavailable to participate
in a VR program for an indefinite or considerable period of time. This
category of institution includes hospitals, nursing homes, and residential
treatment centers.
20 All Other Reasons: This code is used for all other reasons not included in
code values 1 through 19.
D.

Employment at Exit
1.

Employment Outcome at Exit
Data Type: INT 1
Element Number: 356

Change: Revised
Multiple Values Allowed: No

For an individual who achieved an employment outcome, record the applicable
code value that describes the employment outcome of the individual at exit. If
classifying the individual into two different employment statuses from code
values 1-6 is possible, record the code value designating the principal status. Data
are reported in the same quarter as the Date of Exit (XVII.A) occurs.
Code Description
1 Competitive Integrated Employment: (34 CFR 361.5(c)(9)) Refers to
work that (i) is performed on a full-time or part-time basis (including selfemployment) and for which an individual is compensated at a rate that –
(A) Is not less than the higher of the rate specified in section 6(a)(1) of the
Fair Labor Standards Act of 1938 (29 U.S.C. 206(a)(1)) or the rate
required under the applicable State or local minimum wage law for the
place of employment;
(B) Is not less than the customary rate paid by the employer for the same
or similar work performed by other employees who are not individuals
with disabilities and who are similarly situated in similar occupations
by the same employer and who have similar training, experience, and
skills; and
(C) In the case of an individual who is self-employed, yields an income
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Code Description
that is comparable to the income received by other individuals who are
not individuals with disabilities and who are self-employed in similar
occupations or on similar tasks and who have similar training,
experience, and skills; and
(D) Is eligible for the level of benefits provided to other employees; and
(ii) Is at a location-(A) Typically found in the community; and
(B) Where the employee with a disability interacts for the purpose of
performing the duties of the position with other employees within the
particular work unit and the entire work site, and, as appropriate to the
work performed, other persons (e.g., customers and vendors), who are
not individuals with disabilities (not including supervisory personnel
or individuals who are providing services to such employee) to the
same extent that employees who are not individuals with disabilities
and who are in comparable positions interact with these persons; and

(iii) Presents, as appropriate, opportunities for advancement that are
similar to those for other employees who are not individuals with
disabilities and who have similar positions.
Self-Employment (except BEP): Refers to work for profit or fees
including operating one's own business, farm, shop, or office. Selfemployment includes sharecroppers, but not wage earners on farms.
Business Enterprise Program (BEP): Refers to Randolph-Sheppard
vending facilities and other small businesses operated by individuals with
significant disabilities under the management and supervision of a VR
agency. Include home industry where the work is done under the
management and supervision of a VR agency in the individual's own
home or residence for wages, salary, or on a piece-rate. Individuals
capable of activity outside the home, as well as homebound individuals,
may engage in such.
Supported Employment in Competitive Integrated Employment: Refers to
competitive integrated employment as defined in code 1 above with
ongoing support services for individuals with significant disabilities
(supported employment).
Supported Employment on Short-term Basis: Refers to supported
employment outcome while working toward competitive integrated
employment on a short-term basis.
Uncompensated Employment: Refers to uncompensated employment
outcomes for Homemakers and Unpaid Family Workers only, during the
transition period. This code value can only be used when the Primary
Occupation at Exit (XVII.D.2) code value is 599999 (Homemaker) or
799999 (Unpaid Family Worker). Note: A VR agency may only continue
services to individuals with uncompensated employment goals (e.g.,
homemaker and unpaid family workers) on their approved individualized

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Code Description
plans for employment prior to the effective date of the final regulations
until June 30, 2017, unless a longer period of time is required based on the
needs of the individual with the disability.
7 Termination Notice, WARN, or Transitioning Service Member: Individual
attained employment outcome and (a) has received a notice of termination
of employment or the employer has issued a Worker Adjustment and
Retraining Notification (WARN) or other notice that the facility or
enterprise will close, or (b) is a transitioning service member.
2.

Primary Occupation at Exit
Data Type: VARCHAR 6
Element Number: 357

Change: Revised
Multiple Values Allowed: No

For an individual who is employed, enter the current Standard Occupational
Classification (SOC) code that best describes the individual’s occupation that is
consistent with the employment goal on the individual's IPE. If the individual is
not employed, leave blank.
For individuals with multiple jobs, this data element should be populated with the
code for the occupation consistent with the employment goal on an individual's
IPE and primary SOC codes from which the exiting individual derives the
majority of their weekly earnings. The following procedures should be followed
to determine which occupation code to use:
a. If the earnings amounts of the multiple jobs are reported at the time of
entering the occupation code, enter the occupation consistent with the
employment goal specified on the IPE that encompasses the majority of the
earnings per week at closure.
b. If the earnings amounts of the various jobs are not reported at the time of
entry, the occupation code should be populated with the code for the
occupation consistent with the employment goal specified on the IPE that
encompasses the majority of the hours worked per week at closure.
c. If neither hours nor wages per occupation are known, then individual selfreporting of the primary occupation consistent with the employment goal
specified on the IPE should be used to determine the appropriate occupation code.

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

For the employment situations unique to the VR program, use the special codes
indicated below.
Special Codes Special Code Descriptions
599999
Homemaker (own home): Refers to men and women whose
activity is keeping house for their families, or themselves if they
live alone. Note: A VR agency may only continue services to
individuals with uncompensated employment goals (e.g.,
homemaker and unpaid family workers) on their approved
individualized plans for employment prior to the effective date of
the final regulations until June 30, 2017, unless a longer period
of time is required based on the needs of the individual with the
disability.
799999
Unpaid Family Worker (own family): Use only if the type of
unpaid family work cannot be classified according to any of the
occupations. Note: A VR agency may only continue services to
individuals with uncompensated employment goals (e.g.,
homemaker and unpaid family workers) on their approved
individualized plans for employment prior to the effective date of
the final regulations until June 30, 2017, unless a longer period
of time is required based on the needs of the individual with the
disability.
899999
Randolph-Sheppard Vending Facility Clerk: Refers to persons
employed as clerks, sales persons, or helpers in a vending facility
operated under the Randolph-Sheppard Vending Facility
Program. Use this special code even though these occupations
are classifiable. Do not include vending facility operators
(999999), or individuals employed in vending facilities outside
the Vending Facility Program (use their occupation code).
999999
Randolph-Sheppard Vending Facility Operator: Refers to
individuals employed as operators or managers of vending
facilities operated under the Vending Facility Program. Use this
special code even though these occupations are classifiable. Do
not include vending facility clerks (899999), or individuals
employed as vending facility operators outside the RandolphSheppard Vending Facility Program (use their occupation code).

Start Date of Employment in Primary Occupation at Exit
Data Type: DATETIME (YYYYMMDD) Change: Revised
Element Number: 358
Multiple Values Allowed: No
Record the date when the individual began the job coded in data element Primary
Occupation at Exit (XVII.D.2).
Note: For individuals who were employed at the initial IPE, Employment Status
(IX.C.1), this date may be prior to the Date of Application (IV.A).

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Hourly Wage at Exit
Data Type: DECIMAL 5,2
Element Number: 359

Change: Revised
Multiple Values Allowed: No

Record the hourly wage including cents earned after achieving an employment
outcome consistent with the employment goal on an individual’s IPE, at the time
the individual exited the program. If the individual is employed in more than one
job that is consistent with the employment goal on the individual’s IPE, record the
hourly wage for the primary source of income.
This data element captures cash earnings of the individual at the time of exit as an
hourly wage and includes all wages, salaries, tips, profits from self-employment
and commissions received as income. These earnings are before payroll
deductions of Federal, State and local income taxes and Social Security payroll
tax are taken.
Wages for salespersons, consultants, self-employed individuals, and other similar
occupations are based on the adjusted gross income. Adjusted gross income is
gross income minus unreimbursed business expenses. Do not include estimates of
in-kind payments, such as meals and lodging. Estimate profits of farmers, if
necessary.
Where wages are based on commissions that are irregular (e.g., real estate,
automobile sales, etc.), they should be calculated as an average hourly wage over
a representative period of time such as one month or one quarter to obtain a
meaningful figure. Commissions are generally not paid when earned, but rather
are paid periodically, such as weekly, biweekly, or even monthly. To bring
standardization to this data element, wages should be based on the actual receipt
of the payment and not on amounts accruing until the next commission payout.
If the individual was unemployed and/or generated no earnings or did not achieve
an employment outcome, record 0.
5.

Hours Worked in a Week at Exit
Data Type: INT 2
Element Number: 360

Change: Revised
Multiple Values Allowed: No

For an individual who achieved an employment outcome, record the number of
hours worked on the Primary Occupation at Exit (XVII.D.2) consistent with the
employment goal on the individual’s IPE at the date of exit. Data are reported in
the same quarter as the Date of Exit (XVII.A) occurs.

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Support at Exit
Monthly Public Support Amount General Information:
Public support means cash payments made by Federal, State and/or local governments for
any reason, including an individual’s disability, age, or economic status. Include
payments to a family unit precipitated by the individual’s disability or when the
individual’s presence is taken into account in the computation of the family benefit.
Record the monthly amount (to the nearest dollar) of public support currently received by
the individual from each of the following sources. Also include any payments that are
sent directly to an individual in an institution or to dependents on his/her behalf. Exclude
any non-cash support payments such as Medicaid, Medicare, food stamps and rental
subsidies
1.

Social Security Disability Insurance (SSDI) at Exit
Data Type: INT 5
Change: None
Element Number: 361
Multiple Values Allowed: No
Record the monthly amount of SSDI received by the individual.
Record 0 if individual does not receive SSDI.

Supplemental Security Income (SSI) for the Aged, Blind, or Disabled at Exit
Data Type: INT 5
Change: None
Element Number: 362
Multiple Values Allowed: No
Record only the individual’s portion of the monthly payment under the SSI for the
Aged, Blind, or Disabled program.
Record 0 if individual does not receive SSI for the Aged, Blind, or Disabled.

Temporary Assistance for Needy Families (TANF) at Exit
Data Type: INT 5
Change: None
Element Number: 363
Multiple Values Allowed: No
Record individual’s monthly amount of cash public assistance payments received
through TANF.
Record 0 if individual does not receive TANF.
If the TANF payment is made to the family unit, use the local disbursing agency's
procedure to estimate the individual’s portion of the payment.

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General Assistance (State or local government) at Exit
Data Type: INT 5
Change: None
Element Number: 364
Multiple Values Allowed: No
Record individual’s monthly amount of General Assistance received.
Record 0 if individual does not receive General Assistance.

Veterans' Disability Benefits at Exit
Data Type: INT 5
Element Number: 365

Change: None
Multiple Values Allowed: No

Veterans' Disability Benefits are payments made by the Department of Veterans
Affairs for partial or total disability.
Record individual’s monthly amount of Veterans’ Benefits received.
Record 0 if individual does not receive Veterans’ Benefits.
6.

Workers' Compensation at Exit
Data Type: INT 5
Element Number: 366

Change: None
Multiple Values Allowed: No

Record individual’s monthly amount of Workers’ Compensation received.
Record 0 if individual does not receive Workers’ Compensation.
7.

Other Public Support at Exit
Data Type: INT 5
Element Number: 367

Change: None
Multiple Values Allowed: No

Other Public Support payments are cash payments to individuals beyond those
otherwise listed. Include payments made by Federal, State and local governments
for retirement or survivor benefits to the individual as well as unemployment
insurance benefits and other temporary payments.
Record individual’s monthly amount of public support received from all other
sources of public support not listed.
Record 0 if individual does not receive any other public support.
8.

Primary Source of Support at Exit
Data Type: INT 1
Element Number: 368

Change: None
Multiple Values Allowed: No

Record a code value from the table below to indicate the individual’s largest
single source of economic support at the time the individual exited, even if it

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accounts for less than one-half of the individual's total support. Data are reported
in the same quarter as the Date of Exit (XVII.A) occurs.
If an individual is supported by the earnings of a spouse, or by the spouse's
unemployment insurance benefits, record code value 2 (family and friends) as the
Primary Source of Support and not code value 1 (personal income).
If an individual is primarily supported by a governmental entity with no cash
support – for example, incarcerated individuals – record code value 3 (public
support) as the primary source of support only if the individual is the recipient of
the support. If the family receives public support, record code value 2 (family and
friends).
Code Description
1 Primary source of support at exit is personal income (e.g., employment
earnings, interest, dividends, rent, retirement including social security).
2 Primary source of support at exit is family and friends.
3 Primary source of support at exit is public support (e.g., SSI, SSDI, TANF,
etc.).
4 Primary source of support at exit is from other sources (e.g., private
disability insurance and private charities.
F.

Medical Insurance Coverage at Exit
Record whether an individual had medical insurance coverage at the time of exit. Data
are reported in the same quarter as the Date of Exit (XVII.A) occurs.
1.

Medicaid at Exit
Data Type: INT 1
Element Number: 369

Change: None
Multiple Values Allowed: No

Code Description
1 Individual has Medicaid.
0 Individual does not have Medicaid.
2.

Medicare at Exit
Data Type: INT 1
Element Number: 370

Change: None
Multiple Values Allowed: No

Code Description
1 Individual has Medicare.
0 Individual does not have Medicare.

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State or Federal Affordable Care Act Exchange at Exit
Data Type: INT 1
Change: None
Element Number: 371
Multiple Values Allowed: No
State or Federal Affordable Care Act Exchange refers to individuals receiving
benefits through their enrollment in an Affordable Care Act Exchange.
Code Description
1 Individual is receiving benefits through the State or Federal Affordable
Care Act Exchange at exit.
0 Individual is not receiving benefits through the State or Federal
Affordable Care Act Exchange at exit.

Public Insurance from Other Sources at Exit
Data Type: INT 1
Change: Revised
Element Number: 372
Multiple Values Allowed: No
Code Description
1 Individual has public insurance from sources not listed in data elements
(XVII.F.1-XVII.F.3).
0 Individual does not have public insurance.

Private Insurance Through Employer at Exit
Data Type: INT 1
Change: None
Element Number: 373
Multiple Values Allowed: No
Code Description
1 Individual has private insurance through employer.
0 Individual does not have private insurance through employer.

Not Yet Eligible for Private Insurance Through Employer at Exit
Data Type: INT 1
Change: None
Element Number: 374
Multiple Values Allowed: No
Code Description
1 Individual is not eligible for private insurance through a current
employer, but will be eligible for private insurance after a certain period
of employment.
0 Individual does not meet the conditions described above.

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Private Insurance Through Other Means at Exit
Data Type: INT 1
Change: None
Element Number: 375
Multiple Values Allowed: No
Private insurance through other means refers to individuals who are self-insured
or receiving benefits through their parent/family members’ insurance plan.
Code Description
1 Individual has private insurance through other means.
0 Individual does not have private insurance through other means.

XVIII. Post-Exit Data Elements
These data elements are used to report information for the WIOA primary indicators of
performance. These data elements are required for individuals with disabilities who received VR
services under an IPE and, thereby, met the definition of “participant” for purposes of WIOA.
A.

Date Enrolled in Post-Exit Education or Training Program Leading to a Recognized
Postsecondary Credential
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Change: New
Element Number: 376
Multiple Values Allowed: No


WIOA PIRL data element 1406, Date Enrolled in Post Exit Education or Training
Program Leading to a Recognized Postsecondary Credential.

This element only applies to participants who exited secondary education and obtained a
secondary school diploma or its equivalency per sec 116(b)(2)(A)(iii). This data element
applies to the Credential Rate numerator. This element is not to be confused with the data
element Date Enrolled During Program Participation in an Education or Training
Program Leading to a Recognized Postsecondary Credential or Employment (IX.F.12),
which encompasses all education and training program enrollment and captures those
enrolled during program participation, not post-exit.
Record the date the individual enrolled in an education or training program that leads to a
recognized postsecondary credential after program exit.
Leave blank if this data element does not apply to individual.
B.

Date of Attainment of Post-Exit Recognized Credential
Report: Upon Occurrence
Data Type: DATETIME (YYYYMMDD)
Change: New
Element Number: 377
Multiple Values Allowed: No
Record the post-exit date on which the individual attained a recognized credential.
Leave blank if this data element does not apply to individual.

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Type of Recognized Credential Attained Post-Exit
Report: Upon Occurrence
Data Type: INT 1
Change: New
Element Number: 378
Multiple Values Allowed: No
Use the appropriate code to record the type of recognized diploma, degree, or credential
consisting of an industry-recognized certificate or certification, a certification of
completion of a Registered Apprenticeship, a license recognized by the State involved or
Federal Government, or an Associate’s, Bachelor’s, or Master’s Degree attained by the
participant who received education or training services.
Diplomas, degrees, licenses or certificates must be attained either during participation or
within one year of exit. This data element applies to both the Credential Rate measure
and the Measurable Skills Gain measure.
Record 0 if the participant received education or training services post-exit, but did not
attain a recognized diploma, degree, license or certificate.
Leave blank if data element does not apply to the participant.
Code
1
2
3
4
5
6
7
8

Description
Postsecondary Diploma or Equivalency
AA or AS Diploma/Degree
BA or BS Diploma/Degree
Graduate/Post Graduate Degree/Diploma
Occupational Licensure
Occupational Certificate
Occupational Certification
Other Recognized Diploma, Degree, or Certificate

First Quarter After Exit Quarter
The employment data for the first completed quarter after exit is ONLY required when
necessary to document credential measure attainment for students who attained a
secondary education credential. The collection of first quarter after exit employment and
wage information is integral in the calculation a credential rate component. Specifically,
the number of participants who exited that were in a secondary education program and
who obtained a secondary school diploma or its equivalent during the program or within
one year after exit AND who were also employed or enrolled in an education or training
program leading to a recognized postsecondary credential within one year after exit.

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Employment - First Quarter After Exit Quarter
Data Type: INT 1
Change: New
Element Number: 379
Multiple Values Allowed: No


WIOA PIRL data element number 1600, Employed in 1st Quarter After Exit
Quarter.

Code Description
1 Individual is in unsubsidized employment, not including Registered
Apprenticeship, the military, or competitive integrated employment under
VR.
2 Individual is in a Registered Apprenticeship.
3 Individual is in the military.
4 Individual is in competitive integrated employment (VR only).
9 Individual has exited but employment information is not yet available.
0 Individual not employed in the first quarter after exit quarter.
2.

Type of Employment Match – First Quarter After Exit Quarter
Data Type: INT 1
Change: New
Element Number: 380
Multiple Values Allowed: No


WIOA PIRL data element number 1601, Type of Employment Match 1st
Quarter After Exit Quarter.

Use the appropriate code value to identify the method used in determining the
individual's employment status in the first quarter following the exit quarter. Wage
records will be the primary data source for tracking employment after the exit
quarter. If the individual is found in more than one source of employment using
wage records, record the data source from the employment outcome consistent
with the employment goal on the individual’s IPE at the time the individual exited
the program. If individuals do not have employment covered by wage records, VR
agencies may then use supplemental data sources.
Code Description
1 Method used in determining individual’s employment status was UI wage
data.
2 Method used in determining individual’s employment status was Federal
employment records (e.g., OPM, USPS).
3 Method used in determining individual’s employment status was military
employment records.
4 Method used in determining individual’s employment status was non-UI
wage verification.
5 Information not yet available.
0 Individual is not employed.

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Wages – First Quarter After Exit Quarter
Data Type: Decimal 8,2
Change: New
Element Number: 381
Multiple Values Allowed: No


WIOA PIRL data element number 1703, Wages 1st Quarter After Exit Quarter.

Record the total wages, including cents, earned, from the employment outcome
consistent with the employment goal on the individual’s IPE at the time the
individual exited, during the first quarter after the quarter of exit. These earnings
are before payroll deductions of Federal, State and local income taxes and Social
Security payroll tax.
Wages for salespersons, consultants, self-employed individuals, and other similar
occupations are based on the adjusted gross income. Adjusted gross income is
gross income minus unreimbursed business expenses. Do not include estimates of
in-kind payments, such as meals and lodging. Estimate profits of farmers, if
necessary.
If the individual was unemployed and/or generated no earnings, record 0.
E.

Second Quarter After Exit Quarter
1.

Employment Related to Training – Second Quarter After Exit Quarter
Data Type: INT 1
Change: New
Element Number: 382
Multiple Values Allowed: No


WIOA PIRL data element number 1608, Employment Related to Training
(2nd Quarter After Exit).

Training services mean the services listed in Section XII of this manual.
Code Description
1 Individual received training services and obtained employment directly
related to the training services received.
0 Individual received training services and did not obtain employment
directly related to the training services received.
Leave blank if the data is not available.

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Employment - Second Quarter After Exit Quarter
Data Type: INT 1
Change: New
Element Number: 383
Multiple Values Allowed: No


WIOA PIRL data element number 1602, Employed in 2nd Quarter After Exit
Quarter.

Type of Employment Match – Second Quarter After Exit Quarter
Data Type: INT 1
Change: New
Element Number: 384
Multiple Values Allowed: No


WIOA PIRL data element number 1603, Type of Employment Match 2nd
Quarter After Exit Quarter.

Use the appropriate code value to identify the method used in determining the
individual's employment status in the second quarter following the exit quarter.
Wage records will be the primary data source for tracking employment after the
exit quarter. If the individual is found in more than one source of employment
using wage records, record the data source from the employment outcome
consistent with the employment goal on the individual’s IPE at the time the
individual exited. If individuals do not have employment covered by wage
records, VR agencies may then use supplemental data sources.
Code Description
1 Method used in determining individual’s employment status was UI wage
data.
2 Method used in determining individual’s employment status was Federal
employment records (e.g., OPM, USPS).
3 Method used in determining individual’s employment status was military
employment records.
4 Method used in determining individual’s employment status was non-UI
wage verification.
5 Information not yet available.
0 Individual is not employed.

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Wages – Second Quarter After Exit Quarter
Data Type: Decimal 8,2
Change: New
Element Number: 385
Multiple Values Allowed: No


WIOA PIRL data element number 1704, Wages 2nd Quarter After Exit Quarter.

Record the total wages, including cents, earned, from the employment outcome
consistent with the employment goal on an individual’s IPE at the time the
individual exited, during the second quarter after the quarter of exit. These
earnings are before payroll deductions of Federal, State and local income taxes
and Social Security payroll tax.
Wages for salespersons, consultants, self-employed individuals, and other similar
occupations are based on the adjusted gross income. Adjusted gross income is
gross income minus unreimbursed business expenses. Do not include estimates of
in-kind payments, such as meals and lodging. Estimate profits of farmers, if
necessary.
If the individual was unemployed and/or generated no earnings, record 0.
F.

Third Quarter After Exit Quarter
The employment data for the third completed quarter after exit is ONLY required when
necessary to document credential measure attainment for students who attained a
secondary education credential. The collection of first quarter after exit employment and
wage information is integral in the calculation a credential rate component. Specifically,
the number of participants who exited that were in a secondary education program and
who obtained a secondary school diploma or its equivalent during the program or within
one year after exit AND who were also employed or enrolled in an education or training
program leading to a recognized postsecondary credential within one year after exit.

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Employment - Third Quarter After Exit Quarter
Data Type: INT 1
Change: New
Element Number: 386
Multiple Values Allowed: No


WIOA PIRL data element 1604, Employed in 3rd Quarter After Exit Quarter.

Type of Employment Match – Third Quarter After Exit Quarter
Data Type: INT 1
Change: New
Element Number: 387
Multiple Values Allowed: No


WIOA PIRL data element number 1605, Type of Employment Match 3rd
Quarter After Exit Quarter.

Use the appropriate code value to identify the method used in determining the
individual's employment status in the third quarter following the exit quarter.
Wage records will be the primary data source for tracking employment after the
exit quarter. If the individual is found in more than one source of employment
using wage records, record the data source from the employment outcome
consistent with the employment goal on the individual’s IPE at the time the
individual exited. If individuals do not have employment covered by wage
records, VR agencies may then use supplemental data sources.
Code Description
1 Method used in determining individual’s employment status was UI wage
data.
2 Method used in determining individual’s employment status was Federal
employment records (e.g., OPM, USPS).
3 Method used in determining individual’s employment status was military
employment records.
4 Method used in determining individual’s employment status was non-UI
wage verification.
5 Information not yet available.
0 Individual is not employed.

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Wages – Third Quarter After Exit Quarter
Data Type: Decimal 8,2
Change: New
Element Number: 388
Multiple Values Allowed: No


WIOA PIRL data element number 1705, Wages 3rd Quarter After Exit Quarter.

Record the total wages, including cents earned, from the employment outcome
consistent with the employment goal on an individual’s IPE at the time the
individual exited, during the third quarter after the quarter of exit. These earnings
are before payroll deductions of Federal, State and local income taxes and Social
Security payroll tax.
Wages for salespersons, consultants, self-employed individuals, and other similar
occupations are based on the adjusted gross income. Adjusted gross income is
gross income minus unreimbursed business expenses. Do not include estimates of
in-kind payments, such as meals and lodging. Estimate profits of farmers, if
necessary.
If the individual was unemployed and/or generated no earnings, record 0.
G.

Fourth Quarter After Exit Quarter
1.

Employment - Fourth Quarter After Exit Quarter
Data Type: INT 1
Change: New
Element Number: 389
Multiple Values Allowed: No


WIOA PIRL data element number 1606, Type of Employment Match 4th
Quarter After Exit Quarter.

Type of Employment Match – Fourth Quarter After Exit Quarter
Data Type: INT 1
Change: New
Element Number: 390
Multiple Values Allowed: No


WIOA PIRL data element number 1607, Type of Employment Match 4th
Quarter After Exit Quarter.

Use the appropriate code value to identify the method used in determining the
individual's employment status in the fourth quarter following the exit quarter.
Wage records will be the primary data source for tracking employment after the

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exit quarter. If the individual is found in more than one source of employment
using wage records, record the data source from the employment outcome
consistent with the employment goal on an individual’s IPE at the time the
individual exited. If individuals do not have employment covered by wage
records, VR agencies may then use supplemental data sources.
Code Description
1 Method used in determining individual’s employment status was UI wage
data.
2 Method used in determining individual’s employment status was Federal
employment records (e.g., OPM, USPS).
3 Method used in determining individual’s employment status was military
employment records.
4 Method used in determining individual’s employment status was non-UI
wage verification.
5 Information not yet available.
0 Individual is not employed.
3.

Wages – Fourth Quarter After Exit Quarter
Data Type: Decimal 8,2
Change: New
Element Number: 391
Multiple Values Allowed: No


WIOA PIRL data element number 1706, Wages 4th Quarter After Exit Quarter.

Record the total wages, including cents, earned, from the employment outcome
consistent with the employment goal on an individual’s IPE at the time the
individual exited, during the fourth quarter after the quarter of exit. These
earnings are before payroll deductions of Federal, State and local income taxes
and Social Security payroll tax.
Wages for salespersons, consultants, self-employed individuals, and other similar
occupations are based on the adjusted gross income. Adjusted gross income is
gross income minus unreimbursed business expenses. Do not include estimates of
in-kind payments, such as meals and lodging. Estimate profits of farmers, if
necessary.
If the individual was unemployed and/or generated no earnings, record 0.

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Retention with the Same Employer in the Second Quarter and the Fourth
Quarter – Fourth Quarter After Exit Quarter
Data Type: INT 1
Change: New
Element Number: 392
Multiple Values Allowed: No


WIOA PIRL data element number 1618, Retention with the same employer in
the 2nd Quarter and the 4th Quarter.

Code Description
1 Individual’s employer in the second quarter after exit matches the
employer in the fourth quarter after exit.
0 Individual is not employed in the second or fourth quarters after exit, or
the employer in the second quarter after exit does not match the
employer in the fourth quarter after exit.

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XIX.

Index of Data Elements

A
Adult ................................................................................................................................................................................... 34
Adult Education .................................................................................................................................................................. 34
Agency Code ......................................................................................................................................................................... 8
American Indian or Alaska Native ....................................................................................................................................... 13
Asian ................................................................................................................................................................................... 13
Assessment ......................................................................................................................................................................... 71
Attained Secondary School Diploma................................................................................................................................... 46

B
Basic Academic Remedial or Literacy Training .................................................................................................................... 66
Basic Skills Deficient/Low Levels of Literacy ....................................................................................................................... 41
Benefits Counseling ............................................................................................................................................................ 78
Black or African American................................................................................................................................................... 14

C
Completed Some Postsecondary Education, No Degree or Certificate .............................................................................. 48
Counseling on Enrollment Opportunities ........................................................................................................................... 56
County FIPS Code ................................................................................................................................................................ 18
Cultural Barriers .................................................................................................................................................................. 42
Customized Employment Services ...................................................................................................................................... 79
Customized Training............................................................................................................................................................ 70

D
Date Attained Associate’s Degree ....................................................................................................................................... 48
Date Attained Bachelor's Degree ........................................................................................................................................ 49
Date Attained Graduate Degree (e.g., Ph.D., Ed.D., J.D., M.D.)........................................................................................... 49
Date Attained Master’s Degree........................................................................................................................................... 49
Date Attained Other Recognized Diploma, Degree, or Certificate ...................................................................................... 50
Date Attained Secondary School Equivalency (GED) .......................................................................................................... 46
Date Attained Vocational/Technical Certificate .................................................................................................................. 50
Date Attained Vocational/Technical License ....................................................................................................................... 50

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R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Date Enrolled During Program Participation in an Education or Training Program Leading to a Recognized
Postsecondary Credential or Employment .................................................................................................................... 48
Date Enrolled in Post-Exit Education or Training Program Leading to a Recognized Postsecondary Credential .............. 106
Date of Application ............................................................................................................................................................. 11
Date of Attainment of Post-Exit Recognized Credential ................................................................................................... 106
Date of Birth ....................................................................................................................................................................... 12
Date of Eligibility Determination ........................................................................................................................................ 24
Date of Exit ......................................................................................................................................................................... 94
Date of Exit from OOS Waiting List ..................................................................................................................................... 25
Date of Most Recent Career Service ................................................................................................................................... 58
Date of Most Recent Measurable Skill Gain: Educational Functioning Level (EFL) ............................................................. 89
Date of Most Recent Measurable Skill Gain: Postsecondary Transcript/Report Card ........................................................ 89
Date of Most Recent Measurable Skill Gain: Secondary ..................................................................................................... 89
Date of Most Recent Measurable Skill Gain: Skills Progression .......................................................................................... 90
Date of Most Recent Measurable Skill Gain: Training Milestone ........................................................................................ 90
Date of Most Recent or Amended IPE ................................................................................................................................ 29
Date of Placement on OOS Waiting List .............................................................................................................................. 24
Date Received Special Education Certificate of Completion ............................................................................................... 46
Date Report Submitted ......................................................................................................................................................... 8
Diagnosis and Treatment of Impairments .......................................................................................................................... 72
Disability Related Skills Training .......................................................................................................................................... 68
Dislocated Worker .............................................................................................................................................................. 35
Displaced Homemaker Status ............................................................................................................................................. 42

E
Eligibility Determination Extension..................................................................................................................................... 24
Employment Outcome ........................................................................................................................................................ 90
Employment Outcome at Exit ............................................................................................................................................. 97
Employment Related to Training – Second Quarter After Exit Quarter ............................................................................ 109
Employment Status - First Quarter After Exit Quarter ...................................................................................................... 108
Employment Status - Fourth Quarter After Exit Quarter .................................................................................................. 113
Employment Status - Second Quarter After Exit Quarter ................................................................................................. 110
Employment Status - Third Quarter After Exit Quarter .................................................................................................... 112
Employment Status at IPE ................................................................................................................................................... 30
End Date of Trial Work Experience ..................................................................................................................................... 29

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R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

English Language Learner ................................................................................................................................................... 41
Enrolled in a Career or Technical Training Program, Leading to a Recognized Postsecondary Credential .......................... 50
Enrolled in a Career or Technical Training Program, Not Leading to a Recognized Postsecondary Credential ................... 49
Enrolled in a State Adult Secondary School at the High Adult Secondary Education (ASE) Level ....................................... 46
Enrolled in Postsecondary Education .................................................................................................................................. 47
Enrolled in Postsecondary Education - Highest Academic Year .......................................................................................... 47
Enrolled in Secondary Education ........................................................................................................................................ 45
Ethnicity - Hispanic or Latino .............................................................................................................................................. 15
Exhausting TANF Within Two Years ..................................................................................................................................... 38
Ex-Offender ......................................................................................................................................................................... 39
Extended Services ............................................................................................................................................................... 80

F
Foster Care Youth ................................................................................................................................................................ 38
Four-Year College or University Training ............................................................................................................................. 62

G
General Assistance (State or local government) at Application .......................................................................................... 21
General Assistance (State or local government) at Exit .................................................................................................... 103
Graduate College or University ........................................................................................................................................... 61

H
Highest Educational Level Completed ................................................................................................................................ 44
Highest Elementary or Secondary School Grade Completed .............................................................................................. 45
Homeless Individual, Homeless Children and Youths, or Runaway Youth .......................................................................... 38
Hourly Wage at Employment .............................................................................................................................................. 94
Hourly Wage at Exit .......................................................................................................................................................... 101
Hourly Wage at IPE ............................................................................................................................................................. 33
Hours Worked in a Week at Employment Outcome ........................................................................................................... 94
Hours Worked in a Week at Exit ....................................................................................................................................... 101
Hours Worked in a Week at IPE .......................................................................................................................................... 33

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R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

I
Individual with a Disability .................................................................................................................................................. 25
Information and Referral Services ...................................................................................................................................... 77
Instruction in Self Advocacy ................................................................................................................................................ 57
Interpreter Services ............................................................................................................................................................ 87

J
Job Corps ............................................................................................................................................................................ 36
Job Exploration Counseling ................................................................................................................................................. 55
Job Placement Assistance ................................................................................................................................................... 75
Job Readiness Training ........................................................................................................................................................ 67
Job Search Assistance ......................................................................................................................................................... 74
Junior or Community College Training ................................................................................................................................ 63

L
Living Arrangement............................................................................................................................................................. 16
Long-Term Unemployed ..................................................................................................................................................... 37
Low Income......................................................................................................................................................................... 40

M
Maintenance ....................................................................................................................................................................... 82
Medicaid at Application ...................................................................................................................................................... 22
Medicaid at Exit ................................................................................................................................................................ 104
Medicare at Application...................................................................................................................................................... 23
Medicare at Exit ................................................................................................................................................................ 104
Migrant and Seasonal Farmworker Status .......................................................................................................................... 43
Miscellaneous Training ....................................................................................................................................................... 68

N
Native Hawaiian or Other Pacific Islander .......................................................................................................................... 14
Not Yet Eligible for Private Insurance Through Employer at Application ............................................................................ 23
Not Yet Eligible for Private Insurance Through Employer at Exit ...................................................................................... 105

119

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

O
Occupational or Vocational Training ................................................................................................................................... 64
On The Job Training ............................................................................................................................................................ 65
Other Public Support at Exit ............................................................................................................................................. 103
Other Services..................................................................................................................................................................... 88

P
Personal Assistance Services .............................................................................................................................................. 84
Primary Disability ................................................................................................................................................................ 25
Primary Occupation at Employment Outcome ................................................................................................................... 92
Primary Occupation at Exit ................................................................................................................................................. 99
Primary Occupation at IPE .................................................................................................................................................. 32
Primary Source of Support at Application .......................................................................................................................... 22
Primary Source of Support at Exit..................................................................................................................................... 103
Private Insurance Through Employer at Application .......................................................................................................... 23
Private Insurance Through Employer at Exit ..................................................................................................................... 105
Private Insurance Through Other Means at Application..................................................................................................... 24
Private Insurance Through Other Means at Exit ............................................................................................................... 106
Program Year ........................................................................................................................................................................ 8
Program Year Quarter ........................................................................................................................................................... 8
Public Insurance from Other Sources at Application .......................................................................................................... 23
Public Insurance from Other Sources at Exit .................................................................................................................... 105

R
Randolph-Sheppard Entrepreneurial Training .................................................................................................................... 69
Reader Services................................................................................................................................................................... 86
Reason for Exit .................................................................................................................................................................... 95
Registered Apprenticeship Training .................................................................................................................................... 65
Rehabilitation Technology .................................................................................................................................................. 83
Retention with the Same Employer in the Second Quarter and the Fourth Quarter –
Fourth Quarter After Exit Quarter ............................................................................................................................... 115

S
School Status ...................................................................................................................................................................... 44
Secondary Disability............................................................................................................................................................ 27

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R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

Sex ...................................................................................................................................................................................... 12
Short Term Job Supports..................................................................................................................................................... 75
Significance of Disability ..................................................................................................................................................... 28
Single Parent Status ............................................................................................................................................................ 42
Social Security Disability Insurance (SSDI) at Application ................................................................................................... 20
Social Security Disability Insurance (SSDI) at Exit ............................................................................................................. 102
Social Security Number ....................................................................................................................................................... 11
Source of Referral ............................................................................................................................................................... 19
Start Date of Employment in Primary Occupation ............................................................................................................. 93
Start Date of Employment in Primary Occupation at Exit ................................................................................................. 100
Start Date of Initial VR Service ............................................................................................................................................ 58
Start Date of Pre-Employment Transition Services ............................................................................................................. 51
Start Date of Trial Work Experience .................................................................................................................................... 29
State Definition for Age of Students with Disabilities ......................................................................................................... 43
State or Federal Affordable Care Act Exchange at Application ........................................................................................... 23
State or Federal Affordable Care Act Exchange at Exit ..................................................................................................... 105
State Postal Code of Residence........................................................................................................................................... 16
Student with a Disability ..................................................................................................................................................... 20
Supplemental Security Income (SSI) for the Aged, Blind, or Disabled at Application ......................................................... 21
Supplemental Security Income (SSI) for the Aged, Blind, or Disabled at Exit ................................................................... 102
Supported Employment Goal on Current IPE ..................................................................................................................... 30
Supported Employment Services ........................................................................................................................................ 76

T
Technical Assistance Services Including Self-Employment ................................................................................................. 85
Temporary Assistance for Needy Families (TANF) at Application ....................................................................................... 21
Temporary Assistance for Needy Families (TANF) at Exit .................................................................................................. 102
Transportation .................................................................................................................................................................... 81
Type of Employment Match – First Quarter After Exit Quarter ........................................................................................ 108
Type of Employment Match – Fourth Quarter After Exit Quarter .................................................................................... 113
Type of Employment Match – Second Quarter After Exit Quarter ................................................................................... 110
Type of Employment Match – Third Quarter After Exit Quarter ...................................................................................... 112
Type of Exit ......................................................................................................................................................................... 95
Type of Recognized Credential Attained Post-Exit ............................................................................................................ 107

121

R EPORTING M ANUAL FOR THE C ASE S ERVICE R EPORT (RSA-911)

U
Unemployment Insurance at Application ........................................................................................................................... 22
Unique Identifier................................................................................................................................................................. 10

V
Veteran ............................................................................................................................................................................... 16
Veterans' Disability Benefits at Application ........................................................................................................................ 21
Veterans' Disability Benefits at Exit .................................................................................................................................. 103
Vocational Rehabilitation .................................................................................................................................................... 36
Vocational Rehabilitation Counseling and Guidance .......................................................................................................... 73

W
Wages – First Quarter After Exit Quarter .......................................................................................................................... 109
Wages – Fourth Quarter After Exit Quarter ...................................................................................................................... 114
Wages – Second Quarter After Exit Quarter ..................................................................................................................... 111
Wages – Third Quarter After Exit Quarter ........................................................................................................................ 113
Wagner-Peyser Employment Service .................................................................................................................................. 36
White .................................................................................................................................................................................. 14
Work Based Learning Experiences ...................................................................................................................................... 55
Workers' Compensation at Application .............................................................................................................................. 21
Workers' Compensation at Exit......................................................................................................................................... 103
Workplace Readiness Training ............................................................................................................................................ 56

Y
Youth ................................................................................................................................................................................... 37
YouthBuild........................................................................................................................................................................... 37

Z
Zip Code .............................................................................................................................................................................. 18

122

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Title                           : Reporting Manual for the Case Service Report (RSA-911)
Description                     : Case Service Report
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Subject                         : RSA-911
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Reporting Manual For The Case Service Report (RSA 911) Rsa 911 2016

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