Rehabilitation Research and Training Center Program

Annual Performance Reporting (APR) System for NIDRR Grantees (RERCs, RRTCS, FIPs, ARRTs, DBTAC, DRRPs) (JS)

Att_OMB NIDRR Performance Report

Rehabilation Research and Training Centers (RRTC) Program

OMB: 1820-0675

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1820-0675 can be found here:

2013-09-11 - Extension without change of a currently approved collection

Document [pdf]

Download: pdf | pdf

National Institute on Disability and Rehabilitation Research
ANNUAL PERFORMANCE REPORT

Public Reporting Burden
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. The valid
OMB control number for this information collection is XXX-XXXX, with an expiration date of
XX/XX/XXXX. The web-based system is designed so that, whenever possible, information
entered by grantees will be carried forward from one year to the next, with only verification and
any necessary updating of that information required. The time required to complete this form is
estimated to average 50 hours per response in a grantee’s first year of award, including the time
to review instructions, search existing data resources, gather the data needed, and complete
and review the information collection. In subsequent years, grantees will be asked to update
that information, which we anticipate will require approximately 20 hours for NIDRR’s major
programs (i.e. RRTC, RERC, MS, DRRP) and 8 hours for the other program mechanisms. If
you have any comments concerning the accuracy of the time estimate(s) or suggestions for
improving this form, please write to: U.S. Department of Education, Washington, D.C. 20202465 1. If you have comments or concerns regarding the status of your individual submission of
this form, write directly to: Office of the Chief Financial Officer, U.S. Department of Education,
600 Independence Avenue, S.W., Washington, D.C. 20202-4248.

Table of Contents
The table below contains a listing of all form sections in your APR. Click the link in the "Action"
column to access each section. The "Last Updated" column displays the most recent date that
information was saved.
Section

Action

Last Updated

Contact and Identifying Information
General Information
Award Abstract
Impairment Group
Budget Information
Projected Budget Summary
NIDRR Funds Expended
NIDRR Funds Received
Rationale for Carryover from Previous Period
Rationale for Carryover to Next Period
Additional Funds
Financial and In-Kind Support from Host Institution
Funding Overview
Indirect Costs
Human Resources
Paid Staff
Formal Financial Subcontracts
Partnerships and Collaborations
Consumer Involvement
Planning for Outcomes and Significant Outputs
Short Title of Goal
Outcome-Oriented Goal
Type of Accomplishment
NIDRR Outcome Arena
Primary Target Population(s)
Relevance to Proposed Priority
Projects and Activities
Research Projects
Development Projects
Dissemination and Knowledge Translation Projects
Capacity-Building Activities
Training Projects and Activities
Technical Assistance Activities
Additional Information about Capacity-Building, Training, or
Technical Assistance Projects and Activities
Award-Specific Sections
Model Systems Clinical Care
Knowledge Translation Awards
Disability Business Technical Assistance Centers
Performance: Outputs and Associated Accomplishments
Type 1 Outputs: Publications
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Type 2 Outputs: Tools, Measures. and Intervention Protocols
Type 3 Outputs: Technology Products and Devices
Type 4 Outputs: Informational Products
Other Accomplishments and Contributions
Overall Status of Outcome-Oriented Goals

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Contact and Identifying Information
General Information (All general information will be preloaded.)
Purpose: Grantee identification
Frequency of data entry: Once with annual updates as necessary
Please complete the information on this screen so that we may verify your record in the future.
PR Award # (preloaded from log-in screen)
Reporting Period (preloaded)
DUNS #
Employee Identification Number (EIN)
NCES ID #
Grant Title (preloaded)
Program Mechanism: (preloaded)
Host Institution/Grantee Name
Grantee Street Address (limit: 500 characters)
City
State
Zip
Phone
Fax
URL
E-mail
TTY
Toll-Free Number
Please fill out the following information about the Principal Investigator.
Last name
First name
Title
Phone
E-mail
Please fill out the following information about an Administrative Contact. (This should be
different from above.)
Last name
First name
Title

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Phone
E-mail
Please fill out the following information about the Authorizing Representative/Certifying
Official (the person who signed the Application for Federal Assistance ED 524 form with
original grant application)
Last name
First name
Title
Phone
E-mail
Street Address (if different from original ED 524) (Limit: 500 characters)
City
State
Zip

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Award Abstract
In the box below, please enter/paste the abstract under which the activities of this award are
being conducted. The abstract from your NIA has been preloaded. 1
Abstract (Limit: 5,000 characters)
[Box]
If changes have been made to the original abstract 2 during this reporting period, please
complete the following:
Check all that apply.

These changes have been discussed with, and approval was granted by, my
NIDRR Project Officer.
I have uploaded the changed abstract in the above box. Note: the abstract in
the above box should be the new/changed one rather than the original.
I have submitted the revised abstract to the National Rehabilitation Information Center
(www.NARIC.com).

Impairment Group
Please select the one primary impairment group that is the focus of research in this award.
(Check only one.)

Sensory disability
Psychiatric disability
Developmental disability
Physical disability
Intellectual disability
All disability

In Year 2, change to say, “The abstract you provided last year has been preloaded.”
In Year 2, change to say, “If changes have been made to the abstract you submitted during the last
reporting period.”

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Budget Information
Purpose: Department of Education regulation
Frequency of data entry: Once with annual edits as necessary
Please complete the following Budget Information Section for the current budget period with
respect to funds that directly support this NIDDR award or funds you receive as a result of this
NIDRR award, including any carryover funds from the previous budget period. Enter all
amounts rounded to the nearest dollar.
Note: Budget period is not synonymous with reporting period. Budget period is defined as
365 days from the start date of your grant. For multiyear awards, consecutive budget periods
proceed immediately from the end of the previous budget period and are 365 days in duration.
The inclusive dates of the first budget period can be found in Block 6 of the Grant Award
Notification (GAN). Reporting period is variable. The first reporting period begins on the start
date of your award until May 31st of the following year. Subsequent reporting periods begin
June 1 (immediately following May 31) and end May 31. (This will also be found in Block 6 of
the GAN.)
1.

Projected budget summary submitted with original application

Below is the summary budget you submitted with your grant application. Refer to this
information when completing the tables below.
SECTION A - BUDGET SUMMARY – SAMPLE
U.S. DEPARTMENT OF EDUCATION FUNDS
Budget Categories

Project Year
1 (a)

Project Year
2 (b)

Project Year
3 (c)

Project Year
4 (d)
$0

Project Year
5 (e)

Total (f)

1. Personnel

2. Fringe Benefits

3. Travel

4. Equipment

5. Supplies

6. Contractual

7. Construction

8. Other

9. Total Direct Costs
(lines 1-8)

10. Indirect Costs*

11. Training Stipends

12. Total Costs (lines
9-11)

*Indirect Cost Information (To Be Completed by Your Business Office):
If you are requesting reimbursement for indirect costs on line 10, please answer the following questions:
(1) Do you have an Indirect Cost Rate Agreement approved by the Federal government? 5 Yes No
(2) If yes, please provide the following information:
Period Covered by the Indirect Cost Rate Agreement: From: 10/1/2005 To: 9/30/2007 (mm/dd/yyyy)
ED 5 Other (please specify): Health and Human Services
Approving Federal agency:
(3) For Restricted Rate Programs (check one) -- Are you using a restricted indirect cost rate that:
Is included in your approved Indirect Cost Rate Agreement? or,
Complies with 34 CFR 76.564(c)(2)?

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NIDRR funds expended

NIDRR Funds Expended
a. Actual amount of NIDRR grant expenditures during the previous budget period.
(This would be 0 if this is your first year.)
b. Estimated total amount of NIDRR grant expenditures during the current budget
period
c. Grantee cost-share amount for current budget period

NIDRR funds received

NIDRR Funds Received
a. The total amount (exclusive of supplements) of funds that you received from NIDRR
for this budget period for this award
b. The total amount of funds carried over from the previous budget period
NOTE: Rationale question follows this section.
c. The total amount of supplemental NIDRR funds added to the award in the current
budget period
d. The anticipated amount of funds carried over to next budget period. NOTE:
Rationale question follows this section.

Rationale for carryover from previous budget period (NOTE: System will display
this item only if 3.b > 0.)

If you entered any amount of carryover funds from the previous budget period to the
current budget period, briefly summarize the reason for this carryover.
[Box] (limit 20,000 characters)
5.

Rationale for carryover to next budget period (NOTE: System will display this item
only if 3.d > 0.)

If you entered any amount of anticipated funds to be carried over from the current
budget period to the next budget period, briefly summarize the reason for the anticipated
carryover.
[Box] (limit 20,000 characters)

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Additional funds

Please enter the total amount of any additional (i.e., non-NIDRR) funds in direct support
of this award during this budget period. NOTE: In-kind funding is reported later in this section.

Additional Funds Received
a. The total amount of additional (i.e., non-NIDRR) funds that you received in direct
support of this award during this budget period

Financial and in-kind support received from host institution in current budget
period

Support From Host Institution
a. Total amount of financial contributions (exclusive of in-kind) received
from host institution in support of this award in the current budget period
b. Estimated value of in-kind contributions from host institution support in
current budget period, excluding indirect costs
c. Total support

System-generated:
7a + 7b

Funding overview (exclusive of in-kind funding) for award in the current budget
period

Funding Overview
a. Total funds expended

System-generated:
2b + 2c

b. Total NIDRR funds received including carryover

System-generated:
3a + 3b + 3c

c. Total funds available or received from all sources

System-generated:
6a + 7a + 8b 3

NOTE: Total funds available or received does not include in-kind contributions.

Indirect costs
NOTE: This section must be completed by your Business Office.
a.

Are you claiming any indirect costs in association with this award?

Yes
No
3

For SBIRs, this row will be based on entries in 6a and 8b, since SBIRs do not complete item 7.

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NOTE: System will display next item only if 9.a = “yes.”
b.

Are there any changes to the Indirect Cost Rate associated with this award from
your original application (line 10 on Form ED524)?

Yes
NOTE: If you are claiming a new Indirect Cost Rate a revised budget information
form (ED524) must be submitted to NIDRR.

No
NOTE: System will display next item only if 9.b = “yes.”
c.

Please enter the following for the new Indirect Cost Rate:
Period covered by the Indirect Cost Rate Agreement
From (enter as "mm/dd/yyyy")
To (enter as "mm/dd/yyyy")

Approving Federal agency
(Check only one.)

ED
Other (specify) (Limit 250 characters)
[Box]
e.

Are you using a restricted indirect cost rate?

Yes
No
(NOTE: System will display the following item only if 9.e = “yes.”
f.

For restricted rate programs, please check all that apply:
Rate is included in your approved Indirect Cost Rate Agreement.
Rate complies with 34CFR 76.564(c)(2).

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Human Resources
Purpose: NIDRR – Capacity building metrics
Frequency of data entry: Once with annual edits as necessary
Please complete this section for all paid staff who work on this award and for all formal financial
subcontracts. Information on doctoral students and any individuals who are contributing to this
award as part of training activities is covered in the “Capacity Building and Training” section and
does not need to be entered here.
The table below lists all staff you have previously entered for this award. You have currently
entered 0 records.
Please review the records that you have previously entered and add, edit, or delete records as
necessary in order to provide an annual update. If no change to a particular record is needed,
check the box marked, “Reviewed/no changes needed.”
NOTE: If this is your first year, you will need to enter information for all paid staff who work on
this award.

Last Name

First Name

Position on
NIDRR Award

FTE in NIDRR
Award

Action
Add new
Edit
Delete

Reviewed/
No Changes
Needed

Paid Staff
a.

Identification Information

For each paid staff member, please complete the following. NOTE: Contractors
and collaborators have separate subsections.
Last name (limit 26 characters)
First name (limit 26 characters)
Position on this NIDRR award (please indicate the most appropriate category):
(Check only one.)

investigator
training professional
dissemination/knowledge translation professional
other professional staff
technician programmer, or other support staff
student (non-doctoral)
Other (specify) (Limit: 250 characters)
[Box]
FTE on this NIDRR award

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Demographic/Diversity Information

NOTE: Submitting this demographic information is voluntary. There are no
adverse consequences if you chose not to submit it. NIDRR uses this information in aggregate
reports to gauge whether our programs and other opportunities in disability and rehabilitation
research are fairly reaching and benefiting everyone regardless of demographic diversity and
to ensure that those in underrepresented groups have the same knowledge of, and access
to, programs, meetings, vacancies, and other research and educational opportunities as
everyone else.
(1)

Is this person of Hispanic or Latino ethnicity?

Yes
No
(2)

Please indicate the racial designation for this person
(Check only one.)

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
(3)

Does this person have a declared disability?

Yes
No
(NOTE: System will allow grantee to add this information or review existing records.)
Summary table of paid staff diversity
Paid Staff Diversity
a. Number of staff of Hispanic or Latino ethnicity

System-generated: based on
number of records with 2b(1) =
“yes”

b. Number of staff from underrepresented populations

System-generated: based on
number of records with 2b(2) =
other than “white”

c. Number of staff with a disability

System-generated: based on
number of records with 2b(3) =
“yes”

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Formal financial subcontracts
a.

Does the award have any financial collaborations or partnerships with other
organizations or universities that involve subcontracts?

Yes
No
(NOTE: System will display next item only if 2.a = “yes.”)
b.

Summary of formal financial subcontracts

The table below lists the records that you have previously entered in this section.
You have currently entered 0 records.
Please review the records that you have previously entered and add, edit, or delete records as
necessary in order to provide an annual update. If no change to a particular record is needed,
check the box marked, “Reviewed/no changes needed.”
NOTE: If this is your first year, you will need to complete this table and, in subsequent years,
supply any annual updates.

Name of
Subcontractor

Task or Role on This
Award*

Action
Add new
Edit
Delete

Reviewed/
No Changes Needed

* Narrative field of 1,000 characters.
For each of the formal subcontracts in direct support of the activities of this award,
please complete the following:
(1)
(2)

Name of subcontractor (narrative field, 500 characters)
Task or role on this award (limit 1,000 characters)
[Box]

NOTE: Progress on activities of the subcontract will be reported in the corresponding
section(s) under “Projects and Activities.”

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Partnerships and Collaborations
a.

Does the award have any partnerships (organizations outside your own,
including other academic institutions, nonprofit organizations, industrial or
commercial partners, state or local governments and/or other collaborators [nonpaid staff internal or external to your organization]) who have involvement in the
work on this award?

Yes
No
(NOTE: System will display next item only if 3.a = “yes.”)
b.

Summary of partnerships and collaborations

Name of Individual
or Organization

Role in This Award*

Action
Add new
Edit
Delete

Reviewed/
No Changes Needed

* Narrative field of 1,000 characters.
For each partnership, please complete the following:
(1)
(2)

Name of individual or organization (narrative field, 500 characters)
Please describe their role in the activities of this award (limit 1,000 characters)

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Consumer Involvement
Purpose: NIDRR internal monitoring of research relevance
Frequency of data entry: Once
Please answer the following question related to consumer involvement.
Describe the ways in which you have involved persons with disabilities, family members and/or
caregivers in decision-making concerning the planning, management, implementation, and
evaluation of award activities and accomplishments.
(Limit: 5,000 characters)
[Box]

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Planning for Outcomes and Significant Outputs
Purpose: Evaluation and accountability
Frequency of data entry: Once with one update
Instructions: all grantees are required to identify a limited number (1-2 / 2-4) of reasonably
ambitious outcome-oriented goals that they intend to achieve by the end of the funding cycle.
Each goal must specify what you intend to accomplish and should be written in terms of any of
the following: significant outputs, advances in knowledge, increased capacity for research,
training or knowledge translation, and/or changes/improvements in policy, practice, or systems
capacity. Each goal must also be targeted on one of NIDRR’s three outcome arenas: health
and function, community living and participation, or employment. If the objectives of your award
span more than one outcome arena, you need to write a separate goal for each arena.
In this section, you will provide a brief 2-3 sentence description of the (1-2 / 2-4) “most
important” outcome-oriented goals you plan to achieve by the end of the funding cycle.
Grantees will be allowed to update and/or revise their goals up to, and through, the second year
of their funding cycle, after which time the fields in this section will be locked.
NOTES: System to insert “1-2” for ARRTs, FIPs, Switzers, and SBIR Phase IIs, and “2-4” for
RERCs, RRTC, DRRPs, DBTACs, Model Systems, and KT projects. System will assign a
unique ID number, which can be referenced in subsequent sections of the APR, to each goal.
The table below lists the goals that you have previously identified for this award. You have
currently entered 0 records.

Goal Number

Short Title

Action
Add new
Edit
Delete

Reviewed/No
Changes Needed

If this is Year 2 of your award, you should review the records that you have previously entered
and finalize your goals by adding, editing, or deleting records as necessary. If there are no
changes to your previously submitted outcome goals for this award, click the “Reviewed/no
changes needed” button for each goal and then click “Save and continue.”
After Year 2, the fields in this section will be locked and you will not be able to add, edit, or
delete goals.
1.

Provide a short title (limit: 75 characters) for this outcome-oriented goal. This title will
appear later in other questions that refer to this goal.

Provide a brief 2-3 sentence description of this outcome-oriented goal. (Limit: 1,000
characters)
[Box]

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Select the type of accomplishment that best describes this goal.
(Choose only one)
Significant output —publications, tools, measures, intervention protocols, completed
services, products, or promising findings that are delivered or disseminated to external
audiences
Advances in knowledge—changes or improvements in awareness, knowledge,
understanding, skills and/or attitudes
Increased capacity to conduct and/or use high-quality research, or progression of trainees
in academic stature
Changes or improvements in policy, practice, behavior, or system capacity (e.g., access,
practice guidelines, State or Federal regulations)

Please see the instructions for guidelines concerning, and examples of, each of the four
types of accomplishments for major NIDRR grant programs.
4.

Select the NIDRR Outcome Arena that corresponds most closely to the topical area in
which the accomplishments will occur. This question changes the unit of analysis from
classifying the goal to the accomplishments that result from the goal. NOTE:
Accomplishments that result from Technology, Capacity-Building, and/or Knowledge
Translation activities are also expected to fit into the following Outcome Arenas.
(Check only one)

health and function
employment
participation and community living
demographics
5.

Select the 1-2 primary target population(s) that you anticipate will benefit most directly
from the anticipated accomplishment, or that you must reach in order to achieve the
goal.
a.

Researchers

Practitioners/clinicians

Service providers

Educators

Policy experts

Federal & non-federal partners

Industry representatives and/or product developers

Employers

Media

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Consumer advocates

Individuals with disabilities and/or family members

Other (specify) (Limit: 250 characters)
[Box]

Briefly describe how the goal is related to the proposed priority. A complete response to
this item should include a brief description of the problem you are trying to solve, the gap
you expect to fill, and how the target population will benefit from accomplishment of this
goal.
Problem to be solved (limit: 1,000 characters)
[Box]
Gap expected to be filled (limit: 1,000 characters)
[Box]
How the target population will benefit from accomplishment of this goal (limit:
1,000 characters)
[Box]

NOTE: System will automatically take respondent back to summary table at the beginning of
this section, in order to add, edit, or delete goals.

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Projects and Activities
This section is devoted to the progress on the various activities and projects of your award.
NIDRR recognizes that not all grantees have organized their work under the term “project.” We
ask that you group related activities or tasks and report on the progress in the following
sections. Please complete the appropriate subsection for each of your projects.
For Research Projects, click here.
For Development Projects, click here.
For Dissemination and Knowledge Translation Projects and Activities, click here.
NOTE: System will not display this option for KT grantees.
For Capacity Building Activities, click here.
For Training Projects, click here.
For Technical Assistance Activities, click here.
If, after completing the appropriate subsections for your capacity-building, training, and
technical assistance projects and activities, you have additional accomplishments in those areas
to report, click here.
NOTE: System will allow grantee to return to this Table of Contents and access as many of
each type of project, and as many types of projects, as necessary. Most will need to report
multiple types of projects.

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Research Projects
Purpose: NIDRR project monitoring
Frequency of data collection: Once with annual progress updates
For each research project you have, answer the following questions. Where appropriate, you
may cut and paste information from your original grant proposal.
The table below lists all records you have entered in this section. You have currently entered 0
records.
Please review the records that you have previously entered and add, edit, or delete records as
necessary in order to provide an annual update. If no change to a particular record is needed,
check the box marked, “Reviewed/no changes needed.”
NOTE: If this is your first year, you will need to enter information for all of your projects.

Project Title
Sample project R1

Edit Title/
Delete Project

Edit Project
Information

Edit
Delete

Edit

Reviewed/
No Changes Needed

Add new

NOTE: System will assign a sequential number to each project, and the sequential number will
appear in the summary table.

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Provide a short title for this research project (limit 75 characters). This title will appear
later in other questions that reference this project.

Full title of research project (Limit 500 characters):
[Box]

Name of the Principal Investigator responsible for this project (limit 52 characters)
[Box]

If applicable, name of the Co-Principal Investigator responsible for this project (limit 52
characters)
[Box]

Project start date (enter as "mm/dd/yyyy")

Projected (or actual) project end date (enter as "mm/dd/yyyy")

What is the current status of your research project?
(Check only one)

on time
delayed
completed
not scheduled to start yet
dropped [NOTE: Projects cannot be dropped without NIDRR approval]
timeline extended
If 'delayed,' by how many months?
If ‘delayed,” what was the primary reason for the delay? (Limit: 1,000 characters)
If ‘dropped,' what was the major reason for dropping it? NOTE: Projects cannot be
dropped without project officer approval. (Limit: 1,000 characters)
8.

What is the Institutional Review Board status for this research project? (Select the best
answer.)
(Check only one)

approved
pending
submitted
not yet submitted
N/A
If ‘approved,’ enter:

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The IRB annual approval number
Date of approval (enter as "mm/dd/yyyy")
9.

Please select the National Science Foundation (NSF) response category that best
applies to this project. For definitions of response categories and more information on
the NSF survey, see
http://www.nsf.gov/statistics/showsrvy.cfm?srvy_CatID=4&srvy_Seri=10
(Check only one)

engineering
life sciences
psychological sciences
social sciences
10.

Briefly describe the objectives of this project. (Limit: 1,000 characters)
[Box]

11.

Based on the objectives listed in Question 10, what one NIDRR Long-Range Plan
Domain does this project best fit in?
(Check only one)

employment
health and function
community living and participation
technology
demographics/methods
12.

Below are the outcome-oriented goals you specified for your award. Select the one goal
that this project helps to achieve.
(Check only one)

Goal 1
Goal 2
Goal 3 [short title, as previously entered by grantee]
13.

In one or two sentences, briefly describe the study population for this project. (Limit:
1,000 characters)

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[Box]
14.

What is your proposed sample size for this project?

15.

What sample size have you achieved to date?

16.

Have there been any changes to the proposed sample size? NOTE: All changes must
be discussed with your project officer.
yes

no
If 'yes,' please describe the changes. (Limit: 1,000 characters)
[Box]
17.

What method(s) or design(s) does the project use to obtain its information? Check all
that apply.
a.

Survey

Observation

Case studies

Focus groups

Secondary analysis

Meta-analysis

Intervention study
(Check type of intervention study design)
Experimental or randomized control design
Quasi-experimental design
Single-subject design

Other (specify) (limit 250 characters)
[Box]

18.

What time dimension is associated with this study?
(Check only one)

cross-sectional
longitudinal
19.

Have there been any changes to your proposed plan and methods during the current
reporting period?

yes
no

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If ‘yes’: In two or three sentences, explain the reason for the changes: (Limit: 1,000
characters)
[Box]
20.

Describe your overall progress in implementing this project during the reporting period.
Focus on what activities have been conducted and, if applicable, describe any promising
findings or “lessons learned” in the current reporting period. (Limit: 5,000 characters)
[Box]

21.

Is the project meeting its original sampling goals?

yes
no
If 'no,' what is the contingency plan for how the project will proceed? (Limit:1,000
characters)
[Box]
22.

Other than sample size, briefly describe any significant problems or challenges you
encountered and summarize the actions you took to remedy them. (Limit: 1,000
characters)
If you do not have any significant problems or challenges to report, check this box.
[Box]

23.

Please update us on the status of problems or challenges that you reported in previous
Annual Performance Reports: (Limit: 5,000 characters)
[Box]

System will automatically take respondent back to summary table at the beginning of this
section, in order to add, edit, or delete projects.

Table 1. Research Project Summary Table (system-generated)
List of project titles (sequential project number and project title):
R1: Sample project title 1
R2: Sample project title 2
Projects
Start date (Q5)
Actual /projected end date
(Q6)
Project status (Q7)
IRB status (Q8)

mm/dd/yyyy
mm/dd/yyyy

On-time
Approved

Completed
Pending

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Projects
IRB annual approval
Number (Q8)
IRB annual approval date
(Q8)
Long-range plan domain
(Q11)
Changes to sample size
(Q16)
Meeting its original
sampling goals (Q21)
Project method or design
(Q17)

Study time-dimension
(Q18)
Changes to proposed plan
or method (Q19)

Employment

Health and function

Yes

Survey
Observation

Cross-sectional

Intervention Study:
Experimental or
Randomized Control
Design
Longitudinal

Yes

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Development Projects
Purpose: NIDRR project monitoring
Frequency of data collection: Once with annual progress updates
For each development project you have, answer the following questions. Where appropriate,
you may cut and paste information from your original grant proposal.
The table below lists all development projects you have previously reported for this award. You
have currently entered 0 records.
Please review the records that you have previously entered and add, edit, or delete records as
necessary in order to provide an annual update. If no change to a particular record is needed,
check the box marked, “Reviewed/no changes needed.”
NOTE: If this is your first year, you will need to enter information for all of your projects.

Project Title

Edit Title/
Delete Project

Edit Project
Information

Edit
Delete

Edit

Sample project D1

Reviewed/
No Changes Needed

Add new

NOTE: System will assign a sequential number to each project, and the sequential number will
appear in the summary table.
1.

Title of development project (Limit 500 characters):
[Box]

Name of the Principal Investigator responsible for this project (Limit 56 characters)
[Box]

If applicable, name of the Co-Principal Investigator responsible for this project (Limit 56
characters)
[Box]

Project start date (enter as "mm/dd/yyyy")

Projected (or actual) project end date (enter as "mm/dd/yyyy")

What is the current status of your development project?
(Check only one)

on time
delayed
completed

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not scheduled to start yet
dropped [NOTE: Projects cannot be dropped without NIDRR approval]
timeline extended
If 'delayed,' by how many months?
If ‘delayed,” what was the primary reason for the delay? (Limit: 1,000 characters)
If ‘dropped,' what was the major reason for dropping it? NOTE: Projects cannot be
dropped without NIDRR approval. (Limit: 1,000 characters)
7.

What is the Institutional Review Board status for this development project? (Select the
best answer.)
(Check only one)

approved
pending
submitted
not yet submitted
N/A
If ‘approved,’ enter:
The IRB annual approval number
Date of approval (enter as "mm/dd/yyyy")
8.

Briefly describe the objectives of this project. (Limit: 1,000 characters)
[Box]

Based on the objectives listed in Question 8, what one NIDRR Long-Range Plan Domain
does this project best fit in?
(Check only one)

employment
health and function
community living and participation
technology
demographics/methods

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10.

Below are the outcome-oriented goals you specified for your award. Select the one goal
that this project helps to achieve.

Goal 1
Goal 2
Goal 3 [short titles, as previously entered by grantee]
11.

In one or two sentences, briefly describe the potential users of your product or device.
(Limit: 1,000 characters)
[Box]

12.

What stage of the development process are you in during this reporting period? NOTE:
This question assumes that you have already recognized and defined the problem in
your proposal.
If necessary, choose up to two stages.
a.

Information gathering on constraints, specifications, materials, etc.

Analysis of information to generate solutions

Evaluation of solutions and synthesis of best solution

Implementation of solution

Evaluation of effectiveness and efficiency of solution and redesign as needed

13.

Overall, how many target users are going to provide feedback on your product or
device?

14.

Have you reached the desired number of users you need to test your product or device?

yes
no
If 'no,' indicate how many more users you need.
15.

Have there been any changes to your proposed plan and methods during the current
reporting period?

yes
no
If ‘yes’: In two or three sentences, explain the reason for the changes: (Limit: 1,000
characters)
[Box]

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16.

Describe your overall progress in implementing this project during the current reporting
period. Focus on what activities have been conducted and, if applicable, describe any
preliminary “lessons learned” in the current reporting period. (Limit: 5,000 characters)
[Box]

17.

Briefly describe any significant problems or challenges you encountered and summarize
the actions you took to remedy them. (Limit: 1,000 characters)
If you do not have any significant problems or challenges to report, check this box.
[Box]

18.

Please update us on the status of problems or challenges that you reported in previous
Annual Performance Reports: (Limit: 5,000 characters)
[Box]

System will automatically take respondent back to summary table at the beginning of this
section, in order to add, edit, or delete projects.

Table 2. Development Project Summary Table (system-generated)
List of project titles (sequential project number and project title):
D1: Sample project title 1
D2: Sample project title 2

Projects
Start date (Q4)
Actual /projected end date
(Q5)
Project status (Q6)
IRB status (Q7)
IRB annual approval Number
(Q7)
IRB annual approval date (Q7)
Long-range plan domain (Q9)
Stage of development project
is in (Q12)
Number of target users in
current reporting period (Q13)
Desired number of users
reached (Q14)
Changes to proposed plan or
method (Q15)

(Sequential Project
Number)
D1
mm/dd/yyyy
mm/dd/yyyy

(Sequential Project
Number)
D2
mm/dd/yyyy
mm/dd/yyyy

On-time
Approved

Completed
Pending

Employment
Information gathering
5

Health and function
Evaluation of solutions and
synthesis of best solution
10

Yes

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Dissemination and Knowledge Translation Projects
Purpose: NIDRR project monitoring
Frequency of data collection: Once with annual progress updates
In this section, please answer the following questions about your dissemination and knowledge
translation activities and how they support each of the award-level goal(s) you specified in the
outcomes planning section. If you specified more than one award-level outcome goal, you will
be required to answer the same three questions again.
Goal 1 for this award: (system-generated)
1.

Describe the dissemination and knowledge translation activities you are conducting, or
plan to conduct, to support the achievement of the above goal. (Limit: 5,000 characters)
[Box]

For the current reporting period, describe the progress you have made in conducting the
activities described in the first question. (Limit: 5,000 characters)
[Box]

If you encountered problems or challenges in the current reporting period, what actions
have you taken to address them?
If you do not have any problems or challenges to report, check this box.
[Box]

(System will display other goals entered by the grantee, if applicable, and repeat the three
questions above for each goal.)

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Capacity-Building Activities
Purpose: NIDRR project monitoring
Frequency of data entry: Once with annual progress updates
Please complete the following section with respect to your capacity-building activities.
Fellows
Number of fellows in the current reporting period:
1.
Number of fellows proposed for the current reporting period
2.

Number of fellows who have completed the fellowship program in the current reporting
period

The table below lists all the fellows you have previously reported for this award. You have
currently entered 0 records.
Please review the records that you have previously entered and add, edit, or delete records as
necessary in order to provide an annual update. If no change to a particular record is needed,
check the box marked, “Reviewed/no changes needed.”
NOTE: If this is your first year, you will need to enter information for all of your fellows.

Name of Fellow
Fellow 1

Edit Name/
Delete Fellow

Edit Fellow’s
Information

Edit
Delete

Edit

Reviewed/
No Changes Needed

Add new

For each current fellow, enter the following information:
3.

Last name of fellow: (Limit: 26 characters)
[Box]

First name of fellow: (Limit: 26 characters)
[Box]

Fellows—Demographic/diversity information
The next series of questions asks for demographic information about the particular
fellow. Submitting this demographic information is voluntary. There are no adverse
consequences if you chose not to submit it. NIDRR uses this information in aggregate
reports to gauge whether our programs and other opportunities in disability and
rehabilitation research are fairly reaching and benefiting everyone regardless of
demographic diversity and to ensure that those in underrepresented groups have the
same knowledge of and access to programs, meetings, vacancies, and other research

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and educational opportunities as everyone else.
a.

Is this person of Hispanic or Latino ethnicity?

yes
no
b.

Please indicate the racial designation for this person
(Check only one.)

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
c.

Does this person have a declared disability?

yes
no
6.

Select the highest degree earned by the fellow.
(Check only one)

Master's
Doctorate
MD
DO
JD
other
joint degree [e.g., MD, Ph.D., etc.)
If joint degree, specify: (Limit: 30 characters)
[Box]
7.

Please tell us the discipline/subject area in which the highest degree was received:
(Limit: 2 sentences or 1,000 characters)
[Box]

When did the fellow start the program? (enter as "mm/dd/yyyy")

What is the fellow’s anticipated end date (enter as "mm/dd/yyyy")

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10.

Name of fellowship program:

ARRT
other
If other, specify (limit: 250 characters)
[Box]
11.

Briefly describe the ARRT fellow’s area of focus. (Limit: 1,000 characters)
[Box]
NOTE: This item is for ARRTs only.

12.

Briefly describe the non-ARRT fellow’s major role or contribution to grant/award in the
current reporting period. (Limit: 1,000 characters)
[Box]
NOTE: This item is for all non-ARRT grantees only.
NOTE: System will allow grantee to report as many fellows as necessary.

Graduate students
13.

Number of graduate students you have working on your award in the current reporting
period:

The table below lists all the graduate students you have previously reported for this award. You
have currently entered 0 records.
Please review the records that you have previously entered and add, edit, or delete records as
necessary in order to provide an annual update. If no change to a particular record is needed,
check the box marked, “Reviewed/no changes needed.”
NOTE: If this is your first year, you will need to enter information for all of your graduate
students.

Name of
Graduate Student
Fellow 1

Edit Name/
Delete Graduate
Student

Edit Graduate
Student’s Information

Reviewed/
No Changes Needed

Edit
Delete
Add new

For each current graduate student enter the following information:
14.

Last name of graduate student: (Limit: 26 characters)
[Box]
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15.

First name of graduate student: (Limit: 26 characters)
[Box]

16.

Graduate students—Demographic/diversity information
The next series of questions asks for demographic information about the particular
graduate student. Submitting this demographic information is voluntary. There are no
adverse consequences if you chose not to submit it. NIDRR uses this information in
aggregate reports to gauge whether our programs and other opportunities in disability
and rehabilitation research are fairly reaching and benefiting everyone regardless of
demographic diversity and to ensure that those in underrepresented groups have the
same knowledge of and access to programs, meetings, vacancies, and other research
and educational opportunities as everyone else.
a.

Is this person of Hispanic or Latino ethnicity?

yes
b.

no
Please indicate the racial designation for this person
(Check only one.)

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
c.

Does this person have a declared disability?
yes

no
17.

Select the highest degree earned by the graduate student.
(Check only one)

Master's
Doctorate
MD
DO
JD
other
joint degree [e.g., MD, Ph.D., etc.)

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If joint degree, specify: (Limit: 30 characters)
[Box]
18.

Please tell us the discipline/subject area in which the highest degree was received:
(Limit: 2 sentences or 1,000 characters)
[Box]

19.

When did the graduate student start working on the award? (enter as "mm/dd/yyyy")

20.

When will the graduate student stop working on the award? (enter as "mm/dd/yyyy")

21.

In two to three sentences, briefly describe the graduate student’s major role of
contribution to grant/award in the current reporting period. (Limit: 1,000 characters)
[Box]
NOTE: System will allow grantee to report as many graduate students as necessary.

Summary tables on capacity-building (system-generated)
Table 3. Demographic diversity of fellows
Number
Fellows of Hispanic or Latino ethnicity

System-generated: based on number of
records with 5.a=”yes”

Fellows from underrepresented populations*

System-generated: based on number of
records with 5.b=”yes”

Fellows with a disability

System-generated: based on number of
records with 5.c=”yes”

* Includes all categories except white/Caucasian.

Table 4. Demographic diversity of graduate students
Number
Graduate students of Hispanic or Latino
ethnicity

System-generated: based on number of
records with 16.a=”yes”

Graduate students from underrepresented
populations*

System-generated: based on number of
records with 16.b=”yes”

Graduate students with a disability

System-generated: based on number of
records with 16.c=”yes”

* Includes all categories except white/Caucasian.

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Performance of fellows and graduate students
In this section we ask about the performance of your fellows and graduate students. List the
publications based on NIDRR-funded research, published in the current reporting period, that
were authored by fellows and/or graduate students who are currently part of your training
program or have been in the past 3 years. The fellow or graduate student need not have been
the first author, so long as he or she is listed among the authors of the publication.
Include only publications supported by NIDRR funding that are related to the objectives of the
current award.
NOTE: Publications you enter here will be carried forward to the Performance Section, and will
automatically appear there.
NIDRR-funded publications produced by fellows in the current reporting period
22.

Publications produced by fellows
a.

Name of fellow:
Last name: (Limit: 26 characters)
First initial: (Limit: 2 characters)
Middle initial: (Limit: 2 characters)

Provide a full citation for each publication produced by this fellow. To add a new
citation, please select the category that best describes the publication from the
drop-down box below, then click the "Next" button.
Type of publication:
(Check only one)

journal article or periodical
web journal
proceedings of meetings and symposia
book
book chapter
monograph
abstract
technical or research report
review

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NOTE: System will display APA-required fields based on publication type, which are as
follows:
Journal article or periodical: For all authors--author’s last name, author’s first initial(s), year
published, title of article, title of journal, volume, page numbers
Web journal: same fields as above.
Proceedings of meetings and symposia: For all authors--author’s last name, author’s first
initial(s), year published, title of paper/presentation, title of
conference/meeting/symposium, editors (first initial, last name), page numbers, location,
publisher
Book: For all authors--author’s last name, author’s first initial(s), year published, title of book,
location, publisher
Book chapter: For all authors--author’s last name, author’s first initial(s), year published, title
of chapter, editors (first initial, last name), title of book, page numbers, location, publisher
Monograph: For all authors—author’s last name, author’s first initial(s), year published, title of
article, title of journal, volume, issue number, serial or whole number (enter as ‘Serial No.
219’), supplement or part number (if bound separately as a supplement to a journal)
Abstract: For all authors—author’s last name, author’s first initial(s), year published, title of
abstract, title of journal, volume, page numbers
Technical or research report: For all authors--author’s last name, author’s first initial(s), year
published, title of report, location, publisher
Review: For all authors--author’s last name, author’s first initial(s), year published, title of
review, medium being reviewed (radio buttons: book, motion picture), work being
reviewed, title of journal, volume, page numbers

(If publication type=journal article or periodical, or proceedings) Is this a peerreviewed publication? (drop-down box: yes, no)
yes

no
Indicate the time frame or award cycle when the NIDRR-funded research and
related activity described in the publication was conducted.
(Check only one)

current funding cycle
immediate past funding cycle
previous funding cycle (not consecutive)
e.

Indicate whether the publication has been sent to NARIC for inclusion in
REHABDATA. (To check the status of this publication in NARIC, click on
http://www.naric.com/research/rehab/default.cfm.)
yes

no
(System will allow grantee to add additional publications for this and other
fellows.)

37 of 68

NIDRR-funded publications produced by graduate students in the current reporting
period
23.

Publications produced by graduate students:
a.

Name of graduate student:
Last name: (Limit: 26 characters)
First initial: (Limit: 2 characters)
Middle initial: (Limit: 2 characters)

Provide a full citation for each publication produced by this graduate student. To
add a new citation, please select the category that best describes the publication
from the drop-down box below, then click the "Next" button.
Type of publication:
(Check only one)

journal article or periodical
web journal
proceedings of meetings and symposia
book
book chapter
monograph
abstract
technical or research report
review

NOTE: System will display APA-required fields based on publication type, which are shown
above under “fellows.”

Indicate the time frame or award cycle when the NIDRR-funded research and
related activity described in the publication was conducted.
(Check only one)

current funding cycle
immediate past funding cycle
previous funding cycle (not consecutive)

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Indicate whether the publication has been sent to NARIC for inclusion in
REHABDATA. (To check the status of this publication in NARIC, click on
http://www.naric.com/research/rehab/default.cfm.)

yes
no
(System will allow grantee to add additional publications for this and other
graduate students.)
24.

Are there any other accomplishments or outputs from your capacity-building efforts that
you would like to tell NIDRR about (e.g., poster presentations, successful other grant
applications, etc.)? (Limit: 10,000 characters)
[Box]

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Training Projects
Purpose: NIDRR project monitoring
Frequency of data collection: Once with annual progress updates
NOTE: DBTACs do not complete this section.
If you proposed specific training projects in your original proposal, please report on those here.
If you did not, you may regroup your training activities into projects of like tasks.
The table below lists all records you have entered in this section. You have currently entered 0
records.
Please review the records that you have previously entered and add, edit, or delete records as
necessary in order to provide an annual update. If no change to a particular record is needed,
check the box marked, “Reviewed/no changes needed.”
NOTE: If this is your first year, you will need to enter information for all of your projects.

Project Title

Edit Title/
Delete Project

Edit Project
Information

Edit
Delete

Edit

Sample project T1

Reviewed/
No Changes Needed

Add new

NOTE: System will assign a sequential number to each project, and the sequential number will
appear in the summary table.
1.

Enter the project title: (Limit: 2-3 sentences, or 1,000 characters)
[Box]

Name of person responsible for the project: (Limit: 52 characters)
[Box]

Type of project:
(Check only one)

workshop
webcast
presentation
training course
curricula development
training manual development
planning conducting, or sponsoring a conference
other

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If other, specify: (Limit: 2-3 sentences or 1,000 characters)
[Box]
4.

What is the status of the project?
(Check only one)

In one or two sentences, briefly describe the objective(s) of the project. (Limit: 1-2
sentences or 1,000 characters)

Select the 1-2 primary target audiences for this project.
Choose no more than two.
a.

Researchers

Practitioners/clinicians

Service providers

Educators

Policy experts

Federal & non-federal partners

Industry representatives and/or product developers

Employers

Media

Consumer advocates

Individuals with disabilities and/or family members

Other (specify) (limit 250 characters)

41 of 68

7. Which of your outcome-oriented goals does this project help to achieve?
Check only one
Goal 1

Goal 2
Goal 3 [short titles, as previously entered by grantee]
8.

What steps have you taken to evaluate the impact of this training project?
Check all that apply
a.

None

Key informant interviews

Customer satisfaction survey

Pre/post design

Quasi-experimental

Other (specify in 1-2 sentences [Limit: 1,000 characters])
[Box]

What did you learn from this evaluation? (Limit: 5,000 characters)
[Box]

Table 5. Training Project Summary Table (system-generated)
List of project titles (sequential project number and project title):
T1: Sample project title 1
T2: Sample project title 2
Projects
Type of project (Q3)
Project status (Q4)
Target audience(s) (Q6)

T1
Workshop
On schedule
Researchers

T2
Training course
Completed
Media
Consumer advocates

Technical Assistance Activities
Purpose: NIDRR project monitoring
Frequency of data collection: Once with annual progress updates

In this section, we ask about your technical assistance activities in the current reporting period.
1.

In the current reporting period, what was the most frequently used method of delivering
technical assistance?

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(Check only one)

phone consultation
e-mail
the Web
in-person
other
If other, specify in 1-2 sentences (Limit: 1,000 characters)
2.

From the list below, select the primary audiences that most often requested technical
assistance.
Choose up to 2 audiences.
a.

Researchers

Practitioners/clinicians

Service providers

Educators

Policy experts

Federal & non-federal partners

Industry representatives and/or product developers

Employers

Media

Consumer advocates

Individuals with disabilities and/or family members

Other (specify) (Limit: 250 characters)

Briefly describe the nature of the technical assistance you provided to the audience(s)
identified in question 2. (Limit: 1,000 characters)
[Box]

Briefly comment on how the technical assistance provided in the current reporting period
related to the goals of your award. (Limit: 1,000 characters)
[Box]

Additional information about Capacity Building, Training, or Technical Assistance
Projects and Activities
Purpose: NIDRR project monitoring
Frequency of data collection: Once with annual progress updates
1.

Please comment on any other accomplishments of your capacity building, training, or
technical assistance activities or projects that happened in the current reporting period.
(Limit: 5,000 characters)

43 of 68

[Box]

44 of 68

Award-Specific Sections for Model Systems Clinical Care, Knowledge Translation
Awards, and Disability Business Technical Assistance Centers
(System will present appropriate section for these three types of grantees.)
Clinical Care (Model Systems Only)
Purpose: NIDRR project monitoring
Frequency of data collection: Annual
1.

Number of new patients enrolled in the database during the reporting period

Number of patients followed up during the reporting period

Briefly describe how R&D findings of your current Model Systems grant are used, or
their anticipated use, in the clinical care setting. (Limit: 1,000 characters)
[Box]

45 of 68

Knowledge Translation Awards
Purpose: NIDRR project monitoring
Frequency of data collection: Once with annual updates
In this section, we ask you to answer some basic questions about your Knowledge Translation
(KT) projects. For our purposes, a project can be either a formal project or a group of related
activities or tasks. You are not required to group activities or tasks in the same way they
were grouped in the original proposal. You may report up to 3 KT projects.
The table below lists all records you have entered in this section. You have currently entered 0
records.
Please review the records that you have previously entered and add, edit, or delete records as
necessary in order to provide an annual update. If no change to a particular record is needed,
check the box marked, “Reviewed/no changes needed.”
NOTE: If this is your first year, you will need to enter information for all of your projects.

Project Title
Sample project K1

Edit Title/
Delete Project

Edit Project
Information

Edit
Delete

Edit

Reviewed/
No Changes Needed

Add new

Title of this KT project (Limit 500 characters):
[Box]

Name of the person responsible for this project (Limit 56 characters)
[Box]

Type of project:
Check one.

Research on or related to KT (e.g., developing KT models and methods, evaluating
dissemination strategies, developing standards of evidence grading, etc.)
NOTE: If this option is selected, grantee will be redirected to Research Projects
Question 4 and should complete the balance of the Research Projects section.

Conducting KT (e.g., evaluating and aggregating research, activity disseminating
products or devices, etc.)

NOTE: If this option is selected, grantee should complete balance of this section.
.
Project start date (enter as "mm/dd/yyyy")

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Actual or projected project end date (enter as "mm/dd/yyyy")

What is the current status of this project?
(Check only one)

on time
delayed
completed
not scheduled to start yet
dropped [NOTE: Projects cannot be dropped without NIDRR approval]
timeline extended
If 'delayed,' by how many months?
If ‘delayed,’ what was the primary reason for the delay? (Limit: 1,000 characters)
If ‘dropped,' what was the major reason for dropping it? NOTE: Projects cannot be
dropped without NIDRR approval. (Limit: 1,000 characters)
7.

Briefly describe the objective(s) of this KT project. (Limit: 1,000 characters)
[Box]

In order to achieve the objective(s) you describe, you may be using any number of
possible strategies. In the list below, check all the strategies that you are currently using
to achieve the objective(s) of the current project.
Check all that apply.
a.

Evaluate, aggregate, and/or categorize research

Develop technology and/or information-based products

Actively disseminate technology products

Actively disseminate information-based products; e.g., fact sheets,
systematic reviews, information on devices, or marketing materials

Evaluate the usefulness of technology products

Evaluate the usefulness of information-based products

Increase users’ ability to locate, assess, and utilization information-based
products or devices

Utilize feedback from users to refine or generate ideas, questions,
hypotheses, or theories

Other strategy (please briefly describe [limit: 1,000 characters])
[Box]

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Describe your overall progress in implementing this project during the current reporting
period (including any significant problems or challenges you encountered and the
actions you took to remedy them). (Limit: 5,000 characters)
[Box]

10.

Describe any preliminary findings or “lessons learned” in the current reporting period.
(Limit: 5,000 characters)
[Box]

11.

Please update us on the status of problems or challenges that you reported in previous
Annual Performance Reports: (Limit: 5,000 characters)
[Box]
(System will allow grantee to report up to 3 KT projects)

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Disability Business Technical Assistance Center Awards
Purpose: NIDRR project monitoring
Frequency of data collection: Once with annual updates
In this section, please report on the technical assistance, training, and dissemination activities
that you conduct for this award.
DBTACs--Technical Assistance Activities
1.

Please describe the nature and frequency of the following technical assistance that you
have conducted in this reporting period.
(Check all that apply and enter volume [i.e., total number during this reporting period for
each activity.)
a.

Phone calls

Volume:

In-person

Volume:

Other, specify (limit: 250 characters)

Volume:

[Box]
2.

Do you maintain or contribute to a Web site for technical assistance activities?
If yes, Web site address:

Please indicate the top two target audiences for your technical assistance activities.
Select only two, based on volume.
a.

Researchers

Practitioners/clinicians

Service providers

Educators

Policy experts

Federal and non-federal partners

Industry representatives and/or product developers

Employers

Media

Consumer advocates

Individuals with disabilities and/or family members

Business groups

State/local government agencies

Code officials responsible for physical accessibility requirements

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Architects and design professionals

Attorneys or other legal professionals

Other (specify) (Limit: 250 characters)

Please elaborate on any problems or challenges that you encountered and your actions
to remedy these challenges in the provision of technical assistance during this reporting
period. (Limit: 5,000 characters)
[Box]

DBTACs—Training Projects
If you proposed specific training projects in your original proposal, please report on those here.
If you did not, you may regroup your training activities into projects of like tasks.
The table below lists all records you have entered in this section. You have currently entered 0
records.
Please review the records that you have previously entered and add, edit, or delete records as
necessary in order to provide an annual update. If no change to a particular record is needed,
check the box marked, “Reviewed/no changes needed.”
NOTE: If this is your first year, you will need to enter information for all of your projects.

Project Title

Edit Title/
Delete Project

Edit Project
Information

Edit
Delete

Edit

Sample project D1

Reviewed/
No Changes Needed

Add new

Enter the project title: (Limit: 2-3 sentences, or 500 characters)
[Box]

Name of person responsible for the project: (Limit: 52 characters)
[Box]

Type of project:
(Check only one)
workshop

webcast
presentation
training course
curricula development

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training manual development
planning
conducting, or sponsoring a conference
distance learning curricula
other
If other, specify: (Limit: 2-3 sentences or 1,000 characters)
[Box]
8.

What is the status of the project?
(Check only one)

on time
delayed
completed
not scheduled to start yet
dropped [NOTE: Projects cannot be dropped without NIDRR approval]
timeline extended
If 'delayed,' state the major reason why: (Limit: 1-2 sentences or 1,000 characters)
[Box]
9.

In one or two sentences, briefly describe the objective(s) of the project. (Limit: 1-2
sentences or 1,000 characters)
[Box]

10.

Select the 1-2 primary target audiences for this project.
Choose no more than two.
a.

Researchers

Practitioners/clinicians

Service providers

Educators

Policy experts

Federal & non-federal partners

Industry representatives and/or product developers

Employers

Media

Consumer advocates

Individuals with disabilities and/or family members

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Business groups

State/local government agencies

Code officials responsible for physical accessibility requirements

Architects and design professionals

Attorneys or other legal professionals

Other (specify) (limit 250 characters)

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11.

What steps have you taken to evaluate the impact of this training project?
Check all that apply
a.

None

Key informant interviews

Customer satisfaction survey

Pre/post design

Quasi-experimental

Other (specify in 1-2 sentences [Limit: 1,000 characters])
[Box]

12.

What did you learn from this evaluation? (Limit: 5,000 characters)
[Box]
(System will allow grantee to report as many training projects as needed.)

Table 6. DBTACs--Training Project Summary Table (system-generated)
List of project titles (sequential project number and project title):
T1: Sample project title 1
T2: Sample project title 2
Projects
Type of project (Q7)
Project status (Q8)
Target audience(s) (Q10)

T1
Workshop
On schedule
Researchers

T2
Training course
Completed
Media
Consumer advocates

DBATCs--Dissemination
13.

What materials did you disseminate during this reporting period? Enter the number of
copies of DBTAC-generated and non-DBTAC-generated materials distributed by
electronic and other means.

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Table 7. Materials disseminated
Number of Copies Disseminated
DBTAC-Generated
Type of Materials

Electronic

Other

Non-DBTAC-Generated
Electronic

Other

Journal articles
Project publications
Video/audio tapes
CDs/DVDs
Books/book chapters
Bulletins/newsletters/fact
sheets
Research reports/conference
proceedings
Other specify (limit 250
characters)

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Performance: Outputs and Associated Accomplishments
Purpose: Evaluation and accountability; project monitoring and program improvement
Frequency of data collection: Once with annual updates
Instructions: In this section grantees report on the following four types of outputs related to the
current NIDRR award that were disseminated or delivered to external audiences in the current
reporting period:
•
•
•
•

Type 1:
Type 2:
Type 3:
Type 4:

Publications
Tools, Measures, and Intervention Protocols
Technology Products and Devices
Other Information Products

Grantees may also report on any major accomplishments associated with these outputs.
NIDRR defines “external audiences” as audiences that exist outside of the boundaries of project
staff and collaborators associated with an award, including outside of NIDRR-sponsored project
directors’ meetings.
Include only publications supported by NIDRR funding that are related to the objectives of the
current award.
NOTE: It is important to stress that all four types of outputs reported in this section can be
based on research and related activities conducted in a previous reporting period or NIDRR
funding cycle as long as they are related to the objectives of the current award and are
delivered or disseminated during the reporting period to external audiences.

Type 1 Outputs: Publications
Instructions: Enter all peer-reviewed and non-peer-reviewed publications associated with this
award that were published during the current reporting period by a source external to the
project. DO NOT include documents that are currently in review, accepted for publication, in
press, or self-published.
If you have no publications to report during the current period, check the box below and then
click “Save and Continue.”
No publications to report during the current period
Otherwise, please complete the balance of this section.
(NOTE: If grantee checks the box above, they will skip to next section.)

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The table below is a summary of all records you have previously entered in this section, as well
as those entered earlier for fellows and graduate students. You have currently entered 0
records.

Sequential
ID No.

(1)
Full Citation

1.1

Sample publication

Edit/
Delete
Publication
Record
Edit
Delete
Add new

(1a)
Type of
Publication

(1b)
Timeframe
When Work
Conducted

(1c)
Submitted
to NARIC

Book

Current

NOTE: System will add a sequential number within publication type; the first record under
“Publications” is record 1.1; first record under Tools, Measures, and Intervention Protocols is
record 2.1, etc.
1.

Provide a full citation for each publication that meets the criteria provided in the
instructions.
To add a new citation, please select the category that best describes the publication
from the drop-down box below, then click the "Next" button.
a.

Type of publication:
(Check only one.)

journal article or periodical
web journal
proceedings of meetings and symposia
book
book chapter
monograph
abstract
technical or research report
review
NOTE: The system will automatically match each journal title or proceedings you
enter against the ISI database of peer-reviewed journals and will indicate
whether or not a match is found. If no match is found, and you wish to review the
ISI data for a possible match, you may select that option.

NOTE: System will display APA-required fields based on publication type, which
are shown in “Capacity-Building Activities” section.

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(If publication type=journal article or periodical, or proceedings) Is this a
peer-reviewed publication?

yes
no
c.

Indicate the time frame or award cycle when the NIDRR-funded research
and related activity described in the publication was conducted.
(Check only one)

current funding cycle
immediate past funding cycle
d.

previous funding cycle (not consecutive
Indicate whether the publication has been sent to NARIC for inclusion in
REHABDATA. (To check the status of this publication in NARIC, click on
http://www.naric.com/research/rehab/default.cfm.)
yes
no

e.
2.

Does this publication acknowledge NIDRR funding?

In the table below, select 1-3 publications that represent your “most important”
publications during this reporting period.
To identify a publication as “most important,” click on the radio button in the “most
important publication” column of the appropriate record. You will then be asked several
follow-up questions about that publication. After you complete those questions for the
first publication, you will be given an opportunity to identify additional publications as
“most important.”
“Most important” publications refers to those that contribute the most to achieving the
outcome-oriented goals for the award by advancing knowledge; increasing capacity for
research, training or knowledge translation; or facilitating changes in policy, practice, or
system capacity.
If none of your publications meet the “most important” standard, please click here:
No publications meet “most important” standard during this reporting cycle

Sequential ID
Number
1.1

Most Important
Publication

Full Citation
Sample publication

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1.2

Sample publication

1.3

Sample publication

For this “most important” publication, select the outcome-oriented goal that corresponds
most closely to this accomplishment.

Sequential ID
Numbers
of Most
Important
Publication

Full Citation
of Most Important
Publication

1.1

Sample publication

Outcome-Oriented Goal
Short description of Goal #1
Short description of Goal #2
Short description of Goal #3
Short description of Goal #4

Provide a bulleted list of the “key findings” or “lessons learned” contained in this
publication. (Limit: 5,000 characters)
[Box]

Briefly describe how this publication is contributing to the outcome-oriented goal by
solving a problem, closing an identified gap, or benefiting the target population. (Limit:
1,000 characters)
[Box]
(System will automatically return to item 2 so that grantee can identify another most
important publication or advance to next section.)

Type 2 Outputs: Tools, Measures, and Intervention Protocols
Instructions: Type 2 outputs focus on the most important tools, measures, or intervention
protocols produced under this award during the current reporting period. NIDRR defines a “tool”
as an instrument or process created to acquire quantitative or qualitative information,
knowledge, or data on a specific disability or rehabilitation issue.
Most important tools refers to those that contribute the most to achieving the outcome-oriented
goals for the award by advancing knowledge; increasing capacity for research, training or
knowledge translation; or facilitating changes in policy, practice, or system capacity.

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Did you develop, modify, test or evaluate any tools, measures or intervention protocols
under this award that were disseminated or delivered to external audiences during the
current reporting period?

yes
no
(If ‘yes,’ system will present balance of this section. If ‘no,’ system will skip to Type 3
outputs.)
2.

Briefly describe 1-2 Type 2 outputs that represent the most important accomplishments
in this category for the current reporting period. Your description should include an
explanation of how the tool was validated or tested.
For each output that you enter, you will be asked several follow-up questions. After you
complete those questions, you will be given an opportunity to enter additional most
important tools. (NOTE: NIDRR uses the word “tool” to include measures and
intervention protocols.)
If none of your tools meet the “most important” standard, please click here:
No tools meet “most important” standard during this reporting cycle
Name of most important tool (if applicable): (Limit: 500 characters)
[Box]
NOTE: System will need to assign a sequential ID number to each tool.

Brief description of the purpose of the tool: (Limit: 1,000 characters)
[Box]

Brief explanation of how the tool was validated or tested: (Limit: 1,000 characters)
[Box]

Select the category that best describes the type of tool.
(Check only one)
checklist

survey questionnaire or interview schedule
diagnosis or assessment instrument
including physiologic measure
outcome measures
intervention protocol or program
statistical technique
database

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other
If ‘other,’ specify (250 characters)
6.

Does this tool acknowledge NIDRR funding?

For each most important tool, select the outcome-oriented goal that corresponds most
closely to this accomplishment by clicking on the radio button beside the list of goals
below.

Sequential ID
Number
of Most
Important Tool

Name of
Most Important Tool

Sample tool

Outcome-Oriented Goal
Short description of Goal #1
Short description of Goal #2
Short description of Goal #3
Short description of Goal #4

Briefly describe how this tool is contributing to the above outcome-oriented goal by
solving a problem, closing an identified gap, or benefiting the target population. (Limit:
1,000 characters)
[Box]

Is this tool described in a publication listed above under Type 1 outputs?

yes
no
(If ‘yes,’ system will present Item 9. If ‘no,” system will skip to Type 3 outputs.)
10.

Click on the radio button beside the publication that contains the best description of this
tool.

Sequential ID
Number

Publication in
Which Tool is
Described

Full Citation

1.1

Sample publication

1.2

Sample publication

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Sample publication

1.3

(System will skip to Type 3 outputs—Item 10 is only for those who do not identify a
publication.)
11.

If this tool is not described in a publication, provide the citation or source (e.g., web site)
where a description of the tool can be found. (Limit: 1,000 characters)
[Box]

Table 8. Type 2 Outputs (Tools) Summary Table (system-generated)

Sequential ID Number
Name of tool (Q2)
Type of tool (Q5)
Number of corresponding
outcome goal (Q6)
Described in current
publication (Q8)
If yes, sequential ID
number of publication (Q9)
If no, citation or source
where description of tool
can be found (Q10)

Tool #1
1
Sample tool 1
Checklist
2

Tool #2
2
Sample tool 2
Outcome measure
3

Yes

1.1

1.3

Sample URL

Sample citation

Type 3 Outputs: “Most Important” Technology Products and Devices
Instructions: Type 3 outputs focus on the “most important” technology products and devices
produced under this award during the current reporting period. Technology products and
devices include: industry standards and guidelines; software or netware; inventions; patents,
licenses, and patent disclosures; working prototypes; products/concepts evaluated; products
transferred to industry for potential commercialization; and products in the marketplace.
“Most important” technology products and devices refer to those that contribute the most to
achieving the outcome-oriented goals for the award by advancing knowledge; increasing
capacity for research, training or knowledge translation; or facilitating changes in policy,
practice, or system capacity.
1.

Did you develop, modify, test or evaluate any technology products or devices under this
award that were disseminated or delivered to external audiences during the current
reporting period?

yes
no

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(If ‘yes,’ system will present balance of this section. If ‘no,’ system will skip to Type 4
outputs.)
2.

Briefly describe 1-2 Type 3 outputs that represent the “most important” accomplishments
in this category for the current reporting period. Your description should include an
explanation of how the technology product/device is being tested or evaluated.
For each technology product/device that you enter, you will be asked several follow-up
questions. After you complete those questions, you will be given an opportunity to enter
additional “most important” technology products/devices.
If none of your technology product/devices meet the “most important” standard, please
click here:
No technology products/devices meet “most important” standard during this reporting
cycle
Name of “most important” technology product/device (if applicable): (Limit: 500
characters)
[Box]
NOTE: System will assign a sequential ID number to each technology product/device.

Brief description of the purpose of the technology product/device: (Limit: 1,000
characters)
[Box]

Brief explanation of how technology product/device was validated or tested: (Limit:
1,000 characters)
[Box]

Select the category that best describes the type of technology product/device.
(Check only one)

industry standards/guidelines
software or netware
invention
patent(s), licences, patent disclosures
working prototype
product(s) evaluated or field tested
product(s) transferred to industry for potential commercialization
product(s) in the marketplace
other

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If ‘other,’ specify (250 characters)
6.

Does this technology product/device acknowledge NIDRR funding?

For each “most important” technology product/device, select the outcome-oriented goal
that corresponds most closely to this accomplishment by clicking on the radio button
beside the list of goals below.

Sequential ID
Number
of “Most
Important”
Technology
Product/
Device

Name of
“Most Important”
Technology
Product/Device

Sample product

Outcome-Oriented Goal
Short description of Goal #1
Short description of Goal #2
Short description of Goal #3
Short description of Goal #4

Briefly describe how this technology product/device is contributing to the outcomeoriented goal by solving a problem, closing an identified gap, or benefiting the target
population. (Limit: 1,000 characters)
[Box]

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Type 4 Outputs: “Most Important” Informational Products
Instructions: Type 4 outputs focus on the “most important” informational products produced
under this award during the current reporting period. Information products can include training
manuals or curricula; fact sheets; newsletters; audiovisual materials; marketing tools;
educational aids; web sites or other Internet sites that were produced in conjunction with your
research and development, training, dissemination, knowledge translation, and/or consumer
involvement activities.
“Most important” informational products refer to those that contribute the most to achieving the
outcome-oriented goals for the award by advancing knowledge; increasing capacity for
research, training or knowledge translation; or facilitating changes in policy, practice, or system
capacity.
1.

Did you develop, create, test or evaluate any informational products under this award
that were disseminated or delivered to external audiences during the current reporting
period?

yes
no
(If ‘yes,’ system will present balance of this section. If ‘no,’ system will skip to Other
Accomplishments and Contributions.)
2.

Briefly describe 1-2 Type 4 outputs that represent the “most important” accomplishments
in this category for the current reporting period. Your description should include an
explanation of how the informational product is being tested or evaluated.
For each output that you enter, you will be asked several follow-up questions. After you
complete those questions, you will be given an opportunity to enter additional “most
important” informational products.
If none of your informational products meet the “most important” standard, please click
here:
No informational products meet “most important” standard.
Name of “most important” informational product (if applicable): (Limit: 500 characters)
[Box]
NOTE: System will need to assign a sequential ID number to each informational product.

Brief description of the purpose of the informational product: (Limit: 1,000 characters)
[Box]

Brief explanation of how the informational product was validated or tested: (Limit: 1,000
characters)
[Box]

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Select the category that best describes the type of informational product:
(Check only one)
training manuals/curricula

fact sheets
newsletters
audiovisual materials
marketing tools
educational aids
Web sites or other Internet sites
If ‘other,’ specify (250 characters)

Does this informational product acknowledge NIDRR funding (if applicable)?

For each “most important” informational product, select the outcome-oriented goal that
corresponds most closely to this accomplishment by clicking on the radio button beside
the list of goals below.

Sequential ID
Number
of “Most
Important”
Informational
Product
1

Name of
“Most Important”
Informational Product
Sample product

Outcome-Oriented Goal
Short description of Goal #1
Short description of Goal #2
Short description of Goal #3
Short description of Goal #4

Briefly describe how this informational product is contributing to the outcome-oriented
goal by solving a problem, closing an identified gap, or benefiting the target population.
(Limit: 1,000 characters)
[Box]

Is this informational product described in a publication listed above under Type 1
outputs?

yes
no

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(If ‘yes,’ system will present Item 9. If ‘no,” system will skip to Other Accomplishments.)
10.

Click on the radio button beside the publication that contains the best description of this
informational product.

Sequential ID
Number

Publication in
Which
Informational
Product is
Described

Full Citation

1.1

Sample publication

1.2

Sample publication

1.3

Sample publication

(System will skip to Other Accomplishments and Contributions—Item 10 is only for those
who do not identify a publication.)
11.

If this informational product is not described in a publication, provide the citation or
source (e.g., web site) where a description of the product can be found. (Limit: 1,000
characters)
[Box]

Table 9. Type 4 Outputs (Informational Products) Summary Table (system-generated)

Product #1

Product #2

Sequential ID Number

Name of tool (Q2)

Sample tool 1

Sample tool 2

Type of tool (Q5)

Checklist

Database

Number of corresponding
outcome goal (Q6)

Described in current
publication (Q8)

Yes

If yes, sequential ID number
of publication (Q9)

1.1

1.3

If no, citation or source where
description of informational
product can be found (Q10)

Sample URL

Sample citation

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Other Accomplishments and Contributions
Purpose: Evaluation and accountability, project monitoring, and program improvement
Frequency of data entry: Annually
1.

In addition to the outputs described above, please describe any other accomplishments
that occurred during the current reporting period and contributed to the achievement of
your outcome goals for this award. This can include advancing knowledge in the field,
increasing capacity to conduct high-quality research and utilize the results, or
contributing to changes/improvements in policy, practice, and/or system capacity. It can
also include broader contributions to advancing knowledge in other disciplines, as well
as enhancing public welfare beyond science and engineering. Be sure to provide
enough detail to describe the nature of this (or these) accomplishments and how they
are related to your outcome goals. (Limit: 2 pages or 10,000 characters)
[Box]

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Overall Status of Outcome-Oriented Goals
1.

Finally, taking into account all the outputs and accomplishments reported above, which
of the following best describes your overall progress to date toward achieving the
outcome-oriented goals for this award?
(Check only one)
no progress to report yet

behind schedule/delayed
making limited progress
making reasonable/moderate process
making significant progress
other
If ‘other,” specify (limit 250 characters)

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File Type	application/pdf
Author	Administrator
File Modified	2007-01-19
File Created	2007-01-19