Randolph-Sheppard Financial Relief and Restoration Payme

OMB Control No. 1820-

Exp. Date:

REHABILITATION SERVICES ADMINISTRATION

Randolph-Sheppard Financial Relief and Restoration Payments (FRRP) Appropriation

Final Performance Report

Designated Agency:

Name:

Address:

E-mail Address:

Website Address:

Phone:

Nominee Agency (if applicable):

Name:

Address:

E-mail Address:

Website Address:

Phone:

Contact Information:

Name of State licensing agency Director/Coordinator:

Person to contact regarding report:

Contact person's title, phone, and e-mail address:

In the Consolidated Appropriations Act, 2021, Division H, Title III, Section 318 (Section 318), Congress directed the Department to use $20 million for the purpose of making grants to State licensing agencies (SLAs) designated to administer the Randolph-Sheppard Act (Act). Section 318 directed the Department to make grants to SLAs in the same proportion as the number of blind vendors operating a vending facility in a State as compared to the number of blind vendors operating a vending facility in all States as of September 30, 2019. The SLAs must use these grants:

• to make financial relief and restoration payments to offset losses of blind vendors that occurred during calendar year 2020 and which were not otherwise compensated; and

• for other purposes authorized under 34 C.F.R. § 395.9 (regarding the setting aside of funds by the SLA), but only to the extent any funds remain after the SLA makes financial relief and restoration payments to blind vendors to cover their losses incurred in calendar year 2020.

Complete the below information for the designated SLA’s Randolph-Sheppard FRRP Appropriation Final Performance Report (Performance Report). The reporting period ends on September 30, 2022. All funds must be obligated no later than that time and liquidated no later than January 30, 2023. The Performance Report is due by January 30, 2023, but grantees are encouraged to submit their Performance Report as soon as possible after the expenditure of all grant funds.

The Performance Report should be sent to the following e-mail address. In addition, if any funds were obligated in FFY 2022, the final SF-425 report must be submitted by that deadline as well.

Randolph-SheppardVFPRestorationFunds@ed.gov.

Use of FRRP Funds

1. Enter the total number of vendors that received FRRP payments:

2. Provide the total dollar amount allocated for each vendor (include an attachment, if needed). Do not include personally identifiable information:

3. Indicate the calendar year(s) in which the funds were disbursed to all vendors:

4. Explain how the SLA determined vendor losses incurred during the 2020 calendar year (e.g., profit/loss statements, closure of facilities, historical data based on closed facilities, losses due to vendor’s spoiled or expired stock, etc.):

5. Explain the method the SLA used to distribute FRRP funds to vendors who incurred losses not otherwise compensated during the 2020 calendar year (e.g., proportional to losses incurred, consideration for compensation such as Coronavirus Aid, Relief, and Economic Security Act funding that was agreed upon by the SLA and the Elected Committee of Blind Vendors (ECBV), equal distribution to eligible vendors, equal distribution to eligible vendors accounting for administrative costs, etc.:

6. Explain the types of losses that were sustained (e.g., loss of stocks as reported in the vendors’ profit and loss statements, and/or the closure of a facility or facilities, etc.):

7. Indicate how the SLA ensured that vendor losses were not previously compensated (e.g., the consideration of particular benefits, grants, and loans, the signing of an attestation, financial reports, inventory reports, documentation of losses due to spoilage, etc.):

8. Describe in detail how the payments benefitted the vendors in terms of offsetting losses and providing relief and restoration. Provide examples:

9. Indicate the percentage and dollar amount of FRRP funds used for administrative costs. Describe the types of cost categories included in the administrative categories:

10. If no administrative costs were charged to the FRRP award, what was the source of funds used to pay the administrative costs?

11. Did the SLA have any FRRP funds remaining after distributing funds to the vendors to cover losses incurred in calendar year 2020 (and covering administrative costs, if applicable)? _____ Yes ______ No

12. If yes, identify for which authorized set aside purposes under 34 C.F.R. § 395.9 the SLA used the funds by including the dollar amount allocated for each purpose:

____purchase of equipment

____maintenance of equipment

____management services

____paid sick leave

____paid vacation time

____fair minimum return to vendors

____establishment and maintenance of retirement or pension funds

____health insurance contributions

13. The SLA must actively participate with the ECBV in the collection of final performance report information pursuant to 34 C.F.R. §§ 395.14(b)(1). Documentation, such as meeting minutes when the development of the Performance Report was discussed, must be available upon request. Explain briefly how the SLA actively participated with the State’s ECBV to complete the Performance Report information:

CERTIFICATION:

1. Certification

As a duly authorized representative of the applicant, I attest that the information provided in this FRRP final performance report regarding the use of FRRP funds is true and accurate.

Printed name and title of authorized representative:

Signature:

Date:

Paperwork Burden Statement: 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 1820-. Public reporting burden for this collection of information is estimated to average 1 hour 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 Department is requiring States to respond to this collection to obtain or retain benefit pursuant to 34 C.F.R. §§ 395.3, 395.4(a), and 395.14, and consistent with the requirement of 2 C.F.R. § 200.207. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this information collection, or if you have comments or concerns regarding your individual form, application, or survey, please contact Christine Grassman, U.S. Department of Education, 550 12^th Street, SW, Washington, DC 20202-5176, Christine.Grassman@ed.gov, directly. Note: Please do not return the completed form to this address.

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