Assistive Technology State Grant Program California State Plan for FY 2009-2011
Table of Contents
Page 1	A	Identification and Description of Lead Agency and Implementing Entity; Change in Lead Agency or Implementing Entity
Page 2	B	Advisory Council, Budget Allocations, and Identification of Activities Conducted
	C	State Financing Activities
Page 3		Financial loan program
		Access to telework loan fund	N/A
		Cooperative buying program	N/A
		Financing for home modifications program	N/A
		Telecommunications distribution program	N/A
		Last resort program	N/A
		Other program	N/A
	D	Device Reutilization Activities
Page 4		Device exchange
		Device reassignment	N/A
Page 5	E	Device Loan Activity
	F	Device Demonstration Activity	N/A
	G	State Leadership Activities
Page 6		Training Activities
Page 7		Technical Assistance Activities
Page 8		Public Awareness Activities
Page 9		Information and Assistance Activities
Page 10	H	Assurances and Signatures

Page 1 of 10 Assistive Technology State Grant Program California State Plan for FY 2009-2011
Section A. Identification and Description of Lead Agency and Implementing Entity; Change in Lead Agency or Implementing Entity
1	Name Given to Statewide AT Program.	California Assistive Technology Systems (CATS)
2	Website dedicated to Statewide AT Program	http://www.atnet.org
3	Name and Address of Lead Agency
	California Department of Rehabilitation 721 Capitol Mall Sacramento, CA 95814
4	Name, Title, and Contact Information for Lead Agency Certifying Representative.
	Anthony "Tony" Sauer Director tsauer@dor.ca.gov (916) 558-5800
5	Information about Program Director at Lead Agency.
	Timothy Beatty Staff Services Manager II, Independent Living and Assistive Technology Section tbeatty@dor.ca.gov (916) 558-5759
6	Information about Program Contact(s) at Lead Agency.
	Bari Schlesinger Associate Governmental Program Analyst bschlesi@dor.ca.gov (916) 558-5786
7	Telephone at Lead Agency for Public.	916-558-5786
8	E-mail at Lead Agency for Public.	atinfo@dor.ca.gov
9	Select the most appropriate descriptor of the agency/division/bureau directly responsible for the Statewide AT Program within the Lead Agency.
	General or Combined Vocational Rehabilitation Agency
10	If Other was selected for question 9, identify and describe the agency.
11	Does your Lead Agency contract with an Implementing Entity to carry out the Statewide AT Program on its behalf?
	No
	If you answered no to question 11, you may skip ahead to the next page. Otherwise, you must answer the following questions.
12	Name and Address of Implementing Entity.
13	Information about Program Director at the Implementing Entity.
14	Information about Program Contact(s) at Implementing Entity.
15	Telephone at Implementing Entity for Public.
16	E-mail at Implementing Entity for Public.
17	Select the most appropriate descriptor of the type of organization that is the Implementing Entity.
18	If Other was selected, identify and describe the entity.
19	Describe the mechanisms established to ensure coordination of activities and collaboration between the Implementing Entity and the state.
20	Is the Lead Agency named in this State Plan a new or different Lead Agency from the one designated by the Governor in your previous State Plan?
	If you answered no to question 20, you may skip ahead to the next page. Otherwise, you must answer the following questions.
21	Explain why the Lead Agency previously designated by your state should not serve as the Lead Agency.
22	Explain why the Lead Agency newly designated by your state should not serve as the Lead Agency.
23	Is the Implementing Entity named in this State Plan a new or different Implementing Entity from the one designated by the Governor in your previous State Plan?
	If you answered no or not applicable to question 23, you may skip ahead to the next page. Otherwise, you must answer the following questions.
24	Explain why the Implementing Entity previously designated by your state should not serve as the Implementing Entity.
25	Explain why the Implementing Entity newly designated by your state should serve as the Implementing Entity

Page 2 of 10 Assistive Technology State Grant Program California State Plan for FY 2009-2011
Section B: Advisory Council, Budget Allocations, and Identification of Activities Conducted NOTE: You MUST answer questions 11&12 in order to set up the rest of your form.
1	In accordance with section 4(c)(2) of the AT Act of 1998, as amended our state has a consumer-majority advisory council that provides consumer-responsive, consumer-driven advice to the state for planning of, implementation of, and evaluation of the activities carried out through the grant, including setting measurable goals. This advisory council is geographically representative of the State and reflects the diversity of the State with respect to race, ethnicity, types of disabilities across the age span, and users of types of services that an individual with a disability may receive.		Yes
2	The advisory council includes a representative of the designated State agency, as defined in section 7 of the Rehabilitation Act of 1973 (29 U.S.C. 705)		Yes
3	The advisory council includes a representative of the State agency for individuals who are blind (within the meaning of section 101 of that Act (29 U.S.C. 721));		No
4	The advisory council includes a representative of a State center for independent living described in part C of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.);		Yes
5	The advisory council includes a representative of the State workforce investment board established under section 111 of the Workforce Investment Act of 1998 (29 U.S.C. 2821);		Yes
6	The advisory council includes a representative of the State educational agency, as defined in section 9101 of the Elementary and Secondary Education Act of 1965		Yes
7	The advisory council includes other representatives (list below)
	AT users, College High-Tech Centers, Council on Developmental Disabilities, Office of Emergency Services, University Assistive Technology Centers.
8	The advisory council includes the following number of individuals with disabilities that use assistive technology or their family members or guardians:		11
9	If the Statewide AT Program does not have the composition and representation required under section 4(c)(2)(B), explain below.
	We are currently in the process of recruiting an individual from Blind Field Services.
10	Proposed Budget Allocations
	State-level Activities	Proposed Budget Allocation for Entire Annual Award
	State Financing Activities	$30,001-$40,000
	Device Reutilization Activities	more than $100,000
	Device Loan Activity	more than $100,000
	Device Demonstration Activity	Not performed due to flexibility
	State Leadership Activities	more than $100,000
11	State Financing Activities Performed
	State Financing Activities		Activities Performed (select all that apply)
	Financial loan program		Checked
	Access to telework loan fund
	Cooperative buying program
	Financing for home modifications program
	Telecommunications distribution program
	Last resort program
	Other program
	Other Activities Performed
	Device Reutilization, Device Loan, and Device Demonstration Activities		Number of Activities Performed
	How many device exchange programs do you support?		1
	How many device reassignment programs do you support?		0
	How many device loan programs do you support?		1
	How many device demonstration programs do you support?		0
12	What is the baseline year for the measurable goals for this state plan?		2007

Page 3 of 10

Assistive Technology State Grant Program

California State Plan for FY 2009-2011
C State Financing Activities

Financial loan program

1

Enter the year when the program began conducting this activity.

1983

2	Who conducts this activity? Check all that apply.
	The Statewide AT Program	Yes
	Other entities (e.g. contractors)	Yes

3	The Statewide AT Program provides and/or receives the following support (choose all that apply).
	Provides financial support to other entities via an agreement with the Statewide AT Program.	Yes
	Provides in-kind support to other entities via an agreement with the Statewide AT Program.	No
	Receives financial support from the state.	No
	Receives in-kind support from the state.	No
	Receives financial support from private entities.	No
	Receives in-kind support from private entities.	No
	Coordinates and collaborates with other entities for the purpose of establishing a new program or service.	No
	Coordinates and collaborates with other entities for the purpose of expanding an existing program or service.	Yes
	Coordinates and collaborates with other entities for the purpose of reducing duplication of programs or services.	No

4	If you conduct this activity by providing financial or in-kind support to other entities, identify the kinds of entities you support in column a of the following table.
	If you receive financial or in-kind support from the state to conduct this activity, identify the state entities that provide this support in column b of the following table.
	If you receive financial or in-kind support from private entities, identify the private entities that provide this support in column c of the following table.
	If you coordinate and collaborate with other entities in conducting this activity, identify those entities in column d of the following table.
	Organization or Activity	a. You provide support	b. Receive support from the state	c. Receive support from these private entities	d. Collaborate with
	AgrAbility Program	No	No	No	No
	Alliance for Technology Access Center	No	No	No	No
	Bank or other financial institution	No	No	No	Yes
	Community Living agency	No	No	No	No
	Easter Seals	No	No	No	No
	Education-related agency	No	No	No	No
	Employment-related agency	No	No	No	No
	Health, allied health, and rehabilitation-related agency	No	No	No	No
	Independent Living Center	No	No	No	No
	Institution of Higher Education	Yes	No	No	No
	Non-categorical disability organization	No	No	No	No
	Organization that primarily serves individuals who are blind or visually impaired	No	No	No	No
	Organization that primarily serves individuals who are deaf or hard of hearing	No	No	No	No
	Organization that primarily serves individuals with developmental disabilities	No	No	No	No
	Organization that primarily serves individuals with physical disabilities	No	No	No	No
	Organization focused specifically on providing AT	No	No	No	No
	Protection and Advocacy Organization	No	No	No	No
	Technology agency	No	No	No	No
	UCP	No	No	No	No
	Other	No	No	No	No

5	Select the option that best describes from where this activity is conducted.
	One central location

6	If you indicated the use of regional sites, from how many regional sites is the activity conducted?

7	This activity is available (choose all that apply)
	By website	No
	By phone	Yes
	By e-mail	Yes
	By mail	Yes
	In person	No

8

Enter the total endowment of the activity.

$1430260

9	Select the option that best describes the primary source of capital used to begin the activity.
	A state source

10	Select the option that best describes the primary source of support for ongoing operation of the activity.
	A state source

11

Even if they are not the primary source of support, do you support this program using section 4 funds?

No

12	This activity offers the following types of assistance (select all that apply).
	Revolving loans	No
	Loan guarantees	Yes
	Low interest loans	No
	Interest buy-downs	Yes
	Preferred interest loans	No

13

The lowest loan amount provided as established by the policies of the activity (leave blank if N/A)

$1000.00

14

The highest loan amount provided as established by the policies of the activity (leave blank if N/A)

$50000.00

13	Provide any additional information about this activity you wish to share.
	The State Level activities are currently contracted out to a higher education entity. A Request for Application will be advertised and it is possible a new contractor will be awarded the grant.

Page 4 of 10

Assistive Technology State Grant Program

California State Plan for FY 2009-2011
D Device Reutilization Activities

Device Exchange (1 of 1)

1	Select the option that best describes the type of exchange.
	General device exchange

2	If you indicated this is a general exchange, describe it. If this is exchange is part of a collaborative among states, identify the states and how the collaborative works as part of your description.
	It is a web-based site where individuals and programs can place an ad to sell a device. The buyer can search the site for devices and contact the seller directly. The transaction is between the seller and buyer.

3	If you indicated that your device exchange serves a particular entity or agency, identify the entity or agency and describe the purpose of the exchange:

4

Enter the year when the program began conducting this activity.

2007

5	Who conducts this activity? Check all that apply.
	The Statewide AT Program	No
	Other entities (e.g. contractors)	Yes

6	The Statewide AT Program provides and/or receives the following support (choose all that apply).
	Provides financial support to other entities via an agreement with the Statewide AT Program.	Yes
	Provides in-kind support to other entities via an agreement with the Statewide AT Program.	No
	Receives financial support from the state.	No
	Receives in-kind support from the state.	No
	Receives financial support from private entities.	No
	Receives in-kind support from private entities.	No
	Coordinates and collaborates with other entities for the purpose of establishing a new program or service.	No
	Coordinates and collaborates with other entities for the purpose of expanding an existing program or service.	No
	Coordinates and collaborates with other entities for the purpose of reducing duplication of programs or services.	No

7	If you conduct this activity by providing financial or in-kind support to other entities, identify the kinds of entities you support in column a of the following table.
	If you receive financial or in-kind support from the state to conduct this activity, identify the state entities that provide this support in column b of the following table.
	If you receive financial or in-kind support from private entities, identify the private entities that provide this support in column c of the following table.
	If you coordinate and collaborate with other entities in conducting this activity, identify those entities in column d of the following table.
	Organization or Activity	a. You provide support	b. Receive support from the state	c. Receive support from these private entities	d. Collaborate with
	AgrAbility Program	No	No	No	No
	Alliance for Technology Access Center	No	No	No	No
	Bank or other financial institution	No	No	No	No
	Community Living agency	No	No	No	No
	Easter Seals	No	No	No	No
	Education-related agency	No	No	No	No
	Employment-related agency	No	No	No	No
	Health, allied health, and rehabilitation-related agency	No	No	No	No
	Independent Living Center	No	No	No	No
	Institution of Higher Education	Yes	No	No	No
	Non-categorical disability organization	No	No	No	No
	Organization that primarily serves individuals who are blind or visually impaired	No	No	No	No
	Organization that primarily serves individuals who are deaf or hard of hearing	No	No	No	No
	Organization that primarily serves individuals with developmental disabilities	No	No	No	No
	Organization that primarily serves individuals with physical disabilities	No	No	No	No
	Organization focused specifically on providing AT	No	No	No	No
	Protection and Advocacy Organization	No	No	No	No
	Technology agency	No	No	No	No
	UCP	No	No	No	No
	Other	No	No	No	No

8	Select the option that best describes from where this activity is conducted.
	One central location

9	If you indicated the use of regional sites, from how many regional sites is the activity conducted?

10	This activity is available (choose all that apply)
	By website	Yes
	By phone	Yes
	By e-mail	No
	By mail	No
	In person	No

11	The online page for this activity can be found at
	http://cate.ca.gov

12	Select the option that best describes what happens when a device is exchanged.
	the transaction is direct consumer-to-consumer

13	Select the option that best describes the policy of the program for charging individuals with disabilities for a device.
	Other

14	Provide any additional information about this activity you wish to share.
	The cost for the device is up to the seller of the device. The State Level activities are currently contracted out to a higher education entity. A Request for Application will be advertised and it is possible a new contractor will be awarded the grant beginning 7/1/09.

Page 5 of 10

Assistive Technology State Grant Program

California State Plan for FY 2009-2011
E Device Loan Activity (1 of 1)

1	Select the option that best describes the type of program.
	General program

2	If you indicated that you have a device loan program for targeted consumers or devices, describe the specific types of consumers or devices for whom this demonstration program is intended and why.

3	If you indicated that you have a device loan program for targeted agencies or entities, identify the entity or agency and describe the purpose of the program.

4	If you selected other, describe

5

Enter the year when the program began conducting this activity.

2007

6	Who conducts this activity? Check all that apply.
	The Statewide AT Program	No
	Other entities (e.g. contractors)	Yes

7	The Statewide AT Program provides and/or receives the following support (choose all that apply).
	Provides financial support to other entities via an agreement with the Statewide AT Program.	Yes
	Provides in-kind support to other entities via an agreement with the Statewide AT Program.	No
	Receives financial support from the state.	No
	Receives in-kind support from the state.	No
	Receives financial support from private entities.	No
	Receives in-kind support from private entities.	No
	Coordinates and collaborates with other entities for the purpose of establishing a new program or service.	No
	Coordinates and collaborates with other entities for the purpose of expanding an existing program or service.	No
	Coordinates and collaborates with other entities for the purpose of reducing duplication of programs or services.	No

8	If you conduct this activity by providing financial or in-kind support to other entities, identify the kinds of entities you support in column a of the following table.
	If you receive financial or in-kind support from the state to conduct this activity, identify the state entities that provide this support in column b of the following table.
	If you receive financial or in-kind support from private entities, identify the private entities that provide this support in column c of the following table.
	If you coordinate and collaborate with other entities in conducting this activity, identify those entities in column d of the following table.
	Organization or Activity	a. You provide support	b. Receive support from the state	c. Receive support from these private entities	d. Collaborate with
	AgrAbility Program	No	No	No	No
	Alliance for Technology Access Center	No	No	No	No
	Bank or other financial institution	No	No	No	No
	Community Living agency	No	No	No	No
	Easter Seals	No	No	Yes	No
	Education-related agency	No	No	No	No
	Employment-related agency	No	No	No	No
	Health, allied health, and rehabilitation-related agency	No	No	No	No
	Independent Living Center	No	No	Yes	No
	Institution of Higher Education	Yes	No	No	No
	Non-categorical disability organization	No	No	Yes	No
	Organization that primarily serves individuals who are blind or visually impaired	No	No	No	No
	Organization that primarily serves individuals who are deaf or hard of hearing	No	No	No	No
	Organization that primarily serves individuals with developmental disabilities	No	No	Yes	No
	Organization that primarily serves individuals with physical disabilities	No	No	No	No
	Organization focused specifically on providing AT	No	No	No	No
	Protection and Advocacy Organization	No	No	No	No
	Technology agency	No	No	No	No
	UCP	No	No	Yes	No
	Other	No	No	No	No

9	Select the option that best describes from where this activity is conducted.
	Regional sites

10

If you indicated the use of regional sites, from how many regional sites is the activity conducted?

13

11	This activity is available (choose all that apply)
	By website	Yes
	By phone	Yes
	By e-mail	Yes
	By mail	Yes
	In person	Yes

12	Select the option that best describes the policy of the program for charging individuals with disabilities for a loan.
	Nothing

13	Select the option that best describes the policy of the program for charging professionals for a loan.
	Nothing

14	Describe any supports provided to the consumer to ensure a successful loan.
	The regional sites provide some training on the equipment when possible.

15	Devices in the load pool also are made available for the following (choose all that apply).
	Device demonstrations	No
	Evaluations and assessments	No
	Training	Yes
	Public awareness	Yes

16	How do you get the device to the consumer?
	The device is shipped via mail or other commercial delivery

17	Provide any additional information about this activity you wish to share.
	Individuals can also pick up the device if they live close to the regional site. The State Level activities are currently contracted out to a higher education entity. A Request for Application will be advertised and it is possible a new contractor will be awarded the grant beginning 7/1/09.

Page 6 of 10

Assistive Technology State Grant Program

California State Plan for FY 2009-2011
G1 State Leadership Activities

Training Activities

1	Who conducts this activity? Check all that apply.
	The Statewide AT Program	No
	Other entities (e.g. contractors)	Yes

2	The Statewide AT Program provides and/or receives the following support (choose all that apply).
	Provides financial support to other entities via an agreement with the Statewide AT Program.	Yes
	Provides in-kind support to other entities via an agreement with the Statewide AT Program.	No
	Receives financial support from the state.	No
	Receives in-kind support from the state.	No
	Receives financial support from private entities.	No
	Receives in-kind support from private entities.	No
	Coordinates and collaborates with other entities for the purpose of establishing a new program or service.	No
	Coordinates and collaborates with other entities for the purpose of expanding an existing program or service.	No
	Coordinates and collaborates with other entities for the purpose of reducing duplication of programs or services.	No

3	If you conduct this activity by providing financial or in-kind support to other entities, identify the kinds of entities you support in column a of the following table.
	If you receive financial or in-kind support from the state to conduct this activity, identify the state entities that provide this support in column b of the following table.
	If you receive financial or in-kind support from private entities, identify the private entities that provide this support in column c of the following table.
	If you coordinate and collaborate with other entities in conducting this activity, identify those entities in column d of the following table.
	Organization or Activity	a. You provide support	b. Receive support from the state	c. Receive support from these private entities	d. Collaborate with
	AgrAbility Program	No	No	No	No
	Alliance for Technology Access Center	Yes	No	No	No
	Bank or other financial institution	No	No	No	No
	Community Living agency	No	No	No	No
	Easter Seals	No	No	No	No
	Education-related agency	No	No	No	No
	Employment-related agency	No	No	No	No
	Health, allied health, and rehabilitation-related agency	No	No	No	No
	Independent Living Center	No	No	No	No
	Institution of Higher Education	No	No	No	No
	Non-categorical disability organization	No	No	No	No
	Organization that primarily serves individuals who are blind or visually impaired	No	No	No	No
	Organization that primarily serves individuals who are deaf or hard of hearing	No	No	No	No
	Organization that primarily serves individuals with developmental disabilities	No	No	No	No
	Organization that primarily serves individuals with physical disabilities	No	No	No	No
	Organization focused specifically on providing AT	No	No	No	No
	Protection and Advocacy Organization	No	No	No	No
	Technology agency	No	No	No	No
	UCP	No	No	No	No
	Other	No	No	No	No

4	Select the option that best describes from where this activity is conducted.
	One central location

5	If you indicated the use of regional sites, from how many regional sites is the activity conducted?

6	This activity is available (choose all that apply)
	By website	Yes
	By phone	Yes
	By e-mail	Yes
	By mail	No
	In person	Yes

7	Select the option that best describes how training is primarily provided.
	At fixed sites supported by the Statewide AT Program

8	Select the option that best describes the policy of the program for charging individuals with disabilities for training.
	Nothing

9	Select the option that best describes the policy of the program for charging professionals for training.
	Nothing

10	Provide any additional information about this activity you wish to share.
	The State Leadership activities are currently granted out to Alliance for Technology Access (ATA). A Request for Application will be advertised and it is possible a new contractor will be awarded the grant beginning 7/1/09.

Page 7 of 10

Assistive Technology State Grant Program

California State Plan for FY 2009-2011
G2 State Leadership Activities

Technical Assistance Activities

1	Who conducts this activity? Check all that apply.
	The Statewide AT Program	No
	Other entities (e.g. contractors)	Yes

2	The Statewide AT Program provides and/or receives the following support (choose all that apply).
	Provides financial support to other entities via an agreement with the Statewide AT Program.	Yes
	Provides in-kind support to other entities via an agreement with the Statewide AT Program.	No
	Receives financial support from the state.	No
	Receives in-kind support from the state.	No
	Receives financial support from private entities.	No
	Receives in-kind support from private entities.	No
	Coordinates and collaborates with other entities for the purpose of establishing a new program or service.	No
	Coordinates and collaborates with other entities for the purpose of expanding an existing program or service.	No
	Coordinates and collaborates with other entities for the purpose of reducing duplication of programs or services.	No

3	If you conduct this activity by providing financial or in-kind support to other entities, identify the kinds of entities you support in column a of the following table.
	If you receive financial or in-kind support from the state to conduct this activity, identify the state entities that provide this support in column b of the following table.
	If you receive financial or in-kind support from private entities, identify the private entities that provide this support in column c of the following table.
	If you coordinate and collaborate with other entities in conducting this activity, identify those entities in column d of the following table.
	Organization or Activity	a. You provide support	b. Receive support from the state	c. Receive support from these private entities	d. Collaborate with
	AgrAbility Program	No	No	No	No
	Alliance for Technology Access Center	Yes	No	No	No
	Bank or other financial institution	No	No	No	No
	Community Living agency	No	No	No	No
	Easter Seals	No	No	No	No
	Education-related agency	No	No	No	No
	Employment-related agency	No	No	No	No
	Health, allied health, and rehabilitation-related agency	No	No	No	No
	Independent Living Center	No	No	No	No
	Institution of Higher Education	No	No	No	No
	Non-categorical disability organization	No	No	No	No
	Organization that primarily serves individuals who are blind or visually impaired	No	No	No	No
	Organization that primarily serves individuals who are deaf or hard of hearing	No	No	No	No
	Organization that primarily serves individuals with developmental disabilities	No	No	No	No
	Organization that primarily serves individuals with physical disabilities	No	No	No	No
	Organization focused specifically on providing AT	No	No	No	No
	Protection and Advocacy Organization	No	No	No	No
	Technology agency	No	No	No	No
	UCP	No	No	No	No
	Other	No	No	No	No

4	Select the option that best describes from where this activity is conducted.
	One central location

5	If you indicated the use of regional sites, from how many regional sites is the activity conducted?

6	This activity is available (choose all that apply)
	By website	Yes
	By phone	Yes
	By e-mail	Yes
	By mail	Yes
	In person	Yes

7	Select the option that best describes the policy of the program for charging for technical assistance.
	Nothing

8	Provide any additional information about this activity you wish to share.
	The State Leadership activities are currently granted out to Alliance for Technology Access (ATA). A Request for Application will be advertised and it is possible a new contractor will be awarded the grant beginning 7/1/09.

Page 8 of 10

Assistive Technology State Grant Program

California State Plan for FY 2009-2011
G3 State Leadership Activities

Public Awareness Activities

1	Who conducts this activity? Check all that apply.
	The Statewide AT Program	No
	Other entities (e.g. contractors)	Yes

2	The Statewide AT Program provides and/or receives the following support (choose all that apply).
	Provides financial support to other entities via an agreement with the Statewide AT Program.	Yes
	Provides in-kind support to other entities via an agreement with the Statewide AT Program.	No
	Receives financial support from the state.	No
	Receives in-kind support from the state.	No
	Receives financial support from private entities.	No
	Receives in-kind support from private entities.	No
	Coordinates and collaborates with other entities for the purpose of establishing a new program or service.	No
	Coordinates and collaborates with other entities for the purpose of expanding an existing program or service.	No
	Coordinates and collaborates with other entities for the purpose of reducing duplication of programs or services.	No

3	If you conduct this activity by providing financial or in-kind support to other entities, identify the kinds of entities you support in column a of the following table.
	If you receive financial or in-kind support from the state to conduct this activity, identify the state entities that provide this support in column b of the following table.
	If you receive financial or in-kind support from private entities, identify the private entities that provide this support in column c of the following table.
	If you coordinate and collaborate with other entities in conducting this activity, identify those entities in column d of the following table.
	Organization or Activity	a. You provide support	b. Receive support from the state	c. Receive support from these private entities	d. Collaborate with
	AgrAbility Program	No	No	No	No
	Alliance for Technology Access Center	Yes	No	No	No
	Bank or other financial institution	No	No	No	No
	Community Living agency	No	No	No	No
	Easter Seals	No	No	No	No
	Education-related agency	No	No	No	No
	Employment-related agency	No	No	No	No
	Health, allied health, and rehabilitation-related agency	No	No	No	No
	Independent Living Center	No	No	No	No
	Institution of Higher Education	No	No	No	No
	Non-categorical disability organization	No	No	No	No
	Organization that primarily serves individuals who are blind or visually impaired	No	No	No	No
	Organization that primarily serves individuals who are deaf or hard of hearing	No	No	No	No
	Organization that primarily serves individuals with developmental disabilities	No	No	No	No
	Organization that primarily serves individuals with physical disabilities	No	No	No	No
	Organization focused specifically on providing AT	No	No	No	No
	Protection and Advocacy Organization	No	No	No	No
	Technology agency	No	No	No	No
	UCP	No	No	No	No
	Other	No	No	No	No

4	Select the option that best describes from where this activity is conducted.
	One central location

5	If you indicated the use of regional sites, from how many regional sites is the activity conducted?

6	This activity is available (choose all that apply)
	By website	Yes
	By phone	Yes
	By e-mail	Yes
	By mail	Yes
	In person	Yes

7

Describe the activity.

For public awareness, the following activities are conducted: Develop and provide ATN promotional materials to at least 100 "Points of Entry," staff AT Network booths at outreach events, produce AT Network outreach videos targeted for rural communities (English & Spanish), gather, develop and disseminate success stories from outreach efforts to the broadest communities, promote use of AT by utilizing Internet, broadcast & print media outlets. The State Leadership activities are currently granted out to Alliance for Technology Access (ATA). A Request for Application will be advertised and it is possible a new contractor will be awarded the grant beginning 7/1/09.

Page 9 of 10

Assistive Technology State Grant Program

California State Plan for FY 2009-2011
G4 State Leadership Activities

Information and Assistance Activities

1	Who conducts this activity? Check all that apply.
	The Statewide AT Program	No
	Other entities (e.g. contractors)	Yes

2	The Statewide AT Program provides and/or receives the following support (choose all that apply).
	Provides financial support to other entities via an agreement with the Statewide AT Program.	Yes
	Provides in-kind support to other entities via an agreement with the Statewide AT Program.	No
	Receives financial support from the state.	No
	Receives in-kind support from the state.	No
	Receives financial support from private entities.	No
	Receives in-kind support from private entities.	No
	Coordinates and collaborates with other entities for the purpose of establishing a new program or service.	No
	Coordinates and collaborates with other entities for the purpose of expanding an existing program or service.	No
	Coordinates and collaborates with other entities for the purpose of reducing duplication of programs or services.	No

3	If you conduct this activity by providing financial or in-kind support to other entities, identify the kinds of entities you support in column a of the following table.
	If you receive financial or in-kind support from the state to conduct this activity, identify the state entities that provide this support in column b of the following table.
	If you receive financial or in-kind support from private entities, identify the private entities that provide this support in column c of the following table.
	If you coordinate and collaborate with other entities in conducting this activity, identify those entities in column d of the following table.
	Organization or Activity	a. You provide support	b. Receive support from the state	c. Receive support from these private entities	d. Collaborate with
	AgrAbility Program	No	No	No	No
	Alliance for Technology Access Center	Yes	No	No	No
	Bank or other financial institution	No	No	No	No
	Community Living agency	No	No	No	No
	Easter Seals	No	No	No	No
	Education-related agency	No	No	No	No
	Employment-related agency	No	No	No	No
	Health, allied health, and rehabilitation-related agency	No	No	No	No
	Independent Living Center	No	No	No	No
	Institution of Higher Education	No	No	No	No
	Non-categorical disability organization	No	No	No	No
	Organization that primarily serves individuals who are blind or visually impaired	No	No	No	No
	Organization that primarily serves individuals who are deaf or hard of hearing	No	No	No	No
	Organization that primarily serves individuals with developmental disabilities	No	No	No	No
	Organization that primarily serves individuals with physical disabilities	No	No	No	No
	Organization focused specifically on providing AT	No	No	No	No
	Protection and Advocacy Organization	No	No	No	No
	Technology agency	No	No	No	No
	UCP	No	No	No	No
	Other	No	No	No	No

4	Select the option that best describes from where this activity is conducted.
	One central location

5	If you indicated the use of regional sites, from how many regional sites is the activity conducted?

6	This activity is available (choose all that apply)
	By website	Yes
	By phone	Yes
	By e-mail	Yes
	By mail	Yes
	In person	Yes

7

Describe the activity.

This program has an 800 number for individuals to call for information and referral services regarding where to purchase assistive device and services. They also offer assistance in learning about AT devices and services. The State Leadership activities are currently granted out to Alliance for Technology Access (ATA). A Request for Application will be advertised and it is possible a new contractor will be awarded the grant beginning 7/1/09.

Page 10 of 10

Assistive Technology State Grant Program

California State Plan for FY 2009-2011

Section H: Assurances and Signature
1	As Certifying Representative of the Lead Agency for the State of California, I hereby assure the following.	Yes
2	The Lead Agency prepared and submitted this State Plan on behalf of the State of California.	Yes
3	The Lead Agency submitting this plan is the State agency that is eligible to submit this plan.	Yes
4	The State agency has authority under State law to perform the functions of the State under this program.	Yes
5	The State legally may carry out each provision of this plan.	Yes
6	All provisions of this plan are consistent with State law.	Yes
7	A State officer, specified by title in this certification, has authority under State law to receive, hold, and disburse Federal funds made available under the plan.	Yes
8	The State officer who submits this plan, specified by title in this certification, has authority to submit this plan.	Yes
9	The agency that submits this plan has adopted or otherwise formally approved this plan.	Yes
10	The plan is the basis for State operation and administration of the program.	Yes
11	The Lead Agency will maintain and evaluate the program under this State Plan.	Yes
12	The State will annually collect data related to the required activities implemented by the State under this section in order to prepare the progress reports required under subsection 4(f) of the Act.	Yes
13	The Lead Agency will submit the progress report on behalf of the State.	Yes
14	The State will prepare reports to the Secretary in such form and containing such information as the Secretary may require to carry out the Secretary's functions under this Act and keep such records and allow access to such records as the Secretary may require to ensure the correctness and verification of information provided to the Secretary.	Yes
15	The Lead Agency will control and administer the funds received through the grant.	Yes
16	The Lead Agency will make programmatic and resource allocation decisions necessary to implement the State Plan.	Yes
17	Funds received through the grant will be expended in accordance with Section 4 of the Act, and will be used to supplement, and not supplant, funds available from other sources for technology-related assistance, including the provision of assistive technology devices and assistive technology services.	Yes
18	The Lead Agency will ensure conformance with Federal and State accounting requirements.	Yes
19	The State will adopt such fiscal control and accounting procedures as may be necessary to ensure proper disbursement of and accounting for the funds received through the grant.	Yes
20	Funds made available through a grant to a State under this Act will not be used for direct payment for an assistive technology device for an individual with a disability.	Yes
21	A public agency or an individual with a disability holds title to any property purchased with funds received under the grant and administers that property.	Yes
22	The physical facility of the Lead Agency and Implementing Entity, if any, meets the requirements of the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.) regarding accessibility for individuals with disabilities. Section 4(d)(6)(E)	Yes
23	Activities carried out in the State that are authorized under this Act, and supported by Federal funds received under this Act, will comply with the standards established by the Architectural and Transportation Barriers Compliance Board under section 508 of the Rehabilitation Act of 1973 (20 U.S.C. 794d). Section 4(d)(6)(G)	Yes
24	The Lead Agency will coordinate the activities of the State Plan among public and private entities, including coordinating efforts related to entering into interagency agreements.	Yes
25	The Lead Agency will coordinate efforts related to the active, timely, and meaningful participation by individuals with disabilities and their family members, guardians, advocates, or authorized representatives, and other appropriate individuals, with respect to activities carried out through the grant.	Yes
26	Describe how your program will conform to section 427 of General Education Provisions Act by describing the steps you propose to take to ensure equitable access to, and participation in, your program for students, teachers, and other program beneficiaries with special needs.
	The Assistive Technology Advisory Committee has a member from the California Department of Education. In collaboration with him and the contractor for the State Level Activities, students, teachers and other beneficiaries with special needs will be provided access to the programs. In addition, the contractor for the State Leadership Activities will continue to provide trainings and outreach to this population in combination with their transition trainings. In addition, all information and websites will be made accessible and alternate formats will be made available.
27	Access Goal Table

Access	Education	Employment	Community Living	IT/Telecom
a. Long-term Goal	72.00	69.00	78.00	62.00
b. Long-term Goal Status	Met	Met	Met	Met
c. FY 2007 Performance	14.00	0.00	44.94	0.00
d. FY 2008 Short-term goal	53.00	53.00	63.00	45.00
e. FY 2008 Performance	53.00	53.00	63.00	45.00
f. FY 2008 Status	Met	Met	Met	Met
g. FY 2009 Short-term goal	59.00	56.00	66.00	51.00
h. FY 2009 Performance	59.00	56.00	66.00	51.00
i. FY 2009 Status
j. FY 2010 Short-term goal	65.00	62.00	72.00	56.00
k. FY 2010 Performance	72.00	69.00	78.00	62.00
l. FY 2010 Status

28	Acquisition Goal Table

Acquisition	Education	Employment	Community Living
a. Long-term Goal	53.00	51.00	57.00
b. Long-term Goal Status	Met	Met	Met
c. FY 2007 Performance	0.00	0.00	0.00
d. FY 2008 Short-term goal	43.00	40.00	47.00
e. FY 2008 Performance	43.00	40.00	47.00
f. FY 2008 Status	Met	Met	Met
g. FY 2009 Short-term goal	47.00	45.00	52.00
h. FY 2009 Performance	47.00	45.00	52.00
i. FY 2009 Status
j. FY 2010 Short-term goal	52.00	50.00	57.00
k. FY 2010 Performance	53.00	51.00	57.00
l. FY 2010 Status

29	Name of Certifying Representative for the Lead Agency	Anthony "Tony" Sauer
30	Title of Certifying Representative for the Lead Agency	Director
31	Signed?	Yes
32	Date Signed	01/21/2008

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