SCG3 Service Domain Category of service provided. Numeric Code 01=Assistive Technology/ Durable Equipment/ Emergency Response 02=Consumable supplies 03=Home Modifications/ Repairs 04=Legal and/or Financial Consultation care 06=Transportation 07 = Nutrition services 08=Other SCG4 Estimated Total Estimated Unduplicated Person Numeric (integer) Persons Served served SCG5 Estimated Total estimated service units Numeric (integer) Service Unit provided. SCG6 Title III Total outlays/payments made by the Numeric Expenditure SUA and/or AAA’s using OAA federal dollar amount (2 decimal) funds, in whole or in part, to provide the service. SCG7 Other - State Outlays/payments made by the SUA Numeric Expenditure and/or AAA’s using state funds to dollar amount (2 decimal) provide the service. SCG8 Other - Outlays/payments made by the SUA Numeric and/or AAA’s not using OAA or state dollar amount (2 decimal) Expenditure funds to provide the service. SCG9 Program Gross income received by the grantee Numeric Income and all sub grantees such as voluntary dollar amount (2 decimal) Received contributions or income earned only as a result of the grant project during the grant period.
SCG3 Service Domain Category of service provided. Numeric Code 01=Assistive Technology/ Durable Equipment/ Emergency Response 02=Consumable supplies 03=Home Modifications/ Repairs 04=Legal and/or Financial Consultation care 06=Transportation 07 = Nutrition services 08=Other SCG4 Estimated Persons Served Total Estimated Unduplicated Person served Numeric (integer) SCG5 Estimated Service Unit Total estimated service units provided. Numeric (integer) SCG6 Title III Expenditure Total outlays/payments made by the SUA and/or AAA’s using OAA federal funds, in whole or in part, to provide the service. Numeric dollar amount (2 decimal) SCG7 Other - State Expenditure Outlays/payments made by the SUA and/or AAA’s using state funds to provide the service. Numeric dollar amount (2 decimal) SCG8 Other - Expenditure Outlays/payments made by the SUA and/or AAA’s not using OAA or state funds to provide the service. Numeric dollar amount (2 decimal) SCG9 Program Income Received Gross income received by the grantee and all sub grantees such as voluntary contributions or income earned only as a result of the grant project during the grant period. Numeric dollar amount (2 decimal)
State_Program_Performance_Report_Requirements_Draft.docx