SOR3 Service Domain Category of service provided. Numeric Code 01=Assistive Technology/ Durable Equipment/ Emergency Response 02=Consumable supplies 03=Home Modifications/ Repairs and/or Financial Consultation 05=Homemaker/chore/personal care 06=Transportation 07 = Nutrition services 08=Other SOR4 Estimated Estimated Unduplicated Person Numeric (integer) Persons Served served SOR5 Estimated Total estimated service units Numeric (integer) Service Unit provided. SOR6 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. SOR7 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. SOR8 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. SOR9 Program Gross income received and expended Numeric Income by the grantee and all sub grantees dollar amount (2 decimal) Expended such as voluntary contributions or income earned only as a result of the grant project during the grant period.
SOR3 Service Domain Category of service provided. Numeric Code 01=Assistive Technology/ Durable Equipment/ Emergency Response 02=Consumable supplies 03=Home Modifications/ Repairs and/or Financial Consultation 05=Homemaker/chore/personal care 06=Transportation 07 = Nutrition services 08=Other SOR4 Estimated Persons Served Estimated Unduplicated Person served Numeric (integer) SOR5 Estimated Service Unit Total estimated service units provided. Numeric (integer) SOR6 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) SOR7 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) SOR8 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) SOR9 Program Income Expended Gross income received and expended 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%20_OMB_0985-0008.docx