, ▁not ably ▁those ▁who ▁are ▁de af ▁or ▁hard ▁of ▁hearing ▁and ▁those ▁with ▁speech ▁imp air ments . ▁When ▁Title ▁IV ▁took ▁effect ▁in ▁the ▁early ▁ 1 9 9 0 s , ▁it ▁led ▁to ▁the ▁installation ▁of ▁public ▁te let ype writer ▁( T TY ) ▁machines ▁and ▁other ▁T DD ▁( tele communic ations ▁devices ▁for ▁the ▁de af ). ▁Title ▁IV ▁also ▁led ▁to ▁the ▁creation , ▁in ▁all ▁ 5 0 ▁states ▁and ▁the ▁District ▁of ▁Columbia , ▁of ▁what ▁was ▁then ▁called ▁dual - party ▁relay ▁services ▁and ▁now ▁are ▁known ▁as ▁Tele communic ations ▁Rel ay ▁Services ▁( TR S ), ▁such ▁as ▁ST S ▁relay . ▁Today , ▁many ▁TR S - medi ated ▁calls ▁are ▁made ▁over ▁the ▁Internet ▁by ▁consum ers ▁who ▁use ▁broad band ▁connections . ▁Some ▁are ▁Video ▁Rel ay ▁Service ▁( V RS ) ▁calls , ▁while ▁others ▁are ▁text ▁calls . ▁In ▁either ▁variation , ▁communication ▁assist ants ▁translate ▁between ▁the ▁signed ▁or ▁typed ▁words ▁of ▁a ▁consumer ▁and ▁the ▁spoken ▁words ▁of ▁others . ▁In ▁ 2 0 0 6 , ▁according ▁to ▁the ▁Federal ▁Communic ations ▁Commission ▁( F CC ), ▁V RS ▁calls ▁aver aged ▁two ▁million ▁minutes ▁a ▁month . ▁ ▁Title ▁V — mis cell aneous ▁prov isions ▁ ▁Title ▁V ▁includes ▁technical ▁prov isions . ▁It ▁discuss es , ▁for ▁example , ▁the ▁fact ▁that ▁nothing ▁in ▁the ▁A DA ▁am ends , ▁over rides ▁or ▁can c els ▁anything ▁in