; (4) the steps the agency will take to ensure that each service, activity, program, or benefit of the agency is culturally and linguistically appropriate, including providing a range of language assistance options, notice to individuals with limited English proficiency or individuals with disabilities of the right to qualified language services and communication access, periodic training of staff, monitoring and quality assessment of the language services and, in appropriate circumstances, the translation of written materials; (5) the steps the agency will take, with respect to each service, activity, program, or benefit of the agency, to provide reasonable accommodations necessary for individuals with limited English proficiency and communication disabilities to understand communications from the agency; (6) the steps the agency will take to ensure that all applications, forms, and other relevant documents for the agency’s services, activities, benefits, and programs are competently translated, interpreted, and provided in accessible formats in the primary language of a client that is an individual with limited English proficiency or an individual with disabilities if such materials are needed to improve access of such client to such service, activity, benefit, or program; (7) when providing media, live broadcasting, or additional video communication for the agency’s services, activities, benefits, and programs, how the agency will ensure the use of qualified American Sign Language interpreters with a picture-in-picture inset feature where the interpreter’s frame is at least the same size as the main speaker’s frame but no smaller than 33 percent of the screen; (8) if relevant to the agency, the resources the agency will provide to improve cultural and linguistic appropriateness and accessibility practices to assist recipients of Federal funds to improve their access to health care related programs and activities for individuals with limited English proficiency or individuals with disabilities