; (3) providing integrated community participation and wraparound services for individuals with disabilities; and (4) ensuring all such services and other non-employment services offered under, or with assistance from, such a grant comply with the requirements for home and community-based services under the Home and Community-Based Services (HCBS) final rule published on January 16, 2014 (79 Fed. Reg. 2948), or a successor rule. 102. State grant program (a) Application (1) In general To be eligible to receive a grant under this section, a State shall submit an application to the Secretary at such time, in such manner, and including such information as the Secretary may reasonably require. (2) Contents Each application submitted under paragraph (1) shall include— (A) a description of the status of the employers in the State providing employment using special certificates, including— (i) the number of employers in the State using special certificates to employ and pay individuals with disabilities; (ii) the number of employers described in clause (i) that also employ individuals with disabilities in competitive integrated employment, which shall include employers providing such employment in combination with integrated services; (iii) the number of employees employed under a special certificate, disaggregated by— (I) employer; and (II) demographic characteristics, including gender, race, ethnicity, and type of disability, unless indicating such characteristics would disclose personally identifiable information; (iv) the average, median, minimum, and maximum number of hours such employees work per week, disaggregated by employer, and reported for the State as a whole; and (v) the average, median, minimum, and maximum hourly wage for such employees, disaggregated by employer, and reported for the State as a whole