ICI’s Research and Training Center on Community Living for Persons with Intellectual and Developmental Disabilities (RTC-CL), in partnership with the National Alliance for Direct Support Professionals (NADSP), conducted a survey of approximately 5,400 direct support professionals (DSPs) and frontline supervisors from across the country about their experiences supporting people with intellectual and developmental disabilities (IDD) during the COVID-19 pandemic. DSPs are interdisciplinary professionals who provide complex and essential supports to individuals with IDD, making community inclusion a reality. This 12-month report is a follow-up to the initial report completed in April 2020 and a six-month follow-up report. These reports represent the largest study conducted on the direct support workforce.