These are people who may rely on a screen reader (or software which reads content aloud) to access Web sites. Visual cues such as images, layout of data tables or multi-columns layouts may be unavailable to them without adding additional information within an HTML document.
Screen readers are used by users with severe visual impairment. They may be paired with either Internet Explorer and Firefox or text only browsers such as Lynx in order to facilitate screen reader operation.
The most common screen reader is probably JAWS (Windows only), but other screen readers such as Windows-Eyes (Windows), VoiceOver (Mac), Emacspeak (Linux) may also be used.
The following two images shows a screen capture of the header at http://tlt.its.psu.edu in both Firefox and in Lynx.


The main accomodations needed by this audience are:
See Details by Tech to learn more about how to implement specific accommodations for each technology
Some users may be using a text-only browser such as a PDA, cell phone Web viewer, or they may disable image downloading because of slow connections. Users outside the United States may only have access to the Internet via a text-only browser such as Lynx or a cell phone.
JAWS is one of the most commonly used screen reader programs. It not only reads Web sites, but reads all text within the Windows system (application menus, document text, help screens, and so forth).