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Attachment B – Competitive Grants Planned Goals Chart

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OMB Approval 1293-0014
Expires 9/30/2019

Public Burden Statement - According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 1293-0014. The time required to complete this information collection is 1 hour per response, including the time to review instructions, search existing data sources, gather the data needed, and complete and review the information collection. The obligation to respond is required to obtain or retain a benefit (38 U.S.C. 2021 and 2023). If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Labor, Veterans' Employment and Training Service, 200 Constitution Avenue, N.W., Washington D.C. 20210.

Attachment B
United States Department of Labor
Veterans' Employment and Training Service
Competitve Grants Planned Goals Chart
PLEASE NOTE: Use the "Tab" key to navigate. Incorrect entries appear in a red font.For the below homeless veteran subgroups, enter the planned percentage of total enrollments to be served as stated in your application narrative.% of Total Planned Enrollments
Applicant NamePeriod of Performance:Chronically Homeless Veteran0%
Enter NameEnter Period of PerformanceFemale Homeless Veteran0%
Name of ProjectFunding Amount:Homeless Veteran with Family0%
Enter Name of the ProjectEnter AmountIVTP Eligible0%
If applicable, enter data for the follow-up periods covered by your grant.
Core Operation Year Goals (Not Cumulative)90 day F/U180 day F/U270 day F/U365 day Final
1.Planned PerformanceJul-SepOct-DecJan-MarApr-JunTotal
a.# of Eligibility Assessments00000
b.# of Participants Enrolled000000
c.# Placed in Trans.or Perm Housing00000
d.# Referred to VA for Benefits00000
e.# Placed into Employment (cannot be greater than # exits)000000
f.Average Hourly Wage at Placement$0.00$0.00$0.00$0.00$0.00$0.00
g.Placement Rate Overall (calculated: 1e/1j=rate)0.0%0.0%0.0%0.0%Don't forget to enter the planned overall placement rate for the chronically homeless0%0.00
h.Placement Rate for the Chronically Homeless (a subset of 1g)0.0%0.0%0.0%0.0%0%0.00
i.Cost Per Placement (calculated: 1e/4d=cost)$0.00$0.00$0.00$0.00$0.00ERROR:#DIV/0!
j.# of Exiters00000
k.# Earned Wages in 1st Quarter After Exit00000
l.Employment Rate in 1st Quarter After Exit (Calculated)0.0%0.0%0.0%0.0%0%ERROR:#DIV/0!
m.# Earned Wages in 1st and 2nd Quarters After Exit00000
n.# Earned Wages in 1st, 2nd and 3rd Quarters After Exit00000
p.WIA Employment Retention Rate (Calculated)ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!0%0.0%
q.WIA Average 6-Month Earnings at Retention$0.00$0.00$0.00$0.00$0.00$0.00
r.Average Hourly Wage at Retention$0.00$0.00$0.00$0.00$0.00
m.# Earned Wages in the 2nd Full Quarter After Exit00000
n.Employment Rate in the 2nd Quarter After Exit (calc.)0.0%0.0%0.0%0.0%0.0%0.0%
o.# Earned Wages in the 4th Full Quarter After Exit00000
p.Employment Rate in the 4th Quarter After Exit (calc.)0.0%0.0%0.0%0.0%0.0%0.0%
q.Median Quarterly Earnings in the 2nd Qtr. After Exit$0.00$0.00$0.00$0.00Don't forget to enter overall >>>$0.00$0.00
2.Planned Training Activities
a.Unduplicated Count of Those Trained by the Quarter the Participant First Received Training00000
b.% of Participants Trained (calculated cumulative percentage)0.0%0.0%0.0%0.0%0%
c.Class-Room-Training00000
d.On-the-Job Training00000Yes7000
e.Occupational Skills Training00000No10000
f.Apprenticeship Training00000
g.Upgrading and Retraining00000
h.Life Skills and Money Management0
h.Other Training00000
3.Planned Supportive Services
a.Job Search Assistance00000
b.Life Skills and Money Management00000
c.Counseling/Vocational Guidance00000
d.Job Club Workshops00000
e.Compensated Work Therapy00000
f.Tools/Fees/Specific Work Clothing/Boots00000
g.Other Supportive Services00000
4.Planned Expenditures
a.Participant Services$0.00$0.00$0.00$0.00$0.00$0.00
b.Admin Costs$0.00$0.00$0.00$0.00$0.00$0.00
c.Stand Down (requires prior approval from the Grant Officer)$0.00$0.00$0.00$0.00$0.00$0.00
d.Total Expenditures (calculated)$0.00$0.00$0.00$0.00$0.00$0.00

VETS-700

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