Attachment B [v2].xlsx

Sheet1

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

Competitive 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 to be served as stated in your application narrative. % of Total Planned Enrollments

Applicant Name Period of Performance: Chronically Homeless Veteran 0%

Enter the name here

Author: Enter the name of your agency or organization.

Enter period here

Author: Please enter the grant period of performance, for example: July 1, 2016 through June 30, 2017.

Female Homeless Veteran 0%

Name of Project Funding Amount: Homeless Veteran with Family 0%

Enter the name here

Author: Please enter a title for the name of your project. Enter Amount

Author: Total amount of federal funds requested if this is an application for funding. If a grantee, then enter the amount of the actual grant award. IVTP Eligible 0%

If applicable, enter data for the follow-up periods covered by your grant.

Core Operation Year Goals (Not Cumulative) 90 day F/U 180 day F/U 270 day F/U 365 day Final

1. Planned Performance Jul-Sep Oct-Dec Jan-Mar Apr-Jun Total

a. # of Assessments

Author: A process for screening individual applicants for program eligibility making the level of need determinations; making an initial determination what services or programs can best benefit the applicants; providing information about services, program eligibility, and the availability of those services, and the routing or selecting individual applicants for particular service delivery or program participation.

0 0 0 0 0

b. # of Participants Enrolled

Author: A participant should be recorded as having been enrolled when an intake form has been completed, and services, referral, and/or employment has been received through the program. This will be an unduplicated count over the performance period, i.e., each participant is recorded only once, regardless of the number of times she or he receives assistance. 0 0 0 0 0 0

c. # Placed in Trans.or Perm Housing

Author: The number of participants that were placed into transitional or permanent housing either on-site or off-site.

0 0 0 0 0

d. # Referred to VA for Benefits

Author: The number of participants that the grantee referred to the Department of Veterans Affairs for medical, benefits, pensions, and other services.

0 0 0 0 0

e. # Placed into Employment

Author: Participants who were placed into employment or otherwise obtained employment as a result of grantee services used or received. 0 0 0 0 0 0

f. Average Hourly Wage at Placement

Author: The average starting wage (dollars/hour) of all placements made in the quarter.

$0.00 $0.00 $0.00 $0.00 $0.00 ERROR:#DIV/0!

g. Placement Rate Overall (Calculated: 1e/1i=rate)

Author: This is a method used to determine the percentage of participants who become employed. The figure is calculated by dividing the number of applicants or program participants who were placed into employment or otherwise entered employment by the number of total participants who were registered for services and enrolled in the program. ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! 0% ERROR:#DIV/0!

h. Placement Rate for the Chronically Homeless (a subset of 1g) 0.0% 0.0% 0.0% 0.0% Please remember to provide the overall rate here >>>>>>>>>> 0%

i. Cost Per Placement (Calculated: 1e/4d=cost)

Author: The cost per placement into unsubsidized employment is obtained by dividing the total HVRP/VWIP funds expended by the total number of enrolled participants placed into employment.

ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! $0.00 ERROR:#DIV/0!

j. # of Exiters

Author: A participant who is placed or dropped during a quarter and not receiving services for 90 days nor scheduled to receive future services. The following do not count as “future services”:

Additional Career Planning Contacting the employer Assisting with work-related problems Peer Support Groups Informational Mailings And referral to supportive services.

0 0 0 0

Author: ALL PARTICIPANTS HAVE TO BE EXITED AND ACCOUNTED FOR IN THIS REPORTING QUARTER!

Author: IN THE 5TH QTR REPORT, THIS NUMBER SHOULD MATCH THE NUMBER ENROLLED! ALL MUST BE EXITED BY THEN.

k. # Earned Wages in 1st Quarter After Exit

Author: The number of participants who are employed (i.e., drawing wages) in the first quarter after the exit quarter.

0 0 0 0 0

l. Entered Employment Rate (Calculated)

Author: The number of participants who are employed (i.e., drawing wages) in the first quarter after the exit quarter divided by the number of participants in the exit quarter.

0.0% 0.0% 0.0% 0.0% 0% ERROR:#DIV/0!

m. # Earned Wages in 1st and 2nd Quarters After Exit 0 0 0 0 0

n. # Earned Wages in 1st, 2nd and 3rd Quarters After Exit

Author: The number of participants who are employed (i.e., drawing wages) in all 3 quarters after the exit quarter.

0 0 0 0 0

p. WIA Employment Retention Rate (Calculated)

Author: The number of participants who were employed (i.e., drawing wages) in all 3 quarters after the exit quarter divided by the number of participants who were employed during the 1st quarter (Entered Employment) after the exit quarter.

ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! 0% ERROR:#DIV/0!

q. WIA Average 6-Month Earnings at Retention

Author: Of those participants who are employed in the first, second, and third quarters after the exit quarter: Total earnings in the second quarter plus total earnings in the third quarter after the exit quarter divided by the number of participants who are employed in the first, second, and third quarters after their exit quarter.

$0.00 $0.00 $0.00 $0.00 $0.00

Author: THIS WILL AUTO CALC THE ESTIMATE BASED ON HOURLY WAGES! $0.00

r. Average Hourly Wage at Retention

Author: The average hourly wage (dollar/hour) at retention (I.e., 3rd quarter after exit) of all participants who were employed (i.e., drawing wages) in all 3 quarters after the exit quarter $0.00 $0.00 $0.00 $0.00 $0.00

s. # Earned Wages in the 2nd Quarter After Exit 0 0 0 0 0

t. WIOA 2nd Qtr. Employment Rate (Calculated) ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0!

u. # Earned Wages in the 4th Quarter After Exit 0 0 0 0 0

v. WIOA 4th Qtr. Emp. Rate (Calculated) ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! 0.0%

w. WIOA Median Earnings in the 2nd Qtr. After Exit $0.00 $0.00 $0.00 $0.00 Median earnings for the grant overall >> $0.00 $0.00

2. Planned Training Activities

a. Unduplicated Count of All Participants Trained

Author: An unduplicated count of the number of participants who received training other than "Life Skills and Money Management". Below are the various types of training. Each participant may take more than one type of training. 0 0 0 0 0

b. % of Participants Trained (Calculated)

Author: Percentage of participants who received some type of training service whether provided directly by the grantee or referred to and provided by another training provider. The minimum percentage of participants who received some type of training service is 80%. ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! 0%

c. Class-Room-Training

Author: Any training of the type normally conducted in an institutional setting, including vocational education, which is designed to provide individuals with the technical skills and information required to perform a specific job or group of jobs. It may also include training designed to enhance the employability of individuals by upgrading skills.

0 0 0 0 0

d. On-the-Job Training

Author: Training by an employer that is provided to a paid participant while engaged in productive work in a job.

0 0 0 0 0 Yes 7000

e. Occupational Skills Training

Author: Includes both: (1) vocational education which is designed to provide individuals with the technical skills and information required to perform a specific job or group of jobs and (2) on-the-job training.

0 0 0 0 0 No 10000

f. Apprenticeship Training

Author: A formal occupational training program that is a structured, systematic program of on-the-job supervised training that is clearly identified and commonly recognized throughout an industry.

0 0 0 0 0

g. Upgrading and Retraining

Author: Training given to an individual who needs such training to advance above an entry-level or dead-end position. This training shall include assisting enrolled eligible veterans in acquiring needed State certification to be employed in the same field as they were trained in the military (CDL, EMT, A&P, teaching, etc.)

0 0 0 0 0

h. Life Skills and Money Management

Author: Activities and guidance provided to participants regarding the building of life skills including personal financial management, work ethics, development of supportive social networks, meal planning and preparation, personal hygiene and grooming, etc.

Ths training activity cannot be used for the "Unduplicated Count of All Participants Trained". 0 0 0 0 0

i. Other Training 0 0 0 0 0

3. Planned Supportive Services

Author: Participants may receive more than one type of supportive service. Grantees may take credit for each type of service only one time per participant.

a. Job Search Assistance

Author: An activity which focuses on building practical skills and knowledge to identify and initiate employer contact and conduct successful interviews with employers.

0 0 0 0 0

b. Counseling/Vocational Guidance

Author: A form of assistance which provides guidance in the development of a participant's vocational goals and the means to achieve those goals; and/or assist a participant with the solution to one or more individual problems that may pose a barrier(s) to sustained employment.

0 0 0 0 0

c. Job Club Workshops

Author: A form of job search assistance provided in a group setting.

0 0 0 0 0

d. Compensated Work Therapy

Author: Compensated Work Therapy (CWT) is sponsored by the Department of Veterans Affairs and is considered a work therapy program. Grantees are not to take credit for a placement into employment or entered employment as therapy is the primary objective of CWT.

0 0 0 0 0

e. Tools/Fees/Specific Work Clothing/Boots

Author: The number of participants that benefited from the grantee securing tools/fees/specific work clothing/boots, etc. in order to obtain and sustain employment.

0 0 0 0 0

f. Other Supportive Services 0 0 0 0 0

4. Planned Expenditures

a. Participant Services

Author: Programmatic costs including outreach, supportive services, training, placement services, and social rehabilitation services, which will assist in stabilizing the participants. This category should reflect all costs other than administrative costs.

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

b. Admin Costs

Author: Admin costs consist of all direct and indirect costs associated with the supervision and management of the program. All indirect costs are considered administrative costs for HVRP/VWIP purposes. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

c. Stand Down (NTE $10K per year)

Author: Grantees are encouraged to participate in all local Stand Down events as it is considered outreach for program purposes.

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

d. Total Expenditures (Calculated)

Author: The sum of participant services, admin costs, and Stand Down expenditures.

Author: Enter the name of your agency or organization.

Author: Please enter a title for the name of your project.

Author: Please enter the grant period of performance, for example: July 1, 2016 through June 30, 2017.

Author: Total amount of federal funds requested if this is an application for funding. If a grantee, then enter the amount of the actual grant award.

Author: A process for screening individual applicants for program eligibility making the level of need determinations; making an initial determination what services or programs can best benefit the applicants; providing information about services, program eligibility, and the availability of those services, and the routing or selecting individual applicants for particular service delivery or program participation.

Author: A participant should be recorded as having been enrolled when an intake form has been completed, and services, referral, and/or employment has been received through the program. This will be an unduplicated count over the performance period, i.e., each participant is recorded only once, regardless of the number of times she or he receives assistance.

Author: The number of participants that were placed into transitional or permanent housing either on-site or off-site.

Author: The number of participants that the grantee referred to the Department of Veterans Affairs for medical, benefits, pensions, and other services.

Author: Participants who were placed into employment or otherwise obtained employment as a result of grantee services used or received.

Author: The average starting wage (dollars/hour) of all placements made in the quarter.

Author: This is a method used to determine the percentage of participants who become employed. The figure is calculated by dividing the number of applicants or program participants who were placed into employment or otherwise entered employment by the number of total participants who were registered for services and enrolled in the program.

Author: The cost per placement into unsubsidized employment is obtained by dividing the total HVRP/VWIP funds expended by the total number of enrolled participants placed into employment.

Author: A participant who is placed or dropped during a quarter and not receiving services for 90 days nor scheduled to receive future services. The following do not count as “future services”:

Additional Career Planning Contacting the employer Assisting with work-related problems Peer Support Groups Informational Mailings And referral to supportive services.

Author: The number of participants who are employed (i.e., drawing wages) in the first quarter after the exit quarter.

Author: The number of participants who are employed (i.e., drawing wages) in the first quarter after the exit quarter divided by the number of participants in the exit quarter.

Author: ALL PARTICIPANTS HAVE TO BE EXITED AND ACCOUNTED FOR IN THIS REPORTING QUARTER!

Author: The number of participants who are employed (i.e., drawing wages) in all 3 quarters after the exit quarter.

Author: The number of participants who were employed (i.e., drawing wages) in all 3 quarters after the exit quarter divided by the number of participants who were employed during the 1st quarter (Entered Employment) after the exit quarter.

Author: Of those participants who are employed in the first, second, and third quarters after the exit quarter: Total earnings in the second quarter plus total earnings in the third quarter after the exit quarter divided by the number of participants who are employed in the first, second, and third quarters after their exit quarter.

Author: The average hourly wage (dollar/hour) at retention (I.e., 3rd quarter after exit) of all participants who were employed (i.e., drawing wages) in all 3 quarters after the exit quarter

Author: IN THE 5TH QTR REPORT, THIS NUMBER SHOULD MATCH THE NUMBER ENROLLED! ALL MUST BE EXITED BY THEN.

Author: THIS WILL AUTO CALC THE ESTIMATE BASED ON HOURLY WAGES!

Author: An unduplicated count of the number of participants who received training other than "Life Skills and Money Management". Below are the various types of training. Each participant may take more than one type of training.

Author: Percentage of participants who received some type of training service whether provided directly by the grantee or referred to and provided by another training provider. The minimum percentage of participants who received some type of training service is 80%.

Author: Any training of the type normally conducted in an institutional setting, including vocational education, which is designed to provide individuals with the technical skills and information required to perform a specific job or group of jobs. It may also include training designed to enhance the employability of individuals by upgrading skills.

Author: Training by an employer that is provided to a paid participant while engaged in productive work in a job.

Author: Includes both: (1) vocational education which is designed to provide individuals with the technical skills and information required to perform a specific job or group of jobs and (2) on-the-job training.

Author: A formal occupational training program that is a structured, systematic program of on-the-job supervised training that is clearly identified and commonly recognized throughout an industry.

Author: Training given to an individual who needs such training to advance above an entry-level or dead-end position. This training shall include assisting enrolled eligible veterans in acquiring needed State certification to be employed in the same field as they were trained in the military (CDL, EMT, A&P, teaching, etc.)

Author: Activities and guidance provided to participants regarding the building of life skills including personal financial management, work ethics, development of supportive social networks, meal planning and preparation, personal hygiene and grooming, etc.

Ths training activity cannot be used for the "Unduplicated Count of All Participants Trained".

Author: Participants may receive more than one type of supportive service. Grantees may take credit for each type of service only one time per participant.

Author: An activity which focuses on building practical skills and knowledge to identify and initiate employer contact and conduct successful interviews with employers.

Author: A form of assistance which provides guidance in the development of a participant's vocational goals and the means to achieve those goals; and/or assist a participant with the solution to one or more individual problems that may pose a barrier(s) to sustained employment.

Author: A form of job search assistance provided in a group setting.

Author: Compensated Work Therapy (CWT) is sponsored by the Department of Veterans Affairs and is considered a work therapy program. Grantees are not to take credit for a placement into employment or entered employment as therapy is the primary objective of CWT.

Author: The number of participants that benefited from the grantee securing tools/fees/specific work clothing/boots, etc. in order to obtain and sustain employment.

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

VETS-700

Only enter targets for those post-program measures applicable to your grant.

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