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2015 and 2016 workforce data validation and reporting deadlines
Summary ETA reminded workforce programs of participant data validation and performance reporting duties for Program Years 2014 and 2015 and set submission dates. Six attachments supply validation rules, report forms, source documentation, and timelines. ETA now labels the letter Canceled.
Document
Federal guidance
Agency
U.S. Department of Labor, Employment and Training Administration (ETA)
Document number
TEGL No. 22-15
Date issued
May 12, 2016
Status
Withdrawn
ETA lists this letter Canceled as of 2026-10-24; its PDF prints Expiration Date: Continuing and identifies no rescission. TEGL 23-19 later provides data validation guidance, but this source does not expressly name it as the cancellation instrument.
Status last verified October 24, 2026
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About this page: The full text below is the official document from U.S. Department of Labor, Employment and Training Administration (ETA). Ezel adds the plain-English summary and tracks the document's status. The official source linked on this page is authoritative for any reliance.
CLASSIFICATION
EMPLOYMENT AND TRAINING ADMINISTRATION WIA/Performance Reporting
ADVISORY SYSTEM CORRESPONDENCE SYMBOL
OPDR
U.S. DEPARTMENT OF LABOR
DATE
Washington, D.C. 20210 May 12, 2016
ADVISORY: TRAINING AND EMPLOYMENT GUIDANCE LETTER NO. 22-15
TO: STATE WORKFORCE AGENCIES
STATE WORKFORCE ADMINISTRATORS
NATIONAL FARMWORKER JOBS PROGRAM GRANTEES
INDIAN AND NATIVE AMERICAN PROGRAM GRANTEES
FROM: PORTIA WU /s/
Assistant Secretary
SUBJECT: Program Year (PY) 2015/Fiscal Year (FY) 2016 and PY 2014/FY 2015 Data
Validation and Performance Reporting Requirements and Associated Timelines
1. Purpose. To remind the workforce investment system of data validation and performance
reporting requirements and establish associated timelines for submitting reports for the
following programs/activities:
• Quarterly participant records, annual reports, and data validation results for the
Workforce Investment Act (WIA) title IB programs and National Emergency Grants
(NEGs);
• Quarterly participant records and data validation results for the Wagner-Peyser Act
Employment Service;
• Quarterly reports for activities authorized under 38 U.S.C. 4103A and 4104 (Disabled
Veterans’ Outreach Program (DVOP) and Local Veterans’ Employment Representatives
(LVER));
• Quarterly reports, participant records, and data validation results for the Trade
Adjustment Assistance (TAA) program;
• Individual participant records for the National Farmworker Jobs Program (NFJP); and
• Individual participant records for the Indian and Native American program (INA).
Additionally, this guidance serves to provide documentation for accountability purposes
regarding the deadlines of the above activities and reports. While some of the associated due
dates are now passed, they are still included here to provide proper documentation of
statewide reporting and data validation requirements throughout the entire program year.
Finally, this guidance revises the due date for submission of Data Element Validation (DEV)
for WIA and TAA results which must be submitted by March 15 for both PY 2014 and PY
2015.
RESCISSIONS EXPIRATION DATE
None Continuing
2. References.
• WIA of 1998, Sections 136 and 185;
• WIOA of 2014, Sections 116 and 506;
• TEGL 9-07, Revised Incentive and Sanction Policy for Workforce Investment Act Title IB
Programs;
• TEGL 7-15, Workforce Investment Act (WIA) Program Year (PY) 2014 Annual Report
Narrative.
3. Background. The Employment and Training Administration’s (ETA) statutory and
regulatory authority to administer job training and employment programs includes provisions
requiring performance reporting from states and grantees. The Department uses this
information to assess performance of states and grantees. All states and direct grantees
administering Department of Labor (Department) employment and training programs must
collect and report information on all participants.
Most provisions of the Workforce Innovation and Opportunity Act (WIOA) took effect on
July 1, 2015 (see WIOA sec. 506(a)). However, section 116 of WIOA, which outlines
WIOA’s performance accountability requirements, does not take effect until July 1, 2016 (see
WIOA sec. 506(b)(1)). This means that the performance reporting requirements in section
136 of WIA are still in effect and will remain in place until the WIOA performance
requirements are fully implemented. To satisfy the performance reporting requirements,
states must use the performance metrics in WIA section 136 to report on all participants (both
participants receiving WIOA services and those who are continuing to receive WIA services).
This means that WIA participants who transition to WIOA requirements after July 1, 2015,
are being measured according to the WIA section 136 performance measures, as well as the
data elements and source documentation currently in use for WIA Title I programs.
Because WIA performance measures are being used, the reports and reporting systems
discussed in this TEGL are the same as those used under WIA. Each state that receives an
allotment under WIA/WIOA Section 127 or Section 132 must submit an ETA Form 9090
(WIA Quarterly Report) to provide the Department with available performance information
for WIA participants. The WIA Quarterly Report will cover the following formula funded
programs:
• WIA Adult Program;
• WIA Dislocated Worker Program;
• WIA Youth Program; and
• NEGs.
Wagner-Peyser Act funded services are reported on ETA Form 9002 A for all participants
and on ETA Form 9002 B for participants who are veterans, eligible spouses, or transitioning
service members. The Veterans’ Employment and Training Service (VETS) 200 Reports are
a subset of the ETA Form 9002 data from forms 9002A through 9002D. The data reported on
VETS 200 only apply to the activities of participants who received one or more services from
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LVERs and DVOPs. This enables VETS to evaluate the outcomes of the more intensive
services offered to participants under these two programs.
Each state also must prepare and submit an annual report of performance progress to the
Secretary of Labor (Secretary) in accordance with WIA Sections 136 and 185. There are two
components to the WIA Annual Report: (1) the required performance results, as specified in
ETA Form 9091, “WIA title 1B Annual Report” (OMB No. 1205-0420) found at:
http://www.doleta.gov/performance/guidance/WIA/WIAAnnualReportSpecifications.pdf,
and (2) a narrative report. The Secretary utilizes the annual reports to fulfill the requirement
of disseminating state-by-state comparisons of the information. This information also was
used to determine whether the Secretary sanctioned a state based on performance failure. See
TEGL 9-07 for further information. Please note that PY 2013 incentive grants were the last
funded grants under WIA.
4. Use of the Enterprise Data Reporting and Validation System (E-DRVS) for Program
Reporting. Submission of timely and accurate data is required in Section 136 of WIA. In
2003, ETA introduced data validation to help states and grantees ensure that their reported
performance data accurately reflects their experiences. ETA provides software to states and
grantees that analyzes participant records and ensures performance calculations are accurate.
E-DRVS is the online integrated reporting and validation tool where states can upload
individual record files, validate, and edit check the data; create quarterly/annual reports; and
perform data element validation. E-DRVS eliminates the need to upload annual or quarterly
records into the Enterprise Business Support System (EBSS).
5. Performance Reporting and Data Validation for the WIA Title IB Programs. For each
program year, states are required to submit the following reports (when specified due dates
are on a Saturday or Sunday, the report is due the following Monday):
A. Workforce Investment Act Standardized Record Data (WIASRD) files and
Quarterly Performance Reports (ETA 9090)
WIASRD quarterly submissions for the first, second, third, and fourth quarters of each
program year are due 45 days following the end of the quarter (November 14, February
14, and May 15, and August 14, respectively). Please see the appropriate attachment(s) in
this guidance for the exact due date that falls on the Monday after the 45 days conclude.
Submit all quarterly WIASRD files using the revised layout. As additional revisions to
the layout/edit check documents are made, they will be posted at the ETA performance
site: http://www.doleta.gov/performance/pro.cfm. A notice will be sent to state
performance reporting staff if/when further revisions are made.
B. Validated WIA Annual Report (ETA 9091) Tables A through Q – Due no later than
September 15.
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The fourth quarter WIASRD submission to E-DRVS will automatically generate both the
ETA 9090 and ETA 9091 reports. Consequently, any further WIASRD submissions
through September 15 will overwrite a previously certified ETA 9090 fourth
quarter report generating a revised ETA 9090 report with new numbers. Therefore,
it is important to remember to recertify any fourth quarter report created after August 14.
States and other jurisdictions approved to report only the Common Measures for WIA
programs for the program year in question do not have to report outcomes for the
customer satisfaction measure in Table A of the ETA 9091 report. However, regarding
the customer satisfaction survey, methodologies and results should be addressed in the
narrative portion of the WIA Annual report by ALL states. A separate TEGL addressed
the narrative requirements (TEGL 7-15, Workforce Investment Act (WIA) Program Year
(PY) 2014 Annual Report Narrative). All states are required to report outcomes for the
youth common performance measures.
In addition to the customer satisfaction measure mentioned above, states that are
approved to report only the Common Measures should reference Attachment B of this
TEGL, which contains the WIA Annual Report format with shaded fields to indicate the
information that is not required as part of the state’s annual report submission.
Data Element Validation (DEV), using the file of exiters and participants reported on the
ETA 9091, must be completed by March 15 following the due date of the WIA annual
narrative for the program year being submitted. Please see Attachment A of this TEGL
for the source documentation requirements for WIA data element validation.
6. Performance Reporting and Data Validation for Other State-Based Programs.
A. Wagner-Peyser Employment Service. States are required to submit the Wagner-Peyser
individual record file (OMB No. 1205-0240) on a quarterly basis. Like WIA, quarterly
reports are required to be submitted through E-DRVS and certified in EBSS no later than
45 days after the end of each quarter. States must submit their fourth quarter reports
no later than the first Friday after the Labor Day holiday. This additional time,
beyond the usual time allowed for Wagner-Peyser quarterly reports, is to allow for Data
Element Validation to be performed and to provide extra review of the fourth quarter
report. Please see the appropriate attachment(s) in this guidance for the exact due date.
In each program year, the Wagner-Peyser Employment Service submission requires data
element validation. A minimal Data Element Validation sample of 25 job seekers must be
reviewed and compared to state-level data prior to ETA 9002 and VETS 200 reports
certification to ensure that the files used to conduct report validation were properly
constructed. All states are required to perform data element validation, but are not
required to use the E-DRVS to do so for PY 2015. As with the WIASRD, E-DRVS has
served as the reporting mechanism for Wagner-Peyser.
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B. Trade Adjustment Assistance. Since the TAA program operates on a fiscal year basis,
the Trade Act Participant Report (TAPR), OMB No. 1205-0392, is based on a year that
begins on October 1 and ends on September 30. States are required to submit the TAPR
on a quarterly basis, no later than 45 days after the end of the report quarter (see
Attachments E or F for due dates). States administering TAA programs are not required
to submit an annual report; states are required to submit individual participant records
only for TAA.
To align with the WIA data element validation (DEV) due date, TAA DEV was due, via
EBSS, on March 15 following the due date of the third quarter TAPR file for the program
year being submitted. A user guide is available on the TAA Web site at
www.doleta.gov/tradeact (locate the ‘TAA DEV User Guide’ under the “Research” drop
down menu, found in the horizontal menu bar on the home page) to assist states in
accessing and using the TAA DEV report application.
7. Data Validation for NFJP. Under WIA, grantees administering NFJP are not required to
submit a performance outcomes report. Grantees are required to submit individual participant
records for NFJP, which ETA uses to calculate the performance outcomes for each grantee.
Therefore, grantees are not required to conduct report validation, but must conduct data
element validation.
The final NFJP participant data are due to ETA’s contractor (Social Policy Research
Associates) by May 15 of the year following the end of the program year. Data element
validation for each program year must be submitted to ETA by November 1 in the year
after the end of the program year. Please see Attachments E and F for due dates and
Attachment D for the source documentation requirements for NFJP data element validation.
NFJP grantees should use NFJP Data Validation Software Version 2.0.
8. INA Reporting. Under WIA, grantees administering INA programs are not required to
submit a performance outcomes report. However, grantees are required to submit a Standard
Participant Individual Record file for INA program participants each quarter, which ETA
uses to calculate the performance outcomes for each grantee. The only performance outcomes
for INA programs under WIA are Entered Employment, Employment Retention, and Average
Earnings.
9. PY 2015 WIA Data Validation. The public workforce system requires data validation in
order to ensure quality standards of performance data are met. The reporting of performance
data for validation is essential for accurate reflection of state and grantees’ experiences.
However, ETA recognizes the additional burden that implementing WIOA performance
accountability provisions will undoubtedly cause. In order to balance the need for accurate
high quality data with the burden of WIOA implementation, states are still required to
conduct data validation in PY 2015, but are not required to do so using EDRVS. While states
must utilize a thorough data validation strategy, the specific methodology is left to the
discretion of the state. This reporting method closely follows that of customer service
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measures reporting in TEGL 9-14, Workforce Investment Act (WIA) Program Year (PY) 2013
Annual Report Narrative.
10. Data Reporting and Validation Resources. Data used to compute the performance
outcomes must be accurate and submitted on time. ETA provides the following resources to
grantees in order to assist them in reporting timely and accurate data.
• WIA Annual and Quarterly Report handbooks are available at:
http://www.doleta.gov/performance/reporting
• Data validation software applications and User Guides for each program are at:
http://www.doleta.gov/performance/reporting/tools_datavalidation.cfm
• For assistance with WIA Quarterly reporting timeframes for each measure based on both
the year and quarter, an auto-populating spreadsheet is available at:
http://www.doleta.gov/performance/guidance/WIA/WIAQuarterlyReportingTimeFrames.
xls. The annual report timeframes can be derived from this spreadsheet by selecting the
year and the fourth quarter.
11. Training and Technical Assistance. States and grantees are encouraged to request
technical assistance on validation procedures and the use of the reporting and validation tools
by contacting regional and/or national office program staff.
12. Action Requested. States and grantees should: 1) distribute this guidance to appropriate
staff; 2) complete report and data validation activities within the timeframes established in
sections 5, 6, and 7 of this guidance; and 3) provide the appropriate regional office with
updates on the reporting and validation process.
13. Inquiries. Questions regarding performance reporting should be directed to the appropriate
ETA regional office, or to the Office of Policy Development and Research at
[email protected].
14. Attachments.
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and
PY 2015 Workforce Investment Act (WIA) Data Element Validation
Attachment B: Workforce Investment Act (WIA) Annual Report Requirements for
States Approved to Report against the Common Performance Measures Only
Attachment C: Trade Adjustment Assistance (TAA) Data Element Validation for
Program Year (PY) 2014 and PY 2015
Attachment D: Source Documentation Requirements for National Farmworker Job
Program (NFJP) Data Element Validation
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Attachment E: Program Year 2015/Fiscal Year 2016 Performance Reporting and Data
Validation Timelines
Attachment F: Program Year 2014/Fiscal Year 2015 Performance Reporting and Data
Validation Timelines
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Attachment 1
Official attachment: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2016/TEGL_22-15_Attachment_A_Acc.pdf
May, 2016
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
Validation Instructions: These instructions present the data elements, reference numbers, formats, element definitions, Federal sources, state/grantee sources, and validation rules needed to perform data element validation. The Federal sources are the generic,
federally recommended source documentation. States are authorized to use state-specific versions of the federally approved documentation. No additional documentation sources may be utilized.
A. VALIDATION RULES
Two types of validation rules exist:
1. If the validation instruction says MATCH: Enter a checkmark in the box in the pass column if the data on the worksheet match the data in the source documentation. Enter a checkmark in the box in the fail column if the data on the worksheet do not
match the data in the source documentation or if no source documentation is found.
To match, the data on the worksheet must be the same as the data in the source documentation. For example, if the worksheet says a participant's date of birth is July 1, 1975, then the source documentation must also have July 1, 1975, as the birth date.
The validator must validate data elements that have checkboxes next to them or are not grayed-out.
2. If the validation instruction says SUPPORT: Enter a checkmark in the box in the pass column if the data on the worksheet are supported by the data in the source documentation. Enter a checkmark in the box in the fail column if the data on the
worksheet are not supported by the data in the source documentation or if no source documentation is found. To support the data on the worksheet, the source documentation must provide evidence that the data on the worksheet is correct.
This instruction is used when information must be interpreted or processed before it can be used to assess the accuracy of the data on the participant's records. For example, source documentation is used to support youth who needs additional assistance
because validators must interpret policy and determine if the documentation supports that policy.
B. MISSING AND INVALID RECORDS
There are four conditions used to describe higher level data problems:
1. If a record is missing from the office in which it is supposed to be, the validator should check the box at the top of the worksheet that says "Missing Record." No other elements should be validated. This record fails validation.
2. If the validator cannot determine where a record is supposed to be located, the validator should check the box at the top of the worksheet that says "Unable to Locate." No other elements should be validated. This record fails validation.
3. If a record for a person not registered in WIA has wrongly been included in the extract file, the validator should check the box at the top of the worksheet that says "Invalid Record." No other elements should be validated. This record fails validation.
4. If a record has a wrong Social Security Number (SSN), the validator should check the "Wrong SSN" checkbox AND validate all data elements listed on the worksheet.
C. TYPES OF SOURCE DOCUMENTATION
For most data elements, the validation instructions provide multiple forms of acceptable source documentation. Ideally, all source documentation should tell the same story regarding the participant, services rendered, and outcomes. However, if the state
collects multiple sources for the same data element and the sources conflict, the most reliable source should be used to determine if the element passes or fails. For example, for School Status at Participation (DRVS Field# 30), copies of records from an
educational institution are a more reliable source than participant self-attestation.
For the most part, the definition of a particular source is clear. States have, however, had questions about four sources—Cross-Match, State Management Information System (MIS), Self-Attestation, and Case Notes. Definitions for these four types of source
documentation are:
1. Cross-Match: A cross-match requires validators to find detailed supporting evidence for the data element in a database. An indicator or presence of an SSN in a non-WIA database is not sufficient evidence. For example, Temporary Assistance to Needy
Families (TANF) participation can be determined by a cross-match with the state's public assistance database. It is not sufficient to find that the sampled SSN is present in the public assistance database; validators must also find supporting information such
as dates of participation and services rendered.
2. State MIS: Unless otherwise noted, state MIS refers to specific, detailed information that is stored in the state’s information system that supports an element. An indicator, such as a checkmark on a computer screen, is not acceptable source documentation
in and of itself. For example, state MIS is an acceptable source of documentation for date of first training service. To be an acceptable source to validate date of first training service, in addition to the date of first training, the state MIS should have
information about the type of training and the organization that provided the training. Locating this detailed information represents a deeper level of inquiry than the appearance of a date in the state MIS and makes it unnecessary for such states to validate
this data element in local offices.
3. Self-Attestation: Self-attestation (also referred to as a participant statement) occurs when a participant states his or her status for a particular data element, such as pregnant or parenting youth, and then signs and dates a form acknowledging this status.
The key elements for self-attestation are: (a) the participant identifying his or her status for permitted elements and (b) signing and dating a form attesting to this self-identification. The form and signature can be on paper or in the state management
information system, with an online signature.
4. Case Notes: Case notes refer to either paper or electronic statements by the case manager that identifies, at a minimum, the following: a participant's status for a specific data element, the date on which the information was obtained, and the case
manager who obtained the information.
PLEASE NOTE: For DRVS field numbers 8, 19, 28, 38, 40, and 46, the sources differ for those adults, dislocated workers, and NEGs, where applicable, who received intensive and/or training services from those who received staff-assisted services only. If a
date is in field # 93 or 96, the participant received intensive and/or training services. If a date is in field # 86, the participant received staff-assisted core services.
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Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
WIA Funding Stream
EDRVS New Old DATA TYPE/
Field WIASRD WIASRD FIELD Adult Dislocated NEG Older Younger
Number No No DATA ELEMENT NAME LENGTH DATA ELEMENT DEFINITIONS/INSTRUCTIONS CODE VALUE Worker Youth Youth Match/Support Source Documentation Requirements
Global Missing Record N/A If a record is missing from the office in which it is supposed to be, the validator should Yes Yes Yes Yes Yes Support N/A
check the box at the top of the worksheet that says "Missing Record." No other
elements should be validated. This record fails validation
Global If the validator cannot determine where a record is supposed to be located, the Yes Yes Yes Yes Yes Support N/A
validator should check the box at the top of the worksheet that says "Unable to
Locate." No other elements should be validated. This record fails validation.
Unable to Locate Record
Global Yes Yes Yes Yes Yes Support N/A
If a record for a person not registered in WIA has wrongly been included in the extract
file, the validator should check the box at the top of the worksheet that says "Invalid
Invalid Record Record." No other elements should be validated. This record fails validation.
Global If a record has a wrong Social Security Number (SSN), the validator should check the Yes Yes Yes Yes Yes Match SSN Card, Passport, Military ID, Other Federal
"Wrong SSN" checkbox AND validate all data elements listed on the worksheet. or State ID with SSN
Wrong SSN
8 200 102 Date of Birth DT 8 Record the participant's date of birth. YYYYMMDD Yes Yes Yes Yes Yes Match Adults/DW/NEG Exiters who received Self-
Blank = Does Not Apply services only: Self-attestation
Leave blank if this data element does not apply to the person (covered entrants) and
the data is not available. Leave blank if the Date of Birth is not known Adults/DW/NEG Exiters who received Staff-
for a Covered Entrant or Self Service assisted core services only:
Participant
Hard or electronic case notes. Should reflect
that the client has shown proof of age, and
should include, for example, the driver’s other
uniquely identifiable information of the
document.
All WIA Youth program participants and WIA
Adult and Dislocated Worker/NEG
participants receiving intensive and/or training
services:
A hard or electronic copy of the participant’s
one of the following: license, baptismal record,
birth certificate, DD-214, Report of Transfer or
Discharge paper, Federal, state or local
identification card, passport, hospital record of
birth, public assistance/social service records,
school records or ID cards, work permit, cross
match with Department of Vital Statistics, or
tribal records.
19 301 111 Eligible Veteran Status IN 1 Record 1 if the individual is a person who served in the active U.S. military, naval, or air 1 = Yes <=180 days. Yes Yes Yes Yes No Support Adults/DW/NEG Exiters who did not receive
service for a period of less than or equal to 180 days, and who was discharged or 2 = Yes, Eligible Veteran Intensive or Training Services: State MIS, self-
released from such service under conditions other than dishonorable. 3 = Yes, Other Eligible Person attestation, case notes
Record 2 if the participant served on active duty for a period of more than 180 days 0 = No
and was discharged or released with other than a dishonorable discharge; or was Blank = not applicable (Younger Youth only) Older Youth and Adults/DW/NEG Exiters
discharged or released who received Intensive or Training Services:
because of a service connected disability; or as a member of a reserve component DD-214, cross match with veterans data, a
under an order to active duty pursuant to section 167(a), (d), or (g), 673 (a) of Title 10, letter from the Veterans'
U.S.C., served on Administration
active duty during a period of war or in a campaign or expedition for which a campaign
badge is authorized and was discharged or released from such duty with other than a
dishonorable
discharge.
Record 3 if the participant is: (a) the spouse of any person who died on active duty or
of a service connected disability, (b) the spouse of any member of the Armed Forces
serving on active duty who at the time of application for assistance under this part, is
listed, pursuant to 38 U.S.C 101 and the regulations issued there under, by the
Secretary concerned, in one or more of the
following categories and has been so listed for more than 90 days: (i) missing in action ;
(ii) captured in the line of duty by a hostile force; or (iii) forcibly detained or interned in
the line of
duty by a foreign government or power; or (c) the spouse of any person who has a total
disability permanent in nature resulting from a service connected disability or the
spouse of a veteran
who died while a disability so evaluated was in existence.
Record 0 if the participant does not meet any one of the conditions described above.
Leave “blank” if the individual is not a participant, and the data is not available.
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Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
28 400 115 Employment Status at IN 1 Record 1 if the participant is a person who either (a) did any work at all as a paid 1 = Employed Yes Yes Yes Yes Yes Support Adults/DW/NEG Exiters who did not receive
Participation employee, (b) did any work at all in his or her own business, profession, or farm, (c) 2 = Employed, but Received Notice of Intensive or Training Service s: State MIS, self-
worked as an unpaid worker in an enterprise operated by a member of the family, or Termination of Employment or Military attestation, case notes
(d) is one who was not working, but has a job or business from which he or she was Separation
temporarily absent because of illness, bad weather, vacation, labor-management 0 = Not Employed All Youth and Adults/DW/NEG Exiters
dispute, or personal reasons, whether or not paid by the employer for time-off, and Blank (Covered Entrant Only) who received Intensive or Training Services:
whether or not seeking another job. Pay stub, case notes showing
Record 2 if the participant is a person who, although employed, either (a) has received information collected from participant
a notice of termination of employment or the employer has issued a Worker
Adjustment and Retraining Notification (WARN) or other notice that the facility or
enterprise will close, or (b) is a transitioning service member.
Record 0 if the participant does not meet any one of the conditions described above.
Leave blank if this data element does not apply to the person (covered entrants, TAA
non participants).
35 411 129 School Status at Participation IN 1 Record 1 if the participant has not received a secondary school diploma or its 1 = In-school, H.S. or less No No No Yes Yes Support Applicable records from education institution
recognized equivalent and is attending any secondary school (including elementary, 2 = In-school, Alternative School (GED certificate, diploma, attendance record,
intermediate, junior high school, whether full or part-time), or is between school terms 3 = In-school, Post-H.S. transcripts, drop out letter, school
and intends to return to school. 4 = Not attending school or H.S. Dropout documentation), WIA intake or registration
Record 2 if the participant has not received a secondary school diploma or its 5 = Not attending school; H.S. graduate form, State MIS, self- attestation
recognized equivalent and is attending an alternative high school or an alternative
course of study approved by the local educational agency whether full or part-time. Leave blank if the School Status at
Record 3 if the participant has received a secondary school diploma or its recognized Participation is not known for a Covered
equivalent and is attending a post-secondary school or program (whether full or part- Entrant or Self Service Participant
time), or is between school terms and intends to return to school.
Record 4 if the participant is no longer attending any school and has not received a
secondary school diploma or its recognized equivalent.
Record 5 if the participant is not attending any school and has either graduated from
high school or holds a GED.
Leave blank if this data element does not apply to the individual.
Section A.06: Public Assistance Information
38 600 120 Temporary Assistance to Needy IN 1 Record 1 if the participant is a person who is listed on the welfare grant or has received 1 = Yes Yes No No Yes Yes Support Adults Exiters who did not receive Intensive or
Families (TANF) cash assistance or other support services from the TANF agency in the last six months 0 = No Training Services: State MIS, self-attestation,
prior to participation in the program. Blank = Does Not Apply case notes
Record 0 if the participant does not meet the condition described above.
Leave blank if this data element does not apply to the individual. All Youth and Adults Exiters who received
Leave blank if this data element does not apply to the person (covered entrants, TAA Intensive or Training Services : Cross- match
non participants). with TANF public assistance records
40 602 121 Other Public Assistance IN 1 Record 1 if the participant is a person who is receiving or has received cash assistance 1 = Yes Yes Yes No Yes Yes Support Adults/DW Exiters who did not receive
Recipient or other support services from one of the following sources in the last six months prior 0 = No Intensive or Training Services: State MIS, self-
to participation in the program: General Assistance (GA) (State/local government), Blank = Does Not Apply attestation, case notes
Refugee Cash Assistance (RCA), or Food Stamp Assistance. Do not include foster
child payments. All Youth and Adults/DW Exiters who received
Record 0 if the participant does not meet the above criteria. Intensive or Training Services: Copy of
Leave blank if this data element does not apply to the individual. authorization to receive cash public assistance,
copy of public assistance check, medical card
showing cash grant status, public assistance
records, refugee assistance records, cross-
match with public assistance database
Section A.07: Additional Reportable Characteristics
41 700 125 Homeless Individual and/or IN 1 Record 1 if the participant is a person who lacks a fixed, regular, adequate night time 1 = Yes Yes No No Yes Yes Support Written statement from an individual providing
runaway youth residence. This definition includes any individual who has a primary night time 0 = No residence, shelter or social service agency,
residence that is a publicly or privately operated shelter for temporary accommodation; Blank = Does Not Apply WIA intake or registration form, self-attestation
an institution providing temporary residence for individuals intended to be
institutionalized; or a public or private place not designated for or ordinarily used as a
regular sleeping accommodation for human beings; or a person under 18 years of age
who absents himself or herself from home or place of legal residence without the
permission of his or her family (i.e., runaway youth). This definition does not include an
individual imprisoned or detained under an Act of Congress or State law. An individual
who may be sleeping in a temporary accommodation while away from home should
not, as a result of that alone, be recorded as homeless.
Record 0 if the participant does not meet the conditions described above.
Leave blank if this data element does not apply to the individual.
42 701 126 Offender IN 1 Record 1 if the participant is a person who either (a) is or has been subject to any 1 = Yes Yes No No Yes Yes Support Documentation from juvenile or adult criminal
stage of the criminal justice process for committing a status offense or delinquent act, 0 = No justice system, documented phone call with
or (b) requires assistance in overcoming barriers to employment resulting from a Blank = Does Not Apply court or probation representatives, WIA intake
record of arrest or conviction for committing delinquent acts, such as crimes against or registration form, self-attestation
persons, crimes against property, status offenses, or other crimes.
Record 0 if the participant does not meet any one of the conditions described above.
Leave blank if this data element does not apply to the individual.
3
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
43 702 119 Low Income IN 1 Record 1 if the participant is a person who: 1 = Yes Yes No No Yes Yes Support Adults Exiters who did not receive Intensive or
(A) receives, or is a members of a family which receives, cash payments under a 0 = No Training Services: State MIS, self-attestation,
federal, state or local income-based public assistance program, or Blank = Does Not Apply case notes.
(B) received an income, or is a member of a family that received a total family income,
for the six-month period prior to program participation (exclusive of unemployment All Youth and Adults Exiters who received
compensation, child support payments, payments described in subparagraph A and Intensive or Training Services: Alimony
old-age and survivors insurance benefits received under section 202 of the Social Agreement, applicant statement, award letter
Security Act (42 U.S.C 402)) that, in relation to family size does not exceed the higher from veteran’s administration, bank
of (i) the poverty line, for an equivalent period, or (ii) 70 percent of the lower living statements, compensation award letter, court
standard income level, for an equivalent period; or award letter, pension statement, employer
(C) is a member of a household that receives (or has been determined within the 6- statement/contact, family or business financial
month period prior to program participation) Food Stamps under the Food Stamp Act records, housing authority verification, pay
of 1977 (7 U.S.C. 2011 et seq.); or stubs, public assistance records, quarterly
(D) qualifies as a homeless individual, as defined in subsections (a) and (c) of section estimated tax for self-employed persons,
103 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C. 11302); or Social Security benefits, UI documents
(E) is a foster child on behalf of whom State or local government payments are made;
or
(F) is a person with a disability whose own income meets the income criteria
established in WIA
section 101(25)(A) or (B), but is a member of a family whose income does not meet
the
established criteria.
Record 0 if the participant does not meet the criteria presented above.
Leave blank if this data element does not apply to the individual.
46 705 123 Displaced Homemaker IN 1 Record 1 if the participant is a person who has been providing unpaid services to family 1 = Yes No Yes Yes No No Support DW/NEG Exiters who did not receive
members in the home and has been dependent on the income of another family 0 = No Intensive or Training Services: State MIS, self-
member but is no longer supported by that income and is unemployed or Blank = Does Not Apply attestation, case notes
underemployed and is experiencing difficulty in obtaining or upgrading employment.
Record 0 if the participant does not meet the conditions described above. DW/NEG Exiters who received Intensive or
Leave blank if this data element does not apply to the individual. Training Services: Public assistance records,
court records, divorce papers, bank records,
spouse’s layoff notice, spouse’s death record,
self -attestation
47 706 124 Date of Actual Dislocation DT 8 Record the participant's date of actual dislocation from employment. This date is the YYYYMMDD No Yes Yes No No Match Verification from employer, rapid response list,
last day of employment at the dislocation job. Blank = Does Not Apply notice of layoff, public announcement with
Leave blank if there is no dislocation job (e.g., displaced homemaker) or this data follow-up cross-match with UI, self- attestation
element does not apply to the individual.
Section A.08: Additional Youth Characteristics
48 800 127 Pregnant or Parenting Youth IN 1 Record 1 if the participant is a person who is either under 22 years of age and who is 1 = Yes No No No Yes Yes Support Copy of child’s birth certificate, baptismal
pregnant, or an individual (male or female) who is providing custodial care for one or 0 = No record, observation of pregnancy status,
more dependents under age 18. Blank = Does Not Apply doctor’s note confirming pregnancy, self-
Record 0 if the participant does not meet the conditions described above. attestation
Leave blank if data element does not apply to the individual.
49 801 128 Youth Who Needs Additional IN 1 Record 1 if the participant is a person who is between the ages of 14 and 21, and 1 = Yes No No No Yes Yes Support (See state policy and/or state plan). Individual
Assistance requires additional assistance to complete an educational program, or to secure and 0 = No service strategy, case notes, WIA intake or
hold employment as defined by State or local policy. If the State Board defines a Blank = Does Not Apply registration form, State MIS, self- attestation
policy, the policy must be included in the State Plan.
Record 0 if the participant does not meet the conditions described above.
Leave blank if this data element does not apply to the individual.
50 802 130 Basic Literacy Skills Deficiency IN 1 Record 1 if the participant is a person who computes or solves problems, reads, 1 = Yes No No No Yes Yes Support Standardized assessment test, school records,
writes, or speaks English at or below the 8th grade level or is unable to compute or 0 = No case notes
solve problems, read, write, or speak English at a level necessary to function on the Blank = Does Not Apply
job, in the individual's family, or in society. In addition, states and grantees have the
option of establishing their own definition, which must include the above language. In
cases where states or grantees establish such a definition, that definition will be used
for basic literacy skills determination.
Record 0 if the participant does not meet the conditions described above.
Leave blank if this data element does not apply to the individual.
51 803 131 Foster Care Youth IN 1 Record 1 if the participant is a person who is currently in foster care or has been in the 1 = Yes No No No Yes Yes Support Written confirmation from social services
foster care system at any point during his/her lifetime. 0 = No agency, case notes
Record 0 if the participant does not meet the conditions described above. Blank = Does Not Apply
Leave blank if this data element does not apply to the individual.
SECTION B - AMERICAN JOB CENTER PROGRAM PARTICIPATION INFORMATION
52 900 302 Date of Participation/Date of DT 8 Record the date on which the individual begins receiving his/her first service funded by YYYYMMDD Yes Yes Yes No No Match State MIS
First Case Management & a program following a determination of eligibility to participate in the program (eligibility
Reemployment Service determination not required for Wagner Peyser). If the participant receives services
from multiple programs, grantees should use the earliest date of service as the "date
of participation."
53 901 303 Date of Exit DT 8 Record the date on which the last service funded by the program or a partner program YYYYMMDD Yes Yes Yes Yes Yes Match WIA status/exit forms, State MIS, case notes
is received by the participant. Once a participant has not received any services funded
by the program or a partner program for 90 consecutive calendar days and has no gap
in service and is not scheduled for future services, the date of exit is applied
retroactively to the last day on which the individual received a service funded by the
program or a partner program.
56 907 306 Date of First WIA Youth Service DT 8 Record the date on which the individual began receiving his/her first service funded by YYYYMMDD No No No Yes Yes Match WIA intake or registration form, State MIS,
the WIA Youth program following a determination of eligibility to participate in the case notes
program.
Leave blank if the participant did not receive WIA Youth services.
63 923 313a NEG Project ID AN 4 Record the first Project I.D. Number where the participant received services financially XXXX No No Yes No No Match Case file data or NEG grant award letter that
assisted under a National Emergency Grant (NEG). (For example, Utah projects may Blank = no services received identifies the project number assigned by the
be numbered UT-02, so the WIASRD entry would be UT02) - WIA title ID, section 173. U.S DOL NEG Grant Officer
Leave blank if this data element does not apply to the individual.
4
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
64 924 313b Second NEG Project ID AN 4 Record the second Project I.D. Number where the participant received services XXXX No No Yes No No Match Case file data or NEG grant award letter that
financially assisted under a NEG. If the individual received services financially assistedBlank = no services received identifies the project number assigned by the
by more than two NEGs, record only the first two Project I.D. Numbers. U.S DOL NEG Grant Officer
Leave blank if this data element does not apply to the individual.
65 925 New Special ETA Project ID AN 4 Record the special ETA-assigned project ID number where the participant received XXXX Yes Yes Yes Yes Yes Match WIA intake or registration form, State MIS,
services funded under a special project. Blank = no services received case notes
VRAP = Veterans Retraining Assistance Program Participant
REUC = Reemployment Assistance - EUC Participants
VRUC = Both a VRAP and REUC participant
WOJT + Credential Waiver for On-the-Job Training Participants
Leave Blank if no special project exists
81 971 327 Other Reasons for Exit (at time IN 2 Record 01 if the participant is residing in an institution or facility providing 24-hour 01 = Institutionalized Yes Yes Yes Yes Yes Support Information from partner services MIS
of exit or during 3-quarter support such as a prison or hospital and is expected to remain in that institution for at 02 = Health/Medical systems, WIA status/exit form, case notes,
measurement period following least 90 days. 03 = Deceased Information from institution or facility
the quarter of exit) Record 02 if the participant is receiving medical treatment that precludes entry into 04 = Family Care
unsubsidized employment or continued participation in the program. Does not include 05 = Reserve Forces Called to Active Duty
temporary conditions expected to last for less than 90 days. 06 = Relocated to Mandated Residential
Record 03 if the participant was found to be deceased or no longer living. Program
Record 04 if the participant is providing care for a family member with a health/medica 85-95 = Other ETA exclusions
condition that precludes entry into unsubsidized employment or continued participation 96 = TAA demonstration
in the program. Does not include temporary conditions expected to last for less than 97 = WIA Youth who meet criteria for
90 days. exclusion from WIA Youth Performance
Record 05 if the participant is a member of the National Guard or other reserve Measures
military unit of the armed forces and is called to active duty for at least 90 days. 98 = Retirement
Record 06 if the participant is in the foster care system or any other mandated 99 = Not a Valid SSN
residential program and has moved from the area as part of such a program or system 00 = Other
(exclusion for youth participants only).
Record 85-95 if the participant received services under a special project, which has
been excluded from performance outcomes by ETA
Record 96 if the participant received services under a TAA demonstration project
Record 97 if the WIA Youth participant receives WIA Youth Services strictly during the
summer months in 2010 and participate in TANF funded summer employment.
Record 98 if the participant retired from employment.
Record 99 if the participant either disclosed an invalid social security number (SSN) or
chose not to disclose a SSN.
Record 00 if the participant exited for a reason other than one of the conditions listed
above.
Note: Exit Reason "98 = Retirement" has been added for program management
purposes only and individuals who exit the program based on this reason will not be
excluded from calculation of the performance measures. Rather, these individuals will
be included in the performance measure calculations.
SECTION C - AMERICAN JOB CENTER SERVICES AND ACTIVITIES
Section C.02 - Core Services
86 1020 332 Date of First Staff-Assisted Core DT 8 Record the first date the participant received any staff-assisted CORE service >= the YYYYMMDD Yes Yes Yes No No Match State MIS, case notes
Service date of participation.
Leave blank if the participant did not receive a staff-assisted CORE service or this data
element does not apply to the individual.
Section C.04 - Intensive and Training Services
93 1200 334 Date of First Intensive Service DT 8 Record the first date the participant received any intensive service >= the date of YYYYMMDD Yes Yes Yes No No Match State MIS, case notes
participation.
Leave blank if the participant did not receive any intensive service or this data element
does not apply to the individual.
96 1208 335 Date Entered Training #1 DT 8 Record the date on which the participant's first training service actually began. YYYYMMDD Yes Yes Yes No No Match Cross-match between dates of service and
Leave blank if the individual did not receive training services or if this data element vendor training information, vendor training
does not apply to the individual. documentation, State MIS, case notes
97 1209 340 Type of Training Service #1 IN 2 Use the appropriate code to indicate the type of approved training being provided to 01=On the Job Training Yes Yes Yes No No Support Cross-match between dates of service and
the participant. 02=Skill Upgrading vendor training information, vendor training
03=Entrepreneurial Training documentation, State MIS, case notes
Record 0 if the participant did not receive a training service. 04=ABE or ESL in conjunction with Training
Leave blank if this data element does not apply to the individual. (non-TAA funded)
05=Customized Training
06=Other Occupational Skills Training
07=Remedial Training (ABE/ESL – TAA only)
08=Prerequisite Training
09=Apprenticeship Training
10=Other basic skills training (WIA Youth)
00=No Training Service
100 1212 336 Date Completed, or Withdrew DT 8 Record the date when the participant completed training or withdrew permanently from YYYYMMDD Yes Yes Yes No No Match Cross-match between dates of service and
from, Training #1 training. If multiple training services were received, record the most recent date on vendor training information, vendor training
which the individual completed training. documentation, State MIS, case notes
Leave blank if the individual did not receive training services or if this data element
does not apply to the individual.
Section C.05 - Additional Services for WIA Youth Customers
5
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
114 1300 343 Enrolled in Education IN 1 Record 1 if the participant is enrolled in secondary school, post-secondary school, adu 1 = Yes No No No Yes Yes Support Applicable records from education institution
education programs, or any other organized program of study. States may use this 0 = No certifying enrollment, case notes with
coding value if the youth participant was either already enrolled in education at the time verification from education institution or training
of participation in the program or became enrolled in education at any point while provider that the individual is enrolled in
participating in the program. education
Record 0 if the participant was not enrolled in education.
Leave blank if this data element does not apply to the individual.
115 1301 344 Most Recent Date Received DT 8 Record the most recent date on which the participant received an educational YYYYMMDD No No No Yes Yes Match Activity sheets, sign-in sheets, attendance
Educational Achievement achievement service. Educational achievement services include, but are not limited to, record, vendor contract, State MIS, case
Services tutoring, study skills training, and instruction leading to secondary school completion, notes, WIA status forms noting receipt of
including dropout prevention strategies. educational services and type of services
Leave blank if the participant did not receive educational achievement services or this received
data element does not apply to the individual.
117 1303 346 Most Recent Date Received DT 8 Record the most recent date on which the participant received summer employment YYYYMMDD No No No Yes Yes Match Activity sheets, sign-in sheets, attendance
Summer Employment opportunities directly linked to academic and occupational learning. record, vendor contract, State MIS, case
Opportunities Leave blank if the participant did not receive summer employment opportunities or this notes, WIA status forms noting receipt of
data element does not apply to the individual. summer employment opportunities and type of
services received
119 1305 348 Most Recent Date Received DT 8 Record the most recent date on which the participant received services that include, YYYYMMDD No No No Yes Yes Match Activity sheets, sign-in sheets, attendance
Leadership Development but are not limited to, opportunities that encourage responsibility, employability, and record, vendor contract, State MIS, case
Opportunities other positive social behaviors such as: (a) exposure to post-secondary educational notes, WIA status forms noting receipt of
opportunities; (b) community and service learning projects; (c) peer-centered activities, Leadership Development Opportunities and
including peer mentoring and tutoring; (d) organizational and team work training, type of services received
including team leadership training; (e) training in decision making, including determining
priorities; and (f) citizenship training, including life skills training such as parenting, work
behavior training, and budgeting of resources.
Leave blank if the participant did not receive a Leadership Development Opportunities
service or this data element does not apply to the individual.
123 1309 349 Most Recent Date Received DT 8 Record the most recent date on which the participant received follow-up services after YYYYMMDD No No No Yes Yes Match Activity sheets, sign-in sheets, attendance
Follow-up Services exiting the program. Follow-up services for youth participants include: (a) regular record, vendor contract, State MIS, case
contact with a youth participant's employer, including assistance in addressing work- notes, WIA status forms noting receipt of follow
related problems that arise; (b) assistance in securing better paying jobs, career up services and type of services received
development and further education; (c) work-related peer support groups; (d) adult
mentoring; and (e) tracking the progress of youth in employment after training. All
youth participants must receive some form of follow-up services for a minimum
duration of 12 months. Leadership development opportunities, adult mentoring, and
supportive services that are provided to the youth participant as follow-up services
should not be recorded here.
Leave blank if the participant did not receive follow-up services or data element does
not apply to the individual.
SECTION D - PROGRAM OUTCOMES INFORMATION
Section D.01 - Employment and Job Retention Data
129 1500 601 Employed in 1st Quarter After IN 1 Record 1 if the participant was employed in the first quarter after the quarter of exit. 1 = Yes Yes Yes Yes Yes Yes Support UI Wage records, WRIS, supplemental data
Exit Quarter Record 0 if the participant was not employed in the first quarter after the quarter of exit. 0 = No sources defined by TEGL 17-05, State MIS
Record 3 if information on the participant's employment status in the first quarter after 3 = Information not yet available
the quarter of exit is not yet available.
Leave blank if this data element does not apply to the individual. (has not exited or is Leave blank if the Employed in 1st Quarter
not a participant). After Exit Quarter is not known for a Covered
Entrant or Self Service Participant
130 1501 602 Type of Employment Match 1st IN 1 Use the appropriate code to identify the method used in determining the participant's 1 = UI Wage Records (In-State & WRIS) Yes Yes Yes Yes Yes Support UI Wage Records, WRIS, supplemental data
Quarter After Exit Quarter employment status in the first quarter following the quarter of exit. Wage records will 2 = Federal Employment Records (OPM, sources defined by TEGL 17-05, follow up
be the primary data source for tracking employment in the first quarter after the exit USPS) services, surveys, record sharing and/or
quarter. If participants are not found in the wage records, grantees may then use 3 = Military Employment Records (DOD) automated record matching with other
supplemental data sources. If the participant is found in more than one source of 4 = Other Administrative Wage Records employment and administrative databases,
employment using wage records, record the data source for which the participant's 5 = Supplemental through case other out of state wage record systems, case
earnings are greatest. management, participant survey, and/or notes
Record 0 if the participant was not employed in the first quarter after the quarter of exit verification with the employer
Leave blank if this data element does not apply to the individual. 6 = Information not yet available
0 = Not employed
Additional Note: If the participant is found employed in a wage record source (e.g.,
Federal, Military) that cannot be translated into quarterly earnings amounts, states Leave blank if the Type of Employment Match
should treat these employment matches as supplemental data and use coding value 5 1st Quarter After Exit Quarter is not known for
= Supplemental through case management, participant survey, and/or verification with a Covered Entrant or Self Service Participant
the employer.
134 1507 606 Employed in 2nd Quarter After IN 1 Record 1 if the participant was employed in the second quarter after the quarter of 1 = Yes Yes Yes Yes Yes Yes Support UI Wage records, WRIS, supplemental data
Exit Quarter exit. 0 = No sources defined by TEGL 17-05, State MIS
Record 0 if the participant was not employed in the second quarter after the quarter of 3 = Information not yet available
exit.
Record 3 if the participant has exited but employment information is not yet available. Leave blank if the Employed in 2nd Quarter
After Exit Quarter is not known for a Covered
Entrant or Self Service Participant
6
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
135 1508 607 Type of Employment Match 2nd IN 1 Use the appropriate code to identify the method used in determining the participant's 1 = UI Wage Records (In-State & WRIS) Yes Yes Yes Yes Yes Support UI Wage Records, WRIS, supplemental data
Quarter After Exit Quarter employment status in the second quarter following the quarter of exit. Wage records 2 = Federal Employment Records (OPM, sources defined by TEGL 17-05, follow up
will be the primary data source for tracking employment in the second quarter after the USPS) services, surveys, record sharing and/or
exit quarter. If participants are not found in the wage records, grantees may then use 3 = Military Employment Records (DOD) automated record matching with other
supplemental data sources. If the participant is found in more than one source of 4 = Other Administrative Wage Records employment and administrative databases,
employment using wage records, record the data source for which the participant's 5 = Supplemental through case other out of state wage record systems, case
earnings are greatest. management, participant survey, and/or notes
Record 0 if the participant was not employed in the second quarter after the quarter of verification with the employer
exit. Leave blank if this data element does not apply to the 6 = Information not yet available
individual. 0 = Not employed
Additional Note: If the participant is found employed in a wage record source (e.g., Leave blank if the Type of Employment Match
Federal, Military) that cannot be translated into quarterly earnings amounts, states 2nd Quarter After Exit Quarter is not known
should treat these employment matches as supplemental data and use coding value 5 for a Covered Entrant or Self Service
= Supplemental through case management, participant survey, and/or verification with Participant
the employer.
136 1509 608 Employed in 3rd Quarter After IN 1 Record 1 if the participant was employed in the third quarter after exit; 1 = Yes Yes Yes Yes Yes Yes Support UI Wage records, WRIS, supplemental data
Exit Quarter Record 0 if the participant was not employed in the third quarter after exit. 0 = No sources defined by TEGL 17-05, State MIS
Record 3 if the participant has exited but employment information is not yet available. 3 = Information not yet available
Leave blank if the Employed in 3rd Quarter
After Exit Quarter is not known for a Covered
Entrant or Self Service Participant
137 1510 609 Type of Employment Match 3rd IN 1 Use the appropriate code to identify the method used in determining the participant's 1 = UI Wage Records (In-State & WRIS) Yes Yes Yes Yes Yes Support UI Wage Records, WRIS, supplemental data
Quarter After Exit Quarter employment status in the third quarter following the quarter of exit. Wage records will 2 = Federal Employment Records (OPM, sources defined by TEGL 17-05, follow up
be the primary data source for tracking employment in the third quarter after the exit USPS) services, surveys, record sharing and/or
quarter. If participants are not found in the wage records, grantees may then use 3 = Military Employment Records (DOD) automated record matching with other
supplemental data sources. If the participant is found in more than one source of 4 = Other Administrative Wage Records employment and administrative databases,
employment using wage records, record the data source for which the participant's 5 = Supplemental through case other out of state wage record systems, case
earnings are greatest. management, participant survey, and/or notes
Record 0 if the participant was not employed in the third quarter after the quarter of verification with the employer
exit. Leave blank if this data element does not apply to the individual. 6 = Information not yet available
0 = Not employed
Additional Note: If the participant is found employed in a wage record source (e.g.,
Federal, Military) that cannot be translated into quarterly earnings amounts, states Leave blank if the Type of Employment Match
should treat these employment matches as supplemental data and use coding value 5 3rd Quarter After Exit Quarter is not known for
= Supplemental through case management, participant survey, and/or verification with a Covered Entrant or Self Service Participant
the employer.
Section D.02 - Wage Record Data
144 1600 612 Wages 3rd Quarter Prior to DE 8.2 Record total earnings from wage records for the third quarter prior to the quarter of 000000.00 Yes Yes Yes Yes No Match UI wage records, WRIS, other state wage
Participation Quarter participation. records, Federal wage databases
Leave blank if data element does not apply to the individual. Leave blank if the Wages 3rd Quarter Prior to
Participation Quarter is not known for a
Covered Entrant or Self Service Participant
145 1601 613 Wages 2nd Quarter Prior to DE 8.2 Record total earnings from wage records for the second quarter prior to the quarter of 000000.00 Yes Yes Yes Yes No Match UI wage records, WRIS, other state wage
Participation Quarter participation. records, Federal wage databases
Leave blank if data element does not apply to the individual. Leave blank if the Wages 3rd Quarter Prior to
Participation Quarter is not known for a
Covered Entrant or Self Service Participant
147 1603 615 Wages 1st Quarter After Exit DE 8.2 Record total earnings from wage records for the first quarter after the quarter of exit. 000000.00 Yes Yes Yes Yes Yes Match UI wage records, WRIS, other state wage
Quarter Please enter 999999.99 if data are not yet available for this item. records, Federal wage databases
Leave blank if data element does not apply to the individual. Leave blank if the Wages 3rd Quarter Prior to
Participation Quarter is not known for a
Covered Entrant or Self Service Participant
148 1604 616 Wages 2nd Quarter After Exit DE 8.2 Record total earnings from wage records for the second quarter after the quarter of 000000.00 Yes Yes Yes Yes Yes Match UI wage records, WRIS, other state wage
Quarter exit. records, Federal wage databases
Please enter 999999.99 if data are not yet available for this item. Leave blank if the Wages 3rd Quarter Prior to
Leave blank if data element does not apply to the individual. Participation Quarter is not known for a
Covered Entrant or Self Service Participant
149 1605 617 Wages 3rd Quarter After Exit DE 8.2 Record total earnings from wage records for the third quarter after the quarter of exit. 000000.00 Yes Yes Yes Yes Yes Match UI wage records, WRIS, other state wage
Quarter Please enter 999999.99 if data are not yet available for this item. records, Federal wage databases
Leave blank if data element does not apply to the individual. Leave blank if the Wages 3rd Quarter Prior to
Participation Quarter is not known for a
Covered Entrant or Self Service Participant
Section D.03 - Education and Credential Data
151 1700 619 Type of Recognized Credential IN 1 Use the appropriate code to record the type of recognized diploma, degree, or 1 = High School Diploma/GED Yes Yes Yes Yes No Match Transcripts, certificates, diploma, surveys,
#1 certificate attained by the participant who received training services. 2 = AA or AS Diploma/Degree case notes
Record 0 if the participant received training services, but did not attain a recognized 3 = BA or BS Diploma/Degree
diploma, degree, or certificate. 4 = Post Graduate Degree
Leave blank if data element does not apply to the individual. 5 = Occupational Skills Licensure
6 = Occupational Skills Certificate
Diplomas, degree, or certificates must be attained either during participation or by the 7 = Other Recognized Diploma, Degree, or
end of the third quarter after the quarter of exit from services (other than follow-up Certificate
services). 0 = No recognized credential
7
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
152 1701 670 School Status at Exit IN 1 Record 1 if the participant has not received a secondary school diploma or its 1 = In-school, H.S. or less No No No Yes Yes Support Transcripts, certificates, diploma, letter or
recognized equivalent and is attending any secondary school (including elementary, 2 = In-school, Alternative School documentation from school system, case
intermediate, junior high school, whether full or part-time), or is between school terms 3 = In-school, Post-H.S. notes
and intends to return to school. 4 = Not attending school or H.S. Dropout
Record 2 if the participant has not received a secondary school diploma or its 5 = Not attending school; H.S. graduate
recognized equivalent and is attending an alternative high school or an alternative Blank = Does Not Apply
course of study approved by the local educational agency whether full or part-time.
Record 3 if the participant has received a secondary school diploma or its recognized
equivalent and is attending a post-secondary school or program (whether full or part-
time), or is between school terms and intends to return to school.
Record 4 if the participant is no longer attending any school and has not received a
secondary school diploma or its recognized equivalent.
Record 5 if the participant is not attending any school and has either graduated from
high school or holds a GED.
Leave blank if data element does not apply to the individual.
153 1702 671 Youth Placement Information IN 1 Use the appropriate code to record the primary activity the participant entered in the 1 = Entered post-secondary education No No No Yes Yes Support Cross-match with other agencies,
first quarter following the exit quarter (youth may qualify for more than one activity). Fo 2 = Entered advanced training apprenticeship verification, documentation of
example, if the participant enters advanced training and has entered a qualified 3 = Entered military service military service, advanced training, post
apprenticeship, please Record 4. 4 = Entered a qualified apprenticeship secondary education, transcripts, registration
Record 0 if the participant did not enter any one of the activities listed in the coding '0 = None of the above forms, community college info, employer
values. Blank = Does Not Apply contacts, U.I. wage records, WRIS, case notes
Leave blank if data element does not apply to the individual.
154 1703 672 Youth Retention Information IN 1 Use the appropriate code to record the primary activity the participant entered in the 1 = In post-secondary education No No No Yes Yes Support Cross-match with other agencies,
third quarter following the exit quarter (youth may qualify for more than one activity). 2 = In advanced training apprenticeship verification, documentation of
For example, if the participant enters advanced training and has entered a qualified 3 = In military service military service, advanced training, post
apprenticeship, please Record 4. 4 = In a qualified apprenticeship secondary education, transcripts, registration
Record 0 if the participant did not enter any one of the activities listed in the coding 0 = None of the above forms, community college info, employer
values. Blank = Does Not Apply contacts, U.I. wage records, WRIS, case notes
Leave blank if data element does not apply to the individual.
155 1704 668 Attained Degree or Certificate IN 1 Record 1 if the participant attained a secondary school (high school) diploma 1 = Attained a secondary school (high school) No No No Yes Yes Support Transcripts, certificates, diploma, letter or other
recognized by the State. diploma. documentation from school system
Record 2 if the participant attained a GED or high school equivalency diploma 2 = Attained a GED or high school
recognized by the State. equivalency diploma.
Record 3 if the participant attained a certificate in recognition of an individual's 3 = Attained a certificate or other post-
attainment of technical or occupational skills or other post-secondary degree/diploma.. secondary degree/diploma.
Record 0 if the participant did not attain a diploma, GED, or certificate. 0 = Did not attain a diploma, GED, degree or
Leave blank if data element does not apply to the individual. certificate
Blank = Does Not Apply
SPECIAL NOTE: Fields #1704 and #1705 will be used to calculate both the current
WIA Younger Youth Diploma Rate and the common measure Attainment of a Degree
or Certificate for all youth (14-21). To achieve positive outcomes on both measures,
the state should make sure that coding values 1 or 2 are reported when the youth
receives a diploma or equivalent either during participation in the program or by the en
of the first quarter after the quarter of exit. If the youth receives another degree or
certificate beyond the first quarter after the quarter of exit, the state should not update
the record.
If the youth did not receive a high school diploma or GED by the end of the first quarter
after exit, but did receive one or more certificates while either participating in the
program or by the end of the third quarter after exit, the state should record the most
recent certificate attained.
156 1705 669 Date Attained Degree or DT 8 Record the date on which the participant attained the degree, certificate or other YYYYMMDD No No No Yes Yes Match Transcripts, certificates, diploma, letter or
Certificate or Credential Credential reported under elements 1700, 1704, or 1706 (relating to Type of documentation from school system
Recognized Credential 1 & 2 and Attained Degree or Certificate.
Leave blank if the participant did not attain a degree or certificate. or if this data
element does not apply.
Section D.04 - Youth Literacy and Numeracy Assessment Data
158 1801 701 Category of Assessment IN 1 Record 1 if the participant was assessed using approved tests for Adult Basic 1 = ABE No No No Yes Yes Support Test records, case notes documenting the
Education (ABE) 2 = ESL necessary details for each element of testing.
Record 2 if the participant was assessed using approved tests for English-As-A- 3 = Both ABE and ESL States should refer to WIA Reporting
Second Language (ESL) 0 = Not assessed Specifications for the list of approved
Record 3 if the participant was assessed using approved tests for both ABE and ESL. Educational tests for the Literacy/Numeracy
Record 0 if the participant was not assessed. measure.
Leave blank if this data element does not apply to the individual.
Front line staff must keep a copy of the test
scoring sheet that shows the date of the test,
total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
159 1802 702 Type of Assessment Test IN 2 Use the appropriate code to record the type of assessment test that was administered 0 = Not assessed No No No Yes Yes Support Front line staff must keep a copy of the test
to the participant. States may only use coding value 8 = Other Approved Assessment 1 = TABE 9-10 scoring sheet that shows the date of the test,
Tool in circumstances where the state has received prior approval from 2 = CASAS (Life Skills) total score and grade levels in the case file.
USDOL/USDOE. 3 = ABLE Case notes should also detail the participant’s
Record 0 or if the participant was not assessed in literacy or numeracy. 4 = WorkKeys progress.
Leave blank if this data element does not apply to the individual. 5 = SPL
6 = BEST
7 = BEST Plus
8 = TABE Class E
9 = Wonderlic
10 = Other Approved Assessment Tool
8
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
160 1803 703 Functional Area IN 1 Use the appropriate code for the functional area of the assessment test that was 1 = Reading No No No Yes Yes Support Front line staff must keep a copy of the test
administered to the participant. States may only use coding values 7 & 8 where the 2 = Writing scoring sheet that shows the date of the test,
state has received approval from USDOL/USDOE to use an "Other Approved 3 = Language total score and grade levels in the case file.
Assessment Tool" under WISRD Element #1801. 4 = Mathematics Case notes should also detail the participant’s
Record 0 if the participant was not assessed in literacy or numeracy. 5 = Speaking progress.
Leave blank if this data element does not apply to the individual. 6 = Oral
7 = Other Literacy Functional Area
8 = Other Numeracy Functional Area
0 = Not assessed
161 1804 704 Date Administered Pre-Test DT 8 Record the date on which the pre-assessment test was administered to the participant. YYYYMMDD No No No Yes Yes Match Front line staff must keep a copy of the test
Leave blank if the participant was not assessed in literacy or numeracy or this data scoring sheet that shows the date of the test,
element does not apply to the individual. total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
162 1805 705 Pre-Test Score IN 3 Record the raw scale score achieved by the participant on the pre-assessment test. 000 No No No Yes Yes Support Front line staff must keep a copy of the test
Leave blank if the participant was not assessed in literacy or numeracy or if this data scoring sheet that shows the date of the test,
element does not apply to the individual. total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
163 1806 706 Educational Functioning Level IN 1 Record the educational functioning level that is associated with the participant's raw 0 = Not Assessed No No No Yes Yes Support Front line staff must keep a copy of the test
scale score. 1 = Beginning ESL Literacy scoring sheet that shows the date of the test,
Record 0 if the participant was not assessed in literacy or numeracy. 2 = Low Beginning ESL total score and grade levels in the case file.
Leave blank if the data element does not apply to the individual. Literacy Case notes should also detail the participant’s
3 = Beginning ABE progress.
Literacy/High Beginning ESL
Literacy
4 = Beginning Basic
Education/Low Intermediate
ESL
5 = Low Intermediate Basic
Education/High Intermediate
ESL
6 = High Intermediate Basic
Education/Advanced ESL
7 = Low Adult Secondary
Education/Exit ESL
8 = High Adult Secondary
Education
164 1807 707 Date Administered Post-Test DT 8 Record the date on which the post-test was administered to the participant during YYYYMMDD No No No Yes Yes Match Front line staff must keep a copy of the test
(Year #1) his/her first year of participation in the program. If multiple post-tests were scoring sheet that shows the date of the test,
administered, record the most recent date on which the functional area post-test was total score and grade levels in the case file.
administered. Case notes should also detail the participant’s
Leave blank if the participant did not receive a post-test during his/her first year of progress.
participation in the program or the data element does not apply to the individual.
165 1808 708 Post-Test Score (Year #1) IN 3 Record the raw scale score achieved by the participant. 000 No No No Yes Yes Support Front line staff must keep a copy of the test
Leave blank if the participant did not receive a post-test during his/her first year of scoring sheet that shows the date of the test,
participation in the program or if the data element does not apply to the individual. total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
166 1809 709 Educational Functioning Level IN 1 Record the educational functioning level that is associated with the participant's raw 0 = Not Assessed No No No Yes Yes Support Front line staff must keep a copy of the test
(Year #1) scale score. 1 = Beginning ESL Literacy scoring sheet that shows the date of the test,
Record 0 if the participant did not receive a post-test during his/her first year of 2 = Low Beginning ESL total score and grade levels in the case file.
participation in the program. Literacy Case notes should also detail the participant’s
Leave blank if this data element does not apply to the individual. 3 = Beginning ABE progress.
Literacy/High Beginning ESL
Literacy
4 = Beginning Basic
Education/Low Intermediate
ESL
5 = Low Intermediate Basic
Education/High Intermediate
ESL
6 = High Intermediate Basic
Education/Advanced ESL
7 = Low Adult Secondary
Education/Exit ESL
8 = High Adult Secondary
Education
167 1810 710 Date Administered Post-Test DT 8 Record the date on which the post-test was administered to the participant during YYYYMMDD No No No Yes Yes Match Front line staff must keep a copy of the test
(Year #2) his/her second year of participation in the program. If multiple post-tests were scoring sheet that shows the date of the test,
administered, record the most recent date on which the functional area post-test was total score and grade levels in the case file.
administered. Case notes should also detail the participant’s
Leave blank if the participant did not receive a post-test during his/her second year of progress.
participation in the program or this data element does not apply to the individual.
Additional Note: For WISRD Elements #1809-1811, these fields are only reported for
youth who remain basic skills deficient and continue to participate in the program for a
second full year. At the completion of the second year, the individual should be post-
tested and the information reported in these fields. To determine an increase of one or
more levels, the individual's post-test scores from the second year in the program will
be compared to the scores from the test that was administered at the latest point
during the first year.
9
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
168 1811 711 Post-Test Score (Year #2) IN 3 Record the raw scale score achieved by the participant. 000 No No No Yes Yes Support Front line staff must keep a copy of the test
Leave blank if the participant did not receive a post-test during his/her second year of scoring sheet that shows the date of the test,
participation in the program or if the data element does not apply to the individual. total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
169 1812 712 Educational Functioning Level IN 1 Record the educational functioning level that is associated with the participant's raw 0 = Not Assessed No No No Yes Yes Support Front line staff must keep a copy of the test
(Year #2) scale score. 1 = Beginning ESL Literacy scoring sheet that shows the date of the test,
Record 0 if the participant did not receive a post-test during his/her second year of 2 = Low Beginning ESL total score and grade levels in the case file.
participation in the program. Literacy Case notes should also detail the participant’s
Leave blank if the data element does not apply to the individual. 3 = Beginning ABE progress.
Literacy/High Beginning ESL
Literacy
4 = Beginning Basic
Education/Low Intermediate
ESL
5 = Low Intermediate Basic
Education/High Intermediate
ESL
6 = High Intermediate Basic
Education/Advanced ESL
7 = Low Adult Secondary
Education/Exit ESL
8 = High Adult Secondary
Education
170 1813 713 Date Administered Post-Test DT 8 Record the date on which the post-test was administered to the participant during YYYYMMDD No No No Yes Yes Match Front line staff must keep a copy of the test
(Year #3) his/her third year of participation in the program. If multiple post-tests were scoring sheet that shows the date of the test,
administered, record the most recent date on which the functional area post-test was total score and grade levels in the case file.
administered. Case notes should also detail the participant’s
Leave blank if the participant did not receive a post-test during his/her third year of progress.
participation in the program or the data element does not apply to the individual.
Additional Note: For WISRD Elements #1812-1814, these fields are only reported for
youth who remain basic skills deficient and continue to participate in the program for a
third full year. At the completion of the third year, the individual should be post-tested
and the information reported in these fields. To determine an increase of one or more
levels, the individual's post-test scores from the third year in the program will be
compared to the scores from the test that was administered at the completion of the
second year.
171 1814 714 Post-Test Score (Year #3) IN 3 Record the raw scale score achieved by the participant. 000 No No No Yes Yes Support Front line staff must keep a copy of the test
Record 0 if the participant did not receive a post-test during his/her third year of scoring sheet that shows the date of the test,
participation in the program. total score and grade levels in the case file.
Leave blank if the data element does not apply to the individual. Case notes should also detail the participant’s
progress.
172 1815 715 Educational Functioning Level IN 1 Record the educational functioning level that is associated with the participant's raw 0 = Not Assessed No No No Yes Yes Support Front line staff must keep a copy of the test
(Year #3) scale score. 1 = Beginning ESL Literacy scoring sheet that shows the date of the test,
Record 0 if the participant did not receive a post-test during his/her third year of 2 = Low Beginning ESL total score and grade levels in the case file.
participation in the program. Literacy Case notes should also detail the participant’s
Leave blank if the data element does not apply to the individual. 3 = Beginning ABE progress.
Literacy/High Beginning ESL
Literacy
4 = Beginning Basic
Education/Low Intermediate
ESL
5 = Low Intermediate Basic
Education/High Intermediate
ESL
6 = High Intermediate Basic
Education/Advanced ESL
7 = Low Adult Secondary
Education/Exit ESL
8 = High Adult Secondary
Education
173 1816 716 Type of Assessment Test IN 2 Use the appropriate code to record the type of assessment test that was administered 0 = Not assessed No No No Yes Yes Support Front line staff must keep a copy of the test
to the participant. States may only use coding value 8 = Other Approved Assessment 1 = TABE 9-10 scoring sheet that shows the date of the test,
Tool in circumstances where the state has received prior approval from 2 = CASAS (Life Skills) total score and grade levels in the case file.
USDOL/USDOE. 3 = ABLE Case notes should also detail the participant’s
Record 0 or if the participant was not assessed in literacy or numeracy. 4 = WorkKeys progress.
Leave blank if this data element does not apply to the individual. 5 = SPL
6 = BEST
7 = BEST Plus
8 = TABE Class E
9 = Wonderlic
10 = Other Approved Assessment Tool
174 1817 717 Functional Area IN 1 Use the appropriate code for the functional area of the assessment test that was 1 = Reading No No No Yes Yes Support Front line staff must keep a copy of the test
administered to the participant. States may only use coding values 7 & 8 where the 2 = Writing scoring sheet that shows the date of the test,
state has received approval from USDOL/USDOE to use an "Other Approved 3 = Language total score and grade levels in the case file.
Assessment Tool" under WISRD Element #1801. 4 = Mathematics Case notes should also detail the participant’s
Record 0 if the participant was not assessed in literacy or numeracy. 5 = Speaking progress.
Leave blank if this data element does not apply to the individual. 6 = Oral
7 = Other Literacy Functional Area
8 = Other Numeracy Functional Area
0 = Not assessed
10
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
175 1818 718 Date Administered Pre-Test DT 8 Record the date on which the pre-assessment test was administered to the participant. YYYYMMDD No No No Yes Yes Match Front line staff must keep a copy of the test
Leave blank if the participant was not assessed in literacy or numeracy or this data scoring sheet that shows the date of the test,
element does not apply to the individual. total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
176 1819 719 Pre-Test Score IN 3 Record the raw scale score achieved by the participant on the pre-assessment test. 000 No No No Yes Yes Support Front line staff must keep a copy of the test
Leave blank if the participant was not assessed in literacy or numeracy or if this data scoring sheet that shows the date of the test,
element does not apply to the individual. total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
177 1820 720 Educational Functioning Level IN 1 Record the educational functioning level that is associated with the participant's raw 0 = Not Assessed No No No Yes Yes Support Front line staff must keep a copy of the test
scale score. 1 = Beginning ESL Literacy scoring sheet that shows the date of the test,
Record 0 if the participant was not assessed in literacy or numeracy. 2 = Low Beginning ESL total score and grade levels in the case file.
Leave blank if the data element does not apply to the individual. Literacy Case notes should also detail the participant’s
3 = Beginning ABE progress.
Literacy/High Beginning ESL
Literacy
4 = Beginning Basic
Education/Low Intermediate
ESL
5 = Low Intermediate Basic
Education/High Intermediate
ESL
6 = High Intermediate Basic
Education/Advanced ESL
7 = Low Adult Secondary
Education/Exit ESL
8 = High Adult Secondary
Education
178 1821 721 Date Administered Post-Test DT 8 Record the date on which the post-test was administered to the participant during YYYYMMDD No No No Yes Yes Match Front line staff must keep a copy of the test
(Year #1) his/her first year of participation in the program. If multiple post-tests were scoring sheet that shows the date of the test,
administered, record the most recent date on which the functional area post-test was total score and grade levels in the case file.
administered. Case notes should also detail the participant’s
Leave blank if the participant did not receive a post-test during his/her first year of progress.
participation in the program or the data element does not apply to the individual.
179 1822 722 Post-Test Score (Year #1) IN 3 Record the raw scale score achieved by the participant. 000 No No No Yes Yes Support Front line staff must keep a copy of the test
Leave blank if the participant did not receive a post-test during his/her first year of scoring sheet that shows the date of the test,
participation in the program or if the data element does not apply to the individual. total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
180 1823 723 Educational Functioning Level IN 1 Record the educational functioning level that is associated with the participant's raw 0 = Not Assessed No No No Yes Yes Support Front line staff must keep a copy of the test
(Year #1) scale score. 1 = Beginning ESL Literacy scoring sheet that shows the date of the test,
Record 0 if the participant did not receive a post-test during his/her first year of 2 = Low Beginning ESL total score and grade levels in the case file.
participation in the program. Literacy Case notes should also detail the participant’s
Leave blank if this data element does not apply to the individual. 3 = Beginning ABE progress.
Literacy/High Beginning ESL
Literacy
4 = Beginning Basic
Education/Low Intermediate
ESL
5 = Low Intermediate Basic
Education/High Intermediate
ESL
6 = High Intermediate Basic
Education/Advanced ESL
7 = Low Adult Secondary
Education/Exit ESL
8 = High Adult Secondary
Education
181 1824 724 Date Administered Post-Test DT 8 Record the date on which the post-test was administered to the participant during YYYYMMDD No No No Yes Yes Match Front line staff must keep a copy of the test
(Year #2) his/her second year of participation in the program. If multiple post-tests were scoring sheet that shows the date of the test,
administered, record the most recent date on which the functional area post-test was total score and grade levels in the case file.
administered. Case notes should also detail the participant’s
Leave blank if the participant did not receive a post-test during his/her second year of progress.
participation in the program or this data element does not apply to the individual.
Additional Note: For WISRD Elements #1809-1811, these fields are only reported for
youth who remain basic skills deficient and continue to participate in the program for a
second full year. At the completion of the second year, the individual should be post-
tested and the information reported in these fields. To determine an increase of one or
more levels, the individual's post-test scores from the second year in the program will
be compared to the scores from the test that was administered at the latest point
during the first year.
182 1825 725 Post-Test Score (Year #2) IN 3 Record the raw scale score achieved by the participant. 000 No No No Yes Yes Support Front line staff must keep a copy of the test
Leave blank if the participant did not receive a post-test during his/her second year of scoring sheet that shows the date of the test,
participation in the program or if the data element does not apply to the individual. total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
11
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
183 1826 726 Educational Functioning Level IN 1 Record the educational functioning level that is associated with the participant's raw 0 = Not Assessed No No No Yes Yes Support Front line staff must keep a copy of the test
(Year #2) scale score. 1 = Beginning ESL Literacy scoring sheet that shows the date of the test,
Record 0 if the participant did not receive a post-test during his/her second year of 2 = Low Beginning ESL total score and grade levels in the case file.
participation in the program. Literacy Case notes should also detail the participant’s
Leave blank if the data element does not apply to the individual. 3 = Beginning ABE progress.
Literacy/High Beginning ESL
Literacy
4 = Beginning Basic
Education/Low Intermediate
ESL
5 = Low Intermediate Basic
Education/High Intermediate
ESL
6 = High Intermediate Basic
Education/Advanced ESL
7 = Low Adult Secondary
Education/Exit ESL
8 = High Adult Secondary
Education
184 1827 727 Date Administered Post-Test DT 8 Record the date on which the post-test was administered to the participant during YYYYMMDD No No No Yes Yes Match Front line staff must keep a copy of the test
(Year #3) his/her third year of participation in the program. If multiple post-tests were scoring sheet that shows the date of the test,
administered, record the most recent date on which the functional area post-test was total score and grade levels in the case file.
administered. Case notes should also detail the participant’s
Leave blank if the participant did not receive a post-test during his/her third year of progress.
participation in the program or the data element does not apply to the individual.
Additional Note: For WISRD Elements #1812-1814, these fields are only reported for
youth who remain basic skills deficient and continue to participate in the program for a
third full year. At the completion of the third year, the individual should be post-tested
and the information reported in these fields. To determine an increase of one or more
levels, the individual's post-test scores from the third year in the program will be
compared to the scores from the test that was administered at the completion of the
second year.
185 1828 728 Post-Test Score (Year #3) IN 3 Record the raw scale score achieved by the participant. 000 No No No Yes Yes Support Front line staff must keep a copy of the test
Record 0 if the participant did not receive a post-test during his/her third year of scoring sheet that shows the date of the test,
participation in the program. total score and grade levels in the case file.
Leave blank if the data element does not apply to the individual. Case notes should also detail the participant’s
progress.
186 1829 729 Educational Functioning Level IN 1 Record the educational functioning level that is associated with the participant's raw 0 = Not Assessed No No No Yes Yes Support Front line staff must keep a copy of the test
(Year #3) scale score. 1 = Beginning ESL Literacy scoring sheet that shows the date of the test,
Record 0 if the participant did not receive a post-test during his/her third year of 2 = Low Beginning ESL total score and grade levels in the case file.
participation in the program. Literacy Case notes should also detail the participant’s
Leave blank if the data element does not apply to the individual. 3 = Beginning ABE progress.
Literacy/High Beginning ESL
Literacy
4 = Beginning Basic
Education/Low Intermediate
ESL
5 = Low Intermediate Basic
Education/High Intermediate
ESL
6 = High Intermediate Basic
Education/Advanced ESL
7 = Low Adult Secondary
Education/Exit ESL
8 = High Adult Secondary
Education
187 1830 730 Type of Assessment Test IN 2 Use the appropriate code to record the type of assessment test that was administered 0 = Not assessed No No No Yes Yes Support Front line staff must keep a copy of the test
to the participant. States may only use coding value 8 = Other Approved Assessment 1 = TABE 9-10 scoring sheet that shows the date of the test,
Tool in circumstances where the state has received prior approval from 2 = CASAS (Life Skills) total score and grade levels in the case file.
USDOL/USDOE. 3 = ABLE Case notes should also detail the participant’s
Record 0 or if the participant was not assessed in literacy or numeracy. 4 = WorkKeys progress.
Leave blank if this data element does not apply to the individual. 5 = SPL
6 = BEST
7 = BEST Plus
8 = TABE Class E
9 = Wonderlic
10 = Other Approved Assessment Tool
188 1831 731 Functional Area IN 1 Use the appropriate code for the functional area of the assessment test that was 1 = Reading No No No Yes Yes Support Front line staff must keep a copy of the test
administered to the participant. States may only use coding values 7 & 8 where the 2 = Writing scoring sheet that shows the date of the test,
state has received approval from USDOL/USDOE to use an "Other Approved 3 = Language total score and grade levels in the case file.
Assessment Tool" under WISRD Element #1801. 4 = Mathematics Case notes should also detail the participant’s
Record 0 if the participant was not assessed in literacy or numeracy. 5 = Speaking progress.
Leave blank if this data element does not apply to the individual. 6 = Oral
7 = Other Literacy Functional Area
8 = Other Numeracy Functional Area
0 = Not assessed
189 1832 732 Date Administered Pre-Test DT 8 Record the date on which the pre-assessment test was administered to the participant. YYYYMMDD No No No Yes Yes Match Front line staff must keep a copy of the test
Leave blank if the participant was not assessed in literacy or numeracy or this data scoring sheet that shows the date of the test,
element does not apply to the individual. total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
12
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
190 1833 733 Pre-Test Score IN 3 Record the raw scale score achieved by the participant on the pre-assessment test. 000 No No No Yes Yes Support Front line staff must keep a copy of the test
Leave blank if the participant was not assessed in literacy or numeracy or if this data scoring sheet that shows the date of the test,
element does not apply to the individual. total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
191 1834 734 Educational Functioning Level IN 1 Record the educational functioning level that is associated with the participant's raw 0 = Not Assessed No No No Yes Yes Support Front line staff must keep a copy of the test
scale score. 1 = Beginning ESL Literacy scoring sheet that shows the date of the test,
Record 0 if the participant was not assessed in literacy or numeracy. 2 = Low Beginning ESL total score and grade levels in the case file.
Leave blank if the data element does not apply to the individual. Literacy Case notes should also detail the participant’s
3 = Beginning ABE progress.
Literacy/High Beginning ESL
Literacy
4 = Beginning Basic
Education/Low Intermediate
ESL
5 = Low Intermediate Basic
Education/High Intermediate
ESL
6 = High Intermediate Basic
Education/Advanced ESL
7 = Low Adult Secondary
Education/Exit ESL
8 = High Adult Secondary
Education
192 1835 735 Date Administered Post-Test DT 8 Record the date on which the post-test was administered to the participant during YYYYMMDD No No No Yes Yes Match Front line staff must keep a copy of the test
(Year #1) his/her first year of participation in the program. If multiple post-tests were scoring sheet that shows the date of the test,
administered, record the most recent date on which the functional area post-test was total score and grade levels in the case file.
administered. Case notes should also detail the participant’s
Leave blank if the participant did not receive a post-test during his/her first year of progress.
participation in the program or the data element does not apply to the individual.
193 1836 736 Post-Test Score (Year #1) IN 3 Record the raw scale score achieved by the participant. 000 No No No Yes Yes Support Front line staff must keep a copy of the test
Leave blank if the participant did not receive a post-test during his/her first year of scoring sheet that shows the date of the test,
participation in the program or if the data element does not apply to the individual. total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
194 1837 737 Educational Functioning Level IN 1 Record the educational functioning level that is associated with the participant's raw 0 = Not Assessed No No No Yes Yes Support Front line staff must keep a copy of the test
(Year #1) scale score. 1 = Beginning ESL Literacy scoring sheet that shows the date of the test,
Record 0 if the participant did not receive a post-test during his/her first year of 2 = Low Beginning ESL total score and grade levels in the case file.
participation in the program. Literacy Case notes should also detail the participant’s
Leave blank if this data element does not apply to the individual. 3 = Beginning ABE progress.
Literacy/High Beginning ESL
Literacy
4 = Beginning Basic
Education/Low Intermediate
ESL
5 = Low Intermediate Basic
Education/High Intermediate
ESL
6 = High Intermediate Basic
Education/Advanced ESL
7 = Low Adult Secondary
Education/Exit ESL
8 = High Adult Secondary
Education
195 1838 738 Date Administered Post-Test DT 8 Record the date on which the post-test was administered to the participant during YYYYMMDD No No No Yes Yes Match Front line staff must keep a copy of the test
(Year #2) his/her second year of participation in the program. If multiple post-tests were scoring sheet that shows the date of the test,
administered, record the most recent date on which the functional area post-test was total score and grade levels in the case file.
administered. Case notes should also detail the participant’s
Leave blank if the participant did not receive a post-test during his/her second year of progress.
participation in the program or this data element does not apply to the individual.
Additional Note: For WISRD Elements #1809-1811, these fields are only reported for
youth who remain basic skills deficient and continue to participate in the program for a
second full year. At the completion of the second year, the individual should be post-
tested and the information reported in these fields. To determine an increase of one or
more levels, the individual's post-test scores from the second year in the program will
be compared to the scores from the test that was administered at the latest point
during the first year.
196 1839 739 Post-Test Score (Year #2) IN 3 Record the raw scale score achieved by the participant. 000 No No No Yes Yes Support Front line staff must keep a copy of the test
Leave blank if the participant did not receive a post-test during his/her second year of scoring sheet that shows the date of the test,
participation in the program or if the data element does not apply to the individual. total score and grade levels in the case file.
Case notes should also detail the participant’s
progress.
13
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
197 1840 740 Educational Functioning Level IN 1 Record the educational functioning level that is associated with the participant's raw 0 = Not Assessed No No No Yes Yes Support Front line staff must keep a copy of the test
(Year #2) scale score. 1 = Beginning ESL Literacy scoring sheet that shows the date of the test,
Record 0 if the participant did not receive a post-test during his/her second year of 2 = Low Beginning ESL total score and grade levels in the case file.
participation in the program. Literacy Case notes should also detail the participant’s
Leave blank if the data element does not apply to the individual. 3 = Beginning ABE progress.
Literacy/High Beginning ESL
Literacy
4 = Beginning Basic
Education/Low Intermediate
ESL
5 = Low Intermediate Basic
Education/High Intermediate
ESL
6 = High Intermediate Basic
Education/Advanced ESL
7 = Low Adult Secondary
Education/Exit ESL
8 = High Adult Secondary
Education
198 1841 741 Date Administered Post-Test DT 8 Record the date on which the post-test was administered to the participant during YYYYMMDD No No No Yes Yes Match Front line staff must keep a copy of the test
(Year #3) his/her third year of participation in the program. If multiple post-tests were scoring sheet that shows the date of the test,
administered, record the most recent date on which the functional area post-test was total score and grade levels in the case file.
administered. Case notes should also detail the participant’s
Leave blank if the participant did not receive a post-test during his/her third year of progress.
participation in the program or the data element does not apply to the individual.
Additional Note: For WISRD Elements #1812-1814, these fields are only reported for
youth who remain basic skills deficient and continue to participate in the program for a
third full year. At the completion of the third year, the individual should be post-tested
and the information reported in these fields. To determine an increase of one or more
levels, the individual's post-test scores from the third year in the program will be
compared to the scores from the test that was administered at the completion of the
second year.
199 1842 742 Post-Test Score (Year #3) IN 3 Record the raw scale score achieved by the participant. 000 No No No Yes Yes Support Front line staff must keep a copy of the test
Record 0 if the participant did not receive a post-test during his/her third year of scoring sheet that shows the date of the test,
participation in the program. total score and grade levels in the case file.
Leave blank if the data element does not apply to the individual. Case notes should also detail the participant’s
progress.
200 1843 743 Educational Functioning Level IN 1 Record the educational functioning level that is associated with the participant's raw 0 = Not Assessed No No No Yes Yes Support Front line staff must keep a copy of the test
(Year #3) scale score. 1 = Beginning ESL Literacy scoring sheet that shows the date of the test,
Record 0 if the participant did not receive a post-test during his/her third year of 2 = Low Beginning ESL total score and grade levels in the case file.
participation in the program. Literacy Case notes should also detail the participant’s
Leave blank if the data element does not apply to the individual. 3 = Beginning ABE progress.
Literacy/High Beginning ESL
Literacy
4 = Beginning Basic
Education/Low Intermediate
ESL
5 = Low Intermediate Basic
Education/High Intermediate
ESL
6 = High Intermediate Basic
Education/Advanced ESL
7 = Low Adult Secondary
Education/Exit ESL
8 = High Adult Secondary
Education
Section D.05 - Youth Skill Attainment Goals - These fields can be blank for Common Measures Waiver States
201 1900 620 Goal #1 Type IN 1 Use the appropriate code to record the type of skill attainment goal. Setting one basic 1 = Basic Skills No No No No Yes Support Test Records, Transcripts, School/Employer
skills goal is required if the younger youth participant is basic literacy skills deficient. 2 = Occupational Skills Notification or documentation, State MIS, Case
Leave blank if this data element does not apply to the individual. 3 = Work Readiness Skills notes
Blank or 0 = Does not apply to this
participant
202 1901 621 Date Goal #1 Was Set DT 8 Record the date on which the first goal was set for the younger youth participant. YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
Leave blank if data element does not apply to the individual. Notification or documentation, State MIS, Case
notes
203 1902 622 Attainment of Goal #1 IN 1 Record 1 if the goal was attained. Attainment of a goal is to be based on an 1 = Attained No No No No Yes Support Test Records, Transcripts, School/Employer
individual's assessment using widely accepted and recognized 2 = Set, but not attained Notification or documentation, State MIS, Case
measurement/assessment techniques. 3 = Set, but attainment is pending notes
Record 2 if the goal was set, but not attained. A goal is not attained when the 0 or Blank = No goals set
anniversary date has passed without attainment of the goal. The anniversary date of a
goal is the date one year after the date the goal was set.
Record 3 if the goal was set, but attainment is pending. This code should not be used
after exit. When the younger youth participant exits, this field should be marked with a
"1" or "2" for all goals that have been set.
Record 0 or leave blank if this data element does not apply to the individual.
204 1903 623 Date Attained Goal #1 DT 8 Record date on which the goal was attained. This date should normally be on or YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
before the one-year anniversary of the date the goal was set. However, it may be later Notification or documentation, State MIS, Case
if the younger youth participant had a gap in service where he/she was placed in hold notes
status during which services were not received, but plans to return to the program.
Leave blank if this data element does not apply to the individual.
14
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
205 1904 624 Goal #2 Type IN 1 Use the appropriate code to record the type of skill attainment goal. Setting one basic 1 = Basic Skills No No No No Yes Support Test Records, Transcripts, School/Employer
skills goal is required if the younger youth participant is basic literacy skills deficient. 2 = Occupational Skills Notification or documentation, State MIS, Case
Record 0 if a second goal was not set for the younger youth participant. 3 = Work Readiness Skills notes
Leave blank if this data element does not apply to the individual. Blank or 0 = Does not apply to this
participant
206 1905 625 Date Goal #2 Was Set DT 8 Record the date on which the second goal was set for the younger youth participant. YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
Leave blank if no second goal was set or data element does not apply to the individual. Notification or documentation, State MIS, Case
notes
207 1906 626 Attainment of Goal #2 IN 1 Record 1 if the goal was attained. Attainment of a goal is to be based on an 1 = Attained No No No No Yes Support Test Records, Transcripts, School/Employer
individual's assessment using widely accepted and recognized 2 = Set, but not attained Notification or documentation, State MIS, Case
measurement/assessment techniques. 3 = Set, but attainment is pending notes
Record 2 if the goal was set, but not attained. A goal is not attained when the 0 or Blank = No goals set
anniversary date has passed without attainment of the goal. The anniversary date of a
goal is the date one year after the date the goal was set.
Record 3 if the goal was set, but attainment is pending. This code should not be used
after exit. When the younger youth participant exits, this field should be marked with a
"1" or "2" for all goals that have been set.
Record 0 if a second goal was not set for the younger youth participant.
Leave blank if this data element does not apply to the individual.
208 1907 627 Date Attained Goal #2 DT 8 Record date on which the goal was attained. This date should normally be on or YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
before the one-year anniversary of the date the goal was set. However, it may be later Notification or documentation, State MIS, Case
if the younger youth participant had a gap in service where he/she was placed in hold notes
status during which services were not received, but plans to return to the program.
Leave blank if no second goal was set, or this data element does not apply to the
individual.
209 1908 628 Goal #3 Type IN 1 Use the appropriate code to record the type of skill attainment goal. Setting one basic 1 = Basic Skills No No No No Yes Support Test Records, Transcripts, School/Employer
skills goal is required if the younger youth participant is basic literacy skills deficient. 2 = Occupational Skills Notification or documentation, State MIS, Case
Record 0 if a third goal was not set for the younger youth participant. 3 = Work Readiness Skills notes
Leave blank if no third goal was set, or this data element does not apply to the Blank or 0 = Does not apply to this
individual. participant
210 1909 629 Date Goal #3 Was Set DT 8 Record the date on which the third goal was set for the younger youth participant. YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
Leave blank if a third goal was not set for the younger youth participant, or this data Notification or documentation, State MIS, Case
element does not apply to the individual. notes
211 1910 630 Attainment of Goal #3 IN 1 Record 1 if the goal was attained. Attainment of a goal is to be based on an 1 = Attained No No No No Yes Support Test Records, Transcripts, School/Employer
individual's assessment using widely accepted and recognized 2 = Set, but not attained Notification or documentation, State MIS, Case
measurement/assessment techniques. 3 = Set, but attainment is pending notes
Record 2 if the goal was set, but not attained. A goal is not attained when the 0 or Blank = No goals set
anniversary date has passed without attainment of the goal. The anniversary date of a
goal is the date one year after the date the goal was set.
Record 3 if the goal was set, but attainment is pending. This code should not be used
after exit. When the younger youth participant exits, this field should be marked with a
"1" or "2" for all goals that have been set.
Record 0 if a third goal was not set for the younger youth participant.
Leave blank if this data element does not apply to the individual.
212 1911 631 Date Attained Goal #3 DT 8 Record date on which the goal was attained. This date should normally be on or YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
before the one-year anniversary of the date the goal was set. However, it may be later Notification or documentation, State MIS, Case
if the younger youth participant had a gap in service where he/she was placed in hold notes
status during which services were not received, but plans to return to the program.
Leave blank if no third goal was set, or this data element does not apply to the
individual.
213 1912 632 Goal #4 Type IN 1 Use the appropriate code to record the type of skill attainment goal. Setting one basic 1 = Basic Skills No No No No Yes Support Test Records, Transcripts, School/Employer
skills goal is required if the younger youth participant is basic literacy skills deficient. 2 = Occupational Skills Notification or documentation, State MIS, Case
Leave blank if this data element does not apply to the individual. 3 = Work Readiness Skills notes
Blank or 0 = Does not apply to this
participant
214 1913 633 Date Goal #4 Was Set DT 8 Record the date on which the first goal was set for the younger youth participant. YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
Leave blank if data element does not apply to the individual. Notification or documentation, State MIS, Case
notes
215 1914 634 Attainment of Goal #4 IN 1 Record 1 if the goal was attained. Attainment of a goal is to be based on an 1 = Attained No No No No Yes Support Test Records, Transcripts, School/Employer
individual's assessment using widely accepted and recognized 2 = Set, but not attained Notification or documentation, State MIS, Case
measurement/assessment techniques. 3 = Set, but attainment is pending notes
Record 2 if the goal was set, but not attained. A goal is not attained when the 0 or Blank = No goals set
anniversary date has passed without attainment of the goal. The anniversary date of a
goal is the date one year after the date the goal was set.
Record 3 if the goal was set, but attainment is pending. This code should not be used
after exit. When the younger youth participant exits, this field should be marked with a
"1" or "2" for all goals that have been set.
Leave blank if this data element does not apply to the individual.
216 1915 635 Date Attained Goal #4 DT 8 Record date on which the goal was attained. This date should normally be on or YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
before the one-year anniversary of the date the goal was set. However, it may be later Notification or documentation, State MIS, Case
if the younger youth participant had a gap in service where he/she was placed in hold notes
status during which services were not received, but plans to return to the program.
Leave blank if this data element does not apply to the individual.
217 1916 636 Goal #5 Type IN 1 Use the appropriate code to record the type of skill attainment goal. Setting one basic 1 = Basic Skills No No No No Yes Support Test Records, Transcripts, School/Employer
skills goal is required if the younger youth participant is basic literacy skills deficient. 2 = Occupational Skills Notification or documentation, State MIS, Case
Record 0 if a second goal was not set for the younger youth participant. 3 = Work Readiness Skills notes
Leave blank if this data element does not apply to the individual. Blank or 0 = Does not apply to this
participant
15
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
218 1917 637 Date Goal #5 Was Set DT 8 Record the date on which the second goal was set for the younger youth participant. YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
Leave blank if no second goal was set or data element does not apply to the individual. Notification or documentation, State MIS, Case
notes
219 1918 638 Attainment of Goal #5 IN 1 Record 1 if the goal was attained. Attainment of a goal is to be based on an 1 = Attained No No No No Yes Support Test Records, Transcripts, School/Employer
individual's assessment using widely accepted and recognized 2 = Set, but not attained Notification or documentation, State MIS, Case
measurement/assessment techniques. 3 = Set, but attainment is pending notes
Record 2 if the goal was set, but not attained. A goal is not attained when the 0 or Blank = No goals set
anniversary date has passed without attainment of the goal. The anniversary date of a
goal is the date one year after the date the goal was set.
Record 3 if the goal was set, but attainment is pending. This code should not be used
after exit. When the younger youth participant exits, this field should be marked with a
"1" or "2" for all goals that have been set.
Record 0 if a second goal was not set for the younger youth participant.
Leave blank if this data element does not apply to the individual.
220 1919 639 Date Attained Goal #5 DT 8 Record date on which the goal was attained. This date should normally be on or YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
before the one-year anniversary of the date the goal was set. However, it may be later Notification or documentation, State MIS, Case
if the younger youth participant had a gap in service where he/she was placed in hold notes
status during which services were not received, but plans to return to the program.
Leave blank if no second goal was set, or this data element does not apply to the
individual.
221 1920 640 Goal #6 Type IN 1 Use the appropriate code to record the type of skill attainment goal. Setting one basic 1 = Basic Skills No No No No Yes Support Test Records, Transcripts, School/Employer
skills goal is required if the younger youth participant is basic literacy skills deficient. 2 = Occupational Skills Notification or documentation, State MIS, Case
Record 0 if a third goal was not set for the younger youth participant. 3 = Work Readiness Skills notes
Leave blank if no third goal was set, or this data element does not apply to the Blank or 0 = Does not apply to this
individual. participant
222 1921 641 Date Goal #6 Was Set DT 8 Record the date on which the third goal was set for the younger youth participant. YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
Leave blank if a third goal was not set for the younger youth participant, or this data Notification or documentation, State MIS, Case
element does not apply to the individual. notes
223 1922 642 Attainment of Goal #6 IN 1 Record 1 if the goal was attained. Attainment of a goal is to be based on an 1 = Attained No No No No Yes Support Test Records, Transcripts, School/Employer
individual's assessment using widely accepted and recognized 2 = Set, but not attained Notification or documentation, State MIS, Case
measurement/assessment techniques. 3 = Set, but attainment is pending notes
Record 2 if the goal was set, but not attained. A goal is not attained when the 0 or Blank = No goals set
anniversary date has passed without attainment of the goal. The anniversary date of a
goal is the date one year after the date the goal was set.
Record 3 if the goal was set, but attainment is pending. This code should not be used
after exit. When the younger youth participant exits, this field should be marked with a
"1" or "2" for all goals that have been set.
Record 0 if a third goal was not set for the younger youth participant.
Leave blank if this data element does not apply to the individual.
224 1923 643 Date Attained Goal #6 DT 8 Record date on which the goal was attained. This date should normally be on or YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
before the one-year anniversary of the date the goal was set. However, it may be later Notification or documentation, State MIS, Case
if the younger youth participant had a gap in service where he/she was placed in hold notes
status during which services were not received, but plans to return to the program.
Leave blank if no third goal was set, or this data element does not apply to the
individual.
225 1924 644 Goal #7 Type IN 1 Use the appropriate code to record the type of skill attainment goal. Setting one basic 1 = Basic Skills No No No No Yes Support Test Records, Transcripts, School/Employer
skills goal is required if the younger youth participant is basic literacy skills deficient. 2 = Occupational Skills Notification or documentation, State MIS, Case
Leave blank if this data element does not apply to the individual. 3 = Work Readiness Skills notes
Blank or 0 = Does not apply to this
participant
226 1925 645 Date Goal #7 Was Set DT 8 Record the date on which the first goal was set for the younger youth participant. YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
Leave blank if data element does not apply to the individual. Notification or documentation, State MIS, Case
notes
227 1926 646 Attainment of Goal #7 IN 1 Record 1 if the goal was attained. Attainment of a goal is to be based on an 1 = Attained No No No No Yes Support Test Records, Transcripts, School/Employer
individual's assessment using widely accepted and recognized 2 = Set, but not attained Notification or documentation, State MIS, Case
measurement/assessment techniques. 3 = Set, but attainment is pending notes
Record 2 if the goal was set, but not attained. A goal is not attained when the 0 or Blank = No goals set
anniversary date has passed without attainment of the goal. The anniversary date of a
goal is the date one year after the date the goal was set.
Record 3 if the goal was set, but attainment is pending. This code should not be used
after exit. When the younger youth participant exits, this field should be marked with a
"1" or "2" for all goals that have been set.
Leave blank if this data element does not apply to the individual.
228 1927 647 Date Attained Goal #7 DT 8 Record date on which the goal was attained. This date should normally be on or YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
before the one-year anniversary of the date the goal was set. However, it may be later Notification or documentation, State MIS, Case
if the younger youth participant had a gap in service where he/she was placed in hold notes
status during which services were not received, but plans to return to the program.
Leave blank if this data element does not apply to the individual.
229 1928 648 Goal #8 Type IN 1 Use the appropriate code to record the type of skill attainment goal. Setting one basic 1 = Basic Skills No No No No Yes Support Test Records, Transcripts, School/Employer
skills goal is required if the younger youth participant is basic literacy skills deficient. 2 = Occupational Skills Notification or documentation, State MIS, Case
Record 0 if a second goal was not set for the younger youth participant. 3 = Work Readiness Skills notes
Leave blank if this data element does not apply to the individual. Blank or 0 = Does not apply to this
participant
230 1929 649 Date Goal #8 Was Set DT 8 Record the date on which the second goal was set for the younger youth participant. YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
Leave blank if no second goal was set or data element does not apply to the individual. Notification or documentation, State MIS, Case
notes
16
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
231 1930 650 Attainment of Goal #8 IN 1 Record 1 if the goal was attained. Attainment of a goal is to be based on an 1 = Attained No No No No Yes Support Test Records, Transcripts, School/Employer
individual's assessment using widely accepted and recognized 2 = Set, but not attained Notification or documentation, State MIS, Case
measurement/assessment techniques. 3 = Set, but attainment is pending notes
Record 2 if the goal was set, but not attained. A goal is not attained when the 0 or Blank = No goals set
anniversary date has passed without attainment of the goal. The anniversary date of a
goal is the date one year after the date the goal was set.
Record 3 if the goal was set, but attainment is pending. This code should not be used
after exit. When the younger youth participant exits, this field should be marked with a
"1" or "2" for all goals that have been set.
Record 0 if a second goal was not set for the younger youth participant.
Leave blank if this data element does not apply to the individual.
232 1931 651 Date Attained Goal #8 DT 8 Record date on which the goal was attained. This date should normally be on or YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
before the one-year anniversary of the date the goal was set. However, it may be later Notification or documentation, State MIS, Case
if the younger youth participant had a gap in service where he/she was placed in hold notes
status during which services were not received, but plans to return to the program.
Leave blank if no second goal was set, or this data element does not apply to the
individual.
233 1932 652 Goal #9 Type IN 1 Use the appropriate code to record the type of skill attainment goal. Setting one basic 1 = Basic Skills No No No No Yes Support Test Records, Transcripts, School/Employer
skills goal is required if the younger youth participant is basic literacy skills deficient. 2 = Occupational Skills Notification or documentation, State MIS, Case
Record 0 if a third goal was not set for the younger youth participant. 3 = Work Readiness Skills notes
Leave blank if no third goal was set, or this data element does not apply to the Blank or 0 = Does not apply to this
individual. participant
234 1933 653 Date Goal #9 Was Set DT 8 Record the date on which the third goal was set for the younger youth participant. YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
Leave blank if a third goal was not set for the younger youth participant, or this data Notification or documentation, State MIS, Case
element does not apply to the individual. notes
235 1934 654 Attainment of Goal #9 IN 1 Record 1 if the goal was attained. Attainment of a goal is to be based on an 1 = Attained No No No No Yes Support Test Records, Transcripts, School/Employer
individual's assessment using widely accepted and recognized 2 = Set, but not attained Notification or documentation, State MIS, Case
measurement/assessment techniques. 3 = Set, but attainment is pending notes
Record 2 if the goal was set, but not attained. A goal is not attained when the 0 or Blank = No goals set
anniversary date has passed without attainment of the goal. The anniversary date of a
goal is the date one year after the date the goal was set.
Record 3 if the goal was set, but attainment is pending. This code should not be used
after exit. When the younger youth participant exits, this field should be marked with a
"1" or "2" for all goals that have been set.
Record 0 if a third goal was not set for the younger youth participant.
Leave blank if this data element does not apply to the individual.
236 1935 655 Date Attained Goal #9 DT 8 Record date on which the goal was attained. This date should normally be on or YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
before the one-year anniversary of the date the goal was set. However, it may be later Notification or documentation, State MIS, Case
if the younger youth participant had a gap in service where he/she was placed in hold notes
status during which services were not received, but plans to return to the program.
Leave blank if no third goal was set, or this data element does not apply to the
individual.
237 1936 656 Goal #10 Type IN 1 Use the appropriate code to record the type of skill attainment goal. Setting one basic 1 = Basic Skills No No No No Yes Support Test Records, Transcripts, School/Employer
skills goal is required if the younger youth participant is basic literacy skills deficient. 2 = Occupational Skills Notification or documentation, State MIS, Case
Leave blank if this data element does not apply to the individual. 3 = Work Readiness Skills notes
Blank or 0 = Does not apply to this
participant
238 1937 657 Date Goal #10 Was Set DT 8 Record the date on which the first goal was set for the younger youth participant. YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
Leave blank if data element does not apply to the individual. Notification or documentation, State MIS, Case
notes
239 1938 658 Attainment of Goal #10 IN 1 Record 1 if the goal was attained. Attainment of a goal is to be based on an 1 = Attained No No No No Yes Support Test Records, Transcripts, School/Employer
individual's assessment using widely accepted and recognized 2 = Set, but not attained Notification or documentation, State MIS, Case
measurement/assessment techniques. 3 = Set, but attainment is pending notes
Record 2 if the goal was set, but not attained. A goal is not attained when the 0 or Blank = No goals set
anniversary date has passed without attainment of the goal. The anniversary date of a
goal is the date one year after the date the goal was set.
Record 3 if the goal was set, but attainment is pending. This code should not be used
after exit. When the younger youth participant exits, this field should be marked with a
"1" or "2" for all goals that have been set.
Leave blank if this data element does not apply to the individual.
240 1939 659 Date Attained Goal #10 DT 8 Record date on which the goal was attained. This date should normally be on or YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
before the one-year anniversary of the date the goal was set. However, it may be later Notification or documentation, State MIS, Case
if the younger youth participant had a gap in service where he/she was placed in hold notes
status during which services were not received, but plans to return to the program.
Leave blank if this data element does not apply to the individual.
241 1940 660 Goal #11 Type IN 1 Use the appropriate code to record the type of skill attainment goal. Setting one basic 1 = Basic Skills No No No No Yes Support Test Records, Transcripts, School/Employer
skills goal is required if the younger youth participant is basic literacy skills deficient. 2 = Occupational Skills Notification or documentation, State MIS, Case
Record 0 if a second goal was not set for the younger youth participant. 3 = Work Readiness Skills notes
Leave blank if this data element does not apply to the individual. Blank or 0 = Does not apply to this
participant
242 1941 661 Date Goal #11 Was Set DT 8 Record the date on which the second goal was set for the younger youth participant. YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
Leave blank if no second goal was set or data element does not apply to the individual. Notification or documentation, State MIS, Case
notes
17
Attachment A: Source Documentation Requirements for Program Year (PY) 2014 and PY 2015 Workforce Investment Act (WIA) Data Element Validation
243 1942 662 Attainment of Goal #11 IN 1 Record 1 if the goal was attained. Attainment of a goal is to be based on an 1 = Attained No No No No Yes Support Test Records, Transcripts, School/Employer
individual's assessment using widely accepted and recognized 2 = Set, but not attained Notification or documentation, State MIS, Case
measurement/assessment techniques. 3 = Set, but attainment is pending notes
Record 2 if the goal was set, but not attained. A goal is not attained when the 0 or Blank = No goals set
anniversary date has passed without attainment of the goal. The anniversary date of a
goal is the date one year after the date the goal was set.
Record 3 if the goal was set, but attainment is pending. This code should not be used
after exit. When the younger youth participant exits, this field should be marked with a
"1" or "2" for all goals that have been set.
Record 0 if a second goal was not set for the younger youth participant.
Leave blank if this data element does not apply to the individual.
244 1943 663 Date Attained Goal #11 DT 8 Record date on which the goal was attained. This date should normally be on or YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
before the one-year anniversary of the date the goal was set. However, it may be later Notification or documentation, State MIS, Case
if the younger youth participant had a gap in service where he/she was placed in hold notes
status during which services were not received, but plans to return to the program.
Leave blank if no second goal was set, or this data element does not apply to the
individual.
245 1944 664 Goal #12 Type IN 1 Use the appropriate code to record the type of skill attainment goal. Setting one basic 1 = Basic Skills No No No No Yes Support Test Records, Transcripts, School/Employer
skills goal is required if the younger youth participant is basic literacy skills deficient. 2 = Occupational Skills Notification or documentation, State MIS, Case
Record 0 if a third goal was not set for the younger youth participant. 3 = Work Readiness Skills notes
Leave blank if no third goal was set, or this data element does not apply to the Blank or 0 = Does not apply to this
individual. participant
246 1945 665 Date Goal #12 Was Set DT 8 Record the date on which the third goal was set for the younger youth participant. YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
Leave blank if a third goal was not set for the younger youth participant, or this data Notification or documentation, State MIS, Case
element does not apply to the individual. notes
247 1946 666 Attainment of Goal #12 IN 1 Record 1 if the goal was attained. Attainment of a goal is to be based on an 1 = Attained No No No No Yes Support Test Records, Transcripts, School/Employer
individual's assessment using widely accepted and recognized 2 = Set, but not attained Notification or documentation, State MIS, Case
measurement/assessment techniques. 3 = Set, but attainment is pending notes
Record 2 if the goal was set, but not attained. A goal is not attained when the 0 or Blank = No goals set
anniversary date has passed without attainment of the goal. The anniversary date of a
goal is the date one year after the date the goal was set.
Record 3 if the goal was set, but attainment is pending. This code should not be used
after exit. When the younger youth participant exits, this field should be marked with a
"1" or "2" for all goals that have been set.
Record 0 if a third goal was not set for the younger youth participant.
Leave blank if this data element does not apply to the individual.
248 1947 667 Date Attained Goal #12 DT 8 Record date on which the goal was attained. This date should normally be on or YYYYMMDD No No No No Yes Match Test Records, Transcripts, School/Employer
before the one-year anniversary of the date the goal was set. However, it may be later Notification or documentation, State MIS, Case
if the younger youth participant had a gap in service where he/she was placed in hold notes
status during which services were not received, but plans to return to the program.
Leave blank if no third goal was set, or this data element does not apply to the
individual.
Revision 2
18
Attachment 2
Official attachment: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2016/TEGL_22-15_Attachment_B_Acc.pdf
Attachment B
Workforce Investment Act (WIA) Annual Report Requirements for States Approved to Report
Against the Common Performance Measures Only
OMB No. 1205-0420
State Name ____________________ Date Submitted ____________________
WIA Title IB
Annual Report Form (ETA 9091)
I. Narrative Section
A. A discussion of the cost of workforce investment activities relative to the effect of the activities
on the performance of participants.
B. A description of State evaluations of workforce investment activities, including:
1. The questions the evaluation will/did address;
2. A description of the evaluation's methology; and
3. Information about the timing of feedback and deliverables.
II. Table Section
Table A - Workforce Investment Act Customer Satisfaction Results
Customer Satisfaction Negotiated Actual Performance Number of Surveys Number of Number of Response Rate
Performance Level Level - American Completed Customers Customers
Customer Eligible for the Included in the
Satisfaction Index Survey Sample
Participants
Employers
Table B- Adult Program Results
Reported Information Negotiated Performance Level Actual Performance Level
Numerator
Entered Employment Rate
Denominator
Numerator
Employment Retention Rate
Denominator
Numerator
Average Earnings
Denominator
Numerator
Employment and Credential Rate
Denominator
1
Table C - Outcomes for Adult Special Populations
Reported Information Public Assistance Recipients Veterans Individuals With Older Individuals
Receiving Intensive or Disabilities
Training Services
Num Num Num Num
Entered Employment Rate
Den Den Den Den
Employment Retention
Num Num Num Num
Rate
Den Den Den Den
Num Num Num Num
Average Earnings
Den Den Den Den
Num Num Num Num
Employment and
Credential Rate
Den Den Den Den
Table D - Other Outcome Information for the Adult Program
Reported Information Individuals Who Received Training Services Individuals Who Only Received Core and
Intensive Services
Num Num
Entered Employment Rate
Den Den
Num Num
Employment Retention Rate
Den Den
Num Num
Average Earnings
Den Den
Table E - Dislocated Worker Program Results
Reported Information Negotiated Performance Level Actual Performance Level
Numerator
Entered Employment Rate
Denominator
Numerator
Employment Retention Rate
Denominator
Numerator
Average Earnings
Denominator
Numerator
Employment and Credential Rate
Denominator
Table F - Outcomes for Dislocated Worker Special Populations
Reported Information Veterans Individuals With Disabilities Older Individuals Displaced Homemakers
Entered Employment Num Num Num Num
Rate Den Den Den Den
Employment Retention Num Num Num Num
Rate Den Den Den Den
Num Num Num Num
Average Earnings
Den Den Den Den
Num Num Num Num
Employment and
Credential Rate
Den Den Den Den
2
Table G - Other Outcome Information for the Dislocated Worker Program
Reported Information Individuals Who Received Training Services Individuals Who Only Received Core and
Intensive Services
Num Num
Entered Employment Rate
Den Den
Num Num
Employment Retention Rate
Den Den
Num Num
Average Earnings
Den Den
Table H.1 - Youth (14 - 21) Program Results
Reported Information Negotiated Performance Level Actual Performance Level
Numerator
Placement in Employment or Education
Denominator
Numerator
Attainment of Degree or Certificate
Denominator
Numerator
Literacy and Numeracy Gains
Denominator
Table H.1.A - Outcomes for Youth Special Populations
Reported Information Public Assistance Recipients Veterans Individuals With Disabilities Out-of-School Youth
Num Num Num Num
Placement in Employment or
Education Rate
Den Den Den Den
Num Num Num Num
Attainment of Degree or Certificate
Rate
Den Den Den Den
Num Num Num Num
Literacy and Numeracy Gains
Den Den Den Den
Table H.2 - Older Youth (19 - 21) Results
Reported Information Negotiated Performance Level Actual Performance Level
Numerator
Entered Employment Rate
Denominator
Numerator
Employment Retention Rate
Denominator
Numerator
Six Months Earnings Increase
Denominator
Numerator
Credential Rate
Denominator
Table I - Outcomes for Older Youth Special Populations
Reported Information Public Assistance Recipients Veterans Individuals With Out-of-School Youth
Disabilities
Num Num Num Num
Entered Employment Rate
Den Den Den Den
Employment Retention
Num Num Num Num
Rate
Den Den Den Den
Num Num Num Num
Six Months Earnings
Increase
Den Den Den Den
Num Num Num Num
Credential Rate
Den Den Den Den
3
Table J - Younger Youth (14 - 18) Results
Reported Information Negotiated Performance Level Actual Performance Level
Numerator
Skill Attainment Rate
Denominator
Numerator
Youth Diploma or Equivalent Rate
Denominator
Numerator
Retention Rate
Denominator
Table K - Outcomes for Younger Youth Special Populations
Reported Information Public Assistance Recipients Individuals With Disabilities Out-of-School Youth
Num Num Num
Skill Attainment Rate
Den Den Den
Youth Diploma or Num Num Num
Equivalent Rate Den Den Den
Num Num Num
Retention Rate
Den Den Den
Table L - Other Reported Information
Reported Information 12 Month 12 Months Earnings Placements in Non- Wages At Entry Into Entry Into
Employment Increase traditional Employment Employment For Those Unsubsidized
Retention Rate (Adults and Older Youth) Individuals Who Entered Employment
Unsubsidized Employment Related to the
or Training
Received of
12 Months Earnings Those Who
Replacement Completed
(Dislocated Workers) Training
Services
Num Num Num Num Num
Adults
Den Den Den Den Den
Num Num Num Num Num
Dislocated Workers
Den Den Den Den Den
Num Num Num Num
Older Youth
Den Den Den Den
Table M - Participation Levels
Reported Information Total Participants Served Total Exiters
Total Adult Customers
Total Adults (self-service only)
WIA Adults
WIA Dislocated Workers
Total Youth (14 - 21)
Younger Youth (14 - 18)
Older Youth (19 - 21)
Out-of-School Youth
In-School Youth
4
Table N - Cost of Program Activities
Program Activity Total Federal Spending
Local Adults
Local Dislocated Workers
Local Youth
Rapid Response (up to 25%) WIA Section 134(a)(2)(B)
Statewide Required Activities (Up to 15%) WIA Section 134(a)(2)(B)
Program Activity Description
Statewide Allowable Activities WIA
Section 134(a)(3)
Total of All Federal Spending Listed Above
Table O- Local Performance (Include this chart for each local area in the state)
Local Area Name Adults
Dislocated Workers
Total Participants Served Older Youth (19 - 21) Report Total Youth
Younger Youth (14 - 18)
ETA Assigned # Adults
Dislocated Workers
Total Exiters Older Youth (19 - 21) Report Total Youth
Younger Youth (14 - 18)
Reported Information Negotiated Performance Actual
Program Participants
Customer Satisfaction
Employers
Adults
Entered Employment Rates Dislocated Workers
Older Youth
Adults
Dislocated Workers
Retention Rates
Older Youth
Younger Youth
Adults
Six Months Average Earnings (Adults/DWs)
Dislocated Workers
Six Months Earnings Increase (Older Youth) Older Youth
Adults
Credential/Diploma Rates Dislocated Workers
Older Youth
Younger Youth
Skill Attainment Rate Younger Youth
Placement in Employment or Education Youth (14 - 21)
Attainment of Degree or Certificate Youth (14 - 21)
Literacy and Numeracy Gains Youth (14 - 21)
Description of Other State Indicators of Performance (WIA Section 136(d)(1) - Insert additional rows if
there are more than two other state indicators of performance).
Not Met Met Exceeded
Overall Status of Local Performance
Table P- Veteran Priority of Service
Total Percent Served
Covered Entrants Who Reached the End of the Entry Period
Covered Entrants Who Received a Service During the Entry Period
Covered Entrants Who Received a Staff-Assisted Service During the Entry Period
5
Table Q- Veterans' Outcomes by Special Populations
Reported Information Post 9/11 Era Veterans Post 9/11 Era Veterans who Received at TAP Workshop
least Intensive Services
Num Num Num
Entered Employment
Rate
Den Den Den
Num Num Num
Employment Retention
Rate
Den Den Den
Num Num Num
Six-Months Average
Earnings
Den Den Den
6
Attachment 3
Official attachment: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2016/TEGL_22-15_Attachment_C_Acc.pdf
ATTACHMENT C: TAA DATA ELEMENT VALIDATION FOR FY 2015 and FY 2016
TAA DEV Elements TAPR Data Coding Value Definition Source Documentation Pre 2010 TAPR format "Positive" Values
Element
No. #
Eligible Veteran Status 301 Record 1 if the individual is a person who served in the active U.S. military, naval, or air DD-214, Cross-match with Veterans' Veteran Status (TAA 1,2,3,0
service for a period of less than or equal to 180 days, and who was discharged or Data, Letter from Veterans' DEV Reference #1)
released from such service under conditions other than dishonorable. Administration
Record 2 if the participant served on active duty for a period of more than 180 days and
was discharged or released with other than a dishonorable discharge; or was discharged
or released because of a service connected disability; or as a member of a reserve
component under an order to active duty pursuant to section section 167(a), (d), or (g),
673 (a) of Title 10, U.S.C., served on active duty during a period of war or in a campaign
or expedition for which a campaign badge is authorized and was discharged or released
from such duty with other than a dishonorable discharge.
Record 3 if the participant is: (a) the spouse of any person who died on active duty or of
a service-connected disability;
(b) the spouse of any member of the Armed Forces serving on active duty who at the
time of application for assistance under this part, is listed, pursuant to 38 U.S.C 101 and
the regulations issued there under, by the Secretary concerned, in one or more of the
following categories and has been so listed for more than 90 days: (i) missing in action;
(ii) captured in the line of duty by a hostile force; or (iii) forcibly detained or interned in
the line of duty by a foreign government or power; or
(c) the spouse of any person who has a total disability permanent in nature resulting
from a service-connected disability or the spouse of a veteran who died while a disability
so evaluated was in existence.
Record 0 if the participant does not meet any one of the conditions described above or is
not a TAA participant.
Leave "blank" if this data is not available. NOTE: "blank" option is available on this data
element through the report quarter ending September 30, 2010.
Most Recent Date of 707 Record the participant's most recent date of separation from trade-impacted Verification from employer, Rapid Most recent Not null
Qualifying Separation employment that qualifies the individual to receive benefits and/or services under the response list, Notice of layoff, Public qualifying separation
Trade Act. announcement with follow-up cross- (TAA DEV Reference
Leave “blank” if the individual is not a participant and the information is not available. match with UI #2)
Date of Exit 901 Record the date on which the last service financially assisted by the program or a partner Documentation in case notes, State Date of Exit (TAA DEV Not null
program is received by the participant. Once a participant has not received any services MIS Reference #3)
financially assisted by the program or a partner program for 90 consecutive calendar
days and has no gap in service and is not scheduled for future services, the date of exit is
applied retroactively to the last day on which the individual received a service financially
assisted by the program or a partner program.
1
ATTACHMENT C: TAA DATA ELEMENT VALIDATION FOR FY 2015 and FY 2016
TAA DEV Elements TAPR Data Coding Value Definition Source Documentation Pre 2010 TAPR format "Positive" Values
Element
No. #
Petition Number 920 Record the petition number of the certification which applies to the individual's group. If Employer Worker List, Petition Number (TAA Not null
there is more than one petition number e.g., certifications under both the TAA and Determination of Eligibility Form, DEV Reference #4)
NAFTA-TAA programs), record the petition number of the program from which the DOLETA Website,
training is paid, unless a waiver was issued. Do NOT include any alphanumeric suffix; Federal Register
record the petition number ONLY.
TAA Application Date 950 Record the date on which the individual first applied for Trade Act services/benefits State MIS, TAA Application Form, Date of Application Not null
under the applicable certification. Determination on Eligibility Form (TAA DEV Reference
#5)
Date Entered Training 1208 Record the date on which the participant's first training service actually began. Cross-match between dates of service Date Entered Training Not null
#1 Leave "blank" if the individual did not receive training services, or if the individual is not a and vendor training information, (TAA DEV Reference
participant. Vendor training documentation, State #6)
MIS, case notes
Training Completed #1 1211 Record the appropriate coding value: Vendor training documentation in case Training Completed 1,0
1=Yes, completed approved training course file, State MIS, case notes about (TAA DEV Reference
0 =No, did not complete (withdrew) communications with program, Self #7)
Leave “blank” if the data element does not apply to the individual. attestation
Date Completed, or 1212 Record the date when the participant completed training or withdrew permanently from Cross-match between dates of service Date Completed, or Not null
Withdrew from, training. and vendor training information in case Withdrew from,
Training #1 Leave “blank” if the data element does not apply to the individual. file, Vendor training documentation, Training #1 (TAA DEV
State MIS, case notes Reference #8)
Waiver from Training 1225 Record the code that indicates the reason the participant received a waiver from the Case file documentation that includes Waiver from Training 1,2,3,4,5,6,0
Requirement-Type training requirement issued. initial approval and renewals at 30 day Requirement (TAA
1 = Recall intervals, State UI records of TRA DEV Reference #9)
2 = Marketable Skills checks, Form from employment
3 = Retirement counselor
4 = Health
5 = Enrollment Unavailable
6 = Training Not Available
0 = No
Leave “blank” if the data element does not apply to the individual.
Date Received First 1420 Record the date on which the participant received their first Basic TRA payment. State UI records of Basic TRA checks Basic Trade Not null
Basic TRA payment Leave “blank” if the data element does not apply to the individual. issued, Request for allowance, State Readjustment
MIS Allowance (TRA) (TAA
DEV Reference #10)
2
ATTACHMENT C: TAA DATA ELEMENT VALIDATION FOR FY 2015 and FY 2016
TAA DEV Elements TAPR Data Coding Value Definition Source Documentation Pre 2010 TAPR format "Positive" Values
Element
No. #
Employed in 1st 1500 Record 1 if the participant was employed in the first quarter after the quarter of exit. UI Wage Records, WRIS, State MIS, Employed in first 0, 1, 3
Quarter After Exit Record 0 if the participant was not employed in the first quarter after the quarter of exit. Supplemental Data Sources as defined quarter after exit
Quarter Record 3 if information on the participant's employment status in the first quarter after in TEGL 17-05 (TAA DEV Reference
the quarter of exit is not yet available. #11)
Leave "blank" if the individual is not a participant.
Leave “blank” if the data element does not apply to the individual.
Employed in 3rd 1509 Record 1 if the participant was employed in the third quarter after exit. Record 0 if the UI Wage Records, WRIS, State MIS, Employed in third 0, 1, 3
Quarter After Exit participant was not employed in the third quarter after exit. Record 3 if the participant Supplemental Data Sources as defined quarter after exit
Quarter has exited but employment information is not yet available. in TEGL 17-05 (TAA DEV Reference
Leave “blank” if the participant has not yet exited or if the individual is not a participant. #12)
Wages 3rd Quarter 1600 Record total earnings from wage records for the third quarter prior to the quarter of UI Wage Records, WRIS, Federal Wages Wages three quarters Not null OR 9999999
Prior to Participation participation. Database, Other state wage records prior to participation
Quarter Leave "blank" if this data element does not apply to the participant or if the individual is quarter (TAA DEV
not a TAA participant. Reference #13)
Wages 2nd Quarter 1601 Record total earnings from wage records for the second quarter prior to the quarter of UI Wage Records, WRIS, Federal Wages Wages two quarters Not null OR 9999999
Prior to Participation participation. Database, Other state wage records prior to participation
Quarter Leave "blank" if this data element does not apply to the participant or if the individual is quarter (TAA DEV
not a TAA participant. Reference #14)
Wages 1st Quarter 1603 Record total earnings from wage records for the first quarter after the quarter of exit. UI Wage Records, WRIS, Federal Wages Wages 1st quarter Not null OR 9999999
After Exit Quarter Leave "blank" if data element does not apply to the participant. Database, Other state wage records after Exit (TAA DEV
Reference #15)
Wages 2nd Quarter 1604 Record total earnings from wage records for the second quarter after the quarter of exit. UI Wage Records, WRIS, Federal Wages Wages 2nd quarter Not null OR 9999999
After Exit Quarter Leave "blank" if data element does not apply to the participant. Database, Other state wage records after Exit (TAA DEV
Reference #16)
Wages 3rd Quarter 1605 Record total earnings from wage records for the third quarter after the quarter of exit. UI Wage Records, WRIS, Federal Wages Wages 3rd quarter Not null OR 9999999
After Exit Quarter Leave "blank" if this data element does not apply to the participant. Database, Other state wage records after Exit (TAA DEV
Reference #17)
3
Attachment 4
Official attachment: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2016/TEGL_22-15_Attachment_D_Acc.pdf
ATTACHMENT D
SOURCE DOCUMENTATION REQUIREMENTS FOR NATIONAL
FARMWORKER JOB PROGRAM (NFJP)
DATA ELEMENT VALIDATION
This appendix presents the data elements to be validated with their associated
WIASPR number, element definitions, valid values, federal validation sources,
state/grantee sources, and validation instructions needed to perform data element
validation. The federal sources are the generic, federally recommended source
documentation. The "State/Grantee Sources" column can be used to enter grantee-
specific versions of the federally approved documentation.
Two types of validation rules exist:
1. If the validation instruction cell says MATCH: Enter a checkmark in the box in
the pass column if the data on the validation worksheet match the data in the
source documentation. Enter a checkmark in the box in the fail column if the data
on the worksheet do not match the data in the source documentation or if no
source documentation is found. To match, the data on the worksheet must be the
same as the data in the source documentation. For example, if the worksheet says
a participant's date of birth is July 1, 1975, then the source documentation must
also have July 1, 1975 as the birth date.
2. If the validation instruction says SUPPORT: Enter a checkmark in the box in
the pass column if the data on the validation worksheet are supported by the data
in the source documentation. Enter a checkmark in the box in the fail column if
the data on the worksheet are not supported by the data in the source
documentation or if no source documentation is found. To support, the data on the
worksheet must be similar to the data in the source documentation. This
instruction is used when information must be interpreted or processed before it can
be applied to the participant's records. For example, source documentation can
support farmworker status in different ways, by a code or narrative or other
information.
For the most part, the definition of a particular source is clear. Grantees may,
however, have questions about three sources—Grantee Management Information
System (MIS), Self-Attestation, and Case Notes. Definitions for these three types
of source documentation are:
D.2
1. MIS: Unless otherwise noted, MIS refers to specific, detailed information
which supports an element that is stored in the grantee’s information system.
An indicator alone, such as a checkmark on a computer screen, is not
acceptable source documentation. For example, a grantee’s MIS is acceptable
source documentation for date of exit if it identifies the last service received in
addition to the date on which that service was received.
2. Self-Attestation: Self-attestation occurs when a participant states his or her
status for a particular data element and then signs and dates a form
acknowledging this status. The key elements for self-attestation are: (a) the
participant identifying his or her status for permitted elements and (b) the
signing and dating of a form attesting to this self-identification. The form and
signature can be on paper or in the state management information system, with
an online signature.
3. Case Notes: Case notes refer to either paper or electronic statements by the
case manager that identifies, at a minimum, the following: a participant's
status for a specific data element, the date on which the information was
obtained, and the case manager who obtained the information.
D.3
WIASPR Item
Name and
Number Data Element Definition Valid Values Federal Sources State/Grantee Sources Instructions
4. Date of Record the date on which the individual YYYYMMDD Grantee Administrative
Participation begins receiving his/her first service funded Records
Match
by the program following a determination
of eligibility to participate in the program.
5. Date of Birth Record the individual's date of birth. YYYYMMDD Family bible; birth
certificate; passport;
driver's license; Match
baptismal record; I-9
form
9. Qualifies for Record appropriate status of the participant. 1 = Farmworker Pay stubs; W-2 forms;
Sec. 167 2 = Dependent or IRS 1040 forms; case
Program as a: SPECIAL NOTE: If a participant qualifies Spouse of a manager/counselor Support
as eligible under both categories, use Code Farmworker intake notes; self
1 – Farmworker. attestation
11. Farmworker Use the appropriate code to record the 1 = Migrant Pay stubs; W-2 forms;
Status status of the participant at the time of Farmworker IRS 1040 forms; case
eligibility determination. 2 = Seasonal manager/counselor
Farmworker intake notes; self
Support
SPECIAL NOTE: Where participant is a attestation
dependent of a farmworker, record the
status of the eligible farmworker.
13b. Number of Record the total number of individuals in 00 Birth certificate; family
Individuals in the the family, including the participant. bible; IRS 1040 forms Match
Family
D.4
WIASPR Item
Name and
Number Data Element Definition Valid Values Federal Sources State/Grantee Sources Instructions
16. Employment Record 1 if the participant is a person who 1 = Employed Pay stub, case notes
Status at either (a) did any work at all as a paid 2 = Employed, showing information
Participation employee, (b) did any work at all in his or but Received collected from
her own business, profession, or farm, (c) Notice of participant
worked 15 hours or more as an unpaid Termination of
worker in an enterprise operated by a Employment or
member of the family, or (d) is one who Military
was not working, but has a job or business Separation
from which he or she was temporarily 3 = Not
absent because of illness, bad weather, Employed
vacation, labor-management dispute, or
personal reasons, whether or not paid by the
employer for time off, and whether or not
seeking another job. Support
Record 2 if the participant is a person who,
although employed, either (a) has received
a notice of termination of employment or
the employer has issued a Worker
Adjustment and Retraining Notification
(WARN) or other notice that the facility or
enterprise will close, or (b) is currently on
active military duty and has been provided
with a date of separation from military
service.
Record 3 if the participant does not meet
any one of the conditions described above.
D.5
WIASPR Item
Name and
Number Data Element Definition Valid Values Federal Sources State/Grantee Sources Instructions
17. Six Month Record the total pre-program earnings of 00000 Pay stubs; W-2 forms;
Pre-Program the participant for the 6-month period prior employer payroll
Earnings to the date of application in the program. records; IRS 1040
Earnings include salaries or wages, and also forms; administrative/UI
Match
include any bonuses, tips, gratuities, and wage records; self
commissions or overtime pay earned. attestation; detailed case
Record 00000 if there were no earnings management notes
during this period.
21e. Long-term Record 1 if the participant is a person who 1 = Yes IRS 1040 forms; pay
Agricultural has engaged in agricultural work as the 2 = No stub; intake application;
Employment primary source of income for a minimum of case manager/counselor
four (4) years prior to intake/eligibility progress notes; self-
Support
determination. attestation
Record 2 if the participant does not meet
the conditions described above.
24. Date of First Record the date on which the participant YYYYMMDD Case manager/counselor
Intensive Service first received intensive services. Intensive progress notes with
services include specialized assessments of signature; IEP
skill levels, work experience, diagnostic assessment and
testing, adult basic education or English as diagnostic testing
a Second Language (ESL) training,
development of an individual employment
Match
plan, group or individual counseling, case
management for participants seeking
training services, short-term prevocational
services, and remedial reading, writing, or
communication skills training.
Otherwise, leave "blank" if the participant
did not receive intensive services.
D.6
WIASPR Item
Name and
Number Data Element Definition Valid Values Federal Sources State/Grantee Sources Instructions
25. Date of First Record the date on which the participant YYYYMMDD Case manager/counselor
Training Service first received training services. Training certification signature;
services include, but are not limited to, employer signed
occupational skills training; OJT; skill document; attendance
upgrading; entrepreneurial training; and job records from institution Match
readiness training. or instructor
Otherwise, leave "blank" if the participant
did not receive training services.
33. Date of Record the date on which the last service YYYYMMDD Case manager/counselor
Exit funded by the program or a partner program termination notice; case
is received by the participant. Once a manager/counselor
participant has not received any services progress tracking report;
funded by the program or a partner program grantee MIS
for 90 consecutive calendar days and has no Match
gap in service and is not scheduled for
future services, the date of exit is applied
retroactively to the last day on which the
individual received a service funded by the
program or a partner program.
D.7
WIASPR Item
Name and
Number Data Element Definition Valid Values Federal Sources State/Grantee Sources Instructions
34. Category of Record 1 if the participant received and/or 1 = Employment Grantee administrative
Exit completed any job-related core (beyond and Training records
core informational or self-services, and Exiter
eligibility determination), intensive, or 2 = Related
training services. Assistance
Record 2 if the participant received non- Services ONLY
job related services, without having Exiter
received job-related core, intensive, or 3 = Other
training services. Reasons for Exit Support
Record 3 if the participant did not complete
the program and exited for other reasons, as
specified in Item 35 below.
SPECIAL NOTE: Individuals who receive
training-related services AND intensive, or
training services should be coded 1.
D.8
WIASPR Item
Name and
Number Data Element Definition Valid Values Federal Sources State/Grantee Sources Instructions
35. Other Reasons Record 1 if the participant is residing in an 1= Grantee administrative
for Exit (at time institution or facility providing 24-hour Institutionalized records
of exit or during support such as a prison or hospital and is 2=
3-quarter expected to remain in that institution for at Health/Medical
measurement least 90 days. 3 = Deceased
period following Record 2 if the participant is receiving 4 = Entered
the quarter of medical treatment that precludes entry into Advanced
exit) unsubsidized employment or continued Training
participation in the 167 program. Does not 5 = Entered Post-
include temporary conditions expected to Secondary
last for less than 90 days. Education
Record 3 if the participant was found to be 6=
deceased or no longer living. Moved/Cannot
Record 4 if the participant entered Locate/Voluntary
advanced training. Advanced training Separation
includes an occupational skills 7 = Family Care Support
employment/training program, not funded 8= Reserve
under Title I of WIA, which does not Forces Called to
duplicate training received under Title I. Active Duty
This category includes only training outside 9 = Not a Valid
of the 167 program, One-Stop, WIA and SSN
partner system.
Record 5 if the participant entered post-
secondary education. Post-secondary
education includes a program at an
accredited degree-granting institution that
leads to an academic degree (e.g., AA, AS,
BA, BS). This does not include entry into
post-secondary education programs offered
by degree-granting institutions that do not
lead to an academic degree.
D.9
WIASPR Item
Name and
Number Data Element Definition Valid Values Federal Sources State/Grantee Sources Instructions
35. Other Reasons Record 6 if the participant cannot be
for Exit located or has moved to an area that
(continued) prevents them from completing their
program, or has voluntarily left the
program.
Record 7 if the participant is providing care
for a family member with a health/medical
condition that precludes entry into
unsubsidized employment or continued
participation in the program. Does not
include temporary conditions expected to
last for less than 90 days.
Record 8 if the participant is a member of
the National Guard or other reserve military
unit and is called to active duty for at least
90 days.
Record 9 if the social security number of
the participant is not valid.
Record 0 or leave “blank” if the participant
exited for a reason other than one of the
conditions described above.
36. Date Placed in Record the date on which the participant YYYYMMDD Case manager/counselor
Unsubsidized was placed into unsubsidized employment. progress notes
Match
Employment Leave this field blank if the participant did
not enter unsubsidized employment.
D.10
WIASPR Item
Name and
Number Data Element Definition Valid Values Federal Sources State/Grantee Sources Instructions
41. Employed in Record 1 if the participant was employed in 1 = Yes Pay stubs; employer
the 1st Quarter the first quarter after the quarter of exit. 2 = No payroll records; IRS
After Exit Quarter Record 2 if the participant was not 3 = Information 1040 forms; case
employed in the first quarter after the Not Yet manager/counselor
Support
quarter of exit. Available progress notes; self-
Record 3 if information on the participant's attestation
employment status in the first quarter after
the quarter of exit is not yet available.
42. Employed in Record 1 if the participant was employed in 1 = Yes Pay stubs; employer
the 2nd Quarter the second quarter after the quarter of exit. 2 = No payroll records; IRS
After Exit Quarter Record 2 if the participant was not 3 = Information 1040 forms; case
employed in the second quarter after the Not Yet manager/counselor
Support
quarter of exit. Available progress notes; self-
Record 3 if information on the participant's attestation
employment status in the second quarter
after the quarter of exit is not yet available.
43. Employed in Record 1 if the participant was employed in 1 = Yes Pay stubs; employer
the 3rd Quarter the third quarter after the quarter of exit. 2 = No payroll records; IRS
After Exit Quarter Record 2 if the participant was not 3 = Information 1040 forms; case
employed in the third quarter after the Not Yet manager/counselor
Support
quarter of exit. Available progress notes; self-
Record 3 if information on the participant's attestation
employment status in the third quarter after
the quarter of exit is not yet available.
D.11
WIASPR Item
Name and
Number Data Element Definition Valid Values Federal Sources State/Grantee Sources Instructions
44. Wages 2nd & Record the total earnings earned by the 00000 Pay stubs; employer
3rd Quarters After participant in the second and third calendar payroll records; IRS tax
Exit Quarter quarters after the quarter of exit. Total forms; administrative/UI
earnings include any bonuses, tips, wage records; case
gratuities, commissions, and overtime pay manager/counselor
Match
earned. progress notes with
Note: Enter whole dollar amounts (00000). signature
Enter 99999 if data are not yet available for
this item. Otherwise, leave "blank" if this
data element does not apply.
D.12
Attachment 5
Official attachment: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2016/TEGL_22-15_Attachment_E_Acc.pdf
ATTACHMENT E
PY 2015/FY 2016 Performance Reporting and Data Validation Timelines 1
Date of Publication: May 2016
To anticipate reporting dates for PY 2015/FY 2016, the following timeline specifies the
exact due dates for each of the respective reports. In instances where due dates are on a
Saturday or Sunday, the timeline shows the date the report is due on the following
Monday.
Workforce Investment Act (WIA) Title 1B Programs
ETA-9090 (due 45 days after the quarter Qtr 1: Due November 15, 2015
ends) Qtr 2: Due February 15, 2016
Qtr 3: Due by May 15, 2016
Qtr 4: Due by August 14, 2016
Data Element Validation (DEV) Due no later than March 15, 2017
Wagner-Peyser
Wagner-PeyserProgram
Program
ETA-9002 & VETS-200 reports (45 days Qtr 1: Due November 15, 2015
after the quarter ends) Qtr 2: Due February 15, 2016
Qtr 3: Due by May 15, 2016
ETA-9002 & VETS-200 – Qtr 4 Due no later than September 9, 2016
National Farmworker Jobs Program
PY 2015 Participant Data (July 1, Due no later than May 15, 2017
2015 through June 30, 2016)
PY 2014 Data Element Validation Due before the Qtr 4 report is submitted
Trade Adjustment Assistance (Fiscal Year)
TAPR – Quarterly (due 45 days after the Qtr 1: Due February 15, 2016
quarter ends) Qtr 2: Due no later than May 15, 2016
Qtr 3: Due no later than August 14, 2016
TAPR – Qtr 4 Due no later than November 14, 2016
1
ETA will issue a revised reporting schedule to align with Workforce Innovation and Opportunity Act requirements
starting with PY 2016. PY 2015 will be the last year for WIA reporting.
Attachment 6
Official attachment: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2016/TEGL_22-15_Attachment_F_Acc.pdf
ATTACHMENT F
PY 2014/FY 2015 Performance Reporting and Data Validation Timelines
Date of Publication: May 2016
To clarify reporting dates for PY 2014/FY 2015, the following timeline specifies the
exact due dates for each of the respective reports. In instances where due dates are on a
Saturday or Sunday, the timeline shows the date the report is due on the following
Monday. Although the Department acknowledges that many of these due dates have
passed, these dates have been retained in this guidance for accountability purposes.
Workforce Investment Act (WIA) Title 1B Programs
ETA-9090 – Quarterly (due 45 days after Qtr 1: Due November 15, 2014
the quarter ends) Qtr 2: Due February 15, 2015
Qtr 3: Due May 16, 2015
Qtr 4: Due August 14, 2015
Data Element Validation (DEV) Due March 15, 2016
Wagner-Peyser
Wagner-PeyserProgram
Program
ETA-9002 & VETS-200 reports (45 days Qtr 1: Due November 15, 2014
after the quarter ends) Qtr 2: Due February 15, 2015
Qtr 3: Due May 16, 2015
ETA-9002 & VETS-200 – Qtr. 4 Due before the Qtr 4 report is submitted
National Farmworker Jobs Program
PY 2013 Participant Data (July 1, 2013 Due May 16, 2015
through June 30, 2014)
PY 2013 Data Element Validation Due November 1, 2015
PY 2014 Participant Data (July 1, 2014 Due no later than May 16, 2016
through June 30, 2015)
PY 2014 Data Element Validation Due no later than November 1, 2016
Trade Adjustment Assistance
TAPR – Quarterly (due 45 days after the Qtr 1: Due February 15, 2015
quarter ends) Qtr 2: Due May 16, 2015
Qtr 3: Due August 14, 2015
TAPR – Qtr. 4 Due November 14, 2015
The agency also provides spreadsheet versions of Attachments A, B, and C:
- Attachment A: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2016/TEGL_22-15_Attachment_A.xlsx
- Attachment B: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2016/TEGL_22-15_Attachment_B.xls
- Attachment C: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2016/TEGL_22-15_Attachment_C.xls
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