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2011–12 workforce performance reporting timelines

Summary ETA set program year 2011 and fiscal year 2012 reporting and data validation deadlines for several workforce programs, including WIA Title IB, Wagner-Peyser services, Trade Adjustment Assistance, and farmworker programs. It also attached source documentation rules, report formats, common error guidance, and a timeline. Change 1 later updated some dates; ETA now lists the advisory Canceled.
Document
Federal guidance
Agency
U.S. Department of Labor, Employment and Training Administration (ETA)
Document number
TEGL No. 28-11
Date issued
May 9, 2012
Status
Withdrawn
ETA lists this advisory Canceled as of 2026-10-24; its PDF prints Expiration Date: Continuing and Rescissions: None. TEGL 28-11, Change 1 later updated reporting and validation dates.
Status last verified October 24, 2026

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This document has been withdrawn
ETA lists this advisory Canceled as of 2026-10-24; its PDF prints Expiration Date: Continuing and Rescissions: None. TEGL 28-11, Change 1 later updated reporting and validation dates. It no longer reflects the agency's current position. Treat this page as historical context, not current guidance, and verify current law before relying on anything here.
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.

Accessible letter PDF: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_28-11-Acc.pdf

CLASSIFICATION
   EMPLOYMENT AND TRAINING ADMINISTRATION                 WIA/Performance Reporting
               ADVISORY SYSTEM                            CORRESPONDENCE SYMBOL
                                                          OPDR
          U.S. DEPARTMENT OF LABOR
                                                          DATE
             Washington, D.C. 20210                       May 9, 2012

ADVISORY:            TRAINING AND EMPLOYMENT GUIDANCE LETTER NO. 28-11

TO:                  STATE WORKFORCE AGENCIES
                     STATE WORKFORCE ADMINISTRATORS
                     NATIONAL FARMWORKER JOBS PROGRAM GRANTEES
                     INDIAN AND NATIVE AMERICAN PROGRAM GRANTEES

FROM:                JANE OATES /s/
                     Assistant Secretary

SUBJECT:             Program Year 2011/Fiscal Year 2012 Performance Reporting and Data
                     Validation Timelines

1. Purpose. To inform and to remind the workforce investment system of the performance
reporting requirements and associated timelines for submitting the reports for the following
programs/activities:
               • quarterly and annual reports and data validation results for the Workforce
                   Investment Act (WIA) title IB programs and National Emergency Grants
                   (NEGs);
               • quarterly reports and data validation results for the Wagner-Peyser Act
                   Employment Service;
               • activities authorized under chapter 41 of title 38 United States Code (Local
                   Veterans’ Employment Representative and Disabled Veterans’ Outreach
                   Programs);
               • the Trade Adjustment Assistance (TAA) program,
               • the Indian and Native American Program (INAP); and
               • the National Farmworker Jobs Program (NFJP).

2. References.
                 •   WIA of 1998, Sections 136 and 185
                 •   20 Code of Federal Regulations 667.300
                 •   Training and Employment Guidance Letter (TEGL) 17-05 and TEGL 17-05,
                     Change 2, Common Measures Policy for the Employment and Training
                     Administration’s (ETA) Performance Accountability System and Related
                     Performance Issues
                 •   TEGL 9-07, Revised Incentive and Sanction Policy for Workforce Investment
                     Act Title IB Programs
                 •   TEGL 17-09, Quarterly Submission of Workforce Investment Act
                     Standardized Record Data (WIASRD)

 RESCISSIONS                                              EXPIRATION DATE
 None                                                     Continuing

              •   TEGL 7-10, Workforce Investment Act and Wagner-Peyser Act Performance
                  Accountability Reporting for the American Recovery and Reinvestment Act of
                  2009 (Recovery Act)
              •   TEGL 7-11, Workforce Investment Act (WIA) Annual Report Narrative

3. Performance Reporting and Data Validation for the WIA Title IB Programs. For
Program Year (PY) 2011, each state is required to make the following submissions for
WIA to the Employment and Training Administration (ETA):

A. A validated WIA Annual Report (ETA 9091 - OMB No. 1205-0420) – Due no later than
   October 1, 2012.

   Please note that states are required to complete report validation prior to submitting the
   annual report Tables A-O (ETA 9091) to ETA through the new online Enterprise Data
   Reporting and Validation System (E-DRVS) on, or before, October 1, 2012. (Additional
   guidance and instructions on use of the E-DRVS will be issued separately.) Submission of
   timely and accurate data is required in section 136 of the WIA. Furthermore, a timely and
   validated annual report is one of the criteria for WIA incentive eligibility. See TEGL 9-07
   for further clarification.

   Data element validation, using the file of exiters and participants reported on the ETA 9091,
   must be submitted by February 1, 2013. Please see Attachment A of this TEGL for the
   source documentation requirements for PY 2011 WIA data element validation.

   States and other jurisdictions that are approved to report only the common performance
   measure outcomes for WIA programs for PY 2011 (Alabama, Alaska, Arkansas, California,
   Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois,
   Indiana, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Mississippi, Missouri,
   Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North
   Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South
   Dakota, Tennessee, Texas, Utah, Virginia, Virgin Islands, Washington, West Virginia,
   Wisconsin, and Wyoming) do not have to report outcomes for the customer satisfaction
   measures, the credential measure for Adults and Dislocated Workers, or the Older and
   Younger Youth measures on the WIA Annual Report. These states, along with all other
   states, are to report outcomes for the youth common performance measures.

   States that are approved to report only the common performance measure outcomes should
   reference Attachment B of this TEGL, which contains the WIA Annual Report format with
   grayed out fields to indicate the information that is not required as part of the state’s annual
   report submission. Please note a slight difference beginning in PY 2012: states with an
   approved common measure waiver are being asked to supply participant and exiter
   counts for younger youth and older youth on tables M and O.

B. WIA Annual Report Narrative – Due no later than October 1, 2012.

   States should e-mail electronic copies of their narrative annual report to [email protected]
   and their Regional Administrator no later than October 1, 2012. Guidance in TEGL 7-11,
   Workforce Investment Act (WIA) Annual Report Narrative, specifically identifies those

                                                 2

   required portions that states must provide as well as those portions that states are encouraged
   to provide. NOTE: In the WIA PY 2011 Annual Report Narrative guidance to be published
   separately, ETA will encourage states to add a discussion of their programs, initiatives and
   strategies for serving veterans at the state and local levels.

C. The WIA Standardized Record Data files – Annual File due no later than September
   15, 2012.

   Beginning with the PY 2011 fourth quarter annual WIASRD submissions, states (except
   Workforce Investment Streamlined Performance Reporting states) will be required to submit
   a WIASRD file to the updated E-DRVS. This new system will no longer be PC-based
   software, but instead will be an online portal tied to the Enterprise Business Support System
   (EBSS). Specific system instructions will follow in a separate TEGL; the overall upload and
   edit check process will remain the same.

   The E-DRVS will eliminate the need to upload annual or quarterly results to EBSS. E-DRVS
   will now complete all data reporting functionality once carried out in EBSS.

   All of the edit checks and valid value requirements for the WIASRD Quarterly reports are
   fully articulated in Attachments A through E of TEGL 17-09.

   The following quarterly WIASRD modifications were instituted in PY 2009 and are
   explained in sections 4.A – 4.D of TEGL 17-09:
      • The submission includes data fields previously not accepted by EBSS.
      • The submission includes data on all participants who have not exited. To
          accommodate this participant data, some WIASRD fields have required values for
          participants without exit dates.
      • There are changes to the technical process of uploading individual record files into
          EBSS.
      • States will submit to ETA the individual record files for participants who receive “self
          and informational services only” (hereafter referred to as self-service only
          participants).

   WIASRD quarterly submissions for the first, second, and third quarters of each PY are due
   45 days following the end of the quarter (November 14, February 14, and May 15,
   respectively). The due date for the fourth quarter of each PY is 75 days following the end of
   the quarter, or September 15, 2012. This additional time provides states with the opportunity
   to better align their fourth quarter WIASRD data with their WIA Annual Report data, which
   is due no later than October 1st of each year. States have an additional 15 days following the
   due date to address data errors; WIASRD files are locked from editing after this period. For
   PY 2011, the WIASRD files will be locked on October 1, 2012.

   Similar to the former process where an annual submission of individual records was
   submitted to DRVS, the quarterly WIASRD submission into E-DRVS will be used to
   compute the ETA 9090 quarterly report. Therefore, the lagged cohorts to be included in the
   quarterly submission must correspond to the cohorts in the annual submission. A change
   with the implementation of the E-DRVS will require states to submit their quarterly
   WIASRD files into the software itself for edit checking. This change will allow states to
                                                3

automatically generate the 9090 report immediately after the WIASRD submission. E-DRVS
will also act as the repository for these records and reports instead of EBSS. The automatic
generation of the 9090 report is also due 45 days following the end of the quarter.

Please note the following items when generating and submitting WIASRD files:
       WIASRD item 309 (incumbent worker (Statewide 15 percent Activities)), has been
       updated to allow states to track Incumbent Workers who received local formula funds
       or Rapid Response funds. Please note the changes in the field description and valid
       value requirements for this item.
       WIASRD item 326 (Other Non-WIA Programs) includes valid values for the
       American Recovery and Reinvestment Act (Recovery Act) of 2009 co-enrollments.
       All states with a Recovery Act-funded On-the-Job-Training NEG should report using
       their assigned NEG code. Additional information can be found at:
       http://www.doleta.gov/performance/reporting/answers.cfm and
       http://www.doleta.gov/neg/negperf/training.cfm
       Please ensure that WIASRD item 342, Occupational Skills Training Code, is
       completed; O*NET codes are available at http://online.onetcenter.org/.
       Please ensure that WIASRD item 619, Type of Recognized Credential, is completed
       for each individual who has earned a credential, certificate, or degree.
       If the exiter was a Workforce Innovation in Regional Economic Development
       (WIRED) or Military Spouse Career Advancement Account (CAA) funded recipient
       item 313c should contain the appropriate WIRED or CAA code.
       The most common WIASRD data problems are missing or incomplete information in
       the service items that were added in PY 2005 and on the occupation of the training
       program. The service items that were added in PY 2005 included the following:
       -        Received disaster relief assistance (Disaster NEG temporary job wages)
       -        Received Core Self-Services and Informational Activities
       -        Date of first staff assisted core service
       -        Received Workforce information services
       -        Date completed or withdrew from training
       -        Received prevocational activities
       -        Enrolled in education
       The occupation of the job held in the quarter after exit is frequently missing.

ETA is aware that the occupation of employment element requires manual follow-up with the
exiter. The occupation of employment is frequently asked for when reporting to ETA’s
stakeholders on the effectiveness of the workforce programs, especially the training that is
provided. In order to address this burden, ETA will propose collection of the North
American Industry Classification Coding System for the first quarter after exit in which an
exiter is able to enter employment. This change will be proposed as part of the renewal of the
Workforce Investment Act Performance Management System; the current forms expire on
December 31, 2012. Until the reporting changes have been approved and implemented,
states are encouraged to collect the information about occupation of employment when
providing follow-up services.

In addition to these items, ETA has developed Attachment C of this TEGL, which contains a
list of common errors identified during the analysis of WIASRD submissions from previous

                                            4

   years. States should contact ETA’s National Office at [email protected], with the
   subject line of WIASRD submission, if they need additional assistance.

   Please visit http://www.doleta.gov/performance/reporting for the most recent WIASRD file
   format.

   Please note that in addition to the annual reporting requirements enumerated in
   sections A-C above, states must also submit Quarterly and Supplemental Monthly
   Reports to ETA through EBSS as required. States with Recovery Act funded NEGs
   should continue to report the 9148 on a monthly basis through the life of the grant.

4. Performance Reporting and Data Validation for Other State-Based Programs.
Wagner-Peyser Employment Service. States are required to submit the ETA 9002 and VETS
200 reports (Office of Management and Budget No. 1205-0240) on a quarterly basis. States
must submit their PY 2011 fourth quarter reports no later than August 31, 2012. This will
be done utilizing the new E-DRVS.

The fourth quarter PY 2011 Wagner-Peyser Employment Service submission requires report
validation and minimal data element validation. Data element validation must be completed
for the ETA 9002 and VETS 200 reports prior to submitting the final fourth quarter
reports by the August 31, 2012 due date. A minimal data element validation sample of 25 job
seekers must be reviewed and compared to state-level data prior to submitting the ETA 9002 and
VETS 200 reports to ensure that the files used to conduct report validation were properly
constructed. Through the use of E-DRVS, states will be able to upload Wagner-Peyser
individual record files to run all necessary edit checks. All states are required to perform data
element validation using the E-DRVS. As with the WIASRD, E-DRVS will act as the reporting
mechanism for Wagner-Peyser. As such, states will no longer be required to upload aggregate
results to EBSS.

Trade Adjustment Assistance. States are required to submit the Trade Act Participant Report
(TAPR) on a quarterly basis, no later than 45 days after the end of the report quarter. The fourth
quarter TAPR for Fiscal Year 2011 is due no later than November 14, 2012. States
administering TAA programs are not required to submit an annual report; states are required to
submit individual participant records only for TAA.

5. Data Validation for the National Farmworker Jobs Program. Grantees administering the
NFJP are not required to submit a performance outcomes report. Grantees are required to submit
individual participant records for the NFJP, which are used by ETA 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 for PY 2010 (participants with exit dates between July 1, 2010
and June 30, 2011 are due to ETA’s contractor (Social Policy Research Associates) on May 15,
2012. Data element validation for PY 2010 must be submitted to ETA by November 2,
2012. Please see Attachment D of this TEGL for the source documentation requirements for PY
2010 NFJP data element validation. NFJP grantees should use NFJP Data Validation Software
Version 2.0.


                                                 5

6. Division of Indian and Native American Program Reporting. Grantees administering the
INAP are not required to submit a performance outcomes report. Grantees are required to submit
individual participant records for the INAP, which are used by ETA to calculate the performance
outcomes for each grantee.

7. Data Reporting and Validation Resources. ETA provides several resources to states in
order to assist them in reporting timely and accurate data. As previously mentioned, one of the
criteria for incentive eligibility is that the data used to compute the performance outcomes must
be submitted on time and be accurate.

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
4th quarter.

8. 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.

9. Action Requested. States and grantees should: 1) distribute this guidance to the appropriate
staff; 2) complete report and data validation activities within the timeframes established in
sections 3, 4 and 5 of this guidance; and 3) provide the appropriate Regional Office with updates
on the reporting and validation process.

10. 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].

11. Attachments.

       Attachment A: Source Documentation Requirements for Program Year (PY) 2011 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: Common WIASRD Reporting Errors

       Attachment D: Source Documentation Requirements for Program Year (PY) 2011 NFJP
       Data Element Validation


                                                6

Attachment E: Program Year 2011/Fiscal Year 2012 Performance Reporting and Data
Validation Timelines

                                    7

Attachment A: PY 2011 WIA data element validation source requirements (https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_28-11-Atta1.pdf).

ATTACHMENT A

SOURCE DOCUMENTATION REQUIREMENTS FOR PROGRAM
    YEAR (PY) 2011 WIA DATA ELEMENT VALIDATION

        WORKFORCE INVESTMENT ACT DATA ELEMENT VALIDATION
            INSTRUCTIONS AND SOURCE DOCUMENTATION


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.

                                            A-1

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.


                                            A-2

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 3, 12, 16, 21, 22, and 24, 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 # 68 or 69, the participant received intensive and/or training services. If a
date is in field # 66, the participant received staff-assisted core services.

                                             A-3

                                          Data Elements and Source Documentation Requirements


DRVS
                                                                                                       Match/    Source Documentation
Field    Data Element   Data Element Definition         Code Value        Adult   DW   NEG   OY   YY
                                                                                                       Support   Requirements
Number

                                                                 A-4

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                 Match/    Source Documentation
Field    Data Element    Data Element Definition                  Code Value     Adult   DW    NEG   OY    YY
                                                                                                                 Support   Requirements
Number
3        Date of Birth   Record the individual’s date of birth.   YYYYMMDD       Yes     Yes   No    Yes   Yes   Match     Adults/DW/NEG Exiters
         #102                                                                                                              who received Self-services
                                                                                                                           only
                                                                                                                           Self-attestation

                                                                                                                           Adults/DW/NEG Exiters
                                                                                                                           who received Staff-assisted
                                                                                                                           core services only:
                                                                                                                           Hard or electronic case notes.
                                                                                                                           Should reflect that the client
                                                                                                                           has shown proof of age, and
                                                                                                                           should include, for example,
                                                                                                                           the driver’s license number or
                                                                                                                           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 I.D. should be
                                                                                                                           one of the following: driver’s
                                                                                                                           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.

                                                                           A-5

                                               Data Elements and Source Documentation Requirements


DRVS
                                                                                                                           Match/    Source Documentation
Field    Data Element   Data Element Definition                      Code Value             Adult   DW    NEG   OY    YY
                                                                                                                           Support   Requirements
Number
12       Veteran’s      Record 1 if the individual is a person       1 = Yes, <= 180 days   Yes     Yes   Yes   Yes   No   Support   Adults/DW/NEG Exiters
         Status         who served in the active U.S. military,                                                                      who did not receive
         #111           naval, or air service for a period of        2 = Yes, Eligible                                               Intensive or Training
                        less than or equal to 180 days, and          Veteran                                                         Services: State MIS, self-
                        who was discharged or released from                                                                          attestation, case notes
                        such service under conditions other          3 = Yes, Other
                        than dishonorable.                           Eligible Person                                                 Older Youth and
                                                                                                                                     Adults/DW/NEG Exiters
                        Record 2 if the individual served on         4 = No                                                          who received Intensive or
                        active duty for a period of more than                                                                        Training Services: DD-
                        180 days and was discharged or                                                                               214, cross match with
                        released with other than a                                                                                   veterans data, a letter
                        dishonorable discharge; or was                                                                               from the Veterans’
                        discharged or released because of a                                                                          Administration
                        service connected disability; or as a
                        member of a reserve component
                        under an order to active duty
                        pursuant to 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.

                                                                                A-6

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                             Match/    Source Documentation
Field    Data Element   Data Element Definition                  Code Value     Adult   DW   NEG   OY   YY
                                                                                                             Support   Requirements
Number
                        Record 3 if the individual is a person
                        who 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 thereunder, 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 4 if the individual does not
                        meet any one of the conditions
                        described above.

                                                                          A-7

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                         Match/    Source Documentation
Field    Data Element    Data Element Definition                   Code Value            Adult   DW    NEG   OY    YY
                                                                                                                         Support   Requirements
Number
16       Employment      Record 1 if the participant is a person   1 = Employed          Yes     Yes   Yes   Yes   Yes   Support   Adults/DW/NEG Exiters
         Status at       who either (a) did any work at all as a                                                                   who did not receive
         Participation   paid employee, (b) did any work at        2 = Employed, but                                               Intensive or Training
         #115            all in his or her own business,           Received Notice of                                              Services: State MIS, self-
                         profession, or farm, (c) worked 15        Termination of                                                  attestation, case notes
                         hours or more as un unpaid worker         Employment or
                         in an enterprise operated by a            Military Separation                                             All Youth and
                         member of the family, or (d) is one                                                                       Adults/DW/NEG Exiters
                         who was not working, but has a job        3 = Not Employed                                                who received Intensive or
                         or business from which he or she was                                                                      Training Services: Pay
                         temporarily absent because of illness,                                                                    stub, case notes showing
                         bad weather, vacation, labor-                                                                             information collected
                         management dispute, or personal                                                                           from participant
                         reasons, whether or not paid by the
                         employer for time-off, and whether or
                         not seeking another job.

                         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 a
                         transitioning service member

                         Record 3 if the individual does not
                         meet any one of the conditions
                         described above.

                                                                             A-8

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                                 Match/    Source Documentation
Field    Data Element   Data Element Definition                   Code Value      Adult   DW   NEG   OY    YY
                                                                                                                 Support   Requirements
Number
20       Low Income     Record 1 if the individual is a person    1 = Yes         Yes     No   No    Yes   Yes   Support   Adults Exiters who did not
         #119           who:                                                                                               receive Intensive or
                                                                  2 = No                                                   Training Services: State
                        (A) receives, or is a member of a                                                                  MIS, self-attestation,
                        family which receives, cash payments                                                               case notes
                        under a Federal, state or local income-
                        based public assistance program, or                                                                All Youth and Adults
                                                                                                                           Exiters who received
                        (B) received an income, or is a                                                                    Intensive or Training
                        member of a family that received a                                                                 Services: Alimony
                        total family income, for the six-month                                                             Agreement, applicant
                        period prior to program participation                                                              statement, award letter
                        (exclusive of unemployment                                                                         from veteran’s
                        compensation, child support                                                                        administration, bank
                        payments, payments described in                                                                    statements,
                        subparagraph A and old-age and                                                                     compensation award
                        survivors insurance benefits received                                                              letter, court award
                        under section 202 of the Social                                                                    letter, pension
                        Security Act (42 U.S.C 402)) that, in                                                              statement, employer
                        relation to family size does not exceed                                                            statement/contact,
                        the higher of (i) the poverty line, for                                                            family or business
                        an equivalent period, or (ii) 70                                                                   financial records,
                        percent of the lower living standard                                                               housing authority
                        income level, for an equivalent                                                                    verification, pay stubs,
                        period; or                                                                                         public assistance
                                                                                                                           records, quarterly
                        (C) is a member of a household that                                                                estimated tax for self-
                        receives (or has been determined                                                                   employed persons,
                        within the 6-month period prior to                                                                 Social Security benefits,
                        program participation) Food Stamps                                                                 UI documents
                        under the Food Stamp Act of 1977 (7
                        U.S.C. 2011 et seq.); or

                                                                            A-9

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                 Match/    Source Documentation
Field    Data Element   Data Element Definition                    Code Value       Adult   DW   NEG   OY   YY
                                                                                                                 Support   Requirements
Number
                        (D) qualifies as a homeless individual,
                        as defined in subsections (a) and (c) of
                        section 103 of the Stewart B.
                        McKinney Homeless Assistance Act
                        (42 U.S.C. 11302); or

                        (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 2 if the individual does not
                        meet the criteria presented above.

                                                                           A - 10

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                                   Match/    Source Documentation
Field    Data Element   Data Element Definition                  Code Value         Adult   DW   NEG   OY    YY
                                                                                                                   Support   Requirements
Number
21       TANF           Record 1 if the individual is a person   1 = Yes            Yes     No   No    Yes   Yes   Support   Adults/DW Exiters who
         (Needy         who is listed on the welfare grant or                                                                did not receive Intensive or
         Family         has received cash assistance or other    2 = No                                                      Training Services: State
         Status)        support services from the TANF                                                                       MIS, self-attestation,
         #120           agency in the last six months prior to                                                               case notes
                        participation in the program.
                                                                                                                             All Youth and Adults/DW
                        Record 2 if the individual does not                                                                  Exiters who received
                        meet the condition described above.                                                                  Intensive or Training
                                                                                                                             Services: Cross- match
                                                                                                                             with TANF public
                                                                                                                             assistance records

                                                                           A - 11

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                                     Match/    Source Documentation
Field    Data Element   Data Element Definition                  Code Value         Adult    DW    NEG   OY    YY
                                                                                                                     Support   Requirements
Number
22       Other Public   Record 1 if the individual is a person   1 = Yes               Yes   Yes   No    Yes   Yes   Support   Adults/DW Exiters who
         Assistance     who is receiving or has received cash                                                                  did not receive Intensive or
         Recipient      assistance or other support services                                                                   Training Services: State
                                                                 2 = No
         #121           from one of the following sources in                                                                   MIS, self-attestation,
                        the last six months prior to                                                                           case notes
                        participation in the program: General
                        Assistance (GA) (State/local                                                                           All Youth and Adults/DW
                        government), Refugee Cash                                                                              Exiters who received
                        Assistance (RCA), Food Stamp                                                                           Intensive or Training
                        Assistance, and Supplemental                                                                           Services: Copy of
                        Security Income (SSI-SSA Title XVI).                                                                   authorization to receive
                        Do not include foster child payments.                                                                  cash public assistance,
                                                                                                                               copy of public
                        Record 2 if the individual does not                                                                    assistance check,
                        meet the above criteria.                                                                               medical card showing
                                                                                                                               cash grant status, public
                                                                                                                               assistance records,
                                                                                                                               refugee assistance
                                                                                                                               records, cross- match
                                                                                                                               with public assistance
                                                                                                                               database

                                                                           A - 12

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                                  Match/    Source Documentation
Field    Data Element   Data Element Definition                  Code Value         Adult   DW    NEG   OY   YY
                                                                                                                  Support   Requirements
Number
24       Displaced      Record 1 if the individual is a person   1 = Yes            No      Yes   Yes   No   No   Support   DW/NEG Exiters who did
         Homemaker      who has been providing unpaid                                                                       not receive Intensive or
         #123           services to family members in the        2 = No                                                     Training Services: State
                        home and has been dependent on the                                                                  MIS, self-attestation,
                        income of another family member but                                                                 case notes
                        is no longer supported by that income
                        and is unemployed or                                                                                DW/NEG Exiters who
                        underemployed and is experiencing                                                                   received Intensive or
                        difficulty in obtaining or upgrading                                                                Training Services: Public
                        employment.                                                                                         assistance records, court
                                                                                                                            records, divorce papers,
                        Record 2 if the individual does not                                                                 bank records, spouse’s
                        meet the conditions described above.                                                                layoff notice, spouse’s
                                                                                                                            death record, self -
                                                                                                                            attestation
25       Date of        Record the date of separation or         YYYYMMDD           No      Yes   Yes   No   No   Match     Verification from
         Actual         dislocation from employment. This                                                                   employer, rapid
         Qualifying     date is the last day of employment at                                                               response list, notice of
         Dislocation    the dislocation job. If there is no                                                                 layoff, public
         #124           dislocation job (e.g. displaced                                                                     announcement with
                        homemaker), leave “blank.”                                                                          follow-up cross-match
                                                                                                                            with UI, self- attestation

                                                                           A - 13

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                                    Match/    Source Documentation
Field    Data Element   Data Element Definition                   Code Value         Adult   DW   NEG   OY    YY
                                                                                                                    Support   Requirements
Number
26       Homeless       Record 1 if the individual (adult or      1 = Yes            Yes     No   No    Yes   Yes   Support   Written statement from
         individual     youth) is a person who lacks a fixed,                                                                 an individual providing
         and/or         regular, adequate night time              2 = No                                                      residence, shelter or
         runaway        residence. This definition includes                                                                   social service agency,
         youth          any individual who has a primary                                                                      WIA intake or
         #125           night time residence that is a publicly                                                               registration form, self-
                        or privately operated shelter for                                                                     attestation
                        temporary accommodation; 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 2 if the individual does not
                        meet the conditions described above.

                                                                            A - 14

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                                    Match/    Source Documentation
Field    Data Element   Data Element Definition                   Code Value         Adult   DW   NEG   OY    YY
                                                                                                                    Support   Requirements
Number
27       Offender       Record 1 if the individual (adult or      1 = Yes            Yes     No   No    Yes   Yes   Support   Documentation from
         #126           youth) is a person who either (a) is or                                                               juvenile or adult
                        has been subject to any stage of the      2 = No                                                      criminal justice system,
                        criminal justice process for                                                                          documented phone call
                        committing a status offense or                                                                        with court or probation
                        delinquent act, or (b) requires                                                                       representatives, WIA
                        assistance in overcoming barriers to                                                                  intake or registration
                        employment resulting from a record                                                                    form, self-attestation
                        of arrest or conviction for committing
                        delinquent acts, such as crimes
                        against persons, crimes against
                        property, status offenses, or other
                        crimes.
                        Record 2 if the individual does not
                        meet any one of the conditions
                        described above.
28       Pregnant or    Record 1 if the individual is a person    1 = Yes            No      No   No    Yes   Yes   Support   Copy of child’s birth
         parenting      who is either under 22 years of age                                                                   certificate, baptismal
         youth          and who is pregnant, or an individual     2 = No                                                      record, observation of
         #127           (male or female) who is providing                                                                     pregnancy status,
                        custodial care for one or more                                                                        doctor’s note confirming
                        dependents under age 18.                                                                              pregnancy, self-
                        Record 2 if the individual does not                                                                   attestation
                        meet the described above.

                                                                            A - 15

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                     Match/    Source Documentation
Field    Data Element   Data Element Definition                    Code Value         Adult   DW   NEG   OY    YY
                                                                                                                     Support   Requirements
Number
29       Youth who      Record 1 if the individual is a person     1 = Yes            No      No   No    Yes   Yes   Support   (See state policy and/or
         needs          who is between the ages of 14 and 21                                                                   state plan). Individual
         additional     and requires additional assistance to      2 = No                                                      service strategy, case
         assistance     complete an educational program or                                                                     notes, WIA intake or
         #128           to secure and hold employment as                                                                       registration form, State
                        defined by State or local policy. If the                                                               MIS, self- attestation
                        State Board defines a policy, the
                        policy must be included in the State
                        Plan.

                        Record 2 if the individual does not
                        meet the conditions described above.

                                                                             A - 16

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                            Match/    Source Documentation
Field    Data Element    Data Element Definition                   Code Value                Adult   DW   NEG   OY    YY
                                                                                                                            Support   Requirements
Number
30       School Status   Record 1 if the individual has not         1 = In-school, H.S. or   No      No   No    Yes   Yes   Support   Applicable records from
         at              received a secondary school diploma       less                                                               education institution
         Participation   or its recognized equivalent and is                                                                          (GED certificate,
         #129            attending any secondary school            2 = In-school,                                                     diploma, attendance
                         (including elementary, intermediate,      Alternative School                                                 record, transcripts, drop
                         junior high school), whether full or                                                                         out letter, school
                         part-time, or is between school terms     3 = In-school, Post-                                               documentation), WIA
                         and intends to return to school.          H.S.                                                               intake or registration
                                                                                                                                      form, State MIS, self-
                         Record 2 if the individual has not         4 = Not attending                                                 attestation
                         received a secondary school diploma       school; H.S. Dropout
                         or its recognized equivalent and is
                         attending an alternative high school       5 = Not attending
                         or an alternative course of study         school; H.S. graduate
                         approved by the local educational
                         agency whether full or part-time.

                         Record 3 if the individual 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 individual is no longer
                         attending any school and has not
                         received a secondary school diploma
                         or its recognized equivalent.

                         Record 5 if the individual is not
                         attending any school and has either
                         graduated from high school or holds
                         a GED.

                                                                              A - 17

                                                Data Elements and Source Documentation Requirements


DRVS
                                                                                                                        Match/    Source Documentation
Field    Data Element     Data Element Definition                    Code Value         Adult   DW    NEG   OY    YY
                                                                                                                        Support   Requirements
Number
31       Basic literacy   Record 1 if the participant is a person    1 = Yes            No      No    No    Yes   Yes   Support   Standardized
         skills           who computes or solves problems,                                                                        assessment test, school
         deficiency (as   reads, writes, or speaks English at or     2 = No                                                       records, case notes
         defined in       below the 8th grade level or is unable
         664.205)         to compute or solve problems, read,
         #130             write, or speak English at a level
                          necessary to function on the 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 2 if the individual does not
                          meet the conditions described above.
32       Foster Care      Record 1 if the individual is a person     1 = Yes            No      No    No    No    Yes   Support   Written confirmation
         Youth            who is in foster care or has been in                                                                    from social services
         #131             the foster care system.                    2 = No                                                       agency, case notes

                          Record 2 if the individual does not
                          meet the condition described above.
34       Date of          Record the date on which the               YYYYMMDD           Yes     Yes   Yes   No    No    Match     State MIS
         Program          individual began receiving his/her
         Participation    first service funded by the program
         #302             following a determination of
                          eligibility to participate in the
                          program.

                                                                               A - 18

                                               Data Elements and Source Documentation Requirements


DRVS
                                                                                                                     Match/    Source Documentation
Field    Data Element    Data Element Definition                    Code Value       Adult   DW    NEG   OY    YY
                                                                                                                     Support   Requirements
Number
35       Date of Exit    Record the date on which the last          YYYYMMDD         Yes     Yes   Yes   Yes   Yes   Match     WIA status/exit forms,
         #303            service funded by the program or a                                                                    State MIS, case notes
                         partner program 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.
38       Date of First   Record the date on which the               YYYYMMDD         No      No    No    Yes   Yes   Match     WIA intake or
         Youth Service   individual began receiving his/her                                                                    registration form, State
         #306            first service funded by the WIA                                                                       MIS, case notes
                         Youth program following a
                         determination of eligibility to
                         participate in the program.
45-47    National        Record the Project I.D. Number             XXXX             No      No    Yes   No    No    Match     Case file data or NEG
         Emergency       where the individual received                                                                         grant award letter that
         Grant Project   services financially assisted under a                                                                 identifies the project
         Numbers         National Emergency Grant (NEG).                                                                       number assigned by the
         #313a, #313b    (For example, Utah projects may be                                                                    U.S DOL NEG Grant
         and #313c       numbered UT-02, so the WIASRD                                                                         Officer
                         entry would be UT02) - WIA title ID,
                         section 173.

                         Record 0000 or leave "blank" if the
                         individual did not receive any
                         services funded by a NEG.

                                                                            A - 19

                                               Data Elements and Source Documentation Requirements


DRVS
                                                                                                                            Match/    Source Documentation
Field    Data Element    Data Element Definition                   Code Value               Adult   DW    NEG   OY    YY
                                                                                                                            Support   Requirements
Number
61       Other reasons   Record 01 if the participant is           01 = Institutionalized   Yes     Yes   Yes   Yes   Yes   Support   Information from
         for exit        residing in an institution or facility                                                                       partner services MIS
         #327            providing 24-hour support such as a       02= Health/Medical                                                 systems, WIA
                         prison or hospital and is expected to                                                                        status/exit form, case
                         remain in that institution for at least   03 = Deceased                                                      notes,
                         90 days.                                                                                                     Information from
                                                                   04 = Family Care                                                   institution or facility
                         Record 02 if the participant is
                         receiving medical treatment that          05 = Reserve Forces
                         precludes entry into unsubsidized         Called to Active Duty
                         employment or continued
                         participation in the program. Does        06 = Relocated to
                         not include temporary conditions          Mandated Residential
                         expected to last for less than 90 days.   or Non-Residential
                                                                   Program
                         Record 03 if the participant was
                         found to be deceased or no longer         98 = Retirement
                         living.
                                                                   99 = Not a Valid SSN
                         Record 04 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 05 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.

                                                                             A - 20

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                               Match/    Source Documentation
Field    Data Element   Data Element Definition                  Code Value       Adult   DW   NEG   OY   YY
                                                                                                               Support   Requirements
Number
                        Record 06 if the youth participant is
                        in the foster care system or any other
                        mandated residential or non-
                        residential program and has moved
                        from the area as part of such a
                        program or system (exclusion for
                        youth participants only).

                        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 or blank if the participant
                        exited for a reason other than one of
                        the conditions described above.

                        Additional 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 the calculations of
                        performance measures; they will be
                        included.

                                                                         A - 21

                                                Data Elements and Source Documentation Requirements


DRVS
                                                                                                                    Match/    Source Documentation
Field    Data Element     Data Element Definition                    Code Value       Adult   DW    NEG   OY   YY
                                                                                                                    Support   Requirements
Number
66       Date of First    Record the date on which the               YYYYMMDD         Yes     Yes   Yes   No   No   Match     State MIS, case notes
         Staff Assisted   individual received his/her first staff-
         Core Service     assisted core service (Note: This
         #332             excludes self-service and
                          informational activities).

                          Leave "blank" if the individual did
                          not receive staff -assisted core
                          services.
68       Date of First    Record the date on which the               YYYYMMDD         Yes     Yes   Yes   No   No   Match     State MIS, case notes
         Intensive        individual received his/her first
         Service          intensive service.
         #334
                          Leave "blank" if the individual did
                          not receive intensive services.
69       Date Entered     Record the date on which the               YYYYMMDD         Yes     Yes   Yes   No   No   Match     Cross-match between
         Training         individual's training actually began.                                                               dates of service and
         #335             If multiple training services were                                                                  vendor training
                          received, record the earliest date on                                                               information, vendor
                          which the individual entered training.                                                              training documentation,
                                                                                                                              State MIS, case notes
                          Leave "blank" if the individual did
                          not receive training services.
70       Date             Record the date on which the               YYYYMMDD         Yes     Yes   Yes   No   No   Match     Cross-match between
         Completed or     participant completed training or                                                                   dates of service and
         Withdrew         withdrew from training. If multiple                                                                 vendor training
         from Training    training services were received,                                                                    information, vendor
         #336             record the most recent date on which                                                                training documentation,
                          the individual completed training.                                                                  State MIS, case notes

                          Leave "blank" if the individual did
                          not receive training services.

                                                                             A - 22

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                                         Match/    Source Documentation
Field    Data Element   Data Element Definition                  Code Value              Adult   DW    NEG   OY    YY
                                                                                                                         Support   Requirements
Number
74       Type of        Use the appropriate code to indicate     1 = On-the-Job          Yes     Yes   Yes   No    No    Support   Vendor training
         Training       the type of training being provided to   Training                                                          documentation,
         Service #1     the individual.                                                                                            certificate, State MIS,
         #340                                                    2 = Skill Upgrading &                                             case notes
                        Record 0 or leave "blank" if the         Retraining
                        individual did not receive training
                        services.                                3 = Entrepreneurial
                                                                 Training

                                                                 4 = ABE or ESL in
                                                                 Combination with
                                                                 Training

                                                                 5 = Customized
                                                                 Training

                                                                 6 = Other
                                                                 Occupational Skills
                                                                 Training
77       Enrolled in    Record 1 if the individual is enrolled   1 = Yes                 No      No    No    Yes   Yes   Support   Applicable records from
         Education      in secondary school, post-secondary                                                                        education institution
         #343           school, an adult education program,      2 = No                                                            certifying enrollment,
                        or any other organized program of                                                                          case notes with
                        study. States may use this coding                                                                          verification from
                        value if the youth was either already                                                                      education institution or
                        enrolled in education at the time of                                                                       training provider that
                        participation in the program or                                                                            the individual is
                        became enrolled in education at any                                                                        enrolled in education
                        point while participating in the
                        program.

                        Record 2 if the individual was not
                        enrolled in education.

                                                                           A - 23

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                    Match/    Source Documentation
Field    Data Element    Data Element Definition                  Code Value         Adult   DW   NEG   OY    YY
                                                                                                                    Support   Requirements
Number
78       Received        Record 1 if the participant received     1 = Yes            No      No   No    Yes   Yes   Support   Activity sheets, sign-in
         Educational     educational achievement services.                                                                    sheets, attendance
         Achievement     Educational achievement services         2 = No                                                      record, vendor contract,
         Services        include, but are not limited to,                                                                     State MIS, case notes,
         #344            tutoring, study skills training, and                                                                 WIA status forms noting
                         instruction leading to secondary                                                                     receipt of educational
                         school completion, including dropout                                                                 services and type of
                         prevention strategies; and alternative                                                               services received
                         secondary school offerings.

                         Record 2 if the individual did not
                         receive any of the services described
                         above.
79       Received        Record 1 if the participant received     1 = Yes            No      No   No    Yes   Yes   Support   Activity sheets, vendor
         Employment      employment services. Employment                                                                      contract, attendance
         Services        services include paid and unpaid         2 = No                                                      record or roster, State
         #345            work experiences, including                                                                          MIS, case notes
                         internships, and job shadowing; and
                         occupational skills training.

                         Record 2 if the individual did not
                         receive any of the services described
                         above.
80       Received        Record 1 if the participant received     1 = Yes            No      No   No    Yes   Yes   Support   Activity sheets, work
         Summer          summer employment opportunities                                                                      agreement, sign-in
         Employment      directly linked to academic and          2 = No                                                      sheets, attendance
         Opportunities   occupational learning.                                                                               record or roster, State
         #346                                                                                                                 MIS, case notes
                         Record 2 if the individual did not
                         receive any of the services described
                         above.

                                                                            A - 24

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                                    Match/    Source Documentation
Field    Data Element   Data Element Definition                   Code Value         Adult   DW   NEG   OY    YY
                                                                                                                    Support   Requirements
Number
81       Received       Record 1 if the participant received      1 = Yes            No      No   No    Yes   Yes   Support   Activity sheets, pay
         Additional     supports for youth services that                                                                      stub, sign-in sheets,
         Support for    include, but are not limited to, the      2 = No                                                      attendance record or
         Youth          following: (a) adult mentoring for a                                                                  roster, State MIS,
         Services       duration of at least twelve (12)                                                                      vendor contract, case
         #347           months, that may occur both during                                                                    notes
                        and after program participation or (b)
                        comprehensive guidance and
                        counseling, including drug and
                        alcohol abuse counseling, as well as
                        referrals to counseling, as appropriate
                        to the needs of the individual youth.

                        Record 2 if the individual did not
                        receive any of the services described
                        above.

                                                                            A - 25

                                                Data Elements and Source Documentation Requirements


DRVS
                                                                                                                       Match/    Source Documentation
Field    Data Element    Data Element Definition                     Code Value         Adult   DW   NEG   OY    YY
                                                                                                                       Support   Requirements
Number
82       Received        Record 1 if the participant received        1 = Yes            No      No   No    Yes   Yes   Support   Activity sheets, vendor
         Leadership      services that include, but are not                                                                      contract, attendance
         development     limited to, opportunities that              2 = No                                                      record or roster, State
         opportunities   encourage responsibility,                                                                               MIS, case notes
         #348            employability, and other positive
                         social behaviors such as (a) exposure
                         to post-secondary educational
                         opportunities; (b) community and
                         service learning projects; (c) peer-
                         centered activities, including peer
                         mentoring and tutoring; (d)
                         organizational and team work
                         training, 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.

                         Record 2 if the individual did not
                         receive any of the services described
                         above.

                                                                               A - 26

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                                    Match/    Source Documentation
Field    Data Element   Data Element Definition                   Code Value         Adult   DW   NEG   OY    YY
                                                                                                                    Support   Requirements
Number
83       Received       Record 1 if the participant received 12   1 = Yes            No      No   No    Yes   Yes   Support   Activity sheets,
         follow-up      months of follow-up services.                                                                         attendance record or
         services       Follow-up services for youth include      2 = No                                                      roster, documented
         #349           (a) regular contact with a youth                                                                      receipt of follow-up
                        participant's employer, including                                                                     support services, State
                        assistance in addressing work-related                                                                 MIS, case notes
                        problems that arise; (b) assistance in
                        securing better paying jobs, career
                        development and further education;
                        (c) work-related peer support groups;
                        (d) adult mentoring; and (e) tracking
                        the progress of youth in employment
                        after training.

                        Record 2 if the individual did not
                        receive 12 months of follow-up
                        services.

                        Record 0 or leave "blank" if the youth
                        has not exited or has exited and is
                        continuing to receive follow-up
                        services, but has not yet received 12
                        months of follow-up services.

                        Additional Note: If a youth reenrolls
                        in WIA within 12 months of exit,
                        Record 1 if follow-up services were
                        provided throughout the period from
                        exit to re-enrollment.

                                                                            A - 27

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                        Match/    Source Documentation
Field    Data Element   Data Element Definition                   Code Value            Adult   DW    NEG   OY    YY
                                                                                                                        Support   Requirements
Number
84       Employed in    Record 1 if the participant was           1 = Yes               Yes     Yes   Yes   Yes   Yes   Support   UI Wage records, WRIS,
         1st Quarter    employed in the first quarter after the                                                                   supplemental data
         after Exit     quarter of exit.                          2 = No                                                          sources defined by
         Quarter                                                                                                                  TEGL 17-05, State MIS
          #601          Record 2 if the participant was not       3 = Information not
                        employed in the first quarter after the   yet available
                        quarter of exit.

                        Record 3 if information on the
                        participant's employment status in
                        the first quarter after the quarter of
                        exit is not yet available.

                                                                            A - 28

                                                Data Elements and Source Documentation Requirements


DRVS
                                                                                                                          Match/    Source Documentation
Field    Data Element    Data Element Definition                    Code Value            Adult   DW    NEG   OY    YY
                                                                                                                          Support   Requirements
Number
85       Type of         Use the appropriate code to identify       1 = UI Wage Records   Yes     Yes   Yes   Yes   Yes   Support   UI Wage Records,
         Employment      the method used in determining the         (In-State & WRIS)                                               WRIS, supplemental
         Match 1st       individual's employment status in the                                                                      data sources defined by
         Quarter After   first quarter following the quarter of     2 = Federal                                                     TEGL 17-05, follow up
         Exit Quarter    exit. Wage records will be the             Employment Records                                              services, surveys, record
         #602            primary data source for tracking           (OPM, USPS)                                                     sharing and/or
                         employment in the first quarter after                                                                      automated record
                         the exit quarter. If individuals are not   3 = Military                                                    matching with other
                         found in the wage records, grantees        Employment Records                                              employment and
                         may then use supplemental data             (DOD)                                                           administrative
                         sources. If the individual is found in                                                                     databases, other out of
                         more than once source of                   4 = Other                                                       state wage record
                         employment using wage records,             Administrative Wage                                             systems, case notes
                         record the data source for which the       Records
                         individual's earnings are greatest.
                                                                    5 = Supplemental
                         Record 0 or leave "blank" if the           through case
                         individual was not employed in the         management,
                         first quarter after the quarter of exit.   participant survey,
                                                                    and/or verification
                         Additional Note: If the participant is     with the employer
                         found employed in a wage record
                         source (e.g., State/local government       6 = Information not
                         employment records) that cannot be         yet available
                         translated into quarterly earnings
                         amounts, states should treat these
                         employment matches as
                         supplemental data and use coding
                         value 5 = Supplemental through case
                         management, participant survey,
                         and/or verification with the
                         employer.

                                                                              A - 29

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                                    Match/    Source Documentation
Field    Data Element   Data Element Definition                 Code Value            Adult   DW    NEG   OY   YY
                                                                                                                    Support   Requirements
Number
89       Employed in    Record 1 if the participant was         1 = Yes               Yes     Yes   Yes   No   No   Support   UI wage records, WRIS,
         2nd Quarter    employed in the second quarter after                                                                  supplemental data
         After Exit     the quarter of exit.                    2 = No                                                        sources as defined in
         Quarter                                                                                                              TEGL 17-05, State MIS,
         #606           Record 2 if the individual was not      3 = Information not                                           federal wage databases
                        employed in the second quarter after    yet available
                        the quarter of exit.

                        Record 3 if the individual has exited
                        but employment information is not
                        yet available.

                                                                          A - 30

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                      Match/    Source Documentation
Field    Data Element    Data Element Definition                  Code Value            Adult   DW    NEG   OY   YY
                                                                                                                      Support   Requirements
Number
90       Type of         Use the appropriate code to identify     1 = UI Wage Records   Yes     Yes   Yes   No   No   Support   UI wage records, WRIS,
         Employment      the method used in determining the       (In-State & WRIS)                                             supplemental data
         Match 2nd       individual's employment status in the                                                                  sources as defined in
         Quarter After   second quarter following the quarter     2 = Federal                                                   TEGL 17-05, follow-up
         Exit            of exit. Wage records will be the        Employment Records                                            services, surveys, record
         #607            primary data source for tracking         (OPM, USPS)                                                   sharing and/or
                         employment in the second quarter                                                                       automated record
                         after the exit quarter. If individuals   3 = Military                                                  matching with other
                         are not found in the wage records,       Employment Records                                            employment and
                         grantees may then use supplemental       (DOD)                                                         administrative
                         data sources. If the individual is                                                                     databases, other out of
                         found in more than once source of        4 = Other                                                     state wage record
                         employment using wage records,           Administrative Wage                                           systems, case notes
                         record the data source for which the     Records
                         individual's earnings are greatest.
                                                                  5 = Supplemental
                         Record 0 or leave "blank" if the         through case
                         individual was not employed in the       management,
                         second quarter after the quarter of      participant survey,
                         exit.                                    and/or verification
                                                                  with the employer
                         Additional Note: If the participant is
                         found employed in a wage record          6 = Information not
                         source (e.g., State/local government     yet available
                         employment records) that cannot be
                         translated into quarterly earnings
                         amounts, states should treat these
                         employment matches as
                         supplemental data and use coding
                         value 5 = Supplemental through case
                         management, participant survey,
                         and/or verification with the
                         employer.

                                                                            A - 31

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                                      Match/    Source Documentation
Field    Data Element   Data Element Definition                 Code Value            Adult   DW    NEG   OY    YY
                                                                                                                      Support   Requirements
Number
91       Employed in    Record 1 if the participant was         1 = Yes               Yes     Yes   Yes   Yes   Yes   Support   UI wage records, WRIS,
         3rd Quarter    employed in the third quarter after                                                                     supplemental data
         After Exit     exit.                                   2 = No                                                          sources as defined in
         Quarter                                                                                                                TEGL 17-05, State MIS,
         #608           Record 2 if the individual was not      3 = Information not                                             Federal wage databases
                        employed in the third quarter after     yet available
                        exit.

                        Record 3 if the individual has exited
                        but employment information is not
                        yet available.

                                                                          A - 32

                                               Data Elements and Source Documentation Requirements


DRVS
                                                                                                                          Match/    Source Documentation
Field    Data Element    Data Element Definition                    Code Value            Adult   DW    NEG   OY    YY
                                                                                                                          Support   Requirements
Number
92       Type of         Use the appropriate code to identify       1 = UI Wage Records   Yes     Yes   Yes   Yes   Yes   Support   UI wage records, WRIS,
         Employment      the method used in determining the         (In-State & WRIS)                                               supplemental data
         Match 3rd       individual's employment status in the                                                                      sources as defined in
         Quarter After   third quarter following the quarter of     2 = Federal                                                     TEGL 17-05, follow-up
         Exit            exit. Wage records will be the             Employment Records                                              services, surveys, record
         #609            primary data source for tracking           (OPM, USPS)                                                     sharing and/or
                         employment in the third quarter after                                                                      automated record
                         the exit quarter. If individuals are not   3 = Military                                                    matching with other
                         found in the wage records, grantees        Employment Records                                              employment and
                         may then use supplemental data             (DOD)                                                           administrative
                         sources. If the individual is found in                                                                     databases, other out of
                         more than once source of                   4 = Other                                                       state wage record
                         employment using wage records,             Administrative Wage                                             systems, case notes
                         record the data source for which the       Records
                         individual's earnings are greatest.
                                                                    5 = Supplemental
                         Record 0 or leave "blank" if the           through case
                         individual was not employed in the         management,
                         third quarter after the quarter of exit.   participant survey,
                                                                    and/or verification
                         Additional Note: If the participant is     with the employer
                         found employed in a wage record
                         source (e.g., State/local government       6 = Information not
                         employment records) that cannot be         yet available
                         translated into quarterly earnings
                         amounts, states should treat these
                         employment matches as
                         supplemental data and use coding
                         value 5 = Supplemental through case
                         management, participant survey,
                         and/or verification with the
                         employer.

                                                                              A - 33

                                               Data Elements and Source Documentation Requirements


DRVS
                                                                                                                         Match/    Source Documentation
Field    Data Element    Data Element Definition                    Code Value           Adult   DW    NEG   OY    YY
                                                                                                                         Support   Requirements
Number
95       Wages 3rd       Record total earnings for the third        000000.00            Yes     Yes   Yes   Yes   No    Match     UI wage records, WRIS,
         Quarter Prior   quarter prior to the quarter of                                                                           other state wage
         to              participation.                                                                                            records, Federal wage
         Participation                                                                                                             databases
         Quarter         Please enter 999999.99 if data are not
         #612            yet available for this item, or data are
                         too far in the past to obtain from the
                         UI wage records or other
                         administrative records. Otherwise,
                         leave "blank" if this data element does
                         not apply.
96       Wages 2nd       Record total earnings for the second       000000.00            Yes     Yes   Yes   Yes   No    Match     UI wage records, WRIS,
         Quarter Prior   quarter prior to the quarter of                                                                           other state wage
         to              participation.                                                                                            records, Federal wage
         Participation                                                                                                             databases
         Quarter         Please enter 999999.99 if data are not
         #613            yet available for this item, or data are
                         too far in the past to obtain from the
                         UI wage records or other
                         administrative records. Otherwise,
                         leave "blank" if this data element does
                         not apply.
98       Wages 1st       Record total for the first quarter after   000000.00            Yes     Yes   Yes   Yes   Yes   Match     UI wage records, WRIS,
         Quarter After   the quarter of exit.                                                                                      other state wage
         Exit Quarter                                                                                                              records, Federal wage
         #615            Please enter 999999.99 if data are not                                                                    databases
                         yet available for this item. Otherwise,
                         leave "blank" if this data element does
                         not apply.

                                                                                A - 34

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                        Match/    Source Documentation
Field    Data Element    Data Element Definition                   Code Value           Adult   DW    NEG   OY    YY
                                                                                                                        Support   Requirements
Number
99       Wages 2nd       Record total earnings for the second      000000.00            Yes     Yes   Yes   Yes   No    Match     UI wage records, WRIS,
         Quarter After   quarter after the quarter of exit.                                                                       other state wage
         Exit Quarter                                                                                                             records, Federal wage
         #616            Please enter 999999.99 if data are not                                                                   databases
                         yet available for this item. Otherwise,
                         leave "blank" if this data element does
                         not apply.
100      Wages 3rd       Record total earnings for the third       000000.00            Yes     Yes   Yes   Yes   Yes   Match     UI wage records, WRIS,
         Quarter After   quarter after the quarter of exit.                                                                       other state wage
         Exit Quarter                                                                                                             records, Federal wage
         #617            Please enter 999999.99 if data are not                                                                   databases
                         yet available for this item. Otherwise,
                         leave "blank" if this data element does
                         not apply.

                                                                               A - 35

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                          Match/    Source Documentation
Field    Data Element   Data Element Definition                   Code Value               Adult   DW    NEG   OY    YY
                                                                                                                          Support   Requirements
Number
102      Type of        Use the appropriate code to record        1 = High School          Yes     Yes   No    Yes   No   Support   Transcripts, certificates,
         Recognized     the type of recognized educational or     Diploma/GED                                                       diploma, surveys, case
         Credential     occupational certificate, credential,                                                                       notes
         #619           diploma or degree attained by the         2 = AA or AS
                        individual who received training          Diploma/Degree
                        services.
                                                                  3 = BA or BS
                        Record 0 if the individual received       Diploma/Degree
                        training services, but did not attain a
                        recognized credential.                    4 = Occupational
                                                                  Skills Licensure
                        Credentials must be attained either
                        during participation or by the end of     5 = Occupational
                        the third quarter after the quarter of    Skills Certificate or
                        exit from services (other than follow-    Credential
                        up services).
                                                                  6 = Other Recognized
                                                                  Educational or
                                                                  Occupational Skills
                                                                  Certificate/Credential

                                                                             A - 36

                                               Data Elements and Source Documentation Requirements


DRVS
                                                                                                                         Match/       Source Documentation
Field     Data Element   Data Element Definition                   Code Value              Adult   DW   NEG   OY   YY
                                                                                                                         Support      Requirements
Number
103-150   *Goals Type    *Use the appropriate code to record       1 = Basic Skills        No      No   No    No   Yes   Support      Test Records,
                         the type of skill attainment goal.        2 = Occupational                                      for Goal     Transcripts,
          *Date Goal     Setting one basic skills goal is          Skills                                                Type and     School/Employer
          Was Set        required if the youth is basic literacy   3 = Work Readiness                                    Attainment   Notification or
                         skills deficient.                         Skills                                                of Goal      documentation, State
          *Attainment                                                                                                                 MIS, Case notes
          of Goal        * Record the date on which the goal       *YYYYMMDD                                             Match for
                         was set for the youth, except that the                                                          Dates
          *Date Goal     date of the first goal set must be
          Was Attained   recorded as the registration date.
          #620-667
                         * Record 1 if the goal was attained.      1 = Attained
                         Attainment of a goal is to be based on
                         an individual's assessment using          2 = Set, but not
                         widely accepted and recognized            attained
                         measurement/assessment techniques.
                         Record 2 if the goal was set, but not     3 = Set, but
                         attained. A goal is not attained when     attainment is pending
                         the 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 youth exits, this field should be
                         marked with a "1" or "2" for all goals
                         that have been set.

                                                                              A - 37

                                            Data Elements and Source Documentation Requirements


DRVS
                                                                                                               Match/    Source Documentation
Field    Data Element   Data Element Definition                  Code Value       Adult   DW   NEG   OY   YY
                                                                                                               Support   Requirements
Number
                        * Record date on which the goal was      *YYYYMMDD
                        attained. This date should be on or
                        before the one-year anniversary of the
                        date the goal was set. However, it
                        may be later if the participant had a
                        gap in service during which services
                        were not received but the participant
                        planned to return to the program.

                                                                         A - 38

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                           Match/    Source Documentation
Field    Data Element   Data Element Definition                    Code Value               Adult   DW   NEG   OY    YY
                                                                                                                           Support   Requirements
Number
151      Attained       Record 1 if the individual attained a      1 = Individual           No      No   No    Yes   Yes   Support   Transcripts, certificates,
         Diploma,       secondary school (high school)             attained a secondary                                              diploma, letter or other
         GED, or        diploma recognized by the State.           school (high school)                                              documentation from
         Certificate                                               diploma.                                                          school system
         #668           Record 2 if the individual attained a
                        GED or high school equivalency             2 = Individual
                        diploma recognized by the State.           attained a GED or
                                                                   high school
                        Record 3 if the individual attained a      equivalency diploma.
                        certificate in recognition of an
                        individual's attainment of technical or    3 = Individual
                        occupational skills or other post-         attained a certificate
                        secondary degree/diploma..                 or other post-
                                                                   secondary
                        Record 4 if the individual did not         degree/diploma.
                        attain a diploma, GED, or certificate.
                                                                   4 = Individual did not
                        SPECIAL NOTE: Fields #668 and              attain a diploma,
                        #669 will be used to calculate both the    GED, or certificate
                        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 end 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.

                                                                              A - 39

                                               Data Elements and Source Documentation Requirements


DRVS
                                                                                                                    Match/    Source Documentation
Field    Data Element    Data Element Definition                    Code Value       Adult   DW   NEG   OY    YY
                                                                                                                    Support   Requirements
Number
                         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.

152      Date Attained   Record the date on which the               YYYYMMDD         No      No   No    Yes   Yes   Match     Transcripts, certificates,
         Degree or       individual attained a diploma, GED,                                                                  diploma, letter or
         Certificate     or certificate. Ideally, the date should                                                             documentation from
         #669            be the date listed on the diploma,                                                                   school system
                         GED, or certificate.

                         Leave "blank" if the individual did
                         not attain a diploma, GED, or
                         certificate.

                         Additional Note: For recording
                         multiple degrees or certificates, please
                         see the special note under WIASRD
                         Element #668.

                                                                            A - 40

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                           Match/    Source Documentation
Field    Data Element    Data Element Definition                   Code Value               Adult   DW   NEG   OY    YY
                                                                                                                           Support   Requirements
Number
153      School Status   Record 1 if the individual has not        1 = In-school, H.S. or   No      No   No    Yes   Yes   Support   Transcripts, certificates,
         at Exit         received a secondary school diploma       less                                                              diploma, letter or
         #670            or its recognized equivalent and is                                                                         documentation from
                         attending any primary or secondary        2 = In-school,                                                    school system, case
                         school (including elementary,             Alternative School                                                notes
                         intermediate, junior high school),
                         whether full or part-time, or is          3 = In-school, Post-
                         between school terms and intends to       H.S.
                         return to school.
                                                                   4 = Not attending
                         Record 2 if the individual has not        school; H.S. Dropout
                         received a secondary school diploma
                         or its recognized equivalent and is       5 = Not attending
                         attending an alternative high school      school; H.S. Graduate
                         or an alternative course of study
                         approved by the local educational
                         agency whether full or part-time.

                         Record 3 if the individual 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 individual is no longer
                         attending any school and has not
                         received a secondary school diploma
                         or its recognized equivalent.

                         Record 5 if the individual is not
                         attending any school and has either
                         graduated from high school or holds
                         a GED.


                                                                             A - 41

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                            Match/    Source Documentation
Field    Data Element   Data Element Definition                    Code Value                Adult   DW   NEG   OY    YY
                                                                                                                            Support   Requirements
Number
154      Youth          Use the appropriate code to record         1 = Entered post-         No      No   No    Yes   Yes   Support   Cross-match with other
         Placement      the primary activity the youth             secondary education                                                agencies, apprenticeship
         Information    entered in the first quarter following                                                                        verification,
         #671           the exit quarter (youth may qualify        2 = Entered advanced                                               documentation of
                        for more than one activity). For           training                                                           military service,
                        example, if the youth enters advanced                                                                         advanced training, post
                        training and has entered a qualified       3 = Entered military                                               secondary education,
                        apprenticeship, please record 4.           service                                                            transcripts, registration
                                                                                                                                      forms, community
                        Record 0 if the youth did not enter        4 = Entered a                                                      college info, employer
                        any one of the activities listed in the    qualified                                                          contacts, U.I. wage
                        coding value.                              apprenticeship                                                     records, WRIS, case
                                                                                                                                      notes

155      Youth          Use the appropriate code to record         1 = In post-secondary     No      No   No    Yes   Yes   Support   Cross match with other
         Retention      the primary activity the youth             education                                                          agencies, apprenticeship
         Information    entered in the third quarter following                                                                        verification,
         #672           the exit quarter (youth may qualify        2 = In advanced                                                    documentation of
                        for more than one activity). For           training                                                           military service,
                        example, if the youth enters advanced                                                                         advanced training, post
                        training and has entered a qualified       3 = In military service                                            secondary education,
                        apprenticeship, please record 4.                                                                              transcripts, registration
                                                                   4 = In a qualified                                                 forms, community
                        Record 0 if the youth did not enter        apprenticeship                                                     college info, employer
                        any one of the activities listing in the                                                                      contacts, U.I. wage
                        coding value.                                                                                                 records, WRIS, case
                                                                                                                                      notes

                                                                              A - 42

                                              Data Elements and Source Documentation Requirements


DRVS
                                                                                                                        Match/         Source Documentation
Field     Data Element   Data Element Definition                  Code Value             Adult   DW   NEG   OY    YY
                                                                                                                        Support        Requirements
Number
156-198   *Category of   *Record 1 if the participant was         * 1 = ABE              No      No   No    Yes   Yes   Support        Test records, case notes
          Assessment     assessed using approved tests for         2 = ESL                                              for non-       documenting the
                         Adult Basic Education (ABE)               3 = Both ABE and                                     date fields.   necessary details for
          *Type of                                                ESL                                                                  each element of testing.
          Assessment     Record 2 if the participant was                                                                Match for      States should refer to
          Test           assessed using approved tests for        * 1 = TABE 9-10                                       date fields    TEGL 17-05 Change 1,
                         English-As-A-Second Language (ESL)       2 = CASAS (Life                                                      Attachment C for the list
          *Functional                                             Skills)                                                              of approved
          Area           Record 0 or leave "blank" if the         3 = ABLE                                                             Educational tests for the
                         individual was not assessed in           4 = WorkKeys                                                         Literacy/Numeracy
          *Date          literacy or numeracy.                    5 = SPL                                                              measure.
          Administered                                            6 = BEST
          Test           *Use the appropriate code to record      7 = BEST Plus                                                        Front line staff must
                         the type of assessment test that was     8 = TABE Class E                                                     keep a copy of the test
          *Educational   administered to the youth participant.   9 = Wonderlic                                                        scoring sheet that shows
          Functioning                                             10 = Other Approved                                                  the date of the test, total
          Level                                                   Assessment Tool                                                      score and grade levels in
          #701-743                                                                                                                     the case file. Case notes
                                                                  * 1 = Reading                                                        should also detail the
                                                                  2 = Writing                                                          participant’s progress.
                                                                  3 = Language
                                                                  4 = Mathematics
                                                                  5 = Speaking
                                                                  6 = Oral
                                                                  7 = Listening
                                                                  8 = Other Functional
                                                                  Area

                                                                            A - 43

                                             Data Elements and Source Documentation Requirements


DRVS
                                                                                                                       Match/    Source Documentation
Field    Data Element   Data Element Definition                   Code Value              Adult   DW   NEG   OY   YY
                                                                                                                       Support   Requirements
Number
                        * Record the date on which the pre-       * YYYYMMDD
                        assessment test was administered to
                        the youth participant.                    * 1 = Beginning ESL
                        Leave "blank" if the individual was       Literacy
                        not assessed in literacy or numeracy.     2 = Low Beginning
                                                                  ESL
                        * Record the educational functioning      Literacy
                        level that is associated with the youth   3 = Beginning ABE
                        participant's raw scale score.            Literacy/High
                        Record 0 or leave "blank" if the          Beginning ESL
                        individual was not assessed in            Literacy
                        literacy or numeracy.                     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

                                                                           A - 44

Attachment B: WIA annual report requirements for common-measure states (https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_28-11-Atta2.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
                                                                                                                               Expires:     12/31/2012

   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                  Negotiated   Actual Performance         Number of Surveys         Number of           Number of        Response Rate
   Satisfaction          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

                                              Table C - Outcomes for Adult Special Populations

     Reported          Public Assistance Recipients            Veterans                     Individuals With             Older Individuals
    Information           Receiving Intensive or                                              Disabilities
                             Training Services


Entered Employment
                                        Num                            Num                             Num                          Num
Rate
                                        Den                            Den                             Den                          Den

Employment
                                        Num                            Num                             Num                          Num
Retention 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                   Veterans               Individuals With Disabilities         Older Individuals         Displaced Homemakers
    Information

Entered                                   Num                           Num                             Num                         Num
Employment Rate                           Den                            Den                            Den                         Den

Employment                                Num                           Num                             Num                         Num
Retention 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 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.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           Public Assistance Recipients             Veterans                    Individuals With           Out-of-School Youth
    Information                                                                                Disabilities

Entered Employment
                                         Num                            Num                             Num                         Num
Rate
                                         Den                            Den                             Den                          Den

Employment
                                         Num                            Num                             Num                         Num
Retention 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


                                                  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                Public Assistance Recipients             Individuals With Disabilities                 Out-of-School Youth
    Information

Skill Attainment                                  Num                                         Num                                   Num
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        Wages At Entry Into         Entry Into
                                      Employment              Increase             Non-traditional     Employment For Those       Unsubsidized
                                     Retention Rate     (Adults and Older Youth)    Employment        Individuals Who Entered      Employment
                                                                                                     Unsubsidized Employment      Related to the
                                                                   or                                                           Training Received
                                                                                                                                  of Those Who
                                                         12 Months Earnings                                                         Completed
                                                            Replacement                                                         Training Services
                                                          (Dislocated Workers)


                                              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


                                                      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
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

Attachment C: Common WIASRD reporting errors (https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_28-11-Atta3.pdf).

ATTACHMENT C

COMMON WORKFORCE INVESTMENT ACT STANDARDIZED
    RECORD DATA (WIASRD) REPORTING ERRORS

This attachment includes typical WIA Standardized Record Data (WIASRD)
submission errors that ETA has identified. Please ensure accurate and complete
data submission.


      Not reporting disability status (Item 104) for many individuals: should be
       1 or 2, not 0 or blank for almost everyone.
      Not reporting Hispanic (Item 105) for many individuals.
      Not reporting Recently Separated Veteran (Item 114) for many veterans.
      Incorrect reporting of high school graduates in Highest Grade Completed
       (Item 119). High school graduates should be reported using code ‘87’.
       Code ‘12’ should be used only for those who completed the 12th grade but
       did not graduate.
      Not including Food Stamps recipients in Other Public Assistance
       Recipient (Item 121). The definition of this field was changed for PY 2005
       to include Food Stamp recipients.
      Not reporting the Date of Actual Qualifying Dislocation (Item 125) for
       many dislocated workers.
      Not reporting adult characteristics for all or many individuals.
          o   Homeless (Item 125).
          o   Offender (Item 126).
      Incorrect reporting of Employment and Training Programs Related to
       Food Stamps (Item 325). This field is not used for reporting receipt of
       Food Stamps (which is included in Item 121). Item 325 is to be used only
       for those who received employment and training services funded by the
       Food Stamps program.
      Not reporting new service fields:
          o   Core self-service and informational activities (Item 331).
          o   Date of first staff-assisted core service (Item 332).
          o   Workforce information services (Item 333).
          o   Date completed, or withdrew from, training (Item 336).
          o   Prevocational activities (Item 339).
      Incorrect reporting of enrolled in education (Item 343).
          o   Should generally be ‘yes’ if a youth was in school at either
              participation (Item 129) or exit (Item 670).
      Not reporting wages in the quarter before registration (Item 614).

                                         C.1

   Not reporting wages before registration (Items 612 to 614) for persons who
    exit after the exit cohort for average earnings or earnings change.
   Not reporting education status at exit (Item 670) for youth.
   Incorrect reporting of youth activities. Almost all youth should have at
    least one youth activity reported. Several states report a large number of
    youth without any youth activities. One state does not report any youth
    activities at all.
   Incorrect reporting of NEG participants.
       o   Not providing records for all NEG participants. All participants
           enrolled in a NEG project must be reported in the WIASRD,
           regardless of whether or not they were coenrolled in Title 1b
           programs or whether if state or local direct grantee.
       o   Incorrect reporting of the NEG Project ID (Items 313a to 313c). A
           NEG project ID must be entered for each NEG participant. This
           number is found in the NEG Grant Award package. If the
           Participant is enrolled in more than one NEG, all applicable NEG
           Project IDs should be entered in the participant’s record. The NEG
           project ID is the state postal code followed by a two-digit number.
           For example, a valid code for a project in Utah would be UT02.

                                     C.2

Attachment D: PY 2011 NFJP data element validation source requirements (https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_28-11-Atta4.pdf).

ATTACHMENT D

SOURCE DOCUMENTATION REQUIREMENTS FOR PROGRAM YEAR
        (PY) 2011 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 E: PY 2011/FY 2012 reporting and validation timelines (https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2012/TEGL_28-11-Atta5.pdf).

ATTACHMENT E

       PY 2011/FY 2012 Performance Reporting and Data Validation Timelines

      To clarify reporting dates for PY 2011/FY 2012, the following timeline specifies
due dates for each of the respective reports. In instances where due dates are on
Saturday or Sunday, the report is due the following Monday.

                Workforce Investment Act (WIA) Title 1B Programs
ETA-9091 – WIA Annual Report             Due no later than October 1, 2012
Data Element Validation (DEV)            Due no later than February 1, 2013
WIA Annual Report Narrative              Due no later than October 1, 2012
WIASRD – Annual                          Due no later than September 15, 2012
WIASRD – Quarterly (45 days after the    Due no later than November 14, 2012,
quarter ends)                            February 14, 2013, and May 15, 2013,
                                         respectively
WIASRD- 4 Quarter (75 days)
           th                            Due no later than September 15, 2012.
                                         Note - The WIA report validation must be
                                         submitted prior to submission of the WIA
                                         Annual Report
WIASRD- 4 Quarter Locked (75 + 15
           TH                            September 29, 2012
days)
ETA-9090 – Quarterly                     Completed via E-DRVS immediately after
                                         WIASRD Submissions

          Performance Reporting and DV for Other State-Based Programs
ETA-9002 & VETS-200 reports (Q)         Due no later than November 14, 2012,
                                        February 14, 2013, and May 15, 2013,
                                        respectively
ETA-9002 & VETS-200 – 4th Quarter       Due no later than August 31, 2012
TAPR – Quarterly (45 days)              Due no later than November 14, 2012,
                                        February 14, 2013, and May 15, 2013,
                                        respectively
TAPR – 4TH Quarter                      Due no later than November 14, 2012


                         National Farmworker Jobs Program
PY 2010 Participant Data (July 1, 2010   Due no later than May 15, 2012
through June 30, 2011)
PY 2010 Data Element Validation          Due no later than November 2, 2012

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