Back to Federal guidance

National Farmworker Jobs Program reporting requirements

Summary ETA updated National Farmworker Jobs Program reporting requirements and forms for budget, planning, program status, housing assistance, and participant records. It also required a grant plan narrative and attached the forms and record specifications. ETA now labels the advisory Canceled.
Document
Federal guidance
Agency
U.S. Department of Labor, Employment and Training Administration (ETA)
Document number
TEGL No. 32-12
Date issued
May 29, 2013
Status
Withdrawn
ETA lists this advisory Canceled as of 2026-10-24; its PDF prints Expiration Date: Continuing and Rescissions: None. No cancellation instrument is identified.
Status last verified October 24, 2026

Is this still the rule?

This document has been withdrawn. Ezel checks what federal law requires today, under current federal labor law, and answers your situation with citations.

This document has been withdrawn
ETA lists this advisory Canceled as of 2026-10-24; its PDF prints Expiration Date: Continuing and Rescissions: None. No cancellation instrument is identified. 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 Treat this page as historical context, not current guidance, and verify current law before relying on anything here.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/2013/TEGL_32_12_Acc.pdf

CLASSIFICATION
   EMPLOYMENT AND TRAINING ADMINISTRATION                 NFJP
               ADVISORY SYSTEM                            CORRESPONDENCE SYMBOL
          U.S. DEPARTMENT OF LABOR                        DNPTTA-OWI
             Washington, D.C. 20210                       DATE
                                                          May 29, 2013


ADVISORY:       TRAINING AND EMPLOYMENT GUIDANCE LETTER NO. 32-12

TO:             NATIONAL FARMWORKER JOBS PROGRAM GRANTEES

FROM:           JANE OATES /s/
                Assistant Secretary

SUBJECT:      National Farmworker Jobs Program Reporting Forms and Requirements


1. Purpose. To transmit the updated National Farmworker Jobs Program (NFJP) reporting
   forms and requirements: the Budget Information Summary (BIS) Report (Employment and
   Training Administration (ETA) Form 9093), the Program Planning Summary (PPS) Report
   (ETA Form 9094), the Program Status Summary (PSS) Report (ETA Form 9095), the
   Housing Assistance Summary (HAS) Report (ETA Form 9164), the Workforce Investment
   Act Standardized Participant Record (WIASPR), and a grant plan narrative.

2. References.
   • Workforce Investment Act of 1998 (WIA) (Pub. L. 105-220) section 167(c)(1) and (2).
   • WIA Regulations Final Rule 20 CFR 669.510, 669.520, 669.530, and 669.540.
   • WIA section 185.
   • WIA Regulations Final Rule 20 CFR 667.300(a).

3. Background. The NFJP provides funding to community-based organizations and public
   agencies to assist migrant and seasonal farmworkers (MSFWs) and their families attain
   greater economic stability through employment services, training, and related assistance.
   Authorized under WIA section 167, the NFJP helps MSFWs acquire new job skills in
   occupations that offer higher wages and a more stable employment outlook.

   ETA’s statutory and regulatory authority to administer the NFJP includes provisions for a
   reporting requirement for NFJP funding recipients. The data and information NFJP grantees
   report allow ETA to fulfill its program oversight and management responsibilities, collect
   performance information and hold grantees appropriately accountable for the use of Federal
   funds, provide program and performance information to stakeholders, and inform program
   and technical assistance activities.


 RESCISSIONS                                             EXPIRATION DATE
 None                                                    Continuing

   ETA requires NFJP employment and training grantees to submit ETA Forms 9093 and 9094
   annually, and to submit ETA Form 9095 and WIASPR quarterly, as further described in
   Section 4. ETA now will require NFJP housing grantees to submit ETA Form 9164
   quarterly, as outlined in Section 4. All NFJP grantees submit a grant plan narrative. ETA
   provides general guidance to the grantees regarding the content of the grant plan narrative.
   There is no official form or template required for this narrative.

   As required under the Paperwork Reduction Act, ETA sought and received approval from the
   Office of Management and Budget for a 3-year extension from December 31, 2012 to
   December 31, 2015 for the NFJP reporting forms and requirements.

4. Changes to Reporting Forms and Requirements.

   ETA requires NFJP employment and training grantees to submit the following reports:

       •   An annual BIS report (ETA Form 9093) by which ETA collects information on how
           grant funds will be spent during the program year. ETA made minimal non-
           substantive changes on this form for clarity and conformity across the NFJP forms.

       •   An annual PPS report (ETA Form 9094) by which ETA collects planned participant
           numbers and services for the program year. ETA also made minimal non-
           substantive changes to this form for clarity and conformity across the NFJP forms.

       •   A quarterly PPS report (ETA Form 9095) by which ETA collects information on
           actual participant numbers and program services. ETA made two substantive
           changes to ETA Form 9095. First, we have added a new Part 2, Quarterly Narrative
           Progress Report, which requires NFJP employment and training grantees to provide
           narrative information on program activities and outcomes. Second, we have
           changed the columns for the reporting quarters in Part I of the form, which captures
           data on participant numbers and service levels; the form previously required
           grantees to submit data for the previous quarter, current period, and grant
           cumulative. ETA Form 9095 now will capture data cumulatively for quarters 1 - 4
           of the program year. We made this change for consistency across NFJP forms and
           to facilitate analysis of planned versus actual participant numbers and service levels.

       •   A quarterly WIASPR submission, by which ETA collects individual records
           containing demographic, service, and outcome data on individuals who exit the
           program. This data is used to calculate the common performance measures for
           entered employment, retention in employment, and average earnings. Field number
           73 was revised with the current definition of Registered Apprenticeship. ETA also
           made minimal non-substantive changes to WIASPR for clarity.


   ETA requires NFJP housing assistance grantees to submit the following report:

        •   A quarterly HAS report (ETA Form 9164), by which ETA collects data and
            narrative information on NFJP temporary and permanent housing activities. There
            currently is no uniform reporting requirement for NFJP housing grantees, resulting
            in variation in the quantity and quality of information reported by grantees. ETA
            Form 9164 will improve the accuracy in data collected on individuals and families
            served and the consistency in information reported on grant activities.

5. Action Required. Grantees must start using the attached versions of ETA Forms 9093,
   9094, 9095, 9164 and WIASPR in Program Year (PY) 2013. For the quarterly reports, ETA
   Forms 9095 and 9164 and WIASPR, grantees will report using these forms for the first
   quarter of PY 2013 (the quarter ending September 30, 2013).

6. Inquiries. Please direct questions concerning this Training and Employment Notice to the
   appropriate regional Federal Project Officer.

7. Attachments.
   Attachment A - Budget Information Summary report (ETA Form 9093)
   Attachment B - Program Planning Summary report (ETA Form 9094)
   Attachment C - Program Status Summary report (ETA Form 9095)
   Attachment D - Housing Assistance Summary report (ETA Form 9164)
   Attachment E - Workforce Investment Act Standardized Participant Record

Attachment 1: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_32_12_Att1.pdf

Attachment A:
National Farmworker Jobs Program
Budget Information Summary Report
          ETA Form 9093

 Budget Information Summary                                                                                             U.S. Department of Labor
 WIA, Title I-D, Section 167                                                                                   Employment and Training Administration
 National Farmworker Jobs Program (NFJP)
 a. Grantee Name and Address                                               b. Grant Number                                OMB Approval No: 1205-0425
                                                                                                                          Expires: 12/31/2015

                                                                           c. Period of Grant                             d. Modification
                                                                           From:                      To:                 Year          No.


 I. Cumulative Quarterly Projections of Expenditures by Cost Categories (Report in Whole Dollars ONLY)

 A. Grant Program Function and Activity                                                       B. Cumulative Quarters


                                                           st                          nd                         nd
                                                          1 Quarter                2        Quarter           3        Quarter          4th Quarter

    1. Program Costs


   a.     Related Assistance
 (Emergency Assistance and Supportive Services)

   b.     All Other Program Services


    2. Administration


    3. Total Grant Costs

 II. Available Funds in this Grant Year


     A. Balance in Previous Program Year
        (available funds in 5th quarter)

     B. New Obligational Authority


     C. Total Available Funds


Remarks:


III. CERTIFICATION      I certify that to the best of my knowledge this report is correct and complete as set forth in the grant agreement.


Name and Title of Authorized Official Phone Number                     Signature                                   Date Submitted (Month, Day, Year)

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays
a valid OMB control number. The obligation to respond to this collection is required to obtain or retain benefit (Workforce Investment Act Section
185(a)). Public reporting burden for this collection of information is estimated to average 15 hours per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,
to the U.S. Department of Labor, Employment and Training Administration, Office of Workforce Investment, Attention: National Farmworker Jobs
Program, 200 Constitution Avenue, N.W., Room C-4510, Washington, DC 20210 and reference OMB Control Number 1205-0425. (Paperwork Reduction
Act Project 1205-0425).
                                                                                                                                                    ETA 9093
                                                                                                                                            Revised May 2013

 Instructions for Completing NFJP Budget Information Summary (BIS) Report
                                                       Section II – Available Funds in this Grant Year
General Instructions. The BIS is required for
each Section 167 grantee's program and is a                    Line II.A. Balance in Previous
required part of the annual grant plan. Planned                Program Year - For incumbent grantee
expenditures are arrayed cumulatively by program               only, enter the amount of projected
year quarter.                                                  unexpended WIA Section 167 funds
                                                               remaining from the preceding program
a. Grantee Name and Address – NO ENTRY                         year’s allocation. The amount listed in
REQUIRED                                                       this line item is the uncommitted grant
                                                               funds available for expenditure in the
b. Grant Number – NO ENTRY REQUIRED                            fifth quarter of the previous program
                                                               year allocation.
c. Period of Grant – NO ENTRY REQUIRED
                                                               Line II.B. New Obligational Authority
d. Modification - FOR GRANT OFFICER USE                        - Enter the amount of the grant award for
ONLY.                                                          the program year covered by this
                                                               financial planning document.
Section I - Cumulative Quarterly Projections of
Expenditures by Cost Categories - Annual               Line II.C. Total Available Funds – Enter the
projections for current year allocation of costs by    projected sum of Line II.A and II.B. This amount
quarter. Planning quarters correspond to WIA           must equal Section I Line 3, for the 4th quarter.
Program Year quarters; for NFJP, the Program
Year is from July 1 through June 30. Please round
entries on the BIS to the nearest whole dollar.
Entries must be listed for all the items below.

         Column (A) Grant Program Function
         and Activity

         Line A.1. Program Costs - Enter, for
         each quarter, the cumulative projected
         costs for program activities listed. The
         entry for Line A.1. for each quarter is the
         sum of the entries for Lines A.1.a. and
         A.1.b. Program costs are described in 20
         CFR 669, subpart C.

         Line A.1.a. Related Assistance - These
         are projected costs of related assistance
         services as described in Section 669.430.

         Line A.1.b. All Other Program
         Services -All program costs that are not
         Related Assistance services costs.

         Line 2. Administration - Enter, for the
         quarterly periods, the projected
         expenditures for administrative costs as
         described in the regulations at §667.220.

         Line 3. Total Grant Costs - Enter the
         projected sum of Lines A.1. and A.2.

Attachment 2: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_32_12_Att2.pdf

NATIONAL FARMWORKER JOBS PROGRAM
 PROGRAM PLANNING SUMMARY REPORT
          ETA FORM 9094

 Program Planning Summary                                                                                                    U.S. Department of Labor
 WIA, Title I-D, Section 167                                                                                            Employment and Training Administration
 National Farmworker Jobs Program (NFJP)


 a. Grantee Name and Address                                                      b. Grant Number                               OMB Approval No: 1205-0425
                                                                                                                                Expires: 5/31/2016
                                                                                  c. Period of Grant                            d. Modification
                                                                                  From:                To:                      Year         No.
 I. Participation Summary
                                                                                                      B. Cumulative Quarters

                                                                  1st Quarter                2nd Quarter                3rd Quarter                4th Quarter
 A. Total Participants


                1. New Participants


                2. Participants Carried Over


 B. Total Number of Participants Exiting Program


 II. Participant Outcomes

 A. Placed in Unsubsidized Employment


 B. Completed Training Services


 C. Total Current Participants
    (End-of-Period)

Remarks:


III. CERTIFICATION          I certify that to the best of my knowledge this report is correct and complete as set forth in the grant agreement.


Name and Title of Authorized Official Phone Number                               Signature                                 Date Submitted (Month, Day, Year)


According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB
control number. The obligation to respond to this collection is required to obtain or retain benefit (Workforce Investment Act Section 185(a)). Public reporting
burden for this collection of information is estimated to average 16 hours per response, including time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Employment and Training
Administration, Office of Workforce Investment, Attention: National Farmworker Jobs Program, 200 Constitution Avenue, N.W., Room C-4510, Washington, DC
20210 and reference OMB Control Number 1205-0425. (Paperwork Reduction Act Project 1205-0425).
                                                                                                                                                     ETA 9094

          Instructions for Completing NFJP Program Planning Summary (PPS) Report


General Instructions. The PPS is required for         LINE I.B. Total Number of Participants Exiting
each Section 167 grantee’s program and is a           Program – Enter for each quarter the cumulative
required part of the annual grant plan. The           number of participants expected to
specific instructions below explain the items on      exit the program during the program year.
the PPS.
                                                              Exit from the program occurs when a
a. Grantee Name and Address – NO                              participant has not received any
ENTRY REQUIRED                                                services funded by the program or a
                                                              partner program for 90 consecutive
b. Grant Number – NO ENTRY REQUIRED                           calendar days and has no gap in service
                                                              and is not scheduled for future services.
c. Period of Grant – NO ENTRY REQUIRED                        The date of exit is applied retroactively
                                                              to the last day on which the individual
d. Modification – FOR GRANT OFFICER’S                         received a service funded by the
USE ONLY.                                                     program or a partner program.

                                                      Section II. Participant Outcomes
Section I. Participation Summary
                                                              LINE II.A. Placed in Unsubsidized
This section describes the planned flow of                    Employment – Enter for each quarter
participants through the program: the number                  the cumulative number of participants
entering, those leaving and those remaining in                the program expects to place in
the program. The plan is cumulative on a                      unsubsidized employment.
quarterly basis, and includes carry over
participants.                                                 LINE II.B. Completed Training
                                                              Services – Enter for each quarter the
LINE I.A. Total Participants – Enter for each                 cumulative number of participants the
quarter the cumulative number of participants                 program expects will complete at least
planned for the program year.                                 one training service.

         Participant is any individual who is                 LINE II.C. Total Current Participants
         determined eligible to participate in the            (End of Period) – Enter for each
         program and receives a service funded                quarter the projected number of
         by the program. Participant counts do                individuals the program expects will be
         not include individuals who only receive             participating in the program as of the
         a determination of eligibility to                    end of that quarter.
         participate in the program.

         LINE I.A.1. New Participants – Enter
         for each quarter the cumulative number
         of new participants projected to be
         enrolled in the program year.

         LINE I.A.2. Participants Carried Over
         – Enter for each quarter the number of
         participants projected to be in the
         grantee's program on the last day of the
         previous program year whose
         participation will continue in the current
         program year. This number remains
         constant for each quarter of the current
         year.

Attachment 3: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_32_12_Att3.pdf

NATIONAL FARMWORKER JOBS PROGRAM
  PROGRAM STATUS SUMMARY REPORT
          ETA FORM 9095

 Program Status Summary                                                                                                    U.S. Department of Labor
                                                                                                                      Employment and Training Administration
 WIA, Title I-D, Section 167
 National Farmworker Jobs Program (NFJP)


                                                                 Part 1: Participant Data
 a. Grantee Name and Address                                                           b. Grant Number                          OMB Approval No: 1205-0425
                                                                                                                                Expires 5/31/2016


                                                                                       c. Period of Grant                       d. Reporting Period

                                                                                       From:                 To:                From:               To:


I. Participation Summary                                                                                       Cumulative Quarters
                                                                                  st                   nd
                                                                                 1 Quarter            2     Quarter          3rd Quarter           4th Quarter
    A. Total Participants Served
 (excluding individuals who only receive a determination of eligibility)

                                1. New Participants

                                2. Participants Carried Over From Previous Program Year
    B. Total Number of Participants Exiting Program
 II. Participant Outcomes

    A. Placed in Unsubsidized Employment

    B. Completed Training Services
 III. Total Current Participants (End of Period)

 IV. Participant Enrollments In Program Services

    A. Core Services

    B. Intensive Services

    C. Training Services

   D. Related Assistance Services (only)
 Remarks:


V. CERTIFICATION          I certify that to the best of my knowledge this report is correct and complete as set forth in the grant agreement.

Name and Title of Authorized Official              Phone Number                 Signature                                 Date Submitted (Month, Day, Year)

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB
control number. The obligation to respond to this collection is required to obtain or retain benefit (Workforce Investment Act Section 185(a)). Public reporting
burden for this collection of information is estimated to average 17 hours per response, including time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Employment and Training
Administration, Office of Workforce Investment, Attention: National Farmworker Jobs Program, 200 Constitution Avenue, N.W., Room C-4510, Washington, DC
20210 and reference OMB Control Number 1205-0425. (Paperwork Reduction Act Project 1205-0425).
                                                                                                                                                          ETA 9095

Instructions for Completing NFJP Program Status Summary (PSS) Report
Part 1: Participant Data

General Instructions. The PSS is required to be      Section II. Participant Outcomes
electronically submitted on a quarterly basis,
cumulative by the Program Year quarters (i.e.,       Line II.A. Placed in Unsubsidized
beginning July 1, October 1, January 1, and April    Employment – Enter in the column for the
1). Reports are due no later than 45 days after      current reporting quarter the cumulative number
the end of each reporting quarter (20 CFR            of participants placed in unsubsidized
667.300(3)(d). Please submit via the Internet at     employment during the program year.
www.etareports.doleta.gov.
                                                     Line II.B. Completed Training Services – Enter
a. Grantee Name and Address – NO ENTRY               in the column for the current reporting quarter the
REQUIRED                                             cumulative number of participants who completed
                                                     at least one training service during the program
b. Grant Number – NO ENTRY REQUIRED                  year.
c. Period of Grant – NO ENTRY REQUIRED               Section III. Total Current Participants (End-of-
                                                     Period) – NO ENTRY REQUIRED
d. Reporting Period – NO ENTRY REQUIRED
                                                     Section IV. Participant Enrollments in
Section I. Participation Summary                     Program Services
LINE I.A. Total Participants Served – Enter in       LINE IV.A. Core Services – Enter in column B
the column for the current reporting quarter (i.e.   the column for the current reporting quarter the
  st        nd           rd            th
1 quarter, 2 quarter, 3 quarter, or 4 quarter)       cumulative number of participants who received
the cumulative number of participants for the
                                                     at least one core service during the program
program year.
                                                     year. Core Services are identified in WIA
                                                     Section 134(d)(2).
    Participant is any individual who is
    determined eligible to participate in the
                                                     LINE IV.B. Intensive Services – Enter in
    program and receives a service funded by
                                                     the column for the current reporting quarter the
    the program. Participant counts do not
                                                     cumulative number of participants who received
    include individuals who only receive a
                                                     at least one intensive service during the program
    determination of eligibility to participate in
    the program.                                     year. Intensive Services are identified in WIA
                                                     Section 134(d)(3)(C) and 20 CFR Section
    LINE I.A.1. New Participants – Enter in the      669.370.
    column for the current reporting quarter the
    cumulative number of new participants for        LINE IV.C. Training Services – Enter in the
    the program year.                                column for the current reporting quarter the
                                                     cumulative number of participants who received
    LINE I.A.2. Participants Carried Over From       at least one training service during the program
    Previous Program Year – Enter in the             year. Training Services are identified in WIA
    column for the current reporting quarter the     Section 134(d)(4)(D) and Section 167(d) and 20
    number of participants in the program on the     CFR Section 669.410.
    last day of the previous program year whose
    participation continued in this program year.    LINE IV.D. Related Assistance Services (only)
    This number remains constant for the             – Enter in the column for the current reporting
    program year.                                    quarter the cumulative number of participants
                                                     who received one or more related assistance
LINE I.B. Total Number of Participants Exiting       services only during the program year. Related
Program – Enter in the column for the current        Assistance services are identified in 20 CFR
reporting quarter the cumulative number of           Section 669.430.
participants who have exited the program during
the program year.

    Exit from the program occurs when 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.

                       Part 2: Quarterly Narrative Progress Report


A. Program Highlights and Accomplishments:


B. Partnership Activities:


C. Participant and Performance Outcomes:


D. Key Issues and Challenges:


E. Additional Information (Optional):

Instructions for Completing NFJP Program Status Summary (PSS) Report
Part 2: Quarterly Narrative Progress Report

In Part 2 of the PSS Report, grantees will provide a narrative progress report for grant activities for the quarter.

A. Program Highlights and Accomplishments – In this section, grantees should describe program highlights
and accomplishments for the quarter. This section may also be used to share participant success stories.

B. Partnership Activities – In this section, grantees should describe key activities undertaken with partners in
the quarter, including collaboration with existing partners and any efforts to develop new partnerships. Among
other partnership activities, grantees should describe activities with the state’s American Job Centers (also
known as One-Stop Career Centers).

C. Participant and Performance Outcomes – In this section, grantees should provide a brief summary of: 1)
the grantee’s participant outcomes on the Program Status Summary Report (ETA Form 9095) for the quarter in
comparison to the planned participant levels for the quarter on the Program Planning Summary Report (ETA
Form 9094); and 2) the grantee’s performance outcomes for the common measures (entered employment,
retention, and earnings) for the previous quarter in comparison to the program performance targets for the
program year. If participant or performance outcome targets are not met, grantees should describe efforts
already taken or strategies to be implemented to meet those outcomes. Grantees that have met or exceeded
both participant and performance outcomes can include a short statement indicating this result.

D. Key Issues and Challenges – In this section, grantees should summarize any significant issues or
challenges encountered, and describe any actions already taken or strategies to be implemented to address
those issues or challenges. This section may be used to identify any technical assistance needs of the grantee.

E. Additional Information (Optional) – This section may be used by grantees to provide any additional
information not provided in other sections of the quarterly narrative progress report.

Attachment 4: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_32_12_Att4.pdf

NATIONAL FARMWORKER JOBS PROGRAM
    HOUSING ASSISTANCE SUMMARY
           ETA FORM 9164

 Housing Assistance Summary                                                                                                        U.S. Department of Labor
 WIA, Title I-D, Section 167                                                                                                   Employment and Training Administration
 National Farmworker Jobs Program (NFJP)

 a. Grantee Name and Address                                                              b. Grant Number                           OMB Approval No: 1205-0425
                                                                                                                                    Expiration Date 5/31/2016

                                                                                          c. Period of Grant                        d. Reporting Period

                                                                                          From:                To:                  From:              To:


                                                           Part 1: Temporary Housing Activities

                                                                                                                      Cumulative Quarters
                                                                                           st                   nd
                                                                                          1 Quarter            2     Quarter          3rd Quarter       4th Quarter
     I.   Total Individuals Served

          A. New Individuals Served

          B. Individuals Carried Over From Previous Program Year

     II. Total Families Served
          A. New Families Served

          B. Families Carried over From Previous Program Year
 Remarks:


                                                           Part 2: Permanent Housing Activities

                                                                                                                      Cumulative Quarters
                                                                                           st                   nd
                                                                                          1 Quarter            2     Quarter          3rd Quarter       4th Quarter
I.        New Housing Units Under Development

II.       New Housing Units Completed

III.      Continuing Housing Units

IV.       Individuals in Permanent Housing Activities

V.        Families in Permanent Housing Activities
 Remarks:


CERTIFICATION           I certify that to the best of my knowledge this report is correct and complete as set forth in the grant agreement.


Name and Title of Authorized Official                Phone Number                   Signature                                    Date Submitted (Month, Day, Year)


According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB
control number. The obligation to respond to this collection is required to obtain or retain benefit (Workforce Investment Act Section 185(a)). Public reporting
burden for this collection of information is estimated to average 17 hours per response, including time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Employment and Training
Administration, Office of Workforce Investment, Attention: National Farmworker Jobs Program, 200 Constitution Avenue, N.W., Room C-4510, Washington, DC
20210 and reference OMB Control Number 1205-0425. (Paperwork Reduction Act Project 1205-0425).
                                                                                                                                                          ETA 9164

                             Part 3: Quarterly Narrative Progress Report

A. Summary of Grant Activities – Temporary Housing:


Attachment:

B. Summary of Grant Activities – Permanent Housing:


Attachment:

C. Accomplishments:


D. Partnership Activities:


E. Key Issues and Challenges:


F. Additional Information (Optional):

              Instructions for Completing NFJP Housing Assistance Summary (HAS)

General Instructions

The HAS is required to be electronically submitted on a quarterly basis, by the Program Year quarters (i.e.,
beginning July 1, October 1, January 1, and April 1). Reports are due no later than 45 days after the end of each
reporting quarter (20 CFR 667.300(3)(d)). Please submit via the Internet at: www.etareports.doleta.gov.

Grant Information

a. Grantee Name and Address – NO ENTRY REQUIRED

b. Grant Number – NO ENTRY REQUIRED

c. Period of Grant – NO ENTRY REQUIRED

d. Reporting Period – NO ENTRY REQUIRED


Part 1: Temporary Housing Activities

Part 1 of the HAS is to be completed by NFJP grantees receiving funding for temporary housing activities.
                                                                                                     st          nd
LINE I. Total Individuals Served – Enter in the column for the current reporting quarter (i.e. 1 quarter, 2
          rd            th
quarter, 3 quarter, or 4 quarter) the cumulative number of individuals served for the program year.

          An “Individual Served” is a participant of the program or another individual that benefits from the
          housing services provided, typically a family member of the participant. For example, a participant of
          the program is provided temporary rental assistance, and the two family members residing with that
          participant benefit from the service. Therefore, three individuals have been served.

          A “Participant” is any individual who is determined eligible to participate in the program and receives a
          service funded by the program. Participant counts do not include individuals who only receive a
          determination of eligibility to participate in the program.

LINE I.A. New Individuals Served – Enter in the column for the current reporting quarter the cumulative
number of new individuals served during the program year.

LINE I.B. Individuals Carried Over From Previous Program Year – If applicable, enter the number of
individuals served in the program on the last day of the previous program year who continued in this program
year. This number remains constant for the program year.
                                                                                                st          nd
LINE II. Total Families Served – Enter in the column for the current reporting quarter (i.e. 1 quarter, 2        quarter,
 rd             th
3 quarter, or 4 quarter) the cumulative number of families served for the program year.

          A “Family” is two or more individuals falling under one of the relationships described in 20 CFR
          669.110: spouse; child, grandchild, or great grandchild, including legally adopted children; stepchild;
          brother, sister, half brother, half sister, stepbrother, or stepsister; parent, grandparent, or other direct
          ancestor but not foster parent; foster child; stepfather or stepmother; uncle or aunt; niece or nephew;
          father-in-law, mother-in-law, or son-in-law; or daughter-in-law, brother-in-law, or sister-in law. For
          example, a participant of the program is provided temporary rental assistance, and the two family
          members residing with that participant benefit from the service. Three individuals have been served,
          and one family has been served. If a participant of the program has no other family member that is a
          participant or benefits from the housing services provided, then that participant is not to be recorded as
          a “Family” for the purposes of this report.

LINE II.A. New Families Served – Enter in the column for the current reporting quarter the cumulative number
of new families served during the program year.

LINE II.B. Families Carried Over From Previous Program Year – If applicable, enter the number of families
served in the program on the last day of the previous program year who continued in this program year. This
number remains constant for the program year.

Part 2: Permanent Housing Activities

Part 2 of the HAS is to be completed by NFJP grantees receiving funding for permanent housing activities.
                                                                                                                    st
LINE I. New Housing Units under Development – Enter in the column for the current reporting quarter (i.e. 1
          nd         rd            th
quarter, 2 quarter, 3 quarter, or 4 quarter) the cumulative number of permanent farmworker housing units in
pre-development, under construction, or undergoing rehabilitation.

Line II. New Housing Units Completed – Enter in the column for the current reporting quarter the cumulative
number of new permanent farmworker housing units that have been completed or rehabilitated and are ready for
occupancy.

Line III. Continuing Housing Units – Enter in the column for the current reporting quarter the cumulative
number of permanent farmworker housing units receiving continuing services, such as property management,
through NFJP permanent housing funding.

Line IV. Individuals in Permanent Housing Activities – Enter in the column for the current reporting quarter
the cumulative number of individuals residing in permanent farmworker housing developed or supported through
NFJP grant funds, or partaking in other NFJP permanent housing activities. Refer to the description of
individuals served in the instructions for Part I, Line I.

Line V. Families in Permanent Housing Activities – Enter in the column for the current reporting quarter the
cumulative number of families residing in permanent farmworker housing developed or supported through NFJP
grant funds, or partaking in other NFJP permanent housing activities. Refer to the description of a family in the
instructions for Part I, Line II.


Part 3: Quarterly Narrative Progress Report

In Part 3 of the HAS, grantees will provide a narrative progress report for grant activities for the quarter. Part 3 is
to be completed by all NFJP housing assistance grantees.

A. Summary of Grant Activities – Temporary Housing Activities. In this section, NFJP grantees receiving
funding for temporary housing activities should describe grant activities for the quarter. The description should
include the types of housing services provided and the number receiving those services. Grantees should
include a comparison of the activities planned for the quarter to the activities completed in the quarter. In
addition to the summary provided in Section A, grantees may provide additional information for the quarter in an
attachment. Grantees should upload narrative information in MS Word (.doc) or Adobe Acrobat (.pdf) format in
the field provided. To upload the file, type in your file name and the complete path to that file, or browse your
system for the file.

B. Summary of Grant Activities – Permanent Housing Activities. In this section, NFJP grantees receiving
funding for permanent housing activities should describe grant activities for the quarter. The description should
include the status of development and rehabilitation projects. Grantees should include a comparison of the
activities planned for the quarter to the activities completed in the quarter. In addition to the summary provided in
Section B, grantees may provide additional information for the quarter in an attachment. Grantees should upload
narrative information in MS Word (.doc) or Adobe Acrobat (.pdf) format in the field provided. To upload the file,
type in your file name and the complete path to that file, or browse your system for the file.

C. Accomplishments – In this section, grantees should describe key program accomplishments for the quarter.
This section may also be used to share participant success stories.

D. Partnership Activities – In this section, grantees should describe key activities undertaken with partners in
the quarter, including collaboration with existing partners and any efforts to develop new partnerships.

E. Key Issues and Challenges – In this section, grantees should describe any significant issues or challenges
encountered, and describe any actions already taken or strategies to be implemented to address those issues or
challenges. This section may be used to identify any technical assistance (TA) needs of the grantee.

F. Additional Information (Optional) – This section may be used by grantees to provide any additional
information not provided in other sections of the quarterly narrative progress report.

Attachment 5: https://www.dol.gov/sites/dolgov/files/ETA/advisories/TEGL/2013/TEGL_32_12_Att5.pdf

OMB Control Number 1205-0425
Expiration Date: 5/31/2016


                                       WIA TITLE I-SECTION 167

            NATIONAL FARMWORKER JOBS PROGRAM
WORKFORCE INVESTMENT ACT STANDARDIZED PARTICIPANT RECORD
(WIASPR): GENERAL REPORTING INSTRUCTIONS AND SPECIFICATIONS

                                           (REVISED MAY 2013)


This reporting requirement is approved under the Paperwork Reduction Act of 1995, OMB Control No. 1205-0425.
Persons are not required to respond to this collection of information unless it displays a currently valid OMB number.
Public reporting burden for this collection of information is estimated to average 2.25 hours per individual record,
including time for reviewing instructions, searching existing data sources, gathering and reviewing the collection of
information. Respondent’s obligation to reply is mandatory. The reason for the collection of information is general
program oversight, evaluation and performance assessment. Send comments regarding this burden estimate or any other
aspect of this collection, including suggestions for reducing this burden, to the U.S. Department of Labor, Employment
and Training Administration, Office of Workforce Investment, Attention: National Farmworker Jobs Program, 200
Constitution Avenue, N.W., Room C-4510, Washington, DC 20210 (Paperwork Reduction Act Project 1205-0425).

                        WIA SECTION 167 NATIONAL FARMWORKER JOBS PROGRAM
                 WORKFORCE INVESTMENT ACT STANDARDIZED PARTICIPANT RECORD (WIASPR)
                                                          GENERAL GUIDELINES

This document is intended to facilitate preparation and submission of an electronic file of records for all WIA section 167 participants
who exit the program. It describes the record layout, definitions, and coding values that should be used to create such a file. The
resulting file should be either:
       • A fixed-field or comma-delimited-field ASCII text file (also called a DOS text file) containing the data record for
            each individual who exits the WIA section 167 program on a separate line. (Most database and spreadsheet
            programs contain an option for exporting data to an ASCII file).
      •   An Excel file.
      •   A dbf file.
      •   Other file formats, so long as prior arrangements are made with Social Policy Research Associates (SPR),
          DOL’s data processing contractor.
This document indicates the order in which the data elements should be presented on each electronic record line and the starting
column position for each data element for a fixed-field record. For a delimited-field file or a dbf file, observe the data-elements order
and field width maximums indicated by the record layout; for comma-delimited files, separate data fields by commas. Please avoid
the use of commas embedded in alpha fields or to denote placeholders in numeric fields (e.g., x,xxx); commas should be used only by
grantees who are submitting comma-delimited files.

In general, submissions should follow the coding guidelines for individual items, shown in the attached instructions. In preparing
submissions, please name data files using a MGGGGQYY convention, where:
      • M stands for the MSFW program.
      •   GGGG stands for your unique 4-digit grant number.
      •   Q stands for the quarter (e.g., 1 for the first quarter, etc.; use 5, 6, or 7 for the submissions that include follow-up
          data for 4th quarter terminees).
      •   YY stands for the program year.


                                                                                                                               Page 2

Submissions can be sent on either a floppy diskette or via email. If a floppy diskette is used, send a 3.5" IBM PC DOS compatible
formatted diskette, and mail it to:

              NFJP Reporting Submission
              Andrew Wiegand
              Social Policy Research Associates
              1330 Broadway, Suite 1426
              Oakland, California 94612

Include a memorandum in the package clearly identifying your organization, grant number, and the number of
terminees being reported.

For those interested in sending submissions via email, please send to: [email protected] or [email protected].

Any questions regarding formatting, record layout and related problems should be referred to Andrew Wiegand or Jane Cho at 510-
763-1499. Contact your Federal Project Officer if you have questions regarding item definitions or program policy.


                                                                                                                       Page 3

                                        WIA SECTION 167 NATIONAL FARMWORKER JOBS PROGRAM
                                 WORKFORCE INVESTMENT ACT STANDARDIZED PARTICIPANT RE CORD (WIASPR)


 Field     Field               WIASPR Item and                           Data Element Definitions/Instructions                                     Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  1          1         4     1. ETA-Assigned     Record the appropriate 4-digit ETA assigned identification code. This code is the four-    0000
Numeric                      Grantee Code        digit segment of the grant number.
  2          5         2     2a. Field Office    Record the 2-digit Federal Information Processing Standards (FIPS) code of the state       00
Numeric                      Identifier (FIPS    where the field office is located. For example, the state of Alabama would be recorded
                             Code of State)      as “01.”
  3          7         3     2b. Field Office    Record the 3-digit FIPS Code of the county where the field office is located. For          000
Numeric                      Identifier (FIPS    example, the county of Autauga, Alabama would be recorded as “001.”
                             Code of
                             County)
  4         10         9     3. Participant      Record the participant's identification number. If the applicant has no SSN or refuses     000000000
Numeric                      Identification      to provide it, a substitute number may be assigned during intake. Grantees should
                             Number              make every effort to obtain a valid SSN prior to termination and record with
                                                 transmittal.
                                                 SPECIAL NOTE: Possession of a Social Security Number is not a prerequisite for
                                                 participation. To avoid duplication with Social Security numbers, grantee assigned
                                                 numbers should be limited to no more than 8 digits, and the first two digits should be
                                                 99.
  5         19         8     4. Date of          Record the date on which the individual begins receiving his/her first service funded by   YYYYMMDD
 Date                        Participation       the program following a determination of eligibility to participate in the program.


  6         27         8     5. Date of Birth    Record the individual's date of birth.                                                     YYYYMMDD
 Date
  7         35         1     6. Gender           Record 1 if the person indicates that he is male.                                          1 = Male
Numeric
                                                 Record 2 if the person indicate that she is female.                                        2 = Female
                                                 If the person does not self-identify gender, leave "blank" or Record 0.
                             7. Race             Important Note: Additional guidance related to the collection and reporting of equal
                                                 opportunity information, including sex (WIASPR Item #6), age (WIASPR Item #5),
                                                 disability (WIASPR Item #21h), ethnicity (WIASPR Item #8), and race (WIASPR
                                                 Items #7a through #7e) can be found under Appendix A of this document.


                                                                                                                                                   Page 4

 Field     Field               WIASPR Item and                                Data Element Definitions/Instructions                                     Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  8         36         1     7a. American Indian or   Record 1 if the individual indicates that he/she is a person having origins in any of the    1 = Yes
Numeric                      Alaskan Native           original peoples of North America and South America (including Central America),
                                                      and who maintains cultural identification through tribal affiliation or community
                                                      recognition.
                                                      If the individual does not self-identify his/her race as American Indian or Alaska
                                                      Native, leave "blank" or Record 0.
  9         37         1     7b. Asian                Record 1 if the individual indicates that he/she is a person having origins in any of the    1 = Yes
Numeric                                               original peoples of the Far East, Southeast Asia, or the Indian Subcontinent (e.g.,,
                                                      India, Pakistan, Bangladesh, Sri Lanka, Nepal, Sikkim, and Bhutan). This area
                                                      includes, for example, Cambodia, China, Japan, Korea, Malaysia, Pakistan, the
                                                      Philippine Islands, Thailand, and Vietnam.
                                                      If the individual does not self-identify his/her race as Asian, leave "blank" or Record 0.
  10        38         1     7c. Black or African     Record 1 if the individual indicates that he/she is a person having origins in any of the    1 = Yes
Numeric                      American                 black racial groups of Africa.
                                                      If the individual does not self-identify his/her race as Black or African American, leave
                                                      "blank" or Record 0.
  11        39         1     7d. Hawaiian Native or   Record 1 if the individual indicates that he/she is a person having origins in any of the    1 = Yes
Numeric                      Other Pacific Islander   original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
                                                      If the individual does not self-identify his/her race as Hawaiian Native or Other Pacific
                                                      Islander, leave "blank" or Record 0.
  12        40         1     7e White                 Record 1 if the individual indicates that he/she is a person having origins in any of the    1 = Yes
Numeric                                               of the original peoples of Europe, the Middle East, or North Africa.
                                                      If the individual does not self-identify his/her race as White, leave "blank" or Record 0.
  13        41         1     8. Ethnicity             Record 1 if the person indicates that he/she is a person of Cuban, Mexican, Puerto           1 = Yes
Numeric                                               Rican, South or Central American, or other Spanish culture in origin, regardless of race.
                                                                                                                                                   2 = No
                                                      Record 2 if the individual indicates that he/she does not meet any of these conditions.
                                                      If the individual does not self-identify his/her ethnicity, leave "blank" or Record 0.
                                                      Record appropriate status of the participant.
  14        42         1     9. Qualifies for                                                                                                      1 = Farmworker
Numeric                      Sec. 167
                                                      SPECIAL NOTE: If a participant qualifies as eligible under both categories, use Code         2 = Dependent or Spouse
                             Program as a:
                                                      1 – Farmworker.                                                                              of a Farmworker


                                                                                                                                                         Page 5

 Field     Field               WIASPR Item and                              Data Element Definitions/Instructions                                      Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  15        43         2     10a. Enter FIPS       Record the 2-digit FIPS code of the state of the primary domicile of the participant.         00
Numeric                      Code of State of      Primary domicile is that location that is established or claimed as the permanent
                             the Primary           residence or "home" of the participant.
                             Domicile
                                                   If primary domicile is outside the United States, use the following codes:
                                                   77 = All Other Countries
                                                   88 = Mexico
                                                   99 = Canada
  16        45         3     10b. Enter FIPS       Record the 3-digit FIPS Code of the County of the primary domicile of the participant.        000
Numeric                      Code of County        Primary domicile is that location that is established or claimed as the permanent
                             of the Primary        residence or "home" of the participant.
                             Domicile
                                                   If primary domicile is outside the United States, use the following codes:
                                                   777 = All Other Countries
                                                   888 = Mexico
                                                   999 = Canada
  17        48         1     11. Farmworker        Use the appropriate code to record the status of the participant at the time of eligibility   1 = Migrant Farmworker
Numeric                      Status                determination.
                                                                                                                                                 2 = Seasonal Farmworker
                                                   SPECIAL NOTE: Where participant is a dependent of a farmworker, record the status
                                                   of the eligible farmworker.


                             12. Public            This instruction applies to items 12a through 12c, below. Record the appropriate code
                             Assistance            to indicate whether or not the individual is a recipient of each of the following public
                             Recipient             assistance categories.
  18        49         1     12a – Temporary       Record 1 if the individual is a person who, at the time of participation, is listed on the    1 = Yes
Numeric                      Assistance to Needy   welfare grant or has received cash assistance or other support services from the TANF
                                                                                                                                                 2 = No
                             Families (TANF)       agency in the last six months prior to participation in the program.
                                                   Record 2 if the individual does not meet the condition described above.


                                                                                                                                                       Page 6

 Field     Field               WIASPR Item and                              Data Element Definitions/Instructions                                    Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  19        50         1     12b – Other Public     Record 1 if the individual is a person who, at the time of participation, is receiving or   1 = Yes
Numeric                      Assistance             has received cash assistance or other support services from one of the following sources
                                                                                                                                                2 = No
                                                    in the last six months prior to participation in the program: General Assistance (GA)
                                                    (State/local government), Refugee Cash Assistance (RCA), and Supplemental Security
                                                    Income (SSI-SSA Title XVI).
                                                    Record 2 if the individual does not meet the condition described above.
  20        51         1     12c – Supplemental     Record 1 if the individual is a person who, at the time of participation, is receiving or   1 = Yes
Numeric                      Nutrition Assistance   has received food stamp assistance in the last six months prior to participation in the
                             Program (food          program.                                                                                    2 = No
                             stamps) (Food
                             Stamp Act of           Record 2 if the individual does not meet the condition described above.
                             1977)

  21        52         2     13a. Number of         Record the number of dependents in the family under age 18.                                 00
Numeric                      Dependents in the
                             family Under Age 18
  22        54         2     13b. Number of         Record the total number of individuals in the family, including the participant.            00
Numeric                      Individuals in
                             Family
  23        56         2     14. Highest            Use the appropriate code to record the highest school grade completed by the                00
Numeric                      School Grade           participant. 00 = No school grades completed
                             Completed
                                                    01 - 12 = Number of elementary/secondary school grades completed
                                                    13 - 15 = Number of college, or full-time technical or vocational school years
                                                    completed
                                                    16 = Bachelor's degree or equivalent
                                                    17 = Education beyond the Bachelor's degree
                                                    Record 87 if the individual completes the 12th grade and attained a high school
                                                    diploma.
                                                    Record 88 if the individual completes the 12th grade and attained a GED or equivalent.
                                                    Record 90 if the individual attained another post-secondary degree or certification.
                                                    Record 91 if the individual attained an associates diploma or degree (AS/AA).


                                                                                                                                                     Page 7

 Field     Field               WIASPR Item and                               Data Element Definitions/Instructions                                    Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  24        58         1     15. Student             Record 1 if the participant has not received a secondary school diploma or its             1 = In-school, H.S. or less
Numeric                      Status at Time of       recognized equivalent and is attending any secondary school (including elementary,
                             Participation                                                                                                      2 = In-school, Alternative
                                                     intermediate, junior high school, whether full or part-time), or is between school terms
                                                                                                                                                School
                                                     and intends to return to school.
                                                                                                                                                3 = In-school, Post-H.S.
                                                     Record 2 if the participant has not received a secondary school diploma or its
                                                     recognized equivalent and is attending an alternative high school or an alternative        4 = Not attending school
                                                     course of study approved by the local educational agency whether full or part-time.        or H.S. Dropout
                                                     Record 3 if the participant has received a secondary school diploma or its recognized      5 = Not attending school;
                                                     equivalent and is attending a post-secondary school or program (whether full or part-      H.S. graduate
                                                     time), or is between school terms and intends to return to school.
                                                     Record 4 if the participant is no longer attending any school and has not received a
                                                     secondary school diploma or its recognized equivalent.
                                                     Record 5 if the participant is not attending any school and has either graduated from
                                                     high school or holds a GED.
  25        59         1     16. Employment Status   Record 1 if the participant is a person who either (a) did any work at all as a paid       1 = Employed
Numeric                      at Participation        employee, (b) did any work at all in his or her own business, profession, or farm, (c)
                                                                                                                                                2 = Employed, but
                                                     worked 15 hours or more as un unpaid worker in an enterprise operated by a member of
                                                                                                                                                Received Notice of
                                                     the family, or (d) is one who was not working, but has a job or business from which he
                                                                                                                                                Termination of
                                                     or she was temporarily absent because of illness, bad weather, vacation, labor-
                                                                                                                                                Employment or Military
                                                     management dispute, or personal rea-sons, whether or not paid by the employer for
                                                                                                                                                Separation
                                                     time-off, and whether or not seeking another job.
                                                                                                                                                3 = Not Employed
                                                     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 participant does not meet any one of the conditions described above.


  26        60         5     17. Six Month Pre-      Record the total pre-program earnings of the participant for the 6-month period prior to   00000
Numeric                      Program Earnings        the date of application in the program. Earnings include salaries or wages, and also
                                                     include any bonuses, tips, gratuities, and commissions or overtime pay earned.
                                                     Record 00000 if there were no earnings during this period.


                                                                                                                                                        Page 8

 Field     Field               WIASPR Item and                                  Data Element Definitions/Instructions                                       Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  27        65         5     18. Total Preprogram       Record total pre-program earnings of the participant during the 12-month eligibility          00000
Numeric                      Earnings During            determination period. Earnings include salaries or wages, and also include any
                             the 12-month Eligibility   bonuses, tips, gratuities, and commissions or overtime pay earned.
                             Determination Period.
                                                        Record 00000 if there were no earnings during this period.
  28        70         1     19. Unemploy-              Record 1 if the participant is a person who filed a claim and has been determined             1 = Claimant
Numeric                      ment Insurance             monetarily eligible for benefit payments under one or more State or Federal
                                                                                                                                                      2 = Exhaustee
                             Status                     Unemployment Compensation (UC) programs and whose benefit year or compensation,
                                                        by reason of an extended duration period, has not ended and who has not exhausted             3 = Neither Claimant nor
                                                        his/her benefit rights.                                                                       Exhaustee
                                                        Record 2 if the participant has exhausted all UC benefit rights for which he/she has
                                                        been determined monetarily eligible, including extended supplemental benefit rights.
                                                        Record 3 if the participant was neither an UC Claimant nor an Exhaustee.
  29        71         1     20. Veteran                Record 1 if the participant is a person who served in the active U.S. military, naval, or     1 = Yes, <= 180 days
Numeric                      Status                     air service for a period of less than or equal to 180 days, and who was discharged or
                                                                                                                                                      2 = Yes, Eligible Veteran
                                                        released from such service under conditions other than dishonorable.
                                                                                                                                                      3 = Yes, Other Eligible
                                                        Record 2 if the participant served on active duty for a period of more than 180 days and
                                                                                                                                                      Person
                                                        was discharged or released with other than a dishonorable discharge; or was discharged
                                                        or released because of a service connected disability; or as a member of a reserve            4 = No
                                                        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.
                                                        Record 3 if the participant 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 participant does not meet any one of the conditions described above.


                                                                                                                                                              Page 9

 Field     Field               WIASPR Item and                                  Data Element Definitions/Instructions                                     Coding Value
Number    Starting   Field       Description
& Type    Column     Width
                             21. Additional             Record all the appropriate codes for the following categories as they apply to the
                             Barriers to                participant.
                             Employment
  30        72         1     21a. Limited               Record 1 if the participant is a person who has limited ability in speaking, reading,        1 = Yes
Numeric                      English                    writing or understanding the English language and (a) whose native language is a
                                                                                                                                                     2 = No
                             Language                   language other than English, or (b) who lives in a family or community environment
                             Proficiency                where a language other than English is the dominant language.
                                                        Record 2 if the participant does not meet the conditions described above.
  31        73         1     21b. Offender/             Record 1 if the participant is a person who either (a) is or has been subject to any stage   1 = Yes
Numeric                      Criminal Justice Barrier   of the criminal justice process for committing a status offense or delinquent act, or (b)
                                                                                                                                                     2 = No
                                                        requires assistance in overcoming barriers to employment resulting from a record 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 participant does not meet any one of the conditions described above.
  32        74         1     21c. Homeless              Record 1 if the participant is a person who lacks a fixed, regular, adequate night time      1 = Yes
Numeric                                                 residence. This definition includes any individual who has a primary night time
                                                                                                                                                     2 = No
                                                        residence that is a publicly or privately operated shelter for 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. 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 participant does not meet any one of the conditions described above.


  33        75         1     21d. Lacks                 Record 1 if the participant is a person who has not worked for any nonagricultural           1 = Yes
Numeric                      Significant                employer for longer than three (3) consecutive months in the 24 months prior to
                                                                                                                                                     2 = No
                             Work History               intake/eligibility determination.
                                                        Record 2 if the participant does not meet the conditions described above.


                                                                                                                                                          Page 10

 Field     Field               WIASPR Item and                                    Data Element Definitions/Instructions                                     Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  34        76         1     21e. Long-term              Record 1 if the participant is a person who has engaged in agricultural work as the           1 = Yes
Numeric                      Agricultural                primary source of income for a minimum of four (4) years prior to intake/eligibility
                                                                                                                                                       2 = No
                             Employment                  determination.
                                                         Record 2 if the participant does not meet the conditions described above.


  35        77         1     21f. Lacks                  Record 1 if the participant is a person who lacks access to adequate/reasonable               1 = Yes
Numeric                      Transportation              transportation services, resulting in a barrier to receiving training or accepting
                                                         employment.                                                                                   2 = No

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


  36        78         1     21g. Single Parent with     Record 1 if the participant is a single, separated, divorced, or widowed individual who       1 = Yes
Numeric                      Dependents                  has responsibility for one or more dependent children under age 18.
                                                                                                                                                       2 = No
                             Under Age 18
                                                         Record 2 if the participant does not meet the conditions described above.


  37        79         1     21h. Individual             Record 1 if the participant indicates that he/she has any "disability," as defined in         1 = Yes
Numeric                      with a Disability           Section 3(2)(a) of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102).
                                                                                                                                                       2 = No
                                                         Under that definition, a "disability" is a physical or mental impairment that
                                                         substantially limits one or more of the person's major life activities. (For definitions
                                                         and examples of "physical or mental impairment" and "major life activities," see
                                                         paragraphs (1) and (2) of the definition of the term "disability" in 29 CFR 37.4, the
                                                         definition section of the WIA non-discrimination regulations.)
                                                         Record 2 if the participant indicates that he/she does not have a disability that meets the
                                                         definition.
                                                         If the participant does not wish to disclose his/her disability status, leave "blank" or
                                                         Record 0.
  38        80         1     22. Basic Literacy Skills   Record 1 if the participant meets the definition of basic literacy skills deficient. This     1 = Yes
Numeric                      Deficient                   definition must include a determination that an individual either (a) computes or solves
                                                                                                                                                       2 = No
                                                         problems, reads, writes or speaks English (Spanish in Puerto Rico) at or below grade
                                                         level 8.9; or (b) is unable to compute or solve problems, read, write, or speak English at    9 = Not Applicable/Not
                                                         a level necessary to function on the job, in the individual’s family or in society.           Reported

                                                         Record 2 if the participant does not meet the above definition.
                                                         Record 9 if this information not obtained or reported.


                                                                                                                                                             Page 11

 Field     Field               WIASPR Item and                                 Data Element Definitions/Instructions                                      Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  39        81         8     23. Date of Eligibility   Record the date on which the individual was determined eligible to participate in the       YYYYMMDD
                             Determination             Section 167 program.
 Date
                                                       Otherwise, leave "blank" if the participant did not receive core services.
  40        89         8     24. Date of First         Record the date on which the participant first received intensive services. Intensive       YYYYMMDD
                             Intensive Service         Services include specialized assessments of skill levels, work experience, diagnostic
 Date
                                                       testing, adult basic education or English as a Second Language (ESL) training,
                                                       development of an individual employment 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.
  41        97         8     25. Date of First         Record the date on which the participant first received training services. Training         YYYYMMDD
                             Training Service          services include, but are not limited to, occupational skills training; OJT; skill
 Date                                                  upgrading; entrepreneurial training; and job readiness training.
                                                       Otherwise, leave "blank" if the participant did not receive training services.


                             26. Actual Total Hours    Enter the actual total hours (funded by the 167 grant) in each of the following
                                                       categories.
                                                       SPECIAL NOTE: If the participant did not receive the training service, please enter
                                                       “0000” in the appropriate category of training.
  42        105        4     26a. Basic Skills         Record the actual total hours the participant received basic skills training financially    0000
Numeric                      Training funded by 167    assisted by the section 167 grant. Basic skills training includes, but is not limited to,
                             grant.                    remedial reading, writing, communication, mathematics and/or English for non-English
                                                       speakers.
  43        109        4     26b.                      Record the actual total hours the participant received occupational skills training         0000
Numeric                      Occupational              (excluding On-the-job training) financially assisted by the section 167 grant.
                             Skills Training           Occupational skills training includes vocational education and classroom training,
                             (Non-OJT)                 designed to provide individuals with the technical skills and information required to
                             funded by 167 grant.      perform a specific job or group of jobs.


                                                                                                                                                          Page 12

 Field     Field               WIASPR Item and                                 Data Element Definitions/Instructions                                        Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  44        113        4     26c. Integrated           Record the actual total hours the participant received integrated basic/occupational          0000
Numeric                      Basic/Occu-               skills training financially assisted by the section 167 grant. Integrated
                             pational Skills           basic/occupational skills training combines elements of both Basic Skills Training and
                             Training funded           Occupational Skills Training (Non-OJT) as described immediately above.
                             by 167 grant.
  45        117        4     26d. On-the-job           Record the actual total hours the participant received On-the-job Training (OJT)              0000
Numeric                      Training (OJT)            financially assisted by the section 167 grant. OJT includes training by an employer that
                             funded by 167 grant       is provided to a paid participant while engaged in productive work in a job that: (a)
                                                       provides knowledge or skills essential to the full and adequate performance of the job;
                                                       (b) provides reimbursement to the employer of up to 50 percent of the wage rate of the
                                                       participant, for the extraordinary costs of providing the training and additional
                                                       supervision related to the training; and (c) is limited in duration appropriate to the
                                                       occupation for which the participant is being trained, taking into account the content of
                                                       the training, the prior work experience of the participant, and the service strategy of the
                                                       participant as appropriate.
  46        121        4     26e. Work                 Record the actual total hours the participant received work experience financially            0000
Numeric                      Experience                assisted by the section 167 grant. Work experience includes short-term or part-time
                             funded by 167 grant       work activity that provides an individual with the opportunity to acquire appropriate
                                                       work habits and behaviors.
  47        125        1     27. Received Worker       Record 1 if the participant received any training that consists of instruction in any of      1 = Yes
Numeric                      Safety Training           the following: safe and proper ways to operate or maintain machinery, safe handling
                                                       and use of toxic chemicals, proper use of protective clothing and devices, first aid, or      2 = No
                                                       other topics related to worker safety on the job site.
                                                       Record 2 if the participant did not receive worker safety training.


  48        126        1     28. Enrolled in a         Record 1 if the participant was enrolled in a program or activity leading to an               1 = Yes
Numeric                      program or activity       educational or occupational credential or license. A credential is defined as any
                                                                                                                                                     2 = No
                             leading to an             nationally recognized degree or certificate or a state/locally recognized credential.
                             educational or            Credentials will include, but are not limited to, a high school diploma, GED or other
                             occupational credential   recognized equivalents, postsecondary degrees, recognized skills standards and
                             or license.               licensure or industry recognized certificates.
                                                       Record 2 if the participant does not meet the above definition.


                                                                                                                                                            Page 13

 Field     Field               WIASPR Item and                                 Data Element Definitions/Instructions                                      Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  49        127        8     29.                       Enter the 8-digit O*Net 4.0 (or later versions) code that best describes the occupation       00000000
Numeric                      Occupational              for which the participant received training.
                             Skills Training
                             Code                      Record 00000000 or leave “blank” if the occupational code is not available or not
                                                       known.
                                                       SPECIAL NOTE: If all 8-digits of the occupational skills code are not collected, record
                                                       as many digits as are available. If the individual receives multiple training services, use
                                                       the occupational skills training code for the most recent training.
                             30. Related Assistance    For each of the following Related Assistance services record whether or not the
                             Services                  services were provided while an individual was a participant, regardless of the funding
                             Received                  source.
  50        135        1     30a.                      Record 1 if the participant received transportation (public or private) assistance or cash    1 = Yes
Numeric                      Transportation            paid to participants or members of their families for the purpose of transportation.
                                                                                                                                                     2 = No
                                                       Record 2 if the participant did not receive any transportation assistance.
  51        136        1     30b. Health               Record 1 if the participant received supportive health care services that includes, but is    1 = Yes
                             Care                      not limited to, preventive and clinical medical treatment, voluntary family planning,
                                                                                                                                                     2 = No
Numeric                                                and necessary psychiatric, psychological and prosthetic services.
                                                       Record 2 if the participant did not receive any health care assistance.
  52        137        1     30c. Family               Record 1 if the participant received supportive services which helps participants meet        1 = Yes
Numeric                      Care (including child     their family care needs during program participation. Family care ranges from adult to
                             care)                     child care inside or outside the home to after-school programs (inside or outside the         2 = No
                                                       home). It usually includes supervision and shelter.
                                                       Record 2 if the participant did not receive any family care assistance.
  53        138        1     30d. Housing,             Record 1 if the participant received supportive services which assists participants in        1 = Yes
Numeric                      Resettlement, or Rental   maintaining or obtaining adequate shelter, including utilities, for themselves and their
                                                                                                                                                     2 = No
                             Assistance                families or relocating in order to accept or maintain employment or to obtain education
                                                       or training while they are participating in the program.
                                                       Record 2 if the participant did not receive any housing resettlement or rental assistance.
  54        139        1     30e. Nutritional          Record 1 if the participant received supportive service(s) that includes the provision of     1 = Yes
Numeric                      Assistance                food and other nutritional assistance (other than counseling) to eligible program
                                                                                                                                                     2 = No
                                                       participants and their dependents.
                                                       Record 2 if the participant did not receive any nutritional assistance.


                                                                                                                                                          Page 14

 Field     Field               WIASPR Item and                                  Data Element Definitions/Instructions                                   Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  55        140        1     30f. Translation and       Record 1 if the participant received supportive services which involves a bi-lingual       1 = Yes
Numeric                      Interpretation Services    agent who hears or reads the language of one party and speaks or writes another
                                                                                                                                                   2 = No
                                                        language for another party. One of the two parties will be a program participant.
                                                        Record 2 if the participant did not any receive translation and interpretation services.
  56        141        1     30g. Other                 Record 1 if the participant received supportive services not specified above.              1 = Yes
Numeric
                                                        Record 2 if the participant did not receive any other related assistance services.         2 = No
                             31. Partner Program        The following instruction applies to items 31a through 31k. In each instance indicate
                             Participation              whether or not the individual is participating in each of the following programs.
                                                        Record only those programs that are coordinated, possibly through a formal
                                                        coenrollment, by inclusion in the individual’s service plan, or through follow-up
                                                        services.
  57        142        1     31a. Concurrent            Record 1 if the participant received services financially assisted under WIA Title I-B     1 = Yes
Numeric                      Participation: WIA Title   program.
                             I State/local program
                                                        Record 0 or leave “blank” if the participant did not receive any services under the
                             (Subtitle B)
                                                        condition described above or it is not known.
  58        143        1     31b. Concurrent            Record 1 if the participant received services financially assisted under WIA Title II.     1 = Yes
Numeric                      Participation: Adult
                             Education                  Record 0 or leave “blank” if the participant did not receive any services under the
                                                        condition described above or it is not known.
  59        144        1     31c. Concurrent            Record 1 if the participant received services financially assisted under WIA Title I-D,    1 = Yes
Numeric                      Participation: Native      Section 166.
                             American Programs
                                                        Record 0 or leave “blank” if the participant did not receive any services under the
                                                        condition described above or it is not known.
  60        145        1     31d.Concurrent             Record 1 if the participant received services financially assisted by either DVOP/LVER     1 = Yes
Numeric                      Participation: Veterans    funds (WIA section 121(b)(1)(B)(ix)) or WIA section 168.
                             Workforce Investment
                             Programs                   Record 0 or leave “blank” if the participant did not receive any services under the
                                                        condition described above or it is not known.
  61        146        1     31e.Concurrent             Record 1 if the participant received services financially assisted under the Trade         1 = Yes
Numeric                      Participation: Trade       Adjustment Assistance Act (WIA section 121(b)(1)(B)(viii)).
                             Adjustment Act (TAA)
                                                        Record 0 or leave “blank” if the participant did not receive any services under the
                                                        condition described above or it is not known.


                                                                                                                                                        Page 15

 Field     Field               WIASPR Item and                                  Data Element Definitions/Instructions                                     Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  62        147        1     31f.Concurrent             Record 1 if the participant received services financially assisted under the Carl D.         1 = Yes
Numeric                      Participation:             Perkins Vocational and Applied Technology Education Act (20 USC 2471) (WIA
                             Vocational Education       section 121(b)(1)(B)(vii))
                                                        Record 0 or leave “blank” if the participant did not receive any services under the
                                                        condition described above or it is not known.
  63        148        1     31g.Concurrent             Record 1 if the participant received services financially assisted under parts A and B of    1 = Yes
Numeric                      Participation:             title I of the Rehabilitation Act of 1973 (29 USC 720 et seq.) WIA title IV
                             Vocational
                                                        Record 0 or leave “blank” if the participant did not receive any services under the
                             Rehabilitation
                                                        condition described above or it is not known.
  64        149        1     31h.Concurrent             Record 1 if the participant received services financially assisted under the Wagner-         1 = Yes
Numeric                      Participation: Wagner-     Peyser Act (29 USC 49 et seq.) WIA section 121(b)(1)(B)(ii).
                             Peyser
                                                        Record 0 or leave “blank” if the participant did not receive any services under the
                                                        condition described above or it is not known.
  65        150        1     31i.Concurrent             Record 1 if the participant received services financially assisted under the Older           1 = Yes
Numeric                      Participation: Title V     Americans Act of 1998 (WIA section 121(b)(1)(B)(vi).
                             activities
                                                        Record 0 or leave “blank” if the participant did not receive any services under the
                                                        condition described above or it is not known.
  66        151        1     31j.Concurrent             Record 1 if the participant received employment and training services financially            1 = Yes
Numeric                      Participation:             assisted by the U.S. Department of Housing and Urban Development.
                             Employment and
                                                        Record 0 or leave “blank” if the participant did not receive any services under the
                             Training Programs
                                                        condition described above or it is not known.
                             under Dept. HUD
  67        152        1     31k.Concurrent             Record 1 if the participant received services financially assisted from any other WIA        1 = Yes
Numeric                      Participation: Other       and non-WIA program not listed above.
                             WIA and non-WIA
                                                        Record 0 or leave “blank” if the participant did not receive any services under the
                             programs
                                                        condition described above or it is not known.
  68        153        1     32. Pell Grant Recipient   Record 1 if the participant is or has been notified s/he will be receiving a Pell Grant at   1 = Yes
Numeric                                                 any time during participation in the program. This information may be updated at any
                                                        time during participation in the program.                                                    2 = No

                                                        Record 2 if the participant does not meet the condition described above.


                                                                                                                                                          Page 16

 Field     Field               WIASPR Item and                          Data Element Definitions/Instructions                                   Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  69        154        8     33. Date of         Record the date on which the last service funded by the program or a partner program      YYYYMMDD
                             Exit                is received by the participant. Once a participant has not received any services funded
 Date
                                                 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.
  70        162        1     34. Category of     Record 1 if the participant received and/or completed any job-related core (beyond core   1 = Employment and
Numeric                      Exit                informational or self-services, and eligibility determination), intensive, or training    Training Exiter
                                                 services.
                                                                                                                                           2 = Related Assistance
                                                 Record 2 if the participant received non-job related services, without having received    Services ONLY Exiter
                                                 job-related core, intensive, or training services.
                                                                                                                                           3 = Other Reasons for Exit
                                                 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.


                                                                                                                                                 Page 17

 Field     Field               WIASPR Item and                                  Data Element Definitions/Instructions                                     Coding Value
Number    Starting   Field       Description
& Type    Column     Width
                                                        Record 1 if the participant is residing in an institution or facility providing 24-hour
  71        163        1     35. Other Reasons for                                                                                                  1 = Institutionalized
                                                        support such as a prison or hospital and is expected to remain in that institution for at
                             Exit (at time of exit or
Numeric                                                 least 90 days.                                                                              2 = Health/Medical
                             during 3-quarter
                             measurement period         Record 2 if the participant is receiving medical treatment that precludes entry into        3 = Deceased
                             following the quarter of   unsubsidized employment or continued participation in the 167 program. Does not
                             exit)                      include temporary conditions expected to last for less than 90 days.                        4 = Entered Advanced
                                                                                                                                                    Training
                                                        Record 3 if the participant was found to be deceased or no longer living.
                                                                                                                                                    5 = Entered Post-
                                                        Record 4 if the participant entered advanced training. Advanced trainin includes an         Secondary Education
                                                        occupational skills employment/training program, not funded under Title I of WIA,
                                                        which does not duplicate training received under Title I. This category includes only       6 = Moved/Cannot
                                                        training outside of the 167 program, One-Stop, WIA and partner system.                      Locate/Voluntary
                                                                                                                                                    Separation
                                                        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            7 = Family Care
                                                        academic degree (e.g., AA, AS, BA, BS). This does not include entry into post-              8= Reserve Forces Called
                                                        secondary education programs offered by degree-granting institutions that do not lead       to Active Duty
                                                        to an academic degree.
                                                                                                                                                    9 = Not a Valid SSN
                                                        Record 6 if the participant cannot be located or has moved to an area that 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.

  72        164        8     36. Date Placed in         Record the date on which the participant was placed into unsubsidized employment.           YYYYMMDD
                             Unsubsidized               Leave this field blank if the participant did not enter unsubsidized employment.
 Date
                             Employment


                                                                                                                                                          Page 18

 Field      Field               WIASPR Item and                               Data Element Definitions/Instructions                                     Coding Value
Number     Starting   Field       Description
& Type     Column     Width
                              37. For Those           Record the requested information as appropriate for participants who were placed in
                              Who Were Placed in      unsubsidized employment.
                              Employment,
                              Check Yes for
                              All that Apply
  73         172        1     37a. Entered           Record 1 if the participant entered a Registered Apprenticeship program. The program       1 = Yes
Numeric                       Registered             must be registered with DOL Office of Apprenticeship (OA) or a federally-recognized
                              Apprenticeship         State Apprenticeship Agency (SAA).                                                         2 = No
                              Program
                                                     Record 2 if the participant did not enter a Registered Apprenticeship program.

  74         173        1     37b. Entered            Record 1 if the participant joined the Army, Navy, Air Force, Marines or Coast Guard,     1 = Yes
Numeric                       Military Service        or, entered into active duty from Reserve or National Guard units in cases of unplanned
                                                      military buildup.                                                                         2 = No

                                                      Record 2 if the participant did not enter the military services.
  75         174        1     37c. Self-Employment    Record 1 if the participant was self-employed. Self-employment includes self-directed     1 = Yes
Numeric                                               work in which goods or services produced by, or obtained by, the individual (or others
                                                      working for him/her) are offered for sale.                                                2 = No

                                                      Record 2 if the participant was not self-employed
                              38. For Those           Record the requested employment information below as appropriate for those
                              Who Were Placed in      participants who were placed in unsubsidized employment.
                              Employment,
                              Provide
                              Employment
                              Information
  76         175        2     38a. Hours              Record the usual number of hours of work scheduled per week, including overtime.          00
Numeric                       Worked per
                                                      Record 00 if the participant was not placed into unsubsidized employment.
                              Week
   77        177        5     38b. Hourly             Record the hourly wage at placement. Hourly wage includes any bonuses, tips,              00.00
Currency                      Wage at                 gratuities, commissions, and overtime pay earned.
                              Placement
                                                      Record 00.00 if the participant was not placed into unsubsidized employment.
                                                      SPECIAL NOTE: Decimal point in entry must be explicit.


                                                                                                                                                        Page 19

 Field     Field               WIASPR Item and                             Data Element Definitions/Instructions                                     Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  78        182        1     38c. Fringe           Record 1 if the participant was placed into unsubsidized employment where the                1 = Yes
Numeric                      Benefits              employer makes available (or will make available following the completion of a
                                                                                                                                                2 = No
                             Available/            probationary period) to the individual (whether or not the individual accepts) fringe
                             Received              benefits, beyond those required by law (e.g., Unemployment Insurance, worker’s
                                                   compensation), including health insurance benefits, holiday or vacation pay, sick leave,
                                                   or a pension plan (not including social security).
                                                   Record 2 if the participant was placed into unsubsidize employment where the
                                                   employer does not make available fringe benefits.
                                                   Record 0 if the participant was not placed into unsubsidized employment.
                                                   SPECIAL NOTE: For individuals holding multiple jobs, this item should be recorded
                                                   as 1 = Yes if any job provides fringe benefits.
  79        183        8     38d.                  Enter the 8-digit O*Net 4.0 (or later versions) code that best describes the participant’s   00000000
Numeric                      Occupational          employment.
                             Code: Code
                                                   Record 00000000 or leave “blank” if the occupational code is not available or not
                                                   known.
                                                   SPECIAL NOTE: If all 8-digits of the occupational skills code are not collected, record
                                                   as many digits as are available. If the individual had multiple jobs, use the
                                                   occupational code for the most recent job held.
  80        191        2     38e. FIPS Code        Record the 2-digit FIPS code of the state where the job is located.                          00
Numeric                      of State Where
                                                   Record 00 if the participant was not placed into unsubsidized employment.
                             Job is Located
  81        193        1     38f. Job              Record 1 if the participant was placed into unsubsidized employment that is covered by       1 = Yes
Numeric                      Covered by            Unemployment Insurance.
                             Unemployment                                                                                                       2 = No
                                                   Record 2 if the participant was placed into unsubsidized employment that is not
                             Insurance
                                                   covered by Unemployment Insurance.
  82        194        1     38g. Was Employment   Record 1 if the employment in which the participant entered uses a substantial portion       1 = Yes
Numeric                      Training Related      of the skills taught in the training received by the individual.
                                                                                                                                                2 = No
                                                   Record 2 if the employment in which the participant entered does not meet the
                                                   condition described above.


                                                                                                                                                     Page 20

 Field     Field               WIASPR Item and                                    Data Element Definitions/Instructions                                      Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  83        195        1     38h. Entered Non-           Record 1 if the participant’s employment is in an occupation or field of work for which        1 = Yes
                             Traditional Employment      individuals of the participant’s gender comprise less than 25% of the individuals
Numeric                                                                                                                                                 2 = No
                                                         employed in such occupation or field of work. Non-traditional employment can be
                                                         based on either local or national data, and both males and females can be in non-
                                                         traditional employment.
                                                         Record 2 if the employment in which the participant entered does not meet the
                                                         condition described above.
  84        196        1     39. Attainment of           Record 1 if the participant attained any nationally recognized degree or certificate or a      1 = Yes
Numeric                      recognized educational      state/locally recognized credential. Credentials will include, but are not limited to, a
                                                                                                                                                        2 = No
                             or occupational             high school diploma, GED or other recognized equivalents, postsecondary degrees,
                             certificate, credential,    recognized skills standards and licensure or industry recognized certificates.
                             diploma or degree
                                                         Record 2 if the individual received training services, but did not attain a recognized
                                                         degree, certificate, or credential.


                             40. Type of recognized      Record the requested information below as appropriate if the individual attained a
                             educational or              recognized degree, certificate, or credential.
                             occupational certificate,
                             credential, diploma or
                             degree
  85        197        1     40a. High school            Record 1 if the participant attained a GED certificate or high school diploma, or              1 = Yes
Numeric                      diploma or equivalent       equivalency.
                             (including GED).                                                                                                           2 = No
                                                         Record 2 if the participant did not attain a GED certificate or high school diploma, or
                                                         equivalency.
  86        198        1     40b. AA or AS diploma       Record 1 if the participant attained an AA or AS diploma or degree.                            1 = Yes
Numeric                      or degree
                                                         Record 2 if the participant did not attain an AA or AS diploma or degree.                      2 = No
  87        199        1     40c. BA or BS diploma       Record 1 if the participant attained a BA or BS diploma or degree.                             1 = Yes
Numeric                      or degree
                                                         Record 2 if the participant did not attain a BA or BS diploma or degree.                       2 = No
  88        200        1     40d. Occupational skills    Record 1 if the participant attained an occupational skills license.                           1 = Yes
Numeric                      license
                                                         Record 2 if the participant did not attain an occupational skills license.                     2 = No
  89        201        1     40e. Occupational skills    Record 1 if the participant attained an occupational skills certificate or credential.         1 = Yes
Numeric                      certificate or credential
                                                         Record 2 if the participant did not attain an occupational skills certificate or credential.   2 = No


                                                                                                                                                             Page 21

 Field     Field               WIASPR Item and                                 Data Element Definitions/Instructions                                    Coding Value
Number    Starting   Field       Description
& Type    Column     Width
  90        202        1     40f. Other                Record 1 if the participant attained any other license, diploma, degree, or equivalent.     1 = Yes
Numeric
                                                       Record 2 if the participant did not attain any other license, diploma, degree, or           2 = No
                                                       equivalent.
  91        203        1     41. Employed in the 1st   Record 1 if the participant was employed in the first quarter after the quarter of exit.    1 = Yes
                             Quarter After Exit
Numeric                                                Record 2 if the participant was not employed in the first quarter after the quarter of      2 = No
                             Quarter
                                                       exit.
                                                                                                                                                   3 = Information Not Yet
                                                       Record 3 if information on the participant's employment status in the first quarter after   Available
                                                       the quarter of exit is not yet available.
  92        204        1     42. Employed in the 2nd   Record 1 if the participant was employed in the second quarter after the quarter of exit.   1 = Yes
                             Quarter After Exit
Numeric                      Quarter                   Record 2 if the participant was not employed in the second quarter after the quarter of     2 = No
                                                       exit.
                                                                                                                                                   3 = Information Not Yet
                                                       Record 3 if information on the participant's employment status in the second quarter        Available
                                                       after the quarter of exit is not yet available.
  93        205        1     43. Employed in the 3rd   Record 1 if the participant was employed in the third quarter after the quarter of exit.    1 = Yes
                             Quarter After Exit
Numeric                      Quarter                   Record 2 if the participant was not employed in the third quarter after the quarter of      2 = No
                                                       exit.
                                                                                                                                                   3 = Information Not Yet
                                                       Record 3 if information on the participant's employment status in the third quarter after   Available
                                                       the quarter of exit is not yet available.
  94        206        5     44. Wages 2nd & 3rd       Record the total earnings earned by the participant in the second and third calendar        00000
                             Quarters After Exit       quarters after the quarter of exit. Total earnings include any bonuses, tips, gratuities,
Numeric
                             Quarter                   commissions, and overtime pay earned.
                                                       Note: Enter whole dollar amounts (00000). Please enter 99999 if data are not yet
                                                       available for this item. Otherwise, leave "blank" if this data element does not apply.


                                                                                                                                                           Page 22

                                                                    APPENDIX A
                                                        ADDITIONAL GUIDANCE FOR COLLECTING
                                                         FEDERAL EQUAL OPPORTUNITY DATA

Beginning on the effective date of this reporting system, states are required to collect, maintain, and report equal opportunity information, including sex
(WIASPR Item #6), age (WIASPR Item #5), disability (WIASPR Item #21h), ethnicity (WIASPR Item #8), and race (WIASPR Items #7a through #7e) , for all
individuals who apply for benefits or services financially assisted by the program. This requirement is in accordance with 29 CFR Part 37, “Implementation of
the Nondiscrimination and Equal Opportunity Provisions of the Workforce Investment Act of 1998.” For reference, sections 37.37(b)(1), (b)(2) and (d) of title
29 CFR mandate the following:

         (b)(1) Each recipient must collect such data and maintain such records, in accordance with procedures prescribed by the Director [Director of the
         Civil Rights Center, Office of the Assistant Secretary for Administration and Management, DOL], as the Director finds necessary to determine
         whether the recipient has complied or is complying with the nondiscrimination and equal opportunity provisions of WIA or this part. The system and
         format in which the records and data are kept must be designed to allow the Governor and CRC [Civil Rights Center, Department of Labor] to
         conduct statistical or other quantifiable data analyses to verify the recipient's compliance with section 188 of WIA and this part;

         (b)(2) Such records must include, but are not limited to, records on applicants, registrants, eligible applicants/registrants, participants,
         terminees, employees, and applicants for employment. Each recipient must record the race/ethnicity, sex, age, and where known, disability status,
         of every applicant, registrant, eligible applicant/registrant, participant, terminee, applicant for employment, and employee;
         (d) Where designation of individuals by race or ethnicity is required, the guidelines of the Office of Management and Budget must be used.

Other sources of authority for this requirement include 29 CFR 31.5(b), in DOL’s regulations implementing Title VI of the Civil Rights Act of 1964, and 29
CFR 32.44(b), in DOL’s regulations implementing Section 504 of the Rehabilitation Act of 1973. The CRC Director has determined that collection of the
equal opportunity information sought by this section of the reporting system is necessary in order to determine whether recipients have complied, or are
complying, with the nondiscrimination and equal opportunity provisions of WIA and other applicable statutes.

The collection of equal opportunity information is to be self-identified and is voluntarily provided by the individual. Individuals should be made aware of the
reason for the request of such information as well as the parties to whom disclosure may be made. Information collected from the individual will be used
to monitor compliance of recipients with the equal opportunity and nondiscrimination requirements enforced by the CRC. It will also be used to assist the
grantee and the Department in evaluating and improving efforts to conduct outreach to diverse population groups, including racial and ethnic minorities and
persons with disabilities.

The collection of ethnicity and race information contained within these reporting instructions are in accordance with the Office of Management and Budget
(OMB) Statistical Directive 15. The ethnicity and racial categories in this classification are social-political constructs and should not be interpreted as being
scientific or anthropological in nature. They are not to be used as determinants of eligibility for participation in any Federal program. The standards have
been developed to provide a common language for uniformity and comparability in the collection and use of data on race and ethnicity by Federal agencies.


                                                                                                                                                    Page 23

OMB has determined that a two-question format should be used in all cases involving self-identification of ethnicity and race. Therefore, ethnicity information
(i.e., Hispanic or Latino) must be collected separately from race information, and individuals who indicate that they are Hispanic or Latino should also have the
opportunity to select one or more racial categories. Information on an individual’s ethnicity must also be collected before information on race. When
completing race information, individuals must be offered the option of selecting one or more racial designations. Recommended forms for the instruction
accompanying the race information should instruct the individual to read each racial designation carefully and then “Mark one or more . . .” or “Select one or
more . . .” races to indicate what the individual considers him/herself to be.

For the purposes of the requirements in this section of the reporting system, disability means, with respect to an individual, a physical or mental impairment that
substantially limits one or more of the major life activities of such individual. 29 CFR 37.4 provides further clarification of the term “disability”;
relevant portions of the definition have been included below for reference

         (1)(i) The phrase physical or mental impairment means—
                  (A) Any physiological disorder or condition, cosmetic disfigurement, or anatomical loss affecting one or more of the following body systems:
                       neurological, musculoskeletal, special sense organs, respiratory (including speech organs), cardiovascular, reproductive, digestive,
                       genitourinary, hemic and lymphatic, skin, and endocrine;
                  (B) Any mental or psychological disorder such as mental retardation, organic brain syndrome, emotional or mental illness, and specific
                       learning disabilities.

         (ii) The phrase physical or mental impairment includes, but is not limited to, such contagious and noncontagious diseases and conditions as orthopedic,
         visual, speech and hearing impairments, cerebral palsy, epilepsy, muscular dystrophy, multiple sclerosis, cancer, heart disease, diabetes, mental
         retardation, emotional illness, specific learning disabilities, HIV disease (whether symptomatic or asymptomatic), tuberculosis, drug addiction, and
         alcoholism. The phrase ``physical or mental impairment'' does not include homosexuality or bisexuality.

         (2) The phrase major life activities means functions such as caring for one's self, performing manual tasks, walking, seeing, hearing, speaking,
         breathing, learning, and working.

Information collected from the individual will be used to monitor compliance of recipients with the equal opportunity and nondiscrimination requirements
enforced by the CRC. It will also be used to assist the grantee and the Department in evaluating and improving efforts to conduct outreach to diverse population
groups, including racial and ethnic minorities and persons with disabilities.

Personally identifying information (i.e., equal opportunity information by SSN) will not be included in the tabulation or transfer of data to the Department. The
Department will use the data supplied by the individual to determine how many applicants are from different groups and how many of these applicants are
determined eligible to receive services financially assisted by the program in question. The Department will then assess compliance with nondiscrimination and
equal opportunity requirements, as well as the effectiveness of specific outreach efforts and means of communication in light of this information.


                                                                                                                                                 Page 24

What does federal law require today?

This guidance has been withdrawn. Ezel checks current federal labor law as it stands now and answers your situation with citations.

Opens in Ezel Pro.

  • Checks the law as it stands today, not only this page
  • Cites every source it relies on, so you can verify it
  • Chat, drafting and research in one workspace