ETA-9132 Workforce Performance Report

WORKFORCE INVESTMENT PERFORMANCE REPORT (ETA FORM 9132)

OMB No.:

1205-NEW

Expires:

xx/xx/xxxx

Average Response Time Range:

200 - 600 Hours

A. GRANTEE IDENTIFYING INFORMATION

1. Grantee Name:

3. Workforce Programs (please select one or more)

Wagner-Peyser Employment Service/Jobs for Veterans State Grants WIA Title I Programs Trade Adjustment Assistance Program

2. Grantee Mailing Address:

4. Report Quarter End Date:

_____________________________________________________________________________

mm/dd/yyyy

City ________________________________

State ______ Zip Code ___________

5. Report Due Date:

mm/dd/yyyy

Performance Items

Previous Quarter (A)

Current Quarter (B)

Cumulative 4-Qtr Period (C)

B. CUSTOMER SUMMARY INFORMATION

1. Total Exiters

2. New Participants Served

3. Total Participants Served

Gender

3a. Male

3b. Female

Ethnicity and Racial Categories

3c. Hispanic/Latino

3d. American Indian or Alaskan Native

3e. Asian

3f. Black or African American

3g. Native Hawaiian or Other Pacific Islander

3h. White

3i. More Than One Race

Other Customer Demographics

3j. Veterans and Other Eligible Persons

3k. Persons with a Disability

3l. UI Claimant

3m. Migrant and Seasonal Farmworkers

3n. Limited English Proficient

Program of Participation

3o. Wagner-Peyser Act Program

3p. Disabled Veterans' Outreach (DVOP) Program

3q. Local Veterans' Employment Rep. (LVER) Program

3r. WIA Adult Program

3s. WIA Dislocated Worker Program

3t. National Emergency Grants

3u. Trade Adjustment Assistance Program

3v. Rapid Response

3w. WIA Youth Program

WIA Youth Demographics

3w1. Younger Youth (14 - 18)

3w2. Older Youth (19 - 21)

3w3. Out-of-School

3w4. In-School

3w5. Offender

3w6. American Indian or Alaskan Native Youth

3w7. Foster Care

3w8. Youth with Disabilities

Performance Items

Previous Quarter (A)

Current Quarter (B)

Cumulative 4-Qtr Period (C)

C. CUSTOMER SERVICES AND ACTIVITIES

C.1 SERVICES TO ALL CUSTOMERS

1. Self-Services/Informational Activities

1a. Self-Services/Informational Activities only

2. Staff Assisted Core Services

3. Intensive Services

4. Training Services

Program of Participation

4a. WIA Adult Program

4b. WIA Dislocated Worker Program

4c. National Emergency Grants

4d. Trade Adjustment Assistance Program

4e. WIA Youth Program

C.2 ADDITIONAL SERVICES TO WIA YOUTH CUSTOMERS

1. Educational Achievement Services

2. Alternative Schooling

3. Summer Employment Opportunities

4. Work Experience

5. Leadership Development Opportunities

6. Supportive Services

7. Adult Mentoring Services

8. Career Guidance/Counseling Services

D. PERFORMANCE RESULTS

D.1 ADULT PERFORMANCE MEASURES

1. Entered Employment Rate

0.0%

Numerator

0.0%

Numerator

Denominator

Denominator

Program of Participation

1a. Wagner-Peyser Act (W-P) Program

0.0%

0.0%

1b. W-P + DVOP/LVER Programs - All Veterans

0.0%

0.0%

1c. W-P + DVOP/LVER Programs - Disabled Veterans

0.0%

0.0%

1d. WIA Adult Program

0.0%

0.0%

1e. WIA Dislocated Worker Program

0.0%

0.0%

1f. National Emergency Grants

0.0%

0.0%

1g. Trade Adjustment Assistance Program

0.0%

0.0%

2. Employment Retention Rate

0.0%

Numerator

0.0%

Numerator

Denominator

Denominator

Program of Participation

2a. Wagner-Peyser Act (W-P) Program

0.0%

0.0%

2b. W-P + DVOP/LVER Programs - All Veterans

0.0%

0.0%

2c. W-P + DVOP/LVER Programs - Disabled Veterans

0.0%

0.0%

2d. WIA Adult Program

0.0%

0.0%

2e. WIA Dislocated Worker Program

0.0%

0.0%

2f. National Emergency Grants

0.0%

0.0%

2g. Trade Adjustment Assistance Program

0.0%

0.0%

3. Average Earnings

$0

Numerator

$0

Numerator

Denominator

Denominator

Program of Participation

3a. Wagner-Peyser Act (W-P) Program

$0

$0

3b. W-P + DVOP/LVER Programs - All Veterans

$0

$0

3c. W-P + DVOP/LVER Programs - Disabled Veterans

$0

$0

3d. WIA Adult Program

$0

$0

3e. WIA Dislocated Worker Program

$0

$0

3f. National Emergency Grants

$0

$0

3g. Trade Adjustment Assistance Program

$0

$0

D.2 YOUTH PERFORMANCE MEASURES

1. Placement in Employment or Education

0.0%

0.0%

2. Attainment of Degree or Certificate

0.0%

0.0%

3. Literacy and Numeracy Gains

0.0%

0.0%

D.3 ADDITIONAL WIA TITLE IB PERFORMANCE MEASURES

Adults

1. WIA Adult Employment and Credential Rate

0.0%

0.0%

2. WIA Dislocated Worker Employment and Credential Rate

0.0%

0.0%

Younger Youth (14 - 18)

3. Diploma or Equivalent Rate

0.0%

0.0%

4. Skill Attainment Rate

0.0%

0.0%

5. Retention Rate

0.0%

0.0%

Older Youth (19 - 21)

6. Entered Employment Rate

0.0%

0.0%

7. Employment Retention Rate

0.0%

0.0%

8. Six Months Earnings Increase

$0

$0

9. Credential Rate

0.0%

0.0%

E. REPORT CERTIFICATION/ADDITIONAL COMMENTS

1. Report Comments/Narrative:

2. Name of Grantee Certifying Official/Title:

3. Telephone Number:

4. Email Address:

OMB Burden Statement: These reporting instructions have been approved under the Paperwork Reduction Act of 1995. Persons are not required to respond to this collection of information unless it displays a currently valid OMB number. Obligation to respond is required to obtain or retain benefits (Workforce Investment Act [Section 185(a)(2)], Wagner-Peyser Act [29 USC 49i] and Trade Adjustment Assistance [20 CFR 617.61]). Public reporting burden for this collection of information, which is to assist with planning and program management and to meet Congressional and statutory requirements, includes time to review instructions, search existing data sources, gather and maintain the data needed, and complete and review the collection of information. Send comments regarding this burden estimate, or any other aspect of this collection, including suggestions for reducing burden, to the U.S. Department of Labor, Employment and Training Administration, Office of Performance and Technology, Room S-5206, 200 Constitution Avenue, NW, Washington, DC 20210.