Reemployment Activities for UI Claimants in Federal Programs, participant burden

ETA 9002 EUC Quarterly Report		U.S Department of Labor
Services to Participants &		Labor Exchange Reporting System
Performance Outcomes for Exiters
State:		Report Due mm/dd/yyyy
Current Reporting Period Ending mm-dd-yyyy		Total REA/RES	Veterans, Eligible Persons, TSMs who are REA/RES
1	Total Participants
3	Interstate
4	Male
5	Female
6	Adult (18 and over)
7	18 - 44
8	45 - 54
9	55 and over
10	Referred to WIA Services
11	Total Exiters
12	Entered Employment Numerator
13	Entered Employment (Youth)
14	Entered Employment (18-44)
15	Entered Employment (45-54)
16	Entered Employment (55 and over)
17	Entered Employment Rate
18	Employment Retention at Six Mo. Numerator
19	Employment Retention at Six Mo. Denominator
20	Employment Retention Rate at Six Mo.
21	Six Month Average Earnings
Staff-Assisted Service Distribution
22	Received Staff-Assisted Services
23	Career Guidance
24	Job Search Activities
25	Referred to Employment
26	Referred to WIA Services
27	Received Workforce Info Services
Report Comments:
OMB No.: 1205-0493 OMB Expiration Date: 10/31/2012 Average Estimated Response Time: 80 Hours
O M B 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 valid OMB control number.
Public reporting burden for this collection of information includes the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Submission is required to retain or obtain benefits under SSA 303(a)(6) and Pub. L. 112-96 section 2142. Respondents have no
expectation of confidentiality. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Office of Workforce
Security, Room S-4526, 200 Constitution Ave., NW, Washington, DC, 20210.