Standard QPR Form

H-1B Standard QPR Form OMB 1205-0507 Exp 03-31-2016_RTW_ TrackChge_version.xlsx

H-1B Technical Skills Training Grants and H-1B Jobs and Innovation Accelerator Challenge Grants

Standard QPR Form

OMB: 1205-0507

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STANDARDIZED QUARTERLY PERFORMANCE PROGRESS REPORT
Employment and Training Administration
H-1B READY TO WORK GRANTS
and
H-1B JOBS AND INNOVATION ACCELERATOR CHALLENGE GRANTS
Quarterly Report Form
OMB No. 1205-0507
Expiration 03/31/2016


A. GRANTEE IDENTIFYING INFORMATION

1. Grantee Name:

2. Grant Number:

3. Program/Project Name:

4. Grantee Address:

City: __________________________________________ State: ______________________________________ Zip Code: ____________


5. Report Quarter End Date: mm/dd/yyyy

6. Report Due Date: mm/dd/yyyy

Performance Items Previous Quarter
(A)
Current Quarter
(B)
Cumulative Grant-to-Date (C)


B. GRANT SUMMARY INFORMATION

1. Total Exiters




2. Total Participants Served




3. New Participants Served




C. PARTICIPANT SUMMARY AND SERVICE INFORMATION




Gender 1a. Male




1b. Female




Ethnicity 2a. Hispanic/Latino




Ethnicity/Race 2b. American Indian or Alaskan Native




2c. Asian




2d. Black or African American




2e. Native Hawaiian or Other Pacific Islander




2f. White




2g. More Than One Race




Other Demographics 3a. Eligible Veterans




3b. Individuals with a Disability




3c. Employed Individuals




3d. Incumbent Workers




3e. Unemployed Individuals




3f. Dislocated Workers




3g. Long-term Unemployed




Education Level 4a. High School Graduate or Equivalent




4b. 1 - 4 Years or More of College, or Full-time Technical or Vocational School




4b.i Postsecondary Education Certificate or Diploma (non-degree)




4c. Associates Diploma or Degree




4d. Bachelor's Degree or Equivalent




4e. Advanced Degree Beyond Bachelor's




Services 5a. Received Case Management Services




5b. Received Assessment Services




5c. Received Supportive Services




5d. Received Specialized Participant Services




5e. Participated in Work Experience




D. TRAINING PROGRAM SERVICES

Training Indicators 1. Number Began Receiving Education/Job Training Activities




2. Number Entered On-the-Job Training Activities




3a. Number Entered in Classroom Occupational Training Activities




3b. Number Entered in Contextualized Training Activities




3c. Number Entered in Distance Learning Activities




3d. Number Entered in Customized Training Activities




3di. Number Entered in Incumbent Worker Training Activities




3e. Number Participated in Registered Apprenticeship




4. Number Completed Education/Job Training Activities




5. Number Completed On-the-Job Training Activities




E. TRAINING PROGRAM OUTCOMES - PERFORMANCE INDICATORS

Training Program Education
Outcomes
1. Number Completed Training Program Activities and Obtained a Credential




2. Total Number of Credentials Received




LTU/unemployed Employment
Outcomes (Unemployed Individuals)
3. Number Entered Unsubsidized Employment




3a. Number Completed Training & Entered Unsubsidized Training-Related Employment




3b. Number Retained Employment




Incumbent Worker Employment Outcomes (Employed Individuals) 4a. Total Number of Incumbent Workers Employed Retained Current Position




4b. Total Number of Incumbent Workers Employed that Advanced into New Position




F. COMMON PERFORMANCE MEASURES

1. Entered Employment Rate




2. Employment Retention




3. Average Earnings




G. REPORT CERTIFICATION/ADDITIONAL COMMENTS

1. Report Comments/Narrative:
Attach a separate document that provides a discussion of the grant narrative items outlined in the reporting instructions found in the accompanying DOL H-1B Quarterly Performance Handbook.


2. Name of Grantee Certifying Official/Title:
3. Telephone Number:



4. Email Address:

Persons are not required to respond unless this form displays a currently valid OMB number. Obligation to respond is required to obtain or retain benefits (Workforce Investment Act [Section 185(a)(2)]. Public reporting burden for this collection of information, which is to assist with planning and program management and to meet Congressional and statutory requirements, averages 2.66 hours per record, including 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 to the U.S. Department of Labor, ETA, Room C-4518, 200 Constitution Avenue, NW, Washington, DC 20210-0001



DOL, ETA Internal Use Only

Additional Comments:




Regional Federal Project Officer:


National Program Office:




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