Attachment A - TAACCCT Round-1 Reporting Forms & Instructions

Attachment_A_TAACCCT Round 1 Reporting Forms and Instructions_3-18-2015.pdf

Trade Adjustment Assistance Community College and Career Training Grant Program Reporting Requirements

Attachment A - TAACCCT Round-1 Reporting Forms & Instructions

OMB: 1205-0489

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DOL EMPLOYMENT AND TRAINING ADMINISTRATION
OMB Control Number 1205-0489
Expiration Date: 03/31/2015

Trade Adjustment Assistance Community College and
Career Training Grants:
Annual and Quarterly Program Reporting Forms & Instructions

Prepared By
Employment and Training Administration
United States Department of Labor

This reporting requirement is approved under the Paperwork Reduction Act of 1995, OMB Control No. 1205-0489, expiring
03/31/2015. 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 22 hours per quarterly report and 48
hours per annual report per grantee, including time for reviewing instructions, searching existing data sources, gathering and
reviewing the collection of information. Respondent’s obligation to reply is required to obtain or retain benefits (Workforce
Investment Act [Section 185(a)(2)]. 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
Performance and Technology, 200 Constitution Avenue, NW, Room S-5206, Washington, D.C. 20210.

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I.

GENERAL INSTRUCTIONS
The Trade Adjustment Assistance Community College and Career Training (TACT) grantees are
required to submit quarterly and annual program reports to the United States Department of
Labor’s Employment and Training Administration (USDOL/ETA) in order to comply with the
reporting and record keeping requirements of the grant. Each grantee must submit a Quarterly
Progress Report (QPR) containing updates on the progress and implementation measures specified
in each grant. Each grantee must also submit an Annual Performance Report (APR) that reflects
the longer-term outcomes of program participants and a comparison cohort. Both the Quarterly
and Annual Reports include narrative information. The instructions and performance reporting
forms for completing these two types of reports can be found under Section II below. Should
changes in definitions resulting from new legislation or related regulations occur, appropriate
revisions will be issued to reflect these changes.

II.

REPORT FORMS AND INSTRUCTIONS
A. Quarterly Progress Report –The quarterly progress report provides narrative updates on the
capacity building taking place, progress and implementation measures that grantees defined in
their statements of work, and a self-assessment of the grantee’s progress each quarter on
these measures. Samples of progress measures include: the number and percentage of
students who place into and enroll in remedial math, English or both; the number and
percentage of entering students who enroll consecutively from fall-to-spring and fall-to-fall;
and the annual ratio of certificates and degrees awarded per 100 full-time equivalent
students. Samples of implementation measures include: expansion and improvement in the
capacity of support programs such as career counseling, tutoring, and job placement services;
establishment of credit for prior learning assessments; and the creation of new articulation
agreements. The instructions for grantees to complete the QPR can be found under Appendix
A. The format for the QPR can be found in Attachment A.
For consortia, the lead institution is responsible for gathering all information and data from
participating consortium members and reporting in aggregate each quarter.
B. Annual Performance Report – In addition to providing a fourth Quarterly Progress Report each
year, grantees will complete the APR form, which provides information on participants in the
programs funded by the grant, as well as minimal narrative. The instructions for grantees to
complete the Annual Performance Report can be found under Appendix B. The format for the
annual performance outcomes reports can be found in Attachments B.1 and B.2.
For consortia, the lead institution is responsible for gathering all information and data from
participating consortium members and reporting in aggregate each quarter.
The last Quarterly Progress and Annual Performance Reports will serve as the grant’s Final
Performance and Outcomes Report. Together, these reports will provide both quarterly and
cumulative information on the grant’s activities. They will summarize project activities,
employment outcomes and other deliverables, and related results of the project, and will
thoroughly document the approaches used by the grantee.
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III.

DUE DATES
A. All Quarterly reports under Section II are due to ETA no later than 45 days after the end of each
reporting quarter. The table below shows the expected due dates for each reporting quarter.
Reporting
Quarters

Due
Dates

October 1st – December 31st

February 14th

January 1st – March 31st

May 15th

April 1st – June 30th

August 14th

July 1ST – September 30th

November 14th

Should the due date of the report fall on a Saturday, Sunday, or holiday, the report is due the
business day before.
B. All Annual reports are due to ETA no later than 45 days after the end of each reporting year,
which will be October – September. The due date for each annual report will be November 14th.
Should the due date of the report fall on a Saturday, Sunday, or holiday, the report is due the
business day before.

IV.

SUBMISSION PROCEDURES
Information contained in the TACT Quarterly and Annual reports must be submitted directly to
ETA via technical instructions issued through the USDOL/ETA national office and available via the
ETA performance website (www.doleta.gov/performance). Grantees will certify the data
submission and then an ETA Federal Project Officer will review it. Once an ETA Federal Project
officer has accepted a report, it is locked from grantee modifications unless specifically requested
through the FPO.

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Appendix A
Instructions for Completing the
Trade Adjustment Assistance Community College and Career Training (TACT)
Grant Quarterly Narrative Progress Report

General Grant Information
Grantee Name:
Project Name:
Grant Number:
Report Quarter Ending:
Date of Submission:
Program Contact Information:
A. Summary of Grant Activities
This section is an executive summary of grant activities for the quarter, and should serve
as the annual summary each fourth quarter. In one page or less, please provide a short
summary of all activities supported by the grant for the current quarter, highlighting key
activities in line with the grant Statement of Work. This section is not intended to be a
list of every meeting or communication.
B. Status Update on Leveraged Resources
Leveraged resources must be reported quarterly on the Financial Status Report (ETA9130). In addition, please use this section of the narrative to report leveraged resources
used to support grant activities. Leveraged resources include both Federal and nonFederal funds, and may take the form of cash or in-kind contributions. Examples of inkind contributions include personnel services provided by volunteers or non-grantee
staff, donated equipment, supplies, or space. This section may include an update on: (1)
the organizations that contributed the resources; and (2) the ways in which the
resources were used during the current quarter. Also, respond to the yes or no
question in this section as follows:
During this quarter, did you receive any additional leveraged resources beyond
what is listed in your statement of work?
C. Status Update on Employer(s) Involvement
This section should be used to: (1) discuss how the required employer(s) has been
involved during the current phase of the project; (2) outline specific roles and
contributions of the employer(s) during this quarter; (3) identify any challenges
encountered/resolved in the development and management of the employer
involvement; and (4) discuss new employers and commitments that may have been
added to support the project. The grantees must also respond to four yes or no
questions in this section as follows:
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Have you had any consultation or advisory meetings with business or employer
partners during this quarter?
Were there any direct hires of program of study completers by employer
partners during this quarter?
Were internships or other work-based learning opportunities posted during this
quarter?
Did you acquire any additional employer partners during this quarter?
D. Timeline for Grant Activities and Deliverables
Use this section to provide a timeline of the progress of grant activities, key deliverables
for this quarter, and if applicable, deliverables available this quarter for broad
dissemination. Use the timeline in the grant’s statement of work to identify all major
program activities for the entire life of the grant. The timeline will paint a picture of
project flow that includes start and end dates, schedule of activities, and projected
outcomes. In order to reap the most benefit from the timeline, it is important that it be
updated each quarter noting the actual date of completion as each activity is
accomplished. Items to incorporate in the timeline include: project goals, benchmarks,
milestones, special events, important deadlines and deliverables. Respond to two
questions in this section as follows:
How many programs are you planning to offer? This number should align with
your statement of work.
As of this quarter, how many programs have you launched to date?
E. Status of Progress and Implementation Measures
Use this section to provide information that details the status of the progress and
implementation measures required for the grant, and a self-assessment for each
measure if the grant is ahead of schedule, on schedule, or behind schedule.
TACT grantees’ narrative each quarter must include a report on at least two
progress measures for each strategy (as identified in the grant’s Project Work
Plan) that are designed to track progress toward successful implementation of
each strategy, noting any deliverable that is finalized in conjunction with a
progress measure.
TACT grantees’ narrative each quarter must also include a report on at least two
implementation measures for each strategy (as identified in the grant’s Project
Work Plan) that are designed to track progress toward successful
implementation of each strategy, noting any deliverable that is finalized in
conjunction with a progress measure.
The narrative should clearly describe the data collected to date on participant
persistence, retention and outcome data (as it becomes available), and note whether
this data suggests that the project’s strategies have improved persistence and retention.
The narrative should also indicate whether the grantee is modifying any project
strategies based on the available data.
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All TACT-funded programs should strive to use data from implementation, progress, and
outcome measures for continuous improvement, modifying program strategies to
achieve better results.
F. Key Issues and Technical Assistance Needs
Summarize any significant issues or problems encountered during the quarter and
resolution of previous issues and challenges identified in previous quarters. Describe
any actions taken or plans for addressing issues, any question you have for DOL, and any
need for assistance from DOL or others. If grantees have nothing to report, that should
be specified.
G. Best Practices, Promising New Strategies and Success Stories
Describe promising approaches, innovative processes, and grant-level and/or participant
level success stories. Examples may include developing and implementing an outreach
plan, developing new or enhancing existing curriculum, and creating new career
assistance tools and resources. Throughout the implementation of the program,
grantees may discover new strategies that emerge as a result of data-driven continuous
improvement. The new strategies may or may not have significant levels of evidence at
this point in the program; however, they should still be described here. As progress is
made with a new and promising strategy, or as data/evidence is gathered to support it,
grantees should document the progress and data/evidence each quarter. Grantees may
also describe any lessons learned and how those lessons learned will be implemented.
H. Additional Outcome Information
This section allows grantees to report any grant-specific outcomes not captured in other
sections of the quarterly narrative progress report, including, but not limited to, any
specific outcomes included in the statement of work. For every fourth quarterly report,
this update may include additional information about activities and outcomes to
supplement data submitted on the Annual Performance Report form.
I. Name of Grantee Certifying Official
The name of the grantee official who is certifying submission of the report to the
Department.
J. Telephone Number
The area code (###) and telephone number (###-####) of the authorized official.
K. Email Address
The email address of the authorized official.

Attachment A- Word file

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Appendix B
Instructions for Completing the
Trade Adjustment Assistance Community College and Career Training (TACT)
Grant Annual Performance Report
It is the expectation and design of the TACT program that the first year of funding will primarily
be used by grantees to build capacity based on the priority(ies) identified in their proposal. As
such, ETA recognizes that annual data submitted in Tables 1 and 2 is likely to reflect minimal, if
any, participant data for Year 1. However, given the Federal investment in these grants,
grantees must report information on participants after the first year of grant operations.
Two tables will be used for reporting data in the Annual Performance Report:
 Table 1 (Attachment B.1) contains an aggregate count each year submitted for all
participants in all programs as well as narrative information on yearly progress. Table 1
will reflect the data on the total number of participants served and outcomes achieved
as reportable in each of the years the grant is active. The form and instructions for
completing it can be found below and in attachment B.1.
 Table 2 (Attachment B.2) contains longitudinal data on a cohort of participants and a
cohort of similar participants as established at a single point in time. In particular,
depending on the grant design and the strength of the program during the first year,
Table 2 will follow the set of participants that enrolled in Year 1 and a group of similar
individuals who enrolled that same year, or it will follow the set of participants that
enrolled in Year 2 and a group of similar individuals who enrolled that year.
Demographic and outcome data reported in both tables should be based on individual-level
participant data maintained by each individual grantee and each member of a grantee
consortia, if applicable.
For consortia, the lead institution is responsible for gathering all relevant information and
reporting it in aggregate for both tables of the annual performance report. In the case where
the number of consortium members varies across multiple programs, information should be
provided separately for each program.
Tracking Individual Enrollee/Participant Outcomes
In order to track and report participant employment outcomes, and per the Statement of Work
(via the Solicitation for Grant Applications), applicants must use administrative data to track
employment, retention, and earnings outcomes. In order to conduct matches to student
records with administrative wage data, the individual level data should include personally
identifiable participant information (i.e., Social Security Numbers) as well as other data
elements such as employment status, date of withdrawal, and reason for withdrawal, which can
be matched with employment data available from state Unemployment Insurance and other
administrative wage records. The individual-level data will not be provided to DOL through the
quarterly or annual reports, but it may be provided to an independent evaluator to assess the
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impact of grantee programs. Grantees must ensure the confidentiality of personally identifiable
information.
The Data Collector should ensure that when he or she is collecting this information from
students that they are informed of why they are being asked to provide their Social Security
numbers, in accordance with the Privacy Act statement below.
PRIVACY ACT
In accordance with the Privacy Act of 1974 (Public Law No. 93-579, 5 U.S.C. 552a), you are
hereby notified that the Department of Labor is authorized to collect information to implement
the Trade Adjustment Assistance Community College and Career Training Program under 19
USC 2372 – 2372a. The principal purpose for collecting this information is to administer the
program, including tracking and evaluating participant progress. Providing this information,
including a social security number (SSN) is voluntary; failure to disclose a SSN will not result in
the denial of any right, benefit or privilege to which the participant is entitled. The information
that is collected on this form will be retained in the program files of the grantee and may be
released to other Department officials in the performance of their official duties.
(Note: The following is the citation from the Solicitation for Grant Applications (SGA) regarding
administrative records: “Applicants must describe their existing or planned approach to
tracking and reporting employment, retention, and earnings outcomes using administrative
records. This may include working with the State Directory of New Hires, the State Labor
Market Information units (that house the Local Employment Dynamic survey data), the State
Workforce Agency that is responsible for tracking and reporting outcomes on TAA for Workers
program participants using the Trade Act Participant Record
http://www.doleta.gov/Performance/pfdocs/12050392_TAPR_Revision_Track_Changes_Draft_
TEGL_Change_112909.pdf), or other federally-supported administrative record data. This may
also include working with the State Workforce Agency to access employment data available in
unemployment wage records. For example, if the applicant does not have an existing
relationship with its State’s agency responsible for collecting wage record information to verify
employment, it should describe the process that it will use to obtain employment outcome
information, which may include establishing data sharing agreement(s) to access administrative
records containing this information.)

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Attachment B.1: Annual Performance Report – Table 1
Section A. Grantee Identifying Information
A.1

Grantee Name – Enter the grantee name as it appears on the appropriate Notice of
Obligation (NOO) or equivalent official document from the U.S. Department of Labor.

A.2

Grant Number – Enter the grant number as it appears on the appropriate Notice of
Obligation (NOO) or equivalent official document from the U.S. Department of Labor.

A.3

Program/Project Name – Enter the name of the TACT Grant program or project.

A.4

Grantee Address – Enter the mailing address as it appears on the appropriate NOO or
equivalent official document from the U.S. Department of Labor.

A.5

Report Year End Date – Enter the year (yyyy) for which the report is being prepared.

A.6

Report Due Date – Enter the month, day, and year (mm/dd/yyyy) on which the report is
due to the Department. For example, if the report is being prepared for the year ending
09/30/2012, the Report Due Date format should be represented as 11/14/2012.

Section B. Participant Outcomes (ALL GRANT PARTICIPANTS)
Grantees are required to submit information for Rows B.1-B.10 only through the end of the
year in which the data is being reported for participants enrolled in programs funded by the
Trade Adjustment Assistance Community College and Career Training Grant. Grantees should
report information on participants after Year 1 if it is available. For Years 2 (Column B) and 3
(Column C), data should be reported cumulatively in the appropriate year’s column. For all data
collection items contained within this section, the data format is Integer with a maximum field
length of 6-digits. Information should be provided as follows:
B.1

Unique Participants Served/Enrollees – Enter the cumulative total number of
individuals who entered any of the grant-funded programs offered to date (including
certificate or degree programs or other training activities). Participants should only be
included once, even if they enroll in multiple programs.

B.2

Total Number Who Have Completed a Grant-Funded Program of Study – Enter the
total number of unique participants (B.1) who completed any grant-funded program to
date. Completion is defined as having earned all of the credit hours (formal award
units) needed for the award of a degree or certificate in that program of study.
Participants should only be included once, even if they complete multiple programs.

B.2a

Total Number of Incumbent Workers Who Have Completed a Grant-Funded Program
of Study – Enter the total number of participants employed at enrollment who complete
any grant-funded program to date. Completion is defined as having earned all of the
credit hours (formal award units) needed for the award of a degree or certificate in that
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program of study. Participants should only be included once, even if they complete
multiple programs.
B.3

Total Number Still Retained in Their Program of Study or Other Grant-Funded
Program(s) – Of the total number of unique participants enrolled (B.1) who have not
completed their programs, enter the total number of enrollees who were still enrolled
either in their original program of study or a different grant-funded program of study at
the end of the reporting year. (Note: A participant counted in B.2 should not be
counted again in B.3).

B.4

Total Number Retained in Other Education Program(s) – Of the total number of unique
participants enrolled, enter the total number of enrollees who dropped out of a grantfunded program of study, but have enrolled in another education program not funded
by the grant. (Note: A participant counted in B.2 or B.3 should not be counted in B.4).

B.5

Total Number of Credit Hours Completed – Enter the total number of credit hours to
date that have been completed by participants in grant-funded certificate and degree
programs. This number should be reported in aggregate across all enrollees, even if the
participant is no longer enrolled in the grant-funded program of study or did not
complete the program.

B.5a

Total Number of Students Completing Credit Hours – Enter the total number of
students who have enrolled that have completed any number of credit hours to date.

B.6

Total Number of Earned Degrees/Certificates – Enter the total number of degrees or
certificates earned to date by participants for grant-funded programs. This number
should be reported in aggregate across all enrollees, including multiple certificates and
degrees earned by the same participant.

B.6a

Total Number of Students Earning Certificates (less than one year) – Enter the total
number of students who earned certificates designed to be completed in one year or
less. A student can be counted only once in this field, even if multiple certificates were
earned by that student.

B.6b

Total Number of Students Earning Certificates (more than one year) – Enter the total
number of students who earned certificates designed to be completed in more than one
year. A student can be counted only once in this field, even if multiple certificates were
earned by that student.

B.6c

Total Number of Students Earning Degrees – Enter the total number of students who
earned degrees. A student can be counted only once in this field, even if multiple
degrees were earned by that student.

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B.7

Total Number Enrolled in Further Education After Program of Study Completion – Of
the total number of participants who completed at least one grant-funded program
(B.2), enter the total number of individuals to date who entered another program of
study (grant-funded or not).

B.8

Total Number Employed After Program of Study Completion – Of the total number of
participants who were not incumbent workers and who completed at least one grantfunded program (B.2), enter the total number of individuals to date who entered
unsubsidized employment in the first quarter after the quarter in which the student
exits the college. Exit is defined as being no longer enrolled at the college in any
program of study and can include formal withdrawal, expulsion, graduation, and other
reasons. (Note: A participant counted in B.8 may be counted again in B.9).

B.9

Total Number Retained in Employment After Program of Study Completion – Of the
total number of participants who were employed in the first quarter after the quarter in
which the student exits the college(B.8), enter the total number of individuals to date
who were employed in the second and third quarters after exit. Exit is defined as being
no longer enrolled at the college in any program of study and can include formal
withdrawal, expulsion, graduation, and other reasons. (Note: A participant counted in
B.9 should be counted in B.8).

B.10

Total Number of Those Employed at Enrollment Who Received a Wage Increase PostEnrollment – Of the number of incumbent workers (those employed at enrollment) who
enter a grant-funded program, enter the total number who received an increase in their
wages at any time after becoming enrolled.

Section C. Participant Summary Information (ALL GRANT PARTICIPANTS)
Demographic characteristics of new participants contained in this section should be based on
information collected from the individual at the time of participation in the program and
reported for new participants cumulatively through the end of the reporting year. Grantees
should submit all of the information below for the participants enrolled and funded by the
Trade Adjustment Assistance Community College and Career Training Grant. For all data
collection items contained within this section, the data format is Integer with a maximum field
length of 6-digits.
C.1a

Male – Enter the total number of new participants who self-identify their gender as
male.

C.1b

Female – Enter the total number of new participants who self-identify their gender as
female.

C.2a

Hispanic/Latino – Enter the total number of new participants who self-identify their
ethnicity as Hispanic/Latino. The term Hispanic/Latino includes persons of Cuban,
Mexican, Puerto Rican, South or Central American, or other Spanish culture in origin,
regardless of race.
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C.2b

American Indian or Alaskan Native – Enter the total number of new participants who
self-identify their race as American Indian or Alaskan Native. The racial category
American Indian or Alaska Native includes persons having origins in any of the original
peoples of North America and South America (including Central America), and who
maintains cultural identification through tribal affiliation or community recognition.

C.2c

Asian – Enter the total number of new participants who self-identify their race as Asian.
The racial category Asian includes persons having origins in any of the original peoples
of the Far East, Southeast Asia, or the Indian Subcontinent (e.g., Bangladesh, Bhutan,
India, Nepal, Pakistan, Sri Lanka, and Sikkim). This area includes, for example,
Cambodia, China, Japan, Korea, Malaysia, the Philippine Islands, Thailand, and Vietnam.

C.2d

Black or African American – Enter the total number of new participants who self
identify their race as Black or African American. The racial category Black or African
American includes persons having origins in any of the black racial groups of Africa.

C.2e

Native Hawaiian or Other Pacific Islander - Enter the total number of new participants
who self-identify their race as Native Hawaiian or Other Pacific Islander. The racial
category Hawaiian Native or Other Pacific Islander includes persons having origins in any
of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

C.2f

White - Enter the total number of new participants who self-identify their race as White.
The racial category White includes persons having origins in any of the original peoples
of Europe, the Middle East, or North Africa.

C.2g

More Than One Race - Enter the total number of new participants who self-identify
more than one of the racial categories outlined in Rows C.2b through C.2f above.

C.3a

Full-time Status - Enter the total number of new participants who are enrolled in college
courses on a full-time basis. Full-time basis is defined as enrollment into 12 or more
credit hours in the Fall or Spring semester and 6 or more credit hours in the Summer.

C.3b

Part-time Status - Enter the total number of new participants who are enrolled in
college courses on a part-time basis. Part-time basis is defined as enrollment into less
than 12 credit hours in the Fall or Spring semester and less than 6 credit hours in the
Summer.

C.4a

Incumbent Workers - Enter the total number of new participants who are already
employed at the time of enrollment.

C.4b

Eligible Veterans - Enter the total number of new participants who meet one of the
following conditions as a veteran:
1. Is a person who served on active duty in the armed forces for a period of less than or
equal to 180 days, and who was discharged or released from such service under
conditions other than dishonorable.
2. Is a person who served on active duty for a period of more than 180 days and 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
component under an order to active duty pursuant to section 12301 (a), (d), or, (g),
12302, or 12304 of Title 10, U.S.C., served on active duty during a period of war or in
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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; or
3. 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.
C.4c

Participant Age (Mean) - Enter the mean age in years of the new participants. Mean
age is defined as the sum of the ages of all of new participants/enrollees divided by the
number of new participants/enrollees.

C.4d

Persons with a Disability - Enter the total number of new participants, where known, or
who self-identify that they have any "disability," as defined in Section 3(2)(a) of the
Americans with Disabilities Act of 1990 (42 U.S.C. 12102). 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.)

C.4e

Pell-Grant Eligible – Enter the number of participants who are eligible to receive federal
Pell Grant assistance.

C.4f

TAA Eligible – Enter the number of participants who are eligible to receive Trade
Adjustment Assistance (TAA) benefits.
Other Demographic Measures – This optional field allows grantees to enter and report
on additional characteristics as needed or desired. For grantees focusing on Priority 1,
information on the number of participants identified with a basic skills deficiency should
be included. Basic skills deficiency is defined as not academically prepared to succeed in
college-level courses towards a degree or certificate.

C.4g

Section D. Achievements and Successes
This field will be used by grantees to provide a brief narrative description of their most
innovative achievement or greatest success story from the previous year.
Section E. Implementation and Evaluation of Evidence-Based or Technology-Enabled
Strategies
Grantees who received funding that exceeded the award amount ceiling should provide specific
information about:
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E.1

As appropriate based on the grantee’s statement of work, how the grantee has
replicated strategies based on strong to moderate evidence at multiple sites, OR how
the grantee has taken online and technology-enabled courses and learning projects to
scale beyond the community level to reach significant numbers of diverse students over
a large geographic area.

E.2

As appropriate based on the grantee’s statement of work, any efforts the grantee is
undertaking to conduct a rigorous evaluation to identify the impact of project strategies
on employment and educational outcomes, OR how the grantee is enabling the widespread use of program materials and how the program is improving learning outcomes.
Grantees are encouraged to work with third party evaluation experts to conduct such
evaluations.

Section F. Services and Outcomes for TAA Eligible Individuals
This field will be used by grantees to provide a description of how the program(s) have served
TAA eligible individuals. Specifically, grantees should address: 1) the number of TAA Eligible
individuals who participated in TAACCCT funded programs; 2) how many TAA Eligible
individuals enrolled and obtained credentials, certificates or degrees; 3) how many TAA Eligible
Individuals enrolled and did not attain credentials, certificates or degrees; and 4) the average
duration and whether the duration of education and training was longer or shorter for these
individuals than for other non-TAA eligible participants. Grantees can use observations or
participant records to compile and summarize this information
Attachment B.1 – Excel File

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DOL EMPLOYMENT AND TRAINING ADMINISTRATION

Attachment B.2: Annual Cohort Performance Report – Table 2
Table 2 of the Annual Outcome Report will include data for a cohort(s) of program participants,
as well as a comparison cohort(s) of participants, on twelve measures: new student enrollees,
number of students completing the program, number of students retained in the program,
number of students retained in other education program(s), number of credit hours completed,
number of degrees/certificates awarded, degree/certificate completion rate, number of
placements into employment, entered employment rate, number retained in employment,
employment retention rate, and average earnings. Grantees will enter this data using Table 2
of the Annual Performance Report Form for each program of study funded by the grant.
Therefore, if a grantee is operating three programs, it will provide three sets of Table 2 data.
More specifically, sections A-D will be submitted multiple times to correspond with the number
of programs of study. A program of study is broadly defined as an educational program in
which a degree or certificate is granted. Several smaller programs may be grouped together
into a larger program as appropriate, based on similarities in industry or educational emphases.
Programs may also be broken down as needed to form adequate comparison cohorts.
Additional guidance on grouping programs of study appropriately will be developed and
provided to winning grantees during orientation once details from the winning grantees’
statements of work are known.
The form and instructions for completing it can be found below and in attachment B.2.
The purpose of Table 2 is to be able to see how the outcomes for a designated group of TAACCT
participants compare to other similar students that the college serves. The designated group of
TAACCT participants must be derived from either the participants that enrolled in the program
during the first year of the grant (if substantial numbers of participants did so), or the
participants that enrolled the second year. In order to judge how well the TAACCT programs
are serving their students, grantees are asked to identify a group of “like” students—i.e. the
comparison cohort.
The comparison students should be similar to the participants with respect to age and gender,
at a minimum, but hopefully they will be similar on other dimensions such as type of program
of study and other demographic characteristics.
Grantees must follow these parameters when establishing the comparison cohort:










Age (required)
Gender (required)
Program of study (if at all possible)
Incumbent Worker Status (optional)
Degree-seeking status (optional)
Ethnicity/Race (optional)
Disability Status (optional)
Veteran Status (optional)
Pell-grant eligible (optional)
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DOL EMPLOYMENT AND TRAINING ADMINISTRATION

 TAA-eligible (optional)
 Other as defined in the Statement of Work (optional)
A program’s comparison cohort will be deemed acceptable only if the average age and percent
male matches that of the participant cohort (unless special approval is given by the grants
officer). Although an exact match may not always be possible, the margin of discrepancy
between the participant and comparison cohorts should be as small as possible given the reality
of who enrolls. Comparison groups are better if the averages of other characteristics match or
come close to those of the participant cohort’s characteristics.
For the first annual report, grantees may provide information on program participants if it is
available, and grantees must report information on a “test” comparison cohort for each
program of study. ETA is requiring reporting of the “test” cohort in order to ensure that
grantees are prepared to identify the cohort and report on it in preparation for the second
annual report. During year one, if there is not a participant cohort upon which to base the
comparison, grantees should make an estimate based on the expectations of the types of
students who will enroll in the program. During year two, grantees should report on the actual
comparison cohorts that they have established based on the parameters for matching to the
actual enrollments that comprise the participant cohorts, and discontinue reporting on the test
comparison cohort. The test cohort established in year one should not be used as the actual
comparison cohort.
In year one, grantees should include a narrative discussion in Table 2 about how the
comparison cohort was identified, selected, and how it will be tracked during Years Two and
Three of the grant. If the comparison cohort is selected from a recent sample of students,
grantees should describe the process for making this decision and the process that followed for
selection. Grantees should also describe the process for deciding how to group the programs of
study, and provide the final program groupings that will be tracked. During Years 2 and 3,
grantees should continue to report on the progress of tracking the participant and comparison
cohorts through these programs.

Section A. Acceleration of Progress for Low-skilled and Other Workers (Report only as
applicable)
Grantees are required to submit information for this section only if their Statements of Work
focus on Priority 1 (“Accelerate progress for low-skilled and other workers”) or only if the
grantee has in place procedures whereby all students in the program are assessed for basic
skills or for academic preparation to succeed in college-level courses towards a degree or
certificate. It is not the intention of this performance reporting to incentivize additional
screening of individuals if it is not the practice of the educational institutions and if it will deter
the individual from enrolling in a program. For all data collection items contained within this
section, the data format is Integer with a maximum field length of 6-digits. Information should
be provided as follows:
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DOL EMPLOYMENT AND TRAINING ADMINISTRATION

A.1a Number of Students Enrolled with a Basic Skills Deficiency – Enter the total number of
students who are identified as basic skills deficient. Basic skills deficiency is defined as not
academically prepared to succeed in college-level courses towards a degree or certificate.
A.1b Number of Students with Demonstrated Skills Gains Toward a Certificate or Degree –
Enter the total number of students identified as basic skills deficient who demonstrate skills
gains towards a degree or certificate. Skills gains towards a degree or certificate may either be
determined by demonstrated skills gains on a valid, reliable, and standardized assessment or by
success in a college-level course towards a degree or certificate.
A.1c Number of Students with Success in Credit-Bearing Courses - Enter the total number of
students previously identified as basic skills deficient who complete at least one college-level
course in a program leading towards a degree or certificate.

Section B. Participant Progress by Program (Section will be repeated on form for multiple
program entries)
Grantees are required to submit new information for Rows B.1-B.13, B.15 and B.17 for the year
in which the data is being reported only. This information should be entered for both the
identified cohort of participants enrolled in the program funded by the Trade Adjustment
Assistance Community College and Career Training Grant and for the comparison cohort of
students in a similar program not funded by the grant. For Year 1 (Column A), grantees may
report information available on the participant cohort if available, but must report information
on a comparison cohort as a test for running the cohort. Rows B.14 and B.16 will automatically
calculate the appropriate percentages based on grantee entries in other rows, as described
below. For all data collection items contained within this section, the data format is Integer
with a maximum field length of 6-digits. Additional information should be entered for each
program offered. Information should be provided as follows:
B.1

Program – Grantee should enter the name of the degree or certificate program for
which data will be reported.

B.2

Colleges Offering the Program (Consortia only) – Consortium grantees should enter the
names of each member institution offering the degree or certificate program for which
data will be reported.

B.3

Typical/Expected Length of Program – Enter the standard duration of the program for
full-time enrollees (e.g., 6 months, 1 year, 2 years, etc.).

B.4

Cohort Start Date(s) – Enter the date that the participant and comparison cohorts
started the program. If the participant and comparison cohorts did not start at the
same time, enter both dates, with the participant cohort start date entered first.

B.5

Total Number of Students in Cohort – Enter the total number of new students who
were enrolled on the cohort start date for this program.
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DOL EMPLOYMENT AND TRAINING ADMINISTRATION

B.6

Total Number of Students Completing This Program - Enter the total number of
students enrolled on the cohort start date (B.5) who completed this program to date.
Completion is defined as having earned all of the credit hours (formal award units)
needed for the award of a degree or certificate in this program of study.

B.6a

Total Number of Incumbent Workers Who Have Completed a Grant-Funded Program
of Study – Enter the total number of students in the cohort employed at enrollment
who completed this program to date. Completion is defined as having earned all of the
credit hours (formal award units) needed for the award of a degree or certificate in that
program of study.

B.7

Total Number Still Retained in This Program – Of the total number of students enrolled
on the cohort start date (B.5) who have not completed the program, enter the total
number of students who were still enrolled in this program of study at the end of the
reporting year. (Note: A student counted in B.6 should not be counted in B.7).

B.8

Total Number Retained in Other Education Program(s) – Of the total number of
students enrolled on the cohort start date (B.5), enter the total number of students who
dropped out of this program, but had enrolled in another education program (grantfunded or not). (Note: A student counted in B.6 or B.7 should not be counted in B.8).

B.9

Total Number of Program Credit Hours Completed – Enter the total number of credit
hours to date that have been completed by students for this program of study. This
number should be reported in aggregate across all enrollees, even if the enrollee is no
longer in this program or did not complete the program.

B.9a

Total Number of Students Completing Credit Hours in This Program – Enter the total
number of students in the cohort that have completed any number of credit hours to
date in this program of study.

B.10

Total Number of Earned Degrees/Certificates – Enter the total number of degrees or
certificates earned to date by students in this program. This number should be reported
in aggregate across all enrollees. This number should be reported in aggregate across
all enrollees, including multiple certificates and degrees earned by the same student (if
applicable).

B.10a Total Number of Students Earning Certificates in This Program (less than one year) –
Enter the total number of students who earned certificates in this program that were
designed to be completed in one year or less in this program. A student can be counted
only once in this field, even if multiple certificates were earned by that student.
B.10b Total Number of Students Earning Certificates in This Program (more than one year) –
Enter the total number of students who earned certificates in this program that were
18

DOL EMPLOYMENT AND TRAINING ADMINISTRATION

designed to be completed in more than one year. A student can be counted only once
in this field, even if multiple certificates were earned by that student.
B.10c Total Number of Students Earning Degrees in This Program – Enter the total number of
students who earned degrees in this program. A student can be counted only once in
this field, even if multiple degrees were earned by that student.
B.11

Total Number Enrolled in Further Education After Program of Study Completion – Of
the total number of participants who completed this program of study (B.6), enter the
total number of individuals to date who entered another program of study (grantfunded or not).

B.12

Number of Non-Hispanic White Graduates Employed After Program Completion – Of
the total number of students who were identified as white (C.2f) and who did not
identify themselves as Hispanic or Latino, and who completed this program (B.6), enter
the total number to date who entered unsubsidized employment in the first quarter
after the quarter in which the program of study was completed. (Note: A participant
counted in B.12 may be counted again in B.15).

B.13

Number of Non-White (Hispanic or Non-Hispanic) Graduates Employed After Program
Completion – Of the total number of students who were identified as American Indian
or Native American (C.2b), Asian (C.2c), Black or African-American (C.2d), Native
Hawaiian or other Pacific Islander (C.2e), multi-racial (C.2g) or who identified their
ethnicity as Hispanic or Latino (C.2a), and who completed this program (B.6), enter the
total number to date who entered unsubsidized employment in the first quarter after
the quarter when a the program of study was completed. (Note: A participant counted
in B.13 may be counted again in B.15).

B.14

Entered Employment Rate for this Program – The form automatically calculates the
percentage of students from this program who entered employment during the first
quarter after the quarter of degree or certificate completion. Percentage is defined as
the number of students from the program that obtain employment during the first
quarter after the quarter in which the program of study is completed (B.12 and B.13)
divided by the difference between the number of students that completed the program
(B.6) and the number of incumbent workers enrolled in the program (C.4a).

B.15

Total Number Retained in Employment After Program of Study Completion – Of the
total number of students who were employed in the first quarter after the quarter in
which the program of study was completed, enter the total number of individuals to
date who were employed in the second and third quarters after program completion.
(Note: A participant counted in B.15 should be counted in B.12 or B.13).

B.16

Employment Retention Rate for this Program – The form automatically calculates the
percentage of students from this program who retained employment during the second
and third quarters after the quarter of program of study completion. Percentage is
19

DOL EMPLOYMENT AND TRAINING ADMINISTRATION

defined as the number of students from the program that retained employment during
the second and third quarters after the quarter of program completion (B.15) divided by
the number of students that entered employment in the first quarter after the quarter
of program completion (B.12 and B.13).
B.17

Average Program Graduate Six-Month Earnings (gross) – Of those participants from
this program who are employed in their first, second, and third quarters after program
of study completion (B.15), enter the average gross earnings from the second and third
quarters after program completion.

Section C. Summary Student Information – Participant and Comparison Cohorts (ALL
PROGRAMS, BASED ON ENTRY INTO PROGRAMS DURING YEAR 2)
Demographic characteristics of enrollees and the comparison cohort contained in this section
should be based on information collected from the individual at the time of participation in the
program and reported for a single set of enrollees across the grant period. Grantees should
submit all of the information below both for the participants enrolled in programs funded by
the Trade Adjustment Assistance Community College and Career Training Grant and for the
comparison cohort of students in programs not funded by the grant that has been identified by
the grantee. For all data collection items contained within this section, the data format is
Integer with a maximum field length of 6-digits.
C.1a

Male – Enter the total number of participants who self-identify their gender as male.

C.1b

Female – Enter the total number of new participants who self-identify their gender as
female.

C.2a

Hispanic/Latino – Enter the total number of new participants who self-identify their
ethnicity as Hispanic/Latino. The term Hispanic/Latino includes persons of Cuban,
Mexican, Puerto Rican, South or Central American, or other Spanish culture in origin,
regardless of race.

C.2b

American Indian or Alaskan Native – Enter the total number of new participants who
self-identify their race as American Indian or Alaskan Native. The racial category
American Indian or Alaska Native includes persons having origins in any of the original
peoples of North America and South America (including Central America), and who
maintains cultural identification through tribal affiliation or community recognition.

C.2c

Asian – Enter the total number of new participants who self-identify their race as Asian.
The racial category Asian includes persons having origins in any of the original peoples
of the Far East, Southeast Asia, or the Indian Subcontinent (e.g., Bangladesh, Bhutan,
India, Nepal, Pakistan, Sri Lanka, and Sikkim). This area includes, for example,
Cambodia, China, Japan, Korea, Malaysia, the Philippine Islands, Thailand, and Vietnam.

C.2d

Black or African American – Enter the total number of new participants who self
identify their race as Black or African American. The racial category Black or African
American includes persons having origins in any of the black racial groups of Africa.
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DOL EMPLOYMENT AND TRAINING ADMINISTRATION

C.2e

Native Hawaiian or Other Pacific Islander - Enter the total number of new participants
who self-identify their race as Native Hawaiian or Other Pacific Islander. The racial
category Hawaiian Native or Other Pacific Islander includes persons having origins in any
of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

C.2f

White - Enter the total number of new participants who self-identify their race as White.
The racial category White includes persons having origins in any of the original peoples
of Europe, the Middle East, or North Africa.

C.2g

More Than One Race - Enter the total number of new participants who self-identify
more than one of the racial categories outlined in Rows C.2b through C.2f above.

C.3a

Full-time Status - Enter the total number of new participants who are enrolled in college
courses on a full-time basis. Full-time basis is defined as enrollment into 12 or more
credit hours in the Fall or Spring semester and 6 or more credit hours in the Summer.

C.3b

Part-time Status - Enter the total number of new participants who are enrolled in
college courses on a part-time basis. Part-time basis is defined as enrollment into less
than 12 credit hours in the Fall or Spring semester and less than 6 credit hours in the
Summer.

C.4a

Incumbent Workers - Enter the total number of new participants who are already
employed at the time of enrollment.

C.4b

Eligible Veterans - Enter the total number of new participants who meet one of the
following conditions as a veteran:
1. Is a person who served on active duty in the armed forces for a period of less than or
equal to 180 days, and who was discharged or released from such service under
conditions other than dishonorable.
2. Is a person who served on active duty for a period of more than 180 days and 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
component under an order to active duty pursuant to section 12301 (a), (d), or, (g),
12302, or 12304 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; or
3. 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.

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DOL EMPLOYMENT AND TRAINING ADMINISTRATION

C.4c

Participant Age (Mean) - Enter the mean age in years of the new participants. Mean
age is defined as the sum of the ages of all of new participants divided by the number of
new participants.

C.4d

Persons with a Disability - Enter the total number of new participants, where known, or
who self-identify that they have any "disability," as defined in Section 3(2)(a) of the
Americans with Disabilities Act of 1990 (42 U.S.C. 12102). 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.)

C.4e

Pell-Grant Eligible – Enter the number of participants who are eligible to receive federal
Pell Grant assistance.

C.4f

TAA Eligible – Enter the number of participants who are eligible to receive Trade
Adjustment Act assistance.

C.4g

Other Demographic Measures – This optional field allows grantees to enter and report
on additional characteristics as needed or desired. For grantees focusing on Priority 1,
information on the number of participants identified with a basic skills deficiency should
be included. Basic skills deficiency is defined as not academically prepared to succeed in
college-level courses towards a degree or certificate.

Section D. Comparison Cohort Description
This field should be used in Year 1 to describe how the comparison cohort was identified,
selected, and how it will be tracked during years two and three of the grant. If the comparison
cohort is selected from a recent sample of students, the processes for making this decision and
for making the selection should also be described. Grantees should also describe the process
for deciding how to group the programs of study, and provide the final program groupings that
will be tracked. During Years 2 and 3, grantees should continue to report on the progress of
tracking the participant and comparison cohorts through these programs.
Section E. Report Certification/Additional Comments
E.1

Report Comments/Narrative – Grantees should provide any additional information on
annual outcomes or about the comparison data in this section.

E.2

Name of Grantee Certifying Official/Title – Enter the name and title of the grantee
official that is certifying submission of the report to the Department.

E.3

Telephone Number – Enter the area code (999) and telephone number (999-9999) of the
authorized official.

E.4

Email Address – Enter the email address of the authorized official.
22


File Typeapplication/pdf
File TitleOMB Control Number 1205-0420
AuthorKristen
File Modified2012-03-28
File Created2012-03-28

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