JIAC Quarterly Rep H-1B JOBS AND INNOVATION ACCELERATOR CHALLENGE GRANTS Qu

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

Attach F_H-1B TST JIAC QPR Form.xlsx

MIS Data Entry-Grantees

OMB: 1205-0507

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STANDARDIZED QUARTERLY PERFORMANCE PROGRESS REPORT
Employment and Training Administration
H-1B TECHNICAL SKILLS TRAINING GRANTS
and
H-1B JOBS AND INNOVATION ACCELERATOR CHALLENGE GRANTS
Quarterly Report Form
OMB No. 1205-0507
Exp: 05/31/2016

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 INFORMATION


Gender 1a. Male


1b. Female


Ethnicity/Race 2a. Hispanic/Latino


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


4c. Associates Diploma or Degree


4d. Bachelor's Degree or Equivalent


4e. Advanced Degree Beyond Bachelor's


D. PROGRAM SERVICES
Training Indicators 1. Number Began Receiving Education/Job Training Activities


2. Number Participated On-the-Job Training Activities


3a. Number Participated in Classroom Occupational Training Activities


3b. Number Participated in Contextualized Training Activities


3c. Number Participated in Distance Learning Activities


3d. Number Participated in Customized Training Activities


3di. Number Participated in Incumbent Worker Training Activities


4. Number Completed Education/Job Training Program Activities


5. Number Completed On-the-Job Training Program Activities


E. PROGRAM OUTCOMES - PERFORMANCE INDICATORS
Education
Outcomes
1. Number Completed Program Activities and Obtained a Credential


2. Total Number of Credentials Received


Employment
Outcomes
3. Number Entered Unsubsidized Employment


3a. Number Entered Unsubsidized Training-Related Employment


3b. Number Retained Employment


Employed Worker Outcomes 4a. Total Number of Employed Retained Current Position


4b. Total Number of 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 2.33 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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