Form ETA-9174 Pay-for-Performance Report Template

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Overview

Pay for Performance Template
Revisions

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Sheet 1: Pay for Performance Template

	OMB Control Number 1205-0521 Expiration Date: xx/xx/xxxx					ETA-9174
	Pay-For-Performance Report
	(GRANTEE)			(Workforce Development Board Name - if applicable)
	(Contractor Name - if applicable)							Page 1
	Period Covered:		mm/dd/yyyy - mm/dd/yyyy
	Program	o ALL	o WIOA Adult	o WIOA Dislocated Worker		o National Dislocated Worker Grants		o WIOA Youth
	A WIOA Pay-for-Performance (PFP) contract strategy is a specific type of performance-based contract strategy that places a higher emphasis on performance outcomes and drives better results. In a PFP contract strategy, service providers are paid based on the achievement of specified levels of performance related to WIOA outcomes, rather than being paid for processes or outputs. Local workforce boards may use up to 10% of their funds for adult training services and/or youth activities for PFP contract strategies. Where local workforce boards use PFP contract strategies, funds may be available until expended, if authorized by Congress in annual appropriations. This extended availability means that, if outcomes are not achieved as hoped, the funds may be used for another PFP purpose. States may also use funds from the Governor’s Reserve to support PFP.
	Please describe the framework in use for Pay-for-Performance contracts, including performance targets established, time frames for measuring results against targets, payment schedules, and any actual results or other measured indicators achieved so far.
	Please provide an evaluation of the design of the programs and performance of the strategies in the space below. Please describe the approach(es) being used to evaluate both individual Pay for Performance projects as well as Pay for Performance efforts overall in your state.
	Please describe the approach(es) being used to evaluate Pay-for-Performance contracts, either at the individual project level or across projects within the state.
	Public Burden Statement (1205-0521)
	Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. Respondent’s reply to these reporting requirements is mandatory (Workforce Innovation and Opportunity Act, Section 116). Public reporting burden for this collection of information is estimated to average 25 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate to the Office of Policy Development and Research ● U.S. Department of Labor ● Room N-5641 ● 200 Constitution Ave., NW, ● Washington, DC ● 20210. Do NOT send the completed application to this address.

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Sheet 2: Revisions

Date	Revision	Revision	Responsible Analyst
6/24/2014	Revised tab name changing "scorecard" to "template"	1	S. Lewis
6/24/2016	Inclusion of a description of Pay-for-Performance on row 8, as requested by OMB	1	S. Lewis
6/24/2016	Inclusion of "Technical assistance that the State is providing to local workforce boards.", as requested by OMB	1	S. Lewis