Attachment B

										OMB Approval 1293-0014
										Expires 9/30/2019
	Public Burden Statement - According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 1293-0014. The time required to complete this information collection is 1 hour per response, including the time to review instructions, search existing data sources, gather the data needed, and complete and review the information collection. The obligation to respond is required to obtain or retain a benefit (38 U.S.C. 2021 and 2023). If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Labor, Veterans' Employment and Training Service, 200 Constitution Avenue, N.W., Washington D.C. 20210.
	Attachment B (Competitive Grants Planned Goals Chart)
	United States Department of Labor
	Veterans' Employment and Training Service
	PLEASE NOTE: Use the "Tab" key to navigate. Incorrect entries appear in a red font.						For the below homeless veteran subgroups, enter the planned percentage of total enrollments to be served as stated in your application narrative.		% of Total Planned Enrollments
	Applicant Name			Period of Performance:			Chronically Homeless Veteran		0%
	Enter the name of your agency or organization.			Please enter the grant period of performance, for example: July 1, 2016 through June 30, 2017.			Female Homeless Veteran		0%
	Name of Project			Funding Amount:			Homeless Veteran with Family		0%
	Please enter a title for the name of your project.			Total amount of federal funds requested if this is an application for funding. If a grantee, then enter the amount of the actual grant award.			IVTP Eligible		0%
						If applicable, enter data for the follow-up periods covered by your grant.
		Core Operation Year Goals (Not Cumulative)				90 day F/U	180 day F/U	270 day F/U	365 day Final
1.	Planned Performance	Jul-Sep	Oct-Dec	Jan-Mar	Apr-Jun					Total
a.	A process for screening individual applicants for program eligibility making the level of need determinations; making an initial determination what services or programs can best benefit the applicants; providing information about services, program eligibility, and the availability of those services, and the routing or selecting individual applicants for particular service delivery or program participation. # of Eligibility Assessments	0	0	0	0					0
b.	A participant should be recorded as having been enrolled when an intake form has been completed, and services, referral, and/or employment has been received through the program. This will be an unduplicated count over the performance period, i.e., each participant is recorded only once, regardless of the number of times she or he receives assistance. # of Participants Enrolled	0	0	0	0					0					0
c.	The number of participants that were placed into transitional or permanent housing either on-site or off-site. # Placed in Trans.or Perm Housing	0	0	0	0					0
d.	The number of participants that the grantee referred to the Department of Veterans Affairs for medical, benefits, pensions, and other services. # Referred to VA for Benefits	0	0	0	0					0
e.	Participants who were placed into employment or otherwise obtained employment as a result of grantee services used or received. The participant must be exited in order to obtain credit for a placement. # Placed into Employment (cannot be greater than # exits)	0	0	0	0					0					0
f.	The average starting wage (dollars/hour) of all placements made in the quarter. Average Hourly Wage at Placement	$0.00	$0.00	$0.00	$0.00								$0.00					$0.00
g.	Participants who were placed into employment or otherwise obtained employment as a result of grantee services used or received divided by the the number of exiters. Placement Rate Overall (calculated: 1e/1j=rate)	0.0%	0.0%	0.0%	0.0%	Don't forget to enter the planned overall placement rate for the chronically homeless				0%					0.00
h.	Placement Rate for the Chronically Homeless (a subset of 1g)	0.0%	0.0%	0.0%	0.0%					0%					0.00
i.	The cost per placement into unsubsidized employment is obtained by dividing the total HVRP funds expended by the total number of employed participants. Cost Per Placement (calculated: 1e/4d=cost)	$0.00	$0.00	$0.00	$0.00					$0.00					$0.00
j.	For the purposes of competitive grants, a participant who is placed or dropped during a quarter and is not scheduled to receive future homeless veterans program services for the next 90 or more days is considered an exiter. A participant not receiving a service for 90 consecutive days must be exited. The following services do not count as “future services”: o Additional career planning; o Contacting the employer; o Assisting with work-related problems; o Peer support groups; o Informational mailings; o Co-enrolled partner services extending beyond the end of the active period of performance for the competitive grant award; o Follow-up tracking services; and o Provision of post-exit supportive services for job retention. # of Exiters	0	0	0	0					0
k.	The number of exiters for the reporting period who were employed (showed wages) in the 2nd quarter after exit. For example, a participant who exited the program on August 15, 2017 (the 1st quarter of the grant period of performance) and who showed any earnings during the January - March 2018 period (the 3rd quarter of the grant period of performance) would be considered employed in the 2nd quarter after the quarter of exit. # Earned Wages in the 2nd Full Quarter After Exit			0	0	0	0			0
l.	Computed by dividing the total number employed in the 2nd quarter after exit by the total number of exiters for the reporting period. Employment Rate in the 2nd Quarter After Exit (calc.)			0.0%	0.0%	0.0%	0.0%			0.0%					#DIV/0!
m.	The number of exiters for the reporting period who were employed (showed wages) in the 4th quarter after exit. For example, a participant who exited the program on August 15, 2017 (the 1st quarter of the grant period of performance) and who showed any earnings during the July - September 2018 period (the 1st quarter of the subsequent grant's period of performance) would be considered employed in the 4th quarter after the quarter of exit. # Earned Wages in the 4th Full Quarter After Exit					0	0	0	0	0
n.	Computed by dividing the total number employed in the 2nd quarter after exit by the total number of exiters for the reporting period. Employment Rate in the 4th Quarter After Exit (calc.)					0.0%	0.0%	0.0%	0.0%	0.0%					#DIV/0!
o.	The planned median quarter earnings for those participants employed in the 2nd quarter after exit. In simple terms, it may be thought of as the "middle" value of a data set. For example, in the data set...$1750, $3175, $3765, $4120, $5005, $6110, $6975, the median is $4120, the fourth number in the sample. For the 2nd quarter of PY16, the median quarterly earnings for those employed at the time of exit was $5,720. Median Quarterly Earnings in the 2nd Qtr. After Exit			$0.00	$0.00	$0.00	$0.00	Don't forget to enter overall >>>		$0.00					$0.00
2.	Planned Training Activities
a.	An unduplicated count of the number of participants who received training. Below are the various types of training. Each participant may take more than one type of training. Unduplicated Count of Those Trained by the Quarter the Participant First Received Training	0	0	0	0					0
b.	Percentage of participants who received some type of training service whether provided directly by the grantee or referred to and provided by another training provider. The minimum percentage of participants who received some type of training service is 80%. % of Participants Trained (calculated cumulative percentage)	0.0%	0.0%	0.0%	0.0%					0%
c.	Any training of the type normally conducted in an institutional setting, including vocational education, which is designed to provide individuals with the technical skills and information required to perform a specific job or group of jobs. It may also include training designed to enhance the employability of individuals by upgrading skills. Class-Room-Training	0	0	0	0					0
d.	Training by an employer that is provided to a paid participant and: (a) provides knowledge or skills essential to performance of the job; (b) provides reimbursement to the employer of up to 50 percent of the wage rate of the participant. This includes costs of providing the training and additional supervision related to the participant and takes into account the content of the training, the prior work experience of the participant, and the service strategy of the participant. In the OJT agreement, there is a promise on the part of the employer to hire the trainee upon successful completion of the training On-the-Job Training	0	0	0	0					0
e.	Includes both: (1) vocational education which is designed to provide individuals with the technical skills and information required to perform a specific job or group of jobs and (2) on-the-job training. Occupational Skills Training	0	0	0	0					0
f.	A formal occupational training program that combines on-the-job training and related instruction where workers learn practical and conceptual skills required for a skilled occupation, craft, or trade. It may be registered or unregistered. Apprenticeship Training	0	0	0	0					0
g.	Training given to an individual who needs such training to advance above an entry-level or dead-end position. This training shall include assisting enrolled eligible veterans in acquiring needed State certification to be employed in the same field as they were trained in the military (CDL, EMT, A&P, teaching, etc.) Upgrading and Retraining	0	0	0	0					0
h.	Other training is any organized activity not listed so far that is aimed at imparting information to improve the recipient's employability or to help him or her attain a required level of knowledge or skill to obtain or retain a job. Other Training	0	0	0	0					0
3.	Planned Supportive Services
a.	An activity focusing on building practical skills, identifying and initiating employer contact, and conducting successful interviews with employers. Various approaches may include job club participation, identifying personal strengths and goals, résumé application preparation, interviewing techniques, and receiving labor market information. Job search assistance is often self-service activities where individuals obtain information about job openings. Job Search Assistance	0	0	0	0					0
b.	Life skills are the skills that a person must possess in order to successfully live in today's world. These include knowing how to work at a job and be part of a team, manage money, manage time, live as part of a family and learning effective communication skills. Life Skills and Money Management	0	0	0	0					0
c.	A form of assistance which provides guidance in the development of a participant's vocational goals and the means to achieve those goals; and/or assist a participant with the solution to one or more individual problems that may pose a barrier(s) to sustained employment. Counseling/Vocational Guidance	0	0	0	0					0
d.	Job search assistance provided in a group setting. Job clubs provide instruction and assistance in completing job applications, developing resumes and maximizing employment opportunities in the labor market by developing job leads. Many job clubs use telephone banks and provide group support to participants before and after job interviews. Job Club Workshops	0	0	0	0					0
e.	Compensated Work Therapy (CWT) is sponsored by the Department of Veterans Affairs and is considered a work therapy program. Grantees are not to take credit for a placement into employment or entered employment as therapy is the primary objective of CWT. Compensated Work Therapy	0	0	0	0					0
f.	The number of participants that benefited from the grantee securing tools/fees/specific work clothing/boots, etc. in order to obtain and sustain employment. Tools/Fees/Specific Work Clothing/Boots	0	0	0	0					0
g.	Services which are necessary to enable an individual eligible for training, but who cannot afford to pay for such services, to participate in a training program funded under the grant. Such supportive services may include transportation, health care, financial assistance (except as a post-termination service), drug and alcohol abuse counseling and referral, individual and family counseling, special services and materials for individuals with disabilities, job coaches, child care and dependent care, temporary shelter, financial counseling, and other reasonable expenses required for participation in the training program and may be provided in-kind or through cash assistance. Supportive services may be provided on a limited basis during the post placement period to facilitate the employed individual’s participation in post-placement or employment retention activities. Other Supportive Services	0	0	0	0					0
4.	Planned Expenditures
a.	Programmatic costs including outreach, supportive services, training, placement services, and social rehabilitation services, which will assist in stabilizing the participants. This category should reflect all costs other than administrative costs. Participant Services	$0.00	$0.00	$0.00	$0.00					$0.00					$0.00
b.	Admin costs consist of all direct and indirect costs associated with the supervision and management of the program. All indirect costs are considered administrative costs for HVRP/VWIP purposes. Admin Costs	$0.00	$0.00	$0.00	$0.00					$0.00					$0.00
c.	Grantees are encouraged to participate in all local Stand Down events as it is considered outreach for program purposes. Stand Down (requires prior approval from the Grant Officer)	$0.00	$0.00	$0.00	$0.00					$0.00					$0.00
d.	Total Expenditures (calculated)	$0.00	$0.00	$0.00	$0.00					$0.00					$0.00
										VETS-700