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pdfRESEA
1. State Name
2. Name and Title of the State Agency Administrator
Name:
Title:
Address:
3. RESEA Program Lead/Contact
The Person who can answer questions about the RESEA Proposal.
Name:
Telephone:
Email:
4. UI Program Lead/Contact
The person who can answer questions about the UI aspects of the RESEA proposal. This person may also be the RESEA
Program Lead/Contact.
Name:
Telephone:
Email:
5. Total Funds From prior RESEA Grants Projected to carry over
Please include expected date for full obligation and expenditure of these remaining funds.
Obligation date – (mm/dd/yy) expected by:
Expenditure date – (mm/dd/yy) expected by:
$ ____________
(If needed, please use the box below to elaborate on expenditures.)
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6. Total Proposed RESEA Project Cost
The total amount of funds requested in this grant, which may be up to the limit specified in annual RESEA operating
guidance.
$ ____________
(If needed, please use the box below to elaborate on grant funds.)
7. Total Service Delivery (Program) Cost
The total amount of funds requested for staff and resources necessary to conduct the RESEAs excluding administrative
and evaluation costs.
$ ____________
(If needed, please use the box below to elaborate on program costs.)
8. Total Administrative Costs
The total amount of funds requested for program administrative costs. Please include a breakout of these costs
(Note: This entry includes IT costs).
$ ____________
(If needed, please use the box below to elaborate on administrative costs.)
9. Staff and Administrative Costs for a Single Completed Initial RESEA
Please include narrative describing how amounts were calculated.
$ ____________
(Use the box below to describe amount calculations used.)
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10. Completed Initial RESEA Staffing and Time
Complete below chart below to provide additional information about how specific required initial RESEA activities are
staffed, the average time needed, and estimated costs.
ACTIVITY
(ES/WIOA/UI/OTHER)
STAFF
INDIVIDUAL/
GROUP
--
--
AVERAGE
TIME
STAFF COST
PER HOUR
Eligibility Review
Labor Market Information
Individual Reemployment
Plan
Providing information and
access to American Job
Center (AJC) services
including career services
Enrollment in Employment
Services
Providing support with
individual reemployment
plan.
Referrals to other services
Other services provided in
addition to required
elements.
TOTALS
11. Staff and Administrative Costs for Subsequent RESEA
If subsequent RESEAs are not included in program design, please indicate “No Subsequent” in text box below.
$ ____________
(If needed, please use the box below to elaborate on Staff and Administrative costs for subsequent RESEAs.)
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12. Completed Subsequent RESEA Staffing and Time
Complete the chart below to provide additional information about how specific subsequent RESEA activities are
staffed and the average time needed.
ACTIVITY
(ES/WIOA/UI/OTHER)
STAFF
INDIVIDUAL/
GROUP
--
--
AVERAGE
TIME
STAFF COST
PER HOUR
Eligibility Review
Labor Market Information
Providing support with
individual reemployment plan
Providing information and
access to American Job Center
(AJC) services including career
services
Referrals to other services
TOTALS
13. Projected Time for a Single Initial RESEA, Including Paperwork
In addition to information provided in 12, this entry should represent total time spent preparing for and conducting a
single initial RESEA, including preparation, documentation and other related activities.
_____________
14. Projected Time for the Subsequent RESEA, Including Paperwork
In addition to information provided in 15, this entry should represent total time spent preparing for and conducting a
single subsequent RESEA, including preparation, documentation and other related activities.
_____________
15. Projected Costs for a Single RESEA for which the Claimant Fails to Report
The total costs spent scheduling a single RESEA for which the claimant subsequently fails to report and referring the
claimant to adjudication for failure to report. This estimate should not include the costs of adjudication, which are
separately funded.
$ ____________
(If needed, please use the box below to elaborate on expenditures.)
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16. Total Number of Initial RESEAs to be Scheduled
The total number of initial RESEAs that will be scheduled including both the RESEAs for which claimants are projected to
report and the RESEAs for which claimants are projected to fail to report.
_____________
17. Total Number of Subsequent RESEAs to be Scheduled
The total number of subsequent RESEAs that will be scheduled including both the RESEAs for which claimants are
projected to report and the RESEAs for which claimants are projected to fail to report. (If the state does not conduct
subsequent RESEAs this number will be zero.)
_____________
18. Total Number of RESEAs Projected to be Completed
The total number of RESEAs the state will schedule during the grant period for which the claimant will report and
participate in an RESEA. Please include breakout of initial and subsequent, if applicable.
_____________
19. Total Number of RESEAs Projected for which the Claimant Will Fail to Report
The total number of RESEAs the state will schedule during the grant period for which the claimant will fail to report and
will not participate in an RESEA.
_____________
20. Actions Taken to Reduce Number of Claimants Failing to Report.
If the state has taken any actions in the past year and/or plans to carry out any activities under the proposed RESEA
program to reduce the number of claimants failing to report, please identify and provide a brief description.
Please select all that apply:
Self-scheduling of appointments (Completion date [actual or projected] mm/yy)
Automated reminders (text message, e-mail, phone, etc.)
Restructuring of notifications and other communications (behavioral insights, plain-language, etc.)
Other
Insert brief narrative of actions taken or planned:
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21. Total number of RESEA Sites
The total number of sites where RESEAs will be conducted. If RESEAs are conducted statewide (at least one location
in each Workforce Innovation and Opportunity Act [WIOA] workforce development area), please indicate
“statewide.” If RESEAs are provided at limited sites, list the towns/cities or local workforce development areas where
RESEA activities will be conducted. If RESEA is not available statewide, Worker Profiling and Reemployment Services
(WPRS) must be provided in areas where RESEA is not available.
Number of sites providing RESEAs: __________
Number of sites providing WPRS: __________
List RESEA locations if RESEA activities are not statewide:
List WRPS locations if RESEA activities are not statewide:
22. Role of UI Staff
Briefly describe the role played by UI staff in program management. Please note that all eligibility determinations and
redeterminations are funded through the regular UI funding for non-monetary determinations and not through the
RESEA grant.
Insert description of UI staff roles:
23. Selection of RESEA Participants:
Please describe the state’s methodology for selecting claimants to participate in the RESEA program and at what point in
the claim series selections are made. If a profiling or statistical model is used please describe the model including factors
used and when the model was last updated. UI claimants who have a definite return-to-work date; claimants who
secure work only through a union hiring hall; and claimants who are in approved training should be excluded from the
RESEA program.
Insert description of how claimants are selected:
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24. Proper Notification
All states participating in the RESEA program must provide both an assurance that, and description of how, individuals
selected to participate in RESEA will receive proper notifications regarding the program’s eligibility conditions,
requirements, and benefits. Proper notifications must be in clear and simple language and include warnings to ensure
selected individuals are fully aware of the consequences of noncompliance with the state’s policies related to nonattendance and/or nonfulfillment of UI work search requirements. (Section 306(e)(1)(A)(i), Social Security Act (SSA)).
Do you assure that proper notification as described in Element (28) will be provided?
Yes / No
Insert description of notification process and attach template used for notifications.
25. Reasonable Scheduling Accommodations
To maximize participation in the RESEA program, the state must provide assurance that, and a description of how
reasonable scheduling accommodations are made available to individuals selected for RESEA (Section 306(e)(1)(A)(ii),
SSA).
Do you assure that reasonable scheduling accommodations are available to RESEA participants?
Yes / No
Insert a description of the reasonable scheduling accommodations provided.
26. UI Feedback Loop and Adjudication.
Once selected for an initial or subsequent RESEA, claimants are required to participate in all components of the RESEA.
Failure to report or participate in any aspect of the RESEA must result in referral to the UI agency for adjudication under
the applicable state law. States must include a description of the UI feedback loop and adjudication process.
Insert a brief description regarding the feedback loop from the RESEA provider to the UI system on whether the
claimants reported and participated in required activities as directed.
Insert a brief description of the feedback loop established to refer any UI eligibility issues identified during the RESEA
for adjudication.
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27. Activities Supporting RESEA’s Statutory Purposes
Each state must provide assurance that, and description of how, the planned RESEA program will conform to the four
statuary purposes identified below (Section 306(e)(1)(B), SSA).
27(a) Purpose 1:
To improve employment outcomes of individuals that receive unemployment compensation and to reduce the average
duration of receipt of such compensation through unemployment.
Do you assure that the proposed RESEA program design and planned activities conform to purpose 1 as described in
Element 27(a)?
Yes / No
Insert brief description of specific RESEA program elements and/or activities that support this purpose.
27(b) Purpose 2:
To strengthen program integrity and reduced improper payments of unemployment compensation by states through
the detection and prevention of such payments to individuals who are not eligible for such compensation.
Do you assure that the proposed RESEA program design and planned activities are conform to purpose 2 as
described in Element 27(b)?
Yes / No
Insert brief description of specific RESEA program elements and/or activities that support this purpose.
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27(c) Purpose 3:
To promote alignment with the broader vision of the Workforce Innovation and Opportunity Act (WIOA) (29 U.S.C.
3101 et seq.) of increased program integration and service delivery for job seekers, including claimants for
unemployment compensation. (Note: Additional information about the vision of WIOA is provided in Training and
Employment Guidance Letter No. 19-14, Vision for the Workforce System and Initial Implementation of the Workforce
Innovation and Opportunity Act and additional information specific State UI programs is provided in Unemployment
Insurance Program Letter 14-18).
Do you assure that the proposed RESEA program design and planned activities conform to purpose 3 as described in
Element 27(c)?
Yes / No
Insert a brief description of the specific RESEA program elements and/or activities that support this purpose
including information about how RESEA has been integrated into the State’s workforce system and network of AJCs.
27(d) Purpose 4:
Establish reemployment service and eligibility assessment as an entry point for individuals receiving unemployment
compensation into other workforce system partner programs.
Do you assure that the proposed RESEA program design and planned activities conform to purpose 4 as described in
Element 27(d)?
Yes / No
Insert brief description of specific RESEA program elements and/or activities that support this goal.
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28. Evidence-based Standards and Evaluation Requirements
Each state must provide assurances and a description of how the state’s RESEA program will satisfy the requirement to
use grant funds only for interventions and service delivery strategies designed to reduce the number of weeks for which
program participants receive unemployment compensation by improving employment outcomes for participants,
including employment and earnings. States implementing RESEA interventions or service delivery strategies without a
high or moderate causal rating must be under evaluation at the time of use. (Section 306(e)(1)(B), SSA).
28(a):
Do you assure that the state’s RESEA program will satisfy the requirement to use grant funds only for interventions
and service delivery strategies designed to reduce the number of weeks for which program participants receive
unemployment compensation by improving employment outcomes for participants, including employment and
earnings?
Yes / No
Insert description of the evidence-based interventions and service delivery strategies the State plans to use to speed
reemployment, including specific references to the evidence relied upon.
Insert an explanation of how such interventions and service delivery strategies are appropriate to the population
served.
28(b):
Do you assure that the RESEA interventions or service delivery strategies used to implement the program without a
high or moderate causal rating are under evaluation at the time of use?
Yes / No
Insert, if applicable, a description of the evaluation structure the State plans to use for interventions and service
delivery strategies without at least a moderate or high causal evidence rating, which may include national
evaluations conducted by the U.S. Department of Labor or by other entities.
28(c):
Total funds that will be set-aside to conduct or cause to be conducted evaluations
of interventions used in carrying out the RESEA Program. This amount is limited to 10 percent
of grant award (Section 306(d)(2), SSA).
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28(d):
Insert a description of any reemployment activities and evaluations of reemployment interventions and service
delivery strategies conducted in the prior fiscal year and any data collected on:
1. Characteristics of program participants;
2. Number of weeks for which program participants receive unemployment compensation; and
3. Employment and other outcomes for program participants consistent with State performance accountability
measures provided by the State unemployment compensation program and performance outcome measures as
defined in section 116(b) of the Workforce Innovation and Opportunity Act (29 U.S.C. 3141(b))
29. Planned Supplemental Activities if Additional Funding is Available-Participants Served
If the State has capacity and need for funding beyond the provided funding level, please provide:
1. The amount of additional funds requested;
__________
2. The number of additional sites, if any that would be served using the increased funds
__________
3. The estimated number of additional scheduled and completed RESEAs that
would be conducted.
__________
30. Planned Supplemental Activities if Additional Funding is Available-Innovation
Please describe, if applicable, any system improvements or innovative service delivery models your state would pursue if
additional funds became available. Please include both a description of the activities and an estimate of additional
funds needed.
Insert description of funding needed, activities that would be completed, and projected impact on program, such as
improved no-show rates, additional participants served, improvements to system integrity.
OMB No.: 1205-XXXX OMB Expiration Date: XX/XX/XXXX Average Estimated Response Time: XXX
O M B Burden Statement: These reporting instructions have been approved under the Paperwork Reduction Act of 1995. Persons
are not required to respond to this collection of information unless it displays a valid OMB control number. Public reporting
burden for this collection of information includes the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Submission is required to retain or
obtain benefits under SSA 303(a)(6). Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the U.S. Department of Labor, Office of Unemployment
Insurance, Room S-4524, 200 Constitution Ave., NW, Washington, DC, 20210.
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File Type | application/pdf |
Author | Cheryl Robbins |
File Modified | 2019-03-05 |
File Created | 2018-11-21 |