U.S. Department of Labor OMB Control No. 1205-0439
Employment and Training Administration Expiration Date: XX/XX/XXXX
Planning Form (Disaster-Workforce Development Services), ETA 9103-2b
National Dislocated Worker Grant Electronic Application System
All quarterly entries are CUMULATIVE over all previous quarters.
PERFORMANCE FACTOR |
PROGRAM YEAR QUARTER |
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ADMIN |
PROGRAM |
QTR1 |
QTR2 |
QTR3 |
QTR4 |
QTR5 |
QTR6 |
QTR7 |
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PLANNED PARTICIPANTS |
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Receiving Career Services |
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Receiving Training Services |
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Receiving Work-based Learning Training |
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Receiving Supportive Services |
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Receiving Needs-Related Payments (NRP) |
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Completed NDWG Services |
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Employed at Completion of NDWG Services |
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Employed in Work-based Learning at Completion of NDWG Services |
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Total Planned Participants |
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PLANNED GRANTEE EXPENDITURES |
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Admin (Excluding NRP Processing) |
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NRP Processing |
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Other |
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Total: Program Management and Oversight |
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Indirect* |
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Total Expenditures: Grantee Level |
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PLANNED PROJECT OPERATOR EXPENDITURES |
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Career Services |
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Training |
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Work-Based Learning |
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Supportive Services |
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Needs-Related Payments |
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Other |
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Admin (Excluding NRP Processing) |
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NRP Processing |
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Total: Program Management and Oversight |
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Total: Expenditures: Project Operator Level |
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Total: Expenditures: Grantee and Project Operator Level |
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Public Burden Statement:
Persons are not required to respond to this collection of information unless it displays a currently valid OMB Control number. Respondents’ obligation to complete this form is required to obtain or retain benefits (PL: 113-128 sec 170). Public reporting burden for this collection of information is estimated to average 90 minutes 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. This is public information and there is no expectation of confidentiality. Send comments regarding this burden estimate to the U.S. Department of Labor, Office of National Response, Room C-5311, Washington, D.C. 20210 (Paperwork Reduction Project 1205-0439).
File Type | application/msword |
Author | provost.jeanette |
Last Modified By | SYSTEM |
File Modified | 2019-09-09 |
File Created | 2019-09-09 |