DRAFT VETS-401_Instructions_20220425

VETS-401 - Jobs for Veterans State Grants Budget Information Summary Instructions

Form Use:

States initially use the Jobs for Veterans State Grants (JVSG) Budget Information Summary form when applying for the formula level of funds available for the Disabled Veterans’ Outreach Program (DVOP) specialist positions, Local Veterans’ Employment Representative (LVER) staff positions, Consolidated (DVOP/LVER) positions, Incentive Award Funds, and Management and Administrative Costs.

State funding requests must summarize how the formula allocated funding and any additional funding will be budgeted by cost category and by quarter. States must update the form and include it with any modification request that affects either the planned budget or staffing levels.

Some cells are locked to reduce the reporting burden and facilitate completing the workbook. Dark gray shaded fields are not applicable and locked to prevent entries. Light gray shaded fields are locked and will be calculated automatically; enter data only in the yellow shaded (unlocked) fields. Press the “enter” or “tab” keys to easily move from one unlocked cell to the next in the same column or row and bypass the locked cells.

If there are no costs or FTE for a given field, enter “0” or leave the field blank. All totals will automatically calculate. The form will not allow the entry of negative numbers or decimals (except for the planned FTE). A value followed by an asterisk indicates an invalid entry.

Form Submission:

States must submit this form annually. Additionally, states are required to submit an amended VETS-401 form when separately requesting 1) additional funds for a special initiative; 2) to change the total allocation of JVSG funding; and/or 3) for changes to the amounts budgeted for each object class category.

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 nnnn-nnnn. The time required to complete this information collection is ## hours 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 contact us at:

U.S. Department of Labor

Veterans’ Employment and Training Service

Room S-1316 Phone 202-693-4700

200 Constitution Avenue, N.W. Fax 202-693-4755

Washington, D.C., 20210

Instructions for the JVSG Budget Information Summary

VETS-401 Tab

Section A – Grantee Information

Field	Form Item	Instructions
1	Grant Number	Enter the complete grant number, including dashes (for example, DV-12345-21-55-5-1). If a grant number has not yet been assigned, leave this field blank.
2	State	Enter the state or territory.
3	Date Prepared	Enter the date you are preparing the form.

Section B – Budget Summary by Activity

Enter the total amounts requested for each grant activity (i.e., DVOP, Consolidated DVOP/LVER, LVER, Incentive Awards, and Management & Administrative Costs), as appropriate.

Note: for Incentive Awards, amounts can only be entered into lines a and b, personnel salaries and fringe benefits.

Line	Form Item	Instructions
a	Personnel Salaries	Enter the forecast salaries, wages, and overtime costs to be paid, rounded to the nearest whole dollar.
b	Fringe Benefits	Enter the forecast amount of fringe benefits to be paid, rounded to the nearest whole dollar.
c	Travel	Enter the forecast amount requested for staff-related travel, rounded to the nearest whole dollar.
d	Equipment	Enter the forecast cost of non-expendable property to be charged to the grant only if it has a useful life of more than one year and a per-unit cost of $5,000 or more, rounded to the nearest whole dollar.
e	Supplies	Enter the cost of consumable supplies to be used during the Fiscal Year, including but not limited to computers/laptops and electronic equipment with a per-unit cost of $5,000 or less, rounded to the nearest whole dollar.
f	Other	Enter the total amount forecast for program-related staff training and all other direct costs not covered on lines a-e, rounded to the nearest whole dollar.
g	Total Direct Charges	Auto-calculated.
h	Indirect Charges	Enter the forecast amount of indirect costs to be charged during the Fiscal Year, rounded to the nearest whole dollar.
i	Total Charges (Lines g + h)	Auto-calculated.

Section C – Forecast Federal Funding Needs

Enter the amount of funding needed in each quarter for each Program Activity, rounded to the nearest whole dollar. All totals will automatically calculate.

NOTE: The total amounts listed in Section C, 6. Totals (column H) and e. Total Costs (row 23), must match the corresponding amounts listed in Section B, i. Total Charges (row 16). An error will appear if the amounts in Sections B and C do not match.

Section D – Grant-Funded Staff and Metrics

Line	Form Item	Instructions
a	Number of Funded FTE	Enter the forecast number of full-time equivalent (FTE) positions to be funded.
b	Cost Per Position	Auto-calculated.
c	Salaries & Benefits Percentage	Auto-calculated.

Export Tab

This tab is provided to facilitate exporting funding request data into other tools by the Veterans’ Employment and Training Service (VETS) and states, if desired. All data entered on the VETS-401 tab will automatically populate this Export Tab. You do not have to enter anything into this tab.

(Revised 04/2022) OMB Control No. nnnn-nnnn

VETS-401 Expiration Date: mm/dd/yyyy