Form VETS-704 Abstract

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Overview

Abstract
PY21 Outcomes by State
Avg Hourly Wage at Placement
Planned Goals Chart

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Sheet 1: Abstract

0		United States Department of Labor Veterans' Employment & Training Service VETS-704 Abstract								0
												To clear entries from a drop down field, right click on the cell and select Clear Contents. This will remove all previously entered selections.
0											OMB Approval 1293-0014 | Expires 6/30/2023
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		Applicant Name
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		New or Previous HVRP Grantee?			0		Population Category			0
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		$0.00					0
		Previous Grant Number
		If Previous, provide one grant number for a HVRP, HWVHVWC, (previously HFVVWC/HFVVWF), or IVTP grant completed in the last three program years (i.e., the grant’s period of performance ended on June 30, 2020, June 30, 2021, or June 30, 2022). The grant number should align with the population category type and proposed service delivery area as geographically close as possible.
		Expected # of Participants Served by Project			0	Funding Request for each individual year of the grant (up to $500,000 each year.)*
					0	Year 1	Year 2	Year 3	Total Amount
					0				$0
		Name of Local American Job Center(s) (AJC)			0	*Applicants may receive a maximum amount of $500,000 per year, however, applicants may submit a lesser amount that aligns with their budget and budget narrative.
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		0				0	0	0	0
		Purpose of Project								0
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		Activities to be Funded by Grant								0
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		Intended Beneficiaries of the Project
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		Outcomes of the Project
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		Key Partnerships
		Partnerships with other federal, state, or local programs. For example, do you partner with a CoC, Supportive Service for Veteran Families (SSVF) program, GPD, VASH, Veterans Affairs Community Employment Coordinator (CEC), Faith-based organizations, and any other external community resources?
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Subrecipient Activities, if applicable:
Recipient of Other Funding?
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Service Delivery Area (SDA)
Primary State/Territory
County(ies) - Select all that apply
$0.00
2nd State/Territory
County(ies) - Select all that apply
$0.00
3rd State/Territory
County(ies) - Select all that apply
$0.00
4th State/Territory
County(ies) - Select all that apply
$0.00
Tribal Lands (if applicable) - Select all that apply
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Congressional District(s) Served
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HUD CoC #	HUD CoC Name	HUD CoC # of Homeless Veterans (2020 PIT Count Estimate)	Expected Number of Participants to be Served By the Project within this CoC	0	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.
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Sheet 2: PY21 Outcomes by State

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United States Department of Labor Veterans' Employment & Training Service PY21 HVRP Outcomes by State

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PY21 HVRP national outcomes can be found at: https://www.dol.gov/agencies/vets/programs/hvrp

Instructions: Complete the data fields within the Abstract Tab, and the cells within this tab will auto populate.

State

Placement Rate

Cost Per Placement

Employment Rate 2QAE

Median Earnings 2QAE

Employment Rate 4QAE

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Sheet 3: Avg Hourly Wage at Placement

United States Department of Labor Veterans' Employment & Training Service Average Hourly Wage at Placement
	Instructions: Complete the data fields within the Abstract Tab, and the cells within this tab will auto populate.
0	Primary State	Primary State Living Wage	0
	Select to View a Single County in Primary State	Living Wage of Single County in Primary State
	Primary State SDA Counties	Average Living Wage for Primary State SDA
		-
	0
	2nd State	Secondary State Living Wage
	Select to View a Single County in Secondary State	Living Wage of Single County in Secondary State
	Secondary State SDA Counties	Average Living Wage for Secondary State SDA
		-
	0
	3rd State	Tertiary State Living Wage
	Select to View a Single County in Tertiary State	Living Wage of Single County in Tertiary State
	Tertiary State SDA Counties	Average Living Wage for Tertiary State SDA
		-
	0
	4th State	Quaternary State Living Wage
	Select to View a Single County in Quaternary State	Living Wage of Single County in Quaternary State
	Quaternary State SDA Counties	Average Living Wage for Quaternary State SDA
		-
	0

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Sheet 4: Planned Goals Chart

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United States Department of Labor

Veterans' Employment & Training Service

VETS-700 Planned Goals Chart

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OMB Approval 1293-0014 | Expires 6/30/2023

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Applicant Name

Year 1 Funding Amount

Year 2 Funding Amount

Year 3 Funding Amount

PoP Funding Amount

Red highlighted cells indicate the following: The 3 Year PoP Total for # of Participants Enrolled (cell O13) must equal the "Expected Number of Participants to be Served by the Project" in the Abstract Tab. The 3 Year PoP Total for # of Participants Exited (cell O14) must equal the 3 Year PoP Total for # of Participants Enrolled (cell O13).

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$0.00

$0.00

$0.00

$0.00

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0

0

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Planned Goals

Q1

Q2

Q3

Q4

Q5

Q6

Q7

Q8

Q9

Q10

Q11

Q12

3 Year PoP Total

Expected Outcomes & Outputs Scores by Performance Indicator

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# of Participants Enrolled

# of Participants Exited

0

1

2

Placement Rate (# employed/# exited)

< 43.0%

≥ 43.0% and ≤ 80.0%

> 80.0%

# of Exited Participants Placed into Employment

Wages from Avg. Living Wage Primary State SDA (tab 3, cell C14)

Average Hourly Wage at Placement

Select SDA

Select SDA

Select SDA

Cost Per Placement (PoP Funding Amount/PoP # of Exited Participants Placed into Employment)

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

> $14,000

≥ $6,000 and ≤ $14,000

< $6,000

Post-Exit Goals

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Employment Rate in the 2nd Quarter After Exit

N/A

N/A

< 27.0%

≥ 27.0% and ≤ 60.0%

> 60.0%

Median Earnings 2nd Quarter After Exit (Quarter = 13 weeks)

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

˂ $5,200

≥ $5,200 and ≤ $9,100

> $9,100

Employment Rate in the 4th Quarter After Exit

N/A

N/A

N/A

N/A

< 17.0%

≥ 17.0% and ≤ 50.0%

> 50.0%

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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.

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