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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.)*












































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































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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.














































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































0













































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































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0













































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Intended Beneficiaries of the Project
































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































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Outcomes of the 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Partnerships with other federal, state, or local programs. 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Tribal Lands (if applicable) - Select all that apply




























































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Congressional District(s) Served














































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































0













































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































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. 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Sheet 2: PY21 Outcomes by State

0 United States Department of Labor
Veterans' Employment & Training Service
PY21 HVRP Outcomes by State
0





























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





















































0




















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

Sheet 4: Planned Goals Chart

0


United States Department of Labor


Veterans' Employment & Training Service


VETS-700 Planned Goals Chart


0


0



OMB Approval 1293-0014 | Expires 6/30/2023
0


0


0 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).
0

$0.00 $0.00 $0.00 $0.00

0 0
0
0 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 0
# 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%
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.


0



File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy