ETA Form 9209 RCTEAIR Layout

Registration of Career and Technical Education (CTE) Apprenticeship Programs, Registration of CTE Apprentices, and Approval of Industry Skills Frameworks

ETA Form 9209 - RCTEAIR Layout (v.2 final 12-7-23).xlsx

OMB: 1205-0560

Document [xlsx]
Download: xlsx | pdf

Overview

RCTEA Program Sponsor 9206 I
RCTEA Employer Tear Off 9206 IA
CTE Apprentice Records 9206 II
Voluntary Disability Disclosure
SCS
CTEACS
Reg Agency Annual Report


Sheet 1: RCTEA Program Sponsor 9206 I

OMB Control No. 1205-0NEW



Expiration Date: XX/XX/XXX


ETA Form 9209
DATA ELEMENT NO. DATA ELEMENT NAME DATA TYPE/ FIELD LENGTH DATA ELEMENT DEFINITIONS/INSTRUCTIONS CODE VALUE

PROGRAM SPONSOR INFORMATION


B-100 Employer Identification Number IN 9 For any sponsor that is also an employer, record the Federal Employer Identification Number of the Sponsor. XXXXXXXXX
B-101 Program Number AN 13 Record the Program Number assigned by the Registration Agency. XXXXXXXXXXXXX
B-102 Sponsor Name AN 25 Record the name of the program's sponsor. XXXXXXXXXXX
B-103 Program Registration Status IN 1 Record the current registration status of the program.
Record 1 if the program was active during the report period.
Record 2 if the program voluntarily deregistered during the report period.
Record 3 if the program's registration was suspended during the report period.
1 = Active
2 = Voluntary Deregistration
3 = Suspended
B-104 Doing Business As (DBA) AN 25 If the sponsor is doing business as a name other than the name recorded as their Sponsor Name, record the name that the sponsor is doing business as. XXXXXXXXXXX
B-105 Sponsor Address - Line 1 AN 50 Record the street address of the sponsor's primary location.

Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action
XXXXXXXXXXX
B-106 Sponsor Address - Line 2 AN 10 Record the Apartment/Suite/Unit/Room number, if applicable. XXXXXXXXXXX
B-107 Sponsor Address - City AN 25 Record the city of the sponsor's primary location. XXXXXXXXXXX
B-108 Sponsor Address - State AN 2 Record the 2 letter USPS state code for the state of the sponsor's primary location. XX
B-109 Sponsor Address - Zip Code IN 5 Report the 5-digit zip code of the sponsor's primary location.

Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action
XXXXX
B-110 Sponsor Address - County IN 3 Report the 3-digit FIPS code of the county of the sponsor's primary location. XXX
B-111 Sponsor Website AN 200 Record the URL of the sponsor's website. XXXXXXXXXXX
B-112 Sponsor Telephone Number AN 55 Record the sponsor's primary telephone contact number, including extensions if applicable. XXXXXXXXXX
B-113 Sponsor Cell Phone Number AN 55 Record the sponsor's cellphone contact number, if different from the Sponsor Telephone Number. XXXXXXXXXX
B-114 Sponsor Email Address AN 20 Record the sponsor's primary email address contact. XXXXXXXXXXX
B-115 Sponsor Relevant Recruitment Area AN 2500 Record a description of the sponsor's relevant recruitment area for the program.
B-116 Sponsor Point of Contact - Last Name AN 20 Record the last name of the Sponsor's designated point of contact. XXXXXXXXXXX
B-117 Sponsor Point of Contact - First Name AN 20 Record the first name of the Sponsor's designated point of contact. XXXXXXXXXXX
B-118 Sponsor Point of Contact - Middle Initial AN 1 Record the middle initial of the Sponsor's designated point of contact. X
B-119 Sponsor Point of Contact - Title AN 20 Record the title of the Sponsor's designated point of contact. XXXXXXXXXXX
B-120 Sponsor Point of Contact's Address - Line 1 AN 50 If different from the sponsor's primary location, record the street address of the sponsor's point of contact's address.

Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action
XXXXXXXXXXX
B-121 Sponsor Point of Contact's Address - Line 2 AN 10 If different from the sponsor's primary location, record the sponsor's point of contact's Apartment/Suite/Unit/Room number, if applicable. XXXXXXXXXXX
B-122 Sponsor Point of Contact's - City AN 25 If different from the sponsor's primary location, record the city of the the sponsor's point of contact's address. XXXXXXXXXXX
B-123 Sponsor Point of Contact's -State AN 2 If different from the sponsor's primary location, record the 2 letter USPS state code for the state of the sponsor's point of contact's address. XX
B-124 Sponsor Point of Contact's - Zip Code IN 5 If different from the sponsor's primary location, report the 5-digit zip code of the sponsor's point of contact's address.

Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action
XXXXX
B-125 Sponsor Point of Contact's - County IN 3 If different from the sponsor's primary location, report the 3-digit FIPS code of the county the sponsor's point of contact's address. XXX
B-126 Sponsor Point of Contact's Telephone Number AN 55 If different from the sponsor's telephone number, record the sponsor's point of contact's telephone number, including extensions if applicable. XXXXXXXXXX
B-127 Sponsor Point of Contact's Cell Phone Number AN 55 Record the sponsor point of contact's cellphone number, if different from the Sponsor Point of Contact's Telephone Number. XXXXXXXXXX
B-128 Sponsor Point of Contact's Email Address AN 20 Record the sponsor point of contact's email address. XXXXXXXXXXX
B-129 Sponsor Type IN 7 Record the sponsor's applicable types of organizations:
Record 1 if the sponsor is an Institution of Higher Education - Community College.
Institution of Higher Education means the term given in sec. 101(a) of the Higher Education Act of 1965 (https://www.law.cornell.edu/uscode/text/20/1001).
Record 2 if the sponsor is an Institution of Higher Education - 4-Year Degree Granting Institution.
Institution of Higher Education means the term given in sec. 101(a) of the Higher Education Act of 1965 (https://www.law.cornell.edu/uscode/text/20/1001).
REcord 3 if the sponsor is an intermediary.
Record 4 if the sponsor is a Local Education Agency.
Record 5 if the sponsor is a State CTE Agency
Record 6 if the sponsor is a State Educational Agency.
Record 7 if the sponsor is a type other than those provided above.


1 =IHE - Community College
2 = IHE - 4-Year Degree Granting Institution
3 = Intermediary
4 = Local Education Agency
5 = State CTE Agency
6 = State Educational Agency
7 = Other
B-130 Sponsor NAICS (Industry) Code IN 6 Record the North American Industry Classification System (NAICS) Code associated with the sponsor. The NAICS Code means the standard used by Federal statistical agencies in classifying business establishments for the purpose of collecting, analyzing, and publishing statistical data related to the U.S. business economy. For more information on NAICS, please go to the following website: https://www.census.gov/naics/. XXXXXX
B-131 Perkins Eligible Recipient/Institution IN 1 Record 1 if the program sponsor is a Perkin's eligible recipient or institution.
Record 0 if the program sponsor is not a Perkin's eligible recipient or institituion.
1 = Yes
0 = No
B-132 Perkins Eligible Recipient/Institution - Designated Intermediary IN 2 Record 1 if the sponsor has been designated by a Perkins eligible recipient or institution, State CTE Agency, or State Educational Agency as an intermediary.
Record 2 if the sponsor has not been designated by a Perkins eligible recipient or institution, State CTE Agency, or State Educational Agency as an intermediary.
Record 0 if the sponsor is a Perkins eligible recipient or institution.
1 = Yes
2 = No
0 = Not Applicable
B-133 Registration Agency Name AN 100 Record the name of Registration Agency that will review the program registration for approval. XXXXXXXXXXX
B-134 State CTE Agency Name AN 100 Record the name of the State CTE Agency that approved the CTE Program included in the CTE apprenticeship-related instruction. XXXXXXXXXXX
B-135 Collective Bargaining Agreement - Status IN 1 Record 1 if the program is covered by a Collective Bargaining Agreement.
Record 0 if the program is not covered by a Collective Bargaining Agreement.
1=Yes
0=No
B-136 Collective Bargaining Agreement - Name AN 25 If the program is covered by a Collective Bargaining Agreement, record the name of the agreement. XXXXXXXXXXX
B-137 Collective Bargaining Agreement - Union Waivers IN 1 Record 1 if the union waives any privileges under this program in instances where: (1) a program is registered by an employer or employers' association, (2) a collective bargaining agreement exists, and (3) the union elects not to participate in the operation of substantive matters of the apprenticeship program.
Record 2 if the union does not waive any privileges under this program in instances where (1) a program is registered by an employer or employers' association, (2) a collective bargaining agreement exists, and (3) the union elects not to participate in the operation of substantive matters of the apprenticeship program.
Record 0 if the program does not have a Collective Bargaining Agreement.
1=Yes
2=No
0=Not Applicable
B-138 Incarcerated Individuals Program IN 1 Record 1 if the program allows incarcerated individuals to be CTE apprentices.
Record 0 if the program does not allow incarcerated individuals to be CTE apprentices.
1=Yes
0=No
B-139 Program Outcome Description AN 3000 Describe how completion of the program will result in CTE apprentices’ selection into an apprenticeship program registered under 29 CFR Part 29 subpart A (including any advanced standing granted), enrollment in a postsecondary educational program, or employment. XXXXXXXXXX
B-140 OJT Employment Description AN 3000 Describe the employment in which CTE apprentices will be employed in on-the-job training. XXXXXXXXXX
B-141 Competency Attainment Measurement AN 3000 Provide a description of the methods used during the course of the registered CTE apprenticeship program to measure progress on competency attainment XXXXXXXXXX
B-142 Advanced Standing Status IN 1 Record 1 if the program provides advanced standing to CTE apprentices with previous education or experience.
Record 0 if the program does not provide advanced standing to apprenticeship with previous education or experience.
1=Yes
0=No
B-143 Advanced Standing Verification AN 2500 Describe how the program verifies credit for advanced standing XXXXXXXXXXX
B-144 Complaint Contact - Last Name AN 20 Record the last name of the Sponsor's complaint contact. XXXXXXXXXXX
B-145 Complaint Contact - First Name AN 20 Record the first name of the Sponsor's complaint contact. XXXXXXXXXXX
B-146 Complaint Contact - Middle Initial AN 1 Record the middle initial of the Sponsor's complaint contact. X
B-147 Complaint Contact - Title AN 20 Record the title of the Sponsor's complaint contact. XXXXXXXXXXX
B-148 Complaint Contact - Address - Line 1 AN 50 Record the street address of the sponsor's complaint contact's address.

Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action
XXXXXXXXXXX
B-149 Complaint Contact - Address - Line 2 AN 10 Record the sponsor's complaint contact's Apartment/Suite/Unit/Room number, if applicable. XXXXXXXXXXX
B-150 Complaint Contact - Address - City AN 25 Record the city of the the sponsor's complaint contact's address. XXXXXXXXXXX
B-151 Complaint Contact - State AN 2 Record the 2 letter USPS state code for the state of the sponsor's complaint contact's address. XX
B-152 Complaint Contact - Zip Code IN 5 Report the 5-digit zip code of the sponsor's complaint contact's address.

Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action
XXXXX
B-153 Complaint Contact - Phone Number AN 55 Record the sponsor's complaint contact's telephone number, including extensions if applicable. XXXXXXXXXX
B-154 Complaint Contact - Cell Phone Number AN 55 Record the sponsor's complaint contact's cellphone number, if different from the sponsorcomplaint contact's telephone number. XXXXXXXXXX
B-155 Complaint Contact - Email Address AN 20 Record the sponsor complaint contact's email address. XXXXXXXXXXX
B-156 Program Initial Application Date DT 8 Record the date on which the program initially submitted a complete application. YYYYMMDD
B-157 Program Registration Date DT 8 Record the date on which the program was registered. YYYYMMDD
B-158 Date of Most Recent Revision to Program's Standards DT 8 Record the most recent date on which the program's standards were revised. If the standards have not been revised since the first registration date, leave this element blank. YYYYMMDD

INDUSTRY SKILLS FRAMEWORK AND CTE APPRENTICE EMPLOYMENT AND PROGRAM INFORMATION


B - 200 CTE Apprentice Job Title AN 100 Report the CTE apprentice's job title, based off the description of the CTE apprentice's on-the-job training employment. XXXXXXXXXX
B - 201 CTE Apprentice Job Title O*NET Code IN 8 Record the 8-digit O*NET SOC 2019 taxonomy occupational code (database version 25.1 or later) that best describes the occupation associated with the program.
Note: If all 8 digits of the O*NET occupational code are not collected, record at least the first 6 digits.
XXXXXXXX
B - 202 Term Length - CTE Apprenticeship RI IN 5 Record the number of hours of CTE-apprenticeship related instruction that will be provided to the CTE apprentice prior to completion of the program. XXXXX
B - 203 Term Length - OJT IN 5 Record the number of hours of on-the-job training that will be provided to the CTE apprentice prior to completion of the program. XXXXX
B - 204 Probationary Period IN 5 Record the number of hours of on-the-job training that the apprentice will serve as the CTE apprentice's probationary period.

Note: the probationary period cannot exceed 25 percent of the term length of the program, or one (1) year, whichever is shorter.
XXXXX
B - 205 On-The-Job Training Outline IN 1 Record 1 if there is an OJT outline aligned to an approved Industry Skills Framework for the program. This OJT outline must be shared in a separate attachment.
Record 0 if there is not an OJT outline aligned to an approved Industry Skills Framework for the program. Sponsors without an OJT outline aligned to an approved Industry Skills Framework must work with the Registration Agency to develop a work process schedule.
1=Yes
0=No
B - 206 Industry Skills Framework Name AN 255 Record the name of the approved Industry Skills Framework. XXXXXXXXXX
B - 207 Industry Skills Framework Certification Number AN 255 Record the Industry Skills Framework certification number. XXXXXXXXXX
B - 208 ISF RAPIDS Code IN 11 Record the Occupation RAPIDS code for the occupation associated with the program. XXXXXXXXXXX
B - 209 ISF NAICS (Industry) Code IN 6 Record the North American Industry Classification System (NAICS) Code associated with the Industry Skills Framework. The NAICS Code means the standard used by Federal statistical agencies in classifying business establishments for the purpose of collecting, analyzing, and publishing statistical data related to the U.S. business economy. For more information on NAICS, please go to the following website: https://www.census.gov/naics/. XXXXXX
B - 210 Ratio - CTE Apprentices IN 2 Record the number of CTE apprentices in the CTE Apprentice to Journeyworker Ratio. XX
B - 211 Ratio - Journeyworkers IN 2 Record the number of journeyworkers in the CTE Apprentice to Journeyworker Ratio. XX
B - 212 Number of Journeyworkers Employed IN 5 Record the number of Journeyworkers currently employed as of the end of the report period. XXXXX
B - 213 Unreimbursed Costs IN 1 Record 1 if the sponsor charges any unreimbursed costs, fees, and expenses to CTE apprentices.
Record 0 if the sponsor does not charge any unreimbursed costs, fees, and expenses to apprentices.
1 = Has Unreimbursed Costs
0 = No Unreimbursed Costs
B - 214 Unreimbursed Costs - Detail AN 3000 If the sponsor changes unreimbursed costs, fees, or expenses, report a description of each cost and the approximate amount for each. XXXXXXXXXX
B - 215 [Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: Update to item 10a and 10b for ETA Form XX, Part I - RCTEA program registration Advance Standing Process Description AN 3000 Describe the process by which the sponsor will reduce the usual term of on-the-job training or CTE apprenticeship-related instruction as a result of a registered CTE apprentice’s prior learning, training, or acquired experience, or as a result of accelerated progress in the attainment of occupational competencies that is made by an apprentice during their participation in the registered CTE apprenticeship program. Such process must be fair, transparent, and equitable in objectively identifying, assessing, and documenting a CTE apprentice’s prior learning, training, acquired experience, or accelerated progress. XXXXXXXXX
B - 216 Advance Standing Wage Progression IN 1 Record 1 if the the sponsor provides an increased wage for a CTE apprentice that is commensurate with any progression granted by the sponsor.
Record 0 if the sponsor does not provide an increased wage for a CTE apprentice that is commensurate with any progression granted by the sponsor
1 = Yes
0 - No
B - 217 Instructor and Trainer Qualifications IN 1 Record 1 if the sponsor has provided documentation showing that the qualification and experience of the trainings and instructors that provide on-the-job trainers and CTE apprenticeship-related instruction to CTE apprentices satisfies the requirements described in 29 CFR § 29.12 and § 29.8(a)(7).
Record 0 is the sponsor has not provided the documentation described above.
1 = Yes
0 - No
B - 218 Health and Safety Trainings IN 1 Record 1 if the program provides industry-recognized health or safety trainings to CTE apprentices during the program.
Record 0 if the program does not provide industry-recognized health or safety trainings to CTE apprentices during the program.
1 = Yes
0 = No
B - 219 Health and Safety Trainings - Narrative AN 3000 If the program provides industry-recognized health or safety trainings to CTE apprentices during the program, list the names of those trainings. Text
B - 220 Hours When OJT is Conducted IN 5 Record all of the allotment of hours types when the OJT compent of the registered CTE apprenticeship program is to be conducted.
Record 1 if OJT is conducted during the day.
Record 2 if OJT is conducted during the night.
Record 3 if OJT is conducted during the weekends.
Record 4 if Ojt is conducted during the summer.
Record 5 if OJT is conducted during school hours.

For programs with more than one allotment of hours type applies, please provide all applicable in this field. For example, if both "nights" and "hweekends" apply, record "23"
1=Days
2=Nights
3=Weekends
4=During the Summer
5=During School Hours
B - 221 Wages Paid During CTE Apprenticeship-Related Instruction DE 9.2 Record the total amount of wages paid during the CTE apprenticeship-related instruction. If wages are not paid during CTE apprenticeship-related instruction, report "0000000.00" XXXXXXX.XX
B - 222 Hours When CTE Apprenticeship-Related Instruction is Provided IN 3 Record 1 if CTE Apprenticeship-Related Instruction is provided only during work hours.
Record 2 if CTE Apprenticeship-Related Instruction is provided only outside of work hours.
Record 3 if CTE Apprenticeship-Related Instruction is provide both during and outside of work hours.
1=During Work Hours
2=Not During Work Hours
3=Both During and Not During Work Hours

RELATED INSTRUCTION INFORMATION


B - 300 Primary - CTE Apprenticeship-Related Instruction Provider Name AN 25 Record the name of the primary CTE apprenticeship-related instruction provider. XXXXXXXXXX
B - 301 Primary - CTE Apprenticeship-Related Instruction Provider Address - Line 1 AN 50 Record the street address of the Primary CTE Apprenticeship-Related Instruction Provider's primary location.

Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action
XXXXXXXXXX
B - 302 Primary - CTE Apprenticeship-Related Instruction Provider Address - Line 2 AN 10 Record the Apartment/Suite/Unit/Room number of the CTE Apprenticeship-Related Instruction Provider's primary location, if applicable. XXXXXXXXXX
B - 303 Primary - CTE Apprenticeship-Related Instruction Provider Address - City AN 25 Record the city of the of the CTE Apprenticeship-Related Instruction Provider's primary location. XXXXXXXXXX
B - 304 Primary - CTE Apprenticeship-Related Instruction Provider Address - State AN 2 Record the 2 letter USPS state code for the state of the of the CTE Apprenticeship-Related Instruction Provider's primary location. XX
B - 305 Primary - CTE Apprenticeship-Related Instruction Provider Address - Zip Code IN 5 Report the 5-digit zip code of the CTE Apprenticeship-Related Instruction Provider's primary location

Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action
XXXXX
B - 306 Primary - CTE Apprenticeship-Related Instruction Provider Website AN 200 Record the URL of the CTE Apprenticeship-Related Instruction Provider's website. XXXXXXXXXX
B - 307 Primary - Name of State-approved CTE Program AN 255 Record the name of the State-approved CTE Program. Text
B - 308 Primary - Postsecondary Credit Hours Awarded IN 3 Record the number of postsecondary credit hours the CTE Apprenticeship-related instruction provider will award toward the required 12 postsecondary credit hours. XXX
B - 309 Primary - CTE Apprenticeship-Related Instruction - Instruction Method IN 3 Indicate the instruction method of the CTE Apprenticeship-Related Instruction:

Record 1 for Classroom/In-person
Record 2 for Correspondence
Record 3 for Virtual/Web-based

For programs with more than one CTE apprenticeship-related instruction method, please report all that apply in this field. For example, if both "Classroom/In-person" and "Virtual/Web-based" apply, record "13"
1=Classroom/In-person
2=Correspondence
3=Virtual/Web-based
B - 310 Primary - CTE Apprenticeship-Related Instruction Provider Type IN 5 Indicate the provider type for the CTE Apprenticeship-Related Instruction:

Record 1 if the provider is the program sponsor.
Record 2 if the provider is a community college.
Record 3 if the provider is a technical school.
Record 4 if the provider is a vocational school.
Record 5 if the provider is a 4-year degree granting institution
Record 6 if the provider is a type other than those provided above.

For programs with where more than one provider type applies, please provide all applicable in this field. For example, if both "program sponsor" and "technical school" apply, record "13"
1=Sponsor
2=Community College
3=Technical School
4=Vocational School
5=4-Year Degree Granting Institution
6=Other
B - 311 Primary - CTE Apprenticeship-Related Instruction Length IN 5 Record the number of hours required to complete the program. XXXXX
B - 312 Primary - CTE Apprenticeship-Related Instruction Outline Plan IN 1 Record 1 if there is an established CTE apprenticeship-related instruction outline. These outlines must be provided in a separate attachment.
Record 0 if there is not an established CTE apprenticeship-related instruction outline. Sponsors must work with the Registration Agency to develop an outline/plan.
1=Yes
0=No
B - 313 Secondary - Contact Person First Name AN 20 Record the first name of the Sponsor's complaint contact. XXXXXXXXXXX
B - 314 Secondary - Contact Person Last Name AN 20 Record the last name of the Sponsor's complaint contact. XXXXXXXXXXX
B - 315 Secondary - Contact Person Telephone Number IN 9 Record the sponsor's complaint contact's telephone number. XXX-XXX-XXXX
B - 316 Secondary - Contact Person Email Address AN 20 Record the sponsor complaint contact's email address. XXXXXXXXXXX
B - 317 Secondary - CTE Apprenticeship-Related Instruction Provider Name AN 25 Record the name of the primary CTE apprenticeship-related instruction provider. XXXXXXXXXXX
B - 318 Secondary - CTE Apprenticeship-Related Instruction Provider Address - Line 1 AN 50 Record the street address of the Primary CTE Apprenticeship-Related Instruction Provider's primary location.

Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action
XXXXXXXXXXX
B - 319 Secondary - CTE Apprenticeship-Related Instruction Provider Address - Line 2 AN 10 Record the Apartment/Suite/Unit/Room number of the CTE Apprenticeship-Related Instruction Provider's primary location, if applicable. XXXXXXXXXXX
B - 320 Secondary - CTE Apprenticeship-Related Instruction Provider Address - City AN 25 Record the city of the of the CTE Apprenticeship-Related Instruction Provider's primary location. XXXXXXXXXXX
B - 321 Secondary - CTE Apprenticeship-Related Instruction Provider Address - State AN 2 Record the 2 letter USPS state code for the state of the of the CTE Apprenticeship-Related Instruction Provider's primary location. XX
B - 322 Secondary - CTE Apprenticeship-Related Instruction Provider Address - Zip Code IN 5 Report the 5-digit zip code of the CTE Apprenticeship-Related Instruction Provider's primary location

Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action
XXXXX
B - 323 Secondary - CTE Apprenticeship-Related Instruction Provider Website
Record the URL of the CTE Apprenticeship-Related Instruction Provider's website.
B - 324 Secondary - Name of State-approved CTE Program AN 255 Record the name of the State-approved CTE Program. Leave blank if the State-approved CTE Program does not apply to the secondary CTE apprenticeship-related instruction provider. XXXXXXXXXX
B - 325 Secondary - Postsecondary Credit Hours Awarded IN 3 Record the number of postsecondary credit hours the CTE Apprenticeship-related instruction provider will award toward the required 12 postsecondary credit hours. XXX
B - 326 Secondary - CTE Apprenticeship-Related Instruction - Instruction Method IN 3 Indicate the instruction method of the CTE Apprenticeship-Related Instruction:

Record 1 for Classroom/In-person
Record 2 for Correspondence
Record 3 for Virtual/Web-based

For programs with more than one CTE apprenticeship-related instruction method, please report all that apply in this field. For example, if both "Classroom/In-person" and "Virtual/Web-based" apply, record "13"
1=Classroom/In-person
2=Correspondence
3=Virtual/Web-based
B - 327 Secondary - CTE Apprenticeship-Related Instruction Provider Type IN 5 Indicate the provider type for the CTE Apprenticeship-Related Instruction:

Record 1 if the provider is the program sponsor.
Record 2 if the provider is a community college.
Record 3 if the provider is a technical school.
Record 4 if the provider is a vocational school.
Record 5 if the provider is a 4-year degree granting institution.
Record 6 if the provider is a type other than those provided above.

For programs with where more than one provider type applies, please provide all applicable in this field. For example, if both "program sponsor" and "technical school" apply, record "13"
1=Sponsor
2=Community College
3=Technical School
4=Vocational School
5=4-Year Degree Granting Institution
6=Other
B - 328 Secondary - CTE Apprenticeship-Related Instruction Length IN 5 Record the number of hours required to complete the program. XXXXX
B - 329 Secondary - CTE Apprenticeship-Related Instruction Outline Plan IN 1 Record 1 if there is an established CTE apprenticeship-related instruction outline. These outlines must be provided in a separate attachment.
Record 0 if there is not an established CTE apprenticeship-related instruction outline. Sponsors must work with the Registration Agency to develop an outline/plan.
1=Yes
0=No
B - 330 Secondary - Contact Person First Name AN 20 Record the first name of the Sponsor's complaint contact. XXXXXXXXXXX
B - 331 Secondary - Contact Person Last Name AN 20 Record the last name of the Sponsor's complaint contact. XXXXXXXXXXX
B - 332 Secondary - Contact Person Telephone Number AN 55 Record the sponsor's complaint contact's telephone number. XXXXXXXXXX
B - 333 Secondary - Contact Person Email Address AN 20 Record the sponsor complaint contact's email address. XXXXXXXXXXX

REGISTERED APPRENTICESHIP PROGRAM PARTNERSHIP


B- 400 Registered Apprenticeship Program Partnership IN 1 Record 1 if the program has a documented partnership with any with a registered apprenticeship program under subpart A for the placement of apprentices.
Record 0 if the program does not have a documented partnership with any with a registered apprenticeship program under subpart A for the placement of CTE apprentices.
1 = Yes
0 = No
B- 401 Registered Apprenticeship Program Partnership - Narrative AN 3000 Record the list of the names of the registered apprenticeship program under subpart A in which the sponsor has a documented partnership for the placement of CTE apprentices. Leave blank if the program does not have a documented partnerships with any with a registered apprenticeship program under subpart A for the placement of apprentices. XXXXXXXXXX
B- 402 Registered Apprenticeship Advanced Standing IN 1 Record 1 if the program awards advanced standing for completion of a registered CTE apprenticeship program for the placement of CTE apprentices.
Record 0 if the program does not award advanced standing for the completion of a registered CTE apprenticeship program for the placement of CTE apprentices.
1 = Advanced Standing
0 = No Advanced Standing
B- 403 Registered Apprenticeship Advanced Standing - OJT Credit IN 3 Record the number of OJT credit hours that the program awards to CTE apprentices for completion of the registered CTE apprenticeship program. Leave blank if the program does not have a documented partnership with a with a registered apprenticeship program under subpart A. XXX
B- 404 Registered Apprenticeship Advanced Standing - RI Credit IN 3 Record the number of Related Instruction credit hours that the program awards to CTE apprentices for completion of a registered CTE apprenticeship program. Leave blank if the program does not have a documented partnership with a with a registered apprenticeship program under subpart A. XXX

INSTITUTION OF HIGHER EDUCATION PARTNERSHIP


B - 500 Institution of Higher Education Partnership IN 1 Record 1 if the program has a documented partnership with any institutions of higher education to facilitate the enrollment of CTE apprentices in a credit-bearing program.
Record 0 if the program does not have a documented partnership with any institution of higher education to facilitate the enrollment of CTE apprentices in a credit-bearing program.
1 = Yes
0 = No
B - 501 Institution of Higher Education Partnership - Narrative AN 3000 Record the list of the names of the instituions of higher education in which the sponsor has a documented partnership for the enrollment of CTE apprentices. Leave blank if the program does not have a documented partnership with any institutions of higher education to facilitate the enrollment of CTE apprentices in a credit-bearing program leave this blank. XXXXXXXXXX
B - 502 Institution of Higher Education Enrollment IN 1 Record 1 if any of the listed institutions of higher education award credit that counts toward a culminating postsecondary recognized credential, including a degree, for the completion of a registered CTE apprenticeship program?
Record 0 if none of the listed institutions of higher education award credit that counts toward a culminating postsecondary recognized credential, including a degree, for the completion of a registered CTE apprenticeship program.
1 = Advanced Standing
0 = No Advanced Standing
B - 503 Institution of Higher Education Credit IN 3 Record the number of credit hours that count toward a culminating degree awarded to the CTE apprentice for completion of the registered CTE apprenticeship program. Leave blank if the program does not have a documented partnership with any instituion of higher education or if none of the listed instituions of higher education award credit to a CTE apprentice for completing a registered CTE apprenticeship program. XXX

SUPPORTIVE SERVICE INFORMATION


B - 600 Supportive Services IN 2 Record 1 if the program provides CTE apprentices access to supportive services provided by the sponsor during the program.
Record 2 if the program provides CTE apprentices access to supportive services provided only by someone other than the sponsor during the program.
Record 0 if the program does not provide CTE apprentices access to supportive services during the program.
1=Yes, sponsor provided
2= Yes, other than sponsor
0=No
B - 601 Supportive Services Types IN 6 Record all of the types of supportive services provided, whether funded directly by the program or another source.
Record 1 if Transportation assistance is provided.
Record 2 if Housing assistance is provided.
Record 3 if Tools, Supplies, or Uniforms assistance is provided.
Record 4 if Child/Dependent Care assistance is provided
Record 5 if Needs Related Payments are provided.
Record 6 if supportive services other than those listed above are provided.
Record 0 if supportive services are not provided.

For programs with where more than one suportive service type applies, please provide all applicable in this field. For example, if both "transportation" and "housing" apply, record "12"
1 = Transportation
2 = Housing
3 = Tools, Supplies, Uniforms
4 = Child/Dependent Care
5 = Needs Related Payments
6 = Other
0 = No supportive services

PROGRESSIVE WAGE SCHEDULE INFORMATION


B - 700 Wage Rate IN 1 Record 1 if the wage rates for all wage progressions are expressed as a percentage (%) of the CTE apprentice's final wage.
Record 2 if the wage rates for all wage progressions are expressed in dollars ($) per hour.
Record 3 if the wage rates for all wage progressions are expressed as as a percentage (%) of the CTE apprentice's Final Wage or in dollars ($) per hour, depending on which wage progression the CTE Apprentice is in.
1 = Percent of CTE Apprentice Final Wage
2 = Dollars per Hour
3 = Both
B - 701 CTE Apprentice's Entry Wage (Dollars Per Hour) DE 6.2 Record the number associated with the CTE apprentice's entry wage rate for this program, expressed in dollars per hour . XXXX.XX
B - 702 CTE Apprentice's Final Wage (Dollars Per Hour) DE 6.2 Record the number associated with the CTE apprentice's final wage rate for this program, expressed in dollars per hour . XXXX.XX
B - 703 Wage Rate Duration #1 IN 4 Record the duration in number of hours that wage rate #1 will be applicable. XXXX
B - 704 Wage Rate Competencies #1 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #1. XX
B - 705 Wage Rate #1 (Dollars Per Hour) DE 6.2 If wage progression #1 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #1 for this program.
XXXX.XX
B - 706 Wage Rate #1 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #1 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #1 for this program.
XX.XX
B - 707 Wage Rate Duration #2 IN 4 Record the duration in number of hours that wage rate #2 will be applicable. XXXX
B - 708 Wage Rate Competencies #2 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #2. XX
B - 709 Wage Rate #2 (Dollars Per Hour) DE 6.2 If wage progression #2 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #2 for this program.
XXXX.XX
B - 710 Wage Rate #2 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #2 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #2 for this program.
XX.XX
B - 711 Wage Rate Duration #3 IN 4 Record the duration in number of hours that wage rate #3 will be applicable. XXXX
B - 712 Wage Rate Competencies #3 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #3. XX
B - 713 Wage Rate #3 (Dollars Per Hour) DE 6.2 If wage progression #3 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #3 for this program.
XXXX.XX
B - 714 Wage Rate #3 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #3 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #3 for this program.
XX.XX
B - 715 Wage Rate Duration #4 IN 4 Record the duration in number of hours that wage rate #4 will be applicable. XXXX
B - 716 Wage Rate Competencies #4 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #4. XX
B - 717 Wage Rate #4 (Dollars Per Hour) DE 6.2 If wage progression #4 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #4 for this program.
XXXX.XX
B - 718 Wage Rate #4 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #4 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #4 for this program.
XX.XX
B - 719 Wage Rate Duration #5 IN 4 Record the duration in number of hours that wage rate #5 will be applicable. XXXX
B - 720 Wage Rate Competencies #5 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #5. XX
B - 721 Wage Rate #5 (Dollars Per Hour) DE 6.2 If wage progression #5 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #5 for this program.
XXXX.XX
B - 722 Wage Rate #5 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #5 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #5 for this program.
XX.XX
B - 723 Wage Rate Duration #6 IN 4 Record the duration in number of hours that wage rate #6 will be applicable. XXXX
B - 724 Wage Rate Competencies #6 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #6. XX
B - 725 Wage Rate #6 (Dollars Per Hour) DE 6.2 If wage progression #6 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #6 for this program.
XXXX.XX
B - 726 Wage Rate #6 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #6 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #6 for this program.
XX.XX
B - 727 Wage Rate Duration #7 IN 4 Record the duration in number of hours that wage rate #7 will be applicable. XXXX
B - 728 Wage Rate Competencies #7 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #7. XX
B - 729 Wage Rate #7 (Dollars Per Hour) DE 6.2 If wage progression #7 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #7 for this program.
XXXX.XX
B - 730 Wage Rate #7 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #7 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #7 for this program.
XX.XX
B - 731 Wage Rate Duration #8 IN 4 Record the duration in number of hours that wage rate #8 will be applicable. XXXX
B - 732 Wage Rate Competencies #8 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #8. XX
B - 733 Wage Rate #8 (Dollars Per Hour) DE 6.2 If wage progression #8 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #8 for this program.
XXXX.XX
B - 734 Wage Rate #8 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #8 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #8 for this program.
XX.XX
B - 735 Wage Rate Duration #9 IN 4 Record the duration in number of hours that wage rate #9 will be applicable. XXXX
B - 736 Wage Rate Competencies #9 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #9. XX
B - 737 Wage Rate #9 (Dollars Per Hour) DE 6.2 If wage progression #9 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #9 for this program.
XXXX.XX
B - 738 Wage Rate #9 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #9 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #9 for this program.
XX.XX
B - 739 Wage Rate Duration #10 IN 4 Record the duration in number of hours that wage rate #10 will be applicable. XXXX
B - 740 Wage Rate Competencies #10 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #10. XX
B - 741 Wage Rate #10 (Dollars Per Hour) DE 6.2 If wage progression #10 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #10 for this program.
XXXX.XX
B - 742 Wage Rate #10 (% of JCTE Apprentice Final Wage) DE 4.2 If wage progression #10 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #10 for this program.
XX.XX
B - 743 Fringe Benefits IN 7 If the sponsor or any participating employer provides fringe benefits to CTE apprentices, record all of the types of benefits that apply:
Record 1 if the sponsor or any participating employer provides Health Insurance Contributions.
Record 2 if the sponsor or any participating employer provides Life Insurance.
Record 3 if the sponsor or any participating employer provides Pension/Retirement Contributions.
Record 4 if the sponsor or any participating employer provides paid vacation days.
Record 5 if the sponsor or any participating employer provides paid sick leave.
Record 6 if the sponsor or any participating employer provides paid holidays.
Record 7 if the sponsor or any participating employer provides other "bona fide" fringe benefits.
Record 0 if the sponsor or any participating employer does not provide fringe benefits.
If the sponsor or any participating employer provides more than one applicable type fringe benefit, please provide all applicable in this field. For example, if both "paid sick leave" and "paid holiday" apply, record "56"

Fringe Benefits refers to contributions irrevocably made to a trustee or third party pursuant to a bona fide fringe benefit fund plan or program; and/or the rate of costs incurred in providing bona fide fringe benefits pursuant to an enforceable commitment to carry out a financially responsible plan or program and communicated to the CTE apprentices in writing. However, payments required by Federal, State, or local law are not fringe benefit contributions; accordingly, payments required to fund Social Security, unemployment compensation, and workers’ compensation programs, as required by law, do not count as fringe benefits. For more information, visit: https://www.dol.gov/agencies/whd/government-contracts/construction/faq/fringe-benefits.
1=Health Insurance Contributions
2=Life Insurance
3=Pension/Retirement Contributions
4=Paid Vacation Days
5=Paid Sick Leave
6=Paid Holidays
7=Other "bona fide" fringr benefit
B - 744 Fringe Benefits - Approximate Value DE 6.2 If the sponsor or any participating employer provides fringe benefits, record the approximate hourly value of the fringe benefits provided. XXXXXX.XX

ACADEMIC CREDIT AND INTERIM CREDENTIALS


B - 800 High School Diploma IN 1 Record 1 if program participants receive a high school diploma for participating in the registered CTE apprenticeship program.
Record 0 if program participants do not receive a high school diploma for participating in the registered CTE apprenticeship program.
1=Yes
0=No
B - 801 High School Equivalency IN 1 Record 1 if program participants receive a high school equivalency for participating in the registered CTE apprenticeship program.
Record 0 if program participants do not receive a high school equivalency for participating in the registered CTE apprenticeship program.
1=Yes
0=No
B - 802 Postsecondary Credit Hours - Requirement IN 1 Record 1 if the program provides at least 12 postsecondary credit hours.
Record 0 if the program does not provide at least 12 postsecondary credit hours.
1=Yes
0=No
B - 803 Postsecondary Credit Hours - Name of Entity Providing Credit AN 25 Record the name of the entity awarding the postsecondary credit hours provided through this program. Leave blank if this does not apply. XXXXXXXXXX
B - 804 Postsecondary Credit Hours - Total IN 4 Record the total number of postsecondary credit hours awarded for completing this program. XXXX
B - 805 Interim Credentials provided IN 1 Record 1 if there are interim credentials awarded at any point during and as a result of participation in this program.
Record 0 if there are no interim credentials awarded during and as a result of participation in this program.
1=Yes
0=No
B - 806 Interim Credential #1 - Type IN 1 Indicate the type of interim credential awarded :

Record 1 for industry recognized certificate.
Record 2 for industry certification.
Record 3 for license recognized by local, State or Federal Government.
Record 4 for Associate's Degree.
Record 5 for Bachelor's Degree.
Record 6 for Master's Degree.
Record 7 for Doctorate Degree.
1=Industry Recognized Certificate
2=Industry Certification
3=License recognized by local, State or Federal Government
4=Associate's Degree
5=Bachelor's Degree
6=Master's Degree
7=Doctorate Degree
B - 807 Interim Credential #1 - Name AN 25 Record the name of the interim credential. XXXXXXXXXX
B - 808 Interim Credential #1 - Name of Entity Awarding Credential AN 25 Record the name of the entity awarding the credential. XXXXXXXXXX
B - 809 Interim Credential #1 - Type of Entity Awarding Credential IN 1 If more than 1 interim credentials can be awarded, indicate the entity type that awarded the 2nd credential:

Record 1 if the entity is a secondary school.
Record 2 if the entity is a community college.
Record 3 if the entity is a technical school.
Record 4 if the entity is a vocational school.
Record 5 if the entity is a 4-year degree granting instituion.
Record 6 if the entity is a labor union.
Record 7 if the entity is a federal, state, or local government.
Record 8 if the entity is an industry association.
Record 9 if the entity is an organization other than those listed above.
1=Secondary School
2=Community College
3=Technical School
4=Vocational School
5=4-Year Degree Granting Institution
6=Labor Union
7=Federal/State/Local Government
8=Industry Association
9=Other Credentialing Organization
B - 810 Interim Credential #2 - Type IN 1 If more than 1 interim credentials can be awarded, indicate the 2nd type of interim credential awarded :

Record 1 for industry recognized certificate.
Record 2 for industry certification.
Record 3 for license recognized by local, State or Federal Government.
Record 4 for Associate's Degree.
Record 5 for Bachelor's Degree.
Record 6 for Master's Degree.
Record 7 for Doctorate Degree.
1=Industry Recognized Certificate
2=Industry Certification
3=License recognized by local, State or Federal Government
4=Associate's Degree
5=Bachelor's Degree
6=Master's Degree
7=Doctorate Degree
B - 811 Interim Credential #2 - Name AN 25 If more than 1 interim credentials can be awarded, record the name of the 2nd interim credential. XXXXXXXXXX
B - 812 Interim Credential #2 - Name of Entity Awarding Credential AN 25 If more than 1 interim credentials can be awarded, record the name of the entity awarding the 2nd credential. XXXXXXXXXX
B - 813 Interim Credential #2 - Type of Entity Awarding Credential IN 1 If more than 1 interim credentials can be awarded, indicate the entity type that awarded the 2nd credential:

Record 1 if the entity is a secondary school.
Record 2 if the entity is a community college.
Record 3 if the entity is a technical school.
Record 4 if the entity is a vocational school.
Record 5 if the entity is a 4-year degree granting instituion.
Record 6 if the entity is a labor union.
Record 7 if the entity is a federal, state, or local government.
Record 8 if the entity is an industry association.
Record 9 if the entity is an organization other than those listed above.
1=Secondary School
2=Community College
3=Technical School
4=Vocational School
5=4-Year Degree Granting Institution
6=Labor Union
7=Federal/State/Local Government
8=Industry Association
9=Other Credentialing Organization
B - 814 Interim Credential #3 - Type IN 1 If more than 2 interim credentials can be awarded, indicate the 3rd type of interim credential awarded :

Record 1 for industry recognized certificate.
Record 2 for industry certification.
Record 3 for license recognized by local, State or Federal Government.
Record 4 for Associate's Degree.
Record 5 for Bachelor's Degree.
Record 6 for Master's Degree.
Record 7 for Doctorate Degree.
1=Industry Recognized Certificate
2=Industry Certification
3=License recognized by local, State or Federal Government
4=Associate's Degree
5=Bachelor's Degree
6=Master's Degree
7=Doctorate Degree
B - 815 Interim Credential #3 - Name AN 25 If more than 2 interim credentials can be awarded, record the name of the 3rd interim credential. XXXXXXXXXX
B - 816 Interim Credential #3 - Name of Entity Awarding Credential AN 25 If more than 2 interim credentials can be awarded, record the name of the entity awarding the 3rd credential. XXXXXXXXXX
B - 817 Interim Credential #3 - Type of Entity Awarding Credential IN 1 If more than 2 interim credentials can be awarded, indicate the entity type that awarded the 3rd credential:

Record 1 if the entity is a secondary school.
Record 2 if the entity is a community college.
Record 3 if the entity is a technical school.
Record 4 if the entity is a vocational school.
Record 5 if the entity is a 4-year degree granting instituion.
Record 6 if the entity is a labor union.
Record 7 if the entity is a federal, state, or local government.
Record 8 if the entity is an industry association.
Record 9 if the entity is an organization other than those listed above.
1=Secondary School
2=Community College
3=Technical School
4=Vocational School
5=4-Year Degree Granting Institution
6=Labor Union
7=Federal/State/Local Government
8=Industry Association
9=Other Credentialing Organization

REGISTERED CTE APPRENTICESHIP SPONSOR PROGRAM REGISTRATION WRITTEN PLAN


B- 900 Written Plan - Equity AN 5000 Describe how the program will ensure the students who are selected to participate in the registered CTE apprenticeship program reflect a diverse and inclusive cross-section of the current student body enrollment of the participating secondary or postsecondary school(s) consistent with the requirements of 29 CFR part 30. XXXXXXXXXX
B- 901 Written Plan - Industry Skills Framework AN 5000 Describe how the CTE program’s training and curriculum align with an approved Industry Skills Framework. XXXXXXXXXX
B- 902 Written Plan - Credit Hours AN 5000 Provide a description of the secondary credits or recognized postsecondary credit hours and credentials the program may provide, including how the program confers such credits and credentials, and its usefulness for CTE apprentices’ entry into employment, a registered apprenticeship program under subpart A of this part, or a postsecondary educational program. XXXXXXXXXX
B- 903 Written Plan - Safety AN 5000 Provide a description how you as the sponsor will ensure each employer has an established record of maintaining a safe and inclusive workplace that is free from discrimination, violence, harassment, intimidation, and retaliation against employees. XXXXXXXXXX
B- 904 Written Plan - Career and Supportive Services AN 5000 Provide a description of how the CTE apprentices participating in the program will have access to a broad range of career services and supportive services that enable participation in, and successful completion of, the registered CTE apprenticeship program. XXXXXXXXXX
B- 905 Written Plan - Oversight AN 5000 Provide a description of the routine monitoring and oversight conducted by the sponsor of all aspects of the registered CTE apprenticeship program. XXXXXXXXXX
B- 906 Written Plan - EEO Implementation AN 5000 Provide a description of how the sponsor will implement, upon registration, the affirmative steps to provide equal employment opportunity in apprenticeship required by 29 CFR § 30.3(b). XXXXXXXXXX
B- 907 Written Plan - EEO POC AN 5001 Identify the individual or individuals that will be responsible and accountable for overseeing the sponsor’s commitment to equal opportunity in registered CTE apprenticeship XXXXXXXXXX
B- 908 Written Plan - EEO Pledge AN 5002 Identify the publications or other documents where the sponsor’s equal opportunity pledge will be published and the physical or digital locations where the sponsor’s equal opportunity pledge will be posted. XXXXXXXXXX
B- 909 Written Plan - EEO Orientation AN 5003 Describe the planned schedule for orientation and information sessions for individuals connected with the administration or operation of the registered CTE apprenticeship program, including all CTE apprentices and journeyworkers who regularly work with CTE apprentices, to inform and remind such individuals of the sponsor’s EEO policy with regard to registered CTE apprenticeship. XXXXXXXXXX
B- 910 Written Plan - EEO Recruitment Source AN 5004 Provide a list of current recruitment sources that will generate referrals from all demographic groups within the relevant recruitment area, including the identity of a contact person, mailing address, telephone number, and email address for each recruitment source. XXXXXXXXXX
B- 911 Written Plan - EEO Anti- Harassment AN 5005 Describe the sponsor’s procedures to ensure that its CTE apprentices are not harassed or otherwise subjected to discrimination because of their race, color, religion, national origin, sex, sexual orientation, age (40 or older), genetic information, or disability and to ensure that its apprenticeship program is free from intimidation and retaliation. This description must specifically include: (1) the planned schedule and content source for the required anti-harassment training to all individuals connected with the administration or operation of the registered CTE apprenticeship program; and (2) the sponsor’s procedures for handling and resolving complaints about harassment and intimidation. XXXXXXXXXX

PROGRAM ELIGIBILITY AND SELECTION PROCEDURES


B - 1000 Selection Procedures IN 1 Record 1 if the program has an established Selection Procedure.
Record 0 if the program does not have an established Selection Procedure.
1=Yes
0=No
B - 1001 Selection Procedure - Description AN 3000 Describe the selection procedures. XXXXXXXXXX
B - 1002 Selection Procedures - Veterans Preference IN 1 Record 1 if the program provides a preference to veteran applicants or specifically provides outreach to veterans as part of its selection procedures
Record 0 if the program does not provide a preference to veteran applicants or specifically provides outreach to veterans as part of its selection procedures
1=Yes
0=No
B - 1003 Selection Procedures - Veterans Preference Description AN 3000 Describe the program’s preference or strategy for hiring veterans. XXXXXXXXXX
B - 1004 Minimimum Eligibility Requirements - Age IN 2 If applicable, record the minimum age required for an individual to be eligible to enter the program (in years).
If the program does not have a minimum age requirement, record 00.
XX
B - 1005 Minimimum Eligibility Requirements - Education AN 1000 If applicable, record a brief description of the minimum educational requirements for an individual to be eligible to enter the program. XXXXXXXXXX
B - 1006 Minimimum Eligibility Requirements - Physical AN 1000 If applicable, record a brief description of the physical requirements for an individual to be eligible to enter the program. XXXXXXXXXX
B - 1007 Minimimum Eligibility Requirements - Aptitude Tests AN 1000 If applicable, record a brief description of the aptitude test requirements for an individual to be eligible to enter the program. XXXXXXXXXX
B - 1008 Minimimum Eligibility Requirements - Other AN 1000 If applicable, record a brief description of any minimum requirements other than age, education, physical, and aptitude tests that are necessary for an individual to be eligible to enter the program. XXXXXXXXXX

Program Application Approval Questions








DATA TYPE/ FIELD LENGTH KEY:
This column is composed of two parts: (1) the data type, which is represented by a two letter code, and (2) a number, which represents the maximum length of a response for that element. This means that an "IN 1" element with 4 options (1,2,3,4) can only report one of those 4 options, but an "IN 4" element with 4 options can report any combination of those 4 (e.g. 124, 13, 4, etc).

Data Type Codes:
AN = AlphaNumeric, aka numbers and letters allowed, sometimes called a text field
IN = Integer, only whole numbers allowed
DT = Date, typically dates are best reported yyyymmdd to simplify sorting/ordering
DE = Decimal floating point, used for numeric values where a decimal point is needed, such as a wage/earnings value




Sheet 2: RCTEA Employer Tear Off 9206 IA

OMB Control No. 1205-0NEW



Expiration Date: XX/XX/XXXX


ETA Form 9209
DATA ELEMENT NO. DATA ELEMENT NAME DATA TYPE/ FIELD LENGTH DATA ELEMENT DEFINITIONS/INSTRUCTIONS CODE VALUE
B - 1100 Employer Identification Number IN 9 Record the Federal Employer Identification Number of the Sponsor. XXXXXXXXX
B - 1101 Employer's Name AN 25 Record the organizational name of the employer. XXXXXXXXXX
B - 1102 Employer Address - Line 1 AN 50 Record the street address of the employer's primary location.

Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action
XXXXXXXXXXX
B - 1103 Employer Address - Line 2 AN 10 Record the Apartment/Suite/Unit/Room number, if applicable. XXXXXXXXXXX
B - 1104 Employer Address - City AN 25 Record the city of the employer's primary location. XXXXXXXXXXX
B - 1105 Employer Address - State AN 2 Record the 2 letter USPS state code for the state of the employer's primary location. XX
B - 1106 Employer Address - Zip Code IN 5 Report the 5-digit zip code of the employer's primary location.

Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action
XXXXX
B - 1107 Employer Address - County IN 3 Report the 3-digit FIPS code of the county of the employer's primary location. XXX
B - 1108 Employer Telephone Number AN 55 Record the employer's primary telephone contact number. XXXXXXXXX
B - 1109 Employer Email Address AN 20 Record the employer's primary email address contact. XXXXXXXXXXX
B - 1110 Employer NAICS (Industry) Code IN 6 Record the North American Industry Classification System (NAICS) Code associated with the employer. The NAICS Code means the standard used by Federal statistical agencies in classifying business establishments for the purpose of collecting, analyzing, and publishing statistical data related to the U.S. business economy. For more information on NAICS, please go to the following website: https://www.census.gov/naics/. XXXXXX
B - 1111 Size of Workforce IN 6 Record the total number of employees in the employer's workforce. XXXXXX
B - 1112 [Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: Here is how I revised the field sin the Part IA tear-off: Name of Participating Employer; Participating Employer's Primary POC (Last, First, MI); Address; City; State; Zip Code; Telephone Number; e-mail address; cell phone number (optional). We could lessen the number of fields in this tab or update the language in the 671. For ETLS review. "If the program type is a group program, please list for each participating employer the employer’s name and the employer’s primary point of contact information (first name, middle initial, last name, title, address, telephone number, cell phone number (optional), e-mail address, and Program Standards Adoption Agreement(s) (as applicable) below or in a separate attachment.)" Employer Primary Point of Contact - First Name AN 20 Record the first name of the Employer's Primary point of contact. XXXXXXXXXXX
B - 1113 Employer Primary Point of Contact - Last Name AN 20 Record the last name of the Employer's Primary point of contact. XXXXXXXXXXX
B - 1114 Employer Primary Point of Contact - Title IN 9 Record the title of the Employer's Primary point of contact. XXXXXXXXX
B - 1115 Employer Primary Point of Contact - Phone Number AN 20 Record the Employer's Primary point of contact's telephone number. XXX-XXX-XXXX
B - 1116 Employer Primary Point of Contact - Email AN 35 Record the sponsor complaint contact's email address. [email protected]
B - 1117 Employer Primary Point of Contact - Cell Phone Number AN 20 Record the Employer's Primary point of contact's cellphone number. XXX-XXX-XXXX
B - 1118 Wage Rate IN 1 Record 1 if the wage rates for all wage progressions are expressed as a percentage (%) of the CTE apprentice's final wage.
Record 2 if the wage rates for all wage progressions are expressed in dollars ($) per hour.
Record 3 if the wage rates for all wage progressions are expressed as as a percentage (%) of the CTE apprentice's Final Wage or in dollars ($) per hour, depending on which wage progression the CTE Apprentice is in.
1 = Percent of CTE Apprentice Final Wage
2 = Dollars per Hour
3 = Both
B - 1119 CTE Apprentice's Entry Wage (Dollars Per Hour) DE 6.2 Record the number associated with the CTE apprentice's entry wage rate for this program, expressed in dollars per hour . XXXX.XX
B - 1120 CTE Apprentice's Final Wage (Dollars Per Hour) DE 6.2 Record the number associated with the CTE apprentice's final wage rate for this program, expressed in dollars per hour . XXXX.XX
B - 1121 Wage Rate Duration #1 IN 4 Record the duration in number of hours that wage rate #1 will be applicable. XXXX
B - 1122 Wage Rate Competencies #1 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #1. XX
B - 1123 Wage Rate #1 (Dollars Per Hour) DE 6.2 If wage progression #1 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #1 for this program.
XXXX.XX
B - 1124 Wage Rate #1 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #1 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #1 for this program.
XX.XX
B - 1125 Wage Rate Duration #2 IN 4 Record the duration in number of hours that wage rate #2 will be applicable. XXXX
B - 1126 Wage Rate Competencies #2 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #2. XX
B - 1127 Wage Rate #2 (Dollars Per Hour) DE 6.2 If wage progression #2 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #2 for this program.
XXXX.XX
B - 1128 Wage Rate #2 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #2 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #2 for this program.
XX.XX
B - 1129 Wage Rate Duration #3 IN 4 Record the duration in number of hours that wage rate #3 will be applicable. XXXX
B - 1130 Wage Rate Competencies #3 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #3. XX
B - 1131 Wage Rate #3 (Dollars Per Hour) DE 6.2 If wage progression #3 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #3 for this program.
XXXX.XX
B - 1132 Wage Rate #3 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #3 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #3 for this program.
XX.XX
B - 1133 Wage Rate Duration #4 IN 4 Record the duration in number of hours that wage rate #4 will be applicable. XXXX
B - 1134 Wage Rate Competencies #4 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #4. XX
B - 1135 Wage Rate #4 (Dollars Per Hour) DE 6.2 If wage progression #4 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #4 for this program.
XXXX.XX
B - 1136 Wage Rate #4 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #4 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #4 for this program.
XX.XX
B - 1137 Wage Rate Duration #5 IN 4 Record the duration in number of hours that wage rate #5 will be applicable. XXXX
B - 1138 Wage Rate Competencies #5 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #5. XX
B - 1139 Wage Rate #5 (Dollars Per Hour) DE 6.2 If wage progression #5 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #5 for this program.
XXXX.XX
B - 1140 Wage Rate #5 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #5 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #5 for this program.
XX.XX
B - 1141 Wage Rate Duration #6 IN 4 Record the duration in number of hours that wage rate #6 will be applicable. XXXX
B - 1142 Wage Rate Competencies #6 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #6. XX
B - 1143 Wage Rate #6 (Dollars Per Hour) DE 6.2 If wage progression #6 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #6 for this program.
XXXX.XX
B - 1144 Wage Rate #6 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #6 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #6 for this program.
XX.XX
B - 1145 Wage Rate Duration #7 IN 4 Record the duration in number of hours that wage rate #7 will be applicable. XXXX
B - 1146 Wage Rate Competencies #7 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #7. XX
B - 1147 Wage Rate #7 (Dollars Per Hour) DE 6.2 If wage progression #7 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #7 for this program.
XXXX.XX
B - 1148 Wage Rate #7 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #7 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #7 for this program.
XX.XX
B - 1149 Wage Rate Duration #8 IN 4 Record the duration in number of hours that wage rate #8 will be applicable. XXXX
B - 1150 Wage Rate Competencies #8 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #8. XX
B - 1151 Wage Rate #8 (Dollars Per Hour) DE 6.2 If wage progression #8 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #8 for this program.
XXXX.XX
B - 1152 Wage Rate #8 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #8 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #8 for this program.
XX.XX
B - 1153 Wage Rate Duration #9 IN 4 Record the duration in number of hours that wage rate #9 will be applicable. XXXX
B - 1154 Wage Rate Competencies #9 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #9. XX
B - 1155 Wage Rate #9 (Dollars Per Hour) DE 6.2 If wage progression #9 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #9 for this program.
XXXX.XX
B - 1156 Wage Rate #9 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #9 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #9 for this program.
XX.XX
B - 1157 Wage Rate Duration #10 IN 4 Record the duration in number of hours that wage rate #10 will be applicable. XXXX
B - 1158 Wage Rate Competencies #10 IN 2 Record the number of competencies a CTE apprentice will obtain during wage progression #10. XX
B - 1159 Wage Rate #10 (Dollars Per Hour) DE 6.2 If wage progression #10 is expressed in Dollars Per Hour,
Record the wage rate in dollars per hour associated with the wage progression #10 for this program.
XXXX.XX
B - 1160 Wage Rate #10 (% of CTE Apprentice Final Wage) DE 4.2 If wage progression #10 is expressed as a percent of CTE Apprentice Final Wage,
Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #10 for this program.
XX.XX
B - 1161 Fringe Benefits IN 7 If the sponsor or any participating employer provides fringe benefits to CTE apprentices, record all of the types of benefits that apply:
Record 1 if the sponsor or any participating employer provides Health Insurance Contributions.
Record 2 if the sponsor or any participating employer provides Life Insurance.
Record 3 if the sponsor or any participating employer provides Pension/Retirement Contributions.
Record 4 if the sponsor or any participating employer provides paid vacation days.
Record 5 if the sponsor or any participating employer provides paid sick leave.
Record 6 if the sponsor or any participating employer provides paid holidays.
Record 7 if the sponsor or any participating employer provides other "bona fide" fringe benefits.
If the sponsor or any participating employer provides more than one applicable type fringe benefit, please provide all applicable in this field. For example, if both "paid sick leave" and "paid holiday" apply, record "56"

Record 0 if the sponsor or any participating employer does not provide fringe benefits.
Fringe Benefits refers to contributions irrevocably made to a trustee or third party pursuant to a bona fide fringe benefit fund plan or program; and/or the rate of costs incurred in providing bona fide fringe benefits pursuant to an enforceable commitment to carry out a financially responsible plan or program and communicated to the CTE apprentices in writing. However, payments required by Federal, State, or local law are not fringe benefit contributions; accordingly, payments required to fund Social Security, unemployment compensation, and workers’ compensation programs, as required by law, do not count as fringe benefits. For more information, visit: https://www.dol.gov/agencies/whd/government-contracts/construction/faq/fringe-benefits.
1=Health Insurance Contributions
2=Life Insurance
3=Pension/Retirement Contributions
4=Paid Vacation Days
5=Paid Sick Leave
6=Paid Holidays
7=Other "bona fide" fringr benefit
B - 1162 Fringe Benefits - Approximate Value DE 6.2 If the sponsor or any participating employer provides fringe benefits, record the approximate hourly value of the fringe benefits provided. XXXXXX.XX

Sheet 3: CTE Apprentice Records 9206 II

OMB Control No. 1205-0NEW



Expiration Date: XX/XX/XXXX


ETA Form 9209
DATA ELEMENT NO. DATA ELEMENT NAME DATA TYPE/ FIELD LENGTH DATA ELEMENT DEFINITIONS/INSTRUCTIONS CODE VALUE

DEMOGRAPHIC INFORMATION


B - 1200 Program Number AN 13 Record the program number assigned by the Registration Agency to the Registered CTE Apprenticeship program the CTE apprentice is participating in. XXXXXXXXXXXXX
B - 1201 CTE Apprentice Identification Number AN12 Record the CTE Apprentice Idenification Number assigned to the CTE apprentice by the Registration Agency. XXXXXXXXXXXX
B - 1202 First Name AN35 Record the first name of the CTE apprentice . XXXXXXXXXX
B - 1203 Last Name AN35 Record the last name (sometimes called a surname or family name) of the CTE apprentice . XXXXXXXXXX
B - 1204 Middle Name AN35 Record the middle name, if applicable, of the CTE apprentice . XXXXXXXXXX
B - 1205 Suffix AN4 Record the name suffix, if applicable, of the CTE apprentice (e.g. Jr., Sr., II, III, etc). XXXX
B - 1206 Telephone Number IN9 Record the CTE apprentice 's primary telephone contact number. Do not include any dashes. XXXXXXXXX
B - 1207 Email Address AN35 Record the CTE apprentice 's primary email address contact. [email protected]
B - 1208 Social Security Number IN9 Record the Social Security Number (SSN) assigned to the CTE apprentice . XXXXXXXXX
B - 1209 Date of Birth DT8 Record the CTE Apprentice's Date of Birth YYYYMMDD
B - 1210 Gender IN1 Record 1 if the participant indicates that he is male.
Record 2 if the participant indicates that she is female.
Record 3 if the participant indicates that they are non-binary.
Record 9 if the participant did not self-identify their gender.
1 = Male
2 = Female
3=Non-Binary
9 = Participant did not self-identify
B - 1211 Ethnicity: Hispanic/Latino IN1 Record 1 if the participant indicates that they are a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture in origin, regardless of race.
Record 0 if the participant indicates that they do not meet any of these conditions.
Record 9 if the participant did not self-identify their ethnicity.
1 = Yes
0 = No
9 = Participant did not self-identify
B - 1212 American Indian / Alaska Native IN1 Record 1 if the participant indicates that they are a member of an Indian tribe, band, nation, or other organized group or community, including any Alaska Native village or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688) [43 U.S.C. 1601 et seq.], which is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians.
Record 0 if the participant indicates that they do not meet any of these conditions.
Record 9 if the participant did not self-identify their race.
1 = Yes
0 = No
9 = Participant did not self-identify
B - 1213 Asian IN1 Record 1 if the participant indicates that they are a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent (e.g., India, Pakistan, Bangladesh, Sri Lanka, Nepal, Sikkim, and Bhutan). This area includes, for example, Cambodia, China, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Record 0 if the participant indicates that they do not meet any of these conditions.
Record 9 if the participant did not self-identify their race.
1 = Yes
0 = No
9 = Participant did not self-identify
B - 1214 Black / African American IN1 Record 1 if the participant indicates that they are a person having origins in any of the black racial groups of Africa.
Record 0 if the participant indicates that they do not meet any of these conditions.
Record 9 if the participant did not self-identify their race.
1 = Yes
0 = No
9 = Participant did not self-identify
B - 1215 Native Hawaiian / Other Pacific Islander IN1 Record 1 if the participant indicates that they are a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Record 0 if the participant indicates that they do not meet any of these conditions.
Record 9 if the participant did not self-identify their race.
1 = Yes
0 = No
9 = Participant did not self-identify
B - 1216 White IN1 Record 1 if the participant indicates that they are a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Record 0 if the participant indicates that they do not meet any of these conditions.
Record 9 if the participant did not self-identify their race.
1 = Yes
0 = No
9 = Participant did not self-identify
B - 1217 Disability Status IN1 Record 1 if the participant indicates that they have any "disability”, as defined in Section 3(2)(a) of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102). Under that definition, a "disability" is a physical or mental impairment that substantially limits one or more of the person's major life activities.
Record 0 if the participant indicates that they do not have a disability that meets the definition.
Record 9 if the participant did not self-identify their disability status.
1 = Yes
0 = No
9 = Participant did not self-identify
B - 1218 Veteran Status IN1

Record 1 if the participant is a person has served in the active military, naval, air, or space service of the United States, and who was discharged or released therefrom under conditions other than dishonorable.
Record 2 if the participant is a person who is a dependent spouse or child—or the surviving spouse or child—of a Veteran, and who is eligible for certain G.I. Bill and other VA-administered educational assistance benefits provided under Title 38 of the U.S. Code.
Record 3 if the participant is a Veteran who is eligible for certain G.I. Bill and other VA-administered educational assistance benefits provided under Title 38 of the U.S. Code.
Record 0 if the participant does not meet the condition described above.
Record 9 if participant does not disclose veteran status.
1 = Veteran
2 = Non-Veteran, Other Eligible Individual
3 = Veteran, Eligible
0 = Non-Veteran
9 = Status not known
B - 1219 Education Level at Program Entry IN1 Use the appropriate code to record the participant's highest educational level completed by the participant at program entry.
Record 1 if the participant attained a secondary school diploma or equivalent.
Record 2 if the participant completed one or more years of postsecondary education.
Record 3 if the participant attained an Associate's Degree.
Record 4 if the participant attained a Bachelor's Degree.
Record 5 if the participant attained a Master's Degree.
Record 6 if the participant attained a Doctorate Degree.
Record 0 if no educational level was attained.

1 = High School Graduate (including equivalency)
2 = Some College
3 = Associate's Degree
4 = Bachelor’s Degree
5 = Master’s Degree
6 = Doctorate Degree
0 = Not a High School Graduate

CTE APPRENTICE STATUS UPDATES


B - 1300 Apprenticeship Status IN 1 Record the current status of the CTE apprentice as of the date of the report.
Record 1 if the CTE apprentice is active in the Registered CTE Apprenticeship program.
Record 2 if the CTE apprentice is currently in suspended status.
Record 3 if the CTE apprentice 's participation in the Registered CTE Apprenticeship program was cancelled at the request of the CTE apprentice .
Record 4 if the CTE apprentice 's participation in the Registered CTE Apprenticeship program was cancelled as a result of a sponsor's determination.
Record 0 if the CTE apprentice has completed the program.
1=Active Apprentice
2=Suspended
3=Cancelled (At CTE Apprentice Request)
4=Cancelled (Sponsor Determination)
0=Completed
B - 1301 Most Recent Date of Change in Apprenticeship Status DT 8 Record the most recent date that the CTE apprentice 's status changed. YYYYMMDD
B - 1302 Current Wage Progression IN 2 Record the step number of the CTE apprentice 's current wage progression. XX
B - 1303 Date of most recent wage progression DT 8 Record the most recent date that the step number of the CTE apprentice 's wage progression status changed. YYYYMMDD
B - 1304 Received Supportive Service IN 4 Record the funding source(s) of the supportive services that were received by the CTE apprentice .
Record 1 if the CTE apprentice received supportive services funded by a Workforce Innovation and Opportunity Act (WIOA) program.
Record 2 if the CTE apprentice received supportive services funded by the program sponsor.
Record 3 if the CTE apprentice received supportive services funded by an Apprenticeship grant.
Record 4 if the CTE apprentice recieved supportive services funded by resources that were not federal resources and were not funded by the program sponsor.
Record 0 if the CTE apprentice did not receive supportive services.
1= Funded by WIOA
2= Funded by the program sponsor
3= Funded by Apprenticeship Grants
4= Funded by non-federal resources
0= Did Not Receive Supportive Services
B - 1305 Supportive Service Types IN 6 Record all of the types of supportive services received by the CTE apprentice , whether funded directly by the program or another source.
Record 1 if the CTE apprentice received Transportation assistance.
Record 2 if the CTE apprentice received Housing assistance.
Record 3 if the CTE apprentice received Tools, Supplies, or Uniforms assistance.
Record 4 if the CTE apprentice received Child/Dependent Care assistance.
Record 5 if the CTE apprentice received Needs Related Payments.
Record 6 if the CTE apprentice received supportive services other than those listed above.
Record 0 if the CTE apprentice did not receive supportive services.

For CTE apprentice s where more than one suportive service type was recieved, please provide all applicable in this field. For example, if both "transportation" and "housing" apply, record "12"
1 = Transportation
2 = Housing
3 = Tools, Supplies, Uniforms
4 = Child/Dependent Care
5 = Needs Related Payments
6 = Other
0 = No supportive services
B - 1306 Placement on a Job Site eligible for Apprenticeship-related tax credit IN 3 Record whether the CTE apprentice had, at any time during program participation, been placed on a job site that was eligible for any Apprenticeship-related tax credits:
Record 1 if the CTE apprentice was placed at a job site that was eligible for Federal tax credit.
Record 2 if the CTE apprentice was placed at a job site that was eligible for an State tax credit.
Record 0 if the CTE apprentice was not placed at a job site that was eligible for a tax credit.
For CTE apprentice s where more than one response is applicable, please provide all applicable in this field. For example, if both "IRA" and "Federal" apply, record "12"

1= Other Federal Tax Credit
2= State Tax Credit
0= No
B - 1307 CTE Apprenticeship Agreement Start Date DT 8 Record the Registered CTE Apprenticeship Start Date from the CTE Apprenticeship Agreement YYYYMMDD
B - 1308 Date CTE Apprentice begins on-the-job training DT 8 Record the date that the CTE apprentice began receiving on-the-job training. YYYYMMDD
B - 1309 Date CTE Apprentice begins CTE-apprenticeship related instruction DT 8 Record the date that the CTE apprentice began receiving CTE apprenticeship-related instruction. YYYYMMDD

POSTSECONDARY CREDIT HOURS ATTAINED FROM/DURING REGISTERED CTE APPRENTICESHIP


B - 1400 Postsecondary Credit Hours Attainted #1 IN 2 Record the number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. XX
B - 1401 Most Recent Date Attained Credit Hours #1 DT 8 Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained postsecondary credit hours #1. YYYYMMDD
B - 1402 Postsecondary Credit Hours Attainted #2 IN 2 Record the number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. XX
B - 1403 Most Recent Date Attained Credit Hours #2 DT 8 Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained postsecondary credit hours #2. YYYYMMDD
B - 1404 Postsecondary Credit Hours Attainted #3 IN 2 Record the number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. XX
B - 1405 Most Recent Date Attained Credit Hours #3 DT 8 Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained postsecondary credit hours #3. YYYYMMDD
B - 1406 Postsecondary Credit Hours Attainted #4 IN 2 Record the number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. XX
B - 1407 Most Recent Date Attained Credit Hours #4 DT 8 Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained postsecondary credit hours #4. YYYYMMDD
B - 1408 Postsecondary Credit Hours Attainted #5 IN 2 Record the number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. XX
B - 1409 Most Recent Date Attained Credit Hours #5 DT 8 Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained postsecondary credit hours #5. YYYYMMDD
B - 1410 Postsecondary Credit Hours Attainted #6 IN 2 Record the number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. XX
B - 1411 Most Recent Date Attained Credit Hours #6 DT 8 Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained postsecondary credit hours #6. YYYYMMDD
B - 1412 Total Postsecondary Credit Hours Attainted IN 2 Record the total number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. XX

CREDENTIALS ATTAINED FROM/DURING REGISTERED CTE APPRENTICESHIP


B - 1500 Date Attained Credential #1 DT 8 Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained credential #1. YYYYMMDD
B - 1501 Credential #1 Type IN 1 Indicate the type of credential attained for Credential #1 :

Record 1 for industry recognized certificate.
Record 2 for industry certification.
Record 3 for license recognized by local, State or Federal Government.
Record 4 for Associate's Degree.
Record 5 for Bachelor's Degree.
Record 6 for Master's Degree.
Record 7 for Doctorate Degree.
1=Industry Recognized Certificate
2=Industry Certification
3=License recognized by local, State or Federal Government
4=Associate's Degree
5=Bachelor's Degree
6=Master's Degree
7=Doctorate Degree
B - 1502 Date Attained Credential #2 DT 8 Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained credential #2. YYYYMMDD
B - 1503 Credential #2 Type IN 1 Indicate the type of credential attained for Credential #1 :

Record 1 for industry recognized certificate.
Record 2 for industry certification.
Record 3 for license recognized by local, State or Federal Government.
Record 4 for Associate's Degree.
Record 5 for Bachelor's Degree.
Record 6 for Master's Degree.
Record 7 for Doctorate Degree.
1=Industry Recognized Certificate
2=Industry Certification
3=License recognized by local, State or Federal Government
4=Associate's Degree
5=Bachelor's Degree
6=Master's Degree
7=Doctorate Degree
B - 1504 Date Attained Credential #3 DT 8 Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained credential #3. YYYYMMDD
B - 1505 Credential #3 Type IN 1 Indicate the type of credential attained for Credential #1 :

Record 1 for industry recognized certificate.
Record 2 for industry certification.
Record 3 for license recognized by local, State or Federal Government.
Record 4 for Associate's Degree.
Record 5 for Bachelor's Degree.
Record 6 for Master's Degree.
Record 7 for Doctorate Degree.
1=Industry Recognized Certificate
2=Industry Certification
3=License recognized by local, State or Federal Government
4=Associate's Degree
5=Bachelor's Degree
6=Master's Degree
7=Doctorate Degree

POST-PARTICIPATION OUTCOMES


B - 1600 Date of Exit from Apprenticeship/Actual End Date of Apprenticeship DT 8 Date that CTE Apprentice left their Registered CTE Apprenticeship program, including completion of the program, voluntary withdrawal from the program, or a forced withdrawal from the program as a results of events that prevent the CTE apprentice 's continued participation (including incarceration, hospitalization, and death). YYYYMMDD
B - 1601 Type of Exit from Apprenticeship IN 1 Record 1 if the CTE Apprentice exited the program because they completed the program.
Record 2 if the CTE Apprentice exited the program because they voluntarily withdrew from the program.
Record 3 if the CTE Apprentice transferred to another Registered CTE Apprenticeship program.
Record 4 if the CTE Apprentice exited the program because they were forced to withdraw due to events that prevented the CTE apprentice 's continued participation (including incarceration, hospitalization, and death).
Record 5 if the CTE Apprentice exited the program for reasons other than those described above.
1 = Completed
2 = Voluntary Withdraw
3 = Transferred
4 = Forced Withdraw
5 = Other
B - 1602 Employed at Completion IN 1 For CTE Apprentices who exited from the program because they completed the program:
Record 1 if the CTE Apprentice was employed in unsubsidzed employment at the time of completion of the program.
Record 0 if the CTE Apprentice was not employed in unsubsidzed employment at the time of completion of the program.
Record 9 if the CTE Apprentice's employment status was unknown at the time of completion.
Leave Blank if the CTE Apprentice has not exited the program or exited for reasons other than completion of the program.
1 = Yes
2 = No
9 = Unknown
B - 1603 Registered Apprenticeship at Completion IN 1 For CTE Apprentices who exited from the program because they completed the program:
Record 1 if the CTE Apprentice was registered in a Registered Apprenticeship program at the time of completion of the program.
Record 0 if the CTE Apprentice was not registered in a Registered Apprenticeship program at the time of completion of the program.
Record 9 if the CTE Apprentice's Registered Apprenticeship status was unknown at the time of completion.
Leave Blank if the CTE Apprentice has not exited the program or exited for reasons other than completion of the program.
1 = Yes
0 = No
9 = Unknown
B - 1604 Postsecondary Education at Completion IN 1 For CTE Apprentices who exited from the program because they completed the program:
Record 1 if the CTE Apprentice was enrolled in Postsecondary Education at the time of completion of the program.
Record 0 if the CTE Apprentice was not enrolled in Postsecondary Education at the time of completion of the program.
Record 9 if the CTE Apprentice's Postsecondary Education status was unknown at the time of completion.
Leave Blank if the CTE Apprentice has not exited the program or exited for reasons other than completion of the program.
1 = Yes
0 = No
9 = Unknown
B - 1605 Career Pathway Program at Completion IN 1 For CTE Apprentices who exited from the program because they completed the program:
Record 1 if the CTE Apprentice was enrolled in a Career Pathway Program at the time of completion of the program.
Record 0 if the CTE Apprentice was not enrolled in a Career Pathway Program at the time of completion of the program.
Record 9 if the CTE Apprentice's Career Pathway Program status was unknown at the time of completion.
Leave Blank if the CTE Apprentice has not exited the program or exited for reasons other than completion of the program.
1 = Yes
0 = No
9 = Unknown

Sheet 4: Voluntary Disability Disclosure

OMB Control No. 1205-0NEW



Expiration Date: XX/XX/XXXX


ETA Form 9209
DATA ELEMENT NO. DATA ELEMENT NAME DATA TYPE/ FIELD LENGTH DATA ELEMENT DEFINITIONS/INSTRUCTIONS CODE VALUE
B - 1700 Applicants Invited to Disclose IN 5 Record the number of applicants to the program during the past year that were invited to disclose a disability. XXXXX
B - 1701 CTE Apprentices Invited to Disclose IN 5 Record the number of CTE apprentices in the program during the past year that were invited to disclose a disability. XXXXX
B - 1702 Applicants that Disclosed a Disability IN 5 Record the number of applicants to the program during the past year who disclosed a disability. XXXXX
B - 1703 CTE Apprentices that Disclosed a Disability IN 5 Record the number of CTE apprentices in the program during the past year who disclosed a disability. XXXXX

Sheet 5: SCS

OMB Control No. 1205-0NEW




Expiration Date: XX/XX/XXXX



ETA Form 9209

Sponsor Customer Satisfaction Questions - (Net Promoter Score Approach)
DATA ELEMENT NO. QUESTION ID TIMING OF QUESTION QUESTION RESPONSE OPTIONS DATA TYPE/
FIELD LENGTH
B- 1800 SCS-1 Post-Registration Based on your experience with the assistance and customer service of the Registration Agency (federal or state staff) who worked with you on developing your program, how likely are you to recommend Registered CTE Apprenticeship to a colleague?" 01 = Not at all likely and 10=extremely likely. 01,02,03,04,05,06,07,08,09,10 IN 2
B- 1801 SCS-1.a Post-Registration What is the primary reason for your score? Text AN 1000

Sheet 6: CTEACS

OMB Control No. 1205-0NEW




Expiration Date: XX/XX/XXXX



ETA Form 9209

CTE Apprentice Customer Satisfaction Questions - (Net Promoter Score Approach)
DATA ELEMENT NO. QUESTION ID TIMING OF QUESTION QUESTION RESPONSE OPTIONS DATA TYPE/
FIELD LENGTH
B -1900 CTEACS-1 Within 3 Months of Becoming CTE Apprentice Based on your experience with the Registered CTE Apprenticeship program, including:
- the process for applying and being selected,
- the on-the-job training you have received so far
- the CTE apprenticeshp-related instruction you have received so far
- your trainers, instructors, and/or mentors (journeyworkers) in your program's effectiveness in establishing a safe, welcoming, and inclusive workplace environment

How likely are you to recommend Registered CTE Apprenticeship to a friend?"
01 = Not at all likely and 10=extremely likely.
01,02,03,04,05,06,07,08,09,10 IN 2
B -1901 CTEACS-1.a Within 3 Months of Becoming CTE Apprentice What is the primary reason for your score? Text AN 1000
B -1902 CTEACS-2 Annually at the Anniversary of their Registration Based on your experience with the Registered CTE Apprenticeship program, including:
- the quality of the registered CTE apprenticeship program in providing you the skills and competencies you need succeed in your occupation.
- the on-the-job training you have received so far
- the CTE apprenticeship-related instruction you have received so far

How likely are you to recommend Registered CTE Apprenticeship to a friend?"
01 = Not at all likely and 10=extremely likely.
01,02,03,04,05,06,07,08,09,10 IN 2
B -1903 CTEACS-2.a Annually at the Anniversary of their Registration What is the primary reason for your score? Text AN 1000
B -1904 CTEACS-3 Within 30 Days of Completion or Cancellation Based on your experience with the Registered CTE Apprenticeship program, including:
- the quality of the registered CTE apprenticeship program in providing you the skills and competencies you need succeed in your postsecondary education, registered apprenticeship, or employment.
- the on-the-job training you have received
- the CTE apprenticeship-related instruction you have received

How likely are you to recommend Registered CTE Apprenticeship to a friend?"
00 = Not at all likely and 10=extremely likely.
01,02,03,04,05,06,07,08,09,10 IN 2
B -1905 CTEACS-3.a Within 30 Days of Completion or Cancellation What is the primary reason for your score? Text AN 1000
B -1906 CTEACS-4 Within 365 Days of Completion Are you employed? Y/N AN 1
B -1907 CTEACS-4.a Within 365 Days of Completion Are you receiving a wage that meets the essential financial needs of your household? Y/N AN 1
B -1908 CTEACS-4.b Within 365 Days of Completion Are you currently enrolled in a postsecondary education program? Y/N AN 1
B -1909 CTEACS-4.c Within 365 Days of Completion Are you currently enrolled in a Registered Apprenticeship program Y/N AN 1
B -1910 CTEACS-4.d Within 365 Days of Completion Upon completion of a Registered CTE Apprenticeship program, do you feel you are on a career pathway, sequence, or progression towards the attainment of more advanced competencies and credentials in the industry skills and comptencies for which you were trained? Y/N AN 1

Sheet 7: Reg Agency Annual Report

OMB Control No. 1205-0NEW



Expiration Date: XX/XX/XXXX


ETA Form 9209
DATA ELEMENT NO. DATA ELEMENT NAME DATA TYPE/ FIELD LENGTH DATA ELEMENT DEFINITIONS/INSTRUCTIONS CODE VALUE
B- 2000 Total Registered CTE Apprenticeship programs approved in a FY IN 5 Report the total number of Registered CTE Apprenticeship programs approved by the Registration Agency in the past year. XXXXX
B- 2001 Total Registered CTE Apprenticeship programs disapproved in a FY IN 5 Report the total number of Registered CTE Apprenticeship programs disapproved by the Registration Agency in the past year. XXXXX
B- 2002 Median time for Registered CTE Apprenticeship program registration IN 3 Report the median amount of time (in days) between Registered CTE Apprenticeship program application through program approval/disapproval for programs in the past year. XXX
B- 2003 Customer satisfaction metric (total SCS #) IN 5 Report the total number of respondents to the sponsor customer satisfaction survey in the past year. XXXXX
B- 2004 Customer satisfaction metric (average score of SCS) DE 3.1 Report the average score reported on the sponsor customer satisfaction survey for the surveys received in the past year. XX.X
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