| PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: Through this information collection, ACF is gathering information to assess and evaluate whether a State TANF program meets statutorily required participation rates. Public reporting burden for this collection of information is estimated to average 30 hours per grantee per year, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (42 U.S.C. § 611). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is xxxx-xxxx and the expiration date is XX/XX/XXXX. If you have any comments on this collection of information, please contact the Office of Family Assistance by email at [email protected]. |
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TANF Supplemental Work Outcomes Report |
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1. Reporting period covered: mm/yyyy - mm/yyyy |
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INDICATORS OF PERFORMANCE |
Q1 |
Q2 |
Q3 |
Q4 |
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2. EMPLOYMENT RATE - 2ND QUARTER AFTER EXIT |
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Numerator |
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Denominator |
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Total Rate |
#DIV/0! |
#DIV/0! |
#DIV/0! |
#DIV/0! |
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3. EMPLOYMENT RETENTION RATE - 4TH QUARTER AFTER EXIT |
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Numerator |
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Denominator |
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Total Rate |
#DIV/0! |
#DIV/0! |
#DIV/0! |
#DIV/0! |
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4. MEDIAN EARNINGS - 2ND QUARTER AFTER EXIT |
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5. Attach description of the data sources. |