FS-1800-0026 Workforce Development Participant Tracking Form

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Overview

Instructions
Participant Information
Project Information
Project Tracking

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Sheet 1: Instructions

Workforce Development Participant Tracking Form	FS-1800-0026
	OMB-0596-0247 (Exp. XX/XX/XXXX)
Please complete requested information on all three tabs of this spreadsheet.
In the "Participant Information" tab, please provide information for each participant you’ve engaged.
In the "Project Information" tab, please provide information on each of the projects in which you’ve engaged participants.
In the "Project Tracking" tab, please track the number of hours each participant has worked on each of the projects tracked.
User instructions included in form.
Incomplete provision of the information requested in this form may result in in participants not being able to gain the privileges offered by completion of the program.
Paperwork Reduction Act Notice
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number. The approved OMB Control Number for this information collection is 0596-0247. Without this approval, we could not conduct this information collection. Public reporting for this information collection is estimated to be approximately two hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection. All responses to this information collection are voluntary. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to the U.S.D.A. Forest Service email address [email protected] and include the OMB Control Number in the subject line.
Privacy Act Statement
The data collected for the Workforce Development spreadsheet would fall under the Forest Service’ End-User Computer Environment (or EUCE) information system. EUCE is an accredited system with a corresponding, signed and approved Privacy Impact Assessment (PIA). The EUCE PIA is required by OMB Memorandum 03-22, which provides guidance for implementing the privacy provisions of the E-Government Act of 2002. The password protected file will be stored on a fully encrypted laptop, only being accessed by authorized Forest Service employees working as part of the administration of the Volunteer and Service program in the Forest Service’s Washington Office.

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Sheet 2: Participant Information

PARTICIPANT INFORMATION FORM
Legal Applicant or Cooperator:				Submission Date:				Name, Title, Contact Information:
Participant
Last Name	First Name	Middle Name	Permanent Residence Zip code	Email Address	Date of Birth MM/YYYY	Sex	Ethnicity	Race - 1	Race - 2	Race - 3	Education Level Completed - 1	Post-secondary Institution Name - 1	Post-secondary Institution Name - 2	Course of Study - 1	Course of Study - 2	Military/Veteran Status	Disability Status	AmeriCorps Status	Skills, Certifications, Competencies	Total Hours Worked	Full Name
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Sheet 3: Project Information

PROJECT INFORMATION FORM

Partner

Project

Agencies populate columns F, G, and H with their organization structure

Legal Applicant or Cooperator

Grant or Agreement Number

Legal Applicant or Cooperator SAM UEI Number

Federal Agency

Agency Office

Agency Unit (Location)

Agency Unit Zip Code

Start Date MM/DD/YYYY

End Date MM/DD/YYYY

Project Title

Project Point of Contact Last Name

Project Point of Contact First Name

Project Point of Contact Email Address

Project Total Hours

Project Abstract

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Sheet 4: Project Tracking

PROJECT TRACKING FORM
Participant	Project
First, Last Name	Position Type	Project Title	Type of Work	Project Hours Worked	Hiring Certificate Type	Hiring Certificate Status	Hiring Certificate Issue Date MM/DD/YYYY	Narrative/Comments