| Name of Grantee: |
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| Grant No: |
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| Reporting Period: |
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| No. of participants newly enrolled in the program |
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| No. of participants newly enrolled by sex |
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| No. of new employer partnerships |
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| English language training hours provided |
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| Job skill development training hours provided |
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| No. of participants demonstrating improvement in English language skills |
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| No. of participants demonstrating improvement in job skills |
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| No. of participants who obtained a new credential |
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| No. of participants who attained a promotion and/or additional job responsibilities accompanied by an increase in wages |
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| No. of participants who attained a promotion and/or additional job responsibilities accompanied by an increase in wages by sex |
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| STATEMENT OF PUBLIC BURDEN: Through this information collection, ACF is gathering data on your grant program to understand the design and effectiveness of the program and to inform technical assistance needs. Public reporting burden for this collection of information is estimated to average 5 hours per grantee, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This collection of information is required to obtain a benefit (HHS-2022-ACF-ORR-ZN-0072). 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 0970-0490. If you have any comments on this collection of information, please contact Ryan Foster, Office of Refugee Resettlement, by email at [email protected]. |
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| In immediate response to priorities of the current administration, this form has been updated with the following changes prior to approval by the Office of Management and Budget (OMB), as required by the Paperwork Reduction Act (PRA) of 1995 (44. USC. 3501 et seq.). The PRA requires that agencies obtain OMB approval before requesting information from the public, and OMB review and approval for most changes to an approved information. ACF is working to process these changes through OMB to come into compliance with the PRA but has implemented changes to the OMB-approved form to ensure compliance with the following Executive Orders: Executive Order(s) 14168 and/or 14151, 14173, 14224. Other than these changes, this form is approved under OMB #: 0970-0490. |
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