TEGL27_10_Ch1.pdf

ETA Advisory File Text

2 TEGL 17-05 and TEGL 17-05 Change 2 Common Measures Policy for the Employment and Training Administration s ETA Performance Accountability System and Related Performance Issues TEGL 9-07 Revised Incentive and Sanction Policy for Workforce Investment Act Title IB Programs Training and Employment Notice 8-09 Program Year 2008 Fiscal Year 2009 Performance Reporting and Data Validation Timeline TEGL 17-09 Quarterly Submission of Workforce Investment Act Standardized Record Data WIASRD TEGL 7-10 Workforce Investment Act and Wagner-Peyser Act Performance Accountability Reporting for the American Recovery and Reinvestment Act of 2009 TEGL 9-10 Workforce Investment Act WIA Annual Report Narrative 3. Performance Reporting and Data Validation for the WIA Title IB Progr ams . For PY 2010 each state is required to make the following submissions for WIA to the Employment and Training Administration ETA A. A validated WIA Annual Report ETA 9091 - OMB No. 1205-0420 Due no later than October 3 2011. Please note that states are required to complete report validation prior to submitting the annual report Tables A-O ETA 9091 to ETA through the Enterprise Business Support System EBSS on or before October 1 2011. Submission of tim ely and accurate data is required in section 136 of WIA. Furthermore a timely and validated annual report is one of the criteria for incentive eligibility. See TEG L 9-07 for further clarification. Data element validation using the file of exiters and participants reported on the ETA 9091 must be submitted by February 1 2012. Please see Attachment A of this TEGL for the source documentation requirements for PY 2010 WIA data element validation. States that are approved to report only the common performance measure o utcomes for WIA programs for PY 2010 Alabama Alaska Arkansas California Co lorado Connecticut Delaware District of Columbia Florida Idaho Illinois I ndiana Kansas Kentucky Louisiana Maryland Mississippi Missouri Montana N ebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania South Carolina Sout h Dakota Tennessee Texas Utah Virginia Virgin Islands Washington We st Virginia Wisconsin and Wyoming do not have to report outcomes for the customer satisfaction measures the credential measure for Adults and Dislocated Workers or the Older and Younger Youth measures on the WIA Annual Report. These states 3 along with all other states are to report outcomes for the youth common performance measures. States that are approved to report only the common performance measure outcomes should reference Attachment B of this TEGL which contains the WIA Annual Report format with strikeouts to indicate the information that is not required as part of the state s annual report submission. B. A WIA Annual Report Narrative Due no later than October 3 2011 . States should e-mail electronic copies of their narrative annual report to WIA.AR dol.gov and their Regional Administrator. Guidance in TEGL 9-10 Workforce Investment Act WIA Annual Report Narrative specifically identifies those required portions that states must provide as well as those portions that states are encouraged to provide. C. The WIA Standardized Record Data files Due no later than Septem ber 15 2011. There are significant changes to the frequency and content of the WIASRD file submissions. In accordance with TEGL 7-10 grantees are now required to submit the WIASRD file for both participants and exiters on a quarterly basis. A number of states have used the Data Reporting and Validation System DRVS to prepare their annual WIASRD file for final submission to ETA. When a state uploads individual records into DRVS the system not only validates the data by checking for data entry errors missing values and inconsistencies betw een fields but also automatically selects and formats the data for uploading into E BSS. However the export routine in DRVS removes and modifies the data before producing a WIASRD file for uploading into EBSS. Since DRVS has not been modified to allow for the exporting of participa nt records states should not use DRVS to produce their quarterly WIASRD files. Instead ETA has modified EBSS to allow states to submit their individual records directly to the system based on the current specifications for uploading data into D RVS. EBSS has conducted edit checks based on updated specifications for the WIASRD edit checks and valid value requirements. All edit checks and valid value requirements are fully articulated in Attachments A through E of TEGL 17-09. There are several ways in which the quarterly submission of WIASRD files will be unique. These modifications are explained in sections 4.A 4.D of TEGL 17-09 The submission will include data fields previously not accepted by EBSS. 4 The submission will include data on all participants who have not exited . To accommodate this participant data some WIASRD fields have required values for participants without exit dates. There are changes to the technical process of uploading individual recor d files into EBSS. States will submit to ETA the individual record files for participants w ho receive self and informational services only hereafter referre d to as self- service only participants . WIASRD quarterly submissions for the first second and third quarters of each program year are due 45 days following the end of the quarter. The due date for the fourth quarter of each program year is 75 days following the end of the quarter. This additional time provides states with the opportunity to better align their fourth quarter WIASRD data with their WIA Annual Report data due no later than October 1st of each year. States have an additional 15 days following the due date to address data errors WIASRD files are locked from editing after this per iod. Should the due date fall on a Saturday or Sunday the quarterly WIASRD file is due the following Monday. Similar to the annual submission of individual records the quarterly WIASRD submission will be used to compute certain performance measures. Therefore the lagged cohorts to be included in the quarterly submission must correspond to the cohorts in the annual submission. In practical terms states will be submitting an annual report on a quarterly basis. Therefore states will no longer be required to submit an annual WIASRD file. Please note the following items when generating and submitting WIASRD files WIASRD item 309 Incumbent Worker Statewide 15 percent Activities has been updated to allow states to track Incumbent Workers who received loc al formula funds or Rapid Response funds. Please note the changes in the field description and valid value requirements for this item. WIASRD item 326 Other Non-WIA Programs includes new valid values to allow states to code American Recovery and Reinvestment Act of 2009 co- enrollments. Please ensure that WIASRD item 342 Occupational Skills Training Code is completed O NET codes are available at http online.onetcenter.org . Please ensure that WIASRD item 619 Type of Recognized Credential is completed for each individual who has earned a credential certificate or degree. If the exiter was a Workforce Innovation in Regional Economic Development WIRED or Military Spouse Career Advancement Account CAA funded recipient item 313c should contain the appropriate WIRED or CAA grant number. 5 The most common WIASRD data problems are missing or incomplete information in the service items that were added in PY 2005 and on the occupation of the training program. The service items that were added in PY 2005 included the following - Received disaster relief assistance - Received Core Self-Services and Informational Activities - Date of first staff assisted core service - Received workforce information services - Date completed or withdrew from training - Received prevocational activities - Enrolled in education The occupation of the job held in the quarter after exit is frequently missing. States are encouraged to collect this data when providing follow-up services as it is not available in wage record data. In addition to these items ETA has developed Attachment C of this TEGL which contains a list of common errors identified during the analysis of WIASR D submissions from previous years. States should contact ETA s National Office at ETAperforms dol.gov with the subject line of WIASRD submission if they need additional assistance. Please visit http www.doleta.gov performance reporting for the most recent WIASRD file format. Please note that in addition to the annual reporting requirements enumer ated in sections A-C above states must also submit Quarterly and Supplemental Monthly Reports to ETA through EBSS. As described in TEGL 7-10 states are required to submit supplemental re ports for WIA Adults Dislocated Workers and Youth programs NEG and Wagner-Peys er Employment Service and Reemployment Services Grants for reporting under the ARRA. States must continue to submit these reports through June 30 2011. The final report for the ARRA will be August 15 not the customary July 15 to provide states with extra time to make any final corrections to their ARRA data. 4. Performance Reporting and Data Validation for Other State-Based Prog rams . Wagner-Peyser Employment Service. States are required to submit the ETA 9002 and VETS 200 reports Office of Management and Budget No. 1205-0240 on a quarterly basis. States must submit their PY 2010 fourth quarter reports no later than August 31 2011. 6 The fourth quarter PY 2010 Wagner-Peyser Em ployment Service submission requires report validation and minimal data element validation. Data element validation must be completed for the ETA 9002 and VETS 200 reports prior to submitting t he final fourth quarter reports by the August 31 2011 due date. A minimal data element validation sample of 25 job seekers must be reviewed and compared to sta te-level data prior to submitting the ETA 9002 and VETS 200 reports to ensure that the files used to conduct report validation were properly constructed. Although DRVS is n ot being modified to export the modified WIASRD file DRVS will still be able to conduct data element validation procedures. All states are still required to perform data element validation using the DRVS. Also all states are required to submit thei r summary and analytical reports for data element validation through the EBSS. Trade Adjustment Assistance. States are required to submit the Trade Act Participant Report TAPR on a quarterly basis no later than 45 days after the end of the report quarter. The fourth quarter TAPR for Fiscal Year FY 2011 is due no later than November 14 2011. States administering TAA programs are not required to submit an annual report states are required to submit individual participant records only for TAA. Data element validation is an annual state requirement in the TAA program. However as mentioned in TEGL 24-10 this element validation requirement was waived for FY 2010. Consequently ETA is currently exploring feasible m ethods to conduct data element validation in FY 2011. Subsequent guidance on this manner will be forthcoming. 5. Data Validation for the National Farmworker Jobs Program . Grantees administering the NFJP are not required to submit a performance outcomes report. Grantees are required to submit individual participant records for the NFJP which are used by ETA to calculate the performance outcomes for each grantee. Therefore grantees are not required to conduct report validation but must conduct data element validation. The final NFJP participant data for PY 2009 participants with exit dates between 7 1 2009 and 6 30 2010 were due to ETA s contractor Social Policy Research Associates on May 15 2010. Data element validation for PY 2009 must be submitted to ETA by November 2 2011. Please see Attachment D of this TEGL for the source documentation requirements for PY 2009 NFJP data element validati on. NFJP grantees should use NFJP Data Validation Software Version 2.0. 6. Indian and Native American Program Reporting . Grantees administering the INAP are not required to submit a performance outcomes report. Grantees are required to submit individual participant records for the INAP which are used by ETA to calculate the performance outcomes for each grantee. 7 7. Data Reporting and Validation Resources . ETA provides several resources to states in order to assist them in reporting timely and accurate data. As previously mentioned one of the criteria for incentive eligibility is that the data used to compute the performance outcomes must be submitted on time and be accurate. WIA Annual and Quarterly Report handbooks are available at http www.doleta.gov performance reporting Data validation software applications and User Guides for each program a re at http www.doleta.gov performance reporting tools datavalidation.cfm 8. Changes to Required Source Documentation for Data Validation . In 2010 there was a change to the source documentation requirements for DRVS Field 3 Date of Birth. The allowable documents for Date of Birth are now al igned with the level of service such that a hard or electronic copy of the participant s identification I.D. will only be required for a participant who receives intensive and or training services. The following source documentation requirements are also included in Attachment A of this document. o For participants participating in self-service only activities self-attestation is acceptable. o For WIA Adult Dislocated Worker and NEG participants receiving staff- assisted core services only the hard or electronic case notes should reflect that the client has shown proof of age. The notes should include for exampl e the driver s license number or other uniquely identifiable information of the document. o For all WIA Youth program participants and WIA Adult and Dislocated Worker NEG participants receiving intensive and or training services a hard or electronic copy of the participant s I.D. must be kept in the case file. The I.D. should be one of the following driver s license baptismal record b irth certificate DD-214 Report of Transfer or Discharge paper Federal sta te or local identification card passport hospital record of birth public assistan ce social service records school records or ID cards work permit cross match wi th Department of Vital Statistics or tribal records. 9. Training and Technical Assistance . States and grantees are encouraged to request technical assistance on validation procedures and the use of the reporti ng and validation tools by contacting Regional and or National Office program s taff. 10. Action Requested . States and grantees should 1 distribute this guidance to the appropriate staff 2 complete report and data validation activities wi thin the timeframes established in Sections 3 4 and 5 of this guidance and 3 provide the appropriate Regional Office with updates on the reporting and validation process. 8 11. Inquiries . Questions regarding performance reporting should be directed to the appropriate ETA Regional Office or to the Office of Policy Development and Research at ETAperforms dol.gov . 12. Attachments . Attachment A Source Documentation Requirements for Program Year PY 2010 WIA Data Element Validation Attachment B Workforce Investment Act WIA Annual Report Requirements for States Approved to Report Against the Common Performance Measures On ly Attachment C Common WIASRD Reporting Errors Attachment D Source Documentation Requirements for Program Year PY 2010 NFJP Data Element Validation ATTACHMENT A SOURCE DOCUMENTATION REQUIREMENTS FOR PROGRAM YEAR PY 2010 WIA DATA ELEMENT VALIDATION A - 1 WORKFORCE INVESTMENT ACT DATA ELEMENT VALIDATION INSTRUCTIONS AND SOURCE DOCUMENTATION Validation Instructions These instructions present the data elements reference numbers formats element definitions Federal sources state grantee sources and validation rules needed to perform data element validation. The Federal sources are the generic federally recommended source documentation. The State Sources column can be used to enter state-specific versions of the federally approved documentation. A. VALIDATION RULES Two types of validation rules exist 1. If the validation instruction says MATCH Enter a checkmark in the box in the pass column if the data on the worksheet match the data in the source documentation. Enter a checkmark in the box in the fail column if the data on the worksheet do not match the data in the source documentation or if no source documentation is found. To match the data on the worksheet must be the same as the data in the source documentation. For example if the worksheet says a participant s date of birth is July 1 1975 then the source documentation must also have July 1 1975 as the birth date. The validator must validate data elements that have checkboxes next to them or are not grayed-out. 2. If the validation instruction says SUPPORT Enter a checkmark in the box in the pass column if the data on the worksheet are supported by the data in the source documentation. Enter a checkmark in the box in the fail column if the data on the worksheet are not supported by the data in the source documentation or if no source documentation is found. To support the data on the worksheet the source documentation must provide evidence that the data on the worksheet is correct. This instruction is used when information must be interpreted or processed before it can be used to assess the accuracy of the data on the participant s records. For example source documentation is used to support youth who needs additional assistance because validators must interpret policy and determine if the documentation supports that policy. A - 2 B. MISSING AND INVALID RECORDS There are four conditions used to describe higher level data problems 1. If a record is missing from the office in which it is supposed to be the validator should check the box at the top of the worksheet that says Missing Record. No other elements should be validated. 2. If the validator cannot determine where a record is supposed to be located the validator should check the box at the top of the worksheet that says Unable to Locate. No other elements should be validated. 3. If a record for a person not registered in WIA has wrongly been included in the extract file the validator should check the box at the top of the worksheet that says Invalid Record. No other elements should be validated. 4. If a record has a wrong Social Security Number SSN the validator should check the Wrong SSN checkbox AND validate all data elements listed on the worksheet. C. TYPES OF SOURCE DOCUMENTATION For most data elements the validation instructions provide multiple forms of acceptable source documentation. Ideally all source documentation should tell the same story regarding the participant services rendered and outcomes. However if the state collects multiple sources for the same data element and the sources conflict the most reliable source should be used to determine if the element passes or fails. For example for School Status at Participation DRVS Field 30 copies of records from an educational institution are a more reliable source than participant self-attestation. For the most part the definition of a particular source is clear. States have however had questions about four sources Cross-Match State Management Information System MIS Self-Attestation and Case Notes. Definitions for these four types of source documentation are 1. Cross-Match A cross-match requires validators to find detailed supporting evidence for the data element. An indicator or presence of an SSN in a non-WIA database is not sufficient evidence. For example Temporary Assistance to Needy Families TANF participation can be determined by a cross-match with the state s public assistance database. It is not sufficient to find that the sampled SSN is present in the public assistance database validators must also find supporting information such as dates of participation and services rendered. A - 3 2. State MIS Unless otherwise noted state MIS refers to specific detailed information that is stored in the state s information system that supports an element. An indicator such as a checkmark on a computer screen is not acceptable source documentation in and of itself. For example state MIS is an acceptable source documentation for date of first training service. To be an acceptable source to validate date of first training service in addition to the date of first training the state MIS should have information about the type of training and the organization that provided the training. This detailed information makes valid source documentation and makes it unnecessary for such states to validate this data element in local offices. 3. Self-Attestation Self-attestation occurs when a participant states his or her status for a particular data element such as pregnant or parenting youth and then signs and dates a form acknowledging this status. The key elements for self-attestation are a the participant identifying his or her status for permitted elements and b signing and dating a form attesting to this self-identification. The form and signature can be on paper or in the state management information system with an online signature. 4. Case Notes Case notes refer to either paper or electronic statements by the case manager that identifies at a minimum the following a participant s status for a specific data element the date on which the information was obtained and the case manager who obtained the information. PLEASE NOTE For DRVS field numbers 3 12 16 21 21 22 and 24 the sources differ for those adults dislocated workers and NEGs where applicable who received intensive and or training services from those who received staff-assisted services only. If a date is in field 68 or 69 the participant received intensive and or training services. Data Elements and Source Documentation Requirements A - 4 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 3 Date of Birth 102 Record the individual s date of birth. YYYYMMDD Yes Yes No Yes Yes Match Adults DW NEG Exiters who received Self-services only Self-attestation Adults DW NEG Exiters who received Staff-assisted core services only Hard or electronic case notes. Should reflect that the client has shown proof of age and should include for example the driver s license number or other uniquely identifiable information of the document. Youth and Adults DW NEG Exiters who received Intensive or Training Services Copy of I.D. Baptismal record birth certificate DD- 214 Report of Transfer or Discharge paper driver s license Federal state or local identification card passport hospital record of birth public assistance social service records school records or ID cards work permit cross match with Department of Vital Statistics or tribal records Data Elements and Source Documentation Requirements A - 5 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 12 Veteran s Status 111 Record 1 if the individual is a person who served in the active U.S. military naval or air service for a period of less than or equal to 180 days and who was discharged or released from such service under conditions other than dishonorable. Record 2 if the individual served on active duty for a period of more than 180 days and was discharged or released with other than a dishonorable discharge or was discharged or released because of a service connected disability or as a member of a reserve component under an order to active duty pursuant to section 167 a d or g 673 a of Title 10 U.S.C. served on active duty during a period of war or in a campaign or expedition for which a campaign badge is authorized and was discharged or released from such duty with other than a dishonorable discharge. 1 Yes 180 days 2 Yes Eligible Veteran 3 Yes Other Eligible Person 4 No Yes Yes Yes Yes No Support Adults DW NEG Exiters who did not receive Intensive or Training Services State MIS self- attestation case notes Older Youth and Adults DW NEG Exiters who received Intensive or Training Services DD- 214 cross match with veterans data a letter from the Veterans Administration Data Elements and Source Documentation Requirements A - 6 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements Record 3 if the individual is a person who is a the spouse of any person who died on active duty or of a service- connected disability b the spouse of any member of the Armed Forces serving on active duty who at the time of application for assistance under this part is listed pursuant to 38 U.S.C 101 and the regulations issued thereunder by the Secretary concerned in one or more of the following categories and has been so listed for more than 90 days i missing in action ii captured in the line of duty by a hostile force or iii forcibly detained or interned in the line of duty by a foreign government or power or c the spouse of any person who has a total disability permanent in nature resulting from a service-connected disability or the spouse of a veteran who died while a disability so evaluated was in existence. Record 4 if the individual does not meet any one of the conditions described above. Data Elements and Source Documentation Requirements A - 7 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 16 Employment Status at Participation 115 Record 1 if the participant is a person who either a did any work at all as a paid employee b did any work at all in his or her own business profession or farm c worked 15 hours or more as un unpaid worker in an enterprise operated by a member of the family or d is one who was not working but has a job or business from which he or she was temporarily absent because of illness bad weather vacation labor- management dispute or personal reasons whether or not paid by the employer for time-off and whether or not seeking another job. Record 2 if the participant is a person who although employed either a has received a notice of termination of employment or the employer has issued a Worker Adjustment and Retraining Notification WARN or other notice that the facility or enterprise will close or b is a transitioning service member Record 3 if the individual does not meet any one of the conditions described above. 1 Employed 2 Employed but Received Notice of Termination of Employment or Military Separation 3 Not Employed Yes Yes Yes Yes Yes Support Adults DW NEG Exiters who did not receive Intensive or Training Services State MIS self- attestation case notes All Youth and Adults DW NEG Exiters who received Intensive or Training Services Pay stub case notes showing information collected from participant Data Elements and Source Documentation Requirements A - 8 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 20 Low Income 119 Record 1 if the individual is a person who A receives or is a member of a family which receives cash payments under a Federal state or local income- based public assistance program or B received an income or is a member of a family that received a total family income for the six-month period prior to program participation exclusive of unemployment compensation child support payments payments described in subparagraph A and old-age and survivors insurance benefits received under section 202 of the Social Security Act 42 U.S.C 402 that in relation to family size does not exceed the higher of i the poverty line for an equivalent period or ii 70 percent of the lower living standard income level for an equivalent period or C is a member of a household that receives or has been determined within the 6-month period prior to program participation Food Stamps under the Food Stamp Act of 1977 7 U.S.C. 2011 et seq. or 1 Yes 2 No Yes No No Yes Yes Support Adults Exiters who did not receive Intensive or Training Services State MIS self-attestation case notes All Youth and Adults Exiters who received Intensive or Training Services Alimony Agreement applicant statement award letter from veteran s administration bank statements compensation award letter court award letter pension statement employer statement contact family or business financial records housing authority verification pay stubs pension statement public assistance records quarterly estimated tax for self- employed persons Social Security benefits UI documents Data Elements and Source Documentation Requirements A - 9 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements D qualifies as a homeless individual as defined in subsections a and c of section 103 of the Stewart B. McKinney Homeless Assistance Act 42 U.S.C. 11302 or E is a foster child on behalf of whom State or local government payments are made or F is a person with a disability whose own income meets the income criteria established in WIA section 101 25 A or B but is a member of a family whose income does not meet the established criteria. Record 2 if the individual does not meet the criteria presented above. Data Elements and Source Documentation Requirements A - 10 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 21 TANF Needy Family Status 120 Record 1 if the individual is a person who is listed on the welfare grant or has received cash assistance or other support services from the TANF agency in the last six months prior to participation in the program. Record 2 if the individual does not meet the condition described above. 1 Yes 2 No Yes Yes No Yes Yes Support Adults DW Exiters who did not receive Intensive or Training Services State MIS self-attestation case notes All Youth and Adults DW Exiters who received Intensive or Training Services Cross- match with TANF public assistance records Data Elements and Source Documentation Requirements A - 11 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 22 Other Public Assistance Recipient 121 Record 1 if the individual is a person who is receiving or has received cash assistance or other support services from one of the following sources in the last six months prior to participation in the program General Assistance GA State local government Refugee Cash Assistance RCA Food Stamp Assistance and Supplemental Security Income SSI-SSA Title XVI . Do not include foster child payments. Record 2 if the individual does not meet the above criteria. 1 Yes 2 No Yes Yes No Yes Yes Support Adults DW Exiters who did not receive Intensive or Training Services State MIS self-attestation case notes All Youth and Adults DW Exiters who received Intensive or Training Services Copy of authorization to receive cash public assistance copy of public assistance check medical card showing cash grant status public assistance records refugee assistance records cross- match with public assistance database Data Elements and Source Documentation Requirements A - 12 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 24 Displaced Homemaker 123 Record 1 if the individual is a person who has been providing unpaid services to family members in the home and has been dependent on the income of another family member but is no longer supported by that income and is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment. Record 2 if the individual does not meet the conditions described above. 1 Yes 2 No No Yes Yes No No Support DW NEG Exiters who did not receive Intensive or Training Services State MIS self-attestation case notes DW NEG Exiters who received Intensive or Training Services Public assistance records court records divorce papers bank records spouse s layoff notice spouse s death record self - attestation 25 Date of Actual Qualifying Dislocation 124 Record the date of separation or dislocation from employment. This date is the last day of employment at the dislocation job. If there is no dislocation job e.g. displaced homemaker leave blank. YYYYMMDD No Yes Yes No No Match Verification from employer rapid response list notice of layoff public announcement with follow-up cross-match with UI self- attestation Data Elements and Source Documentation Requirements A - 13 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 26 Homeless individual and or runaway youth 125 Record 1 if the individual adult or youth is a person who lacks a fixed regular adequate night time residence. This definition includes any individual who has a primary night time residence that is a publicly or privately operated shelter for temporary accommodation an institution providing temporary residence for individuals intended to be institutionalized or a public or private place not designated for or ordinarily used as a regular sleeping accommodation for human beings or a person under 18 years of age who absents himself or herself from home or place of legal residence without the permission of his or her family i.e. runaway youth . This definition does not include an individual imprisoned or detained under an Act of Congress or State law. An individual who may be sleeping in a temporary accommodation while away from home should not as a result of that alone be recorded as homeless. Record 2 if the individual does not meet the conditions described above. 1 Yes 2 No Yes No No Yes Yes Support Written statements from an individual providing residence shelter or social service agency WIA intake or registration form self- attestation Data Elements and Source Documentation Requirements A - 14 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 27 Offender 126 Record 1 if the individual adult or youth is a person who either a is or has been subject to any stage of the criminal justice process for committing a status offense or delinquent act or b requires assistance in overcoming barriers to employment resulting from a record of arrest or conviction for committing delinquent acts such as crimes against persons crimes against property status offenses or other crimes. Record 2 if the individual does not meet any one of the conditions described above. 1 Yes 2 No Yes No No Yes Yes Support Documentation from juvenile or adult criminal justice system documented phone call with court or probation representatives WIA intake or registration form self-attestation 28 Pregnant or parenting youth 127 Record 1 if the individual is a person who is either under 22 years of age and who is pregnant or an individual male or female who is providing custodial care for one or more dependents under age 18. Record 2 if the individual does not meet the described above. 1 Yes 2 No No No No Yes Yes Support Copy of child s birth certificate baptismal record observation of pregnancy status doctor s note confirming pregnancy self- attestation Data Elements and Source Documentation Requirements A - 15 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 29 Youth who needs additional assistance 128 Record 1 if the individual is a person who is between the ages of 14 and 21 and requires additional assistance to complete an educational program or to secure and hold employment as defined by State or local policy. If the State Board defines a policy the policy must be included in the State Plan. Record 2 if the individual does not meet the conditions described above. 1 Yes 2 No No No No Yes Yes Support See state policy and state plan individual service strategy case notes WIA intake or registration form state MIS self- attestation Data Elements and Source Documentation Requirements A - 16 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 30 School Status at Participation 129 Record 1 if the individual has not received a secondary school diploma or its recognized equivalent and is attending any secondary school including elementary intermediate junior high school whether full or part-time or is between school terms and intends to return to school. Record 2 if the individual has not received a secondary school diploma or its recognized equivalent and is attending an alternative high school or an alternative course of study approved by the local educational agency whether full or part-time. Record 3 if the individual has received a secondary school diploma or its recognized equivalent and is attending a post-secondary school or program whether full or part-time or is between school terms and intends to return to school. Record 4 if the individual is no longer attending any school and has not received a secondary school diploma or its recognized equivalent. Record 5 if the individual is not attending any school and has either graduated from high school or holds a GED. 1 In-school H.S. or less 2 In-school Alternative School 3 In-school Post- H.S. 4 Not attending school H.S. Dropout 5 Not attending school H.S. graduate No No No Yes Yes Support Applicable records from education institution GED certificate diploma attendance record transcripts drop out letter school documentation WIA intake or registration form State MIS self- attestation Data Elements and Source Documentation Requirements A - 17 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 31 Basic literacy skills deficiency as defined in 664.205 130 Record 1 if the participant is a person who computes or solves problems reads writes or speaks English at or below the 8th grade level or is unable to compute or solve problems read write or speak English at a level necessary to function on the job in the individual s family or in society. In addition states and grantees have the option of establishing their own definition which must include the above language. In cases where states or grantees establish such a definition that definition will be used for basic literacy skills determination. Record 2 if the individual does not meet the conditions described above. 1 Yes 2 No No No No Yes Yes Support Standardized assessment test school records case notes 32 Foster Care Youth 131 Record 1 if the individual is a person who is in foster care or has been in the foster care system. Record 2 if the individual does not meet the condition described above. 1 Yes 2 No No No No No Yes Support Written confirmation from social services agency case notes 34 Date of Program Participation 302 Record the date on which the individual began receiving his her first service funded by the program following a determination of eligibility to participate in the program. YYYYMMDD Yes Yes Yes No No Match State MIS information Data Elements and Source Documentation Requirements A - 18 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 35 Date of Exit 303 Record the date on which the last service funded by the program or a partner program is received by the participant. Once a participant has not received any services funded by the program or a partner program for 90 consecutive calendar days and has no gap in service and is not scheduled for future services the date of exit is applied retroactively to the last day on which the individual received a service funded by the program or a partner program. YYYYMMDD Yes Yes Yes Yes Yes Match WIA status exit forms State MIS data Case notes 38 Date of First Youth Service 306 Record the date on which the individual began receiving his her first service funded by the WIA Youth program following a determination of eligibility to participate in the program. YYYYMMDD No No No Yes Yes Match WIA status exit forms State MIS data case notes 45-47 National Emergency Grant Project Numbers 313a 313b and 313c Record the Project I.D. Number where the individual received services financially assisted under a National Emergency Grant NEG . For example Utah projects may be numbered UT-02 so the WIASRD entry would be UT02 - WIA title ID section 173. Record 0000 or leave blank if the individual did not receive any services funded by a NEG. XXXX No No Yes No No Match Case file data or NEG grant award letter that identifies the project number assigned by the U.S DOL NEG Grant Officer Data Elements and Source Documentation Requirements A - 19 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 61 Other reasons for exit 327 Record 01 if the participant is residing in an institution or facility providing 24-hour support such as a prison or hospital and is expected to remain in that institution for at least 90 days. Record 02 if the participant is receiving medical treatment that precludes entry into unsubsidized employment or continued participation in the program. Does not include temporary conditions expected to last for less than 90 days. Record 03 if the participant was found to be deceased or no longer living. Record 04 if the participant is providing care for a family member with a health medical condition that precludes entry into unsubsidized employment or continued participation in the program. Does not include temporary conditions expected to last for less than 90 days. Record 05 if the participant is a member of the National Guard or other reserve military unit and is called to active duty for at least 90 days. 01 Institutionalized 02 Health Medical 03 Deceased 04 Family Care 05 Reserve Forces Called to Active Duty 06 Relocated to Mandated Residential or Non-Residential Program 98 Retirement 99 Not a Valid SSN Yes Yes Yes Yes Yes Support Information from partner services MIS systems WIA status exit form case notes Information from institution or facility Data Elements and Source Documentation Requirements A - 20 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements Record 06 if the youth participant is in the foster care system or any other mandated residential or non- residential program and has moved from the area as part of such a program or system exclusion for youth participants only . Record 98 if the participant retired from employment. Record 99 if the participant either disclosed an invalid social security number SSN or chose not to disclose a SSN. Record 00 or blank if the participant exited for a reason other than one of the conditions described above. Additional Note Exit Reason 98 Retirement has been added for program management purposes only and individuals who exit the program based on this reason will not be excluded from the calculations of performance measures they will be included. Data Elements and Source Documentation Requirements A - 21 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 66 Date of First Staff Assisted Core Service 332 Record the date on which the individual received his her first staff- assisted core service Note This excludes self-service and informational activities . Leave blank if the individual did not receive staff -assisted core services. YYYYMMDD Yes Yes Yes No No Match State MIS data case notes 68 Date of First Intensive Service 334 Record the date on which the individual received his her first intensive service. Leave blank if the individual did not receive intensive services. YYYYMMDD Yes Yes Yes No No Match State MIS data case notes 69 Date Entered Training 335 Record the date on which the individual s training actually began. If multiple training services were received record the earliest date on which the individual entered training. Leave blank if the individual did not receive training services. YYYYMMDD Yes Yes Yes No No Match Cross-match between dates of service and vendor training information vendor training documentation State MIS case notes 70 Date Completed or Withdrew from Training 336 Record the date on which the participant completed training or withdrew from training. If multiple training services were received record the most recent date on which the individual completed training. Leave blank if the individual did not receive training services. YYYYMMDD Yes Yes Yes No No Match Cross-match between dates of service and vendor training information vendor training documentation State MIS case notes Data Elements and Source Documentation Requirements A - 22 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 74 Type of Training Service 1 340 Use the appropriate code to indicate the type of training being provided to the individual. Record 0 or leave blank if the individual did not receive training services. 1 On-the-Job Training 2 Skill Upgrading Retraining 3 Entrepreneurial Training 4 ABE or ESL in Combination with Training 5 Customized Training 6 Other Occupational Skills Training Yes Yes Yes No No Support Vendor training documentation certificates State MIS case notes 77 Enrolled in Education 343 Record 1 if the individual is enrolled in secondary school post-secondary school an adult education program or any other organized program of study. States may use this coding value if the youth was either already enrolled in education at the time of participation in the program or became enrolled in education at any point while participating in the program. Record 2 if the individual was not enrolled in education. 1 Yes 2 No No No No Yes Yes Support Applicable records from education institution certifying enrollment case notes with verification from education institution or training provider that the individual is enrolled in education Data Elements and Source Documentation Requirements A - 23 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 78 Received Educational Achievement Services 344 Record 1 if the participant received educational achievement services. Educational achievement services include but are not limited to tutoring study skills training and instruction leading to secondary school completion including dropout prevention strategies and alternative secondary school offerings. Record 2 if the individual did not receive any of the services described above. 1 Yes 2 No No No No Yes Yes Support Activity sheets sign-in sheets attendance record vendor contract State MIS case notes WIA status forms noting receipt of educational services and type of services received 79 Received Employment Services 345 Record 1 if the participant received employment services. Employment services include paid and unpaid work experiences including internships and job shadowing and occupational skills training. Record 2 if the individual did not receive any of the services described above. 1 Yes 2 No No No No Yes Yes Support Activity sheets vendor contract attendance record or roster State MIS case notes 80 Received Summer Employment Opportunities 346 Record 1 if the participant received summer employment opportunities directly linked to academic and occupational learning. Record 2 if the individual did not receive any of the services described above. 1 Yes 2 No No No No Yes Yes Support Activity sheets work agreement sign-in sheets attendance record or roster State MIS case notes Data Elements and Source Documentation Requirements A - 24 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 81 Received Additional Support for Youth Services 347 Record 1 if the participant received supports for youth services that include but are not limited to the following a adult mentoring for a duration of at least twelve 12 months that may occur both during and after program participation or b comprehensive guidance and counseling including drug and alcohol abuse counseling as well as referrals to counseling as appropriate to the needs of the individual youth. Record 2 if the individual did not receive any of the services described above. 1 Yes 2 No No No No Yes Yes Support Activity sheets pay stub sign-in sheets attendance record or roster State MIS vendor contract case notes Data Elements and Source Documentation Requirements A - 25 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 82 Received Leadership development opportunities 348 Record 1 if the participant received services that include but are not limited to opportunities that encourage responsibility employability and other positive social behaviors such as a exposure to post-secondary educational opportunities b community and service learning projects c peer- centered activities including peer mentoring and tutoring d organizational and team work training including team leadership training e training in decision making including determining priorities and f citizenship training including life skills training such as parenting work behavior training and budgeting of resources. Record 2 if the individual did not receive any of the services described above. 1 Yes 2 No No No No Yes Yes Support Activity sheets vendor contract attendance record or roster State MIS case notes Data Elements and Source Documentation Requirements A - 26 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 83 Received follow-up services 349 Record 1 if the participant received 12 months of follow-up services. Follow-up services for youth include a regular contact with a youth participant s employer including assistance in addressing work-related problems that arise b assistance in securing better paying jobs career development and further education c work-related peer support groups d adult mentoring and e tracking the progress of youth in employment after training. Record 2 if the individual did not receive 12 months of follow-up services. Record 0 or leave blank if the youth has not exited or has exited and is continuing to receive follow-up services but has not yet received 12 months of follow-up services. Additional Note If a youth reenrolls in WIA within 12 months of exit Record 1 if follow-up services were provided throughout the period from exit to re-enrollment. 1 Yes 2 No No No No Yes Yes Support Activity sheets attendance record or roster documented receipt of follow-up support services State MIS case notes Data Elements and Source Documentation Requirements A - 27 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 84 Employed in 1 st Quarter after Exit Quarter 601 Record 1 if the participant was employed in the first quarter after the quarter of exit. Record 2 if the participant was not employed in the first quarter after the quarter of exit. Record 3 if information on the participant s employment status in the first quarter after the quarter of exit is not yet available. 1 Yes 2 No 3 Information not yet available Yes Yes Yes Yes Yes Support UI Wage records WRIS supplemental data sources defined by TEGL 17-05 State MIS Data Elements and Source Documentation Requirements A - 28 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 85 Type of Employment Match 1 st Quarter After Exit Quarter 602 Use the appropriate code to identify the method used in determining the individual s employment status in the first quarter following the quarter of exit. Wage records will be the primary data source for tracking employment in the first quarter after the exit quarter. If individuals are not found in the wage records grantees may then use supplemental data sources. If the individual is found in more than once source of employment using wage records record the data source for which the individual s earnings are greatest. Record 0 or leave blank if the individual was not employed in the first quarter after the quarter of exit. Additional Note If the participant is found employed in a wage record source e.g. State local government employment records that cannot be translated into quarterly earnings amounts states should treat these employment matches as supplemental data and use coding value 5 Supplemental through case management participant survey and or verification with the employer. 1 UI Wage Records In-State WRIS 2 Federal Employment Records OPM USPS 3 Military Employment Records DOD 4 Other Administrative Wage Records 5 Supplemental through case management participant survey and or verification with the employer 6 Information not yet available Yes Yes Yes Yes Yes Support UI Wage Records WRIS supplemental data sources defined by TEGL 17-05 follow up services surveys record sharing and or automated record matching with other employment and administrative databases other out of state wage record systems case notes Data Elements and Source Documentation Requirements A - 29 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 89 Employed in 2 nd Quarter After Exit Quarter 606 Record 1 if the participant was employed in the second quarter after the quarter of exit. Record 2 if the individual was not employed in the second quarter after the quarter of exit. Record 3 if the individual has exited but employment information is not yet available. 1 Yes 2 No 3 Information not yet available Yes Yes Yes No No Support UI wage records WRIS supplemental data sources as defined in TEGL 17-05 State MIS federal wage databases Data Elements and Source Documentation Requirements A - 30 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 90 Type of Employment Match 2 nd Quarter After Exit 607 Use the appropriate code to identify the method used in determining the individual s employment status in the second quarter following the quarter of exit. Wage records will be the primary data source for tracking employment in the second quarter after the exit quarter. If individuals are not found in the wage records grantees may then use supplemental data sources. If the individual is found in more than once source of employment using wage records record the data source for which the individual s earnings are greatest. Record 0 or leave blank if the individual was not employed in the second quarter after the quarter of exit. Additional Note If the participant is found employed in a wage record source e.g. State local government employment records that cannot be translated into quarterly earnings amounts states should treat these employment matches as supplemental data and use coding value 5 Supplemental through case management participant survey and or verification with the employer. 1 UI Wage Records In-State WRIS 2 Federal Employment Records OPM USPS 3 Military Employment Records DOD 4 Other Administrative Wage Records 5 Supplemental through case management participant survey and or verification with the employer 6 Information not yet available Yes Yes Yes No No Support UI wage records WRIS supplemental data sources as defined in TEGL 17-05 follow-up services surveys record sharing and or automated record matching with other employment and administrative databases other out of state wage record systems case notes Data Elements and Source Documentation Requirements A - 31 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 91 Employed in 3 rd Quarter After Exit Quarter 608 Record 1 if the participant was employed in the third quarter after exit. Record 2 if the individual was not employed in the third quarter after exit. Record 3 if the individual has exited but employment information is not yet available. 1 Yes 2 No 3 Information not yet available Yes Yes Yes Yes Yes Support UI wage records WRIS supplemental data sources as defined in TEGL 17-05 State MIS Federal wage databases Data Elements and Source Documentation Requirements A - 32 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 92 Type of Employment Match 3 rd Quarter After Exit 609 Use the appropriate code to identify the method used in determining the individual s employment status in the third quarter following the quarter of exit. Wage records will be the primary data source for tracking employment in the third quarter after the exit quarter. If individuals are not found in the wage records grantees may then use supplemental data sources. If the individual is found in more than once source of employment using wage records record the data source for which the individual s earnings are greatest. Record 0 or leave blank if the individual was not employed in the third quarter after the quarter of exit. Additional Note If the participant is found employed in a wage record source e.g. State local government employment records that cannot be translated into quarterly earnings amounts states should treat these employment matches as supplemental data and use coding value 5 Supplemental through case management participant survey and or verification with the employer. 1 UI Wage Records In-State WRIS 2 Federal Employment Records OPM USPS 3 Military Employment Records DOD 4 Other Administrative Wage Records 5 Supplemental through case management participant survey and or verification with the employer 6 Information not yet available Yes Yes Yes Yes Yes Support UI wage records WRIS supplemental data sources as defined in TEGL 17-05 follow-up services surveys record sharing and or automated record matching with other employment and administrative databases other out of state wage record systems case notes Data Elements and Source Documentation Requirements A - 33 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 95 Wages 3 rd Quarter Prior to Participation Quarter 612 Record total earnings for the third quarter prior to the quarter of participation. Please enter 999999.99 if data are not yet available for this item or data are too far in the past to obtain from the UI wage records or other administrative records. Otherwise leave blank if this data element does not apply. 000000.00 Yes Yes Yes Yes No Match UI wage records WRIS other state wage records Federal wage databases 96 Wages 2 nd Quarter Prior to Participation Quarter 613 Record total earnings for the second quarter prior to the quarter of participation. Please enter 999999.99 if data are not yet available for this item or data are too far in the past to obtain from the UI wage records or other administrative records. Otherwise leave blank if this data element does not apply. 000000.00 Yes Yes Yes Yes No Match UI wage records WRIS other state wage records Federal wage databases 98 Wages 1 st Quarter After Exit Quarter 615 Record total for the first quarter after the quarter of exit. Please enter 999999.99 if data are not yet available for this item. Otherwise leave blank if this data element does not apply. 000000.00 Yes Yes Yes Yes Yes Match UI wage records WRIS other state wage records Federal wage databases Data Elements and Source Documentation Requirements A - 34 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 99 Wages 2 nd Quarter After Exit Quarter 616 Record total earnings for the second quarter after the quarter of exit. Please enter 999999.99 if data are not yet available for this item. Otherwise leave blank if this data element does not apply. 000000.00 Yes Yes Yes Yes No Match UI wage records WRIS other state wage records Federal wage databases 100 Wages 3 rd Quarter After Exit Quarter 617 Record total earnings for the third quarter after the quarter of exit. Please enter 999999.99 if data are not yet available for this item. Otherwise leave blank if this data element does not apply. 000000.00 Yes Yes Yes Yes Yes Match UI wage records WRIS other state wage records Federal wage databases Data Elements and Source Documentation Requirements A - 35 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 102 Type of Recognized Credential 619 Use the appropriate code to record the type of recognized educational or occupational certificate credential diploma or degree attained by the individual who received training services. Record 0 if the individual received training services but did not attain a recognized credential. Credentials must be attained either during participation or by the end of the third quarter after the quarter of exit from services other than follow- up services . 1 High School Diploma GED 2 AA or AS Diploma Degree 3 BA or BS Diploma Degree 4 Occupational Skills Licensure 5 Occupational Skills Certificate or Credential 6 Other Recognized Educational or Occupational Skills Certificate Credential Yes Yes No Yes No Support Transcripts certificates diploma surveys case notes Data Elements and Source Documentation Requirements A - 36 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 103-150 Goals Type Date Goal Was Set Attainment of Goal Date Goal Was Attained 620-667 Use the appropriate code to record the type of skill attainment goal. Setting one basic skills goal is required if the youth is basic literacy skills deficient. Record the date on which the goal was set for the youth except that the date of the first goal set must be recorded as the registration date. Record 1 if the goal was attained. Attainment of a goal is to be based on an individual s assessment using widely accepted and recognized measurement assessment techniques. Record 2 if the goal was set but not attained. A goal is not attained when the anniversary date has passed without attainment of the goal. The anniversary date of a goal is the date one year after the date the goal was set. Record 3 if the goal was set but attainment is pending. This code should not be used after exit. When the youth exits this field should be marked with a 1 or 2 for all goals that have been set. 1 Basic Skills 2 Occupational Skills 3 Work Readiness Skills YYYYMMDD 1 Attained 2 Set but not attained 3 Set but attainment is pending No No No No Yes Support for Goal Type and Attainment of Goal Match for Dates Test Records Transcripts School Employer Notification or documentation State MIS Case notes Data Elements and Source Documentation Requirements A - 37 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements Record date on which the goal was attained. This date should be on or before the one-year anniversary of the date the goal was set. However it may be later if the participant had a gap in service during which services were not received but the participant planned to return to the program. YYYYMMDD Data Elements and Source Documentation Requirements A - 38 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 151 Attained Diploma GED or Certificate 668 Record 1 if the individual attained a secondary school high school diploma recognized by the State. Record 2 if the individual attained a GED or high school equivalency diploma recognized by the State. Record 3 if the individual attained a certificate in recognition of an individual s attainment of technical or occupational skills or other post- secondary degree diploma.. Record 4 if the individual did not attain a diploma GED or certificate. SPECIAL NOTE Fields 668 and 669 will be used to calculate both the current WIA Younger Youth Diploma Rate and the common measure Attainment of a Degree or Certificate for all youth 14-21 . To achieve positive outcomes on both measures the state should make sure that coding values 1 or 2 are reported when the youth receives a diploma or equivalent either during participation in the program or by the end of the first quarter after the quarter of exit. If the youth receives another degree or certificate beyond the first quarter after the quarter of exit the state should not update the record. 1 Individual attained a secondary school high school diploma. 2 Individual attained a GED or high school equivalency diploma. 3 Individual attained a certificate or other post- secondary degree diploma. 4 Individual did not attain a diploma GED or certificate No No No Yes Yes Support Transcripts certificates diploma letter or other documentation from school system Data Elements and Source Documentation Requirements A - 39 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements If the youth did not receive a high school diploma or GED by the end of the first quarter after exit but did receive one or more certificates while either participating in the program or by the end of the third quarter after exit the state should record the most recent certificate attained. 152 Date Attained Degree or Certificate 669 Record the date on which the individual attained a diploma GED or certificate. Ideally the date should be the date listed on the diploma GED or certificate. Leave blank if the individual did not attain a diploma GED or certificate. Additional Note For recording multiple degrees or certificates please see the special note under WIASRD Element 668. YYYYMMDD No No No Yes Yes Match Transcripts certificates diploma letter or documentation from school system Data Elements and Source Documentation Requirements A - 40 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 153 School Status at Exit 670 Record 1 if the individual has not received a secondary school diploma or its recognized equivalent and is attending any primary or secondary school including elementary intermediate junior high school whether full or part-time or is between school terms and intends to return to school. Record 2 if the individual has not received a secondary school diploma or its recognized equivalent and is attending an alternative high school or an alternative course of study approved by the local educational agency whether full or part-time. Record 3 if the individual has received a secondary school diploma or its recognized equivalent and is attending a post-secondary school or program whether full or part-time or is between school terms and intends to return to school. Record 4 if the individual is no longer attending any school and has not received a secondary school diploma or its recognized equivalent. Record 5 if the individual is not attending any school and has either graduated from high school or holds a GED. 1 In-school H.S. or less 2 In-school Alternative School 3 In-school Post- H.S. 4 Not attending school H.S. Dropout 5 Not attending school H.S. Graduate No No No Yes Yes Support Transcripts certificates diploma letter or documentation from school system case notes Data Elements and Source Documentation Requirements A - 41 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 154 Youth Placement Information 671 Use the appropriate code to record the primary activity the youth entered in the first quarter following the exit quarter youth may qualify for more than one activity . For example if the youth enters advanced training and has entered a qualified apprenticeship please record 4. Record 0 if the youth did not enter any one of the activities listed in the coding value. 1 Entered post- secondary education 2 Entered advanced training 3 Entered military service 4 Entered a qualified apprenticeship No No No Yes Yes Support Cross-match with other agencies apprenticeship verification documentation of military service advanced training post secondary education transcripts registration forms community college info employer contacts U.I. wage records WRIS Case notes 155 Youth Retention Information 672 Use the appropriate code to record the primary activity the youth entered in the third quarter following the exit quarter youth may qualify for more than one activity . For example if the youth enters advanced training and has entered a qualified apprenticeship please record 4. Record 0 if the youth did not enter any one of the activities listing in the coding value. 1 In post-secondary education 2 In advanced training 3 In military service 4 In a qualified apprenticeship No No No Yes Yes Support Cross match with other agencies apprenticeship verification documentation of military service advanced training post secondary education transcripts registration forms community college info employer contacts U.I. wage records WRIS Case notes Data Elements and Source Documentation Requirements A - 42 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements 156-198 Category of Assessment Type of Assessment Test Functional Area Date Administered Test Educational Functioning Level 701-743 Record 1 if the participant was assessed using approved tests for Adult Basic Education ABE Record 2 if the participant was assessed using approved tests for English-As-A-Second Language ESL Record 0 or leave blank if the individual was not assessed in literacy or numeracy. Use the appropriate code to record the type of assessment test that was administered to the youth participant. 1 ABE 2 ESL 3 Both ABE and ESL 1 TABE 9-10 2 CASAS Life Skills 3 ABLE 4 WorkKeys 5 SPL 6 BEST 7 BEST Plus 8 TABE Class E 9 Wonderlic 10 Other Approved Assessment Tool 1 Reading 2 Writing 3 Language 4 Mathematics 5 Speaking 6 Oral 7 Listening 8 Other Functional Area No No No Yes Yes Support for non- date fields. Match for date fields Test records case notes documenting the necessary details for each element of testing. States should refer to TEGL 17-05 Change 1 Attachment C for the list of approved Educational tests for the Literacy Numeracy measure. Front line staff must keep a copy of the test scoring sheet that shows the date of the test total score and grade levels in the case file. Case notes should also detail the participant s progress. Data Elements and Source Documentation Requirements A - 43 DRVS Field Number Data Element Data Element Definition Code Value Adult DW NEG OY YY Match Support Source Documentation Requirements Record the date on which the pre- assessment test was administered to the youth participant. Leave blank if the individual was not assessed in literacy or numeracy. Record the educational functioning level that is associated with the youth participant s raw scale score. Record 0 or leave blank if the individual was not assessed in literacy or numeracy. YYYYMMDD 1 Beginning ESL Literacy 2 Low Beginning ESL Literacy 3 Beginning ABE Literacy High Beginning ESL Literacy 4 Beginning Basic Education Low Intermediate ESL 5 Low Intermediate Basic Education High Intermediate ESL 6 High Intermediate Basic Education Advanced ESL 7 Low Adult Secondary Education Exit ESL 8 High Adult Secondary Education OMB No. 1205-042 0 Expires 12 31 201 2 State Name Date Submitted A. A discussion of the cost of workforce investment activities relative to the effect of the activities on the performance of participants. B. A description of State evaluations of workforce investment activities including 1. The questions the evaluation will did address 2. A description of the evaluation s methology and 3. Information about the timing of feedback and deliverables. Workforce Investment Act WIA Annual Report Requirements for States Approved to Report Against the Common Performance Measures OnlyAttachment B I. Narrative Section Table A - Workforce Investment Act Customer Satisfaction Results WIA Title IB Annual Report Form ETA 9091 II. Table Section Participants Customer SatisfactionNegotiated Performance LevelActual Performance Level - American Customer Satisfaction IndexNumber of Surveys CompletedNumber of Customers Eligible for the SurveyNumber of Customers Included in the SampleResponse Rate Table B- Adult Program Results Employers Reported Information Negotiated Performance Level Actual Performance Level Entered Employment RateNumerator Denominator Employment Retention RateNumerator Denominator Average EarningsNumerator Denominator Employment and Credential RateNumerator Denominator Table C - Outcomes for Adult Special Populations Employment and Credential RateNumerator Denominator Average EarningsNumerator Denominator Employment Retention RateNumerator Denominator Reported Information Negotiated Performance Level Actual Performance Level Entered Employment RateNumerator Denominator Reported InformationPublic Assistance Recipients Receiving Intensive or Training ServicesVeterans Individuals With DisabilitiesOlder Individuals Entered Employment Rate NumNum Den Den Den DenNum Num Employment Retention Rate NumNum Den Den Den DenNum Num Average Earnings NumNum Den Den Den DenNum Num Employment and Credential Rate NumNum Den Den Den DenNum Num Table D - Other Outcome Information for the Adult Program Reported Information Individuals Who Received Training Services Individuals Who Only Received Core and Intensive Services Entered Employment RateNum Num Den Den Employment Retention RateNum Num Den Den Num Den Den Table E - Dislocated Worker Program Results Average EarningsNum Table F - Outcomes for Dislocated Worker Special Populations Den Table H.1 - Youth 14 - 21 Program Results Reported Information Negotiated Performance Level Actual Performance Level Placement in Employment or EducationDen DenNum Num Average Earnings Reported Information Individuals Who Received Training Services Individuals Who Only Received Core and Intensive Services Entered Employment RateNum Den Den Employment Retention RateNum DenNum Den Num Den Num Den Num Den Num Den Entered Employment Rate Num Reported InformationVeterans Individuals With Disabilities Older Individuals Num Employment and Credential RateDisplaced Homemakers Num Den Den DenNum Num Employment Retention RateNum Den Den DenNum Num Den Num Num Den Den Table G - Other Outcome Information for the Dislocated Worker Program Average EarningsNum Num DenDen Num Numerator Denominator Attainment of Degree or CertificateNumerator Denominator Literacy and Numeracy GainsNumerator Denominator Table K - Outcomes for Younger Youth Special PopulationsTable I - Outcomes for Older Youth Special Populations Credential Rate NumNum Den Num Den Den Den DenNum NumDen Den Den Num Num Den Six Months Earnings Increase NumNumerator Denominator Den DenIndividuals With Disabilities NumOut-of-School Youth Num Reported Information Negotiated Performance Level Actual Performance Level Table H.2 - Older Youth 19 - 21 Results Entered Employment RateNumerator Denominator Employment Retention RateNumerator Denominator Numerator Denominator Six Months Earnings IncreaseNumerator Denominator Credential Rate Youth Diploma or Equivalent Rate Employment Retention Rate Num Num Table J - Younger Youth 14 - 18 Results Reported InformationPublic Assistance Recipients Veterans Den Num Den Den DenNumDen Entered Employment Rate Num Num Retention RateNumerator Denominator Youth Diploma or Equivalent RateNum DenNum Num Den Den Retention RateNum DenNum Num Den Den Reported Information Negotiated Performance Level Actual Performance Level Skill Attainment RateNumerator Denominator Reported InformationPublic Assistance Recipients Individuals With Disabilities Out-of-School Youth Skill Attainment RateNum Num Num Den Den Den Num Num Num Num Den Den Den Den Num Num Num Num Den Den Den Den Num Num Num Den Den Den Total Federal Spending Total of All Federal Spending Listed Above Statewide Required Activities Up to 15 WIA Section 134 a 2 B Statewide Allowable Activities WIA Section 134 a 3 Program Activity Description Local Youth Rapid Response up to 25 WIA Section 134 a 2 B Local Adults Local Dislocated Workers Table N - Cost of Program Activities Program ActivityTable L - Other Reported Information Reported Information 12 Month Employment Retention Rate12 Months Earnings Increase Adults and Older Youth or 12 Months Earnings Replacement Dislocated Workers Placements in Non-traditional EmploymentWages At Entry Into Employment For Those Individuals Who Entered Unsubsidized EmploymentEntry Into Unsubsidized Employment Related to the Training Received of Those Who Completed Training Services AdultsNum Den Dislocated WorkersNum Den Num Den Table M - Participation Levels Older Youth Reported Information Total Participants Served Total Exiters WIA Adults Total Adult Customers Total Adults self-service only In-School Youth WIA Dislocated Workers Total Youth 14 - 21 Younger Youth 14 - 18 Older Youth 19 - 21 Out-of-School Youth Total Exiters Program Participants Employers Adults Dislocated Workers Older Youth Adults Dislocated Workers Older Youth Younger Youth Adults Dislocated Workers Older Youth Adults Dislocated Workers Older Youth Younger Youth Skill Attainment Rate Younger Youth Placement in Employment or Education Youth 14 - 21 Attainment of Degree or Certificate Youth 14 - 21 Literacy and Numeracy Gains Youth 14 - 21 Overall Status of Local PerformanceExceeded Not Met Met Older Youth 19 - 21 Report Total Youth Older Youth 19 - 21 Report Total Youth Actual Younger Youth 14 - 18 Younger Youth 14 - 18 Credential Diploma Rates Description of Other State Indicators of Performance WIA Section 136 d 1 - Insert additional rows if there are more than two other state indicators of performance . Customer Satisfaction Entered Employment Rates Retention Rates Average Earnings Adults DWs Six Months Earnings Increase Older Youth Reported Information Negotiated Performance ETA Assigned Adults Dislocated Workers Total Participants ServedDislocated Workers Table O- Local Performance Include this chart for each local area in the state Local Area NameAdults ATTACHMENT C COMMON WORKFORCE INVESTMENT ACT STANDARDIZED RECORD DATA WIASRD REPORTING ERRORS C.1 This attachment includes typical WIA Standardized Record Data WIASRD submission errors that ETA has identified. Please ensure accurate and complete data submission. Not reporting disability status Item 104 for many individuals should be 1 or 2 not 0 or blank for almost everyone. Not reporting Hispanic Item 105 for many individuals. Not reporting Recently Separated Veteran Item 114 for many veterans. Incorrect reporting of high school graduates in Highest Grade Completed Item 119 . High school graduates should be reported using code 87 . Code 12 should be used only for those who completed the 12 th grade but did not graduate. Not including Food Stamps recipients in Other Public Assistance Recipient Item 121 . The definition of this field was changed for PY 2005 to include Food Stamp recipients. Not reporting the Date of Actual Qualifying Dislocation Item 125 for many dislocated workers. Not reporting adult characteristics for all or many individuals. o Homeless Item 125 . o Offender Item 126 . Incorrect reporting of Employment and Training Programs Related to Food Stamps Item 325 . This field is not used for reporting receipt of Food Stamps which is included in Item 121 . Item 325 is to be used only for those who received employment and training services funded by the Food Stamps program. Not reporting new service fields o Core self-service and informational activities Item 331 . o Date of first staff-assisted core service Item 332 . o Workforce information services Item 333 . o Date completed or withdrew from training Item 336 . o Prevocational activities Item 339 . Incorrect reporting of enrolled in education Item 343 . o Should generally be yes if a youth was in school at either participation Item 129 or exit Item 670 . Not reporting wages in the quarter before registration Item 614 . C.2 Not reporting wages before registration Items 612 to 614 for persons who exit after the exit cohort for average earnings or earnings change. Not reporting education status at exit Item 670 for youth. Incorrect reporting of youth activities. Almost all youth should have at least one youth activity reported. Several states report a large number of youth without any youth activities. One state does not report any youth activities at all. Incorrect reporting of NEG participants. o Not providing records for all NEG participants. All participants enrolled in a NEG project must be reported in the WIASRD regardless of whether or not they were coenrolled in Title 1b programs. o Incorrect reporting of the NEG Project ID Items 313a to 313c . A NEG project ID must be entered for each NEG participant. This number is found in the NEG Grant Award package. If the Participant is enrolled in more than one NEG all applicable NEG Project IDs should be entered in the participant s record. The NEG project ID is the state postal code followed by a two-digit number. For example a valid code for a project in Utah would be UT02. ATTACHMENT D SOURCE DOCUMENTATION REQUIREMENTS FOR PROGRAM YEAR PY 2010 NFJP DATA ELEMENT VALIDATION D.2 This appendix presents the data elements to be validated with their associated WIASPR number element definitions valid values federal validation sources state grantee sources and validation instructions needed to perform data element validation. The federal sources are the generic federally recommended source documentation. The State Grantee Sources column can be used to enter grantee- specific versions of the federally approved documentation. Two types of validation rules exist 1. If the validation instruction cell says MATCH Enter a checkmark in the box in the pass column if the data on the validation worksheet match the data in the source documentation. Enter a checkmark in the box in the fail column if the data on the worksheet do not match the data in the source documentation or if no source documentation is found. To match the data on the worksheet must be the same as the data in the source documentation. For example if the worksheet says a participant s date of birth is July 1 1975 then the source documentation must also have July 1 1975 as the birth date. 2. If the validation instruction says SUPPORT Enter a checkmark in the box in the pass column if the data on the validation worksheet are supported by the data in the source documentation. Enter a checkmark in the box in the fail column if the data on the worksheet are not supported by the data in the source documentation or if no source documentation is found. To support the data on the worksheet must be similar to the data in the source documentation. This instruction is used when information must be interpreted or processed before it can be applied to the participant s records. For example source documentation can support farmworker status in different ways by a code or narrative or other information. For the most part the definition of a particular source is clear. Grantees may however have questions about three sources Grantee Management Information System MIS Self-Attestation and Case Notes. Definitions for these three types of source documentation are D.3 1. MIS Unless otherwise noted MIS refers to specific detailed information which supports an element that is stored in the grantee s information system. An indicator alone such as a checkmark on a computer screen is not acceptable source documentation. For example a grantee s MIS is acceptable source documentation for date of exit if it identifies the last service received in addition to the date on which that service was received. 2. Self-Attestation Self-attestation occurs when a participant states his or her status for a particular data element and then signs and dates a form acknowledging this status. The key elements for self-attestation are a the participant identifying his or her status for permitted elements and b the signing and dating of a form attesting to this self-identification. The form and signature can be on paper or in the state management information system with an online signature. 3. Case Notes Case notes refer to either paper or electronic statements by the case manager that identifies at a minimum the following a participant s status for a specific data element the date on which the information was obtained and the case manager who obtained the information. D.4 WIASPR Item Name and Number Data Element Definition Valid Values Federal Sources State Grantee Sources Instructions 4. Date of Participation Record the date on which the individual begins receiving his her first service funded by the program following a determination of eligibility to participate in the program. YYYYMMDD Grantee Administrative Records Match 5. Date of Birth Record the individual s date of birth. YYYYMMDD Family bible birth certificate passport driver s license baptismal record I-9 form Match 9. Qualifies for Sec. 167 Program as a Record appropriate status of the participant. SPECIAL NOTE If a participant qualifies as eligible under both categories use Code 1 Farmworker. 1 Farmworker 2 Dependent or Spouse of a Farmworker Pay stubs W-2 forms IRS 1040 forms case manager counselor intake notes self attestation Support 11. Farmworker Status Use the appropriate code to record the status of the participant at the time of eligibility determination. SPECIAL NOTE Where participant is a dependent of a farmworker record the status of the eligible farmworker. 1 Migrant Farmworker 2 Seasonal Farmworker Pay stubs W-2 forms IRS 1040 forms case manager counselor intake notes self attestation Support 13b. Number of Individuals in the Family Record the total number of individuals in the family including the participant. 00 Birth certificate family bible IRS 1040 forms Match D.5 WIASPR Item Name and Number Data Element Definition Valid Values Federal Sources State Grantee Sources Instructions 16. Employment Status at Participation Record 1 if the participant is a person who either a did any work at all as a paid employee b did any work at all in his or her own business profession or farm c worked 15 hours or more as an unpaid worker in an enterprise operated by a member of the family or d is one who was not working but has a job or business from which he or she was temporarily absent because of illness bad weather vacation labor-management dispute or personal reasons whether or not paid by the employer for time off and whether or not seeking another job. Record 2 if the participant is a person who although employed either a has received a notice of termination of employment or the employer has issued a Worker Adjustment and Retraining Notification WARN or other notice that the facility or enterprise will close or b is currently on active military duty and has been provided with a date of separation from military service. Record 3 if the participant does not meet any one of the conditions described above. 1 Employed 2 Employed but Received Notice of Termination of Employment or Military Separation 3 Not Employed Pay stub case notes showing information collected from participant Support D.6 WIASPR Item Name and Number Data Element Definition Valid Values Federal Sources State Grantee Sources Instructions 17. Six Month Pre-Program Earnings Record the total pre-program earnings of the participant for the 6-month period prior to the date of application in the program. Earnings include salaries or wages and also include any bonuses tips gratuities and commissions or overtime pay earned. Record 00000 if there were no earnings during this period. 00000 Pay stubs W-2 forms employer payroll records IRS 1040 forms administrative UI wage records self attestation detailed case management notes Match 21e. Long-term Agricultural Employment Record 1 if the participant is a person who has engaged in agricultural work as the primary source of income for a minimum of four 4 years prior to intake eligibility determination. Record 2 if the participant does not meet the conditions described above. 1 Yes 2 No IRS 1040 forms pay stub intake application case manager counselor progress notes self- attestation Support 24. Date of First Intensive Service Record the date on which the participant first received intensive services. Intensive services include specialized assessments of skill levels work experience diagnostic testing adult basic education or English as a Second Language ESL training development of an individual employment plan group or individual counseling case management for participants seeking training services short-term prevocational services and remedial reading writing or communication skills training. Otherwise leave blank if the participant did not receive intensive services. YYYYMMDD Case manager counselor progress notes with signature IEP assessment and diagnostic testing Match D.7 WIASPR Item Name and Number Data Element Definition Valid Values Federal Sources State Grantee Sources Instructions 25. Date of First Training Service Record the date on which the participant first received training services. Training services include but are not limited to occupational skills training OJT skill upgrading entrepreneurial training and job readiness training. Otherwise leave blank if the participant did not receive training services. YYYYMMDD Case manager counselor certification signature employer signed document attendance records from institution or instructor Match 33. Date of Exit Record the date on which the last service funded by the program or a partner program is received by the participant. Once a participant has not received any services funded by the program or a partner program for 90 consecutive calendar days and has no gap in service and is not scheduled for future services the date of exit is applied retroactively to the last day on which the individual received a service funded by the program or a partner program. YYYYMMDD Case manager counselor termination notice case manager counselor progress tracking report grantee MIS Match D.8 WIASPR Item Name and Number Data Element Definition Valid Values Federal Sources State Grantee Sources Instructions 34. Category of Exit Record 1 if the participant received and or completed any job-related core beyond core informational or self-services and eligibility determination intensive or training services. Record 2 if the participant received non-job related services without having received job-related core intensive or training services. Record 3 if the participant did not complete the program and exited for other reasons as specified in Item 35 below. SPECIAL NOTE Individuals who receive training-related services AND intensive or training services should be coded 1. 1 Employment and Training Exiter 2 Related Assistance Services ONLY Exiter 3 Other Reasons for Exit Grantee administrative records Support D.9 WIASPR Item Name and Number Data Element Definition Valid Values Federal Sources State Grantee Sources Instructions 35. Other Reasons for Exit at time of exit or during 3- quarter measurement period following the quarter of exit Record 1 if the participant is residing in an institution or facility providing 24-hour support such as a prison or hospital and is expected to remain in that institution for at least 90 days. Record 2 if the participant is receiving medical treatment that precludes entry into unsubsidized employment or continued participation in the 167 program. Does not include temporary conditions expected to last for less than 90 days. Record 3 if the participant was found to be deceased or no longer living. Record 4 if the participant entered advanced training. Advanced training includes an occupational skills employment training program not funded under Title I of WIA which does not duplicate training received under Title I. This category includes only training outside of the 167 program One- Stop WIA and partner system. Record 5 if the participant entered post- secondary education. Post-secondary education includes a program at an accredited degree-granting institution that leads to an academic degree e.g. AA AS BA BS . This does not include entry into post-secondary education programs offered by degree-granting institutions that do not lead to an academic degree. 1 Institutionalized 2 Health Medical 3 Deceased 4 Entered Advanced Training 5 Entered Post- Secondary Education 6 Moved Cannot Locate Voluntary Separation 7 Family Care 8 Reserve Forces Called to Active Duty 9 Not a Valid SSN Grantee administrative records Support D.10 WIASPR Item Name and Number Data Element Definition Valid Values Federal Sources State Grantee Sources Instructions 35. Other Reasons for Exit continued Record 6 if the participant cannot be located or has moved to an area that prevents them from completing their program or has voluntarily left the program. Record 7 if the participant is providing care for a family member with a health medical condition that precludes entry into unsubsidized employment or continued participation in the program. Does not include temporary conditions expected to last for less than 90 days. Record 8 if the participant is a member of the National Guard or other reserve military unit and is called to active duty for at least 90 days. Record 9 if the social security number of the participant is not valid. Record 0 or leave blank if the participant exited for a reason other than one of the conditions described above. 36. Date Placed in Unsubsidized Employment Record the date on which the participant was placed into unsubsidized employment. Leave this field blank if the participant did not enter unsubsidized employment. YYYYMMDD Case manager counselor progress notes Match 41. Employed in the 1 st Quarter After Exit Quarter Record 1 if the participant was employed in the first quarter after the quarter of exit. Record 2 if the participant was not employed in the first quarter after the quarter of exit. Record 3 if information on the participant s employment status in the first quarter after the quarter of exit is not yet available. 1 Yes 2 No 3 Information Not Yet Available Pay stubs employer payroll records IRS 1040 forms case manager counselor progress notes self- attestation Support D.11 WIASPR Item Name and Number Data Element Definition Valid Values Federal Sources State Grantee Sources Instructions 42. Employed in the 2 nd Quarter After Exit Quarter Record 1 if the participant was employed in the second quarter after the quarter of exit. Record 2 if the participant was not employed in the second quarter after the quarter of exit. Record 3 if information on the participant s employment status in the second quarter after the quarter of exit is not yet available. 1 Yes 2 No 3 Information Not Yet Available Pay stubs employer payroll records IRS 1040 forms case manager counselor progress notes self- attestation Support 43. Employed in the 3 rd Quarter After Exit Quarter Record 1 if the participant was employed in the third quarter after the quarter of exit. Record 2 if the participant was not employed in the third quarter after the quarter of exit. Record 3 if information on the participant s employment status in the third quarter after the quarter of exit is not yet available. 1 Yes 2 No 3 Information Not Yet Available Pay stubs employer payroll records IRS 1040 forms case manager counselor progress notes self- attestation Support 44. Wages 2 nd 3rd Quarters After Exit Quarter Record the total earnings earned by the participant in the second and third calendar quarters after the quarter of exit. Total earnings include any bonuses tips gratuities commissions and overtime pay earned. Note Enter whole dollar amounts 00000 . Enter 99999 if data are not yet available for this item. Otherwise leave blank if this data element does not apply. 00000 Pay stubs employer payroll records IRS tax forms administrative UI wage records case manager counselor progress notes with signature Match