UIPL_22-17_Attachment_A_Acc.pdf

ETA Advisory File Text

Attachment A 2017 Supplemental Budget Request SBR Application Ins tru ctions States must complete a separate document using the suggested format and instructions below for each activity for which the state is seeking funding. This document is to be combined in a single SBR along with a completed SF -424 and an SF-424A covering all projects. The lead state in a consortium must submit a separate application for a Consortium Project. Applications that do not follow the format prescribed in this section will be judged as non-responsive and will not be considered for funding. Unemployment Insurance Supplemental Budget Request Abstract State Name Total Funds Requested for All Projects Name Title and Address of Grant Notification Contact Typically the State Workforce Agency Administrator Name Title Address Name E-Mail Address and Phone Number of SBR Project or Fiscal Manager Name E-Mail Address Telephone Number Provide the following information for each project add additional rows as needed Individual Project Name Total Cost of Project Proposed Completion Date 2 SIDES Attestation SIDES Web Services and SIDES E-Response implemented Yes No with target date State is using SIDES Web Services to Exchange with all available employers and TPAs Yes No with target date within 12 months of this UIPL s publication date. 3 State is implementing strategies to expand overall state usage of SIDES Web Services and SIDES E-Response 4 Yes No with projected t arget date for achieving the SIDES expansion goals of 50 overall and 35 for E-Response SBR Project Application Complete a separate document for each activity for which the state seeks funding Name of Project Amount of Funding Request for this Project State Contact Name E-Mail Address Telephone Number 3 If a particular employer or TPA is the cause for the delay for implementing the exchange the date will be based on a negotiated schedule with the NASWA SIDES Team. 4 States meet SIDES expansion goals by receiv ing employer responses for at least 50 percent of all UI initial claims and at least 35 percent of all UI initial claims processed through the SIDES E-Response. 3 Project Description Project Timeline Description of Costs State Agency Staff Costs Type of Position Total Hours Cost Per Hour Total Contract Staff Costs Type of Position Total Hours Cost Per Hour Total Hardware Software and Telecommunications Equipment Item Description Cost Per Item Quantity Total Other Costs Item Cost Explanation Strategic Design 4 Measurable Improvements Expected in UI Operations SECTION INSTRUCTIONS SIDES Attestation Prov ide an attestation that the state has completed implementation of SIDES Web Services and SIDES E-Response. If implementation is ongoing provide the target completion date for that component. Indicate if the state is currently matching with all available employers and TPAs and if not attest that the state will be matching with all available employers and TPSs within 12 months. Name of Project Provi de the name of the propos ed UI IT modernization project to be carried out by a consortium. If the state is submitting requests to fund more than one project each project should be identified by a different name that describes each project. Amount of Funding Request for this Project P rovide the total amount of funds requested in this individual project. State Contact Provide name telephone number and e-mail address of the individual who can answer any questions relating to the proposal. Project Description Provide a brief description of the UI IT modernization project for which the consortium is seeking funding and explain how the project will improve UI program operations for the participating states. Project Timeline 20 percent of total score Prov ide a list of the dates and the milestones for this project. The timeline should include the completion of the work the designation of specific tasks to appropriate parties the issuance of a request for proposal if appropriate the projected start date the proposed dates to begin and complete testing if necessary and the proposed date for full implementation of the project. These milestones and dates will be used to monitor the implementation of the project. Description of Costs 20 percent of total score Provide a n explanation of all costs included in the project. State A gency Staff Costs Use the table format provided in this attachment to request state staff to support project implementation. Contract Staff Costs Use the table format provided in this attachment to request contract staff to support project implementation. Hardware Software and Telecommunications Equipment Provide an itemized list of hardware software and telecommunications equipment including the cost per item and the number of each item requested. A description of each item must provide any information 5 needed to identify the specific item and a description of the size and capacity of each item if applicable. Other Identify each item of cost not covered elsewhere and provide t he expected cost per item. The need for each item must be explained. Strategic Design 30 percent of total score The strategic design of the consortium UI IT modernization project should provide evidence of a thorough analysis of current operations and show that the design will meet the needs of the states in the consortium. This section must include an explanation as to how the proposed system w ill improve UI operations and accomplish the goals of the consortium. Measurable Improvements Expected in UI Operations 30 percent of total score Identify the areas which will be improved or on-going costs reduced through implementation of the proposed project. All improvements and cost reductions must be quantified rather than generalized.