TEGL_23-19_Attachment_2.pdf

ETA Advisory File Text

Attachment II Attachment II Sourc e Doc ume nta tion for Core Non-Core Programs DOL-only Da ta Ele me nt Va lida tion Sourc e Doc ume nta tion Va lida tion Instruc tions The data element source documentation table lists the data elements that grantees are either required or encouraged to validate please refer to Attachment I for program specific guidance . The table displays the PIRL data element numbers data element names definitions instr uc t io ns progra m spe c ific re quire me nt a nd sourc e doc ume nta tion ne e de d to pe rform data element validation on each data element. All grantees reporting pe rforma nc e da ta in a c c orda nc e with se c tion 116 d of WIOA must use the sa me da ta e le me nt de finitio ns in the P IRL a nd must a dhe re to the sourc e doc ume nta tion re quire me nts a s a pplic a ble a nd instruc te d by the ir progra m offic e . A. Unde rsta nding the Sourc e Doc ume nta tion Attachment la yout c olumns 1.C ol umns for Data Element No. Data Element Name and Data Element Definitions Instructions are not to be cited as the latest PIRL data e le me nts. Whe n se e king c urre nt P IRL re la te d informa tion ple a s e vis it https www.dole ta .gov pe rforma nc e re port ing c urre nt-re p ort ing-req for c urre nt re porting re quire me nts. 2.The c olumn title d Re quire me nts by P rogra m indicates which progra ms are required to validate a ny give n element. If there is an R DEV Required for Data E le me nt V a lida t ion in a progra m s c olumn the n the progra m is re quire d to va lida te tha t e le me nt with the a ppropria te sourc e doc ume nta tion liste d. 3.The WIOA Sourc e Doc ume nta tion column lists acceptable source documentation by each element. In most c a se s the progra ms will be pe rmitte d to c hoose one of the a c c e pta ble sourc e doc ume nta tion type s from the lists. 4.The Program Specific Parameters lists a ny spe c ia l c onditions or note s a progra m office ma y re quire . Sourc e doc ume nta tion re quire me nts in t his c olumn if a ny w ill supe rse de those liste d in the WIOA source documentation column as these requirements may limit acceptable sourc e doc ume nta tion. B.Type s of Sourc e Doc ume nta tion For most da ta e le me nts the va lida tion guide line s provide multiple forms of a c c e pta ble sourc e doc ume nta tion. If the gra nte e collects multiple sources for the sa me da ta e le me nt a nd the sourc e s c onflic t the most obje c tive sourc e should be used to determine if the data element is valid and accurate. The se sourc e doc ume nta tion type s inc lude 1.Cross-Match A cross-ma tc h re quire s va lida tors to find de ta ile d supporting e vide nc e for the da ta e le me nt in a da ta ba se . An indic a tor or presence of a Soc ia l Se c urity Numbe r SSN in a n a dministra tive non-WIOA database i.e. a database not maintained by a WIOA core progra m suc h a s da ta from the Sta te s De pa rtme nt of Motor Ve hic le s is not suffic ie nt e vide nc e for a c ross-match. State validators must also c onfirm supporting informa tion suc h a s da te s of pa rtic ipa tion a nd se rvic e s re nde re d. Sta te s must ha ve da ta sha ring a gre e me nts in place as a ppropria te . 2.S e lf-Attestation Self-attestation also referred to as a participant statement occurs when a participant states his or her status for a particular da ta e le me nt suc h a s pre gna nt or pa re nting youth a nd the n signs a nd da te s a form a c knowle dging this sta tus. The ke y e le me nts for self- a tte sta tion a re a the pa rtic ipa nt ide ntifyin g his or he r sta tus for pe rmitte d e le me nts a nd b signing a nd da ting a form a tte sting to this se lf- ide ntific a tio n. The form a nd signa ture c a n be on pa pe r or in the Sta te ma na ge me nt informa tion syste m with a n e le c tronic signature. 3.Case Notes Case notes refer to either paper or electronic statements by the case manager that identify at a minimum the follow ing a a pa rtic ipa nt s sta tus for a spe c ific da ta e le me nt b the da te on whic h the informa tion wa s obta ine d a nd c the c a se ma na ge r who obta ine d the informa tion. 4.Electronic Records Electronic records are participant records created stored or transferred in a form that only a computer c a n proc e ss a nd ma inta ine d in the Sta te s ma na ge me nt informa tion syste m. Re c ords c a n be nume ric gra phic or te xt. The y c a n a lso inc lude ma gne tic stora ge me dia suc h a s ta pe s or disks. II-1 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL Attachment II Source Documentation for WIOA Core Non-Core Programs DOL- only Data Element Validation DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA DislocatedWorkers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps SECTION A - INDIVIDUAL INFORMATION SECTION A.02 - EQUAL OPPORTUNITY INFORMATION 200 Date of Birth WIOA Record the participant s date of birth. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Drivers License Baptismal Record Birth Certificate DD-214 Report of Transfer or Discharge Paper Federal State or Local Identification Card Passport Hospital Record of Birth Public Assistance Social Service Records School Records or ID Cards Work Permit Family Bible For REO grant recipients One of the following Drivers License Baptismal Record Birth Certificate DD-214 Report of Transfer or Discharge Paper For DINAP grant recipients Federal State or Local Identification Card Passport Hospital Record of Birth Public Assistance Social Service Records School Records or ID Cards Work Permit Signed Letter from a parent or guardian 202 Individual with a Disability WIOA Record 1 if the participant indicates that he she has any disability as defined in Section 3 2 a of the Americans with Disabilities Act of 1990 42 U.S.C. 12102 . Under that definition a disability is a physical or mental impairment that substantially limits one or more of the person s major life activities. Record 0 if the participant indicates that he she does not have a disability that meets the definition. Record 9 if the participant did not self-identify. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Self-Attestation School 504 Records Provided by Student Assessment Test Results 211 American Indian Alaska Native WIOA Record 1 if the participant indicates that he she is a member of an Indian tribe band nation or other organized group or community including any Alaska Native village or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act 85 Stat. 688 43 U.S.C. 1601 et seq. which is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians. Record 0 if the participant indicates that he she does not meet any of these conditions. Record 9 if the participant did not self-identify his her race. RDEV One of the following Certificate of Degree of Indian Blood CDIB card or letter Tribal Enrollment Card Letter or card from BIA showing census roll number Document from the Alaska Native Corporation which verifies that the applicant is an Alaska Native 214 Native Hawaiian Other Pacific Islander WIOA Record 1 if the participant indicates that he she is a person having origins in any of the original peoples of Hawaii Guam Samoa or other Pacific Islands. Record 0 if the participant indicates that he she does not meet any of these conditions. Record 9 if the participant did not self-identify his her race. RDEV One of the following Certified Birth Certificate showing Native Hawaiian ethnicity OHA Office of Hawaiian Affairs Registry Card Kamehameha Schools Ho oulu Hawaiian Data Center Certification Letter which states Native Hawaiian II-2 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 301 Eligible Veteran Status Record 1 if the participant is a person who served in the active U.S. military One of the following For WIOA Adult DW WP DWG require only if participant received 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 DD-214 Cross-Match with Department of Defense Records Individualized Career Services or Training dishonorable. Record 2 if the participant served on active duty for a period of more than 180 Cross-Match with Veterans Service Database A Letter from the Veterans Administration For DINAP grant recipients Require only when applying priority of service reference TEGL 10-09 pg 6. 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 For REO grant recipients Require only when applying priority of service reference TEGL 10-09 pg 6. then require one of the following 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 DD-214 Cross-Match with Department of Defense Records badge is authorized and was discharged or released from such duty with other Cross-Match with Veterans Service Database than a dishonorable discharge. Record 3 if the participant 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 R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV A Letter from the Veterans Administration assistance under this part is listed pursuant to 38 U.S.C 101 and the regulations issued there under 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 0 if the participant does not meet any one of the conditions described above. Leave blank if the data is not available. SECTION A.04 - EMPLOYMENT AND EDUCATION INFORMATION 401 UC Eligible Status Record 1 if the participant is a person who a filed a claim and has been One of the following determined eligible for benefit payments under one or more State or Federal Unemployment Compensation UC programs and whose benefit year or Cross-Match to State UI Database Cross-Match to State MIS Database compensation by reason of an extended duration period has not ended and who Referral Transmittal by RESEA or WPRS has not exhausted his her benefit rights and b was referred based on participation in the Reemployment Services and Eligibility Assessment Self-Attestation for Code Values 3 and 4 only. RESEA program. Record 2 if the participant is a person who a filed a claim and has been determined eligible for benefit payments under one or more State or Federal Unemployment Compensation UC programs and whose benefit year or compensation by reason of an extended duration period has not ended and who has not exhausted his her benefit rights and b was referred to service through the state s Worker Profiling and Reemployment Services WPRS system. R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Record 3 if the participant is a person who meets condition 2 a described above but was not referred to service through the state s WPRS system or the RESEA program. Record 4 if the participant meets condition 2 a but has exhausted all UC benefit rights for which he she has been determined eligible including extended supplemental benefit rights. Record 5 if the participant is claimant who is exempt from normal work search requirements according state law and does not have to perform work search activities. Record 0 if the participant was neither a UC Claimant nor an Exhaustee. Leave blank if this data element does not apply to the participant. 402 Long-Term Unemployed at Program Entry WIOA Record 1 if the participant at program entry has been unemployed for 27 or more consecutive weeks. Record 0 if the participant does not meet the condition described above. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Self-Attestation Public Assistance Records Refugee Assistance Records Cross-Match with Public Assistance Database Cross-Match to State UI Database 407 Highest School Grade Use the appropriate code to record the highest school grade completed by the One of the following For REO grant recipients Completed at Program participant at program entry. Applicable records from education institution GED File documentation with notes from program staff Entry Record 1 12 for the number of school grades completed by the participant. certificate diploma attendance record transcripts drop out WIOA Record 0 if no school grades were completed. RDEV RDEV RDEV RDEV RDEV RDEV RDEV letter school documentation WIOA intake or registration form For Job Corps If school records are unavailable Job Corps admission counselors must document attempts to obtain educational history Electronic Records Self- Attestation II-3 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 408 Highest Educational Level Completed at Program Entry WIOA Use the appropriate code to record the highest educational level completed by the participant at program entry. Record 1 if the participant attained a secondary school diploma. Record 2 if the participant attained a secondary school equivalency. Record 3 if the participant has a disability and attained a certificate of attendance completion as a result of successfully completing an Individualized Education Program IEP . Record 4 if the participant completed one of more years of postsecondary education. RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Applicable records from education institution GED certificate diploma attendance record transcripts drop out letter school documentation WIOA intake or registration form Electronic Records Self- Attestation For REO grant recipients File documentation with notes from program staff For Job Corps If school records are unavailable Job Corps admission counselors must document attempts to obtain educational history Record 5 if the participant attained a postsecondary certification license or educational certificate non-degree . Record 6 if the participant attained an Associate s degree. Record 7 if the participant attained a Bachelor s degree. Record 8 if the participant attained a degree beyond a Bachelor s degree. Record 0 if no educational level was completed. 409 School Status at Program Entry WIOA Record 1 if the participant at program entry 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 participant at program entry 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 or is between school terms and is enrolled to return to school. One of the following Cross-Match with Postsecondary Education Database Copy of Educational Institution Enrollment Record Applicable Records from Education Institution GED certificate diploma attendance record transcripts report card or school documentation Signed Intake Application or Enrollment Form Electronic Records Self-Attestation For REO grant recipients only File Documentation with notes from program staff Note in the case in which the individual is being enrolled under the 10 percent window for high school dropouts who have not been involved in the justice system this item requires signed self-attestation. Record 3 if the participant at program entry has received a secondary school diploma or its recognized equivalent and is attending a postsecondary school or program whether full or part-time or is between school terms and is enrolled to return to school. R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Record 4 if the participant at program entry is not within the age of compulsory school attendance and is no longer attending any school and has not received a secondary school diploma or its recognized equivalent. Record 5 if the participant at program entry is not attending any school and has either graduated from secondary school or has attained a secondary school equivalency. Record 6 if the participant at program entry is within the age of compulsory school attendance but is not attending school and has not received a secondary school diploma or its recognized equivalent. 410 Date of Actual Dislocation Record the participant s date of actual dislocation from employment. This date is the last day of employment at the dislocation job. Leave blank if there is no dislocation job e.g. displaced homemaker or this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Verification from Employer Rapid Response List Notice of Layoff Public Announcement with Follow-Up Cross-Match with UI Database Self- Attestation 411 Most Recent Date of Record the participant s most recent date of separation from trade-impacted One of the following Qualifying Separation employment that qualifies the participant to receive benefits and or services Verification from Employer under the Trade Act. Rapid Response List Leave blank if there is no qualifying separation date or the separation date is the same as the Date of Actual Dislocation or this data element does not apply to RDEV Notice of Layoff Public Announcement with Follow-Up Cross-Match with the participant. UI Database Self- Attestation 412 Tenure with Employer at Separation Record the total number of months that the participant was employed with the employer of record as of the participant s most recent qualifying date of separation. Employment of at least one day but less than one month should be One of the following Verification from Employer Worker List from Firm Note Self-Attestation only in cases when other allowable source documentation is not available due to records retention timelines expiring. recorded as 1 . R DEV RDEV RDEV Self-Attestation Leave blank if this data element does not apply to the participant. Cross-Match with State MIS Database Signed Intake Application or Enrollment Form Case Notes II-4 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 413 Migrant and Seasonal Farmworker Designation as defined at 20 CFR 651.10 Record 1 if the participant is a seasonal farmworker meaning an individual who is employed or was employed in the past 12 months in farmwork as described at 20 CFR 651.10 of a seasonal or other temporary nature and is not required to be absent overnight from his her permanent place of residence. Non- migrant individuals who are full-time students are excluded. Labor is performed on a seasonal basis where ordinarily the employment pertains to or is of the kind exclusively performed at certain seasons or periods of the year and which from its nature may not be continuous or carried on throughout the year. A worker who moves from one seasonal activity to another while employed in farm work is employed on a seasonal basis even though he she may continue to be employed during a major portion of the year. A worker is employed on other temporary basis where he she is employed for a limited time only or his her performance is contemplated for a particular piece of work usually of short duration. Generally employment which is contemplated to continue indefinitely is not temporary. RDEV One of the following Self-Attestation Cross-Match with Public Assistance Records Case Notes Cross-Match with State MIS Database Cross-Match with H-1B Records Record 2 if the participant is a migrant farmworker meaning a seasonal farmworker as defined above who travels to the job site so that the farmworker is not reasonably able to return to his her permanent residence within the same day. Full-time students traveling in organized groups rather than with their families are excluded. Record 0 if the participant does not meet the condition described above. Leave blank if this data element does not apply to the individual. SECTION A.05 - PUBLIC ASSISTANCE INFORMATION 600 Temporary Assistance to Record 1 if the participant is listed on the welfare grant or has received cash One of the following For WIOA Adult DW WP DWG require only if participant has received Needy Families TANF assistance or other support services from the TANF agency in the last six TANF Eligibility Verification Individualized Career Services or Training months prior to participation in the program. Record 0 if the participant does not meet the condition described above. R DEV RDEV RDEV RDEV RDEV RDEV RDEV TANF Period of Benefit Receipt Verification Referral Transmittal from TANF Leave blank if this data element does not apply to the participant. Cross-Match with TANF Public Assistance Records 601 Exhausting TANF Within 2 Years Part A Title IV of the Social Security Act at Program Entry WIOA Record 1 if the participant at program entry is within 2 years of exhausting lifetime eligibility under part A of Title IV of the Social Security Act 42 U.S.C. 601 et seq. regardless of whether receiving these benefits at program entry. Record 0 if the participant does not meet the condition described above. Record 9 if the data element does not apply to the participant i.e. the participant has never received TANF or if the participant has already exhausted lifetime TANF eligibility . RDEV RDEV RDEV RDEV RDEV RDEV One of the following TANF Eligibility Verification TANF Period of Benefit Receipt Verification Referral Transmittal from TANF Cross-Match with TANF Public Assistance Records For WIOA Adult DW WP DWG require only if participant has received Individualized Career Services or Training II-5 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 602 Supplemental Security Income SSI Social Security Disability Insurance SSDI Record 1 if the participant is receiving or has received SSI under Title XVI of the Social Security Act in the last six months prior to participation in the program. Record 2 if the participant is receiving or has received SSDI benefit payments under Title XIX of the Social Security Act in the last six months prior to participation in the program. Record 3 if the participant is receiving or has received both SSI and SSDI in the last six months prior to participation in the program. Record 4 if the participant is receiving or has received SSI under Title XVI of the Social Security Act in the last six months prior to participation in the program and is a Ticket to Work Program Ticket Holder issued by the Social Security Administration. Record 5 if the participant is receiving or has received SSDI benefit payments under Title XIX of the Social Security Act in the last six months prior to participation in the program and is a Ticket to Work Program Ticket holder issued by the Social Security Administration. Record 6 if the participant is receiving or has received both SSI and SSDI in the last six months prior to participation in the program and is a Ticket to Work Program Ticket holder issued by the Social Security Administration. Record 0 if the participant does not meet any of the conditions described above. RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following SSI SSDI Receipt of Benefits Verification Referral Transmittal from SSA SSI SSDI Eligibility Verification Cross-Match with SSA Database For WIOA Adult DW WP DWG require only if participant has received Individualized Career Services or Training 603 Supplemental Nutrition Assistance Program SNAP Record 1 if the participant is receiving assistance through the Supplemental Nutrition Assistance Program SNAP under the Food and Nutrition Act of 2008 7 USC 2011 et seq. Record 0 if the participant does not meet the above criteria. RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following SNAP Eligibility Verification Copy of Authorization to Receive Food Stamps Documentation of Food Stamp Benefit Receipt Referral Transmittal from SNAP Cross-Match with SNAP Public Assistance Records For WIOA Adult DW WP DWG require only if participant has received Individualized Career Services or Training 604 Other Public Assistance Recipient Record 1 if the participant 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 or Refugee Cash Assistance RCA . Do not include foster child payments. Record 0 if the participant does not meet the above criteria. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV One of the following Copy of Authorization to Receive Cash Public Assistance Copy of Public Assistance Check Medical Card Showing Cash Grant Status Public Assistance Eligibility Verification Cross-Match with Refugee Assistance Records Cross-Match with Public Assistance Records Cross-Match with State MIS Database SECTION A.06 - ADDITIONAL YOUTH CHARACTERTISTICS 701 Pregnant or Parenting Youth Record 1 if the participant is a youth who is pregnant or an individual male or female who is providing custodial care for one or more dependents under age 18. Record 0 if the participant does not meet the conditions described above. Leave blank if the data is not available. RDEV RDEV One of the following Self-Attestation Case Notes Needs Assessment WIC Eligibility Verification TANF Single Parent Eligibility Verification Signed Intake Application or Enrollment Form Signed Individual Service Strategy 702 Youth Who Needs Additional Assistance Record 1 if the participant is an out-of-school youth who requires additional assistance to enter or complete an educational program or to secure and hold employment or an in-school youth who requires additional assistance to complete an educational program or to secure or 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 0 if the participant does not meet the conditions described above. Leave blank if this data element does not apply to the participant. RDEV RDEV One of the following see state policy on definition Self-Attestation Signed Intake Application or Enrollment Form Case Notes Needs Assessment Signed Individual Service Strategy II-6 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 704 Foster Care Youth Status at Program Entry WIOA Record 1 if the participant at program entry is a person aged 24 or under who is currently in foster care or has aged out of the foster care system. Record 0 if the participant does not meet the conditions described above. One of the following Written Confirmation from Social Services Agency Case Notes Self-Attestation For REO grant recipients File documentation with notes from program staff. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Foster Care Agency Referral Transmittal Signed Intake Application or Enrollment Form Needs Assessment Signed Individual Service Strategy SECTION A.07 - ADDITIONAL REPORTABLE CHARACTERISTICS 800 Homeless participant Homeless Children and Youths or Runaway Youth at Program Entry WIOA Record 1 if the participant at program entry a Lacks a fixed regular and adequate nighttime residence this includes a participant who i is sharing the housing of other persons due to loss of housing economic hardship or a similar reason ii is living in a motel hotel trailer park or campground due to a lack of alternative adequate accommodations iii is living in an emergency or transitional shelter iv is abandoned in a hospital or v is awaiting foster care placement b Has a primary nighttime residence that is a public or private place not designed for or ordinarily used as a regular sleeping accommodation for human beings such as a car park abandoned building bus or train station airport or camping ground c Is a migratory child who in the preceding 36 months was required to move from one school district to another due to changes in the parent s or parent s spouse s seasonal employment in agriculture dairy or fishing work or d Is under 18 years of age and 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 a participant imprisoned or detained under an Act of Congress or State law. A participant 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 0 if the participant does not meet the conditions described above. Note WIOA youth who meet the definition of homeless as defined in WIOA section 681.210 c 5 and 681.220 d 4 are reported in this data element. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Self-Attestation Signed Intake Application or Enrollment Form Written Statement or Referral Transmittal from a Shelter or Social Service Agency Needs Assessment Case Notes Signed Individual Service Strategy A letter from caseworker or support provider For REO grant recipients File documentation with notes from program staff. For Job Corp If the source documentation is unavailable documented attempts to obtain such information accompanied by a completed Statement of Support form describing how the applicant is being supported in the absence of any significant income. 801 Ex-Offender Status at Program Entry WIOA Record 1 if the participant at program entry is a person who either a 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. Record 0 if the participant does not meet any one of the conditions described above. Record 9 if the participant did not disclose. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Documentation from the Juvenile or Adult Criminal Justice S ys t em Written Statement or Referral Document from a Court or Probation Officer Referral Transmittal from a Reintegration Agency Signed Intake Application or Enrollment Form Case Notes Needs Assessment Self-Attestation Signed Individual Service Strategy Federal Bonding Program Application II-7 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 802 Low Income Status at Record 1 if the participant at program entry is a person who One of the following For WIOA Adult DW WP DWG require only if participant has received Program Entry WIOA a Receives or in the 6 months prior to application to the program has received or is a member of a family that is receiving or in the past 6 months Award Letter From Veteran s Administration Bank Statements Individualized Career Services or Training prior to application to the program has received i Assistance through the supplemental nutrition assistance program SNAP Pay Stubs Compensation Award Letter under the Food and Nutrition Act of 2008 7 USC 2011 et seq. Court Award Letter ii Assistance through the temporary assistance for needy families program under part A of Title IV of the Social Security Act 42 USC 601 et seq. Pension Statement Employer Statement Contact iii Assistance through the supplemental security income program under Title XVI of the Social Security Act 42 USC 1381 or Family or Business Financial Records Housing Authority Verification iv State or local income-based public assistance. Quarterly Estimated Tax for Self-Employed Persons b Is in a family with total family income that does not exceed the higher of the poverty line or 70 of the lower living standard income level R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Social Security Benefits UI Claim Documents c Is an individual who receives or is eligible to receive a free or reduced price lunch under the Richard B. Russell National School Lunch Act 42 USC 1751 Copy of Authorization to Receive Cash Public Assistance Copy of Public Assistance Check et seq. Public Assistance Eligibility Verification d Is a foster child on behalf of whom State or local government payments are made Cross-Match with Refugee Assistance Records Cross-Match with Public Assistance Records e Is an participant with a disability whose own income is the poverty line but who is a member of a family whose income does not meet this requirement Cross-Match with UI Wage Records Self-Attestation f Is a homeless participant or a homeless child or youth or runaway youth see Data Element 800 or g Is a youth living in a high-poverty area. Record 0 if the participant does not meet the criteria presented above. 803 English Language Learner at Program Entry WIOA Record 1 if the participant at program entry is a person who has limited ability in speaking reading writing or understanding the English language and also meets at least one of the following two conditions a his or her native language is a language other than English or b he or she lives in a family or community environment where a language other than English is the dominant language. Record 0 if the participant does not meet the conditions described above. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Case notes Assessment Test Results Applicable Records from Education Institution transcripts or other school documentation Self-Attestation Signed Intake Application or Enrollment Form Signed Individual Service Strategy 804 Basic Skills Deficient Low Levels of Literacy at Program Entry Record 1 if the participant is at program entry A a youth who has English reading writing or computing skills at or below the 8th grade level on a generally accepted standardized test or B a youth or adult who is unable to compute and solve problems or read write or speak English at a level necessary to function on the job in the participant s family or in society. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Case notes Assessment Test Results Applicable Records from Education Institution transcripts academic assessments or other school documentation For WIOA Adult DW WP DWG require only if participant has received Individualized Career Services or Training Record 0 if the participant does not meet the conditions described above. 806 Single Parent at Program Record 1 if the participant at program entry is single separated divorced or a One of the following Entry WIOA widowed individual who has primary responsibility for one or more dependent children under age 18 including single pregnant women . Self-Attestation TANF Single Parent Eligibility Verification Record 0 if the participant does not meet the condition described above. Record 9 if the participant did not self-identify. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Case Notes Needs Assessment TANF Single Parent Eligibility Verification Signed Intake Application or Enrollment Form Signed Individual Service Strategy or Employment Plan 807 Displaced Homemaker at Program Entry Record 1 if the participant at program entry has been providing unpaid services to family members in the home and who One of the following Self-attestation WIOA A i has been dependent on the income of another family member but is Signed Intake Application or Enrollment Form no longer supported by that income or ii is the dependent spouse of a member of the Armed Forces on active duty as defined in section 101 d 1 of Cross-Match with Public Assistance Records Copy of Spouse s Layoff Notice title 10 United States Code and whose family income is significantly reduced because of a deployment as defined in section 991 b of title 10 United States Copy of Spouse s Death Record Copy of Spouse s Permanent Change of Station PCS Code or pursuant to paragraph 4 of such section a call or order to active Orders for a milirary move or assignment duty pursuant to a provision of law referred to in section 101 a 13 B of title 10 United States Code a permanent change of station or the service-connected R DEV RDEV RDEV RDEV RDEV Copy of Divorce Records Copy of Applicable Court Records as defined in section 101 16 of title 38 United States Code death or disability of the member and Copy of Bank Records showing financial dependence on spouse no separate individial income support or no B is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment. Record 0 if the participant does not meet the conditions described above. employment income earned Needs Assessment Signed Individual Employment Plan II-8 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 808 Eligible Migrant and Seasonal Farmworker Status WIOA sec. 167 Record 1 if the participant at program entry is a low-income individual i who for the 12 consecutive months out of the 24 months prior to application for the program involved has been primarily employed in agriculture or fish farming labor that is characterized by chronic unemployment or underemployment and ii faces multiple barriers to economic self-sufficiency. Record 2 if the participant at program entry is a seasonal farmworker and whose agricultural labor requires travel to a job site such that the farmworker is unable to return to a permanent place of residence within the same day. Record 3 if the participant is a migrant farmworker or seasonal farmworker as defined above aged 14-24. Record 4 if the participant is an adult program participant and a dependent as defined in 20 CFR 685.110 of the individual described as a seasonal or migrant seasonal farmworker above. Record 5 if the participant is a youth program participant and a dependent as defined in 20 CFR 685.110 of the individual described as a seasonal or migrant seasonal farmworker above. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Self-Attestation Case Notes Cross-Match with Public Assistance Records NFJP Eligibility Documents Cross-Match with State MIS Cross-Match with H-1B Records SECTION B - ONE STOP CENTER PROGRAM PARTICIPATION INFORMATION 900 Date of Program Entry WIOA Record the date on which an individual became a participant as referenced in 20 CFR 677.150 satisfying applicable programmatic requirements for the provision of services. Leave blank if this data element does not apply. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Individual Plan for Employment Electronic Records Program intake documents such as eligibility determination documentation or program enrollment forms. 901 Date of Program Exit WIOA Record the last date the participant received services that are not self-service information-only or follow up services. Record this last date of receipt of services only if there are no future services that are not self-service information-only or follow up services planned from the program. For Titles I II and III record the last date of funded service s . For Vocational Rehabilitation programs record the date when the participant s record of service is closed pursuant to 34 CFR 361.43 or 361.56. Leave blank if this data element does not apply to the participant RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following A copy of the letter sent to the individual indicating that the case was closed WIOA status exit forms Electronic Records Attendance records Review of service records identifying the last qualifying service and lack of a planned gap For REO grant recipients Electronic Records For Job Corps Electronic Records 902 Date of First Case Management and Employment Service Record the date on which the participant begins receiving his her first case management and employment service funded by a program following a determination of eligibility to participate in the program. RDEV One of the following Electronic Records Case notes 906 Date of First WIOA Youth Service Record the date on which the participant began receiving his her first WIOA youth service i.e. 1 of the 14 youth program elements in WIOA 129 c 2 . Leave blank if the participant did not receive services funded by the WIOA Youth program. RDEV RDEV One of the following Signed Intake Application or Enrollment Form with Follow- up Cross-Match to Case Notes Identifying the First Qualifying Service Case Notes with Cross-Match to State MIS Database Signed Individual Service Strategy with Follow-up Cross- Match to Case Notes Identifying the First Qualifying Service Eligibility Determination Documentation or Program Enrollment Forms with Follow-up Cross-Match to Case Notes Identifying the First Qualifying Service For REO grant recipients Electronic Records II-9 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 907 Recipient of Incumbent Worker Training Record 1 if the participant received Incumbent Worker training services under WIOA section 134 a 3 A i and or 134 a 2 A i . Record 2 if the participant received Incumbent Worker training services by Local Formula funds under WIOA section 134 d 4 . Record 3 if the participant received Incumbent Worker training services under both Statewide funds Governor s Reserve and or Rapid Response WIOA section 134 a 3 A i and or 134 a 2 A i and Local Formula funds under WIOA section 134 d 4 . Record 4 if the participant received Incumbent Worker training services under H1B. Record 5 if the participant received incumbent Worker training services under a National Dislocated Worker Grant DWG WIOA section 170 . Record 6 if the participant received Incumbent Worker training services under a National Farmworker Job Program NFJP WIOA section 167 . Record 0 if the participant did not receive services under the condition described above or received services by a local area with statewide funds passed down from the state to the local area. RDEV RDEV RDEV RDEV RDEV One of the following Signed IWT Contract Electronic Records 908 Rapid Response Record 1 if the participant participated in rapid response activities authorized at WIOA section 134 a 2 A i l . Record 0 if the participant did not receive services under the condition described above. Record 9 if grantee is unable to track enrollment in the program. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV One of the following Cross-Match to State MIS Database Case Notes Self-Attestation Rapid Response List Cross-Match to Rapid Response Records 915 TAA Petition Number Record the petition number and full alphabetical suffix if applicable of the certification which applies to the participant s group. If there is more than one petition number create multiple records in the PIRL for each occurrence. Leave blank if this data element does not apply to the participant. RDEV One of the following Employer Worker List Designation of Eligibility Form 923 Other Reasons for Exit WIOA Record 01 if the participant exits the program because he or she has become incarcerated in a correctional institution or has become a resident of an institution or facility providing 24-hour support such as a hospital or treatment center during the course of receiving services as a participant. Record 02 if the participant exits the program because of medical treatment and that treatment is expected to last longer than 90 days and precludes entry into unsubsidized employment or continued participation in the program. Record 03 if the participant is deceased. Record 04 if the participant exits the program because the participant is a member of the National Guard or other reserve military unit of the armed forces and is called to active duty for at least 90 days. Record 05 if the participant is in the foster care system as defined in 45 CFR 1355.20 a and exits the program because the participant has moved from the area as part of such a program or system Youth participants only . Record 06 if the participant who was determine to be eligible is later determined not a have met eligibility criteria. NOTE This circumstance applies only to the VR program in which participant eligibility is routinely revisited during the participation period. For titles I II and III program eligibility is determined at the time an individual becomes a participant. Record 07 if the participant is a criminal offender in a correctional institution under section 225 of WIOA. Record 00 if the participant meets none of the above conditions. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following File documentation with notes from program staff Information from partner services WIOA status exit forms Electronic Records Withdrawal form with explanation Information from institution or facility 924 TAA Application Date Record the date on which the individual first applied for Trade Act services benefits under the applicable certification. RDEV One of the following Electronic Records Designation on Eligibility form TAA Application Form 925 Date of First TAA Benefit or Service Record the date of the first Trade funded benefit or service received after the participant was determined eligible to participate. RDEV One of the following Case Notes Electronic Records SECTION C - ONE STOP SERVICES AND ACTIVITIES SECTION C.01 - GENERAL SERVICES OVERVIEW II-1 0 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1001 Date of First Basic Career Service Staff-Assisted Record the first date the participant received any staff-assisted basic services includes any career service under WIOA section 134 c 2 A i - xi that is not provided via self-service or information-only services and activities . Leave blank if the participant did not receive a staff-assisted basic career service. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Case Notes Cross-Match with State MIS Database Electronic Records 1002 Most Recent Date Received Basic Career Services Self-Service Information-O nl y Record the most recent date a job seeker accessed self-services information-only services or activities during the reporting period either a physical location or remotely via the use of electronic technologies. Self-Service does not uniformly apply to all virtually accessed services For example virtual accessed services that provide a level of support above independent job or information seeking on the part of a reportable individual participant would not qualify as self-service. Information-only activities or services may be either self-service or staff assisted. Leave blank if the reportable individual participant did not access a self- service information-only basic career service. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Electronic Records Case Notes 1003 Most Recent Date Received Basic Career Services Staff-Assisted Record the most recent date on which the participant received any basic career service includes any career service under WIOA Section 134 c 2 A i - xi that is not provided via self-service or information services and activities . Leave blank if the participant did not receive a basic career service with significant staff involvement. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Case Notes Electronic Records 1004 Date of Most Recent Career Service WIOA Record the date on which career services both basic and individualized were last received excluding self-services information services or activities or follow-up services . Leave blank if the participant did not receive career services. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Case Notes Electronic Records 1005 Most Recent Date Received Staff-Assisted Services DVOP specialist Record the most recent date on which the participant received any career service provided by a DVOP specialist. Leave blank if the participant did not receive a service with significant staff involvement or this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV One of the following Electronic Records Case Notes 1006 Date Referred to Department of Veterans Affairs Vocational Rehabilitation and E l t P Record the most recent date on which the participant was referred to the Department of Veterans Affairs Vocational Rehabilitation and Employment Program. RDEV RDEV RDEV RDEV RDEV One of the following Electronic Records Case Notes 1007 Date of Most Recent Reportable Individual Contact Record the most recent date on which the job seeker had reportable individual level contact including provision of identifying information or enrollment with one or more applicable programs. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Case Notes Cross-Match with State MIS Database Electronic Records SECTION C.03 - INDIVIDUALIZED CAREER SERVICES 1200 Date of First Individualized Career Service Record the first date the participant received any individualized career service on or after the date of participation. Individualized Career Services include development of an Individual Employment Plan Pre-Vocational Services provision of comprehensive skills and career assessments internships or work experiences financial literacy services English as Second Language Services or any other service that comprises a significant amount of staff time with an individual participant as described in WIOA sec. 134 c 2 xii . Leave blank if the participant did not receive any individualized career service or this data element does not apply to the individual. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Case Notes Cross-Match with State MIS Database Electronic Records 1201 Most Recent Date Received Individualized Career Service Record the most recent date on which the participant received individualized career services as described in WIOA sec. 134 c 2 xii . RDEV RDEV RDEV RDEV RDEV RDEV One of the following Case Notes Electronic Records II-1 1 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1202 Date Individual Employment Plan Created Record the date on which the participant s Individual Employment Plan IEP was created or otherwise established to identify the participant s employment goals their appropriate achievement objectives and the appropriate combination of services for the participant to achieve the employment goals. Leave blank if an employment plan was not created for the participant or if the individual is not a participant. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-Match with State MIS Database Case Notes Signed Individual Employment Plan or Individual Service Strategy Electronic Records 1205 Type of Work Experience If the participant received work experience record the appropriate code to indicate the type of work experience provided to the participant. Record 1 if the participant participated in summer employment or an internship during the summer months WIOA Youth . Record 2 if the participant participated in an internship or employment opportunity during the non-summer months or if it extends beyond the summer months. Record 3 if the participant participated in a pre-apprenticeship program. Record 4 if the participant participated in job shadowing. Record 5 if the participant participated in on-the-job training WIOA Youth . Record 6 if the participant participated in a transitional job as defined in WIOA Section 134 d 5 . Record 7 if the participant participated in another type of work experience not covered in 1 through 5. Record 0 if the participant did not participate in a work experience. Leave blank if this data element does not apply to the participant. NOTE Code Value 6 should only be selected when other work experience opportunities are provided that are not captured elsewhere. This code value is also for use with Adult Dislocated Worker and Dislocated Worker Grants programs only. NOTE If employment opportunities not limited to summer months are part of a pre - apprenticeship program or if on-the-job training for WIOA Youth is part of a pre- apprenticeship program choose Code 3 for pre-apprenticeship. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Case Notes Signed Work Experience Agreement Electronic Records 1206 Date Received Financial Literacy Services Record the date at any time during participation in the program that the participant received any financial literacy services. They may include services that help with creating budgets initiate checking and savings accounts at banks applying for and managing loans and credit cards learning about credit reports and credit scores and identifies identity theft. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Case Notes WIOA status forms noting receipt of service and type of service received Electronic Records 1211 Transitional Jobs Record 1 if the participant received work experience at a transitional job as described in WIOA Section 134 d 5 . Record 0 if the participant did not receive transitional jobs training as described above. RDEV RDEV RDEV RDEV One of the following Electronic Records Case Notes Signed Transitional Job Agreement SECTION C.04 - TRAINING SERVICES 1300 Received Training WIOA Record 1 if the participant received training services. Record 0 if the participant did not receive training services. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-match Between Dates of Service and Vendor Training Information Vendor Training Records Cross-Match with State MIS Database Case Notes Signed Training Contract ITA Electronic Records For Job Corps Electronic Records II-1 2 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1302 Date Entered Training 1 WIOA Record the date on which the participant s first training service actually began. Leave blank if the participant did not receive a first training service or this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-match between State MIS Database and Attendance Sheets or Records Vendor Training Records with Follow-up Cross-Match to State MIS Database Case Notes with Follow-up Cross-Match to State MIS Database ITA For H-1B grant recipients one of the following Attendance Sheets or Records Vendor Training Records Case Notes For DINAP grant recipients one of the following Electronic Records Attendance Sheets or Records Training Records Case Notes For REO grant recipients Electronic Records 1303 Type of Training Service 1 WIOA Use the appropriate code to indicate the type of approved training being provided to the participant. NOTE If OJT or Skill Upgrading is being provided as part of a Registered Apprenticeship program choose Code 09. NOTE Code 06 should only be utilized when other codes are clearly not appropriate. Record 00 if the participant did not receive a training service. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Copy of enrollment record File documentation with notes from program staff Cross-match between dates of service and vendor training information Vendor training documentation Electronic Records Individual Training Account Attendance records For Job Corps Electronic Records 1306 Occupational Skills Training Code 1 Enter the 8 digit O Net 4.0 or later versions code that best describes the training occupation for which the participant received training services. Leave blank if occupational code is not available or not known. Additional Notes If all 8 digits of the occupational skills code are not collected record as many digits as are available. If the participant receives multiple i i i h i l kill i i d f h RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-Match to State MIS Database Case notes Signed Individual Employment Plan or Training Plan Signed Training Contract ITA For DINAP grant recipients Cross Match in INAP MIS Database 1307 Training Completed 1 Record 1 if the participant completed approved training. Record 0 if the participant did not complete training withdrew . Leave blank if the participant did not receive a first training service or this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-match between State MIS Database and Attendance Sheets or Records Vendor Training Records with Follow-up Cross-Match to State MIS Database Case Notes with Follow-up Cross-Match to State MIS Database For DINAP grant recipients one of the following INA MIS Database For TAA Self-attestation is allowable but must be supported by documentation no later than 2 quarters following completion of training For REO grant recipients Electronic Records 1308 Date Completed or Withdrew from Training 1 Record the date when the participant completed training or withdrew permanently from training. If multiple training services were received record the most recent date on which the participant completed training. Leave blank if the participant did not receive a first training service or this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-match between State MIS Database and Attendance Sheets or Records Vendor Training Records with Follow-up Cross-Match to State MIS Database Case Notes with Follow-up Cross-Match to State MIS Database For H-1B grant recipients one of the following Attendance Sheets or Records Vendor Training Records Case Notes For REO grant recipients Electronic Records 1309 Date Entered Training 2 Record the date on which the participant s second training service actually began. Leave blank if the participant did not receive a second training service or this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-match between State MIS Database and Attendance Sheets or Records Vendor Training Records with Follow-up Cross-Match to State MIS Database Case Notes with Follow-up Cross-Match to State MIS Database ITA For H-1B grant recipients one of the following Attendance Sheets or Records Vendor Training Records Case Notes For REO grant recipients Electronic Records 1310 Type of Training Service 2 WIOA If the participant received a second type of training record the appropriate code to indicate the type of approved training being provided to the participant. NOTE If OJT or Skill Upgrading is being provided as part of a Registered Apprenticeship program choose Code 09. NOTE Code 06 should only be instances when other codes are clearly not appropriate. Record 00 if the participant did not receive a second training service. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Copy of enrollment record File documentation with notes from program staff Cross-match between dates of service and vendor training information Vendor training documentation Electronic Records Individual Training Account Attendance records For Job Corps Electronic Records II-1 3 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1311 Occupational Skills Training Code 2 Enter the 8 digit O Net 4.0 or later versions code that best describes the training occupation for which the participant received training services. Leave blank if occupational code is not available or not known. Additional Notes If all 8 digits of the occupational skills code are not collected record as many digits as are available. If the participant receives multiple training services use the occupational skills training code for the most recent training. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-Match to State MIS Database Case notes Signed Individual Employment Plan or Training Plan Signed Training Contract ITA 1312 Training Completed 2 Record 1 if the participant completed approved training. Record 0 if the participant did not complete training withdrew . Leave blank if the participant did not receive a second training service or this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-match between State MIS Database and Attendance Sheets or Records Vendor Training Records with Follow-up Cross-Match to State MIS Database Case Notes with Follow-up Cross-Match to State MIS Database For H-1B grant recipients One of the following Vendor Training Records Cross-Match with State MIS Database Case Notes 1313 Date Completed or Withdrew from Training 2 Record the date when the participant completed training or withdrew permanently from training. If multiple training services were received record the most recent date on which the participant completed training. Leave blank if the participant did not receive a second training service or this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-match between State MIS Database and Attendance Sheets or Records Vendor Training Records with Follow-up Cross-Match to State MIS Database Case Notes with Follow-up Cross-Match to State MIS Database For H-1B grant recipients one of the following Attendance Sheets or Records Vendor Training Records Case Notes For REO grant recipients Electronic Records 1314 Date Entered Training 3 Record the date on which the participant s third training service actually began. If the participant received more than 3 training services record the date on which the participant actually began the last or most recent training service. Leave blank if the participant did not receive a third training service or this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-match between State MIS Database and Attendance Sheets or Records Vendor Training Records with Follow-up Cross-Match to State MIS Database Case Notes with Follow-up Cross-Match to State MIS Database ITA For REO grant recipients Electronic Records 1315 Type of Training Service 3 WIOA If the participant received a third type of training record the appropriate code to indicate the type of approved training being provided to the participant. NOTE If OJT or Skill Upgrading is being provided as part of a Registered Apprenticeship program choose Code 09. NOTE Code 06 should only be utilized when other codes are clearly not appropriate. Record 00 if the participant did not receive a third service. Leave blank if this data element does not apply to the participant. Additional Note If the participant receives more than three training services d th l t t t t i i i i d b th ti i t i RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Copy of enrollment record File documentation with notes from program staff Cross-match between dates of service and vendor training information Vendor training documentation Electronic Records Individual Training Account Attendance records For Job Corps Electronic Records 1316 Occupational Skills Training Code 3 Enter the 8 digit O Net 4.0 or later versions code that best describes the training occupation for which the participant received training services. Leave blank if occupational code is not available or not known or if this data element does not apply to the participant. Additional Notes If all 8 digits of the occupational skills code are not collected record as many digits as are available. If the participant receives multiple training services use the occupational skills training code for the most recent training If the participant received more than 3 training services use the RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-Match to State MIS Database Case notes Signed Individual Employment Plan or Training Plan Signed Training Contract ITA 1317 Training Completed 3 Record 1 if the participant completed approved training. Record 0 if the participant did not complete training withdrew . Leave blank if the participant did not receive a third training service or this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-match between State MIS Database and Attendance Sheets or Records Vendor Training Records with Follow-up Cross-Match to State MIS Database Case Notes with Follow-up Cross-Match to State MIS Database For H-1B grant recipients one of the following Vendor Training Records Cross-Match with State MIS Database Case Notes For DINAP grant recipients one of the following Vendor Training Records Cross-Match with State MIS Database Case Notes For REO grant recipients Electronic Records II-1 4 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1318 Date Completed or Withdrew from Training 3 Record the date when the participant completed training or withdrew permanently from training. If multiple training services were received record the most recent date on which the participant completed training. Leave blank if the participant did not receive a third training service or this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-match between State MIS Database and Attendance Sheets or Records Vendor Training Records with Follow-up Cross-Match to State MIS Database Case Notes with Follow-up Cross-Match to State MIS Database For H-1B grant recipients one of the following Attendance Sheets or Records Vendor Training Records Case Notes For REO grant recipients Electronic Records 1319 Established Individual Training Account ITA Record 1 if any of the individual s services were purchased utilizing an Individual Training Account funded by WIOA Title I. This information can be updated anytime during participation. Record 0 if the individual does not meet the condition described above. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV One of the following Cross-Match with State MIS Database Case notes ITA Approval Allocation or Activation Records 1321 Waiver from Training Requirement Use the appropriate code to indicate the reason for which a waiver from the training requirements was issued to the participant. Record 0 if the participant did not receive a training waiver. Leave blank if this data element does not apply to the participant. RDEV One of the following Waiver Documentation in Case File that includes initial approval and renewals at 30 day intervals Cross-Match with State UI Records of TRA Checks Verification Form from UI or Employment Counselor 1322 Date of Most Recent Case Management and Reemployment Service Record the date on which the participant received his or her most recent Case Management and Reemployment Service. Leave blank if this does not apply to the participant. RDEV One of the following Cross-Match with State MIS Database Case notes 1323 Date Waiver From Training Requirement Issued Record the date on which the participant received his or her most recent waiver from training. Leave blank if this does not apply to the participant. RDEV One of the following Waiver Documentation in Case File Cross-Match with State UI Database Verification Form from UI or Employment Counselor 1332 Participated in Postsecondary Education During Program Participation WIOA Record 1 if the participant was in a postsecondary education program that leads to a credential or degree from an accredited postsecondary education institution at any point during program participation Record 0 if the participant was not a postsecondary education program that leads to a credential or degree from an accredited postsecondary education institution during program participation Leave blank if this does not apply to the participant Note This data element relates to the credential indicator denominator and those who are recorded as 1 are included in the credential rate denominator. This element is a subset of PIRL 1811. Do not record 1 if the participant was first enrolled in postsecondary education after exiting the program. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Data match with postsecondary data system Copy of enrollment record File documentation with notes from program staff School records Transcript or report card SECTION C.05 - YOUTH PROGRAM SERVICES ELEMENTS Not Captured Elsewhere 1401 Enrolled in Secondary Education Program WIOA Record 1 if the participant was enrolled in a Secondary Education Program at or above the 9th Grade level. A Secondary Education program includes both secondary school and enrollment in a program of study with instruction designed to lead to a high school equivalent credential. Examples may include adult high school credit programs and programs designed to prepare participants to pass recognized high school equivalency exams such as the GED HiSET or TASC. Programs of study designed to teach English proficiency skills or literacy skills below the 9th grade equivalent are not considered Secondary Education Programs. States may use this coding value if the participant was either already enrolled in education or training at the time of application to the program OR became enrolled in an education or training program at or above the 9th Grade level at any point while participating in the program. Record 0 if the participant was not enrolled in a secondary education program at or above the 9th grade level. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Copy of enrollment record File documentation with notes from program staff School records Transcript or report card Data match to State K-12 data system II-1 5 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1402 Most Recent Date Received Educational Achievement Services Record the most recent date on which the participant received an educational achievement service. Educational achievement services include but are not limited to tutoring study skills training instruction and evidence-based dropout prevention and recovery strategies that lead to completion of the requirements for a secondary school diploma or its recognized equivalent including a recognized certificate of attendance or similar document for individuals with disabilities or for a recognized postsecondary credential. Leave blank if the participant did not receive educational achievement services or this data element does not apply to the individual. RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records WIOA status forms noting receipt of service and type of service received 1403 Most Recent Date Received Alternative Secondary School Services Record the most recent date on which the participant received alternative secondary school services or dropout recovery services as appropriate. Leave blank if the participant did not receive alternative secondary school services or dropout recovery services. RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records WIOA status forms noting receipt of service and type of service received 1405 Most Recent Date Received Work Experience Opportunities Record the most recent date on which the youth participant received work experience opportunities that have as a component academic and occupational education. Work experiences are a planned structured learning experience that takes place in a workplace for a limited period of time. Work experiences include summer employment opportunities and other employment opportunities available throughout the school year pre-apprenticeship programs internships and job shadowing and on-the-job training opportunities. Leave blank if the participant did not receive work experience opportunities or this data element does not apply to the participant. RDEV RDEV One of the following Activity Sheets Sign-in Sheets Attendance Records Vendor Contract Cross-Match with State MIS Database Case Notes Logs or Status Forms Noting Receipt of Service and Combination of Services Received 1406 Date Enrolled in Post Exit Education or Training Program Leading to a Recognized Postsecondary Credential WIOA Record the date the participant is enrolled in an education or training program that leads to a recognized postsecondary credential after program exit. Leave blank if this data element does not apply to the participant. NOTE This element only applies to participants who exited secondary education and obtained a secondary school diploma or its equivalency per Sec 116 b 2 A iii . This data element applies to the Credential Rate indicator. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Copy of enrollment record File documentation with notes from program staff School records Transcript or report card. Data match with postsecondary data system 1407 Most Recent Date Received Education Offered Concurrently with Workforce Preparation Record the most recent date on which the participant received education offered concurrently with and in in the same context as workforce preparation activities and training for a specific occupation or occupational cluster. Leave blank if the participant did not receive education offered concurrently with workforce preparation. RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records WIOA status forms noting receipt of service and type of service received 1408 Most Recent Date Received Leadership Development Opportunities Record the most recent date on which the participant received services that include but are not limited to opportunities that may include community service and peer-centered activities encouraging responsibility and other positive social and civic behaviors as appropriate. Leave blank if the participant did not receive a leadership development service or this data element does not apply to the participant. RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records WIOA status forms noting receipt of service and type of service received II-1 6 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1409 Most Recent Date Received Supportive Services Record the most recent date on which the participant received a supportive service WIOA section 134 d 2 which include but are not limited to assistance with transportation child care dependent care and housing that are necessary to enable the participant to participate in programs which provide career and training services as defined in WIOA sec. 134 c 2 and 134 c 3 . Support services for youth participants include a linkages to community services b assistance with transportation c assistance with child care and dependent care d assistance with housing e needs-related payments f assistance with educational testing g reasonable accommodations for youth with disabilities h referrals to healthcare i assistance with uniforms or other appropriate work attire and work-related tools including such items as eye glasses and protective eye gear j assistance with books fees school supplies and other necessary items for students enrolled in postsecondary education classes and k payments and fees for employment and training-related applications tests and certifications. Leave blank if the participant did not receive supportive services or this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records case notes WIOA status forms noting receipt of service and type of service received 1410 Most Recent Date Received Adult Mentoring Services Record the most recent date on which the participant received adult mentoring services. Adult mentoring services may last for at least twelve 12 months and may occur both during and after program participation. Leave blank if the participant did not receive adult mentoring services or this data element does not apply to the participant. RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records WIOA status forms noting receipt of service and type of service received 1411 Most Recent Date Received Comprehensive Guidance Counseling Services Record the most recent date on which the participant received comprehensive guidance and counseling services which may include drug and alcohol abuse counseling. Leave blank if the participant did not receive comprehensive guidance counseling services or this data element does not apply to the participant. RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records case notes WIOA status forms noting receipt of service and type of service received 1412 Most Recent Date Received Youth Follow-up Services Record the most recent date on which the youth participant received follow-up services after exiting the program. Follow-up services for youth participants are described as a Follow-up services are critical services provided following a youth s exit from the program to help ensure the youth is successful in employment and or postsecondary education and training. Follow-up services may include regular contact with a youth participant s employer including assistance in addressing work-related problems that arise. b Follow-up services for youth may also include the following program elements 1 Supportive services 2 Adult mentoring 3 Financial literacy education 4 Services that provide labor market and employment information about in- demand industry sectors or occupations available in the local area such as career awareness career counseling and career exploration services and 5 Activities that help youth prepare for and transition to postsecondary education and training. c All youth participants must be offered the opportunity to receive follow-up services that align with their Individual Service Strategies. Furthermore follow-up services must be provided to all participants for a minimum of 12 months unless the participant declines to receive follow-up services or the participant cannot be located or contacted. Leave blank if the participant did not receive follow-up services or if this data element does not apply to the participant. RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records case notes WIOA status forms noting receipt of service and type of service received II-1 7 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1413 Most Recent Date Youth Received Entrepreneurial Skills Training Record the most recent date on which the participant participated in entrepreneurial skills training. Leave blank if the participant did not participate in entrepreneurial skills training. RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records WIOA status forms noting receipt of service and type of service received 1414 Most Recent Date Youth Received Services that provide labor market information and employment information Record the most recent date on which the participant participated in services that provide labor market and employment information about in-demand industry sectors or occupations available in the local area such as career awareness career counseling and career exploration services. Leave blank if the participant did not participate in these services. RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract State MIS case notes WIOA status forms noting receipt of service and type of service received 1415 Most Recent Date Youth Received Postsecondary transition and preparatory activities Record the most recent date on which a youth participant received activities that helped them to prepare for and transition to postsecondary education and training. Leave blank if the participant did not participate in activities that helped them to prepare for and transition to postsecondary education and training. RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records case notes WIOA status forms noting receipt of service and type of service received SECTION C.06 - OTHER RELATED ASSISTANCE AND SUPPORT SERVICES FOR NON-YOUTH CUSTOMERS 1500 Received Needs-Related Payments Record 1 if the participant received needs related payments WIOA section 134 d 3 for the purpose of enabling the participant to participate in approved training funded under WIOA Title IB. Record 0 if the participant did not receive any needs-related payments as described above. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records case notes WIOA status forms noting receipt of service and type of service received For REO grant recipients Electronic Records 1511 Date Received First Basic T R A p a yment Record the date on which the participant received their first Basic TRA p a yment . Leave blank if the participant did not receive a Basic TRA Payment or if the individual is not a TAA participant. RDEV One of the following State UI records of Basic TRA checks issued Request for allowance Electronic Records 1526 Date Received First Completion TRA Payment Record the date on which the participant received their first Completion TRA p a yment . Leave blank if the participant did not receive a Remedial Prerequisite TRA Payment or if the individual is not a TAA participant. RDEV One of the following State UI records of Basic TRA checks issued Request for allowance Electronic Records 1534 Date Received First A RTAA Payment Record the date on which the participant received their first Alternative Reemployment Trade Adjustment Assistance A RTAA payment. Leave blank if the individual is not a TAA participant. RDEV One of the following Cross-match with State UI Database of Basic TRA checks Issued Request for Allowance Electronic Records 1535.28 Received Needs-Related Payments Record 1 if the participant received needs related payments WIOA section 134 d 3 for the purpose of enabling the participant to participate in approved training funded under WIOA Title IB. Record 0 if the participant did not receive any needs-related payments as described above. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records case notes WIOA status forms noting receipt of service and type of service received For REO grant recipients Electronic Records SECTION D - PROGRAM OUTCOMES INFORMATION II-1 8 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps SECTION D.01 - EMPLOYMENT AND JOB RETENTION DATA 1600 Employed in 1st Quarter Record 1 if the participant is in unsubsidized employment not including One of the following For DINAP grant recipients- ETA performs UI wage data match on behalf After Exit Quarter Registered Apprenticeship or the military . UI wage data match administrative wage match such as the of grant recipients WIOA Record 2 if the participant is in a Registered Apprenticeship. National Directory of New Hires Record 3 if the participant is in the military. Follow-up survey from program participants Record 0 if the participant was not employed in the first quarter after the quarter Pay check stubs tax records W2 form of exit. Quarterly tax payment forms such as a IRS form 941 Record 9 if the participant has exited but employment information is not yet Document from employer on company letterhead attesting available. to an individual s employment status and earnings R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor 1601 Type of Employment Match 1st Use the appropriate code to identify the method used in determining the participant s employment status in the first quarter following the quarter of exit. One of the following consistent with TEGL 26-16 Cross-Match with State and Out-of-State UI Quarterly For DINAP grant recipients- ETA performs UI wage data match on behalf of grant recipients Quarter After Exit Quarter Wage records will be the primary data source for tracking employment in the Wage Records intrastate and interstate WIOA first quarter after the exit quarter. If the participant is not found in wage records grant recipients may then use supplemental data sources. If the participant is Federal Government Employment Records such as military employment Department of Defense Office of Personnel found in more than one source of employment using wage records record the data source for which the participant s earnings are greatest. Management and US Postal Service Cross-Match with Federal Administrative Wage Record Record 0 if the participant was not employed in the first quarter after the quarter Databases such as the National Directory of New Hires of exit. State New Hires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Earnings Statements minimum of two per TEGL 26-16 Income Tax Records W-2 Form or Other Records from the State Department of Revenue or Taxation Railroad Retirement System Quarterly Tax Payment Forms such as IRS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Self-Employment or Sales Commission Worksheets Signed and Attested to by Program Participants Cross-Match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs 1602 Employed in 2nd Quarter After Exit Quarter Record 1 if the participant is in unsubsidized employment not including Registered Apprenticeship or the military . One of the following UI wage data match administrative wage match such as the For DINAP grant recipients- ETA performs UI wage data match on behalf of grant recipients WIOA Record 2 if the participant is in a Registered Apprenticeship. Record 3 if the participant is in the military. National Directory of New Hires Follow-up survey from program participants Record 0 if the participant was not employed in the second quarter after the Pay check stubs tax records W2 form quarter of exit. Record 9 if the participant has exited but employment information is not yet Quarterly tax payment forms such as a IRS form 941 Document from employer on company letterhead attesting available. R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor II-1 9 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1603 Type of Employment Match 2nd Quarter After Exit Quarter WIOA Use the appropriate code to identify the method used in determining the participant 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 the participant is not found in wage records grantees may then use supplemental data sources. If the participant is found in more than one source of employment using wage records record the data source for which the participant s earnings are greatest. Record 0 if the participant was not employed in the second quarter after the quarter of exit. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following consistent with TEGL 26-16 Cross-Match with State and Out-of-State UI Quarterly Wage Records intrastate and interstate Federal Government Employment Records such as military employment Department of Defense Office of Personnel Management and US Postal Service Cross-Match with Federal Administrative Wage Record Databases such as the National Directory of New Hires State New Hires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and Earnings Statements minimum of two per TEGL 26-16 Income Tax Records W-2 Form or Other Records from the State Department of Revenue or Taxation Railroad Retirement System Quarterly Tax Payment Forms such as IRS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Self-Employment or Sales Commission Worksheets Signed and Attested to by Program Participants Cross-Match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs For DINAP grant recipients- ETA performs UI wage data match on behalf of grant recipients 1604 Employed in 3rd Quarter Record 1 if the participant is in unsubsidized employment not including One of the following For DINAP grant recipients- ETA performs UI wage data match on behalf After Exit Quarter Registered Apprenticeship or the military . UI wage data match administrative wage match such as the of grant recipients WIOA Record 2 if the participant is in a Registered Apprenticeship. Record 3 if the participant is in the military. National Directory of New Hires Follow-up survey from program participants Record 0 if the participant was not employed in the third quarter after the quarter of exit. Pay check stubs tax records W2 form Quarterly tax payment forms such as a IRS form 941 Record 9 if the participant has exited but employment information is not yet Document from employer on company letterhead attesting available. R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor II-2 0 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1605 Type of Employment Use the appropriate code to identify the method used in determining the One of the following consistent with TEGL 26-16 For DINAP grant recipients- ETA performs UI wage data match on behalf Match 3rd Quarter After Exit Quarter participant 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 Cross-Match with State and Out-of-State UI Quarterly Wage Records intrastate and interstate of grant recipients WIOA third quarter after the exit quarter. If the participant is not found in the wage records grantees may then use supplemental data sources. If the participant is Federal Government Employment Records such as military employment Department of Defense Office of Personnel found in more than one source of employment using wage records record the Management and US Postal Service data source for which the participant s earnings are greatest. Record 0 if the participant was not employed in the third quarter after the Cross-Match with Federal Administrative Wage Record Databases such as the National Directory of New Hires quarter of exit. State New Hires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Earnings Statements minimum of two per TEGL 26-16 Income Tax Records W-2 Form or Other Records from the State Department of Revenue or Taxation Railroad Retirement System Quarterly Tax Payment Forms such as IRS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Self-Employment or Sales Commission Worksheets Signed and Attested to by Program Participants Cross-Match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs 1606 Employed in 4th Quarter After Exit Quarter Record 1 if the participant is in unsubsidized employment not including Registered Apprenticeship or the military . One of the following UI wage data match administrative wage match such as the For DINAP grant recipients- ETA performs UI wage data match on behalf of grant recipients WIOA Record 2 if the participant is in a Registered Apprenticeship. National Directory of New Hires Record 3 if the participant is in the military. Record 0 if the participant was not employed in the fourth quarter after the Follow-up survey from program participants Pay check stubs tax records W2 form quarter of exit. Record 9 if the participant has exited but employment information is not yet Quarterly tax payment forms such as a IRS form 941 Document from employer on company letterhead attesting available. R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor 1607 Type of Employment Match 4th Quarter After Use the appropriate code to identify the method used in determining the participant s employment status in the fourth quarter following the quarter of One of the following consistent with TEGL 26-16 Cross-Match with State and Out-of-State UI Quarterly For DINAP grant recipients- ETA performs UI wage data match on behalf of grant recipients Exit Quarter exit. Wage records will be the primary data source for tracking employment in Wage Records intrastate and interstate WIOA the fourth quarter after the exit quarter. If the participant is not found in the wage records grantees may then use supplemental data sources. If the Federal Government Employment Records such as military employment Department of Defense Office of Personnel participant is found in more than one source of employment using wage records record the data source for which the participant s earnings are greatest. Management and US Postal Service Cross-Match with Federal Administrative Wage Record Record 0 if the participant was not employed in the fourth quarter after the quarter of exit. Databases such as the National Directory of New Hires State New Hires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Earnings Statements minimum of two per TEGL 26-16 Income Tax Records W-2 Form or Other Records from the State Department of Revenue or Taxation Railroad Retirement System Quarterly Tax Payment Forms such as IRS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Self-Employment or Sales Commission Worksheets Signed and Attested to by Program Participants Cross-Match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs II-2 1 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1608 Employment Related to Record 1 if the participant received training services and obtained employment One of the following Training 2nd Quarter After Exit directed related to the training services received. Record 0 if the participant received training services and did not obtain UI Wage Records Supplemental data sources defined by TEGL 26-16 follow WIOA employment directly related to the training services received. Leave blank if the data is not available. up services Surveys R DEV RDEV RDEV RDEV RDEV RDEV Record sharing and or automated record matching with other employment and administrative databases Other out of state federal wage record systems Case notes 1610 Occupational Code Record the 8-digit occupational code that best describes the participant s One of the following if available employment using the O Net Version 4.0 or later versions classification UI Wage Records system. This information can be based on any job held after exit from the Supplemental data sources defined by TEGL 26-16 follow program. up services Leave blank if occupational code is not available or not known or the data Surveys element does not apply. Record sharing and or automated record matching with Additional Notes This information can be based on any job held after exit and R DEV RDEV RDEV RDEV RDEV other employment and administrative databases Other out of state federal wage record systems only applies to adults dislocated workers and youth who entered employment in Case notes the quarter after the exit quarter. If all 8 digits of the occupational skills code are not collected record as many digits as are available. If the individual had multiple jobs use the occupational code for the most recent job held. 1611 Entered Non-Traditional Record 1 if the participant s employment is in an occupation or field of work for One of the following Employment which individuals of the participant s gender comprise less than 25 of the UI Wage Records individuals employed in such occupation or field of work. Non-traditional Supplemental data sources defined by TEGL 26-16 follow employment can be based on either local or national data and both males and up services females can be in non-traditional employment. This information can be based on any job held after exit and only applies to adults dislocated workers and R DEV RDEV RDEV Surveys Record sharing and or automated record matching with youth who entered employment in the second quarter after the exit quarter. other employment and administrative databases Record 0 if the participant does not meet the condition described above. Other out of state federal wage record systems Record 9 if not known. Case notes 1612 Occupational Code of Employment 2 nd Quarter After Exit Quarter If available Record the 8-digit occupational code that best describes the participant s employment using the O Net Version 4 0 or later versions classification system. RDEV RDEV RDEV RDEV One of the following UI Wage Records Supplemental data sources defined by TEGL 26-16 follow up services Surveys Record sharing and or automated record matching with other employment and administrative databases Other out of state federal wage record systems Case notes 1613 Occupational Code of Employment 4 th Quarter After Exit Quarter If available Record the 8-digit occupational code that best describes the participant s employment using the O Net Version 4 0 or later versions classification system. RDEV RDEV RDEV RDEV One of the following UI Wage Records Supplemental data sources defined by TEGL 26-16 follow up services Surveys Record sharing and or automated record matching with other employment and administrative databases Other out of state federal wage record systems Case notes II-2 2 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1614 Industry Code of Record the 4 to 6-digit industry code that best describes the participant s One of the following Employment 1st Quarter After Exit Quarter employment using the North American Industrial Classification System NAICS . If more than one NAICS is reported then the NAICS associated with UI Wage Records Supplemental data sources defined by TEGL 26-16 follow the highest gross wage should be reported. Enter 999999 if Wages 1st Quarter After the Exit Quarter exist and NAICS up services Surveys Code is not known. Record sharing and or automated record matching with Leave blank if this data element does not apply to the person or wages are not yet available. R DEV RDEV RDEV RDEV RDEV other employment and administrative databases Other out of state federal wage record systems Case notes 1615 Industry Code of Employment 2nd Quarter After Exit Quarter Record the 4 to 6-digit industry code that best describes the participant s employment using the North American Industrial Classification System NAICS . If more than one NAICS is reported then the NAICS associated with the highest gross wage should be reported. Enter 999999 if Wages 2nd Quarter After the Exit Quarter exist and NAICS Code is not known. Leave blank if this data element does not apply to the person or wages are not yet available. RDEV RDEV RDEV RDEV RDEV One of the following UI Wage Records Supplemental data sources defined by TEGL 26-16 follow up services Surveys Record sharing and or automated record matching with other employment and administrative databases Other out of state federal wage record systems Case notes 1616 Industry Code of Record the 4 to 6-digit industry code that best describes the participant s One of the following Employment 3rd Quarter After Exit Quarter employment using the North American Industrial Classification System NAICS . If more than one NAICS is reported then the NAICS associated with UI Wage Records Supplemental data sources defined by TEGL 26-16 follow the highest gross wage should be reported. Enter 999999 if Wages 3rd Quarter After the Exit Quarter exist and NAICS up services Surveys Code is not known. Leave blank if this data element does not apply to the person or wages are not yet available R DEV RDEV RDEV RDEV RDEV Record sharing and or automated record matching with other employment and administrative databases Other out of state federal wage record systems Case notes 1617 Industry Code of Record the 4 to 6-digit industry code that best describes the participant s One of the following Employment 4th Quarter employment using the North American Industrial Classification System UI Wage Records After Exit Quarter NAICS . If more than one NAICS is reported then the NAICS associated with Supplemental data sources defined by TEGL 26-16 follow the highest gross wage should be reported. up services Enter 999999 if Wages 4th Quarter After the Exit Quarter exist and NAICS Code is not known. R DEV RDEV RDEV RDEV RDEV Surveys Record sharing and or automated record matching with Leave blank if this data element does not apply to the person or wages are not other employment and administrative databases yet available. Other out of state federal wage record systems Case notes II-2 3 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1618 Retention with the same Record 1 if the participant s employer in the second quarter also matches the One of the following consistent with TEGL 26-16 For DINAP grant recipients- ETA performs UI wage data match on behalf employer in the 2nd Quarter and the 4th employer in the fourth quarter. Record 0 if the participant is not employed in the second or fourth quarters after Cross-Match with State and Out-of-State UI Quarterly Wage Records intrastate and interstate of grant recipients Quarter WIOA exit or the employer in the second quarter does not match the employer in the fourth quarter Federal Government Employment Records such as military employment Department of Defense Office of Personnel For H-1B grant recipients- ETA performs UI wage data match on behalf of grant recipients Management and US Postal Service Cross-Match with Federal Administrative Wage Record Databases such as the National Directory of New Hires State New Hires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Earnings Statements minimum of two per TEGL 26-16 Income Tax Records W-2 Form or Other Records from the State Department of Revenue or Taxation Railroad Retirement System Quarterly Tax Payment Forms such as IRS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Self-Employment or Sales Commission Worksheets Signed and Attested to by Program Participants Cross-Match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs SECTION D.02 - WAGE RECORD DATA 1700 Wages 3rd Quarter Prior Record total earnings from wage records for the third quarter prior to the quarter One of the following consistent with TEGL 26-16 to Participation Quarter of participation. Leave blank if data element does not apply to the participant. Cross-Match with State and Out-of-State UI Quarterly Wage Records intrastate and interstate Federal Government Employment Records such as military employment Department of Defense Office of Personnel Management and US Postal Service Cross-Match with Federal Administrative Wage Record Databases such as the National Directory of New Hires State New Hires Registry Signed Follow-up Survey Response from Program Participants R DEV RDEV RDEV RDEV RDEV Copy of Pay Check Stubs Payroll Slip or Leave and Earnings Statements minimum of two per TEGL 26-16 Income Tax Records W-2 Form or Other Records from the State Department of Revenue or Taxation Railroad Retirement System Quarterly Tax Payment Forms such as IRS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Self-Employment or Sales Commission Worksheets Signed and Attested to by Program Participants Cross-Match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs II-2 4 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1701 Wages 2nd Quarter Prior Record total earnings from wage records for the second quarter prior to the One of the following consistent with TEGL 26-16 to Participation Quarter quarter of participation. Leave blank if data element does not apply to the participant. Cross-Match with State and Out-of-State UI Quarterly Wage Records intrastate and interstate Federal Government Employment Records such as military employment Department of Defense Office of Personnel Management and US Postal Service Cross-Match with Federal Administrative Wage Record Databases such as the National Directory of New Hires State New Hires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and R DEV RDEV RDEV RDEV RDEV Earnings Statements minimum of two per TEGL 26-16 Income Tax Records W-2 Form or Other Records from the State Department of Revenue or Taxation Railroad Retirement System Quarterly Tax Payment Forms such as IRS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Self-Employment or Sales Commission Worksheets Signed and Attested to by Program Participants Cross-Match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs 1702 Wages 1st Quarter Prior to Participation Quarter Record total earnings from wage records for the first quarter prior to the quarter of participation. One of the following consistent with TEGL 26-16 Cross-Match with State and Out-of-State UI Quarterly Leave blank if data element does not apply to the participant. Wage Records intrastate and interstate Federal Government Employment Records such as military employment Department of Defense Office of Personnel Management and US Postal Service Cross-Match with Federal Administrative Wage Record Databases such as the National Directory of New Hires State New Hires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and R DEV RDEV RDEV RDEV RDEV RDEV Earnings Statements minimum of two per TEGL 26-16 Income Tax Records W-2 Form or Other Records from the State Department of Revenue or Taxation Railroad Retirement System Quarterly Tax Payment Forms such as IRS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Self-Employment or Sales Commission Worksheets Signed and Attested to by Program Participants Cross-Match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs II-2 5 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1703 Wages 1st Quarter After Record total earnings for the first quarter after the quarter of exit. One of the following consistent with TEGL 26-16 For DINAP grant recipients- ETA performs UI wage data match on behalf Exit Quarter WIOA Record 999999.99 if data is are not yet available for this item. Leave blank if data element does not apply to the participant. Cross-Match with State and Out-of-State UI Quarterly Wage Records intrastate and interstate of grant recipients Federal Government Employment Records such as military employment Department of Defense Office of Personnel Management and US Postal Service Cross-Match with Federal Administrative Wage Record Databases such as the National Directory of New Hires State New Hires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Earnings Statements minimum of two per TEGL 26-16 Income Tax Records W-2 Form or Other Records from the State Department of Revenue or Taxation Railroad Retirement System Quarterly Tax Payment Forms such as IRS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Self-Employment or Sales Commission Worksheets Signed and Attested to by Program Participants Cross-Match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs 1704 Wages 2nd Quarter After Exit Quarter WIOA Record total earnings for the second quarter after the quarter of exit. Record 999999.99 if data is not yet available for this item. Leave blank if data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following UI wage data match administrative wage match such as the National Directory of New Hires Follow-up survey from program participants Pay check stubs tax records W2 form Quarterly tax payment forms such as a IRS form 941 Document from employer on company letterhead attesting to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor For DINAP grant recipients- ETA performs UI wage data match on behalf of grant recipients 1705 Wages 3rd Quarter After Exit Quarter Record total earnings for the third quarter after the quarter of exit. Record 999999.99 if data is not yet available for this item. One of the following consistent with TEGL 26-16 Cross-Match with State and Out-of-State UI Quarterly For DINAP grant recipients- ETA performs UI wage data match on behalf of grant recipients WIOA Leave blank if data element does not apply to the participant Wage Records intrastate and interstate Federal Government Employment Records such as military employment Department of Defense Office of Personnel Management and US Postal Service Cross-Match with Federal Administrative Wage Record Databases such as the National Directory of New Hires State New Hires Registry Signed Follow-up Survey Response from Program R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Participants Copy of Pay Check Stubs Payroll Slip or Leave and Earnings Statements minimum of two per TEGL 26-16 Income Tax Records W-2 Form or Other Records from the State Department of Revenue or Taxation Railroad Retirement System Quarterly Tax Payment Forms such as IRS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Self-Employment or Sales Commission Worksheets Signed and Attested to by Program Participants Cross-Match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs II-2 6 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1706 Wages 4th Quarter After Record total earnings for the fourth quarter after the quarter of exit. One of the following consistent with TEGL 26-16 For DINAP grant recipients- ETA performs UI wage data match on behalf Exit Quarter WIOA Record 999999.99 if data is not yet available for this item. Leave blank if data element does not apply to the participant. Cross-Match with State and Out-of-State UI Quarterly Wage Records intrastate and interstate of grant recipients Federal Government Employment Records such as military employment Department of Defense Office of Personnel For H-1B grant recipients- ETA performs UI wage data match on behalf of grant recipients for WIOA Median Earnings primary indicator of Management and US Postal Service performance measure. Cross-Match with Federal Administrative Wage Record Databases such as the National Directory of New Hires State New Hires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Earnings Statements minimum of two per TEGL 26-16 Income Tax Records W-2 Form or Other Records from the State Department of Revenue or Taxation Railroad Retirement System Quarterly Tax Payment Forms such as IRS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Self-Employment or Sales Commission Worksheets Signed and Attested to by Program Participants Cross-Match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs SECTION D.03 - EDUCATION AND CREDENTIAL DATA 1800 Type of Recognized Credential WIOA Use the appropriate code to record the type of recognized diploma degree or a credential consisting of an industry-recognized certificate or certification a certificate of completion of a Registered Apprenticeship a license recognized by the State involved or Federal Government or an associate or baccalaureate degree attained by the participant who received education or training services. Record 0 if the participant received education or training services but did not attain a recognized diploma degree license or certificate. Leave blank if data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Data match Copy of credential Copy of school record Follow-up survey from program participants Case notes documenting information obtained from education or training provider NOTE Diplomas degrees licenses or certificates must be attained either during participation or within one year of exit. This data element applies to both the Credential Rate indicator and the Measurable Skills Gain indicator for all programs. 1801 Date Attained Recognized Record the date on which the participant attained a recognized credential. One of the following Credential Data match WIOA Leave blank if the participant did not attain a degree or certificate. Copy of credential Copy of school record Follow-up survey from program participants Case notes documenting information obtained from education or training provider R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV For RSA-911 purposes documentation is required for credentials earned after program participation begins. II-2 7 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1802 Type of Recognized Credential 2 WIOA Use the appropriate code to record the type of recognized diploma degree or a credential consisting of an industry-recognized certificate or certification a certificate of completion of a Registered Apprenticeship a license recognized by the State involved or Federal Government or an associate or baccalaureate One of the following Cross-Match with Postsecondary Education Database Copy of Diploma Credential or Degree Awarded by Education Institution degree attained by the participant who received education or training services. Record 0 if the participant received education or training services but did not attain a recognized diploma degree license or certificate. Leave blank if data element does not apply to the participant. NOTE Diplomas degrees licenses or certificates must be attained either during participation or within one year of exit. This data element applies to both the Credential Rate indicator and the Measurable Skills Gain indicator for all DOL RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Applicable Records from Education Institution GED certificate diploma transcripts report card or school documentation Signed Follow-up Survey Response from Program Participant Signed File Documentation with Information Obtained from Education or Training Provider programs. 1803 Date Attained Recognized Credential 2 Record the date on which the participant attained a second recognized credential. One of the following Cross-Match with Postsecondary Education Database WIOA Leave blank if the participant did not attain a second recognized credential or if Copy of Diploma Credential or Degree Awarded by Education Institution this data element does not apply. Applicable Records from Education Institution GED certificate diploma transcripts report card or school documentation R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Signed Follow-up Survey Response from Program Participant Signed File Documentation with Information Obtained from Education or Training Provider 1804 Type of Recognized Credential 3 WIOA Use the appropriate code to record the type of recognized diploma degree or a credential consisting of an industry-recognized certificate or certification a certificate of completion of a Registered Apprenticeship a license recognized by the State involved or Federal Government or an associate or baccalaureate One of the following Cross-Match with Postsecondary Education Database Copy of Diploma Credential or Degree Awarded by Education Institution degree attained by the participant who received education or training services. Record 0 if the participant received education or training services but did not attain a recognized diploma degree license or certificate. Leave blank if data element does not apply to the participant. NOTE Diplomas degrees licenses or certificates must be attained either during participation or within one year of exit. This data element applies to both the Credential Rate indicator and the Measurable Skills Gain indicator for all DOL RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV Applicable Records from Education Institution GED certificate diploma transcripts report card or school documentation Signed Follow-up Survey Response from Program Participant Signed File Documentation with Information Obtained from Education or Training Provider programs. 1805 Date Attained Recognized Record the date on which the participant attained a third recognized credential. One of the following Credential 3 Cross-Match with Postsecondary Education Database WIOA Leave blank if the participant did not attain a third recognized credential or if Copy of Diploma Credential or Degree Awarded by this data element does not apply. Education Institution Applicable Records from Education Institution GED certificate diploma transcripts report card or school R DEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV documentation Signed Follow-up Survey Response from Program Participant Signed File Documentation with Information Obtained from Education or Training Provider II-2 8 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1806 Date of Most Recent Measurable Skill Gains Educational Functioning Level EFL WIOA Record the most recent date the participant who received instruction below the postsecondary education level achieved at least one EFL. EFL gain may be documented in one of three ways 1 by comparing a participant s initial EFL as measured by a pre-test with the participant s EFL as measured by a participant s post-test or 2 for States that offer secondary school programs that lead to a secondary school diploma or its recognized equivalent an EFL gain may be measured through the awarding of credits or Carnegie units or 3 States may report an EFL gain for participants who exit the program and enroll in postsecondary education or training during the program year. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Pre- and post-test results measuring EFL gain Adult High School transcript showing EFL gain through the awarding of credits or Carnegie units Postsecondary education or training enrollment determined through data match survey documentation or program notes 1807 Date of Most Recent Measurable Skill Gains Postsecondary Transcript Report Card WIOA Record the most recent date of the participant s transcript or report card for postsecondary education who complete a minimum of 12 hours per semester or for part time students a total of at least 12 credit hours over the course of two completed semesters during the same 12 month period that shows a participant is meeting the State unit s academic standards. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Transcript Report Card 1808 Date of Most Recent Measurable Skill Gains Secondary Transcript Report Card WIOA Record the most recent date of the participant s transcript or report card for secondary education for one semester showing that the participant is meeting the State unit s academic standards. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Transcript Report Card 1809 Date of Most Recent Measurable Skill Gains Training Milestone WIOA Record the most recent date that the participant had a satisfactory or better progress report towards established milestones from an employer training provider who is providing training e.g. completion of on-the-job training OJT completion of one year of a registered apprenticeship program etc. . Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Documentation of a skill gained through OJT or Registered Apprenticeship Contract and or evaluation from employer or training provider documenting a skill gain Progress report from employer documenting a skill gain 1810 Date of Most Recent Measurable Skill Gains Skills Progression WIOA Record the most recent date the participant successfully completed an exam that is required for a particular occupation or progress in attaining technical or occupational skills as evidenced by trade-related benchmarks such as knowledge- based exams. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Results of knowledge-based exam or certification of completion Documentation demonstrating progress in attaining technical or occupational skills through an exam or benchmark attainment Documentation from training provider or employer Copy of a credential that is required for a particular occupation and only is earned after the passage of an exam 1811 Date Enrolled During Program Participation in an Education or Training Program Leading to a Recognized Postsecondary Credential or Employment WIOA Record the date the participant was enrolled during program participation in an education or training program that leads to a recognized postsecondary credential including a secondary education program or training program that leads to employment as defined by the core program in which the participant participates. States may use this coding value if the participant was either already enrolled in education or training at the time of program entry or became enrolled in education or training at any point while participating in the program. If the participant was enrolled in postsecondary education at program entry the date in this field should be the date of Program Entry. This includes but is not limited to participation in Job Corps or YouthBuild or Adult Education or secondary education programs. Leave blank if the data element does not apply to the participant. NOTE This data element applies to the Measurable Skill Gains Indicator and specifically will be utilized to calculate the denominator. It encompasses all education and training program enrollment. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Copy of enrollment record File documentation with notes from program staff School records Transcript or report card Data match with postsecondary data system II-2 9 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1812 School Status at Exit Record 1 if the participant has not received a secondary school diploma or its One of the following For REO grant recipients recognized equivalent and is attending any secondary school including elementary intermediate junior high school whether full or part-time or is Cross-Match with Secondary or Postsecondary Education Database File documentation with notes from program staff. between school terms and intends to return to school. Record 2 if the participant has not received a secondary school diploma or its Copy of Diploma Credential or Degree Awarded by Education Institution recognized equivalent and is attending an alternative secondary school or an Applicable Records from Education Institution GED alternative course of study approved by the local educational agency whether full or part-time. certificate transcripts report card enrollment record or other school documentation Record 3 if the participant has received a secondary school diploma or its recognized equivalent and is attending a postsecondary school or program Signed Follow-up Survey Response from Program Participant whether full or part-time or is between school terms and intends to return to school. Signed File Documentation with Information Obtained from Education or Training Provider Record 4 if the participant is no longer attending any school and has not received a secondary school diploma or its recognized equivalent. Record 5 if the participant is not attending any school and has either graduated R DEV from secondary school or holds an equivalency. Record 6 if the participant is within the age of compulsory school attendance but has not attended school for at least the most recent complete school year calendar quarter and has not received a secondary school diploma or its recognized equivalent. Leave blank if data element does not apply to the participant. 1813 Date Completed During Program Participation an Education or Training Program Leading to a Recognized Postsecondary Credential or Employment WIOA Record the date the participant complete during program participation an education or training program that leads to a recognized postsecondary credential including a secondary education program or training program that leads to employment as defined by the core program in which the participant participates. States may use this coding value if the participant was either already enrolled in education or training at the time of program entry or became enrolled in education or training at any point while participating in the program. If the participant was enrolled in postsecondary education at program entry the date in this field should be after the date of Program Entry. This includes but is not limited to participation in Job Corps Youthbuild a Registered Apprenticeship program Adult Education or secondary education programs. Leave blank if the data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Cross-Match with Secondary or Postsecondary Education Database Copy of Diploma Credential or Degree Awarded by Education Institution Applicable Records from Education Institution GED certificate diploma transcripts report card or school documentation Signed Follow-up Survey Response from Program Participant Signed File Documentation with Information Obtained from Education or Training Provider NOTE This data element applies to the Measurable Skill Gains Indicator and specifically will be utilized to calculate the denominator. It encompasses all education and training program enrollment. SECTION D.04 - ADDITIONAL OUTCOME DATA 1900 Youth 2nd Quarter Placement Record 1 if the participant is enrolled in occupational skills training including advanced training . One of the following Cross-match with other agencies Title I Record 2 if the participant is enrolled in postsecondary education. Copy of registration record WIOA Record 3 if the participant is enrolled in secondary education. Record 0 if the participant was not placed in any of the above conditions. R DEV RDEV RDEV RDEV File documentation with notes from program staff School records Transcript or report card Vendor training provider training documentation 1901 Youth 4th Quarter Placement Title I WIOA Record 1 if the participant is enrolled in occupational skills training including advanced training . Record 2 if the participant is enrolled in postsecondary education. Record 3 if the participant is enrolled in secondary education. Record 0 if the participant was not placed in any of the above conditions. RDEV RDEV RDEV RDEV One of the following Cross-match with other agencies Copy of registration record File documentation with notes from program staff School records Transcript or report card Vendor training provider training documentation II-3 0 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 1902 Category of Assessment 1 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 3 if the participant was assessed using approved tests for both ABE and ESL. Record 0 if the participant was not assessed. Leave blank if this data element does not apply to the participant. RDEV RDEV RDEV RDEV RDEV RDEV RDEV One of the following Copy of Assessment Test Results Vendor Receipt for Testing SECTION E - NEW DATA ELEMENTS Data Elements are Specific to Each Program As Listed SECTION E.01 - DISLOCATED WORKER GRANTS 2001 Date of Completion of DWG Services Record the date the participant received their last service in the DWG program. RDEV One of the following Cross-match between Electronic Records and Attendance Sheets or Records Vendor Training Records with Follow-up Cross-Match to Electronic Records Case Notes with Follow-up Cross-Match to Electronic Records 2002 Employed at Completion of DWG Services Record 1 if the participant is employed at completion of participation in services under a Dislocated Worker Grant DWG . Employment is counted the quarter in which the participant stops receiving services funded through a DWG project. Record 0 if the participant does not meet the condition described above. RDEV One of the following UI wage data match administrative wage match such as the National Directory of New Hires Follow-up survey from program participants Pay check stubs tax records W2 form Quarterly tax payment forms such as a IRS form 941 Document from employer on company letterhead attesting to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor 2004 Received Services through a Disaster Recovery Dislocated Worker Grant Record 1 if the participant received disaster relief employment only under a Disaster Recovery DWG and received no other services under a Disaster Recovery DWG. Record 2 if the participant received disaster relief employment and received Employment and Training services Career and Training services under a Disaster Recovery DWG. Record 3 if the participant received Employment and Training services Career and Training services only under a Disaster DWG and did not receive disaster relief employment under a Disaster Recovery DWG. Record 0 if the participant did not receive services under a Disaster Recovery DWG. RDEV One of the following UI wage data match administrative wage match such as the National Directory of New Hires Follow-up survey from program participants Pay check stubs tax records W2 form Quarterly tax payment forms such as a IRS form 941 Document from employer on company letterhead attesting to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor Electronic Records SECTION E.02 - H1B 2101 Underemployed Worker Record 1 if a person is not currently connected to a full-time job commensurate with the individual s level of education skills or wage and or salary earned previously or who have obtained only episodic short-term or part-time employment Record 0 if the participant does not meet any of the conditions described above. Leave blank if information is not available. RDEV One of the following Self-attestation Current Pay check stubs tax records W2 form Prior Pay check stubs tax records W2 form Copy of Diploma Credential or Degree Awarded by Education Institution Case notes II-3 1 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 2102 Previous Quarter Received Case Management Service Record 1 if the participant received Case Management Services in the previous quarter. Record 0 if the participant did not receive Case Management Services in the previous quarter. RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records case notes WIOA status forms noting receipt of service and type of service received 2103 Most Recent Date Received Assessment Services Record the most recent date on which the participant received assessment services funded by the program. Leave blank if the participant did not receive Assessment Services. RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records case notes WIOA status forms noting receipt of service and type of service received 2104 Previous Quarter Received Assessment Services Record 1 if the participant received Assessment Services in the previous quarter. Record 0 if the participant did not receive Assessment Services in the previous quarter. RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records case notes WIOA status forms noting receipt of service and type of service received 2105 Previous Quarter Received Supportive Services Record 1 if the participant received Supportive Services in the previous quarter. Record 0 if the participant did not receive Supportive Services in the previous quarter. RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records case notes WIOA status forms noting receipt of service and type of service received 2106 Most Recent Date Received Specialized Participant Services Record the most recent date on which the participant received specialized participant services which include but are not limited to financial counseling behavioral health counseling mentoring assistance with re-location job coaching networking and job search assistance. Leave blank if the participant did not receive Specialized Participant Services. RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records case notes WIOA status forms noting receipt of service and type of service received 2107 Previous Quarter Received Specialized Services Record 1 if the participant received Specialized Services in the previous quarter. Record 0 if the participant did not receive Specialized Services in the previous quarter. RDEV One of the following Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records case notes WIOA status forms noting receipt of service and type of service received 2108 Previous Quarter Participated in Work Experience Record 1 if the participant participated in Work Experience in the previous quarter. Record 0 if the participant did not participate in Work Experience in the RDEV One of the following Electronic Records Case notes 2109 Primary Type of Training Service for Training Activity 1 Use the appropriate code to indicate the primary type of training being provided to the participant. Leave blank if the participant did not enroll in training for Primary Type of Training Service for Training Activity 1. RDEV One of the following Copy of enrollment record File documentation with notes from program staff Cross-match between dates of service and vendor training information Vendor training documentation Electronic Records Individual Training Account II-3 2 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 2110 Secondary Type of Training Service for Training Activity 1 Use the appropriate code to indicate the secondary type of training being provided to the participant if applicable. Leave blank if the participant is not enrolled in a Secondary Type of Training Service for Training Activity 1. One of the following Copy of enrollment record File documentation with notes from program staff Cross-match between dates of service and vendor training information Vendor training documentation Electronic Records R DEV Individual Training Account Attendance records 2111 Tertiary Type of Training Service for Training Use the appropriate code to indicate the tertiary type of training being provided to the participant if applicable. One of the following Copy of enrollment record Activity 1 File documentation with notes from program staff Leave blank if the participant is not enrolled in a Tertiary Type of Training Service for Training Activity 1. Cross-match between dates of service and vendor training information Vendor training documentation Electronic Records R DEV Individual Training Account Attendance records 2112 Primary Type of Training Use the appropriate code to indicate the primary type of training being provided One of the following Service for Training to the participant during their second training service. Copy of enrollment record Activity 2 File documentation with notes from program staff Leave blank if the participant is not enrolled in a Primary Type of Training Cross-match between dates of service and vendor training Service for Training Activity 2. information R DEV Vendor training documentation Electronic Records Individual Training Account Attendance records 2113 Secondary Type of Training Service for Training Activity 2 Use the appropriate code to indicate the secondary type of training being provided to the participant during their second training service if applicable. Leave blank if the participant is not enrolled in a Secondary Type of Education Job Training Activity 2. One of the following Copy of enrollment record File documentation with notes from program staff Cross-match between dates of service and vendor training information RDEV Vendor training documentation Electronic Records Individual Training Account Attendance records 2114 Tertiary Type of Training Service for Training Activity 2 Use the appropriate code to indicate the tertiary type of training being provided to the participant during their second training service if applicable. Record 0 if the above condition does not apply to the participant. RDEV One of the following Copy of enrollment record File documentation with notes from program staff Cross-match between dates of service and vendor training information Vendor training documentation Electronic Records Individual Training Account Attendance records II-3 3 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 2115 Primary Type of Training Service for Training Activity 3 Use the appropriate code to indicate the primary type of training being provided to the participant during their third training service. Leave blank if the participant is not enrolled in a Primary Type of Training Service for Training Activity 3. RDEV One of the following Copy of enrollment record File documentation with notes from program staff Cross-match between dates of service and vendor training information Vendor training documentation Electronic Records Individual Training Account Attendance records 2116 Secondary Type of Training Service for Training Activity 3 Use the appropriate code to indicate the secondary type of training being provided to the participant during their third training service if applicable. Leave blank if the participant is not enrolled in a Secondary Type of Training Service for Training Activity 3. RDEV One of the following Copy of enrollment record File documentation with notes from program staff Cross-match between dates of service and vendor training information Vendor training documentation Electronic Records Individual Training Account Attendance records 2117 Tertiary Type of Training Service for Training Activity 3 Use the appropriate code to indicate the tertiary type of training being provided to the participant during their third training service if applicable. Leave blank if the participant is not enrolled in a Tertiary Type of Training Service for Training Activity 3. RDEV One of the following Copy of enrollment record File documentation with notes from program staff Cross-match between dates of service and vendor training information Vendor training documentation Electronic Records Individual Training Account Attendance records 2118 Date Entered Employment Discretionary Grants Record the date of employment when the participant first began a job . This data element captures employment outcomes for unemployed participants that found employment and underemployed participants that entered a new position of employment. Leave blank if the participant has not received a job. RDEV One of the following UI wage data match Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an IRS form 941 Document from employer on company letterhead attesting to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor 2119 Incumbent Workers Retained Current Position Record 1 if the participant was employed at the start of participation incumbent worker and retained their current position in the first quarter after program completion. Record 0 if the participant was employed at the start of participation incumbent worker and did not retain their current position in the first quarter after program completion. Record 9 if information on the participant s employment status in the first quarter after program completion is not yet available. Leave blank if the participant has not completed the training program or is not an incumbent worker. RDEV One of the following UI wage data match Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an IRS form 941 Document from employer on company letterhead attesting to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor II-3 4 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 2120 Incumbent Workers Advanced into a New Position with Current or New Employer in the 1st Quarter after Completion Record 1 if the participant was employed at the start of participation incumbent worker and advanced into a new position requiring a higher skill level either with their current employer or a new employer as a result of grant funded activities in the first quarter after training program completion. Record 0 if the participant was employed at the start of program participation incumbent worker and did not advance into a new position as a result of the grant-funded activities in the first quarter after training program completion. Record 9 if information on the participant s employment status in the first quarter after training program completion is not yet available. Leave blank if the participant has not completed the training program or is not an incumbent worker. RDEV One of the following UI wage data match Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an IRS form 941 Document from employer on company letterhead attesting to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor 2121 Incumbent Workers Retained Current Position in the 2nd Quarter after Program Completion Record 1 if the participant was employed at the start of participation incumbent worker and retained their current position in the second quarter after training program completion. Record 0 if the participant was employed at the start of participation incumbent worker and did not retain their current position in the second quarter after training program completion. Record 9 if information on the participant s employment status in the second quarter after training program completion is not yet available. Leave blank if the participant has not completed the training program or is not an incumbent worker. RDEV One of the following UI wage data match Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an IRS form 941 Document from employer on company letterhead attesting to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor 2122 Incumbent Workers Advanced into a New Position with Current Employer or New Employer in the 2nd Quarter after Training Program Completion Record 1 if the participant was employed at the start of participation incumbent worker and advanced into a new position requiring a higher skill level either with their current employer or a new employer as a result of grant funded activities in the second quarter after training program completion. Record 0 if the participant was employed at the start of program participation incumbent worker and did not advance into a new position as a result of the grant-funded activities in the second quarter after training program completion. Record 9 if information on the participant s employment status in the second quarter after training program completion is not yet available. Leave blank if the participant has not completed the training program or is not an incumbent worker. RDEV One of the following UI wage data match Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an IRS form 941 Document from employer on company letterhead attesting to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor 2123 Incumbent Workers Retained Current Position in the 3rd Quarter After Program Completion Record 1 if the participant was employed at the start of participation incumbent worker and retained their current position in the third quarter after training program completion. Record 0 if the participant was employed at the start of participation incumbent worker and did not retain their current position in the third quarter after training program completion. Record 9 if information on the participant s employment status in the second quarter after training program completion is not yet available. Leave blank if the participant has not completed the training program or is not an incumbent worker. RDEV One of the following UI wage data match Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an IRS form 941 Document from employer on company letterhead attesting to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor II-3 5 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 2124 Incumbent Workers Advanced into a New Position with Current or New Employer in the 3rd Quarter after Training Program Completion Record 1 if the participant was employed at the start of participation incumbent worker and advanced into a new position requiring a higher skill level either with their current employer or a new employer as a result of grant funded activities in the third quarter after training program completion. Record 0 if the participant was employed at the start of program participation incumbent worker and did not advance into a new position as a result of the grant-funded activities in the third quarter after training program completion. Record 9 if information on the participant s employment status in the third quarter after training program completion is not yet available. Leave blank if the participant has not completed the training program or is not an incumbent worker. RDEV One of the following UI wage data match Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an IRS form 941 Document from employer on company letterhead attesting to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor 2126 Entered Training-Related Employment Record 1 if after training program completion the employment in which the individual entered uses a substantial portion of the skills taught in the training received by the individual. This data element is training program completion based. Individuals that have not enrolled in and completed training should not be reported in this data element. Record 0 if the employment in which the individual entered does not use a substantial portion of the skills taught in the training received by the individual. Record 9 if unknown. Leave blank if the individual has not completed a training program and or has RDEV One of the following UI wage data match Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an IRS form 941 Document from employer on company letterhead attesting to an individual s employment status and earnings Self-employment worksheets signed and attested to by program participants Detailed case notes verified by employer and signed by the counselor SECTION E.04 - INDIAN AND NATIVE AMERICAN PROGRAM INA 2302 Tribal Affiliation Record the participant s tribal affiliation. Leave blank if the tribal affiliation code is unknown. RDEV Certificate of Degree of Indian Blood CDIB card or letter Tribal Enrollment Card Letter or card from BIA showing census roll number Document from the Alaska Native Corporation which verifies that the applicant is an Alaska Native 2303 Public Assistance Recipient Record 1 if the participant receives general assistance GA from their state or local government Record 2 if the participant receives Temporary Assistance to Needy Families TANF Record 3 if the participant receives Supplemental Security Income SSI-SSA Title XVI . Record 4 if the participant receives Social Security Disability Insurance SSDI . Record 5 if the participant receives Food Stamps Food Stamp Act of 1977 . Record 6 if the participant receives Foster Child Payments. Record 7 if the participant receives benefits from Tribal Work Experience Programs TWEP . Record 8 if the participant receives benefits from the USDA Commodity P RDEV Allowable documentation include Public Assistance Verification from applicable Social Service Agency Written Confirmation from Social Services Agency Authorization Documentation to Receive Food Stamps or SNAP Letter or Email from Social Worker Case Worker Benefit Receipt Verification from applicable Social Service Agency Self-Attestation SECTION E.05 - REENTRY EMPLOYMENT OPPORTUNITIES ADULT 2400 In Work Release Program Record 1 if the participant was in a work-release program at the time enrollment. Record 0 if the participant does not meet the condition described above. RDEV When used to document eligibility one of the following Direct Referral from Justice System or Verification from Justice System 2413 Incarcerated at Program E nt r y WIOA Record 1 if the participant at program entry was a criminal offender in a correctional institution at program entry. Record 0 if this data element does not apply to the participant. RDEV RDEV When used to document eligibility one of the following Direct Referral from Justice System or Verification from Justice System II-3 6 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 2414 Date Released from Incarceration WIOA Record the date the participant was released from a correctional institution. Leave blank if participant remains in a correctional institution at program exit. RDEV RDEV When used to document eligibility one of the following Direct Referral from Justice System or Verification from Justice System 2415 Date of Anticipated Release From Incarceration Record the date that the participant is anticipated to be released from a correctional institution. Leave blank if this data element does not apply to the participant. RDEV When used to document eligibility one of the following Direct Referral from Justice System or Verification from Justice System 2416 Post-Release Status Record 1 if the participant s post-release status is parole. Record 2 if the participant s post-release status is probation. Record 3 if the participant s post-release status is out on bail. Record 4 if the participant s post-release status is without conditions Leave blank if this data element does not apply to the participant. i.e. if the person has yet to be released from incarceration per 2415 RDEV When used to document eligibility one of the following Direct Referral from Justice System or Verification from Justice System 2422 Housing Status at Six Months After Program Entry Record the appropriate housing status for the participant at six months after program entry as indicated in code values 1 through 9. RDEV File documentation with notes from program staff 2423 Housing Status at Enrollment Record the appropriate housing status for the participant at enrollment as indicated in code values 1 through 8. RDEV File documentation with notes from program staff 2424 Alcohol Drug Abuse Six Months After Enrollment Record 1 if the participant abused alcohol and or drugs at six months after enrollment. Record 0 if the above conditions do not apply to the participant. RDEV File documentation with notes from program staff 2433 Re-arrested within 12 months of Release for a New Crime Record 1 if the participant was re-arrested within 12 months of release for a new crime. Record 0 if the participant does not meet the condition described above. RDEV File documentation with notes from program staff 2434 Re-arrested for a previous crime Record 1 if the participant was re-arrested for a previous crime. Record 0 if the above condition does not apply to the participant. Record 9 if this information is not available. RDEV File documentation with notes from program staff 2435 Re-incarcerated for a revocation of the parole or probation order for violations of terms of sentence Record 1 if the participant was re-incarcerated for revocation of parole. Record 2 if the participant was re-incarcerated for revocation of probation order for violations of terms of sentence. Record 3 if the participant was re-incarcerated for other violations of the terms and conditions of their sentence. Record 0 if the above conditions do not apply to the participant. RDEV File documentation with notes from program staff 2436 Not Re-arrested Record 1 if the participant was not re-arrested. Record 0 if the above condition does not apply to the participant. RDEV File documentation with notes from program staff 2437 Date arrested for new previous crime Record the date that the participant was arrested for a new or previous crime. Leave blank if the above condition does not apply to the participant. RDEV File documentation with notes from program staff 2438 Convicted for new previous crime Record 1 if the participant was convicted of a new crime. Record 2 if the participant was convicted of a previous crime. Record 0 if the above condition does not apply to the participant. R d 9 if thi i f ti i t il bl RDEV File documentation with notes from program staff SECTION E.06 - REENTRY EMPLOYMENT OPPORTUNITIES YOUTH 2500 Secondary school enrollment status at arrest Record 1 if the participant was a secondary school student at the time of their arrest. Record 2 if the participant was a secondary school graduate at the time of their arrest. R d 3 if h i i d h l d h i f hi RDEV File documentation with notes from program staff II-3 7 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 2502 Youth Offender status at enrollment Record 1 if the participant is currently in returning from or has been in a juvenile correctional facility. Record 2 if the participant is currently in returning from or has been in a juvenile detention facility. Record 3 if the participant is currently on leaving or has been on juvenile probation. Record 4 if the participant is currently in leaving or has been in juvenile alternative sentencing or diversion. Record 5 if the participant is currently in returning from or has been in an adult prison. Record 6 if the participant is currently in returning from or has been in an adult jail. Record 7 if the participant is currently on leaving or has been on adult probation. Record 8 if the participant is currently in leaving or has been in adult sentence or diversion. Record 0 if the at-risk participant is not an offender. RDEV One of the following Direct Referral from Juvenile Justice System or Adult Criminal Justice System Verification from the Justice System For REO grant recipients Note- In the event that the justice system cannot provide this information because of confidentiality requirements grant recipients may use a signed self attestation from the enroll or if the enrollee is a minor a signed self attestation letter from a parent or guardian. 2505 Date verified Selective Service registration Enter date verified Selective Service Registration Leave blank for participants who are not required to sign up for selective service. RDEV RDEV Electronic Records 2509 First date of service Enter first date of service of the service selected. Grantees need to be able to enter the first date of service each quarter with the data saved each quarter to keep a running count of services received. Leave blank if no service s was received. RDEV Electronic Records 2510 Completed diversion without out-of-home placement Record 1 if diversion was completed without out-of-home placement. Record 0 if the participant does not meet this condition. Leave blank if participant did not receive diversion services. RDEV File documentation with notes from program staff 2511 Records expunged Record 1 if the participant s record was expunged. Record 0 if the participant does not meet this condition. Leave blank if participant did not receive expungement legal services. RDEV File documentation with notes from program staff 2512 Records sealed Record 1 if the participant s record was sealed. Record 0 if the participant does not meet this condition. Leave blank if participant did not receive sealing of records assistance. RDEV File documentation with notes from program staff 2516 Date of postsecondary education or training placement Record the date of participant s placement into postsecondary education or training. Leave blank if the participant was not placed into postsecondary education or training. RDEV One of the following Copy of School Enrollment Record File documentation with notes from program staff 2523 Date entered degree or certificate program Record the date on which the participant entered the degree or certificate program. Leave blank if the participant did not enter into a degree or certificate program. RDEV One of the following Copy of School Enrollment Record File documentation with notes from program staff 2525 Date arrested for new crime after enrollment Record date on which participant was arrested for new crime after enrollment. Leave blank if this data element does not apply to the participant. RDEV File documentation with notes from program staff 2526 Convicted for new crime committed after enrollment Record date on which participant was convicted for new crime after enrollment. Leave blank if this data element does not apply to the participant. RDEV File documentation with notes from program staff 2527 Type of crime Record 1 if participant was arrested convicted for a violent felony. Record 2 if participant was arrested convicted for a non-violent felony. Record 3 if participant was arrested convicted for a misdemeanor. RDEV File documentation with notes from program staff II-3 8 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 2528 Reached 12-month point since release from correctional facility or placement on probation Record 1 if participant has reached 12-month point since release from correctional facility or placement on probation. Record 0 if the participant does not meet this condition. RDEV File documentation with notes from program staff 2529 Convicted for new crime committed within 12 months of release from correctional facility or placement on probation Record 1 if participant was convicted for new crime committed within 12 months of release from correctional facility or placement on probation. Record 0 if the participant does not meet this condition. RDEV File documentation with notes from program staff 2530 Incarcerated for new crime committed after enrollment Record 1 if the participant was incarcerated for a new crime committed after enrollment. Record 0 if the participant does not meet this condition. RDEV File documentation with notes from program staff 2541 Receiving public assistance since leaving the program Record 1 if participant has received SSI SSD or SSA benefits since leaving the program. Record 2 if participant has received General Assistance since leaving the RDEV File documentation with notes from program staff 2542 Arrested for new crime in follow-up period Record 1 if participant was arrested for a new crime in follow-up period. Record 0 if participant was not arrested for a new crime in follow-up period. RDEV File documentation with notes from program staff 2543 Date arrested for new crime in follow-up period Record the date on which the participant was arrested for new crime in follow- up period. Leave blank if this data element does not apply to the participant. RDEV File documentation with notes from program staff 2544 Convicted for new crime committed in follow-up period Record the date on which the participant was convicted for new crime in follow- up period Leave blank if this data element does not apply to the participant. RDEV File documentation with notes from program staff 2545 Incarcerated for new crime committed in follow-up period Record 1 if participant was incarcerated for new crime committed in follow-up period. Record 0 if the participant does not meet this condition. RDEV File documentation with notes from program staff 2546 Housing Status at follow- up Record 1 if participant resides in stable housing at follow-up. Record 2 if participant resides in temporary housing at follow-up. Record 3 if participant is homeless at follow-up. RDEV File documentation with notes from program staff SECTION E.07 - YOUTHBUILD 2607 Migrant Youth Record 1 if the participant is the youth and is a migrant worker or is a member of a migrant family. Record 0 if the participant does not meet the conditions described above. RDEV One of the following Self-Attestation Case Notes Cross-Match with Public Assistance Records NFJP Eligibility Documents Cross-Match with State MIS Database Cross-Match with H-1B Record Employer statement Wage records family wage records Work permits II-3 9 DOL-only PARTICIPANT INDIVIDUAL RECORD LAYOUT PIRL DATA ELEME NT NO. DATA ELEMENT NAME DATA ELEMENT DEFINITIONS INSTRUCTIONS Requirements by Program WIOA Source Documentation Program Specific Parameters if applicable Wagner-Peyser WIOA Adults WIOA Dislocated Workers WIOA Youth Dislocated Worker Grants DWG TAA National Farmworker Jobs Program NFJP Indian and Native American Program INA Reentry Employment Opportunities REO Adult Reentry Employment Opportunities REO Youth YouthBuild Jobs for Veterans State Grants JVSG H1B Job Corps 2608 Offender Record 1 if the participant has been convicted of a crime by the juvenile justice system. Record 2 if the participant has been convicted of a crime by the adult correctional system. Record 0 if the participant does not meet the conditions described above. RDE V One of the following Court documentation Resident of a detention facility group home or restricted state-run facility Letter of parole probation officer Police or Justice Department records Applicant statement 2609 Secondary School Drop- Out Record 1 if the participant is a youth and has dropped out of secondary school. Record 0 if the participant does not meet the condition described above. RDE V One of the following Letter documentation from the school stating the youth has dropped out School attendance record Applicant statement 2610 Child of Incarcerated Parent or Legal Guardian Record 1 if either of the youth s parents or legal guardian is incarcerated at the time of the youth s enrollment into the YouthBuild program. Record 0 if the participant does not meet the condition described above. RDE V One of the following Court records Applicant statement SECTION E.08 - MISCELLANEOUS DATA ELEMENTS AND USER DEFINED FIELDS 2700 Social Security Number Record the Social Security Number SSN assigned to the participant. NOTE THE SSN MUST NOT BE INCLUDED UNLESS SPECIFIED UNDER PROGRAM OR FUNDING STREAM REPORTING REQUIREMENTS. RDE V RDE V RDE V RDE V RDE V RDE V RDE V RDE V RDE V One of the following SSN Card Passport Military ID Other Federal or State ID with SSN II-4 0