GAL5-98_Attach2.pdf

ETA Advisory File Text

Attachment II OMB Approval No. 1205-0392 Expires 06 30 2001 TRADE ADJUSTMENT ASSISTANCE AND NAFTA TRANSITIONAL ADJUSTMENT ASSISTANCE Reporting Elements and Definitions General Instructions The Governor of each State will collect and maintain a core set of socio-economic program participation and participant outcome information on each applicant participant in Trade Adjustment Assistance TAA and NAFTA Transitional Adjustment Assistance NAFTA-TAA under the Trade Act of 1974 as amended. Also the Governor will transmit to the Office of Trade Adjustment Assistance OTAA of the Department of Labor this information for participants who have terminated from these programs during each calendar quarter. The following instructions provide the format and definitions that will be used to collect and transmit the terminee information each quarter. All transmittals must be made within 45 days after the end of the reporting quarter. The data items in this system and their associated definitions are designed to provide information about program performance and outcomes for participants. The data items and their definitions are very similar and in many cases identical to those used by the Job Training Partnership Act JTPA programs for the same purposes. For purposes of this reporting system a participant shall be deemed to have terminated if that participant has completed all of his her reemployment program or withdrawn from such program prior to completion and has received no other program benefits during the 90 days following completion withdrawal. Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. Respondents obligation to reply to these reporting requirements is mandatory. The public reporting burden for this collection of information is estimated to average 30 minutes per response including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden to the U.S. Department of Labor Office of Trade Adjustment Assistance Room C4318 Washington D.C. 20210 Paperwork Reduction Project 1205-0392 . Attachment II-2- Instructions for Reporting Elements for TAA and NAFTA-TAA Section I Identification Characteristics of Applicant 1. State name Record the name of the State reporting the data. 2. Social Security Number Record the individual s Social Security Number 000000000 . A pseudo-SSN may be assigned during intake if the applicant has no SSN or refuses to provide it but a valid SSN for each individual must be obtained and recorded prior to termination and record transmittal. 3. Date of Birth Record the date MMDDYYYY of birth of the individual. 4. Gender Record 1 for male or 2 for female. 5. Race ethnicity Record the code 1 2 3 4 5 or 6 indicating the individual s race ethnic origin group from among the following categories 1. American Indian or Alaska Native a person having origins in any of the original peoples of North and South America including Central America and who maintains tribal affiliation or community attachment. 2. Asian a person having origins in any of the original peoples of the Far East Southeast Asia or the Indian subcontinent including for example Cambodia China India Japan Korea Malaysia Pakistan the Philippine Islands Thailand and Vietnam. 3. Black or African American a person having origins in any of the black racial groups of Africa. Terms such as Haitian or Negro can be used in addition to Black or African American. 4. Hispanic or Latino a person of Cuban Mexican Puerto Rican South or Central American or other Spanish culture or origin regardless of race. The term Spanish origin can be used in addition to Hispanic or Latino. 5. Native Hawaiian or Other Pacific Islander a person having origins in any of the original peoples of Hawaii Guam Samoa or other Pacific Islands. 6. White a person having origins in any of the original peoples of Europe the Middle East or North Africa. 6. Individual with a disability Any individual who has a physical motion vision hearing or mental learning or developmental impairment which substantially limits one or more of such person s major life activities and has a record of such impairment or is regarded as having such an impairment. Record the code 1 2 or 3 as follows Attachment II-3- 1. Yes the individual has such an impairment that does result in a substantial barrier to employment 2. Yes the individual has such an impairment that does not result in a substantial barrier to employment or 3. No the individual has no disability. 7. Veteran status Record 1 for Yes or 2 for No to indicate whether or not the participant is a person who A served on active duty in the U.S. military for a period of more than 180 days and who was discharged or released with other than a dishonorable discharge or B was discharged or released from active duty because of a service-connected disability or C was discharged as a member of a reserve component under an order to active duty. 8. Highest school grade completed Enter the highest school grade completed 00 by the individual using the following codes 00 no school grade completed 01-11 number of elementary secondary grades completed participants who completed 12th grade but did not receive a diploma or equivalent are to be coded 11 12 high school graduate or equivalent 13-15 if a high school graduate or equivalent the number of school years completed during college or full-time technical or vocational school 16 Bachelor s degree or equivalent 17 fifth year of full-time college Master s degree 1-year program or equivalent 18 sixth year or more of full-time college Master s degree 2-year program Ph.D. or equivalent 9. Limited English language proficiency Record 1 for Yes or 2 for No to indicate whether an individual whose native language is not English is unable to communicate in English resulting in a barrier to employment. 10. Qualifying separation date The date of separation from trade-impacted employment that qualifies the individual to apply for adjustment assistance. 11. Wage at qualifying separation Record the hourly wage 000.00 paid to the participant at the time of the participant s qualifying separation. 12. Tenure with employer at qualifying separation Record the number of months that the applicant was employed with the employer of record as of the applicant s qualifying separation. Attachment II-4- 13. Date of application Record the date MMDDYYYY on which the individual applied for entry into the TAA or NAFTA-TAA program. 14. Petition number Record the number of the certification which applies to the applicant s worker group. If there is more than one petition number for example one each of TAA and NAFTA-TAA petition numbers record the petition number of the program from which benefits are paid. 15. Program of participation Enter the program under which the participant received benefits using the following codes 1. TAA 2. NAFTA-TAA 3. Both 16. Date of participation Record the date MMDDYYYY on which the individual began to receive TAA- or NAFTA-TAA-funded program services after initial screening for eligibility and after eligibility determination. An applicant becomes a participant upon first receipt of basic reemployment service even if not funded by TAA or NAFTA-TAA retraining including travel and or subsistence Trade Readjustment Allowance job search allowance or relocation allowance. 17. Unemployment compensation status Record the code 1 2 or 3 indicating which of the following classifications best describes the individual s UC status at the time of application 1. Claimant an individual who has filed a claim and has been determined monetarily eligible for benefit payments under one or more State or Federal unemployment compensation programs and who has not exhausted benefit rights or whose benefit period has not ended. 2. Exhaustee an individual who has exhausted all UC benefit rights for which the applicant has been determined monetarily eligible including extended supplemental benefit rights. 3. None . Section II Activity and Service Record This section provides a record of the program benefits received by the participant. 1. Training Record the following items for the occupational training received by the participant Attachment II-5- 1a. Date entered Record the date MMDDYYYY the participant s training began. 1b. Date completed or withdrew Record the date MMDDYYYY the participant completed his her occupational training or withdrew permanently from such training. 1c. Training completed Record 1 if the participant completed his her occupational training course or 2 if he she withdrew. 1d. Travel while in training Record 1 if the participant received compensation for travel while in training or 2 if the participant did not. 1e. Subsistence while in training Record 1 if the participant received an allowance for subsistence while in training or 2 if the participant did not. 1f. Occupational code If the participant received any non-classroom training for a specific occupation record the 9-digit DOT code or the 5-digit OES code that best describes the occupation. If the participant received classroom occupational skills training either of these DOT or OES or the 6-digit CIP code that best describes the training should be recorded. If the participant received no specific occupational training record 000000000. Record the appropriate code for the type of system used 1 for 9-digit DOT code 2 for 5-digit OES code 3 for 6-digit CIP code or 6 for no code. 1g. Type of training Record 1 if the participant received remedial training 2 if the participant received occupational classroom training or 3 if the participant received on-the-job training OJT . 2. Trade Readjustment Allowance TRA Record 1 if the participant received basic TRA 2 if the participant received additional TRA 3 if the participant received both basic and additional TRA or 4 if the participant did not receive TRA. 3. Waiver from training Record 1 if the participant received a waiver from the training requirement in order to receive TRA or 2 if the participant did not receive such a waiver. 4. Job search allowance Record 1 if the participant received a job search allowance or 2 if the participant did not. 5. Relocation allowance Record 1 if the participant received a relocation allowance or 2 if the participant did not. 6. Basic reemployment service BRS Record 1 if the participant received any basic reemployment services even if not funded by TAA or NAFTA-TAA or a 2 if the participant did not receive such services. Attachment II-6- 7. Other Federal program coenrollment Record a 1 if the participant also received services under the JTPA Title III adult dislocated worker program a 2 if the participant received a Pell educational grant 3 if the participant received Title III services and a Pell grant or a 4 if the participant received another Federal job training benefit but not a JTPA Title III nor a Pell grant benefit. Section III Program Terminations and Other Outcomes 1. Date of termination Record the date MMDDYYYY at which the participant is determined to have terminated from the TAA or NAFTA-TAA programs. A participant shall be deemed to have terminated if that participant has completed all of his her reemployment program or withdrawn from such program prior to completion and has received no other program benefits during the 90 days following completion withdrawal. 2. Entered unsubsidized employment Record 1 for Yes 2 for No or 9 for unknown indicating whether the terminee entered full- or part-time unsubsidized employment i.e. not financed by funds provided under the Trade Act including entry into the Armed Forces entry into employment in a registered apprenticeship program and self-employment. 3. Employment information if Item 2 Entered unsubsidized employment is 1 for Yes record the following information 3a. Hours worked per week Record the usual number of hours 00 of work scheduled per week in whole hour increments no fractions of hours including overtime enter 99 for unknown. 3b. Hourly wage at termination Record the hourly wage at termination 000.00 enter 0 for unknown. Hourly wage includes any bonuses tips gratuities commissions and overtime pay earned. 3c. Received fringe benefits Record 1 for Yes 2 for No or 9 for unknown indicating whether or not the employment provides the individual with fringe benefits consisting of at a minimum health insurance benefits and coverage under Social Security or an equivalent pension plan. NOTE In cases where a period of probation is required by the employer for a newly- hired individual during which time fringe benefits are NOT provided if such employment normally provides fringe benefits after the period of probation record a 1 for Yes in this item. 3d. Occupational code and type Record the occupational code 000000000 either 9-digit DOT or 5-digit OES most appropriate for the job. For individuals holding multiple jobs record the code for the job with the Attachment II-7- largest number of hours worked. Record the appropriate code for the type of system used 1 for 9-digit DOT code 2 for 5-digit OES code or 9 for unknown. 3e. State where job is located Record the two-digit FIPS State code 00 where the job is located. If the job is located outside of the U.S. record 99 if State is unknown record 00 . 3f. Job covered by Unemployment Insurance Record 1 for Yes 2 for No or 9 for unknown indicating whether or not the job is covered by the Unemployment Insurance system. 3g. Recalled by former employer Record 1 for Yes 2 for No or 9 for Unknown indicating whether the participant was recalled by the employer at which the qualifying separation occurred. Attachment II-8- TRADE ADJUSTMENT ASSISTANCE AND NAFTA TRANSITIONAL ADJUSTMENT ASSISTANCE Reporting Format Section I Identification Characteristics of Applicant 1. State name 2. Social Security Number 000000000 3. Date of Birth MMDDYYYY 4. Gender 1 Male 2 Female 5. Race ethnicity 1 American Indian or Alaska Native 2 Asian 3 Black or African American 4 Hispanic or Latino 5 Native Hawaiian or Other Pacific Islander 6 White 6. Individual with a disability 1 Yes and a substantial barrier to employment 2 Yes but not a substantial barrier to employment 3 No 7. Veteran status 1 Yes 2 No 8. Highest school grade completed 00 9. Limited English language proficiency 1 Yes 2 No 10. Qualifying separation date MMDDYYYY 11 Wage at qualifying separation 000.00 12. Tenure with employer at qualifying separation 000 13. Date of application MMDDYYYY 14. Petition number 000000 15. Program of participation 1 TAA 2 NAFTA-TAA 3 Both 16. Date of participation MMDDYYYY 17. Unemployment compensation status 1 Claimant 2 Exhaustee 3 None Attachment II-9- Section II Activity and Service Record This section provides a record of the program benefits received by the participant. 1. Training leading to reemployment 1a. Date entered MMDDYYYY 1b. Date completed or withdrew MMDDYYYY 1c. Training completed 1 Completed 2 Withdrew 1d. Travel while in training 1 Yes 2 No 1e. Subsistence while in training 1 Yes 2 No 1f. Training occupational code 000000000 and type 1 9-digit DOT code 2 5-digit OES code 3 6-digit CIP code training only 6 None 1g. Type of training 1 Remedial 2 Classroom occupational 3 On-the-job OJT 2. Trade Readjustment Allowance TRA 1 Basic 2 Additional 3 Both basic and additional 4 None 3. Waiver from training 1 Yes 2 No 4. Job search allowance 1 Yes 2 No 5. Relocation allowance 1 Yes 2 No 6. Basic reemployment service BRS 1 Yes 2 No 7. Other Federal program coenrollment 1. JTPA Title III 2. Pell 3. Title III and Pell 4. Other not Title III or Pell Attachment II-10- Section III Program Terminations and Other Outcomes 1. Date of termination MMDDYYYY 2. Entered unsubsidized employment 1 Yes 2 No 9 Unknown 3. Employment information 3a. Hours worked per week 00 3b. Hourly wage at termination 000.00 3c. Received fringe benefits 1 Yes 2 No 9 Unknown 3d. Occupational code 000000000 and type 1 9-digit DOT 2 5-digit OES 9 Unknown 3e. State where job is located 00 3f. Job covered by Unemployment Insurance 1 Yes 2 No 9 Unknown 3g. Recalled by former employer 1 Yes 2 No 9 Unknown