Attachment II (PDF).pdf

ETA Advisory File Text

Attachment II II-1 Source Documentation for Core Non-Core Programs DOL-only Data Element Validation Source Documentation Validation Instructions The data element source documentation table lists the data elements that grantees are either required or encouraged to validate as part of the data validation framework discussed i n Attachment I please refer to Attachment I for program -specific guidance . The table displays the PIRL data element numbers data element names definitions instructions program specific requirements and source documentation needed to perform data element validation on each data element. All grantees reporting performance data in accordance with section 116 d of WIOA must use the same data element definitions in the PIRL. All programs required to conduct data validation as outlined in Attachment I must use the source documentation in Attachment II. A. Understanding the Source Documentation Attachment layout columns 1. Columns for Data Element Number Data Element Name and Data Element Definitions I nstructions are not to be cited as the latest PIRL data elements. When seeking current PIRL related information please visit ETA s performance website for current reporting requirements. 2. An X in the column represents the data elements applica ble to a particular program for validation. 3. The Source Documentation column lists acceptable source documentation by each element. Programs may choose any of the acceptable source documentation from the list. Grantees may be more restrictive and authorize a smaller subset of allowable source documentation in their grantee policy. Grantees choosing to establish more restrictive source documentation policies should carefully consider the impacts direct or indirect those restrictions may have on providing equitable and accessible services to populations with barriers that can make obtaining certain source documents difficult. 4. The Program Specific Parameters column lists any special conditions or notes a program office may requir e. Source documentation requirements in this column if any will supplement or supersede those listed in the Source Documentation column as these requirements may limit acceptable source documentation. B. Types of Source Documentation For most data elements the validation guidelines provide multiple forms of acceptable source documentation. If multiple sources conflict the most authoritative source should be used to determine if the data element is valid and accurate. The general categories of source documentation types include 1. Case Notes Case notes refer to either paper or electronic statements by the case manager that identify at a minimum the following a a participant s status for a specific data element b the date on which the information was obtained and c the name of the case manager who obtained the information. 2. Cross- Match A cross-match requires grantees to identify detailed evidence that confirms the data element in a secondary database. Grantees must also confirm supporting information such as dates of participation and services rendered. Grantees must have data sharing agreements in place as appropriate. 3. Electronic Records which may include o Participant Source Documents Participant source documents maintained in the grantee s management information system MIS or other official record keeping system. o Grantee participant service record Grantee participant information generated and maintained by the grantee regarding the specific services received by a participant. Th e information may be generated and maintained through the grantee s MIS or other official recordkeeping system. 4. Self-Attestation Self-attestation means a written or electronic digital declaration of information for a particular data element signed and dated by the participant. DOL broadly interprets what is considered an electronic digital signature. Electronic signatures or a submission from the participant such as an email text or unique online survey response is considered an electronic signature or verification it must be participant generated and traceable to the participant. Grantees must retain documentation of the self-attestation. Attachment II Source Documentation Attachment II Source Documentation DOL- only Data Element Validation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship SECTION A - INDIVIDUAL INFORMATION SECTION A.02 - EQUAL OPPORTUNITY INFORMATION 200 Date of Birth WIOA Record the participant s date of birth. X X X X X X X X X X X X X X Driver s License Baptismal Record Birth Certificate DD-214 Report of Transfer or Discharge Paper Federal State Local or Tribal dentification Card Passport ospital Record of Birth Public Assistance Social Service Records School Records or D Cards Work Permit Family Bible Cross-Match with State Agency Records Hustice System Records Selective Service Registration Signed Letter from a parent or guardian Medical Records Self-Attestation For H-1B grantees Grants that serve incumbent worker participants may use documentation maintained by the employer to document Date of Birth WIOA . For Job Corps Job Corps also allows the following where the applicant s name and date of birth is identified i Department of Homeland Security DHS documents including Document I-55 Permanent Resident Card and Form I-94 Arrival Departure Record ii Employment records 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. X X X X X X X X X X School 504 Records Provided by Student Assessment Test Results School ndividualized Education Program EP record Self-Attestation 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. X For DINAP One of the following Certificate of Degree of ndian Blood CD B card or letter Tribal Enrollment Card Letter or card from B A 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. X For DINAP One of the following Certified Birth Certificate showing Native awaiian ethnicity O A Office of awaiian Affairs Registry Card Kamehameha Schools o oulu awaiian Data Center Certification Letter which states Native Hawaiian SECTION A.03 - VETERAN CHARACTERISTICS Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 3 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 301 Eligible Veteran Status Record 1 if the participant is a person who served in the active U.S. military naval or air service for a period of less than or equal to 180 days and who was discharged or released from such service under conditions other than dishonorable. Record 2 if the participant served on active duty for a period of more than 180 days and was discharged or released with other than a dishonorable discharge or was discharged or released because of a service connected disability or as a member of a reserve component under an order to active duty pursuant to section 167 a d or g 673 a of Title 10 U.S.C. served on active duty during a period of war or in a campaign or expedition for which a campaign badge is authorized and was discharged or released from such duty with other than a dishonorable discharge. 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 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. X X X X X X X X X X X Source documentation beyond Self-Attestation for this element is only required at the point in which a decision is made to enroll a covered person over a non- covered person and commit financial resources which does not include staff time. Per TEGL 10-09 Section 9. DD-214 Cross-Match with Department of Defense Records Cross-Match with Veterans Service Database A Letter from the Veterans Administration NGB- 22 documenting Title 10 federal active duty service Self-Attestation 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 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 received staff-assisted services provided by the Reemployment Services and Eligibility Assessment 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. 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 did not receive a RESEA provided staff-assisted service. 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. X X X X X X X Cross-Match with State U Database Cross-Match with State M S Database Referral Transmittal by RESEA or WPRS Self-Attestation for Code Values 3 and 4 only 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. X X X X X X X Public Assistance Records Refugee Assistance Records Cross-Match with Public Assistance Database Cross-Match with U Database Self-Attestation 407 Highest School Grade Completed at Program Entry WIOA Use the appropriate code to record the highest school grade completed by the participant at program entry. Record 1 12 for the number of school grades completed by the participant. Record 0 if no school grades were completed. X X X X X X X Applicable records from education institution GED certificate diploma attendance record transcripts drop out letter school documentation ntake Application or Enrollment Form Electronic Records Case notes Self- Attestation For Job Corps If school records are unavailable Job Corps admission counselors must document attempts to obtain educational history. Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 4 of 40 Attachment II Source Documentation Data Data Element Name Requirements by Program Source Documentation at least one of the following Program Specific Parameters if applicable Element No. WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions 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 Apprenticeship 408 Highest Educational Level Completed at Program Entry Use the appropriate code to record the highest educational level completed by the participant at Applicable records from education institution GED certificate diploma For Job Corps If school records are unavailable Job Corps WIOA program entry. attendance record transcripts drop out letter school documentation admission counselors must document attempts to obtain Record 1 if the participant attained a secondary school diploma. ntake Application or Enrollment Form educational history. Record 2 if the participant attained a secondary school equivalency. Electronic Records Record 3 if the participant has a disability and attained a certificate of attendance completion as a Case notes result of successfully completing an Individualized Education Program IEP . Self- Attestation Record 4 if the participant completed one of more years of postsecondary education. Record 5 if the participant attained a postsecondary certification license or educational certificate X X X X X X X 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 Record 1 if the participant at program entry has not received a secondary school diploma or its Applicable records from education institution GED certificate diploma WIOA recognized equivalent and is attending any primary or secondary school including elementary attendance record transcripts drop out letter school documentation intermediate junior high school whether full or part-time or is between school terms and intends to ntake Application or Enrollment Form return to school. Electronic Records Record 2 if the participant at program entry has not received a secondary school diploma or its Case notes recognized equivalent and is attending an alternative high school or an alternative course of study Self-Attestation approved by the local educational agency whether full or part-time or is between school terms and is enrolled to return to school. 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. X X X X X X X X 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 Verification from Employer employment at the dislocation job. Rapid Response List Leave blank if there is no dislocation job e.g. displaced homemaker or this data element does not apply to the participant. X X X X X Notice of Layoff Public Announcement with Follow-Up Cross-Match with U Database Self-Attestation 411 Most Recent Date of Qualifying Separation Record the participant s most recent date of separation from trade-impacted employment that Verification from Employer qualifies the participant to receive benefits and or services 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 the participant. X Notice of Layoff Public Announcement with Follow-Up Cross-Match with U 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 recorded as 1 . Verification from Employer Worker List from Firm Cross-Match Leave blank if this data element does not apply to the participant. X X ntake Application or Enrollment Form Case notes Self-Attestation Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 5 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. 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. X Cross-Match with Public Assistance Records Cross-Match with State M S Database Employment Records Case notes Self-Attestation SECTION A.05 - PUBLIC ASSISTANCE INFORMATION 600 Temporary Assistance to Needy Families TANF Record 1 if the participant is listed on the welfare grant or has received cash assistance or other support services from the TANF agency in the last six months prior to participation in the program. Record 0 if the participant does not meet the condition described above. Leave blank if this data element does not apply to the participant. X X X X X X 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 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 . X X X X X 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 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. X X X X X SS SSD Receipt of Benefits Verification Referral Transmittal from SSA SS SSD 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. X X X X X SNAP Eligibility Verification Documentation of SNAP Benefit Receipt Referral Transmittal from SNAP Cross-Match For WIOA Adult DW WP DWG require only if participant has received Individualized Career Services or Training Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 6 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X X X X 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 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. X X Needs Assessment W C Eligibility Verification TANF Single Parent Eligibility Verification ntake Application or Enrollment Form ndividual Service Strategy Case notes Self-Attestation 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. X X See State policy on definition ntake Application or Enrollment Form Case notes Needs Assessment ndividual Service Strategy Self-Attestation 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. X X X X X X X X X Written Confirmation from Social Services Agency Case notes Foster Care Agency Referral Transmittal ntake Application or Enrollment Form Needs Assessment ndividual Service Strategy Self-Attestation 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. X X X X X X X X X X ntake Application or Enrollment Form Written Statement or Referral Transmittal from a Shelter or Social Service Agency Needs Assessment Case notes ndividual Service Strategy A letter from caseworker or support provider Self-Attestation 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. Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 7 of 40 Attachment II Source Documentation Data Data Element Name Requirements by Program Source Documentation at least one of the following Program Specific Parameters if applicable Element No. WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions 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 Apprenticeship 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. X X X X X X X X Documentation from the Huvenile or Adult Criminal Hustice System Written Statement or Referral Document from a Court or Probation Officer Referral Transmittal from a Reintegration Agency ntake Application or Enrollment Form Case notes Needs Assessment ndividual Service Strategy Federal Bonding Program Application Self-Attestation 802 Low Income Status at Program Entry WIOA Record 1 if the participant at program entry is a person who 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 prior to application to the program has received i Assistance through the supplemental nutrition assistance program SNAP under the Food and Nutrition Act of 2008 7 USC 2011 et seq. 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. iii Assistance through the supplemental security income program under Title XVI of the Social Security Act 42 USC 1381 or iv State or local income-based public assistance. 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 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 et seq. d Is a foster child on behalf of whom State or local government payments are made 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 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. X X X X X X X X X X Award Letter From Veteran s Administration Bank Statements Pay Stubs Compensation Award Letter Court Award Letter Pension Statement Employer Statement Contact Family or Business Financial Records ousing Authority Verification Quarterly Estimated Tax for Self-Employed Persons Social Security Benefits U Claim Documents Copy of Authorization to Receive Cash Public Assistance Copy of Public Assistance Check Public Assistance Eligibility Verification Cross-Match with Refugee Assistance Records Cross-Match with Public Assistance Records Cross-Match with U Wage Records Self-Attestation For WIOA Adult DW WP DWG require only if participant has received Individualized Career Services or Training For Youth Living in a High Poverty Area Case notes documenting High Poverty Area status. For Job Corps i Documented phone contact with case worker attesting to family receipt of cash payments from income-based public assistance ii A letter from caseworker or support provider attesting to the applicant s status as Homeless or documented attempts to obtain such a letter accompanied by a completed Statement of Support form describing how the applicant is being supported in the absence of any significant income iii A letter or other documentation from the U.S. Department of Agriculture verifying the applicant s eligibility for free or reduce lunch or written documentation from the last school attended by the applicant verifying the applicant s eligibility iv Letter from a caseworker or public agency personnel attesting to the status of the applicant as a Foster Child or documented phone contact with a caseworker or public agency personnel attesting to the status of the applicant v Tax returns or W-2s 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. X X X X X X X X X Assessment Test Results Applicable Records from Education nstitution transcripts or other school documentation ntake Application or Enrollment Form ndividual Service Strategy Case notes Self-Attestation 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. Record 0 if the participant does not meet the conditions described above. X X X X X X X X Assessment Test Results Applicable Records from Education nstitution transcripts academic assessments or other school documentation Case notes For WIOA Adult DW WP DWG require only if participant has received Individualized Career Services or Training 806 Single Parent at Program Entry WIOA Record 1 if the participant at program entry is single separated divorced or a widowed individual who has primary responsibility for one or more dependent children under age 18 including single pregnant women . Record 0 if the participant does not meet the condition described above. Record 9 if the participant did not self-identify. X X X X X X X X Needs Assessment TANF Single Parent Eligibility Verification ntake Application or Enrollment Form ndividual Service Strategy or Employment Plan Case notes Self-Attestation For Job Corps Birth certificate indicating applicant as parent Court decree indicating child support Any official government school form indicating dependent children AND Self-attestation on marital status Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 8 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 807 Displaced Homemaker at Program Entry WIOA Record 1 if the participant at program entry has been providing unpaid services to family members in the home and who A i has been dependent on the income of another family member but is 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 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 Code or pursuant to paragraph 4 of such section a call or order to active 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 as defined in section 101 16 of title 38 United States Code death or disability of the member and 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. X X X X ntake Application or Enrollment Form Cross-Match with Public Assistance Records Copy of Spouse s Layoff Notice Copy of Spouse s Death Record Copy of Spouse s Permanent Change of Station PCS Orders for a military move or assignment Copy of Divorce Records Copy of Applicable Court Records Copy of Bank Records showing financial dependence on spouse no separate individual income support or no employment income earned Needs Assessment ndividual Employment Plan Self-Attestation 808 Migrant and Seasonal Farmworker Status 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. Note This element is used both by the NFJP Program eligibility status type and by other programs to identify participants with this WIOA sec. 3 defined barrier to employment. X X X X X Cross-Match with Public Assistance Records NFHP Eligibility Documents used to determine low-income status Employer Contract Letter Program application Cross-Match with State M S Database Cross-Match with -1B Records Case notes Self-Attestation For NFJP Additionally when determining dependent status use the definition of dependent at 20 CFR 685.110. 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. X X X X X X X X X X X X ndividual 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. X X X X X X X X X X X X X X A copy of the letter sent to the individual indicating that the case was closed W OA status exit forms Electronic Records Attendance records Review of service records identifying the last qualifying service and lack of a planned gap For Grants funded by the National Apprenticeship Act Validate only for registered apprentices who have completed. Validate for all pre-apprentices as appropriate. Validate RA completions with a copy of the Certificate of Completion electronic record e.g. from the AI Demographic Portal or SAA system email or other written transmission from the Registration Agency stating the apprentice completed but has not yet received their Certificate of Completion . Validate for all pre-apprentices using documentation from educational or work experience provider including attendance records or a letter stating successful completion. 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. X X Cross-Match Case notes Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 9 of 40 Attachment II Source Documentation Data Data Element Name Requirements by Program Source Documentation at least one of the following Program Specific Parameters if applicable Element No. WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions 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 Apprenticeship 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 Cross-Match 14 youth program elements in WIOA 129 c 2 . Activity sheets Leave blank if the participant did not receive services funded by the WIOA Youth program. Sign-in sheets Attendance record X X Vendor contract Electronic Records Case notes ndividual Service Strategy 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 W OA 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. X X X X x X Signed ncumbent Worker Training agreement Cross-Match Case notes 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. X X X X Cross-Match Case notes Rapid Response List Self-Attestation 915 TAA Petition Number Record the petition number and full alphabetical suffix if applicable of the certification which applies Employer Worker List to the participant s group. If there is more than one petition number list all petition numbers in the Designation of Eligibility Form order in which they were received delimited by a pipe character i.e. . If there are more than three Case notes petition numbers list the first petition and the most recent two petition numbers. Leave blank if this data element does not apply to the participant. X 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. X X X X X X X X X X X X X nformation from partner services W OA or program status exit forms Electronic Records Withdrawal form with explanation nformation from institution or facility Case notes This is a Joint Element with the Department of Education as outlined in TEGL 7-18 File documentation with notes from program staff nformation from partner services W OA status exit forms Electronic Records Withdrawal form with explanation nformation from institution or facility The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. Record 00 if the participant meets none of the above conditions. Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 10 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 924 TAA Application Date Record the date on which the individual first applied for Trade Act services benefits under the applicable certification. X Cross-Match Designation on Eligibility form TAA Application Form Electronic Records 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. X Case notes Cross-Match Electronic Records SECTION C - ONE STOP SERVICES AND ACTIVITIES SECTION C.01 - GENERAL SERVICES OVERVIEW 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. X X X X X Case notes Cross-Match Electronic Records 1002 Most Recent Date Received Basic Career Services Self-Service Information-Only 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. X X X X X Case notes Cross-Match Electronic Records 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. X X X X X Case notes Cross-Match 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. X X X X X X Case notes Cross-Match 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. X X X X X Case notes Cross-Match Electronic Records 1006 Date Referred to Department of Veterans Affairs Vocational Rehabilitation and Employment Program Record the most recent date on which the participant was referred to the Department of Veterans Affairs Vocational Rehabilitation and Employment Program. X X X X X Case notes Cross-Match Electronic Records 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. X X X X X X X Case notes Cross-Match Electronic Records SECTION C.02 - BASIC CAREER SERVICES 1102 Most Recent Date Received Staff-Assisted Career Guidance Services Record the most recent date on which the participant received career guidance services with significant staff involvement. Career guidance services include the provision of information Including information on local performance and eligible training providers materials suggestions or advice intended to assist the job seeker in making occupation or career decisions. Leave blank if the participant did not receive a career guidance service. X Case notes Cross-Match Electronic Records Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 11 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 1104 Most Recent Date Received Staff-Assisted Job Search Activities Record the most recent date that the participant was provided job search activities with significant staff involvement and which are designed to help the participant plan and carry out a successful job hunting strategy. The services include resume preparation assistance job search workshops job finding clubs and development of a job search plan. Resume Assistance - Providing instructions on the content and format of resumes and cover letters and providing assistance in the development and production of the same. Job Search Workshops - An organized activity that provides instructions on resume writing application preparation interviewing skills and or job lead development. Job Finding Clubs - Have all the elements of a Job Search Workshop plus a period of structured application where participants attempt to obtain jobs. Job Search Planning - Development of a plan not necessarily a written plan that includes the necessary steps and timetables to achieve employment in specific occupational industry or geographic area. Leave blank if the participant did not receive a job search activity with significant staff involvement. Additional Note This definition excludes participants who receive workforce information services or attend a TAP employment workshop. Those services will be collected and reported separately. X Case notes Cross-Match Electronic Records 1105 Most Recent Date Referred to Employment Indicate the most recent date that the participant received a referral to employment which included significant staff involvement. A referral to employment is a the act of bringing to the attention of an employer a job seeker or group of registered job seekers who are available for a job and b the record of such a referral. Leave blank if the participant did not receive a referral to employment. X Case notes Cross-Match Electronic Records 1106 Most Recent Date Referred to Federal Training Record the most recent date that the participant was referred to a training program supported by the Federal Government such as WIOA-funded projects TAA Adult Education Vocational Rehabilitation and Job Corps. Leave blank if the participant did not receive a referral to federal training. X Case notes Cross-Match Electronic Records 1112 Most Recent Date Received Unemployment Insurance UI Claim Assistance Indicate the most recent date a job seeker was provided meaningful assistance in filing a UI claim. Leave blank if the participant did not receive unemployment insurance claim assistance. X Case notes Cross-Match Electronic Records 1113 Most Recent Date Referred to Other Federal State Assistance Record the most recent date a job seeker was referred to Other Federal State Assistance. This may include Supplemental Nutrition Assistance Program SNAP benefits Temporary Assistance for Needy Families TANF health insurance assistance child support assistance tax preparation support and any other Federal or State assistance programs. Leave blank if the participant was not referred to Other Federal State assistance. X Case notes Cross-Match 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. X X X X X Case notes Cross-Match 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 . X X X X X Case notes Cross-Match Electronic Records Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 12 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X X X X X X X Cross-Match Case notes ndividual Employment Plan or ndividual 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. X X X X X X X X 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. X X X X X X Activity sheets Sign-in sheets Attendance record Vendor contract Case notes 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. X X X Electronic Records Case notes Signed Transitional Hob Agreement SECTION C.04 - TRAINING SERVICES 1300 Received Training WIOA Record 1 if the participant received training services as defined by program specific guidance. Record 0 if the participant did not receive training services. X X X X X X X X X X Cross-Match Vendor Training Provider Records Signed Training Contract ndividual Training Account Electronic Records 1301 Eligible Training Provider - Name - Training Service 1 WIOA Enter the name of the eligible training provider where the participant received training. Leave blank if this data element does apply to the participant. X X X Vendor Training Records Receipts Cross-Match Attendance Sheets or Records Signed Training Contract ndividual Training Account 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. X X X X X X X X X X ndividual Training Account Vendor Training Records Electronic Records Attendance Sheets or Records Case notes Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 13 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X X X X X X X X X X X X Copy of enrollment record Case notes Cross-Match between dates of service and vendor training information Vendor training documentation Electronic Records ndividual Training Account Attendance records This is a Joint Element with the Department of Education as outlined in TEGL 7-18 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 ndividual Training Account Attendance records The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. 1306 Occupational Skills Training Code 1 Enter the 8 digit O NET SOC 2019 taxonomy occupational code database version 25.1 or later that matches the training participant s employment goal. Note If all 8 digits of the O NET occupational code are not collected record at least the first 6 digits. X X X X X X X X X Cross-Match Case notes Signed ndividual Employment Plan or Training Plan Signed Training Contract ndividual Training Account Grantees funded under the National Apprenticeship Act may also include ETA 671 or the SAA equivalent printout from the RAPIDS AI Apprentice Information Demographic Portal or page 1 of the relevant Appendix A providing the OST code 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. X X X X X X X X X X Cross-Match Vendor Training Records Attendance Sheets or Records Case notes Electronic Record ndividual Training Account 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. X X X X X X X X X X Cross-Match Vendor Training Records Attendance Sheets or Records Case notes Electronic Record 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. X X X X X X X X X ndividual Training Account Vendor Training Records Electronic Record Attendance Sheets or Records Case notes 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. X X X X X X X X X X X Copy of enrollment record Case notes Cross-Match between dates of service and vendor training information Vendor training documentation Electronic Records ndividual Training Account Attendance records This is a Joint Element with the Department of Education as outlined in TEGL 7-18 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 ndividual Training Account Attendance records The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. 1311 Occupational Skills Training Code 2 Enter the 8 digit O NET SOC 2019 taxonomy occupational code database version 25.1 or later that matches the training participant s employment goal. Note If all 8 digits of the O NET occupational code are not collected record at least the first 6 digits. X X X X X X Cross-Match Case notes Signed ndividual Employment Plan or Training Plan Signed Training Contract ndividual Training Account Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 14 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X X X X X X X Cross-Match Vendor Training Records Attendance Sheets or Records Case notes Electronic Record ndividual Training Account 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. X X X X X X X X X Cross-Match Vendor Training Records Attendance Sheets or Records Case notes Electronic Record ndividual Training Account 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. X X X X X X X X X ndividual Training Account Vendor Training Records Electronic Record Attendance Sheets or Records Case notes 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 record the last or most recent training services received by the participant in this field. X X X X X X X X X X X Copy of enrollment record Case notes Cross-Match between dates of service and vendor training information Vendor training documentation Electronic Records ndividual Training Account Attendance records This is a Joint Element with the Department of Education as outlined in TEGL 7-18 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 ndividual Training Account Attendance records The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. 1316 Occupational Skills Training Code 3 Enter the 8 digit O NET SOC 2019 taxonomy occupational code database version 25.1 or later that matches the training participant s employment goal. Note If all 8 digits of the O NET occupational code are not collected record at least the first 6 digits. X X X X X X Cross-Match Case notes Signed ndividual Employment Plan or Training Plan Signed Training Contract ndividual Training Account 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. X X X X X X X X Cross-Match Vendor Training Records Attendance Sheets or Records Case notes Electronic Records ndividual Training Account 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. X X X X X X X X X Cross-Match Vendor Training Records Attendance Sheets or Records Case notes Electronic Records ndividual Training Account 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. X X X X Cross-Match Case notes ndividual Training Account Approval Allocation or Activation Records Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 15 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X Waiver Documentation in Case File that includes initial approval and renewals at 30 day intervals Cross-Match with State U Records of TRA Checks Verification Form from U 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. X Cross-Match 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. X Waiver Documentation in Case File Cross-Match with State U Database Verification Form from U 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 in a postsecondary education program that leads to a credential or degree from an accredited postsecondary education institution during program participation which includes if the participant was enrolled in a postsecondary education program that does not lead to a credential or degree from an accredited postsecondary education institution at any point during program participation. Leave blank if the participant was not in a postsecondary education program as defined in program specific guidance. 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. X X X X X X X X X X X Data match with postsecondary data system Copy of enrollment record Case notes School records or verification of enrollment Transcript or report card This is a Joint Element with the Department of Education as outlined in TEGL 7-18 Data match with postsecondary data system Copy of enrollment record File documentation with notes from program staff School records Transcript or report card The source documentation TEGL 23-19 Change 1 is a clarification for DOL funded grants and not a revision of the Joint guidance. 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. X X X X X X X X X X X Copy of enrollment record Case notes School records or verification of enrollment Transcript or report card Data match to State K-12 data system This is a Joint Element with the Department of Education as outlined in TEGL 7-18 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 The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. 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. X X Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes Cross-Match 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. X X Cross-Match Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 16 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X X Cross-Match Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes 1406 Date Enrolled in Post Exit Education or Training Program Leading to a Recognized Postsecondary Credential WIOA Record the first date after exit that the participant enrolled in or attended an education or training program that leads to a recognized postsecondary credential after program exit. 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. X X X X X X X X X Case notes School records or verification of enrollment Transcript or report card Cross-Match Follow-up survey from program participants This is a Joint Element with the Department of Education as outlined in TEGL 7-18 Copy of enrollment record File documentation with notes from program staff School records Transcript or report card Data match with postsecondary data system The source documentation TEGL 23-19 Change 1 is a clarification for DOL funded grants and not a revision of the Joint guidance. 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. X X Cross-Match Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes 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. X X Cross-Match Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes 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. X X X X X X Cross-Match Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes 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. X X Cross-Match Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 17 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X X Cross-Match Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes 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. X X Cross-Match Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes 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. X X Cross-Match Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes 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. X X Cross-Match Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes 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. X X Cross-Match Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes 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. X X X X X X Cross-Match Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 18 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 1511 Date Received First Basic TRA payment Record the date on which the participant received their first Basic TRA payment. Leave blank if the participant did not receive a Basic TRA Payment or if the individual is not a TAA participant. X Cross-Match Request for allowance Electronic Records 1526 Date Received First Completion TRA Payment Record the date on which the participant received their first Completion TRA payment. Leave blank if the participant did not receive a Remedial Prerequisite TRA Payment or if the individual is not a TAA participant. X Cross-Match 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. X Cross-Match Request for allowance Electronic Records 1535 Number of A RTAA Payments Current Quarter Record the number of A RTAA payments paid to the participant in the current report quarter. 0 if this data element does not apply to the participant Leave blank if the individual is not a TAA participant X Cross-Match Request for allowance Electronic Records SECTION D - PROGRAM OUTCOMES INFORMATION SECTION D.01 - EMPLOYMENT AND JOB RETENTION DATA 1600 Employed in 1st Quarter After Exit Quarter WIOA Record 1 if the participant is in unsubsidized employment not including Registered Apprenticeship or the military. Record 2 if the participant is in a Registered Apprenticeship. Record 3 if the participant is in the military. Record 0 if the participant was not employed in the first quarter after the quarter of exit. Record 9 if the participant has exited but employment information is not yet available. X X X X X X X X X X X U 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 RS 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 This is a Joint Element with the Department of Education as outlined in TEGL 7-18 U 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 RS 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 The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. 1601 Type of Employment Match 1st Quarter After Exit Quarter WIOA 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. Wage records will be the primary data source for tracking employment in the first 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 first quarter after the quarter of exit. X X X X X X X X X X Consistent with TEGL 26-16 Cross-Match with State and Out-of-State U 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 ires 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 ncome 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 RS 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 This is a Joint Element with the Department of Education as outlined in TEGL 7-18 U 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 RS 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 The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 19 of 40 Attachment II Source Documentation Data Data Element Name Requirements by Program Source Documentation at least one of the following Program Specific Parameters if applicable Element No. WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions 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 Apprenticeship 1602 Employed in 2nd Quarter After Exit Quarter Record 1 if the participant is in unsubsidized employment not including Registered Apprenticeship or U wage data match administrative wage match such as the National This is a Joint Element with the Department of Education as WIOA the military. Directory of New Hires outlined in TEGL 7-18 Record 2 if the participant is in a Registered Apprenticeship. Follow-up survey from program participants U wage data match Record 3 if the participant is in the military. Pay check stubs tax records W2 form Follow-up survey from program participants Record 0 if the participant was not employed in the second quarter after the quarter of exit. Quarterly tax payment forms such as a RS form 941 Pay check stubs tax records W2 form Record 9 if the participant has exited but employment information is not yet available. Document from employer on company letterhead attesting to an individual s Wage record match employment status and earnings Quarterly tax payment forms such as an RS form 941 Self-employment worksheets signed and attested to by program participants Document from employer on company letterhead attesting to X X X X X X X X X X X X X X Detailed case notes verified by employer and signed by the counselor 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 The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. 1603 Type of Employment Match 2nd Use the appropriate code to identify the method used in determining the participant s employment Consistent with TEGL 26-16 Quarter After Exit Quarter status in the second quarter following the quarter of exit. Wage records will be the primary data Cross-Match with State and Out-of-State U Quarterly Wage Records WIOA source for tracking employment in the second quarter after the exit quarter. If the participant is not intrastate and interstate found in wage records grantees may then use supplemental data sources. If the participant is found Federal Government Employment Records such as military employment in more than one source of employment using wage records record the data source for which the Department of Defense Office of Personnel Management and US Postal participant s earnings are greatest. Service Record 0 if the participant was not employed in the second quarter after the quarter of exit. Cross-Match with Federal Administrative Wage Record Databases such as the National Directory of New Hires State New ires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and Earnings Statements X X X X X X X X X X X X minimum of two per TEGL 26-16 ncome 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 RS 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 1604 Employed in 3rd Quarter After Exit Quarter WIOA Record 1 if the participant is in unsubsidized employment not including Registered Apprenticeship or the military . Record 2 if the participant is in a Registered Apprenticeship. Record 3 if the participant is in the military. Record 0 if the participant was not employed in the third quarter after the quarter of exit. Record 9 if the participant has exited but employment information is not yet available. X X X X X X X X X X X U 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 RS 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 This is a Joint Element with the Department of Education as outlined in TEGL 7-18 U 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 RS 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 The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 20 of 40 Attachment II Source Documentation Data Data Element Name Requirements by Program Source Documentation at least one of the following Program Specific Parameters if applicable Element No. WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions 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 Apprenticeship 1605 Type of Employment Match 3rd Quarter After Exit Quarter Use the appropriate code to identify the method used in determining the participant s employment Consistent with TEGL 26-16 WIOA status in the third quarter following the quarter of exit. Wage records will be the primary data source Cross-Match with State and Out-of-State U Quarterly Wage Records for tracking employment in the third quarter after the exit quarter. If the participant is not found in the intrastate and interstate wage records grantees may then use supplemental data sources. If the participant is found in more Federal Government Employment Records such as military employment than one source of employment using wage records record the data source for which the participant s Department of Defense Office of Personnel Management and US Postal earnings are greatest. Service Record 0 if the participant was not employed in the third quarter after the quarter of exit. Cross-Match with Federal Administrative Wage Record Databases such as the National Directory of New Hires State New ires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and Earnings Statements X X X X X X X X X X minimum of two per TEGL 26-16 ncome 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 RS 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 U wage data match administrative wage match such as the National Directory This is a Joint Element with the Department of Education as WIOA the military. of New Hires outlined in TEGL 7-18 Record 2 if the participant is in a Registered Apprenticeship. Follow-up survey from program participants U wage data match Record 3 if the participant is in the military. Pay check stubs tax records W2 form Follow-up survey from program participants Record 0 if the participant was not employed in the fourth quarter after the quarter of exit. Quarterly tax payment forms such as a RS form 941 Pay check stubs tax records W2 form Record 9 if the participant has exited but employment information is not yet available. Document from employer on company letterhead attesting to an individual s Wage record match employment status and earnings Quarterly tax payment forms such as an RS form 941 Self-employment worksheets signed and attested to by program participants Document from employer on company letterhead attesting to X X X X X X X X X X X X X X Detailed Case notes verified by employer and signed by the counselor 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 The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. 1607 Type of Employment Match 4th Quarter After Exit Quarter Use the appropriate code to identify the method used in determining the participant s employment Consistent with TEGL 26-16 WIOA status in the fourth quarter following the quarter of exit. Wage records will be the primary data source Cross-Match with State and Out-of-State U Quarterly Wage Records for tracking employment in the fourth quarter after the exit quarter. If the participant is not found in intrastate and interstate the wage records grantees may then use supplemental data sources. If the participant is found in Federal Government Employment Records such as military employment more than one source of employment using wage records record the data source for which the Department of Defense Office of Personnel Management and US Postal participant s earnings are greatest. Service Record 0 if the participant was not employed in the fourth quarter after the quarter of exit. Cross-Match with Federal Administrative Wage Record Databases such as the National Directory of New Hires State New ires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and Earnings Statements X X X X X X X X X X X X minimum of two per TEGL 26-16 ncome 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 RS 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 Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 21 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 1608 Employment Related to Training 2nd Quarter After Exit WIOA Record 1 if the participant received training services and obtained employment directly related to the training services received. Record 0 if the participant received training services and obtained employment but the employment was not directly related to the training services received. Record 9 if the participant received training services and obtained employment but it is unknown if the employment was directly related to the training services received. Leave blank if the participant did not receive training or has not exited or the employment information is not yet available. X X X X X X X U Wage Records Supplemental data sources defined by TEGL 26-16 follow up services Surveys Record sharing and or automated record matching with other federal employment and administrative databases Other out of state federal wage record systems Case notes 1610 Occupational Code 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. This information can be based on any job held after exit from the program. Leave blank if occupational code is not available or not known or the data element does not apply. Additional Notes This information can be based on any job held after exit and only applies to adults dislocated workers and youth who entered employment in 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. X X X X X U Wage Records Supplemental data sources defined by TEGL 26-16 follow up services Surveys Record sharing and or automated record matching with other federal employment and administrative databases Other out of state federal wage record systems Case notes 1611 Entered Non-Traditional Employment Record 1 if the participant s employment is in an occupation or field of work for which individuals of the participant s gender comprise less than 25 of the individuals employed in such occupation or field of work. Non-traditional employment can be based on either local or national data and both males and 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 youth who entered employment in the second quarter after the exit quarter. Record 0 if the participant does not meet the condition described above. Record 9 if not known. X X X U Wage Records Supplemental data sources defined by TEGL 26-16 follow up services Surveys Record sharing and or automated record matching with other federal employment and administrative databases Other out of state federal wage record systems Case notes 1612 nd Occupational Code of Employment 2Quarter 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. X X X X U Wage Records Supplemental data sources defined by TEGL 26-16 follow up services Surveys Record sharing and or automated record matching with other federal employment and administrative databases Other out of state federal wage record systems Case notes 1613 th Occupational Code of Employment 4Quarter 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. X X X X U Wage Records Supplemental data sources defined by TEGL 26-16 follow up services Surveys Record sharing and or automated record matching with other federal employment and administrative databases Other out of state federal wage record systems Case notes 1614 Industry Code of Employment 1st 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 1st 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. X X X X X U Wage Records Supplemental data sources defined by TEGL 26-16 follow up services Surveys Record sharing and or automated record matching with other federal 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. X X X X X U Wage Records Supplemental data sources defined by TEGL 26-16 follow up services Surveys Record sharing and or automated record matching with other federal employment and administrative databases Other out of state federal wage record systems Case notes Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 22 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 1616 Industry Code of Employment 3rd Quarter After Exit Quarter Record the 4 to 6-digit industry code that best describes the participant s employment using the North U Wage Records American Industrial Classification System NAICS . If more than one NAICS is reported then the NAICS Supplemental data sources defined by TEGL 26-16 follow up services associated with the highest gross wage should be reported. Surveys Enter 999999 if Wages 3rd 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 X X X X X Record sharing and or automated record matching with other federal employment and administrative databases Other out of state federal wage record systems Case notes 1617 Industry Code of Employment 4th 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 4th 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. X X X X X U Wage Records Supplemental data sources defined by TEGL 26-16 follow up services Surveys Record sharing and or automated record matching with other federal employment and administrative databases Other out of state federal wage record systems Case notes 1618 Retention with the same employer in the 2nd Quarter and the 4th Quarter WIOA Record 1 if the participant s employer in the second quarter also matches the employer in the fourth quarter. Record 0 if the participant is not employed in the second or fourth quarters after exit or the employer in the second quarter does not match the employer in the fourth quarter X X X X X X X X X X X Consistent with TEGL 26-16 Cross-Match with State and Out-of-State U 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 ires 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 ncome Tax Records W-2 Form or Other Records from the State Department For H-1B grantees - ETA performs UI wage data match on behalf of grantees for Retention with the same employer in the 2nd Quarter and the 4th Quarter WIOA primary indicator of performance measure. of Revenue or Taxation Railroad Retirement System Quarterly Tax Payment Forms such as RS Form 941 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 Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 23 of 40 Attachment II Source Documentation Data Data Element Name Requirements by Program Source Documentation at least one of the following Program Specific Parameters if applicable Element No. WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions 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 Apprenticeship 1700 Earnings 3rd Quarter Prior to Participation Quarter Record total earnings from wage records for the third quarter prior to the quarter of participation. Leave blank if data element does not apply to the participant. X X X X X Consistent with TEGL 26-16 Cross-Match with State and Out-of-State U 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 ires 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 ncome 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 RS Form 941 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 1701 Earnings 2nd Quarter Prior to Participation Quarter Record total earnings from wage records for the second quarter prior to the quarter of participation. Leave blank if data element does not apply to the participant. X X X X X Consistent with TEGL 26-16 Cross-Match with State and Out-of-State U 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 ires 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 ncome 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 RS Form 941 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 Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 24 of 40 Attachment II Source Documentation Data Data Element Name Requirements by Program Source Documentation at least one of the following Program Specific Parameters if applicable Element No. WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions 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 Apprenticeship 1702 Earnings 1st Quarter Prior to Participation Quarter Record total earnings from wage records for the first quarter prior to the quarter of participation. Leave blank if data element does not apply to the participant. X X X X X X Consistent with TEGL 26-16 Cross-Match with State and Out-of-State U 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 ires 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 ncome 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 RS Form 941 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 1703 Earnings 1st Quarter After Exit Quarter Record total earnings for the first quarter after the quarter of exit. Consistent with TEGL 26-16 WIOA Record 999999.99 if data is are not yet available for this item. Cross-Match with State and Out-of-State U Quarterly Wage Records Leave blank if data element does not apply to the participant. 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 ires Registry Signed Follow-up Survey Response from Program Participants Copy of Pay Check Stubs Payroll Slip or Leave and Earnings Statements X X X X X X X X X minimum of two per TEGL 26-16 ncome 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 RS Form 941 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 Earnings 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. X X X X X X X X X X X X X X U 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 RS 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 non-state Apprenticeship grantees ETA performs U wage data match on behalf of grant recipients. This is a Joint Element with the Department of Education as outlined in TEGL 7-18 U 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 RS 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 The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 25 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 1705 Earnings 3rd Quarter After Exit Quarter Record total earnings for the third quarter after the quarter of exit. Consistent with TEGL 26-16 WIOA Record 999999.99 if data is not yet available for this item. Cross-Match with State and Out-of-State U Quarterly Wage Records Leave blank if data element does not apply to the participant 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 ires Registry Signed Follow-up Survey Response from Program Participants X X X X X X X X X Copy of Pay Check Stubs Payroll Slip or Leave and Earnings Statements minimum of two per TEGL 26-16 ncome 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 RS Form 941 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 1706 Earnings 4th Quarter After Exit Quarter Record total earnings for the fourth quarter after the quarter of exit. Consistent with TEGL 26-16 For -1B grantees- ETA performs U wage data match on behalf WIOA Record 999999.99 if data is not yet available for this item. Cross-Match with State and Out-of-State U Quarterly Wage Records of grantees. Leave blank if data element does not apply to the participant. intrastate and interstate For non-state Apprenticeship grantees ETA performs U wage Federal Government Employment Records such as military employment data match on behalf of grant recipients. 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 ires Registry Signed Follow-up Survey Response from Program Participants X X X X X X X X X X X X Copy of Pay Check Stubs Payroll Slip or Leave and Earnings Statements minimum of two per TEGL 26-16 ncome 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 RS Form 941 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. 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. X X X X X X X X X X X X X X Cross-Match Copy of credential Copy of school record Follow-up survey from program participants Case notes documenting information obtained from education or training provider This is a Joint Element with the Department of Education as outlined in TEGL 7-18 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 The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 26 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 1801 Date Attained Recognized Credential WIOA Record the date on which the participant attained a recognized credential. Leave blank if the participant did not attain a degree or certificate. X X X X X X X X X X X X X X Cross-Match Copy of credential Copy of school record Follow-up survey from program participants Case notes documenting information obtained from education or training provider This is a Joint Element with the Department of Education as outlined in TEGL 7-18 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 The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. For grants funded under the National Apprenticeship Act validate month and year only. 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 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 programs. X X X X X X X X X X x Cross-Match Copy of credential Copy of school record Follow-up survey from program participants Case notes documenting information obtained from education or training provider 1803 Date Attained Recognized Credential 2 WIOA Record the date on which the participant attained a second recognized credential. Leave blank if the participant did not attain a second recognized credential or if this data element does not apply. X X X X X X X X X X X Cross-Match Copy of credential Copy of school record Follow-up survey from program participants Case notes documenting information obtained from education or training provider For grants funded under the National Apprenticeship Act validate month and year only. 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 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 programs. X X X X X X X X X X Cross-Match Copy of credential Copy of school record Follow-up survey from program participants Case notes documenting information obtained from education or training provider 1805 Date Attained Recognized Credential 3 WIOA Record the date on which the participant attained a third recognized credential. Leave blank if the participant did not attain a third recognized credential or if this data element does not apply. X X X X X X X X X X Cross-Match Copy of credential Copy of school record Follow-up survey from program participants Case notes documenting information obtained from education or training provider 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. X X X X X X X X X X Pre- and post-test results measuring EFL gain Adult igh 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 Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 27 of 40 Attachment II Source Documentation Data Data Element Name Requirements by Program Source Documentation at least one of the following Program Specific Parameters if applicable Element No. WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions 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 Apprenticeship 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. X X X X X X X X X X Transcript Report Card For Grants funded by the National Apprenticeship Act Validate only as appropriate e.g. for pre-apprentices high school apprentices . 1808 Date of Most Recent Measurable Skill Gains Secondary Transcript Report Card Record the most recent date of the participant s transcript or report card for secondary education for Transcript For Grants funded by the National Apprenticeship Act Validate WIOA one semester showing that the participant is meeting the State unit s academic standards. Report Card only as appropriate e.g. for pre-apprentices high school Leave blank if this data element does not apply to the participant. X X X X X X X X X X apprentices . 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. X X X X X X X X X X X X Documentation of a skill gained through OHT or Registered Apprenticeship Contract and or evaluation from employer or training provider documenting a skill gain Progress report from employer documenting a skill gain For Grants funded by the National Apprenticeship Act Also include proof of wage increase. This is a Joint Element with the Department of Education as outlined in TEGL 7-18 OHT or Registered Apprenticeship Contract and or evaluation from employer or training provider The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. 1810 Date of Most Recent Measurable Skill Gains Skills Progression Record the most recent date the participant successfully completed an exam that is required for a Results of knowledge-based exam or certification of completion For Grants funded by the National Apprenticeship Act Also WIOA particular occupation or progress in attaining technical or occupational skills as evidenced by trade- Documentation demonstrating progress in attaining technical or occupational include proof of wage increase and copy of interim credential. related benchmarks such as knowledge-based exams. skills through an exam or benchmark attainment This is a Joint Element with the Department of Education as Leave blank if this data element does not apply to the participant. Documentation from training provider or employer outlined in TEGL 7-18 Copy of a credential that is required for a particular occupation and only is Results of knowledge-based earned after the passage of an exam exam or certification of completion. Documentation demonstrating progress in attaining technical X X X X X X X X X X X X or occupational skills 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 The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. 1811 Date Enrolled During Program Participation in an Education or Training Program Record the date the participant was enrolled during program participation in an education or training Case notes This is a Joint Element with the Department of Education as Leading to a Recognized Postsecondary Credential or Employment program that either 1 leads to a recognized credential including a secondary education program or School records or verification of enrollment outlined in TEGL 7-18 WIOA 2 a training program that leads to employment as defined by the core program in which the Transcript or report card Copy of enrollment record participant participates. States may use this coding value if the participant was either already enrolled Cross-Match File documentation with notes from program staff in education or training at the time of program entry or became enrolled in education or training at School records any point while participating in the program. If the participant was enrolled in postsecondary Transcript or report card. education at program entry the date in this field should be the date of Program Entry. This includes Data match with postsecondary data system but is not limited to participation in Job Corps YouthBuild a Registered Apprenticeship program The source documentation TEGL 23-19 Change 2 is a Adult Education or secondary education programs. X X X X X X X X X X X clarification for DOL funded grants and not a revision of the Joint guidance. 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. Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 28 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 1812 School Status at Exit Record 1 if the participant has not received a secondary school diploma or its recognized equivalent and is attending any secondary school including elementary intermediate junior high school whether full or part-time or is between school terms and intends to return to school. Record 2 if the participant has not received a secondary school diploma or its recognized equivalent and is attending an alternative secondary school or an alternative course of study approved by the local educational agency whether full or part-time. Record 3 if the participant 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 intends to return to school. Cross-Match Copy of Diploma Credential or Degree Awarded by Education nstitution Applicable Records from Education nstitution GED certificate transcripts report card enrollment record or other school documentation Signed File Documentation with nformation Obtained from Education or Training Provider Case notes Self-Attestation 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 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. X 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 completes during program participation either 1 an education or training program that leads to a recognized credential including a secondary education program or 2 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. X X X X X X X X X Cross-Match Copy of Diploma Credential or Degree Awarded by Education nstitution Applicable Records from Education nstitution GED certificate transcripts report card enrollment record or other school documentation Signed File Documentation with nformation Obtained from Education or Training Provider Case notes Self-Attestation 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. 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 . Cross-Match This is a Joint Element with the Department of Education as Title I Record 2 if the participant is enrolled in postsecondary education. Copy of registration record outlined in TEGL 7-18 WIOA Record 3 if the participant is enrolled in secondary education. Case notes Cross-Match with other agencies Record 0 if the participant was not placed in any of the above conditions. School records or verification of enrollment Copy of enrollment record Transcript or report card File documentation with notes from program staff X X X X X Vendor training provider training documentation School records Transcript or report card Vendor training provider training documentation The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. 1901 Youth 4th Quarter Placement Record 1 if the participant is enrolled in occupational skills training including advanced training . Cross-Match This is a Joint Element with the Department of Education as Title I Record 2 if the participant is enrolled in postsecondary education. Copy of registration record outlined in TEGL 7-18 WIOA Record 3 if the participant is enrolled in secondary education. Case notes Cross-Match with other agencies Record 0 if the participant was not placed in any of the above conditions. School records or verification of enrollment Copy of enrollment record Transcript or report card File documentation with notes from program staff X X X X X Vendor training provider training documentation School records Transcript or report card Vendor training provider training documentation The source documentation TEGL 23-19 Change 2 is a clarification for DOL funded grants and not a revision of the Joint guidance. Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 29 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X Cross-Match between State M S Database and Attendance Sheets or Records Vendor Training Records with Follow-up Cross-Match to State M S Database Case notes with Follow-up Cross-Match to State M S Database 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. X U 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 RS form 941 Signed 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 and received no other services. Record 2 if the participant received disaster relief employment and received Employment and Training services Career and Training services . Record 3 if the participant received Employment and Training services Career and Training services only and did not receive disaster relief employment. Record 0 if the participant did not receive services under a Disaster Recovery DWG. X U 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 RS form 941 Signed 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 State M S Grantee Electronic M S 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. X 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 nstitution Case notes Self-Attestation 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. X Activity sheets Sign-in sheets Attendance record Vendor contract Electronic Records Case notes W OA 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. X Activity sheets Sign-in sheets Attendance record Vendor records Electronic Records Case notes Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 30 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X 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 ndividual Training Account Attendance records 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. X Copy of enrollment record File documentation with notes from program staff Cross-Match between dates of service and vendor training information Vendor training documentation State M S or Grantee Electronic Records ndividual Training Account Attendance records 2111 Tertiary Type of Training Service for Training Activity 1 Use the appropriate code to indicate the tertiary type of training being provided to the participant if applicable. Leave blank if the participant is not enrolled in a Tertiary Type of Training Service for Training Activity 1. X Copy of enrollment record File documentation with notes from program staff Cross-Match between dates of service and vendor training information Vendor training documentation State M S or Grantee Electronic Records ndividual Training Account Attendance records 2112 Primary Type of Training Service for Training Activity 2 Use the appropriate code to indicate the primary type of training being provided to the participant during their second training service. Leave blank if the participant is not enrolled in a Primary Type of Training Service for Training Activity 2. X Copy of enrollment record File documentation with notes from program staff Cross-Match between dates of service and vendor training information Vendor training documentation State M S or Grantee Electronic Records ndividual 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. X Copy of enrollment record File documentation with notes from program staff Cross-Match between dates of service and vendor training information Vendor training documentation State M S or Grantee Electronic Records ndividual 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. X Copy of enrollment record File documentation with notes from program staff Cross-Match between dates of service and vendor training information Vendor training documentation State M S or Grantee Electronic Records ndividual Training Account Attendance records 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. X Copy of enrollment record File documentation with notes from program staff Cross-Match between dates of service and vendor training information Vendor training documentation State M S or Grantee Electronic Records ndividual Training Account Attendance records Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 31 of 40 Attachment II Source Documentation Data Data Element Name Requirements by Program Source Documentation at least one of the following Program Specific Parameters if applicable Element No. WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions 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 Apprenticeship 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. X Copy of enrollment record File documentation with notes from program staff Cross-Match between dates of service and vendor training information Vendor training documentation State M S or Grantee Electronic Records ndividual 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. X Copy of enrollment record File documentation with notes from program staff Cross-Match between dates of service and vendor training information Vendor training documentation State M S or Grantee Electronic Records ndividual 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. X U wage data match Signed Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an RS 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. X U wage data match Signed Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an RS 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 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. X U wage data match Signed Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an RS 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 Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 32 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X U wage data match Signed Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an RS 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. X U wage data match Signed Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an RS 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. X U wage data match Signed Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an RS 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 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. X U wage data match Signed Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an RS 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 After Training Program Completion 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 not yet entered employment X U wage data match Signed Follow-up survey from program participants Pay check stubs tax records W2 form Wage record match Quarterly tax payment forms such as an RS 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.03 - National Farmworker Jobs Program Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 33 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 2212 Housing Services Record 1 if the participant received temporary housing services as described in 20 CFR 685.360 Record 2 if the participant received permanent housing services as described in 20 CFR 685.360 Record 3 if the participant received both temporary housing services as described in 20 CFR 685.360 and permanent housing services as described in 20 CFR 685.360. Record 0 if the participant did not receive any housing services. X Program application Receipt of Services ousing Services Contract Case notes 2232 Family status for NFJP Housing Services WIOA Sec. 167 Record 1 if the individual is an eligible MSFW and the individual does not reside with a Family and receives NFJP funded permanent or temporary housing services. Record 2 if the individual is an eligible MSFW and the individual resides with a Family and receives NFJP funded permanent housing services or temporary housing services. Record 3 if the individual is not an eligible MSFW and the individual does not reside with a Family and receives NFJP funded permanent housing services. Record 4 if the individual is not an eligible MSFW and the individual resides with a Family and receives NFJP funded permanent housing services. X Program application Receipt of Services ousing Services Contract Case notes 3008 Family Unit Size Record the number of individuals including the participant that live with the individual and are a part of the individual s family as defined by 20 CFR 685.110. X Program application Receipt of Services ousing Services Contract Case notes 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. X Certificate of Degree of ndian Blood CD B card or letter Tribal Enrollment Card Letter or card from B A 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 Program. Record 0 if the participant does not meet the conditions described above. Record all that apply if the participant is receiving more than one type of public assistance. X 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. X Direct Referral from Hustice System Verification from Hustice System Case notes Self-Attestation 2401 Employment Status at Incarceration Record 1 if the participant was working in unsubsidized employment upon incarceration not including Registered Apprenticeship or the Individual Training Account. Record 2 if the participant was in a Registered Apprenticeship upon incarceration. Record 3 if the participant was in the military upon incarceration. Record 9 if employment participant prior to incarceration is unknown. Record 0 if the participant was not employed upon incarceration. X Case notes Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 34 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 2413 Incarcerated at Program Entry 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. X X Direct Referral from Hustice System Verification from Hustice System Parole or Probation Officer Case notes Self-Attestation 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. X X Direct Referral from Hustice System Verification from Hustice System Hustice system records Parole Officer Case notes Self-Attestation 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. X Direct Referral from Hustice System Verification from Hustice System Case notes Self-Attestation 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 X Direct Referral from Hustice System Verification from Hustice System Hustice system records Parole or Probation Officer Case notes Self-Attestation 2417 Most Recent Type of Offense Record 1 if the participant was convicted of a property crime. Record 2 if the participant was convicted of a drug crime. Record 3 if the participant was convicted of a public order crime. Record 4 if the participant was convicted of another type of crime. Record 9 if the type of crime cannot be determined or if the information is not available. X Direct Referral from Hustice System Verification from Hustice System Hustice system records Parole or Probation Officer Case notes Self-Attestation 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. X Case notes 2423 Housing Status at Enrollment Record the appropriate housing status for the participant at enrollment as indicated in code values 1 through 9. X Case notes 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. X Case notes Self-Attestation 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. X Probation or Parole Officer Hustice system records Verification from Hustice System Case notes Self-Attestation 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. X Probation or Parole Officer Hustice system records Verification from Hustice System Case notes Self-Attestation 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. X Probation or Parole Officer Hustice system records Verification from Hustice System Case notes Self-Attestation Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 35 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X Probation or Parole Officer Hustice system records Verification from Hustice System Case notes Self-Attestation 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. X Probation or Parole Officer Hustice system records Verification from Hustice System Case notes Self-Attestation 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. Record 9 if this information is not available. X Probation or Parole Officer Hustice system records Verification from Hustice System Case notes Self-Attestation 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. Record 3 if the participant was a secondary school dropout at the time of their arrest. Record 0 if the participant does not meet the conditions described above. X Case notes Self-Attestation 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. X Direct Referral from Huvenile Hustice System or Adult Criminal Hustice System Parole or probation officer Verification from the Hustice System Hustice system records Case notes Self-Attestation For REO grantees In the event that the justice system cannot provide this information because of confidentiality requirements grantees may use a self-attestation from the enrollee or if the enrollee is a minor a 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. X X Verification from Selective Service Administration 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. X Parole or probation officer Verification from the Hustice System Case notes Self-Attestation 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. X Parole or probation officer Verification from the Hustice System Case notes Self-Attestation 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. X Parole or probation officer Verification from the Hustice System Case notes Self-Attestation 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. X Copy of School or Training Provider Enrollment Record Case notes Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 36 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X Copy of School or Training Provider Enrollment Record Case notes 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. X Parole or probation officer Verification from the Hustice System Hustice system records Case notes Self-Attestation 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. X Parole or probation officer Verification from the Hustice System Hustice system records Case notes Self-Attestation 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. X Parole or probation officer Verification from the Hustice System Hustice system records Case notes Self-Attestation 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. X Case notes Case records showing date released from correctional facility or placed on probation 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. X Parole or probation officer Verification from the Hustice System Hustice system records Case notes Self-Attestation 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. X Parole or probation officer Verification from the Hustice System Hustice system records Case notes Self-Attestation 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. X Parole or probation officer Verification from the Hustice System Hustice system records Case notes Self-Attestation 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. X Parole or probation officer Verification from the Hustice System Hustice system records Case notes Self-Attestation 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. X Parole or probation officer Verification from the Hustice System Hustice system records Case notes Self-Attestation 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. X Parole or probation officer Verification from the Hustice System Hustice system records Case notes Self-Attestation Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 37 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 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. X Case notes 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. X Cross-Match with Public Assistance Records NFHP Eligibility Documents Cross-Match with State M S Database Cross-Match with -1B Record Signed Employer statement or letter on business letterhead Wage records family wage records Work permits Self-Attestation Case notes 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. X Court documentation Resident of a detention facility group home or restricted state-run facility Letter of parole probation officer Police or Hustice Department records Self-Attestation 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. X Letter documentation from the school stating the youth has dropped out School attendance record Self-Attestation 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 or if at least one parent has been previously incarcerated. Record 0 if the participant does not meet the condition described above. X Court records Self-Attestation 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. X X X X X X X X SSN Card Other Federal or State D with SSN For YouthBuild and DINAP documents may also include Self-Attestation ntake Application Enrollment Form SECTION E.10 -REGISTERED APPRENTICESHIP 2900 RAPIDS Number Record the RAPIDS number for the participant who is a registered apprentice Registered Apprenticeship Partners Information Data System . Leave blank if this data element does not apply. Note There are no RAPIDS numbers for pre-apprentices. X Cross-Match Note Data validation is not required for State Apprenticeship Agency SAA States that do not use RAPIDS because registered apprentices will not have a RAPIDS Number. Grantees reporting from SAA states that do not use RAPIDS may use the unique identifier for this data element or they may use a corresponding number meeting the AN 12 data type and field length requirements for this data element. 2902 Date Enrolled in Pre-Apprenticeship Record the date the participant started the pre-apprenticeship program. Leave blank if this data element does not apply. X Vendor Training Provider Records Signed Training Contract Electronic Records Attendance Sheets or Records Case notes Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 38 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 2904 In Pre-Apprenticeship Program with an Articulated Agreement Record 1 if the participant is in a pre-apprenticeship program where a Memorandum of Understanding MOU Memorandum of Agreement MOA or other formal agreement exists between the pre- apprenticeship program and the Registered Apprenticeship Program. Record 2 if no formal agreement exists between the pre-apprenticeship program and an apprenticeship program. Leave blank if this data element does not apply. X Memorandum of understanding MOU or similar agreement Letter from Employer or Union Vendor Training Provider Records Electronic Records Attendance Sheets or Records Case notes Documentation from Union website 2905 Date Completed Pre-Apprenticeship Record the date the participant completed the pre-apprenticeship program. Leave blank if this data element does not apply. X Vendor Training Provider Records Signed letter from an administrator or program manager of the quality pre- apprenticeship program Completion certificate or similar document indicating completion For grants funded under the National Apprenticeship Act validate month and year only. 2908 Date Started Apprenticeship Record the date the participant started the apprenticeship program. Leave blank if this data element does not apply. X X Davis-Bacon Certificate Documentation from RAP DS A Apprentice nformation Demographic Portal ETA Form 671 Section Apprenticeship Agreement or the SAA equivalent with email or similar confirmation from a USDOL Office of Apprenticeship representative or a representative from the State Apprenticeship Agency e.g. State Director or ATR Apprenticeship Training Representative Documentation from SAA s information management system 2909 Expected Completion Date Apprenticeship Record the expected completion date of the apprenticeship program whether or not the participant is expected to complete the program during their participation. Leave blank if this data element does not apply. X X Appendix A from the program s Standards of Apprenticeship documenting length of time for the RAP for Time-Based RAPs or approximate length of time for competency-based or hybrid programs Documentation from RAP DS A Apprentice nformation Demographic Portal identifying the individual and their expected completion date ETA Form 671 Section Apprenticeship Agreement or the SAA equivalent Cross match Other electronic record from RAP DS or an SAA s information management system containing this information 2910 Type of Apprenticeship Program Record 1 if the apprenticeship program is a Time-Based program. Record 2 if the apprenticeship program is a Competency-Based program. Record 3 if the apprenticeship program is a Hybrid program. Leave blank if this data element does not apply. X Cover page of Appendix A from the program s Standards of Apprenticeship documenting length of time for the RAP for Time-Based RAPs or approximate length of time for competency-based or hybrid programs. Davis-Bacon Certificate identifying the individual and type of program Printout from RAP DS A Apprentice nformation Demographic Portal ETA Form 671 Section Apprenticeship Agreement or the SAA Equivalent Documentation from SAA s information management system Cross-match 2911 Date Completed Apprenticeship Record the date the participant completed the apprenticeship program. Leave blank if this data element does not apply. X X Certificate of Completion issued by the Registration Agency Davis-Bacon Certificate Printout from RAP DS A Apprentice nformation Demographic Portal Other electronic record from RAP DS or SAA equivalent For grants funded under the National Apprenticeship Act validate month and year only. Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. Page 39 of 40 Attachment II Source Documentation Data Element No. Data Element Name WIOA refers to elements in the Joint PIRL Data Element Definitions Instructions Requirements by Program Source Documentation at least one of the following 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 Apprenticeship 2912 Type of Related Instruction Provider Record 1 if the provider of Related Instruction RI or Related Technical Instruction RTI is a Joint Apprenticeship Training Committee. Record 2 if the provider of RI is a Community College. Record 3 if the provider of RI is a Vocational or Technical School. Record 4 if the provider of RI is a 4-year educational institution. Record 5 if the provider of RI is an entity other than those previously noted. Leave blank if this data element does not apply. X The name of the entity should clarify whether it is a HATC Voc Tech School Community College 4-year educational institution or something else Employer Agreement Printout from RAP DS A Apprentice nformation Demographic Portal A Davis-Bacon Certification may be utilized if the sponsor is also the R provider nvoice or other financial document from the R provider Course schedule or pages from a catalogue for the entity A printout or screen shot from the website Cross-match 2917 Exit Wage Record the hourly wage received on the Date of Exit. Leave blank if this data element does not apply. X Electronic record printout screen shot from the RAP DS A Apprentice Information Demographic Portal Cross-Match with State and Out-of-State U 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 ires 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 ncome 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 RS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Cross-Match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs ETA will conduct U wage match for non-state grantees 2918 Wage at Entry into Apprenticeship Record the hourly wage received on the date of entry into the apprenticeship program. Leave blank if this data element does not apply. X ETA Form 671 or SAA equivalent Electronic record from RAP DS e.g. RAP DS A Apprentice nformation Demographic Portal screen shot or SAA equivalent Cross-Match with State and Out-of-State U 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 ires Registry Copy of Pay Check Stubs Payroll Slip or Leave and Earnings Statements minimum of two per TEGL 26-16 ncome 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 RS Form 941 A Signed Letter from an Employer on Company Letterhead attesting to an individual s employment status and earnings Cross match with Partner Program Administrative Databases such as TANF SNAP or other public assistance programs Rows highlighted in yellow represent data elements jointly validated with the Departments of Education as outlined in TEGL 7-18. 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