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Home My WebLink About710557.tiff r AGENT INFORMATION SYSTEM PUBLIC EMPLOYMENT PROGRAM United States Department of Labor Manpower Administration Office of Manpower Management Data Systems ' August 23, 1971 710557 � n TABLE OF CONTENTS Page Number 1 I. INTRODUCTION II. PARTICIPANT INFORMATION RECORD 3 III. SUMMARY OF PARTICIPANT CHARACTERISTICS 10 IV. PROJECT STATUS/FINANCIAL REPORT 14 V. AGENT SUPPORT WORKSHEETS 17 Appendices A. KEY TERMS AND DEFINITIONS B. REGIONAL MANPOWER ADMINISTRATORS C. DISADVANTAGED CRITERIA • INDEX OF FORMS AND WORKSHEETS Following Page I. PARTICIPANT INFORMATION RECORD (MA 6-43) 4 II. SUMMARY OF PARTICIPANT CHARACTERISTICS 10 (MA 6-44) III. PROJECT STATUS/FINANCIAL REPORT (MA 6-45) 14 IV. PARTICIPANT CHARACTERISTICS WORKSHEET(S 6-44A) 19 V. TERMINATION CHARACTERISTICS WORKSHEET(S 6-44B) 19 VI. PROJECT STATUS WORKSHEET (S 6-45) 21 T Section I INTRODUCTION Purpose of the System This manual contains the information necessary for the successful implementation of the Management Information System developed by the Manpower Administration, Department of Labor, for use in the Public Employment Program. When operational, the system will give management at the Agent level an effective tool of program control, as well as providing the Manpower Administration with a means for appraising contract performance and pro- viding information about the characteristics of the program and its partici- pants as required by the Congress. System Overview This section briefly describes the required Federal forms, the move- ment of the forms from the Agent to the Department of Labor, and the local forms and procedures to be used for collecting the data. The Department of Labor holds local Agents responsible for the accu- rate and timely reporting of all activity covered by the Grant agreement, including all sub-agreements. There are three mandatory forms which are to be completed by all Agents. (1) Participant Information Record, MA 6-43 This form will be partially filled out for each individual entering the program and completed upon termination. It contains the basic socio-economic profile of the individual, occupational data, and the reasons for termination. (2) Summary of Participant Characteristics, MA 6-44 This form is a monthly summary report of the basic socio- economic characteristics of all participants and terminees. One report encompasses the activities of the Agent and all sub-Agents. (3) Project Status/Financial Report, MA 6-45 This form is a monthly summary report of the activity of the Agent (including all sub-Agents) covering authorized positions, num- ber of participants, terminations, and financial data. -1- • f The Participant Information Record, Summary of Participant Charac- teristics, and the Project Status/Financial Report will be submitted monthly by the Agent to the office of the Regional Manpower Administrator, to arrive there no later than the seventh working day of the month following the end of the report period. Agents are responsible for reproducing their own forms from the copies contained herein. Agent Support System This is a locally-maintained set of forms and procedures which provide the Agent with a method for gathering and posting the data needed for the Federally-required forms. It also provides the Agent with a useful aid in program management. Agents are required to maintain this local support system or its func- I Tonal equivalent and make it available to Federal Monitors and Auditors performing periodic checks of data accuracy. The three local support forms are described below: (1) Participant Characteristics Worksheet (S 6-44A) This form will provide the breakdown of the individual character- istics of persons entering the program. It will he updated during each month as participants enroll or re-enroll in the program to provide a mechanism for totaling the characteristics required on the Summary of Participant Characteristics form. (2) Termination Characteristics Worksheet (S 6-44B) This form will provide the breakdown of individual character- istics of persons leaving the program. It will be updated during each month as participants terminate to provide a simple mechanism for totaling the characteristics required on the Summary of Participant Characteristics form. (3) Project Status/Financial Worksheet (S 6-45) The number of new enrollees each month and the monthly termi- nation, by reason for termination, will be maintained on this form by Public Service Area. These figures will be totaled at the end of each month and added to the cumulative totals from the preceding month's status report to obtain the cumulative total for the current month. , Section II PARTICIPANT INFORMATION RECORD MA Form 6-43 Purpose This form is used to collect basic information on the personal, educa- tional, and occupational characteristics of each participant in the Public Employment Program. It also contains information on the participant's personal income and on the individual's status at time of termination from this program. General Instructions The MA 6-43 is the basic reporting form for participants in the Public Employment Program. It is prepared for each participant in the program, including re-enrollees. The form is completed by entering one number or letter in each box, according to the instructions below. Where coded items appear on the form, the entry must be one of the codes shown. Information from this form comes from employment and personnel records, and from interviewing the participant. The Agent is responsible for completing, edit- ing, and submitting these forms to the Regional Manpower Administrator's office. (See Appendix B for RMA addresses). The small numbers below the boxes are card column numbers used only for keypunching; they should be ignored in completing this form. The circled numbers above each item on the Participant Information Record refer to the item numbers in the following clerical procedures. This form should be completed, in triplicate, using a ball-point pen. Be sure all copies are legible. Submission of Forms This form is to be filled out in an original and two (2) copies. Part A of the form will be completed immediately after the participant enters the program. Part B of the form will be completed only when the participant terminates. At Intake Time Complete Part A of the original and two copies. • Submit the original for each participant entering the pro- gram during the report period to the Office of the Regional Manpower Administrator to arrive no later than the seventh working day of the month following'the entry month. -3- Retain the two copies to be completed at termination time. At Termination Time Complete Part B on the two copies retained from intake time. Submit copy one to the Office of the Regional Manpower Administrator to arrive no later than the seventh working day of the month following the termination month. • Retain copy two for follow-up and other purposes. Note: Since the original of the form submitted at intake time will be matched in the Department of Labor Computer Data Banks with copy one submitted at termination time, it is imperative that the copies filled out at intake time be retained and completed at termination time. -4- • Z -- '^ a o �n H ro • 'n ci du < 0. _'� m >' $ pp.. T o U =I 7 a U a t --- ! 2 U x O x • O H t 4 S4 4 zix pZ I 1! I •1I ,1 1 ✓ N O m u i O 9 U a 0 0 v o _i N H F. & Y � � e o 4 W a> « 0 .w v � > a r a U v a 0 N U V H W Cl U O- Ua. w UU cJ ® 1 N rl U O W H ~, lJ F ^ Q U H F. o o • I 6 W U O n 5 l I N Q 0. N ° L. m Q ,a 0 0 ty aa+ c: a 0 a C N b [� W CA tp .9 I U yay cJ a I 1 1 1 1 W " a a N N U U < l a n to a N y v a O N a Z Q a a q .+ a s a [. N .R N 'Z a U 'V a H V O < m N U 0. T 0. Y N [. , N M 'd' V) l0 h a N T o Va Y 'u a k p (: / O -Yy 'a 1' a t d W P. w v°, vUi pp a 2 2 fL E - q C C Y d r�as .5 w H P-,--, n .. U O W v n o < U P. P. m U 111 ,. C, K — v ru o a 3 a o 0 0 3o O a". a y U —� gc N a 0. .L W O• ..a. P b 'O 'O a z l.J o t < •al 1 1 a N rya u m 2 N & ro F 7 n 0 2 a a+ .J W R F x .0 .d .0- .G 6 U ire. ej O O �J X R. Y n .y N U NN V� 'O 5 U 1 1 1 ! d y a ¢ 'O 'O b ti • vl v �, 10 In a a a y H 0 L" p a s O m ro ro vl v !'`I 0O O E n F. P. F. o zet > ro C 0 v oo•-• III w N �� > > z � s aron o ,� v a la E .. N M yr VI .p (E a 1 1 1 ! 1 9 N N A In a. Ed .n E R �a tea+ a >., a N O a F b z Q Y SO < H I. C ;G — U v C `v x i¢ g i a q O T • n U " — P. m Rs o] .n U) .4 VI 8• I;. _ < cgy.. W N0 0 N M O N or L]al LO rp 0 a g w H F M \J t-i r^ N O — k O Ij Q V~ M T. N 'O r C a v N C a mil I_ n a I vTh Item Card Number Name Column Definition/Instructions PART A lO Grant Number 3 - 12 Enter the seven remaining Grant number digits as they appear on the Agreement; do not enter dashes. OSocial Security 13 - 21 Enter the Social Security Account Number of the participant, without Number any dashes or blanks. If the participant does not have a Social Secur- ity number, have the individual obtain a number from the local Social Security office. Complete the form now and fill in the Social Secur- ity number when available. OProgram Code 22 - 23 Enter one of the following codes, depending under which section of the Emergency Employment Act the Grant Agreement was funded. 01 Regular (Section 5) 02 Supplemental (Section 6) 0 Record Code 1 - 2 Already coded. OName 24 - 29 Enter the first six letters of the participant's last name in the boxes and provided. Complete the last name on the remainder of the line. Do 30- 31 not enter apostrophes, periods, etc. Do not leave blank spaces in the middle of the name. Enter the first letter of the participant's first name and complete the remainder in the space provided. Enter the middle initial, if any, in the last box provided. Leave the last box blank if the individual has no middle initial. Example: IOIFIAIRIRIEILL nNNE nn 1O II ISIOINI IIR [111 AY I I OAddress 32 - 35 Enter the street address, city, county, state, and ZIP code of the par ! and ticipant's residence. Also, enter the four-digit City and three-digit 36 - 38 County Codes using the Geographic location Codes contained in GSA Geographic 1 ocation Code Book, FSS stock number 7610-926-9078. O7 Sex 39 Self-explanatory. OGroup 40 Enter the appropriate code. This is determined by the interviewer on the basis of visual observation, using his knowledge of the char j acteristics common to each group, and the prevailing local standards of designating members to each group. 9 Military Service 41 Check One Classification Only: Status (1) Code "Special Veteran" (#1) if the person has received a dis- charge other than dishonorable after service on active duty in the Armed Forces of the U.S. , in Korea or Indo-China on or after Aug- ust 5, 1964. (2) Code "Viet Nam Era Veteran" (#2) if the person has received a discharge other than dishonorable after service on active duty in the Armed Forces of the U.S. , except in Korea or Indo-China on or after August 5, 1964. -J- Item Card Number Name Column Definition/Instructions OContinued (3) Code "Veteran" (#3) if the individual has received a discharge other than dishonorable after serving on active duty in the Armed Forces of the U.S. during any one of the following periods: April 6, 1917 to Novem- ber 11, 1918; December 7, 1941 to December 31, 1946; June 17, 1950 j to January 31, 1955; or served one or more days since January 31, 1955, except for "Viet Nam Era" and "Special" veterans (see above), Also include under "Veteran" persons who (a) served in the active military service of any government allied with the U. S. in World War II and who, at the time of entrance into such active service, was a citizen of the U. S. , or (b) served in the U.S. Public Health Service as a commis- sioned officer and who, during World War II, was (1) detailed to the Army, Navy, or Coast Guard; (2) assigned to duty in the U. S. Public Health Service outside of the continental limits of the U.S. or in Alaska; or(3) in the U. S. Public Health Service on or after August 5, 1964. (4) Code "Non-Veteran" (#4) if the participant is not classified under the above three categories. 10 Disadvantaged 42 Enter Code 1 if, based on current Manpower Administration criteria, the participant is disadvantaged; otherwise enter Code 2. (See Appendix C for disadvantaged criteria.) I1 Previously Employed 43 Enter Code 1 if this individual has been previously employed by this By Agent Agent or sub-Agent in the last six months; otherwise enter Code 2. 12 Public Assistance 44 Enter Code 1 if the participant was receiving financial aid at the time of Recipient entry into this program or if his needs were or are considered in comput- ing a public assistance grant to his family; otherwise enter Code 2. 13 Occupational Group 45 Check one classification only. Code 1 if the individual is in a profession- al EEA occupation according to the definition in Appendix A, except teachers who are Code 2. All other occupations are Code 3. 14 Governmental Unit 46 Code one classification only. Enter the code of the employing unit of the EEA participant. For example, if the participant is to be employed by a county, even if the Agent is a state, enter Code 2. 1 S Date of Birth 47 - 50 Enter the four digits of the participant's month and year of birth. For example, April 1, 1942 would appear as: (OI414I2 I 16 Record Code 1 - 2 Already coded. -6- Item Card Number Name Column Definition/Instructions 17 Highest School 24 - 25 Enter the highest school grade completed. If, prior to the interview, the Grade Completed participant has been certified as having attained the educational equiv- alency of a high school graduate through successful completion of the General Educational Development Test (GED), enter 12. One year of college would be Code 13; two years of college or technical school would be Code 14, etc. A college graduate would be Code 16; a person with an advanced degree would be Code 17. Always enter two numerals; e.g., 06 for the sixth grade. 18 Handicapped 26 Enter Code 1 if it is determined that the participant has a physical, mental or emotional impairment, or a chronic condition which could limit work activities; or who is a veteran currently rated 10 percent for physical disability by a branch of the Armed Services. Otherwise, enter Code 2. 19 labor Force Status 27 Enter Code 1 if the participant is unemployed; Code 2 if underemployed at the time of the interview. Refer to Appendix A for definition of underemployed. 20 Weeks Unemployed 28 - 29 Enter the number of weeks the participant was not employed and was last 12 Months looking for work within the last 12 months. Include all weeks unemploy- ed even though they may not be consecutive. If the participant had not been unemployed in the last 12 months, enter zero ("00"). 21 Weeks Unemployed 30- 31 Enter the number of continuous, uninterrupted weeks the participant was Current Spell unemployed immediately prior to the interview. For those participants who were not unemployed in the last 12 months enter "00", ODOT Code/Previous 32 - 37 Eater the occupational title on the line provided. Enter the 6-digit DOT Occupation Code for the participant's occupation prior to entering the program. If the individual has never been employed, leave the LOT Code blank. 23 Hourly Wage/Pre- 38- 40 Enter the participant's hourly wage in his previous job. if the individual vious Occupation has never been employed, leave the hourly wage blank. 24 Estimated Individ- 41 - 45 Enter the participant's best estimate of his earnings for the last 12 months. ual Earnings for Include only salary, wages, and tips; do not include welfare payments. last 12 Months Round off to the nearest whole dollar; if less than $10,000 precede with ieros. For example, an income of $9,876.54, would be entered as: 0 9 8 7 7 - 1 - • Item Card Number Name Column Definition/Instructions 25 Date Hired 46 - 51 Enter the 6-digit number showing the month, day, and year (in that order) the participant was hired for this program. For example, April 5, 1972 would be entered as: 0 4 0 5 7 2 26 Public Service 52 Code one classification only. Select the code which best represents the Area Public Service Area in which the participant will be working, e.g. , a secretary in the Police Department would be Code "1" for Law Enforce- ment. (Refer to Appendix A for definitions.) 27 DOT Code/Public 53 - 58 Enter the occupational title on the line provided. Enter the 6-digit DOT Employment Pro- Code for the participant's occupation in this program. gram Occupation 28 Hourly Wage/Public 59 - 61 Enter the participant's hourly wage in his present occupation. Exclude Employment Pro- fringe benefits. gram Occupation PART B 29 Record Code 1 - 2 Already coded. O6 Address n/a For follow-up purposes, enter in the upper right-hand portion of the form the participant's current address, if changed. 30 Termination Date 24- 29 Enter the 6-digit number showing the month, day, and year (in that order) the participant terminated from the program. For example, June 17, 1972 would be entered as: 016 11 17 17 12 31 Reason for 30 Check one classification only. Enter Code 1 if the individual was placed Termination in an unsubsidized job with the Agent (including any sub-Agent). Enter Code 2 if the individual was placed in an unsubsidized job with a public agency, other than the Agent. Enter Code 3 if the individual was placed in an unsubsidized job in the private sector. Enter Code 4 if the individual was enrolled in another Federal Manpower Administration work-training program, e.g. , NAB-JOBS, CEP, or MDTA. Enter Code 5 if the person dropped out of the program. Enter Code 6 if the participant is not classified under the above categor- ies. n o- Item .a td Number Name Column Definition/Instructions 32 DOT Code/Place- 31 - 36 Enter the occupational title on the line provided. Enter the 6-digit DOT ment Occupation Code for the occupation in which the participant is placed at termina- tion. This item should be completed only if Item 31, "Reason for Termination" was Code 1, 2, or 3. 33 Hourly Wage/Place- 37- 39 Enter the participant's hourly wage in the placement occupation. ment Occupation OSignature g Title n/a Sign, print, or type the signature of the person conducting the initial interview. 35 Name and Address n/a Enter the name and address of the Agent. • -9- Section III SUMMARY OF PARTICIPANT CHARACTERISTICS MA Form 6-44 Purpose This form is used to summarize the essential demographic character- istics of program participants and terminees. Cumulative Terminations are divided into five termination categories: Placed in Unsubsidized Job--Public, Placed in Unsubsidized Job--Private, Enrolled in Other Manpower Admin- istration Programs, Drop-Outs, and Other terminations. Comparisons of the five termination groups can indicate the Agent's relative success in deal- ing with different target populations. General Instructions The Summary of Participant Characteristics form (MA 6-44) includes cumulative data on all participants from the inception of the project. This form is to be prepared by each Agent monthly and submitted to the Regional office to arrive no later than seven working days after the end of the report period. (See Appendix 13 for RMA addresses. ) The first report period begins with the month in which the Initial Funding Agreement is signed. The data for this report are extracted from the Participant Information Records and will encompass information from the Agent and all sub-Agents. To assist in compiling the data, it is recommended that support forms S 6-44A and S 6-4413 be used. Instructions for completing the support forms and for transferring the data to the MA 6-44 are included in Section V. Submission of Forms and Number of Copies The MA 6-44 will be completed in an original and two (2) copies. The original and copy one will be submitted to the Office of the Regional Manpower Administrator to arrive no later than the seventh working day of the month follow- ing the report month. Copy two will be retained with the Agent's records. This form will he submitted monthly together with the Participant Informa- tion Records and the Project Status/Financial Report for the same report period. The difference between the number of cumulative participants reported on the current month's MA 6-44 and the number reported on last month's should equal the number of Participant Information Records sub- mitted. If not, attach a brief explanation hut do not delay submitting the monthly reports. -10- U.S. DEPARTMENT OF I ABOR • Form Approved PUBLIC EMPLOYMENT PROGRAM Manpower Administration OMB No. ' MA 6-44 (August, 1971) UMMARY OF PARTICIPANT CFIARACTE1' ICS 44R 1455 1. Name and Address 2. Program Code 3. Grant Number 4.Report 5.Report Type ED Regular(Sec.5) Perioda Initial EEA- IDSupplemental D Interim (Sec.6) D Final Cumulative Terminations Cumulative Placed In Enrolled In Characteristics Participants Unsubsidized Job Other MA Drop-Out Other Public Private Program A B C D E F 6. Total 7. Sex Male Female • 8. Group White Negro American Indian Oriental Spanish-American Other 9. Military Service Special Veteran Status Viet Nam Era Veteran Veteran INon-Veteran 0. Disadvantaged J. Previously Employed by Agent 2. Pul,lic Assistance Recipient 3. Puofessional (other than teaches ) 4. Governmental Unit State Coun _ City Tribal Council Federal Other 3. Hourly 1..EA Wage Under 52.00 -� S2.00- $2.99 $3.00- 53.99 $4.00- $4.99 S5.00 and over 6. Age ]S or less /V / /047/ ////,,R: • 65 and over / i /ii. ��/ / / /!;,? _. . ,,./ //l 7, Education 8th or less ; / % //r� // �� / / /i/�� 9th 11th • , es,/ �// /,././ 74 12th � � .� / / 13th - 15th /WI/ /• / j/.'�: '/�� 16th or more 1 ,7 � �: /1///p../..,✓/�c: ///�,//� S. Handicapped l 4l /1 /0l� 9. Weeks In Program 1 - 26 27 - 52 ' 53 - 7R I r 9 or over f%/////////Gl////G_I I _ 1 1 irnature and Title: Date: ITEM DEFINITION AND INSTRUCTIONS Item Number Name Definition/Instruction 1 Name and Address Enter the full name and address of the Agent. 2 Program Code Check the appropriate box to indicate if the Grant is funded under Regular (Section 5) or Supplemental (Section 6) sections of the Emergency Employment Act. 3 Grant Number Enter the remaining seven digits of the Grant number from the Grant Agreement. 4 Report Period Enter the month and year to which the data reported pertain, 5 Type of Report Check Initial if this is the first report under the Grant Agreement. Check Final for the report covering the month during which the Grant is completed or termi- nated. Check Interim for all other monthly reports. COLUMN DEFINITIONS AND INSTRUCTIONS Column Name Definition/Instruction A Cumulative Participants This column lists for each characteristic the cumulative number of participants, including re-enrollments, since the inception of the program. The total should agree with the total as reported in Column C of the Monthly Project Status/ Financial Report. B Placed In Unsubsidized The cumulative number of terminees who have been placed in a permanent Job--Public unsubsidized job with a public agency, including the Agent or sub-Agent, is entered in this column. C Placed In Unsubsidized The cumulative number of terminees who have been placed in permanent unsub- Job--Private sidized jobs in the private sector is entered in this column. D Enrolled In Other MA The cumulative number of individuals who terminate the program to enroll in Program other Manpower Administration work-training programs is entered in this column F Drop-Out The cumulative number of participants who terminate from die program without good cause is entered in this column. Please refer to Appendix A for a corn- plete definition of Drop-Out. F Other The cumulative number of participants terminating for other than the above reasons is entered in this column. -11- LINE''`L:M DEFINI'T'IONS AND INSTRUCTIONS ^` Item Number Name Definition/Instruction 6 Total Enter on this line the cumulative total number of participants in the pro- gram and the cumulative total terminating in each of the five categories. 7 Sex Male For Columns A through F, distribute the cumulative number of partici- Female pants and terminees according to sex. 8 Group White Distribute the cumulative number of participants and terminees according Negro to the groups shown. American Indian Oriental Spanish American Other 9 Military Special Veteran Distribute the cumulative number of individuals according to their Service Viet Nam Era Vet. Military Service Status. Status Veteran Non-Veteran 10 Disadvantaged Enter the cumulative number of participants and terminces who were determined to be disadvantaged at the time of intake. 11 Previously Employed by Agent Enter cumulative number of participants and terminees previously em- ployed by the Agent or sub-Agents. 12 Public Assistance Recipient Enter on this line the cumulative number of participants and terminees who were receiving public assistance at the time of intake. 13 Professional (Other than Teacher) Enter the cumulative number of participants and terminees in professional EEA positions in the appropriate column. 14 Govern- State Distribute the cumulative number of participants among the governmental mental County units providing the EEA positions. • Unit City Tribal Council Federal Other 15 Hourly Under $2,00 Distribute the cumulative number of participants and terminees according LEA 52.00- $2.99 to the hourly wages received on their EEA jobs at the time of intake. Wage $3.00- $3.99 $4.00- 54.99 5.00 and over -12- • • Item Number Name Definition/Instruction 16 Age 18 or less From the date of birth as shown on the individual Participant Information 19 - 21 Record, determine the participant ages as of the current date and enter 22 - 44 in the proper age group. (Column A only) 45- 54 55 - 64 65 and over 17 Education 8th or less Distribute the cumulative number of participants according to the highest 9th - 11th school grade completed. (Column A only) 12th 13th - 15th 16th and over 18 Handicapped Enter the cumulative number of participants who are handicapped (Col- umn A only) 19 Weeks In 1 - 26 Enter, under Columns 13 through F only, the cumulative number of par- Program 27 - 52 ticipants who at the time of termination participated in the program for 53 - 78 periods of 1-26 weeks, 27-52, 53-78, or 79 or over, as appropriate. 79 or over Partial weeks should be counted as full weeks. If an individual is a re- enrollee who terminates, the termination should be reported based on the number of weeks participation in the latest enrollment period. -13- PROJECT STATUS/FINANCIAL REPOltf MA Form 6-45 Purpose The Project Status/Financial Report (MA 6-45) enables managers responsible for the Public Employment Program to determine the overall effectiveness of the program by providing summary statistics on program activities and financial data. General Instructions The MA 6-45 provides Agent-level data and is to be submitted monthly during the agreement period, beginning with the month in which the Initial Funding Agreement is signed. This form is divided into three main sections: (1) Public Service Area--which includes Authorized Positions, Current Participants, Cumulative Participants, and Cumulative Terminations by Public Service Area (2) Financial Summary--which includes Obligations and Accrued Expenditures distributed by five major cost categories (3) Training and Employment Services--which includes a summary of the cumulative number of participants who have received training and employment services Submission of Forms and Number of Copies The MA 6-45 will be completed in an original and three (3) copies. The original and two copies will be submitted to the Office of the Regional. Manpower Administrator to arrive no later than the seventh working day of the month following the report month. This form should be submitted even if the financial data are not available. • Copy three will be retained by the Agent. This form will be submitted monthly, with the Participant Information Records and the Summary of Participant Characteristics report for the same report period. The difference between the number of cumulative participants reported on the current month's MA 6-45 and the number reported o❑ last month's should equal the number of Participant Information Records submitted. If not, attach a brief explanation but do not delay submitting the monthly reports. -14- U. S. DEPARTMENT OF LABOR Form Approved PUBLIC EMPLOYMENT PROGRAM OMB No. Manpower Administration PROJECT STATUS/FINANCIAL 1 )RT 44R 1455 MA G-45 (August, 19711 1. Name and Address 2. Program Code 3. Grant Number 4.Rcport 5.Report Typc O Regular Period (Sec. 5) EEA- Initial ❑ Interim Q Supplemental k I I I ! I I O Final (Sec. 6) Cumulative Terminations Authorized Current Cumulative Placed In Enrolled In Public Service Area Positions Participants Participants Unsubsidized Job Other MA Drop-Out Other Public Private Program A B C A E F C H 1. law Enforcement 2. Education 3. Public Works G Transportation 4. Health and Hospitals 5. Environmental Quality 6. Fire Protection 7. Parks and Recreation 8. Social Services 9. Other Total Financial Summary Training and Employment Services Obligations .Accrued Expenditures Training Fmp.Ser. Categories Federal Agent Federal Agent _ Cumulative Participants M N 1 K L Receiving Services I. Participant Wages s K Signature and Title: 2. Participant Benefits 3. Training / 4. Employment Services � S. Administration f ///l Total Date: Phone: Fiscal Data as of: DO NOT FILL IN - FOR GOVERNMENT USE ONLY SORT KEY 1 ]<-->2 3E- .4 5 6E-9.7 8<->9. 10< >13 14< —>16 17H18 19< - *22 23-.24 Batch Program Rez, State FY Funds Project Number Sub-Project Project Report Dale Record No. Code Number Type Code - - I _ I ITEM DEFINITIONS AND INSTRUCTIONS Item Number Name Definition/Instruction 1 Agent Name & Address Enter the full name and address of the Agent. 2 Program Check the appropriate box to indicate if the Grant is funded under Regular (Sec- tion 5) or Supplemental (Section 6) sections of the Emergency Employment Act. 3 Grant Number Enter the remaining seven digits of the Grant number from the Grant Agreement. 4 Report Period Enter the month to which the data pertain. 5 Type of Report Check Initial if this is the first report under the Grant Agreement. Check Final for the report covering the month during which the Grant is completed or termi- nated. Check Interim for all other monthly reports. COLUMN DEFINITION AND INSTRUCTIONS Column Name Definition/Instruction Public Service Area A Authorized Positions Enter, for each Public Service Area, the number of positions authorized in the Grant Agreement. B Current Participants Easter, for each Public Service Area, the total number of participants who are currently in this category. For any category that has no participants at this time, enter a zero (0). C Cumulative Participants Enter, for each Public Service Area, the cumulative number of individuals enrolled under the contract from the inception of the agreement to the end date of the reporting period. If none have been enrolled under the Grant in any area listed, enter a zero (0). D Placed In Unsubsidized Enter in the column, for each Public Service Area, the cumulative number of Job--Public individuals who have been placed in an unsubsidized job in a public agency. E Placed In Unsubsidized Enter in this column, for each Public Service Area, the cumulative number of Job--Private individuals who have been placed in an unsubsidized job in the private sector. -15- • Column Name Definition/Instruction F Enrolled In Other MA Enter in this column the cumulative number of terminees who left the program Program to enroll in other Manpower Administration work-training programs. G Drop-Out For cumulative Public Service Areas listed, enter the number of individuals who terminated as drop-outs. H Other Enter in the column the cumulative number of participants who terminated for any reason other than above. rinancial Summary Federal Obligations Enter the dollar amounts as specified in the Grant (or as modified) for each of the five cost categories. Enter the total dollar amount to be contributed by the Agent as specified in J Agent Obligations the Grant. K Federal Accrued Enter the cumulative amounts of the actual accrued expenditures for each of Expenditures the five cost categories. The amounts entered for each cost category must equal the amounts submitted on lines 1, 2, 3, 4, and 5 on the most recent Statement of Costs or Expenditures (MA 2-107C). Similarly, the total Federal accrued expenditures must equal the amount submitted on line 1 of the most recent Federal invoice (MA 2-105). I. Agent Accrued Enter the cumulative total amount of the Agent's contribution to date. Expenditures ---- Fiscal Data as of: Enter the cut-off date of the reporting period covered on the most recent Federal invoice (MA 2-105) and the Statement of Costs or Expenditures (MA 2-107C). *Fla fining and Employment Services Training Enter the cumulative number of participants who have received training funded by EEA funds, i.e., on-the-job training, institutional training, etc. 1: Employment Services Enter the cumulative number of particilxmts who have received employment services funded by EEA funds, i.e. , supporting services such as counseling, health care, child care, orientation, etc. -16- Section V AGENT SUPPORT WORKSHEETS Purpose of the Agent Support System Public Employment Program Agents will need an efficient set of work- sheets and procedures to accumulate data and to ensure the accuracy of the data submitted on the required Federal forms. These worksheets are for use by the Agent only and are not to be submitted to the Manpower Admin- istration. The support system described below was designed with this in mind. It consists of: A set of worksheets, corresponding to the relevant Federal forms Procedures for posting information to the worksheet and then to the Federal summary forms While the use of these particular Agent support worksheets is not man- datory, each Agent is required to maintain in a centralized office a set of documents which can establish the validity of the data submitted monthly to the Department of Labor. All Participant Information Record forms for new participants this month should be placed in a "Current Month Participant File". All MA 6-43 forms for terminees this month should be placed in a "Current Month Termi- nation File". These files should then be used in conjunction with the work- sheets for posting to the summary reports. Each of the three worksheets necessary to complete the Federal sum- mary forms is described subsequently. -17- PARTICIPANT CHARACTERISTICS WORKSHEETS S 6-44A--S 6-44B Purpose The Summary of Participant Characteristics (S 6-44A) and the Termi- nation Characteristics (S 6-44B) worksheets provide the "link" between the individual Participant Information Record (MA 6-43), and the Summary of Participant Characteristics Report (MA 6-44). Completion of these inter- mediate forms permits an accumulation and transfer of the necessary characteristics data to the MA 6-44 at the end of the month. General Instructions The S 6-44A is utilized to accumulate characteristics data for all pro- gram participants; the S 6-44B is used to collect data for each of the five types of terminations by simply checking the appropriate box. After a Par- ticipant or Terminee's name is transferred from the MA 6-43 and entered on the worksheet, a "tally" or "slash" mark is entered in the column on the worksheet corresponding to a data entry on the MA 6-43. Some Agents or sub-Agents may find it convenient to make the entries on the worksheet as soon as the MA 6-43 is filled out. Others will probably find it more efficient to accumulate the data from the MA 6-43 until they are ready to prepare the monthly Summary of Participant Characteristics form, and then do all of the posting of names and tallying on the worksheets at one time. However, this activity must be carried out in ample time to permit the receipt of the Federal forms at the Office of the Regional Manpower Administrator no later than the seventh working day of the month following the report period. Specific Monthly Instructions The following steps are necessary to accumulate the data from the MA 6-43 on the worksheets and to transfer the summary data to the MA 6-44. Obtain one S 6-44A worksheet for all participants. Obtain five S 6-44B worksheets or one worksheet for each "reason for termination". Be sure that a tally mark for a termince gets posted to the appropriate S 6-44B, based on the reason for termination. • -1U- Pull all the MA 6-43's from the "Current Month Partici- pant File". These records should only have Part A filled out. They will be posted to the S 6-44A worksheet. Pull all the MA 6-43's from the "Current Month Termina- tion File". These records should be completely filled out, including Part B. They will be posted to the appropriate S 6-44B worksheets. Post the following entries on the worksheets. -19- yr ( / ..� .-. J • V �O t4J o4'/ • s � -9a w , I I 9FI S I r r fo4 JI so r r a0 tt^^6 ASS r I2`ee f��4 '�'at f I T, CI6 OA�A SI _. N o 6 isg. °O. _ , L- 1 1.4 w 66'c • 3` oo. L V) U fop q2 fa vF' IrJtl Iz.fj G---- w 0 ii o JA0 y U /69.44' f J9-jE,J '*.eo� . a U .? Alr�A ., O 7-10 is I < 9• astss jo t.) A J Ise i.l,, Z n r, are 0t _ I- < QA top d l 1 � JJ.J asp i 41) a u LrJ `II•J''1 ,. A J<rnY 8 �a b- fd``o ,yam _ _ I , 4t:p It, 'vs, t1J X t4 u h `rcTJ,l - - o II tt'4 !J y It 0 n E. O f- 0 >. CJ 3 j o i I1 Q .... N M -}' V7 td n W Q1 O .--r N (`+ m' l!'1 tD [• 00 6t O c 4 0 t Ja'40 4O • w lei �5 Si- ■■ ■■ �■ ■■ ■■ ■■■I■I■ '. o aOtt C. ■■■■■■ ■■■ ■■■■ ■■■I■'■ S 3 6 III!" ■■ ■■ ■ ■■�6cs. H ■ _ ■..e..■■e.■..I _. 4 . °° ttr 'CS . ■■■■■■ ■■■■■■■■■■■■■I■■_ IA U J F IrZ4 ■■■■ ■■■■■■■■■■■■�■' It c • aw n `100 ■■■■■■_ ■■ ■■■■■■■■■■�I■ S b at,. S S rs �9 . 7Ss U d@' bo�gr�,. O �- « Aaq,Lsrror9 H "5f' a U �a �a'aa �°y ■■■■■ ■■■■■■■■■■■■■■I q rgt �a p 6�' � `-' ■■■■■■ ■■■■■■■■■■■■■I■I■ Ga,la ia ■■■■■■ ■■■■■■■■■■■■■I■I■ ga r a rAr Suunhu yl � ■■■■■■ ■■■■■■ ■■■■■■I■I■_■■■■■■ ■■ ■■ I ■ ■■■■I■IS v. ■■■■■■ ■■■■■■■ ■■■■�■I■ O)1°17 1 ■■■■■■ ■■■■■■■■■■■■■I■I■ aalty' ■■■■■■ ■■■ ■■■■n■■■�I■ lt n 0 h F o °> F >. m F ≥ n U O G C _ 4 ° O U O [MOOD U O .y N m -y jV1 tO f: c0 Ol O ti n;.-i re; h' 1A b n CO 0'1O • Worksheet Item Definition/Instm a Month Enter the month which this report covers. Name Enter the name of each individual being counted. Sex Check the appropriate box (from MA 6-43, Item 7). Group Check the appropriate box (from MA 6-43, Item 8), Military Service Status Check the appropriate box (from MA 6-43, Item 9), Disadvantaged Place a check in this column only if Item 10 on the MA 6-43 is Code 1 (Yes). Previously Employed by Place a check in this column only if Item 11 on the MA 6-43 is Code 1 (Yes). Agent Public Assistance Recipient Place a check in this column only if Item 12 on the MA 6-43 is Code 1 (Yes). Professional (other than Place a check in this column only if item 13 on the MA 6-43 is Code 1 (Professional). teacher) Governmental Unit Check the appropriate box (from MA 6-43, Item 14). Hourly EEA Wage Check the appropriate box (from MA 6-43, Item 28). Age (S 6-44A only) Check the appropriate box (from MA 6-43, Item 15). Education (S 6-44A only) Check the appropriate box (from MA 6-43, Item 17). Handicapped(S 6-44A only) Place a check in this column only if Item 18 on the MA 6-43 is Code 1 (Yes). Weeks In Program Check the appropriate box. (Calculate from Items 25 and 30 of the MA 6-43). Partial (S 6-44B only) weeks should be counted as full weeks. Monthly Total Enter the total for each column. Cumulative Total Add the cumulative totals from the previous month's Summary of Participant Characteristics form to the monthly totals for this month to obtain the cumulative totals for each column. Post the cumulative totals to the current month"s MA 6-44 being prepared. -20- • PROJECT STATUS WORKSHEET S 6-45 Purpose The Project Status Worksheet (S 6-45) is used to develop information for the Public Service Area section of the monthly Project Status/Financial Report (MA 6-45). It provides the intermediate step between the current month's individual Participant Information Record (MA 6-43) and the Pro- ject Status/Financial Report. General Instructions The S 6-45 is divided into two major sections: (1) Section I is utilized to compile data on the current month's participants and terminees from the appropriate Participant Information Record (MA 6-43); and (2) Section II contains the cumulative data that will be transferred to this month's Pro- ject Status/Financial Report (MA 6-45). Specific Instructions The instructions necessary to accumulate the data from the MA 6-43 on the worksheet and to transfer the summary data to the MA 6-45 are detailed subsequently. - 21- ~ PROJECT STATUS WORKSHEET Month of:. S 6-45 SECTION 1 MONTHLY Current Current Terminations Placed In Enrolled In Total Participants New Termina- Public Service Area (Start of Participants_ Unsubsidized Job Other MA Drop-Out Other tions Month) Public Private Prograrn 1 2 3 4 5 6 7 8 J. Law Enforcement 2. Education 3. Public Works & Transportation 4. Health and Hospitals 5. Environmental Quality 6. Fire Protection 7. Parks and Recreation B. Social Services 9. Other 4 Column Totals SECTION 11 CUMULATIVE Cumulative Terminations Current Participants Cumulative Placed In Enrolled In Public Service Area (End of Participants Unsubsidized Job Other MA Drop-Out Other Month) Public Private Program 9 10 11 12 13 14 15 1. Taw Enforcement _. Education 3. Public Works and Transportation 4. Health and Hospitals 5. Environmental Quality 5. Fire Protection 7. Parks and Recreation 3. Social Services ). Other Column Totals (Q) (C) (1)) (L) (E) (G) (H) SPECIFIC INSTRUCTIONS Name Definition/Instruction Month Enter the month which this report covers. Public Service Area The nine categories are listed as they appear in the Grant Agreement. Individuals are to be distributed by the Public Service Area in which they are working (from MA 6-43, Item 26), COLUMN DEFINITION AND INSTRUCTIONS Column Name Definition/Instruction Section I 1 Current Participants Enter, by each Public Service Area, the participants in the program at the begin- (Start of Month) ning of the month. This column is the same as Column B (Current Participants) from the previous month's MA 6-45. 2 New Participants From the "Current Month's Participant File" soft the MA 6-43's by the Public Ser- vice Area in which each individual is working (Item 26). Total the number of MA 6-43's in each Public Service Area and enter in the appropriate box of this column. Total all entries and enter in total box at bottom of form. This number should equal the total number of MA 6-43's in the Current Month's Participant File. Monthly Terminations From the "Current Month's Termination File" (arranged by the reason for termina- tion), sort the MA 6-43's by Public Service Area for each reason as Columns 3 through 8 are completed. 3 Placed In Unsubsidized Sort the MA 6-43's of individuals who were placed with a public agency (Item 31, Job--Public Codes 1 or 2)by the Public Service Area in which they worked. Total for each category and enter in the appropriate box. Total each box and enter at bottom. 4 Placed In Unsubsidized Sort the MA 6-43's of individuals who were placed in a private industry (Item 31, Job--Private Code 3), by the Public Service Area in which they worked. Total for each cate- gory and enter in the appropriate box. Total each box and enter at bottom. 5 Enrolled In Other Sort the MA 6-43's of individuals who enrolled in other Manpower Administration MA Program programs (Item 31, Code 4) by the Public Service Area in which they worked. Total for each category and enter in the appropriate box. Total each box and enter at bottom. 6 Drop-Out Sort die MA 6-43's of the individuals who dropped out (Item 31, Code 4) by the Public Service Area in which they worked. Total for each category and enter in the appropriate box. Total each box and enter at bottom. -22- Column Name Definition/Instruction 7 Other Sort the MA 6-43's of the individuals who terminated for other reasons (Item 31, Code 6)by the Public Service Area in which they worked. Total for each cate- gory and enter in the appropriate box. Total each box and enter at bottom. 8 Total Terminations For each Public Service Area, add the totals for Columns 3 through 7 and enter in the appropriate box in Column 8. Total each box and enter at bottom. Section II 9 Current Participants For each Public Service Area add Columns 1 (Current Participants, Start of (End of Month) Month), and 2 (New Participants), subtract Column 8 (Total Terminations), and enter the figure in the appropriate box. Total each box and enter at bottom. • 10 Cumulative Participant For each Public Service Area,add Column 2 (New Participants)to Column C (Cumulative Participants) of the previous month's Project Status/Financial Report (MA 6-45) and enter in the appropriate box. Total each box and enter at bottom. 11 Placed In Unsubsidized For each Public Service Area, add Column 3 (Placed In Unsubsidized Job--Public) Job--Public to Column D(Placed In Unsubsidized Job--Public) of the previous month's Project Status/Financial Report (MA 6-45) and enter in the appropriate box. Total each box and enter at bottom. 12 Placed In Unsubsidized For each Public Service Area, add Column 4 under Section I (Placed In Unsubsi- Job--Private dized Job--Private)to Column E (Placed In Unsubsidized Job--Private) of the previous month's Project Status/Financial Report (MA 6-45) and enter in the appropriate box. Total each box and enter at bottom. 13 Enrolled In Other For each Public Service Area, add Column 5 under Section I (Enrolled In Other MA Program MA Program) to Column F (Enrolled In Other MA Program) of the previous month's Project Status/Financial Report (MA 6-45) and enter in the appropriate box. Total each box and enter at bottom. 14 Drop-Out For each Public Service Area, add Column 6 under Section I (Drop-Out) to Col- umn G (Drop-Out) of the previous month's Project Status/Financial Report (MA 6-45) and enter in the appropriate box. Total each box and enter at bottom. 15 Other For each Public Service Area, add Column 7 under Section I (Other) to Column H (Other) of the previous month's Project Status/Financial Report (MA 6-45) and enter in the appropriate box. Total each box and enter at bottom. Post the figures from Section II, Columns 9 through 15 to the current month's MA 6-45 being prepared. The letters in the total boxes at the bottom of each Column indicate the corresponding column on the monthly MA 6-45, to which the data are to be transferred. -23- APPENDIX A(1) KEY TERMS AND DEFINITIONS 1. DOT CODE--The six-digit number from the Dictionary of Occupational Titles, Third Edition. 2. DISADVANTAGED INDIVIDUAL--A disadvantaged individual, for Man- power Program purposes, is a poor person who does not have suitable employment and is one of the following: (1) a school drop-out, (2) a member of a minority, (3) under 22 years of age, (4) 45 years of age or over, or (5) handicapped. (See Appendix C for Disadvantaged Criteria. ) 3. DROP-OUT--A participant who terminates from the program without good cause. For example, (1) for administrative reasons, (2) for refus- ing to participate in the program, or (3) termination from the program because he cannot be located after several attempts have been made to do so. 4. FOLLOW-UP--The activity designed to obtain information regarding the employment status of each participant in the Public Employment Program after he has terminated from the program. 5. GROUP--The racial or ethnic background of the individual. This is determined by the interviewer on the basis of visual observation, using his knowledge of the characteristics common to each group, and the prevailing local standards of designating members to each group. 6. HANDICAPPED--An enrollee who has a physical, mental or emotional impairment, or chronic condition which could limit work activities; or who is a veteran currently rated 10 percent or more disabled by the Veterans Administration, or retired for physical disability by a branch of the Armed Forces. 7. INTAKE--The point at which an individual is accepted into the program and begins employment funded by the Emergency Employment Act. 8. PARTICIPANT--An individual meeting the program eligibility criteria who has been accepted into the program and has begun work in a public service job. 9. PLACED IN AN UNSUBSIDIZED JOB--The hiring of an individual by an employer for an unsubsidized job provided that it has been verified from a reliable source, preferably the employer, that the individual has been placed on a job and that the transaction has been recorded on an employer order form or other appropriate form. Placement may be by the Agent, or any source, including the participant. APPENDIX A(2) 10. PROFESSIONAL--Generally, a professional is an individual (1) with a professional education (usually requiring more education than a Bachelor's degree), or whose work is original and creative in an artistic field, (2) at least 80 percent of whose work requires discretion and judgement and is intellectual in nature, and (3) who earns at least $140 a week ($125 in Puerto Rico, Virgin Islands, or American Samoa). A less stringent test applies to individuals earning $200 or more. Lawyers and doctors work- ing as such are professional without regard to their earnings. (See • 29 Code of Federal Regulations 5413 for further details. ) Under EEA, teachers are classified separately and are not reported as professionals. 11. PUBLIC ASSISTANCE RECIPIENT--A participant who is receiving financial aid under any Federal, State, or local welfare program. 12. PUBLIC SERVICE AREA--The principal governmental function performed by the organization to which the PEP participant is assigned. If the re- sponsibilities of the employing organization encompass more than one Public Service Area, the principal functions of the sub-organization to which the PEP participant is assigned should be the controlling factor in classifying by Public Service Area. It should be noted that the determining factor in categorizing PEP parti- cipants by Public Service Area should be the overall function of the employing organizations and not the occupation of the individual PEP participant, e. g. , a nurse in a school system should be classified in the "Education" category, not in "Health and Hospital". Similarly, a groundskeeper in a medical institution would be categorized as being in the "Health and Hospital" Public Service Area and not in "Public Works and Transportation". Nine Public Service Area categories have been established; each cate- gory is described briefly below: Law Enforcement--This category should include police depart- ments, correctional institutions, guard forces, Sheriff depart- ments, State police, the court systems, and other law enforce- ment-related functions. Education--This category should include all education-related functions such as elementary and secondary schools, institutions of higher learning, vocational and technical schools, adult educa- tion programs, and libraries. Public Works and Transportation--This category encompasses all functions associated with streets and highways, public buildings, and transportation-related activities. For example, the following functions should be included in this category: APPENDIX A(3) - Public works design, engineering, construction, and main- tenance - Street, highway, bridge, and tunnel design, construction, beautification, and maintenance - Public transportation including equipment operation, main- tenance, and administration - Urban renewal - Public housing ▪ Health and Hospitals--This category includes all health-related functions. For example, this category includes the following functions: - Hospitals - Medical and dental clinics, community health services, and health care functions - Family planning organizations - Nutritional service units - Psychiatric, psychological, and rehabilitative institutions and services - Health, food, drug, and occupational health inspections - Alcoholism and drug treatment facilities • Environmental Quality--This category encompasses those functions relative to pollution control, solid waste, sewage, recycling units, and other activities relating to environmental quality. For example, this category should include: - Solid waste and refuse units - Public water and sewer systems - Air pollution monitoring and control functions - Rodent control • Fire Protection--This category includes fire departments and related public safety units. For example, this category should include: - Fire departments - Fire and crash units at municipal airports - Fire inspectors - Rescue squads • Parks and Recreation--This category includes park construction and maintenance, as well as conservation and-recreation functions. ▪ Social Services--This category includes public welfare and social service program functions. For exam In this includes: N "category • APPENDIX A(4) - Welfare units - Food stamp and other food distribution programs - Non-medical services for the handicapped and blind - Public housing (other than construction and maintenance) Employment counseling, placement services, and manpower development and training - Services to the aged - Child care - Veterans assistance programs Other--This category includes all governmental functions not in- cluded in categories 1 through 8. Typically, this category will include administrative organizations such as the comptroller's office, the personnel office, and similar administrative units. 13. SPECIAL VETERAN--An individual who has received a discharge other than dishonorable after serving on active duty in the Armed Forces of the U. S. in Korea or Indo-China on or after August 5, 1964. 14. TERMINATION, OTHER--This category includes all participants leaving the program for reasons other than placed in unsubsidized job, enrolled in other Manpower Administration work-training program, or dropped out, e. g. , health reasons, relocation, or incarceration. 15. UNDEREMPLOYED--A person who is working part-time but seeking full-time work or a person who is working full-time but receiving wages below the poverty level. 16. VETERAN--An individual who has received a discharge other than dis- honorable after serving on active duty in the Armed Forces of the U. S. during any one of the following periods: April 6, 1917 to November 11, 1918; December 7, 1941 to December 31, 1946; June 27, 1950 to January 31, 1955; or served one or more days since January 31, 1955, EXCEPT Viet Nam Era and Special Veterans (see definitions). Also included in this category are persons who (a) served in the active military service of any government allied with the U. S. in World War II and who, at the time of entrance into such active service, was a citizen of the U. S. , or (b) served in the U. S. Public Health Service as a commissioned officer and who, during World War II, was (1) detailed to the Army, Navy, or Coast Guard; (2) assigned to duty in the U. S. Public Health Service outside the continental limits of the U. S. or in Alaska; or (3) in the U. S. Public Health Service on or after July 29, 1945. 17. VIET NAM ERA VETERAN--An individual who has received a discharge other than dishonorable after serving on active duty in the Armed Forces of the U. S. on or after August 5, 1964, EXCEPT those individuals serving in Korea or ludo C,1Iina on or after August 5, 1964 who arc classified as "Special Veterans" (see definition). • APPENDIX B(1) REGIONAL MANPOWER ADMINISTRATORS REGION I - BOSTON REGION II - NEW YORK Mr. Lawrence W. Rogers Mr. Clayton Cottrell Regional Manpower Administrator Acting Regional Manpower Administrator U. S. Department of Labor U. S. Department of Labor J. F. Kennedy Building, Room 1707 341 Ninth Avenue, Room 716 Government Center New York, New York 10001 Boston, Massachusetts 02203 DSR Chief, Gail Backus DSR Chief, Harry Barletta Tel: (617) 223- 6439 Tel: (212) 971 -5445 REGION III - PHILADELPHIA REGION IV - ATLANTA Mr. J. Terrell Whitsitt Mr. William U. Norwood, Jr. Regional Manpower Administrator Regional Manpower Administrator U. S. Department of Labor U. S. Department of Labor P. O. Box 8796 1371 Peachtree St. , N. E. , Room 405 Philadelphia, Pennsylvania 19101 Atlanta, Georgia 30309 DSR Chief, Ralph Allyn DSR Chief, Miss Mary Murphy Tel: (215) 438- 5200 Tel: (404) 526-5411 REGION V - CHICAGO REGION VI - DALLAS William B. Lewis Mr. William T. Baily Regional Manpower Administrator Regional Manpower Administrator U. S. Department of Labor U. S. Department of Labor Federal Building, Room 2402 Federal Building, Room 7F5 219 South Dearborn Street 1100 Commerce Street Chicago, Illinois 60604 Dallas, Texas 75202 DSR Chief, Ray Emberg DSR Chief, Ed Pischedda Tel: (312) 353-4258 Tel: (214) 749-2841 • APPENDIX B(2) REGION VII - KANSAS CITY REGION VIII - DENVER Mr. William S. Harris Mr. Frank A. Potter Regional Manpower Administrator Regional Manpower Administrator U. S. Department of Labor U. S. Department of Labor Federal Cffice Building, Room 3000 16015 Federal Office Building 911 Walnut Street 1961 Stout Street Kansas City, Missouri 64106 Denver, Colorado 80202 DSR Chief, Dr. Charles Mooney DSR Chief, Alyn Trego Tel: (816) 374-3796 Tel: (303) 837 -4477 REGION IX - SAN FRANCISCO REGION X - SEATTLE Mr. Edward Aguirre Mr. Jess Ramaker Regional Manpower Administrator Regional Manpower Administrator U. S. Department of Labor U. S. Department of Labor Federal Building, Room 10064 Arcade Plaza 450 Golden Gate Avenue 1321 Second Avenue San Francisco, California 94102 Seattle, Washington 98101 DSR Chief, Walter Postle DSR Chief, Horace Harding Tel: (415) 556-7414 Tel: (206) 442-7700 DISTRICT OF COLUMBIA Mr. Horace Holmes, Administrator District of Columbia Manpower Administration U. S. Department of Labor District Building, Room 220 14th and E Streets, N. W. Washington, D. C. 20004 DSR Chief, Robert Brown Tel: (202) 829-3663 APPENDIX CU) DISADVANTAGED CRITERIA Definition of Disadvantaged A disadvantaged individual for Manpower Program purposes, is a poor person who does not have suitable employment and is one of the following: (1) a school drop-out, (2) a member of a minority, (3) under 22 years of age, (4) 45 years of age or over, or (5) handicapped. Definition of Disadvantaged Criteria Several of the criteria specified in the above definition of Disadvantaged are described subsequently. (1) Family Income Family income is the annual sum of all money received by a family, including gross wages or salaries, self-employment income, and other income such as Social Security benefits, pensions, and periodic income from insurance policy annuities. Specifically ex- cluded are non-cash income, cash welfare payments, payments made to enrollees under Manpower programs, and any one-time unearned income. Family income shall be obtained by requiring that the enrollee indicate size of family, amount of family income, its source, and the occupation(s) of the income-producing member(s) of the family. Data on income of the family should appear reasonably reliable. It is not expected that Agents will investigate as to the validity of income reported by potential participants. (2) Member of Poor Family A person will be deemed "poor" for purposes of the definition of disadvantaged if he is a member of a family (1) which receives cash welfare payments, or (2) whose annual income in relation to family size and location does not exceed the following criteria. (The poverty- level income criteria are established by the Office of Economic Oppor- tunity (OEO) and are subject to annual revision). Family Size Income--Non-Farm Income--Farm 1 $ 1,900 $ 1,600 2 2,500 2,000 3 3,100 2,500 4 3,800 3,200 5 4,400 3,700 6 5,000 4,200 7 5,600 4,700 APPENDIX C(2) For families with more than 7 members, add $600 for each additional member in a non-farm family and $500 for each additional member in a farm family. The following income criteria shall apply for the State of Alaska only: Family Size Income--Non-Farm Income--Farm 1 $ 2,400 $ 2,000 2 3,150 2,625 3 3,900 3,275 4 4,750 3,975 5 5,500 4,600 6 6,250 5,225 7 7,000 5,850 For families with more than 7 members, add $750 for each additional family member in a non-farm family and $625 for each additional member in a farm family. The following income criteria shall apply for the State of Hawaii only: Family Size Income--Non-Farm Income--Farm 1 $ 2,200 $ 1,875 2 2,900 2,400 3 3,550 2,950 4 4,250 3,550 5 4,900 4,075 6 5,550 4,600 7 6,200 5,125 For families with more than 7 members, add $650 for each additional family member in a non-farm family and $525 for each additional family member in a farm family. (3) Persons Who Do Not Have Suitable Employment Individuals who do not have suitable employment are (1) the unemployed, (2) the underemployed, and (3) persons hindered from seeking work. Hello