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Home My WebLink About720605.tiff ///t 669 AGENT INFORMATION SYSTEM PUBLIC EMPLOYMENT PROGRAM United States Department of Labor Manpower Administration Office of Financial and Management Information Systems September, 1972 720605 TABLE OF CONTENTS Page Number I. INTRODUCTION 1 II. PARTICIPANT INFORMATION RECORD 3 III. SUMMARY OF PARTICIPANT CHARACTERISTICS 15 IV. PROJECT STATUS/FINANCIAL REPORT 21 Appendices A. AGENT SUPPORT SYSTEM B. DATA SYSTEMS AND REPORTS UNIT ADDRESSES C. DISADVANTAGED CRITERIA D. KEY TERMS AND DEFINITIONS INDEX OF FORMS AND WORKSHEETS Following Page I. PARTICIPANT INFORMATION RECORD (MA 6-43) 5 II. SUMMARY OF PARTICIPANT CHARACTERISTICS (MA 6-44) 16 III. PROJECT STATUS/FINANCIAL REPORT (MA 6-45) 23 IV. PARTICIPANT CHARACTERISTICS WORKSHEET (S 6-44A) A(3) V. TERMINATION CHARACTERISTICS WORKSHEET (S 6-44B) A(5) VI. PROJECT STATUS WORKSHEET (S 6-45) A(8) I. INTRODUCTION Purpose of the System This manual provides the information necessary for the successful implementation and utilization of the revised Agent Information System developed by the Manpower Administration, Department of Labor for use in the Public Employment Program (PEP). This revised system includes the financial reporting requirements specified previously in the Financial Manage- ment Requirements handbook. The integration of the financial and program activity reporting subsystems will result in a simpler, more effective infor- mation system. When operational, the new system will give management at the Agent level an effective tool for program control. Additionally, the sys- tem will provide the Manpower Administration with a means for appraising contract performance and with information about the characteristics of the program and its participants, as required by Congress. System Overview This section describes briefly the required Federal forms, the move- ment of the forms from the Agent to the Department of Labor, and the local forms and procedures utilized to collect and compile the required informa- tion. In the Public Employment Program, Agents are responsible for the accurate and timely reporting of all activities covered by their Grant Agreements, including all sub-agreements. There are three mandatory forms which are completed by all Agents. (1) Participant Information Record, MA 6-43 This form is partially completed for each individual entering the program and completed upon termination. It contains the basic socioeconomic 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 demographic characteristics of program participants and terminees, including age, ethnic group, and military service status. -1 - (3) Project Status/Financial Report, MA 6-45 This form is a monthly summary report of the activity of each Agent (including all Subagents) covering current planned participants, number of participants, terminations by reason, and financial data. 'The financial data include the information submitted previously on the Invoice (MA 2-105) and Statement of Costs or Expenditures (MA 2-107C). Consequently, these two forms are eliminated. The Participant Information Record, the Summary of Participant Characteristics, and the Project Status/Financial Report are submitted monthly by the Agent to the Data Systems and Reports (DSR) Unit in the office of the Regional Manpower Administrator, to arrive no later than the seventh working day of the month following the end of the report period. (See Appendix B for DSR Unit addresses. ) Also, additional copies of the Project Status/Financial Report are submitted monthly to the Regional Manpower Administrator for the Project Officer and Payments Unit, to arrive no later than the seventh working day of the month following the end of the report period. These copies should be sent to the address utilized previously for the MA 2-105 and MA 2-107C. Agents are responsible for reproducing their own forms from the copies contained herein. Agent Support System The Agent Support System is comprised of a Participant Characteristics Worksheet (S6-44A), a Termination Characteristics Worksheet (S6-44B), a Project Status Worksheet (S6-45), and attendant procedures. These work- sheets provide the Agent with a method for gathering and posting the data needed for the Summary of Participant Characteristics and the Project Status/ Financial Report, respectively. Agents are required to maintain this local support system or its functional equivalent and make it available to Federal monitors and auditors performing periodic checks of data accuracy. -2- II. PARTICIPANT INFORMATION RECORD Form MA 6-43 Purpose The Participant Information Record (MA 6-43) is used to collect basic information on the personal, financial, educational, and occupational char- acteristics of each participant in the Public Employment Program. The participant's reason for terminating from the program and his status at termination also are recorded on this form. General Instructions An MA 6-43 form 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 on the following pages. Where coded items appear on the form, the entry must be one of the codes shown. The small numbers below the boxes are card column numbers used only for keypunching; they should be disregarded when completing this form. The circled numbers above each item on the Participant Information Record refer to the item numbers in the following clerical procedures. Information for this form comes from the employment and personnel records, and from participant interviews. The Agent is responsible for completing his participant forms, collecting and editing the forms completed by Subagents, and submitting all of these forms to the Regional Data Systems and Reports (DSR) Unit. (See Appendix B for DSR Unit addresses. ) Be sure all copies are legible. Submission of Forms An original and two (2) copies of the MA 6-43 should be completed. Part A of the form is completed immediately after the participant enters the program. Part B of the form is completed only when the participant terminates. At Enrollment • Complete Part A of the original and two copies. • Submit the original for each participant entering the program during the report period to the DSR Unit, to arrive no later -3- than the seventh working day of the month following the entry month. The number of MA 6-43 forms submitted with Part A completed should equal the difference between the number of cumulative participants reported on the current MA 6-45 and the number reported on the previous month's MA 6-45. For the first report period of a new Grant, the number of MA 6-43 forms submitted with Part A completed should equal the difference between the num- ber of cumulative participants reported on the current 1VIA 6-45 and the number of current participants reported on the MA 6-45 for the last report period of the old Grant. Retain two copies to be completed at termination. At Termination Complete Part B on the two copies retained from enroll- ment. For terminees enrolled on the original MA 6-43 dated August, 1971, complete the following steps: - Complete an original and one copy of Part B of the new MA 6-43 dated September, 1972, following the instructions contained herein. Enter on the new MA 6-43 the participant's Social Security Number and the Grant Number from Part A, Items 2 and 1, respectively, of the old MA 6-43. Attach the new MA 6-43 to the corresponding old MA 6-43. • Submit Copy One for each terminee leaving the program during the report period to the DSR Unit, to arrive no later than the seventh working day of the month following the termination month. The number of MA 6-43 forms submitted with Parts A and B completed should equal the difference between the total number of cumulative termi- nations reported on the current MA 6-45 and the number reported on the previous month's MA 6-45. For the first report period of a new Grant, the number of MA 6-43 forms submitted with Parts A and B completed should equal the number of cumulative terminations reported on the current MA 6-45. Note that if a participant enrolls and terminates during the same month, both a Participant Information Record, Part A and a Participant Information Record, Parts A and B must be submitted. -4- Retain Copy Two for follow-up and other purposes, The MA 6-43 forms are submitted monthly together with the Summary of Participant Characteristics and the Project Status/Financial Report for the same report period. Correction of Forms The correction of errors on the Participant Information Record can be initiated by the Agent or the Manpower Administration. An Agent who discovers an error in a previously submitted MA 6-43 should: Reproduce a copy of the MA 6-43 to be revised. Write "Revised" in red at the top of the copy. Enter the correct information and encircle the corrected entry in red. Batch the corrected copies separately and submit them with the Participant Information Records for the next report period. Correct the file copy (copies). The information necessary to correct errors discovered by the Man- power Administration will be obtained by calling the Agent, or by asking the Agent to submit the correct entry on an error/correction form. -5- O a 1. Y > a i i a l O f T T R: a N N 7 • J S .j L a i o i p n x IOi 0 2 S W - N ❑ O 6 p V 0�0 T 2 • O ♦ J ♦ ■A N 0 i = as u m a g Y ‘Nis-2 O i Fi q V i o O or', r Jay - . P 6 4 V W S r a a.I> = < Y o u a ≤ o o E W J - N r J p T V W O p ' U V C V O U 0 Y O Y W i W 6 J O W p y 00 2 o E Z JQJ6 Y > JJ U Ws Y �W < M1 N V M1 O Y L V O 0 a F f oma W= d oT d b'f d of V Y > T 2 O a n on O T a OLL 00000 0000 Z b M1 a J - F aa .O ` - m _ C L o _ONZ —� O > TZ N Z�U < 00 pE00000 Q M1" C a < >T<2LL, y ♦ o 2 a CC VFF Q WJ W ❑n. q JWC L L0 6W W LW M1 JJ an0 ci < !J..' = S L « p T W 3. 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O J J = w 2 J W W W L r O< 0 O- O T L 0 0 I 1' O LL S a OW W O W t< a O < L 0¢W 4 LL < L E j • F a N O W 0 O 0 F<2 Q O O N 6 00 , F0 2 l _ % J 220 M1 0 ¢2� o „ n. %4 o < LLSTI �� . W �_ W 2LL n rP _N S W O 0 p0 ♦ a L 9 z g z « _ ¢ : Tz r a < y J J ¢ < I- 2 < W p T ♦ y<y f o F 0 I ♦M1 I L ¢CW v T n O N < o u3NW -0 e _ LL QUJ q ; w It Z0p r 0 O ¢<gig }2 O ¢ p F ItI CSCa qa f j 6 p O 2 Y F ® 2 ♦ F F <W 6 r 0 20 0 e• = O O -, O s app M1 Ls S▪ s w ¢ M1 c 2 < rn — o a at a n � <' � 10 z - O Q :_- n:---1- L < g a z - R z z W 2 Z 0 a V 18Vd 8 laVd ♦ ¢ O z MA 6-43 ITEM DEFINITIONS AND INSTRUCTIONS Item Number Name Definitions/Instructions PART A: TO BE COMPLETED AT ENROLLMENT 1 Record Code Pre-Coded. 2 Social Security Number Enter the Social Security Account Number of the participant, without any dashes or blanks. If the participant does not have a Social Security Number, ask him to obtain a number from the local Social Security Office. Do not submit a form without a Social Security Number. Complete the form now and fill in the Social Security Number when available. 3 Grant Number Enter the seven remaining digits as they appear on the Grant Agreement; do not enter dashes. Do not submit a form xathaassaagssithir. 4 Program Comtorent Inter one of the following three codes to indicate if the Grant is funded under Section 5 or Section 6 or the Emergency Em- ployment Act. 01 Regular (Section 5) 02 Supplemental (Section 6) 03 Indian (Sections 5 and 6) The current program components are categorized as follows: Section 5 Section 6 Sections 5 and E . Regular . Supplemental . Indian . Migrant . High Impact . Welfare 5 Name Enter the first 15 letters of the participant's last name in the boxes provided. If the last name is longer than 15 letters, complete the last name in the space below the boxes. Do not enter apcstrophes, periods, etc. Do not leave blank spaces in the middle o£the name. Eater the first initial and the middle initial, if any, in the spaces provided. Leave the last box blank if the individual has no middle initial. Example: IOIFIAIRIRJEILLILI I I III © ® oILI5IoINI milli a ❑ 1 .6- Item Number Name Definitions/Instructions 6 Record Code Pre-Coded, 7 Address Enter the street address, city, county, state, and ZIP Code of the participant's residence. Also, enter the 4-digit City and 3-digit County Codes for this address using the Geographic Location Code Book, FSS stock number 7610-926-9078. Do not submit the form without the GSA City and County Codes, If a GSA Code is not listed for the city of residence, utilize the code for the nearest listed city, 8 Record Code Pre-Coded. 9 Date of Birth Enter the four digits of the participant's month and year of birth. For example, April 1, 1942 would appear as: 101414121 10 Sex Fester the ap propriate code. 11 Group Enter the appropriate code. This is determined by the inter- viewer based on observation, his knowledge of the charac- teristics common to each group, and the prevailing local standards for designating members to each group, 12 Spanish American Enter the appropriate code. The entry in this item should be based on observation. An individual is Spanish American if he has a Spanish surname or if his appearance or speech is characteristic of this group. If the individual is not Spanish American, enter 1. If the individual is Spanish American, enter 2, 3, or 4 as applicable. Persons of Cuban American or other Latin American origins should be recorded as "Other' (Code 4). 13 Military Service Eater the appropriate code only: Status . Enter Code 1 (Special Veteran) if the person has received a discharge other than dishonorable after service on active duty in the Armed Forces of the U.S. in Korea or Ludo- China, on or after August 5, 1964, -7- Item Number Name Definition/Instructions 13 Military Service . Enter Code 2 (Vietnam Era Veteran) if the person has re- Status (Coned) ceived 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, 1904. . Enter Code 3 (Veteran) if the individual has received a discharge other than dishonorable after serving on active duty in the Armed Forces of tin 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 for "Vietnam 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, were citizens of the U.S.; or(b)served in the U.S. Public Health Service as commissioned officers and who, during World War II, were (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. ▪ Enter Code 4 (Non-Veteran) if the participant is not classi fied under the above three categories. Generally, indi- viduals with under six months of active duty are classified as "Non-Veterans." 14 Disabled Veteran Enter the appropriate code. A disabled veteran is a veteran who meets one of the following criteria: • Has a service-connected disability and is currently rated 10 percent or more disabled by the Veterans Administra- tion . Has been retired for physical disability by a branch of the Armed Forces . Meets the United States Employment Service definition of a "Handicapped Applicant,'regardless of how or when the disability was incurred Definition of service-connected disability and handicapped are included in Appendix D. -8- Item Number Name Definition/Instructions 15 Disadvantaged g Enter Code 1 3f, based on current Manpower Administration criteria, the participant is disadvantaged; otherwise, enter Code 2. A disadvantaged individual is a poor person who does not have suitable employment and is one of the following: (1)a school dropout, (2) a member of a minority, (3)under 22 years of age, (4) 45 years of age or older, or (5)handicapped. (See Appendix C for disadvantaged criteria.) 16 Previously Employed Enter the appropriate code: by Agent . Enter Code 1 if this individual has been employed by this Agent or Subagent in the last six months and is now being recalled to the same or a similar job. ▪ Enter Code 2 if the participant was employed by the Program Agent during the preceding six months but is not being recalled to the same or a similar job. . Enter Code 3 if the participant was not employed by the Program Agent or Subagent within the preceding six months. 17 Public Assistance Enter Code 1 if the participant was receiving financial aid Recipient or if his needs were considered in computing a public assis- tance grant to his family at the time of entry into this pro- gram; otherwise, enter Code 2. 18 Migrant Farm Enter Code 1 if the participant is a migrant farm worker; Worker otherwise, enter Code 2. A migrant farm worker is a per- son who occasionally or habitually leaves his established place of residence to accept seasonal or temporary employ- ment in another locality where he resides during the period of employment. 19 Former Federal Enter Code 1 if the participant has been enrolled in a Fed. Manpower Training erally supported manpower or work-training program within Program Enrollee the past year. Enter Code 2 if the parti cipant pant has not been enrolled in such a program within the lest year. 20 Handicapped Faster Code 1 if the participant has a physical, mental, or emotional impairment, or a chronic condition which could limit work activities; or is a veteran currently rated at least 10 percent physically disabled by the Veterans Administration or retired for physical disability by a branch of the Armed Forces. Otherwise, enter Code 2. -9- Item Number Name Definitions/Instructions 21 Highest School Enter two digits representing the highest school grade corn- Grade Completed pleted. If, prior to the interview, the participant has been certified as having attained the educational equivalency of a high school graduate through successful completion of the General Educational Development (GED) Test, enter 12. One year of college would be Code 13, two years of college or technical school would be Code 14, etc. A college grad- uate 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. 22 Labor Force Status Enter Code 1 if the participant is unemployed; Cade 2, if underemployed at the time of the interview. Refer to Appendix D for the definitions of unemployed and under- employed. 23 Weeks Unemployed Enter the number of weeks the participant was unemployed Last 12 Months and was looking for work within the last 12 months. Include all weeks unemployed even though they may not be con- secutive. The number of weeks entered should not exceed 52. If the participant has not been unemployed in the last 12 months, enter zeros (00). 24 Weeks Unemployed If Code 1 (Unemployed)was entered in Item 22, enter the Current Spell number of continuous, uninterrupted weeks the participant was unemployed immediately prior to the interview. The number of weeks entered should not exceed 52 or the number of weeks entered in Item 23. For those participants who were not unemployed in the last 12 months, enter zeros (00). 25 Receiving Unemploy- Enter Code 1 if the participant was receiving unemployment ment Insurance insurance payments at the time of entry into the program. Enter Code 3 if the participant has exhausted his benefits any time within the last 12 months. Otherwise, enter Code 2. 26 Title/DOT Code of Enter the occupational title and the 6-digit DOT (Dictionary Previous Occupation of Occupational Titles) Code for the participant's last full- time civilian occupation prior to entering the program. If the individual has never held a full-time civilian job or the necessary information is unavailable, draw a line through the item. -10- Item Number Name Definitions/Instructions 27 Hourly Wage/ Enter the participant's hourly wage in his last full-time Previous Occupation civilian ob. If the individual has never been employed� p Dyed or the information is unavailable, draw a line through the item. 28 Date Hired Enter the 6-digit number showing the month da y, and year (in that order) the participant was hired for this program. For example, April 5, 1972 should be entered as: �0I4I0I5I7i2I Do not submit a form without this date, 29 Occupational Group Code one classification only . Faster Code 1 if the individual is in a professional EEA occupation according to the definition in Appendix D. All other occupations are Code 3, except teachers, who are Code 2. Subagents should consult the Grant Agreement or the Regional Office. 30 Governmental Code one classification only. Enter the code of the employ- Unit ing unit of the EEA participant, For example, even if the Agent is a state, enter Code 2 (County) if the participant is to be employed by a cotmty. 31 public Service Enter one code 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 01 for law Enforcement. If questions arise, consult the Grant Agreement. (Refer to Appendix D for definitions.) Do not submit a form without the Public Service Area designation. 32 Title/DOT Code of Enter the occupational title and the 6-digit DOT Code for Public Employment the participant's occupation in this program, as specified in Program Occupation the Grant Agreement. This item must be com pleted. 33 Hourly Wage/Public Enter the participant's hourly wage, excluding fringe Employment Program g ' rrn his benefits, Sr in his public Employment Program occupation, This infor- Occupation mation is available from the Grant Agreement, This item must be completed. -11- Item Number Name Definitions/Instructions 34 Hours Per Week/Public Enter the number of hours per week the participant is to be Employment Program employed in PEP. Occupation 43 Interviewer Signature Type or print the name and title of the person conducting and Title the initial interview and sign the form. 44 Name and Address of Enter the name and address of the emplcying agency. Employing Agency PART B: TO BE COMPLETED AT TERMINATION 35 Record Code Pre-Coded. 36 Termination Date Enter the 6-digit number showing the month, day, and year the participant terminated from the program. For example, June 17, 1972 should be entered +as: 016111717121 Do not submit a form without this date. 37 Reason for Enter the appropriate code only: Termination Enter Code 1 if the individual obtained an unsubsidized job or voluntarily left the program on his own initative for any reason except retirement. Include as "Quits" those participants who refuse to participate in the proa:ar.:, who fail to report for work, or who disappear and can- not be located after several attempts have been made to do so. . Enter Code 2 if the individual was laid off or suspended from pay status for a period lasting more than seven consecutive days. Lay-offs are initiated by the Agent, Subagent, or employing unit without prejudice to the worker for reasons such as adjusting the work force to current requirements or budget restrictions. . Enter Code 3 if the individual has been discharged (fired) for such reasons as incompetence, violation of rules, dishonesty, absenteeism, or insr.bordination. . Enter Code 4 if the individual left PEP for other reasons such as retirement, disability, death,or incarceration. Enter the specific reason in one or two words in the space provided. -12- Item Number Name Definitions/Instructions 38 Status o£ Terminee Enter the ap propriate code only: • Eater Code 1 if the individual obtained an unsubsidized job with the Agent (including amr Subagent). . Enter Code 2 if the individual obtained an unsubsidized iob with a public agency other than the Agent (or am. Subagent). • Eater Code 3 if the individual obtained an unsubsidized lob in the private sector. . Enter Code 4 if the individual enrolled in another Federal Manpower Administration work-training program, e.g., NAB, JOBS, CEP, WIN, or MDTA. • Enter Code 5 if the individual reentered the Public Em- ployment Program (PEP), e.g., by shifting from one Grant to another or re-enrolling. . Enter Code 6 if the individual entered technical school college, other training, or the Armed Forces, . Enter Code 7 if the individual was unemployed and seek- ing work, i.e., had engaged within the past four weeks in specific job-seeking activity such as: (1)registering at a public or private employment office, (2) meeting with prospective employers, (3) checking with friends or relatives, (4)placing or answering an advertisement, (5) writing letters of application, or (6) being on a union or professional register. • Eater Code 8 if the individual is not employed and not seeking work i.e., out of the labor force. • Eater Code 9 if the individual's status is unknown. . Enter Code 10 if the individual is not classified in any of the above ten categories. Specify in the space pro- vided the appropriate status in one or two words, e,g., deceased. 39 DOT Title/Code of If Rem 38, "Status of Terminee," was Code 1, 2, or 3, Placement Occupation enter the occupational title and the 6-digit DOT Code for the occupation in which the participant was placed at termination. If the information is not available, draw a line through the item. 40 Wage/Hourly W If Rem 38, "Status of Terminee," was Code 1, 2, or 3, Placement Occupation enter the participant's hourly wage in the placement occupa- tion. If the information is not available, draw a line through the item. -13- Item Number Name Definitions/Instructions 41 Record Code Pre-Coded. 42 Termination Address For follow-up purposes, enter the participant's current address, if different from the address recorded previously in Item 7. -1 4- III. SUMMARY OF PARTICIPANT CHARACTERISTICS Form MA 6-44 Purpose The Summary of Participant Characteristics (MA 6-44) is used to summarize the essential demographic characteristics of program partici- pants and terminees. This form presents cumulative data about all partici- pants from the inception of the Grant. The characteristics data for terminees are summarized for five principal categories; Obtained Unsubsidized Job-- Agent; Obtained Unsubsidized Job--Public; Obtained Unsubsidized Job-- Private; Entered Other Training, PEP, School, or Armed Forces; and All Other. Comparisons of the five termination groups indicate the Agent's relative success in dealing with different target populations. General Instructions The MA 6-44 is prepared monthly by each Agent and submitted to the Regional Office DSR Unit. (See Appendix B for DSR Unit addresses. ) The data for this summary are extracted from the Participant Information Records of the Agent and all Subagents. Clerical procedures for preparing the form are presented in the following pages. Be sure all copies are legible. To assist in compiling the data, it is recommended that support forms S 6-44A and S 6-44B be used. Instructions for completing the support forms and for transferring the data to the MA 6-44 are contained in Appendix A. Submission of Forms An original and two (2) copies of the MA 6-44 should be completed. Submit the original and Copy One to the Regional Data Systems and Reports Unit, to arrive no later than the seventh working day of the month following the report period. Retain Copy Two with the Agent's records. -15- The MA 6-44 form is submitted monthly together with the Project Status/Financial Report and the Participant Information Records for the same report period. Correction of Forms The correction of errors on the Summary of Participant Character- istics can be initiated by the Agent or the Manpower Administration. An Agent who discovers an error in a previously submitted MA 6-44 should: • Reproduce a copy of the MA 6-44 to be revised. • Write "Revised" in red at the top of the copy and add a letter to the original report number, e. g. , 1A, 1B. ▪ Enter the correct information and encircle the corrected entry in red. • Batch the corrected form separately and submit it with the Summary for the next report period. Correct the file copy. The information necessary to correct errors discovered by the Man- power Administration will be obtained by calling the Agent, or by asking the Agent to submit the correct entry. -16- U.S.DEPARTMENT OF LABOR FORM APPROVED MANPOWER ADMINISTRATION PUBLIC EMPLOYMENT PROGRAM OMB NO.44 R 1455 MA 6-44 (SEPT.,tS72) SUMMARY OF PARTICIPANT CHARACTERISTICS I. Name and Address 2.Grant Number 5. Report M M o 0 Y Y EEA- Period I I 3.IRS Employer ID Code 6. Report Number: la COMPLETION REPORT El FINAL REPORT 4.Program Component 11 01-REGULAR(SECTION 5) JI\ 02-SUPPLEMENTAL (SECTION 6) 05-INDIAN(SECTIONS 5AND 6) Cumulative Terminations Cumulative Obtained Unsubsidized Job ENTERED OTHER Characteristic Participants TRAINING.PEP, All Other SCHOOL,OR Agent Public Private ARMED FORCES A B C D E F 7 Total 8 Age 18 or less r , 7 19 -21 dd# if.i; "'A 55 - 64 /, 65 and over / „/ 9. Sex Male Female 10. Group") White Block Oriental American Indian Other —� 11. Spanish American(2) 12. Military Service Special Veteran Status Vietnam Era Veteran V� Veteran �� Y Non-Veteran 13. Disabled Veteran(2) I4 Disadvantaged 15. PREVIOUSLY EMPLOYED Recalled BY AGENT(2) Not Recalled 16. Public Assistance Recipient 17 Migrant Farm Worker(2) f8. Former Fed.Manpower Training Prog. Enrollee 19. Handicapped 20.Education 8th or less 9th - Ilth 12th 13th- 15th 16th or more 4,r 21. Weeks In Program 1 -26 27- 52 53- 78 79 or over low Signature and Title: Date: Phone: NOTES,(I) THE CUMULATIVE GROUP TOTAL WILL NO LONGER ADD TO THE CUMULATIVE TOTAL BECAUSE SPANISH AMERICAN IS NOW REPORTED SEPARATELY. (2)THESE DATA COLLECTED ONLY FOR PARTICIPANTS ENTERING PEP SINCE OCTOBER I, IB72. MA 6-44 ITEM DEFINITIONS AND INSTRUCTIONS Item Number Name Definitions/Instructions 1 Name and Address Enter the full name and current address of the Agent. 2 Grant Number Enter the remaining seven digits of the Grant Number from the Grant Agreement. Do not submit a form without this number. 3 IRS Employer ID Number Enter the nine-digit Internal Revenue Service (IRS) employer ID number of the Agent. Do not submit a form without this number. 4 Program Component Enter one of the following three codes to indicate if the Grant is funded under Section 5 or Section 6 of the Emergency Em- ployment Act. 01 Regular (Section 5) 02 Supplemental (Section 6) 03 Indian (Sections 5 and 6) The current program components are categorized as follows: Section 5 Section 6 Sections 5 and 6 . Regular . Supplemental . Indian . Migrant . High Impact . Welfare 5 Report Period Enter two digits each for the month, day, and year (MM/DD/YY) to which the data reported pertain. The report period is a calendar months 6 Report Number Enter the number of this report. The initial report under this Grant will be number one (1) and all subsequent reports will be numbered sequentially. Letters, in alphabetical order, should be added to the original report number to designate corrected reports, e.g., 1A, 1B. In addition, check "Completion Report" if the report is for the last month of the current Grant period. Check "Final Report" if the report is the Grant closeout report. Column A Cumulative Participants Enter in this column, for each characteristic, the cumulative number of participants including re-enrollees, since the in- ception of the Grant. The total reported in Item 7 should agree with the total reported in Item 9 of the monthly Project Status/ Financial Report (MA 6-45). -1 7- Item Number Name Definitions/Instructions B Obtained Unsubsidized Enter in this column, for each characteristic, the cumulative Job--Agent number of terminees who obtained unsubsidized employment with the Agent or Subagent. The total reported in Item 7 should agree with the total reported in Item 10 of the termin- ation summary on the monthly Project Status/Financial Report (MA 6-45). C Obtained Unsubsidized The cumulative number of terminees who have obtained unsub- Job--Public sidized jobs with public agencies, other than the Agent or Sub- agent, is entered in this column. The total reported in Item 7 should agree with the total reported in Item 11 of the MA 6-45. D Obtained Unsubsidized The cumulative number of terminees who have obtained unsub- Job--Private sidized jobs in the jobs private sector is entered in this column. The total reported in Item 7 should agree with the total reported in Item 12 of the MA 6-45. E Entered Other Training, The cumulative number of terminees who entered other Federal PEP, School, or Armed Manpower Administration work-training programs, reentered Forces the Public Employment Program, entered technical school, college or other training, or entered the Armed Forces is entered in this column. The total reported in Item 7 should agree with the total reported in Item 13 of the MA 6-45. F All Other The cumulative number of participants terminating for other than the above reasons is entered in this column. The total reported in Item 7 should agree with the total reported in Item 14 of the MA 6-45. Number Taal Enter on this line under Column A the cumulative number of participants in the program; and, under Columns B-F, the cumulative number of terrines in each of the five categories as of the end of the reporting period. 8 A? From the dates of birth shown on the Participant Information 18 or under Records (Item 9), determine the participants' ages and dis- 19-21 tribute the totals in the proper age groups,(Column A only) 22-44 45-54 55-64 65 or over -1 8- Item Number Name Definitions/Instructions g Sex Distribute under Columns A-F the cumulative number of Male participants and terminees according to sex. Female 10 GNup Distribute under Columns A-F the cumulative number of par- White ticipants and terminees among the groups listed. The ennui- Black lative Group total will no longer add to the cumulative total Oriental reported in Item 7 because Spanish American is now reported American Indian separately. Other 11 Spanish American Distribute under Columns A-F the cumulative number of par- ticipants and terminees who are Spanish American. 12 Military Service Status Distribute under Columns A-F the cumulative number of par- Special Veteran ticipants and terminees according to their Military Service Vietnam Em Veteran Status. Veteran Non-Veteran 13 Disabled Veteran Enter under Columns A-F the cumulative number of participants who were determined to be disabled veterans at enrollment. 14 Disadvantaged Enter under Columns A-F the cumulative number of participants and terminees who were determined to be disadvantaged at enrollment. 15 Previously Employed Enter under Columns A-F the cumulative number of participants by Agent - and terminees previously employed by the Agent or Subagent; Recalled recalled and not recalled. Not Recalled 16 Public Assistance Enter under Columns A-F the cumulative number of participants Recipient and terminees who were receiving public assistance at enroll- ment. 17 Migrant Farm Worker Enter under Columns A-F the cumulative number of participants and terminees who were recorded as migrant farm workers at the time of enrollment. -19- Item Number Name Definitions/Instructions 18 Former Federal Man- Enter under Columns A-F the cumulative member of participants power Training Pro- and terminees who were enrolled in a Federally supported Man- gram Enrollee power work-training program within 12 months prior to their PEP enrollment. 19 Handicapped Enter under Columns A-F the cumulative number of participants and terminees who were judged to be handicapped at the time of enrollment. 20 Education Distribute the cumulative number of participants according to the highest school grade completed. (Column A only) 21 Weeks in Using the Date Hired (Item 28)and the Termination Date Program (Item 36)on the Participant Information Records, enter under Columns B-F to number of participants who, at the time of termination, had participated in the program for periods of 1-26 weeks, 27-52 weeks, 53-78 weeks, or 79 weeks or more. Partial weeks should be counted as full weeks. '- Signature, Title, Type or print the name and title of the individual responsible Date, and Phone for preparing this form. Sign the form; enter the date and telephone number. -20- IV. PROJECT STATUS/FINANCIAL REPORT Form MA 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. In addition, the report provides financial data, reported formerly by the Statement of Costs or Expenditures (MA 2-107C) and the Invoice for Reimbursement and/or Cash Advance (MA 2-105). Inte- gration of the program and financial reporting subsystems lessens the Agent's reporting burden and simplifies the overall Agent Information System. General Instructions The MA 6-45 presents Agent-level data, compiled and submitted monthly during the Grant period. Clerical procedures for preparing the form are presented in the following pages. Be sure all copies are legible. The MA 6-45 includes three principal categories of information. Participant/Termination Summary data include Current Planned Positions, Current Participants, Cumulative Participants, and Cumulative Terminations by Status. Training and Other Services data include the cumulative number of participants who have received training and/ or other services under this Grant. Financial Summary data include Federal and Agent portions of the project budget and accrued expenditures distributed by five major cost categories. Also included are the Cash Statement and Treasury Check items shown previously on the MA 2-107C and the MA 2-105. - Cash received to date - Disbursements made to date Cash on hand/deposit - Estimated disbursements - Total cash needs - Cash advance requested -21 - Further, the form includes both Agent and GAR certifications of data validity and program performance. Participant/Termination Summary data are extracted from the Partici- pant Information Records. To assist in compiling the data, it is recommended that support form $6-45 be used. Instructions for completing the worksheet and transferring the data to the MA 6-45 are presented in Appendix A. Financial and participant services information must be obtained from the Agent records. Submission of Forms An original and five (5) copies of the MA 6-45 are completed. Submit the original and two (2) copies to the Regional Man- power Administrator to arrive no later than the seventh working day of the month following the report period. These copies should be sent to the same address utilized previously for the MA 2-105 and MA 2-107C. Forward two (2) copies to the Regional Data Systems and Re- ports Unit, to arrive no later than the seventh working day of the month following the report period. Retain Copy Five with the Agent's records. The MA 6-45 is submitted monthly to the Data Systems and Reports Unit with the Summary of Participant Characteristics and the Participant Informa- tion Records for the same report period. The "Completion Report" is sub- mitted for the last month of the grant period. The "Final Report" is submitted after all billings have been received and paid, and is due in the Regional Office not later than 90 days after the completion of the Grant. Correction of Forms The correction of errors on the Project Status/Financial Report can be initiated by the Agent or the Manpower Administration. An Agent who discovers an error in a previously submitted MA 6-45 should: Reproduce five copies of the MA 6-45 to be revised. Write "Revised" in red at the top of each copy and add a letter to the original report number, e. g. , 1A, 1B. Enter the correct information and encircle the corrected entry in red. -22- Send three revised copies to the Regional Manpower Ad- ministrator at the address utilized for submitting the original MA 6-45. Send two of the revised copies to the Data Systems and Reports Unit. Correct and retain the original report. The information necessary to correct errors discovered by the Man- power Administration is obtained by contacting the Agent, or by asking the Agent to submit the correct entry. -23- • >_ ot P• wlo- -_ �< < • OWo•. o • _ 4 •O C O ._ 2 0. W - W J a U 2 i 0 N W i O • - W d 0 — O } i _ 41 Cc 0 Z Q d I- O d J P. .o n — a I- p O 2 1 ^ �^ O e`1 E c 2 N fr p p w i z U 4 2 S Q E o y I. ` .._ o Zun1-2 ~ •12 N o • ~ ; O % z Q O Y N a a t c a / �i d o W U _ o o s0 _ `o o Z a — d E W c Z c a • • _ d d d Q W O-, W d p = 2 d L O Li 4 � t0 Z ///� i c � w n ecr u m } u•i - U Q W W W Z // • .7:1 / • } t� V E c p K a c li a ` 'o d o N • 1.- 2N J O` J 9 c Q - ^ o U = u �p ID !- j _LI J d a Q O w E IL a ± O c <Y z 11LL to c F- f W ` a a.o " o a> i H I- o W f Q S 00• W `o N c o P• Io n ad ^ ai o •• W — u O. d d ;� • a N N N N N In a J W N O •d c V - } .- E O F- U o, 0. o Z 0 i O o 0= In ° ` O a Q W o 0 0 to s z o• i Ill 11, ` < La a 0 0 ro W p • • or • _J O O J K J< Q • r a (2 Q i • _ • W F. EL c U _ W W Z Q zo • ~ _ w F cW Z ^ xis W a < G W d N C •a 2 O >_ r•.r O O• W O Q (n d a O C W ~ u J E i`o i s h U • s d H U E raa s w 0 V •e a • I09 Z09 909 909 909 669 > < W o • O. m n O a U D T } �~ O Wl vo J U E o Q u • z V o� • Q1 W . o 2 r 4 z N M 2 a W w i 0 u z Y ` O • o } < a re aO `o w h a W J ¢ << � o a x W z•LL r s Cr dtr < : i ` U — ra N IM O o > W i f to z li <a O 2 O K W w O` R • 7 i a O _ Q u In • 2 H Y f" _ J F Q U pW Y c c M c ^ r Q a 2 r -, c InY W '6 o t.) u W O . O /' j u J 2 - F W z _ Q i a a U a IL a o 'u o w la. • z F ≤ - 009 H z n c a I- 'r 2 r W o r •W •• b. • ` o o o a • • W i Id < r ' \ F- n • i Z y • i 2 i i O V L i W W a p 6t < W f 0 a a La Q z • ° a o so o , o n W V _W — W O 1 z z it a ¢ a < IL• i • `o Q W .4 < < f o < u a WF❑ 0 V• O p0 0 W a ~ m S F� •W Jr LL yJ ~ O • •< 2 o I i i < u m z o m f Q 2 0• • az t W P n ≤C o I^_1 E` q Q i y 0 W LL- � 0 DO LL❑L3 :e a < : ' r t - x � ' < it)V O U J O d W< W < ¢ < a W p O <u`i Q d f r0 FV >� <- �Y S w w F r < y w pj •W• G 4P V W i - O W ` • O Lt j O Q C ~ C C f ¢< C 0 < W i ~ ` ` a i • O > C < Q Z a J G a 0 • 0 IL • f 0• O V V a ` O < z 2 — V O < t _ Z •O C F i P P N - • • 0 Y Y q 4 • < 0 MA 6-45 ITEM DEFINITION AND INSTRUCTIONS Item Number Name Definition/Instructions 1 Name and Address Enter the full name (governmental unit) and current address of the Agent. Additionally, for Treasury Check Agents only, enter under the address the name of the person to whom the check should be sent. 2 Grant Number Enter the remaining seven digits of the Grant Number from the Grant Agreement, Do not submit a form without this number. 3 IRS Employer ID Enter the 9-digit Internal Revenue Service IRS Employer Number g (IRS) P Dyer ID Number of the Agent. Do not submit a form without this number, `1 Program Component Enter one of the following three codes to indicate if the Grant is funded under Section 5 or Section 6 of the Emergency Employment Act, 01 Regular (Section 5) 02 Supplemental (Section 6) 03 Indian (Sections 5 and 6) The current program components are categorized as follows; Section 5 Section 6 Sections 5 and 6 . Regular Supplemental Indian . Migrant . High Impact . Welfare 5 Report Period Enter two digits each for the month da Ye and year (MM/DD/YY) to which the project status and financial data pertain. The report period is a calendar month. 6 Report Number Enter the number of this report.p The initial report under this Grant will be numbered one (1) and all subsequent reports will be numbered sequen- tially. Letters, in alphabetical order, should be added to the original report number to designate corrected reports, e.g., 1A, 1B. In addition, check "Completion Report" if the report is for the last month of the current Grant period. Check "Final Report" if the re- port is the Grant closeout report. Special instructions for completing "Completion" and "Final" Reports are included with the appropriate items below, -24- kk , 7E � = ° e . t / _ § , , : , sue ; k 4 ) \ / $ 8 ) ) 4 2 ni Ow >. 0o; 979 ) x0 "0 f, { a al ` 4+ : { ' Et • 5, aea ® f ! ! « ± 0 , ) 0 ) 04 / ) 5 ! 212 ) ) ) ( f / § { § ° ® # 5 % - ° / ) \ } ) ) C ) § ; a1G ) ° a / 2 ) E m ; § 7 { { a & _ R ! E ! = g ; ! (21 ,0 / 8 "CI iE ca } F. t u ) os � . E - ; 220 ° ! / / ® lziae = ) t = t E ! § .0020 ) \ Item Number Name Definition/Instructions Participant Summary 7 Current Planned Positions Enter the total number of current planned positions in the most recent Grant Agreement. Include figures revised by formal contract modifications, letters of approval from the Grant Officer, and/or written notices to the Grant Officer. 8 Current Participants Enter the number of participants who are in this program at the end of the report period. 9 Cumulative Participants Enter the cumulative number of participants enrolled under the current Grant from its inception to the end of the report period. Termination Summary 10 Obtained Unsubsidized Enter the cumulative number of terminees in this Grant who Job--With Agent have obtained unsubsidized employment with the Agent or Subagents. 11 Obtained Unsubsidized Enter the cumulative number of terminees in this Grant who Job--Other Public Employer have obtained unsubsidized employment with a public agency other than the reporting Agent or Subagents. 12 Obtained Unsubsidized Enter the cumulative number of terminees in this Grant who Job--Private Sector have obtained unsubsidized employment in the private Employer sector. 13 Entered Other Training, Enter the cumulative number of terminees in this Grant who PEP, School, or Armed entered other Federal Manpower Administration work-training Forces programs, reentered the Public Employment Program, entered technical school, college or other training, or entered the Armed Forces. 14 All Other Enter the cumulative number of terminees in this Grant whose status is unemployed, not employed, unknown, or other, e.g., deceased. EDIT CHECK If the entries in Items 8 - 14 are correct, the number of Current Participants (Item 8) plus the number of Cumulative Terminations (Items 10-14) will equal the number of Cumulative Participants (Item 9), i.e., Items 8+10+11+12+13+14 = Item 9. -25- Item Number Name Definition/Instmctions Training and Other Services: 15 Training: - This Grant Eater the cumulative number of participants enrolled under this Crant who have received training funded by Federal or Agent PEP funds, i.e., on-the-job training, institutional training, etc. If no training funds can be provided in this Grant (e.g., Supplemental and Welfare components), leave blank. If no funds for training are budgeted or no participants received training, enter zero. - Section 6 Enter, on Regular (Section 5) Grant reports only, the cumulative number of participants enrolled under Supplemental (Section 6) Grants who re- ceived training funded by Regular (Section 5) Federal or Agent PEP funds. Enter zero if no Section 6 participants received training funded by Section 5 funds. 16 Other Services: - This Grant Enter the cumulative number of participants enrolled under this Grant who have received other manpower and support services funded by Federal or Agent PEP funds, i.e., counseling, health care, child care, transportation, orientation, job placement, or other participant services. If no participant services funds can be provided in this Grant (e.g., Supplemental and Welfare components), leave blank. If no funds for services are budgeted or if no participants received services, enter zero. - Section 6 Enter, on Regular (Section 5) Grant reports only, the cumulative number of participants enrolled under Supplemental (Section 6) Grants who re- ceived other manpower and support services funded by Regular (Section 5) Federal or Agent PEP funds. Enter zero if no Section 6 participants received services funded by Section 5 funds. � 17 Agent New Hires Enter the cumulative number of unsubsidized employees hired by the (Cumulative) Agent or Subagents since the inception of the current Grant. Do not include PEP participants but do include PEP terminees employed in PEP as non-participants or in unsubsidized jobs with the Agent or Subagents. Financial Summary Column A Project Budget--Federal For each of the five cost categories (Lines 18-22) and the total (Line 23), enter the amount specified as the Federal share in the most recent Grant Agreement, including any modifications. Round all figures to the nearest dollar. -26- Item Number Name Definition/Instructions B Project Budget--Agent For each of the five cost categories (Lines 18-22) and the total (Line 23), enter the amount specified as the Agent's contribution in the most recent Grant Agreement, including any modifications. Round all figures to the nearest dollar. C Accrued Expenditures-- For each of the five cost categories (Lines 18-22) and the total (Line 23), This Month--Federal enter the accrued expenditures for the report period. These data should be available from the existing accounting records or worksheets. The amounts entered for each cost category are those submitted previously on Lines 1-5 under "This Month" on the Statement of Costs or Expendi- tures (MA 2-107C). Similarly, the "Total" entered is the amount submitted previously on Line 7 under "This Month" on the MA 2-107C. Round all figures to the nearest dollar. If this report is the "Completion Report," include in each line item figure an estimate of all accruals against the Grant. If this report is the "Final Repast," enter the net effect of any adjust- ments made to the "Completion Report," i.e., expenses incurred or accrued, to the extent that they are greater or less than the estimate made for the "Completion Report." D Accrued Expenditures-- For each of the five cost categories (Lines 18-22) and the total (Line 23), This Month--Agent enter the amount of the Agent's accrued expenditures for the report period. These data should be available from the accounting records or worksheets. The total entered is the sum of the amounts submitted pre- viously on Lines 8 and 9 under "This Month" on the MA 2-107C. Round all figures to the nearest dollar. E Accrued Expenditures-- For each of the five cast categories (Lines 18-22) and the total(line 23), To Date--Federal enter the cumulative amounts of the Federal accrued expenditures since the inception of the current Grant Agreement. These data should be available from the existing accounting records. The amounts entered for each cost category are those submitted previously cm lines 1-5 under "Cumulative to Date" on the Statement of Costs or Expenditures (MA 2-107C). Similarly, the "Total" entered is the amount submitted pre- viously on Line 7 under "Cumulative to Date" on the MA 2-107C. Round all figures to the nearest dollar. If this report is the "Completion Report," include in each line item figure an estimate of all outstanding obligations against the Grant. The amounts entered on the "Final Report "will be different than those shown on the corresponding "Completion Report" if the actual pay- ments made differ from the "Completion Report" estimates. -27- Item Number Name Definition/Instructions F Accrued Expenditures-- For each of the five cost categories (Lines 18-22) and the total (Line 23), To Date--Agent enter the cumulative amounts of the Agent's accrued expenditures since the inception of the current Grant Agreement. These data should be available from the existing accounting records. The "Total" entered is the sum of the amounts submitted previously on Lines 8 and 9 under "Cumulative to Date" on the MA 2-107C. Round all figures to the nearest dollar. EDIT CHECK The sum of the amounts entered in Lines 18-22 of Columns A-F should equal the corresponding totals entered on Line 23. The Accrued Expenditures to Date figures in Columns E and F on last month's MA 6-45 plus the Accrued Expendi- tures This Month on the current MA 6-45 should equal the Accrued Expenditures to Date shown on the current report. Number 24 Accrued Expenditure Faster two digits each for the month, day, and year(MM/ Data Through: DD/YY) of the inception of the Grant and for the calendar month to which the accrued expenditure data relate. All Agent- Items 25.27 must be completed by all Agents. Cash Statement 25 Total Cash Received Enter the total of all Federal fiords received by U.S. to Date Treasury Check or by Letter of Credit from the inception of the current Grant through the report date. Round all figures to the nearest dollar, 26 Total Disbursements Enter the total amount of payments, including advance pay- to Date ments, made from Federal funds to Subagents and others since the inception of the current Grant. Enter, in the parentheses, the amount of advance payments, if any, i.e., the advance payments not yet accomted for. Round all figures to the nearest dollar. 27 Cash On Hand/Deposit Enter the amount of cash on hand, i,e,, the difference between the amount of cash received (Item 25) and the disbursements made (Item 26), i.e., Item 25-Item 26=Item 27, Round all figures to the nearest dollar. -2 8- Item Number Name Definition/Instructions Except for "Completion" and "Final" Items 28-30 should be completed by Treasury Check Agents only, except Reports, Treasury. Check Agents Only on "Completion" and "Final" Reports. . All Agents should complete Items 28-30 on "Completion Reports." . All Agents should complete Item 30 only on "Final Deports." 28 Estimated Disbursements Enter the estimated amount of cash required for disbursements for up to 45 days following this report period. Dater the inclusive dates in the spaces provided. For a "Completion Report," enter an estimate of the outstanding obliga- tions remaining to be paid. This figure should be the difference between Accrued Expenditures To Date--Federal (Line 23, Col. E) and Total Disbursements Made To Date (Item 26). If this report is a "Final Report," draw a line through this item. 29 Total Estimated Dater the sum of Total Disbursements (Item 26) and atimated Disburse- Cash Needs ments (Item 28), i.e., Item 26-Item 28=Item 29. All Agents should complete this item on a "Completion Renart." If this report is a "Final Report," draw a line through this item. 30 Cash Advance Enter the difference between Total Fstimated Cash Needs (Item 29) Requested Herewith and Total Federal Cash Received to Date (Item 25), i.e., Item 29- Item 25=Item 30. For a "Completion Report," change the title of this item to "Amount of Cash Returned Herewith," and enter the amount of excess cash on hand or on deposit to be returned to the Department of Labor. This figure is the difference between Total Cash Received to Date (Item 25) and Total Es- timated Cash Needs (Item 29). Returns shwld be accomplished by attach.. ing to the report a certified check made payable to the U.S. Department of Labor. For a "Final Report," change the title of this item to "Amount of Cash Returned Herewith," and enter the amount of cash on hand or on deposit to be returned to the Department of Labor, as shown in Item 27, Cash on Hand/Deposit. Returns should be accomplished by attaching to the report a certified check made payable to the U.S. Department of Labor. 31 Agent Certification Type or print the name and title of the official authorized to approve re- quests for cash advances or withdrawals under a Letter of Credit. Also, enter the date and telephone number. Request the named official to sign the form. -29- APPENDIX A(1) AGENT SUPPORT SYSTEM The Agent Support System permits compilation and transfer of data from the Participant Information Records to the monthly summary reports. Utilization of the worksheets and the accompanying clerical procedures en- sures the accuracy of the data submitted by the Agent. The $6-44A and $6- 44B are provided for preparation of the Summary of Participant Character- istics (MA 6-44) while the $6-45 may be used for preparation of the Project Status/Financial Report (MA 6-45). These worksheets are for Agent use only and should not be submitted to the Manpower Administration. Further, although the use of the work- sheets is not mandatory, Agents are required to maintain centrally docu- ments establishing the validity of data submitted monthly to the Department of Labor. Agents should maintain Participant Information Records for new parti- cipants in a Current Month Participant File. Similarly, MA 6-43's for ter- minees should be placed in a Current Month Termination File. These files are used in conjunction with the worksheets to capture data to be entered on the summary forms. The three worksheets and accompanying clerical procedures are pre- sented on the following pages. APPENDIX A(2) PARTICIPANT AND TERMINATION CHARACTERISTICS WORKSHEETS, $6-44A and S6-44B Purpose The Participant Characteristics (S6-44A) and the Termination Charac- teristics (S6-44B) Worksheets provide the link between the individual Parti- cipant Information Records (MA 6-43) and the Summary of Participant Char- acteristics (MA 6-44). Completion of these intermediate forms is not man- datory; Agents and Subagents should not submit worksheets to the Regions. Nonetheless, utilization of the forms facilitates the transfer of the necessary characteristics data from the MA 6-43 forms to the MA 6-44 at the end of each month. General Instructions The S6-44A is utilized to accumulate characteristics data for all pro- gram participants; the $6-44B is used to collect data about program termi- nee s. After a participant's or terminee's name is entered on the worksheet, a "tally" mark is entered in a column on the worksheet corresponding to a data entry on the MA 6-43. Some Agents or Subagents may find it convenient to make the entries on the worksheet as the MA 6-43 is completed. Others will probably find it more efficient to compile the data from the IVIA 6-43's when they prepare the monthly Summary of Participant Characteristics. Specific Instructions The following steps are necessary to accumulate the data from the MA 6-43's on the worksheets and to transfer the summary data to the MA 6-44. Obtain one $6-44A worksheet. Obtain five $6-44B worksheets, one for each termination cate- gory. Be sure that "tally" marks are placed opposite the appropriate reason for termination in the top left corner of the $6-44B. APPENDIX A(3) Post the information from the MA 6-43's in the Current Month Participant File to the $6-44A worksheet following the procedures detailed on the following pages. Post the information on the MA 6-43's in the Current Month Termination File to the appropriate $6-44B worksheets follow- ing the procedures detailed on the following pages. ti % u Jo 1? 794„ ` 9I w Past 1/4It kr - �'a7 ao '4 )o Pay tn8 bra rit,6a ��PAp� 0 att•ar o4,1 1. "! tt.. b4 44 J o F aQ a aJ;4 �b04 'o t W J�$s. 445:224,V L� a ss6 Jt7q PatteJ nd a k IoM Pa Pag !Moe 44,ata4 p .Q U ;a4'Oak — ¢ O En a7a4 4raJa4 — • NRpm �?too� p u tteoka;a'1 IaiJ F ^� tab.,ilst ads • w E ors F p 6 4,U ?prPu �a O 0.a. I:4 23.40 ¢ $6 w U t$aar U 1:21 z a — a m p'8' F h aJt�ry ¢ a72� a at +a-fl oP aI�V eo �S9 S 3y � 2 I2�62 ssat 82 0 a 0 t v z 0 e Z = f LY C Z J pt J ei 4 M d' In OJ\O n 01 O •4 ti M N N ti •-� W •m-1 J ti N a N O APPENDIX A(4) $6-44A ITEM DEFINITIONS AND INSTRUCTIONS Worksheet Item Definition/Instructions Month Enter the month which this summary covers. Name Enter the name of the individual being counted. Age Check the appropriate box. Calculate from Item 9 of the MA 6-43, Sex Check the appropriate box, from Item 10 of the MA 6-43. Group Check the appropriate box, from Item 11 of the MA 6-43. Spanish American(1) Check this box only if Item 12 of the MA 6-43 is Code 2, 3, or 4, Military Service Status Check the appropriate box, from Item 13 of the MA 6-43. Disabled Veteran(1) Check this box only if Item 14 on the MA 6-43 is Code 1, Yes. Disadvantaged Check this box only if Item 15 on the MA 6-43 is Code 1, Yes. Previously Employed by Agent(1) Check the appropriate box, from Item 16 on the MA 6-43. Public Assistance Recipient Check this box only if Item 17 on the MA 6-43 is Code 1, Yes. Migrant Farm Wacker(1) Check this box only if Item 18 on the MA 6-43 is Code 1, Yes, Former Federal Manpower(1) Check this box only if Item 19 on the MA 6-43 is Code 1, Yes, Training Program Enrollee Note: (1) These data are collected only for participants entering PEP since October 1, 1972, APPENDIX A(5) $6-44A ITEM DEFINITIONS AND INSTRUCTIONS Worksheet Item Definitions/Instructions Handicapped Check this box only if Item 20 on the MA 6-43 is Code 1, Yes. Education Check the appropriate box, from Item 21 on the MA 6-43. Monthly Total Enter the totals of the figures in each column. Last Month's Cumulative Enter the Cumulative to Date figures from the appropriate work- To Date sheet for the previous month. For the first month of a new Grant, enter the number of participants transferred from the old to the new Grant in each characteristics category. This can be accomp- lished as follows. ▪ For all of the previous categories except Age and Handi- capped, subtract the number of total terminations recorded on the prior month's MA 6-44 from the number of Cumu- lative Participants and enter the totals in the appropriate boxes, i,e., Col. A minus Cols. B-F = Number Transferred. . For the Age and Handicapped categories, recalculate using worksheets and the MA 6-43 for each transferred active participant. These data can be verified as follows: . All of the characteristics can be recalculated utilizing the MA 6-43 for each transferred participant. . The total number of participants transferred should equal the number of current participants reported on the MA 6-4S for the last report period of the old Grant (Item 8). Cumulative to Date Add the Monthly Total and the last Month's Cumulative to Date figures in each column. Enter the sums in the appropriate boxes. Transfer the cumulative totals to the MA 6-44 being prepared for the current month. fel N 6 &pp 4Q4, .8 'r0 6: W 8e es au,„ 92 Ge j....■.■■. ..........I..I. J M�@a�dE?tp tie Ja o j�taii �&�� Jtrat1 Al 44t&a� •t Ja aJ >02 c W t�6' "¢'ty� . W o: ?tj it a Pa w d. goy ea 11 49E Paiiej Paz, a!j fr. a;tu alp w &a.7,D Ps?Q 5 Pa ca 4es a $ W 4`Ap � NU N Fp �2ta=a� uCta-Jai N �2�y w �e�ar 2 U � a� 7 p ¢ ueJ jPtJ .4 a 4GA u �s e gsr,�, :IO a +a S 11 01 leP. itta ru Ict ajetttad ajet W O t til Z w O NW Z 4 d F _ 6a W ♦ z td f a 'a W < z < W Y j 0 O Si Q W O = y F W is < O J a U z m e 6 W . o w f C F < a. • = q f F ≥ z o 2 o z N G 000 a 0 8 .y N M 4 uI b n 00 a O .<N N m y� .N N i N H W oi .:1O o j v-1 .-4 ei -. N O APPENDIX A(6) $6..44B ITEM DEFINITIONS AND INSTRUCTIONS Worksheet Item Definition/Instructions Reason Check the appropriate box, from Item 38 of the MA 6-43. Codes 04, 05, and 06 refer to Entered Other Vining, PEP, School, or Armed Forces. Codes 07, 08, 09, and 10 refer to All Other( Month Enter the month which this summary covers. Name Enter the name of the individual being counted. Sex Check the appropriate box, from Item 10 of the MA 6-43. Group Check the appropriate box, from Item 11 of the MA 6-43. Spanish Americana) Check this box only if Item 12 of the MA 6-43 is Code 2, 3, or 4. Military Service Status Check the appropriate box, from Item 13 of the MA 6-43. Disabled Veteran°) Check this box only if Item 14 on the MA 6-43 is Code 1, Yes. Disadvantaged Check this box only if Item 15 on the MA 6-43 is Code 1, Yes. Previously Employed by Agenta) Check the appropriate box, from Item 16 on the MA 6-43. Public Assistance Recipient Check this box only if Item 17 on the MA 6-43 is Code 1, Yes. 1 Migrant Farm Worker( ) Check this box only if Item 18 on the MA 6-43 is Cale 1, Yes. Former Federal Manpower Training Check this box only if Item 19 on the MA 6-43 is Code I, Yes. Program Enrollee (1) (I) Note: These data are collected only for participants entering pa since October 1, 1972. APPENDIX A(7) $6.44B ITEM DEFINITIONS AND INSTRUCTIONS Worksheet Item Definition/Instructions Handicapped Check this box only if Item 20 on the MA 6-43 is Code 1, Yes. Weeks in Program Calculate using Items 28 and 36 on the MA 6-43 and check the appro- priate box. Partial weeks should be counted as full weeks. Monthly Total Enter the sums of the figures in each column. Last Month's Cumulative to Date Enter the Cumulative to Date figures from the appropriate worksheet for the previous month. If the previous month's data were recorded on an old worksheet, the data should be transferred as follows: Old New Obtained Unsubsidized Job--Agent Placed--Public Obtained Unsubsidized Job--Public Placed--Private Obtained Unsubsidized Job--Private Enrolled in Other MA Entered Oilier Training, PEP, Program School, or Armed Forces Drop-out All Other Other For the first month of a new Grant, this entire line will be blank. Cumulative to Date Add the Monthly Total and the Last Month's Cumulative to Date figures in each column. Enter the totals in the appropriate boxes. Post the Cumulative to Date Totals to the MA 6-44 being prepared for the current month. APPENDIX A(8) PROJECT STATUS WORKSHEET FORM $6-45 Purpose The Project Status Worksheet (S6-45) is used to compile information for the Participant and Termination Summaries on the monthly Project Status/ Financial Report (MA 6-45). Completing the worksheet is an intermediate step between preparing the current month's individual Participant Informa- tion Records (MA 6-43) and the Project Status/Financial Report (MA 6-45). General Instructions The S6-45 worksheet is for use by the Agent only and should not be submitted to the Manpower Administration. Although the use of the $6-45 is not mandatory, each Agent is required to maintain a central file of docu- ments which can establish the validity of the participant/terminee data submitted to the Department of Labor. All Participant Information Records 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 Termination File. The worksheet is used in conjunction with these files to complete the MA 6-45 summaries. Specific Instructions The instructions necessary to compile the data from the MA 6-43's on the worksheet and to transfer the summary data to the MA 6-45 are detailed on the following pages. The following steps are necessary to accumulate the data from the MA 6-43's on the worksheet and to transfer the summary data to the MA 6-45. ▪ Obtain one $6-45 worksheet. • Post the information from the MA 6-43's to the $6-45 work- sheet following the procedures detailed subsequently. En { 6 �� . . . 5 �� 0 �� •5 azt � �� / § \ �� ) \ ) � �� U � � �� O \ _ cc �� 4, �� . f ) 2 ) \ ! ! ! § � l 7 l @ VI / / \ \ \ k ) / / § / \ \ / k a ° ) ) \ [ ) � f \ ` { ) ) \ \ E ] ( � ) . N. ; ) 2 j { j \ / ® / \ ) & § 2 \ j ! / ® . . / \ } + 2 ) i ) a ) f k { , ) \ ) ] { ) ] ) 2 ) { k 4.. 2 z / ) / . ! ) e ! ! � Q ! ) 4 ! < az ! ! a � Q - 2 , 4 in 3 < g ; § 2 ) g g / § / APPENDIX A(9) $6-45 ITEM DEFINITIONS AND INSTRUCTIONS Rem Number Name Definition /Instructions 1 Current Participants Enter, under the appropriate month, the number of Current (Start of Month) Participants (Total Col. B of the old MA 6-45 or Item 8 of the new MA 6-45) from the previous month's MA 6-45. In the first report period of a new Gent Agreement, enter the number of Current Participants from the MA 6-45 of the last report period of the old Grant. 2 New Participants Count the number of MA 6-43's in the Current Participant File. Enter the figure under the appropriate month. 3 Subtotal Enter the total of Items 1 and 2 above. Current Terminations Sort the MA 6-43's in the Current Termination File by Status of Terminee to complete Items 4 through 8 below, 4 Obtained Unsubsidized Count the MA 6-43's for persons who have obtained Inn- Job--With Agent subsidized employment with the Agent or Subagents (Item 38, Code 01), and enter the figure under the appropriate month. 5 Obtained Unsubsidized Count the MA 6-43's for persons who have obtained un- Job--Other Public subsidized employment with a public agency other than the Employer reporting Agent or Subagent (Item 38, Code 02), and enter the figure under the appropriate month. 6 Obtained Unsubsidized Count the MA 6-43's for persons who have obtained un- Job--Private Sector subsidized employment in the private sector (Item 38, Employer Code 03), and enter the figure under the appropriate month. 7 Entered Other Training, Count the MA 6-43's for persons who have entered other PEP, School, or Armed Federal Manpower Administration work-training programs, re- Forces entered the Public Employment Program, entered technical school, college, other training, or entered the Armed Forces (Item 38, Codes 04 -06), and enter the figure under the appropriate month. 8 All Other Count the MA 6-43's for persons who have left the program for any reason other than those listed above (Item 38, Codes 07-10), and enter the figure under the appropriate month. APPENDIX A(10) $6-45 ITEM DEFINITIONS AND INSTRUCTIONS Item Number Name Definition/Instructions 9 Total Current Add the number of terminations shown in Items 4- 8, and Terminations enter the total under the appropriate month. 30 Current Participants Subtract Item 9 (Total Terminations) from Item 3 (Subtotal) (End of Month) and enter the difference under the appropriate month, 11 Cumulative Participants Add Item 2 on this worksheet (New Participants)to the number of Cumulative Participants (Total Col, C of the old MA 6-45 or Item 9 of the new MA 6-45)reported on the previous month's MA 6-45, and enter under the appropriate month. In the first report period of a new Grant, enter the number recorded in Item 3 (Subtotal)above, Cumulative Terminations 12 Obtained Unsubsidized Add Item 4 on this worksheet (Obtained Unsubsidized Job-- Job--Agent Agent)to Item 10 (Obtained Unsubsidized Job--Agent) of the previous month's MA 6-45, and enter the sum under the appropriate month. If the previous month's MA 6-45 is an old form dated August, 1971, or if this is the first report period of a new Grant, enter the number recorded in Item 4 above. 13 Obtained Unsubsidized Add Item 5 on this worksheet (Obtained Unsubsidized Job-- Job--Other Public Other Public) to Obtained Unsubsidized Job--Other Public (Col. D Total of the old form or Item 11 of the new form) on the previous month's MA 6-45 and enter the sum under the appropriate month. For the first report period of a new Grant, enter the number recorded in Item 5 above. 14 Obtained Unsubsidized Add Item 6 on this worksheet (Obtained Unsubsidized Job-- Job--Private Private) to Obtained Unsubsidized Job--Private (Col. E Total of the old form or Item 12 of the new form) on the previous month's MA 6-45 and enter the sum under the appropriate month. For the first report period of a new Grant, enter the figure shown in Item 6 above. APPENDIX A(11) $6-45 ITEM DEFINITIONS AND INSTRUCTIONS Item Number Name Definition/instructions 15 Entered Other Training, Add Item 7 on this worksheet (Entered Other Training, PEP, PEP, School, or Armed School, or Armed Forces)to Entered Other Training, PEP, Forces School, or Armed Forces (Col. F Total of the old form or Item 13 of the new form) of the previous month's MA 6-45 and enter the stun under the appropriate month. For the first report period of a new Grant, enter the number recorded in Item 7 above. 16 All Other Add Item 8 on this worksheet (All Other)to All Other(the scan of the totals of Cols. G and H on the old form or Item 14 on the new form)on the previous month's MA 6-45 and enter the sum under the appropriate month. For the first report period of a new Grant, enter the figure shown in Item 8 above. Cumulative Data Transfer the cumulative totals from Items 10- 16 to the corresponding boxes on the current month's MA 6-45. APPENDIX B(1) REGIONAL MANPOWER ADMINISTRATION REGION I - BOSTON REGION V - CHICAGO Manpower Administration U. S. Dept. of Labor Attn: DSR Unit Manpower Administration U. S. Dept, of Labor Data Systems & Reports John F. Kennedy Federal Bldg. 300 S. Wacker Boston, Mass. 02203 Chicago, Ill. 60606 (617) 223-6724 (312) 353-1520 Contact: Peter Mason Contact: Vernita Elzia REGION II - NEW YORK REGION VI - DALLAS U. S. Dept. of Labor U. S. Dept. of Labor Manpower Administration Manpower Administration Data Systems & Reports Attn: 6 MGBFP 1515 Broadway Federal Bldg. , U. S. Courthouse New York, New York 10036 1100 Commerce St. , 7th Floor (212) 971-7139 Dallas , Texas 75202 (214) 749-3312 Contact: Ella Pennington Contact: Margaret Hastens or REGION III - PHILADELPHIA Truman Hembre U. S. Dept. of Labor REGION VII - KANSAS CITY Manpower Administration, Region III P. O. Box 8796, Attn: 3-MGBD U. S. Dept. of Labor Philadelphia, Pa. 19101 Manpower Administration (215) 438-5200, Ext. 7717 or 7728 Attn: DSR-MGBD 911 Walnut St. Contact: James Bodnar Kansas City, Mo. 64110 (816) 374-3859 or-2675 REGION IV - ATLANTA Contact: Charles Mooney, Ann Data Systems & Reports Marc -all, or Karl ZaaaG_l Manpower Administration Room 405 REGION VIII - DENVER U. S. Dept. of Labor U. S. Dept. of Labor 1371 Peachtree Street, N. E. Attn: DSR Unit (8MGBD) Atlanta, Ga. 30309 1961 Stout St. (404) 526-3058 Denver Colo. 80202 (303) 837-4164 Contact: Opal Edmondson Contact: Robert Ford APPENDIX B(2) REGIONAL MANPOWER ADMINISTRATION REGION IX - SAN FRANCISCO U. S. Dept, of Labor Manpower Administration Data Systems & Reports 450 Golden Gate Ave. , Box 36084 San Francisco, Calif. 94102 (415) 556-3502 or-4928 Contact: Byrle McCart or Alice Freeman REGION X - SEATTLE U. S. Dept. of Labor Manpower Administration, Region X Attn: MGBD Reports Control Desk 1321 Second Ave. Seattle, Wash. 98101 (206) 442-4543 Contact: Smith Piper or Demetrius Moutsanides DISTRICT OF COLUMBIA D. C. Manpower Administration Division of Management Analysis & Reports Office of Administration & Management Attn: Robert Brown 500 C Street, N. W. Washington, D. C. 20212 (202) 393-6151, Ext. 551 Contact: Elsie White APPENDIX C(1) 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) 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. The following income criteria are effective January 1, 1972, and apply to all states except Alaska and Hawaii. Family Size Income--Non-Farm Income--Farm 1 $ 2,000 $ 1,700 2 2,600 2,100 3 3,300 2,800 4 4,000 3,400 5 4,700 4,000 6 5,300 4,500 7 5,900 5,000 For families with more than seven members, add $600 for each additional member in a non-farm family and $500 for each additional member in a farm family. APPENDIX C(2) The following income criteria apply for the State of Alaska only: Family Sire Income--Na,-Farm Income--Farm • 1 $ 2,500 $ 2,125 2 3,250 2,775 3 4,150 3,575 4 5,000 4,250 S 5,900 5,000 ` 6 6,650 5,650 7 7,400 6,300 For families with more than seven members, add $750 for each ad- ditional member in a non-farm family and $650 for each additional member in a farm family. The following income criteria apply for the State of Hawaii only: Family Size Income--Non-Farm Income--Farm 1 $ 2,300 $ 1,975 2 3,000 2,550 3 3,650 3,100 4 4,400 3,750 5 5,200 4,425 6 5,850 4,975 7 6,500 5,525 For families with more than seven members, add $650 for each ad- ditional member in a non-farm family and $550 for each additional member in a farm family. (2) 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 excluded are non-cash income, cash welfare payments, payments made to enrollees under Manpower Programs, and any one-time, unearned income. Family income shall be determined by requiring that the prospective participant indicate size of family, amount of family income, its source, and the occupation(s) of the income-producing member(s) of the family. -.ata on family income should appear reasonably reliable. Agents are bt expected to investigate the validity of the income reported by po- �ntial participants. nc te. APPENDIX C (3) (3) Person Who Does Not Have Suitable Employment A person who does not have suitable employment is (1) unem- ployed, (2) underemployed, or (3) hindered from seeking work. Ex- amples of persons in the latter category are individuals who would seek work if they thought jobs, transportation, or child care were available. (4) School Drop-Out A school drop-out is a person who did not graduate from high school. (5) Member of a Minority A member of a minority is a Negro, American Indian, Japanese, Chinese, Filipino, Korean, Polynesian, Indonesian, Hawaiian, Aleut, Eskimo, Mexican American, Puerto Rican, or a person with a Spanish surname. (6) Handicapped A handicapped participant is an individual who has a physical, mental, or emotional impairment, or a chronic condition •,which could limit work activities. Included are persons with histories of alcoholism or drug addiction. Parolees, prison releasees, and other persons with histories of law offenses that prove to be barriers to employment also are considered to be handicapped. i it I s APPENDDC D(1) KEY TERMS AND DEFINITIONS 1. DOT CODE--A DOT Code is a six-digit number from the Dictionary of Occupational Titles, Third Edition. 2. DISABLED VETERAN--A disabled veteran is a veteran who (1) has a service-connected disability and is currently rated 10 percent or more disabled by the Veterans Administration, (2) is retired for physical dis- ability by a branch of the Armed Forces, or (3) meets the United States Employment Service definition of a "Handicapped Applicant, " regardless of how or when the disability was incurred. 3. 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 mem- ber 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. ) 4. ENROLLMENT--Enrollment is the point at which an individual is accepted into the program and begins employment funded by the Emergency Employ- ment Act. 5. FOLLOW-UP--Follow-up is the activity designed to obtain information regarding the employment status of a Public Employment Program ter- minee. 6. GROUP--A group is a racial or ethnic category. An applicant's group is determined by the interviewer on the basis of observation, his knowledge of the characteristics common to each group, and the prevail- ing local standards designating members to each group. 7. HANDICAPPED --A participant is handicapped if he has a physical, mental, or emotional impairment, or chronic condition which could limit work activities; or is a veteran currently rated 10 percent or more disabled by the Veterans Administration; or is retired for physical disability by a branch of the Armed Forces. Included are persons with histories of alcoholism or drug addiction. Parolees, prison releasees, and other persons with histories of law offenses that prove to be barriers to employ- ment also are considered to be handicapped. APPENDIX D(2) 8. MIGRANT FARM WORKER--A migrant farm worker is a person who occasionally or habitually leaves his established place of residence to accept seasonal or temporary employment in another locality where he resides during the period of employment. 9 . MINORITY--A member of a minority is a Negro, American Indian, Jap- anese, Chinese, Filipino, Korean, Polynesian, Indonesian, Hawaiian, Aleut, Eskimo, Mexican American, Puerto Rican, or a person with a Spanish surname. 10 . PARTICIPANT--A participant is an individual who meets the program eligibility criteria, has been accepted into the program, and has begun work in a public service job. 11 . PLACED IN AN UNSUBSIDIZED JOB--A terminee is considered placed in an unsubsidized job when a reliable source, preferably the employer, verifies that the individual has been placed on the job. Placement may result from the efforts of the Agent or any other source, including the participant. 12. PROFESSIONAL--Generally, a professional is an individual (1) with a professional education (usually requiring more education than a bachelors degree), or whose work is original and creative in an artistic field, (2) at least 80 percent of whose work requires discretion and judgment and is intellectual in nature, and (3) who earns at least $140 a week ($125 in Puerto Rico, the Virgin Islands, or American Samoa). A less stringent test applies to individuals earning $200 or more per week. Lawyers and doctors working 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. 13. PUBLIC ASSISTANCE RECIPIENT--A. public assistance recipient is a participant who is receiving financial aid under any Federal, state, or local welfare program. 14, PUBLIC SERVICE AREA--Public Service Area refers to the principal governmental function performed by the organization to which the PEP participant is assigned. If the responsibilities of the employing organi- zation 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 Public Service Area classification. APPENDIX D(3) It should be noted that the determining factor in categorizing a PEP par- ticipant by Public Service Area should be the overall function of the employing organization 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 Hospitals. " Similarly, a grounds- keeper in a medical institution should be categorized in the "Health and Hospitals" Public Service Area and not in "Public Works and Trans- portation. " Nine Public Service Area categories have been established; each cate- gory is described briefly below. • Law Enforcement--This category includes police departments, correctional institutions, guard forces, sheriff departments, state police, court systems, and other law enforcement-related functions. ▪ Education --This category includes all education-related functions such as elementary and secondary schools, institutions of higher learning, vocational and technical schools, adult education 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: 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 involves the following functions: APPENDIX D(4) - 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 removal, sewage, recycling units, and other activities relating to environmental quality. For ex- ample, 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 such as: - 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 example, this category should include: - Welfare units - Food stamp and other food distribution programs - Non-medical services for the handicapped and blind ▪ Public housing (other than construction and maintenance) APPENDIX D(5) - 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 included in categories 01 through 08. Typically, this category should include administrative organizations such as the comp- troller's office and the personnel office. 15. SCHOOL DROP-OUT--A school drop-out is a person who did not graduate from high school. 16. SERVICE-CONNECTED DISABILITY--A service-connected disability is a disability recognized by the Veterans Administration or any branch of the Armed Forces as having been incurred during or aggravated by active military or naval service. 17. SPANISH AMERICAN--An individual is Spanish American if he has a Spanish surname or if his appearance or speech is characteristic of this group. 18. SPECIAL VETERAN--A special veteran is 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. 19, TERMINATION, OTHER--This category includes all participants leaving the program for reasons other than Obtained Unsubsidized Job, or Entered Other Training, PEP, School, or Armed Forces, e. g. , health reasons, relocation, or incarceration. 20. UNEMPLOYED-- An unemployed individual has no employment, is avail- able for work, and has engaged within the past four weeks in specific job-seeking activity such as (1) registering at a public or private employ- ment office, (2) meeting with prospective employers, (3) checking with friends or relatives, (4) placing or answering an advertisement, (5) writ- ing letters of application, or (6) being on a union or professional register. 21. UNDEREMPLOYED-- An underemployed person is working part-time but seeking full-time work, or is working full-time but receiving wages below the poverty level. APPENDIX D(6) 22. VETERAN--A veteran is an individual who 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 November 11, 1918; December 7, 1941 to December 31, 1946; June 27, 1950 to January 31, 1955; or one or more days since January 31, 1955, EXCEPT Vietnam 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, were citizens of the U. S. ; or (b) served in the U. S. Public Health Service as commissioned officers and who, during World War II, were (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. 23, VIETNAM ERA VETERAN-- A Vietnam era veteran is 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 Indo-China on or after August 5, 1964 who are classified as Special Veterans. (See definition. ) Hello