OMB CONTROL NUMBER = 2090-NEW, Expiration Date = mm/dd/yyyy | ||
OMB Burden Statement: This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. OMB Control Number: 2090-NEW. Responses to this collection of information are mandatory [2 CFR Part 200]. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information (Part 1 and Part 2) is estimated to be 10 hours per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to Director, Information Engagement Division; U.S. Environmental Protection Agency (2821T); 1200 Pennsylvania Ave., NW; Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address. | ||
Training Outcomes - Part 1 - Workforce Training Program Outcomes | ||
Applies when EPA funds are supporting discrete workforce training programs. // REPORTING CADENCE: Semi Annually (every 6 months) | ||
Instructions: For Part 1 (Training Outcomes) enter the appropriate response for each question in each row for this reporting period only. For Part 2 (Training Demographics) enter the appropriate response for either the time of reporting or this reporting period. |
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Definitions: -Incumbent Worker Training (IWT): IWT is a work-based training model and is designed to either assist workers in obtaining the skills necessary to maintain, retain or advance in their employment or to avert layoffs. -Who is an “incumbent worker?" According to the Workforce Innovation and Opportunity Act (WIOA), to qualify an incumbent worker, the worker needs to be employed, meet the Fair Labor Standards Act requirements for an employer-employee relationship, and have an established employment history with the employer for 6 months or more, with the following exception: In the event that the incumbent worker training is being provided to a cohort of employees, not every employee in the cohort must have an established employment history with the employer for 6 months or more as long as a majority of those employees being trained do meet the employment history requirement. An incumbent worker does not have to meet the eligibility requirements for career and training services for adults and dislocated workers under WIOA, unless they also are enrolled as a participant in the WIOA adult or dislocated worker program. |
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Column C: Enter the appropriate response for each question in each row for this reporting period only. | ||
Training Metrics | Response | |
1. Is the training open to incumbent workers and/or considered an Incumber Worker Training. | ||
2. Number of participants enrolled in the training program. Response should be a NUMBER | [Response should be a number] | |
3a. Number of participants that completed the training program. Response should be a NUMBER | [Response should be a number] | |
3b. [IF YOUR ANSWER TO Q1 was YES (if NO, answer N/A) - Number of incumbent workers in the industry who completed the training program? | [Response should be a number] | |
4. What credential(s) do participants in your training program earn? | [100 words or less] | |
5a. Number of individuals that were placed in a new paid position related to the training program (including Registered Apprenticeships) within 30 days of training being completed. | [Response should be a number] | |
5b. Number of individuals that were placed in a new paid position related to the training program (including Registered Apprenticeships) within 90 days of training being completed? (this value should include individuals counted in Question 5a). | [Response should be a number] | |
6. Does your program target underserved or underrepresented population for training? If yes, provide an explanation of what target populations are served. | ||
If Answer to Q5 was "YES" please explain the methodology your program is using (self-reported outcomes, reporting via a partnership with employers, etc) and the timeline over which your program is tracking outcomes (ex. Tracking outcomes within 1 year of program completion). (100 words or less) | [100 words or less] | |
If Answer to Q5 was "NO" please explain why not. (100 words or less) | [100 words or less] | |
7. [IF YOUR ANSWER TO Q1 was YES (if NO, skip) - Number of incumbent workers who participated in the program who received a raise or promotion within 90 days of training being completed? (this value should include individuals counted in 5b) | [Response should be a number] | |
8. Does the program use federal tools such as CEJST or EJSCREEN to identify disadvantaged, underserved or overburdened populations for training? | ||
If answer to Q8 was "Yes," provide an explanation of what target populations are served? | [100 words or less] | |
9. Does the program provide supportive services to trainees (e.g., childcare, transportation, mentoring, counseling, tools and work clothes, stipends, etc.) | ||
If answer to Q9 was "Yes," identify which services are supported by the grant, and how much money (to the nearest whole number, no decimals)? | [100 words or less] | |
10a. Does your training program partner or collaborate with employers? | ||
If answer to Q10a was "Yes," provide the name(s) of the employer(s) | [100 words or less] | |
10b. Does your training program partner or collaborate with union(s)? | ||
If answer to Q10b was "Yes," provide the name(s) of the unions(s) | [100 words or less] | |
10c. Does your training program partner or collaborate with community college(s)? | ||
If answer to Q10c was "Yes," provide the name(s) of the community college(s) | [100 words or less] | |
10d. Does your training program partner or collaborate with community-based organizations(s)? | ||
If answer to Q10d was "Yes," provide the name(s) of the community-based organizations(s) | [100 words or less] | |
Do not submit Protected Personally Identifiable Information (Protected PII) to EPA. | ||
Yes | ||
No | ||
N/A |
DO NOT REPORT PERSONAL IDENTIFYING INFORMATION TO EPA. | ||
Training Outcomes - Part 2 - Workforce Training Demographics | ||
Applies when EPA funds are supporting discrete workforce training programs | ||
Reporting Cadence: Semi-annually (every 6 months) | ||
Instructions: For Part 1 (Training Outcomes) enter the appropriate response for each question in each row for this reporting period only. For Part 2 (Training Demographics) enter the appropriate response for either the time of reporting or this reporting period. |
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Table 1. Totals | ||
TOTAL - Current participants at the time of reporting | ||
TOTAL - Program graduates during the last reporting period | ||
Table 2. Current Participants by Self Reported Race/Ethnicity at the Time of Reporting | ||
At the time of reporting, provide the following: | ||
Race | Percent (%) of Current Participants at the time of reporting | |
American Indian or Alaska Native Alone | X% | |
Asian Alone | X% | |
Black or African American Alone | X% | |
Middle Eastern or North African Alone | X% | |
Hispanic or Latino Alone | X% | |
Native Hawaiian or Pacific Islander Alone | X% | |
White Alone | X% | |
Multiracial and/or Multiethnic | X% | |
Total | Please enter values that sum to 100% | |
Table 3. Current Participants by Self Reported Gender at the Time of Reporting | ||
At the time of reporting, provide the following: | ||
Gender | Percent (%) of Current Participants at the time of reporting | |
Female | X% | |
Male | X% | |
Non-binary | X% | |
Other | X% | |
Total | Please enter values that sum to 100% | |
Table 4. Program graduates during the last reporting period by Self Reported Race/Ethnicity | ||
For the last reporting period, provide the following: | ||
Race | Percent (%) of Program Graduates in this reporting period | |
American Indian or Alaska Native Alone | X% | |
Asian Alone | X% | |
Black or African American Alone | X% | |
Middle Eastern or North African Alone | X% | |
Hispanic or Latino Alone | X% | |
Native Hawaiian or Pacific Islander Alone | X% | |
White Alone | X% | |
Multiracial and/or Multiethnic | X% | |
Total | Please enter values that sum to 100% | |
Table 5. Program graduates during the last reporting period by Self Reported Gender | ||
For the last reporting period, provide the following: | ||
Gender | Percent (%) of Program Graduates in this reporting period | |
Female | X% | |
Male | X% | |
Non-binary | X% | |
Other | X% | |
Total | Please enter values that sum to 100% | |
DO NOT REPORT PERSONAL IDENTIFYING INFORMATION TO EPA. |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |