| Name of Grantee: |
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| Grant No: |
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| Reporting Period: |
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| No. of participants newly enrolled in the program |
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| No. of participants currently enrolled in the program |
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| No. of enrolled participants by sex |
M: |
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F: |
| Average income of enrolled participants |
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| No. of participants developing personlized career development plans |
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| No. of participants enrolling in degree and/or certification programs |
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| No. of participants enrolling in apprenticeship and/or on-the-job training programs |
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| No. of participants earning college credits |
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| No. of participants who obtained a new credential or recognition of an existing credential |
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| No. of participants who obtained a new credential or recognition of an existing credential by sex |
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| No. of participants obtaining employment in a professional/skilled career field |
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| No. of participants obtaining employment in a professional/skilled career field by sex |
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| No. of training hours the program provided to participants in English language programs related to preparation for a particular vocation or job-related training program: |
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| No. of training hours the program provided to participants in developing job readiness skills such as resume writing, interviewing, and expectations for the professional workplace: |
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| Average income of participants who obtained employment |
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| THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) |
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| STATEMENT OF PUBLIC BURDEN: Through this information collection, ACF is gathering data on your grant program to understand the design and effectiveness of the program and to inform technical assistance needs. Public reporting burden for this collection of information is estimated to average 5 hours per grantee, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This collection of information is required to obtain a benefit (HHS-2018-ACF-ORR-ZM-1224). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB number and expiration date for this information collection are OMB #: 0970-0490; expiration date: 3/31/2026. If you have any comments on this collection of information, please contact Ryan Foster, Office of Refugee Resettlement, by email at ryan.foster@acf.hhs.gov. |
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| In immediate response to priorities of the current administration, this form has been updated with the following changes prior to approval by the Office of Management and Budget (OMB), as required by the Paperwork Reduction Act (PRA) of 1995 (44. USC. 3501 et seq.). The PRA requires that agencies obtain OMB approval before requesting information from the public, and OMB review and approval for most changes to an approved information. ACF is working to process these changes through OMB to come into compliance with the PRA but has implemented changes to the OMB-approved form to ensure compliance with the following Executive Orders: Executive Order(s) 14168 and/or 14151, 14173, 14224. Other than these changes, this form is approved under OMB #: 0970-0490. |
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