public law 102-477 statistical report pub. l. 102-477 statistical report tribal nationreport period...

Public Law 102-477 Statistical Report

Pub. L. 102-477 Statistical Report

Tribal Nation Report Period

From: To:

1.Enter the name of the Tribal Nation or Consortium

2.Enter your report period.

Participant Requirements

To be considered a participant they:

• Must complete an application.

• Submit supporting documentation.

• Eligible to receive services.

• Participant is 22 years or older at program entry.

• If the participant receives cash assistance at any time, DO NOT report him/her in the Adult column, report as cash assistance recipient.

• Participant is a Youth if 21 years or younger at program entry.

• If the participant receives cash assistance at any time, DO NOT report him/her in the Youth column, report as cash assistance recipient.

Criteria for Reporting Cash Assistance Recipients

• No age requirement.• Participant must be deemed eligible

to receive or is receiving cash assistance, such as General Assistance funds (BIA) or Temporary Assistance for Needy Families (DHHS).

• If the participant received cash assistance at any time during enrollment, or 60 days prior to enrollment, they should be reported in the Cash Assistance Recipient column.

Criteria for Reporting Cash Assistance Recipients

• Dependents of participants receiving cash assistance should not be reported as receiving cash assistance. Only report the individual receiving the service through your program.

• You can report participants as cash assistance recipients even if you do not have GA or TANF in your 477 program. We want to show a clearer picture of the individuals you serve through your program.

I. Participants Served Adults Youth Cash Assistance Recipients

A. Total Participants 125 55 23

B. Total Terminees

C. Total Current Participants

Participants Served

• I.A. Total Participants– Report the total number of participants served

in the 477 program (include current and terminated individuals) during your program year.



B. Total Terminees 58 26 15


Participants Served

• I.B. Total Terminees– Report the total number of participants that

have either successfully or unsuccessfully ceased enrollment in your 477 program during your program year.





Participants Served

• I.B. Total Terminees– If a terminee is 22 years & older count him/her

in the Adult column, unless at the time of enrollment the person was considered a youth

– For example, If the participant enrolled at age 20 and terminated at 23, that participant is reported as a youth at termination.





Participants Served

• I.B. Total Terminees– If a terminee is 21 years and younger they

should be counted in the Youth column.– If the participant was a cash assistance

recipient at any time during enrollment, or 60 days prior to enrollment, he/she should be reported in the Cash Assistance Recipient column, regardless of age.




C. Total Current Participants 67 29 8

Participants Served

• I.C. Total Current Participants– The total number of participants considered to

have been served at any time during the reporting period, but have not yet completed & terminated from the program as of the last day of the report period.

– Simply put---those remaining in your program that have not been terminated.

Terminee Outcomes• Only report participants that have

terminated at any time during the reporting period, whether or not they have been successful in meeting their stated short or long range goals. These are the individuals reported in I.B. Total Terminees.

• Participant information can be recorded at any time within 90 days following the completion or termination from the program.

•Do Not include characteristics of all participants.

Terminee Outcomes•Terminees may be counted once in each of the positive termination categories (i.e. employment objective, education/training objective, miscellaneous objective achieved).

•Terminees reported as “Other (non-positive) may not be counted in any of the three positive termination categories.

II. Terminee Outcomes Adult Youth Cash Assistance Recipients

A. Total with Employment Objective 33 20 12

1. Entered Unsubsidized Employment

2. Other Employment Outcomes

3. Employment Objective Not Achieved

4. Earnings Gain $ $ $

Terminee Outcomes

• II.A. Total with Employment Objective– Count all terminees who have been

terminated with an employment objective in their individualized service plan.

Note: The Total with Employment Objective cannot exceed the actual number of terminees reported for Adult, Youth, and Cash Assistance Recipient columns (section I.B).

• If you have 58 Total Adult Terminees reported, then the number of adults reported in II. A. Total with Employment Objective, and II. B. Total with Educational/Training Objective, cannot be more than 58. However they can be counted with both employment and educational objectives, because all terminees could have had both an employment and educational objective.

Adult

I.B. Total Terminees 58

II.A. Total with Employment Obj.

58

II.B. Total with Educ./Training Obj.

58

Adult

I.B. Total Terminees 58

II.A. Total with Employment Obj.

62

II.B. Total with Educ./Training Obj.

59

Ok

Ok Not Ok

Not Ok



1. Entered Unsubsidized Employment 8 2 3

2. Other Employment Outcomes



Terminee Outcomes

•II.A.1. Entered Unsubsidized Employment

Report the number of terminees that have entered employment, whom do not receive any subsidy. Include self-employment.




2. Other Employment Outcomes 25 18 7



Terminee Outcomes

• II.A.2. Other Employment Outcomes

Terminees whom have an employment objective and met that goal.

This includes terminees who have been successfully assisted in retaining an existing job with supportive services or successfully completes an OJT assignment but were not retained in employment.





3. Employment Objective Not Achieved 1 0 2


Terminee Outcomes

•II.A.3. Employment Objective Not AchievedReport terminees that had an employment objective but did not meet any of their employment goals.

Earnings Gain!

•If you report terminees as entering unsubsidized employment

•you must report II.A.4. Earnings Gain.

•Unsubsidized Employment and Earnings Gain are directly related!





3. Employment Objective Not Achieved 1 0 2

4. Earnings Gain $2.68 $ $5.15

Terminee Outcomes

• II.A.4. Earnings GainFor those terminees entering unsubsidized employment, calculate the hourly wage of the last job held within the last six (6) months prior to program enrollment and compare that rate with the rate at the time of termination from the program.

Example of Earnings Gain

•If a terminee earned $5.15/hour at a job held six months prior to enrollment in the program and terminated the program gaining unsubsidized employment earning $6.25/hour, the earnings gain for the individual is $1.10.

•Not all earning gains are positive.

Example of Earnings Gain

•If the terminee was unemployed for six months prior to entering the program,

their hourly rate at entry is $0.•If that terminee gains unsubsidized employment earning $6.50/hour,

the gain would be $6.50/hour.

Calculating the Average Gain

•Add all gains (+) and any losses (-).•Divide the total of gains/losses by the number of terminees entering unsubsidized employment.

•The result is the average gain. •Report the average gain dollar amount in II.A.4.


B. Total with Educational/Training Obj. 30 7 5

1. Degree/Certificate Attempted/Attained / / /

2. Other Education Outcome

3. Education Objective Not Achieved

4. Literacy Gain – # of participants attempted/attained

/

5. Numeracy Gain– # of participants attempted/attained

/

Terminee Outcomes

• II.B. Total with Educational/Training ObjectiveReport the number of terminees who have

terminated from the program and had an educational/training objective.

Include terminees gaining knowledge such as completing a semester or more of classes or long/short term classroom training measurement.



1. Degree/Certificate Attempted/Attained / / /

2. Other Education Outcome



/


/

Terminee Outcomes

• II.B.1. Degree/Certificate Attempted/AttainedThe first number is the total number of terminees

that attempted a degree/certificate, whether or not they attained the degree/certificate.

The second number is the total number of terminees that attained a degree/certificate.



1. Degree/Certificate Attempted/Attained 29 / 5 6 / 0 5 / 1

2. Other Education Outcome 24 7 4



/


/

Terminee Outcomes

• II.B.2. Other Education OutcomeReport terminees that had an educational

goal, were terminated from the program, and met a goal other than attainment of a certificate or degree.



1. Degree/Certificate Attempted/Attained 29 / 5 6 / 0 5 / 1

2. Other Education Outcome 24 7 4

3. Education Objective Not Achieved 1 0 1


/


/

Terminee Outcomes

•II.B.3. Education Objective Not Achieved

Report terminees who had educational goals and terminated from the program without meeting any of their goals.


C. Misc. Objective Achieved 0 0 1

D. Other (Non-Positive)

Terminee Outcomes

• II.C. Miscellaneous Objective AchievedReport all terminees that met one or more of

their short or long-term goals. For example, a terminee may have acquired a

driver’s license, or may have had applying for other supportive services as a goal, e.g. LIHEAP.

The miscellaneous objective cannot be reported elsewhere on the report.


C. Misc. Objective Achieved 0 0 1

D. Other (Non-Positive) 2 0 3

Terminee Outcomes

•Report only the terminees that failed to meet their short and long-term goals as stated in their development plan.

• If a terminee met one or more of their goals but not their final goal, they should be counted in sections II.A., II.B., or II.C.

III. Terminee Characteristics Adult Youth Cash Assistance Recipients

A. Female

B. Male

C. Education Level: 1. Dropout

2. Student

3. High School Diploma/GED

4. Post High School

D. Veteran

Terminee Characteristics

• III. Terminee Characteristics–Report only those terminees who have their cases closed and were included in I.B. Total Terminees.

–Do Not include characteristics of all participants, only terminees.


A. Female

B. Male


2. Student


4. Post High School

D. Veteran


• III.A./B. Female/Male– Report the number of females/males reported

in section I.B. Total Terminees.– The total of females + males should equal the

total number of terminees reported in section I.B.



2. Student


4. Post High School

D. Veteran


• III.C. Education LevelReport the education level of the terminees

reported in section I.B. Total Terminees at time of enrollment into the program.

The total sum of education level (1-4) should equal the total number of terminees reported in section I.B.


C. Education Level: 1. Dropout 10 3 5

2. Student 5 16 0


30 3 9

4. Post High School 13 4 1

D. Veteran

Example

• III.C. Education LevelIf you reported 58 total terminees in

section I.B., then the total of education levels should equal 58. The same is true for the Youth and Cash Assistance Recipients columns.



2. Student


4. Post High School

D. Veteran 2 1


•III.D. Veteran–Report all terminees that have served in the military and are considered veterans.

Participant Activities•Report ALL participants (current or

terminated).• Report the type of activities, goals, and

objectives established for participants through their development plan.

• If a participant was involved in more than 1 activity, goal, or objective, count the participant once in each category of activity that applies.

• The total number of participants reported in this section may be greater than the total number of participants reported in section I.A. Total Participants.

IV. Participant Activities Adult Youth Cash Assistance Recipients

A. Employment 65 26 20

B. Education/Training

C. Misc. Objective/Supportive Services

D. Other/Service Referral

Participant Activities

•IV.A. EmploymentReport participants engaged in

employment activities, such as, job referrals, Work Experience, job interviewing, supportive work services, and job related goals.



B. Education/Training 85 38 19

C. Misc. Objective/Supportive Services



•IV.B. Education/TrainingReport participants engaged in any educational or training activity, including OJT, Adult Basic Education, GED prep, and related services.




C. Misc. Objective/Supportive Services 10 2 12



• IV.C. Miscellaneous Objective /Supportive Services

Report participation in non-employment and non-education activities.

Examples of this activity are transportation assistance, housing assistance, assistance in obtaining a driver’s license, childcare when furnished to adults as supportive services, and similar assistance.




C. Misc. Objective/Supportive Services 10 2 12

D. Other/Service Referral 2 1 1


•IV.D. Other/Service ReferralReport any other services or referrals provided to participants.

Examples are

V. Child Care Development Activities Adult Youth Cash Assistance Recipients

A. Families Receiving Child Care 22

B. Children Receiving Child Care

1. Ages 0 to 3 years

2. Ages 4 to 5 years

3. Ages 6 and above

Child Care Development Activities

•V.A. Families Receiving Child Care

Report the number of family units provided with child care services that are funded through the 477 budget.


A. Families Receiving Child Care 22

B. Children Receiving Child Care 26

1. Ages 0 to 3 years 6

2. Ages 4 to 5 years 10

3. Ages 6 and above 10


• V.B.1-3. Children Receiving Child CareReport the number of children served.The total of the three age categories should add up

to the total number of children reported receiving child care. Report services provided through the program whether or not the 477 budget includes funds from formal child care programs, such as CCDF.


C. Care Received – Type of Provider

1. Tribal Center Based 15

2. Other Center Based 5

3. Group Home 0

4. Other Care 6


•V.C.1-4. Care ReceivedReport the type of childcare provider

used most often by each child. The types of providers should add up to the total number of children receiving child care.

VI. Jobs Creation/Economic Development JobsCreated

Indians/Alaska Natives

Employed

Businesses Assisted

A. Number

Jobs Creation/Economic Development

• VI. A. Jobs Creation/Economic DevelopmentReport the number of new jobs (not participants)

created as a result of you 477 program. Report the number of Indians/Alaska Natives employed as a result of the new jobs created. Report the number of businesses assisted by your 477 program. This may include supportive services such as, counseling services for existing employees, training for employees, OJT placements, recruitment and advertisement of positions, and related support.

Report Prepared By: Printed Name & Signature Phone Number Date

Stephanie Juanico 202-208-5819

OMB Control No. 1076-0135 Expiration Date: 09/30/10

Who completed this report?

•The individual completing the report should include their name (printed & signed), phone number, and date the report was completed, so we have contact information in the event of a discrepancy.

Suggestions

• Keep a binder of activities your program offers for reference to assist with writing the narrative report.

• Keep a log of all participants as they terminate the program within the program year.

• If you report statistical data manually, code participant files to identify adults, youth, and cash assistance recipients, for easy reference.

Public Law 102-477 - Tribal Work Group - Executive Committee

Address Phone Fax

Co-Chair RaeBelle WhitcombBristol Bay Native

Association

P.O. Box 310Dillingham, AK 99576

(907) 842-2262, Xt410

(907) 842-3498

Co-Chair Margaret Zientek Citizen Potawatomi

1601 S. Gordon Cooper DriveShawnee, OK 74801

(405) 598-0797 (405) 598-0833

Secretary Kim Carroll Cherokee Nation

17675 S. Muskogee Ave.Tahlequah, OK 74465

(918) 207-3842 (918) 458-7694

At-Large Rep Brenda Schwantes Sun’aq Tribe of Kodiak

312 W. Marine WayKodiak, AK 99615

(907) 486-4449 (907) 486-3361

At-Large Rep Kay Kidder Nez Perce Tribe

116 Veterans DriveLapwai, ID 83540

(208) 621-4604 (208) 843-7380

public law 102-477 statistical report pub. l. 102-477 statistical report tribal nationreport period...

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