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["STANDARDIZED QUARTERLY PERFORMANCE REPORT"]
["YouthBuild (YB) GRANT"]
["ETA - 9136",{"$nulls":7},"OMB No.","1205-0NEW"]
["Report Due Date: mm/dd/yyyy",{"$nulls":7},"Expires:"," "]
["A.  GRANTEE IDENTIFYING INFORMATION"]
["Grantee Name:",{"$nulls":6},"Grant Number:"]
[]
["Program/Project Name:",{"$nulls":6},"Project or Sub-Project ID/Number:"]
[]
[{"$nulls":7},"Report Quarter End Date:"]
[]
["    City ________________________________",null,null,"         State  ______     ","Zip Code  __________",null,null,"Enrollment Goal:"]
[null,"Performance Items",null,null,"Previous Quarter\n(A)",null,"Current Quarter\n(B)",null,"Cumulative for Program Year\n(C)",null,"Program-to-Date \n(D)"]
["B.  PARTICIPANT SUMMARY INFORMATION"]
["1.  Total Exiters"]
["2.  Total Participants Served"]
["3.  New Participants Served"]
["Gender","4a.  Male"]
[null,"4b  Female"]
["Ethnicity / Race","5a.  Hispanic/Latino"]
[null,"5b.  American Indian or Alaska Native"]
[null,"5c.  Asian"]
[null,"5d  Black or African American"]
[null,"5e.  Hawaiian Native or Other Pacific Islander"]
[null,"5f.  White"]
["Education Level","6a.  8th grade and under"]
[null,"6b.  9th grade - 12th grade"]
[null,"6c.  High School graduate or equivalent"]
[null,"6d.  1 - 3 years of college, or full-time technical or vocational school"]
[null,"6e.  4 years college or more"]
[" Other Demographics","        7.  Limited English Proficient"]
[null,"        8.   Low Income"]
[null,"        9.   Foster Youth"]
[null,"       10.   Migrant Youth"]
[null,"       11.   High School Drop-Out"]
[null,"       12.   Youth Offender"]
[null,"       13.   Adult Offender"]
[null,"       14.   Basic Skills Deficient"]
[null,"       15.  Child of Incarcerated Parent"]
[null,"       16.  Persons with a Disability"]
[null,"      17.  Not Employed at Program Enrollment"]
["Performance Items\n",null,null,null,"\nPrevious Quarter\n(A)\n",null,"\nCurrent Quarter\n(B)\n",null,"Cumulative for Program Year\n(C)",null,"Program-to-Date \n(D)"]
[{"$nulls":4},"Value","Numerator","Value","Numerator","Value","Numerator","Value","Numerator"]
[{"$nulls":5},"Denominator",null,"Denominator",null,"Denominator",null,"Denominator"]
["C. PROGRAM SERVICES, ACTIVITIES, AND OTHER RELATED ASSISTANCE"]
["1.  Received Education or Job Training Activities","5e. "]
[]
["2.  Received Workforce Preparation Activities"]
[]
["3.  Community Involvement  & Leadership Development Activities"]
[]
[" 4. Post Secondary Exploration and Planning Activities"]
[]
["5.  Received Mentoring Activities"]
[]
["6.  Received Health Services"]
[]
["7.  Received Supportive Services"]
[]
["D.  SHORT-TERM INDICATORS OF PERFORMANCE"]
["Leading Indicators of Performance"]
["1.  Enrollment Rate"]
[]
["2a.  Number of Initial Job Placements"]
[]
["2b. Average Hourly Wage Rate at Placement"]
[]
["2c.  Number of Job Re-Placements"]
[]
["2d.  Average Hours Worked 1st Week of Placement"]
[]
["3.  Number Obtained High School Diploma or GED"]
[]
["4.  Number Obtained a Certificate"]
[]
["5.  Entered Post Secondary Education"]
[]
["6.  Entered Vocational/Occupational Skills Training"]
[]
["7. Entered Registered Pre-Apprenticeship "]
[]
[" 8. Entered Registered Apprenticeship"]
[]
["E. LONG-TERM INDICATORS OF PERFORMANCE"]
["Common Performance Measures\n"]
["1.  Placement in Education or Employment"]
[]
["2.  Attainment of a Degree Or Certificate"]
[]
["3.  Literacy and Numeracy Attainment"]
[]
["Additional Performance Measures"]
["4.  Recidivism Rate"]
[]
["5.  Retention Rate"]
[]
["F. REPORT CERTIFICATION/ADDITIONAL COMMENTS"]
["Grantee Remarks:"]
[]
[]
[]
["Name of Grantee Certifying Official:",null,null,null,"Telephone Number:",null,null,"Email:"]
[]
["Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number.  Public reporting burden for this collection of information is estmated to average 16 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing  and reviewing the collection of information.  [Respondent's obligation to respond are required to obtain or retain benefits (YouthBuild Transfer Act Public Law 109-2810].  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the U.S. Department of Labor, Division of Youth Services, Office of Workforce Investment, Room N4511, Washington D.C.  20210 (Paperwork Reduction Project 1205-0275)"]