Previous Policy - 12.3 Adult Program File Documentation

12.3.3 Required Federal Reporting

Effective date: September 1, 2020

For each Adult Program applicant, the following data elements must be collected and documented for federal reporting purposes,¹ as outlined below. These elements do not impact program eligibility or priority of service but may impact negotiated and adjusted levels of performance via the statistical adjustment model.

Consistent with the WIOA Title I Application Process Guidance, WDBs and their service providers must ensure that their WIOA Title I application forms include all the information needed to create an individual's record in ASSET. The WIOA Title I application form is considered an allowable self-attestation for these data elements.

NOTE: The list below is not exhaustive. Allowable forms of documentation for other required federal reporting elements are identified in other areas of this policy.

Data Element	Example Documentation² NOTE: This list is not intended to be all-inclusive.
Sex	Self-Attestation
Ethnicity: Hispanic/Latino	Self-Attestation
Race	Self-Attestation
Limited English Language Proficiency	Self-Attestation
Limited English Reading Ability (if Limited English Language Proficient)	Self-Attestation
Limited English Speaking Ability (if Limited English Language Proficient)	Self-Attestation
Primary Language (if Limited English Language Proficient)	Self-Attestation
Current Education Status (School Status at Program Entry)	Self-Attestation OR Cross-match with Postsecondary Education Database Copy of educational institution enrollment record Applicable records from educational institution (GED certificate, diploma, attendance record, transcripts, report card, or school documentation) Signed WIOA intake application or registration form Electronic records Verbal Verification
Current Highest School Grade Completed	Self-Attestation OR Applicable records from education institution (GED certificate, diploma, attendance record, transcripts, drop out letter, school documentation) Signed WIOA intake application or registration form Electronic Records
Single Parent³	Self-Attestation OR TANF/W-2 Single Parent Eligibility Verification Needs Assessment Signed WIOA intake application or registration form Signed Individual Employment Plan Case Notes
Current Employment Status	Self-Attestation
Current Unemployment Insurance Programs (UI)⁴	Self-Attestation, only if customer is not an RESEA or WPRS participant. OR Cross-match to state UI database Cross-match to state MIS database (Verification of Re-employment Services and Eligibility Assessment (RESEA)-funded services from the ASSET Manage Services tab) Referral transmittal by RESEA or WPRS
Pell Grant Recipient	Self-Attestation OR FAFSA/Financial Aid Records Award Letter
Active Duty Military Spouse	Self-Attestation
Unemployed Greater Than or Equal to 27 Consecutive Weeks (Long-term unemployed)⁵	Self-Attestation OR Public assistance records Refugee assistance records Cross-match with public assistance database Cross-match to state UI database
Actual Dislocation Date⁶	Self-Attestation OR Verification from Employer Rapid Response List Notice of Layoff (Including a WARN Notice) Public Announcement with Follow-Up Cross-Match with UI Database
Foster Care (Foster Care Youth Status at Program Entry)⁷	Self-Attestation OR Written Confirmation from Social Services Agency Foster Care Agency Referral Transmittal Signed WIOA intake application or registration form Needs Assessment Signed Individual Employment Plan Verbal Verification from cognizant agency or official (school counselor, social worker, court, etc.) Case Notes
Displaced Homemaker ⁸	Self-Attestation OR Signed WIOA intake application or registration form Cross-Match with Public Assistance Records Copy of Spouse's Layoff Notice Copy of Spouse's Death Record Copy of Spouse's Permanent Change of Station (PCS) Orders for a military move or assignment) Copy of Divorce Records Copy of Applicable Court Records Copy of Bank Records (showing financial dependence on spouse, no separate individual income support, or no employment income earned) Needs Assessment Signed Individual Employment Plan
Offender or Ex-Offender (Ex-Offender Status at Program Entry)⁹ NOTE: Does not include speeding tickets or traffic court.	Self-Attestation OR Documentation from juvenile or adult criminal justice system (https://wcca.wicourts.gov) Written statement or referral document from a court or Probation Officer Referral transmittal from a reintegration agency Signed WIOA intake application or registration form Needs Assessment Signed Individual Employment Plan Federal Bonding Program Application Verbal verification with court or probation representative Case Notes
Incarcerated at Program Entry (if Offender or Ex-Offender)	Self-Attestation OR Verbal or written verification from justice system
Eligible Migrant and Seasonal Farmworker Status¹⁰	Self-attestation that participant worked in migrant farm work within last 12-months, seasonally/temporarily, with a recognized employer OR Cross-Match with Public Assistance Records NFJP Eligibility Documents Cross-Match with State MIS Cross-Match with H-1B Records Case Notes
Exhausting TANF/Wisconsin Works (W-2) within 2 years¹¹	TANF/W-2 Eligibility Verification TANF/W-2 Period of Benefit Receipt Verification Referral Transmittal from TANF/W-2 Cross-Match with TANF/W-2 Public Assistance Records Verbal verification from appropriate public assistance agency NOTE: It is not allowable to use screen prints from CARES to document TANF/W-2.
Cultural Barriers	Self-Attestation
Individual with a disability¹²	Self-Attestation OR School 504 records provided by student Assessment test results NOTE: Case notes and other documentation related to this element must be maintained in compliance with Section 5.7 ¹³ of this policy manual.

¹ WIOA Reporting Advisories
² Unless otherwise noted, information on documentation sources is from OMB Control No. 1205-0521 and TEGL 23-19, Attachment II.
³ Per TEGL 23-19, Attachment II, Data Element 806 Data Element Validation is required.
⁴ Per TEGL 23-19, Attachment II, Data Element 401 Data Element Validation is required.
⁵ Per TEGL 23-19, Attachment II, Data Element 402 Data Element Validation is required.
⁶ Per TEGL 23-19, Attachment II, Data Element 410 Data Element Validation is required.
⁷ Per TEGL 23-19, Attachment II, Data Element 704 Data Element Validation is required.
⁸ Per TEGL 23-19, Attachment II, Data Element 807 Data Element Validation is required.
⁹ Per TEGL 23-19, Attachment II, Data Element 801 Data Element Validation is required.
¹⁰ Per TEGL 23-19, Attachment II, Data Element 808 Data Element Validation is required.
¹¹ Per TEGL 23-19, Attachment II, Data Element 601 Data Element Validation is required.
¹² Per TEGL 23-19, Attachment II, Data Element 202 Data Element Validation is required.
¹³ 29 CFR § 38.41 requires that any medical or disability-related information about a particular individual, including information that could lead to the disclosure of a disability, must be collected on separate forms. All such information, whether in hard copy, electronic, or both, must be maintained in one or more separate files, apart from other information about the individual, and treated as confidential.