**Individual Record Data Elements**

**Minimum Data Fields for Determining Priority of Service at the Initial
Point of Entry**

+---+--------+----+-------------------------------------+-------------+
| * | **Data | ** | **Data Element                      | **Code      |
| * | Ele    | Da | Definitions/Instructions**          | Value**     |
| N | ment** | ta |                                     |             |
| o |        | ** |                                     |             |
| . | **     |    |                                     |             |
| * | Name** | *  |                                     |             |
| * |        | *T |                                     |             |
|   |        | yp |                                     |             |
|   |        | e/ |                                     |             |
|   |        | ** |                                     |             |
|   |        |    |                                     |             |
|   |        | *  |                                     |             |
|   |        | *F |                                     |             |
|   |        | ie |                                     |             |
|   |        | ld |                                     |             |
|   |        | ** |                                     |             |
|   |        |    |                                     |             |
|   |        | ** |                                     |             |
|   |        | Le |                                     |             |
|   |        | ng |                                     |             |
|   |        | th |                                     |             |
|   |        | ** |                                     |             |
+---+--------+----+-------------------------------------+-------------+
| 0 | C      | AN | Record the unique identifier used   | X           |
| 1 | overed | 12 | for the covered entrant (i.e. an    | XXXXXXXXXXX |
|   | E      |    | assigned numeric ID other than an   |             |
|   | ntrant |    | SSN).                               |             |
|   | Iden   |    |                                     |             |
|   | tifier |    |                                     |             |
+---+--------+----+-------------------------------------+-------------+
| 0 | C      | DT | Record the date on which the        | YYYYMMDD    |
| 2 | overed | 8  | covered person first made contact   |             |
|   | Person |    | with the workforce system, either   |             |
|   | Entry  |    | at a physical location or through   |             |
|   | Date   |    | an electronic resource              |             |
+---+--------+----+-------------------------------------+-------------+
| 0 | Date   | DT | Record the date that falls 45 days  | YYYYMMDD    |
| 3 | 45     | 8  | following the Covered Person Entry  |             |
|   | Days   |    | Date.                               |             |
|   | Fol    |    |                                     |             |
|   | lowing |    |                                     |             |
|   | C      |    |                                     |             |
|   | overed |    |                                     |             |
|   | Person |    |                                     |             |
|   | Entry  |    |                                     |             |
|   | Date   |    |                                     |             |
+---+--------+----+-------------------------------------+-------------+
| 0 | C      | IN | Record 1 if the entrant served in   | 1 = Veteran |
| 4 | overed | 1  | the active military, naval, or air  |             |
|   | Person |    | service, and was discharged or      | 2 =         |
|   | Status |    | released therefrom under conditions | Eligible    |
|   |        |    | other than dishonorable.            | Spouse      |
|   |        |    |                                     |             |
|   |        |    | Record 2 if the entrant is the      | 3 = Not a   |
|   |        |    | spouse of any of the following      | Covered     |
|   |        |    | individuals: (a) Any veteran who    | Person      |
|   |        |    | died of a service-connected         |             |
|   |        |    | disability; (b) Any veteran who has |             |
|   |        |    | a total disability resulting from a |             |
|   |        |    | service-connected disability; (c)   |             |
|   |        |    | Any veteran who died while a        |             |
|   |        |    | disability so evaluated was in      |             |
|   |        |    | existence; or (d) Any member of the |             |
|   |        |    | Armed Forces serving on active duty |             |
|   |        |    | who, at the time of the spouse's    |             |
|   |        |    | entry is listed, pursuant to        |             |
|   |        |    | section 556 of title 37 and         |             |
|   |        |    | regulations issued thereunder, by   |             |
|   |        |    | the Secretary of Defense in one or  |             |
|   |        |    | more of the following categories    |             |
|   |        |    | and has been so listed for a total  |             |
|   |        |    | of more than 90 days: (i) missing   |             |
|   |        |    | in action, (ii) captured in line of |             |
|   |        |    | duty by a hostile force, or (iii)   |             |
|   |        |    | forcibly detained or interned in    |             |
|   |        |    | line of duty by a foreign           |             |
|   |        |    | government or power.                |             |
+---+--------+----+-------------------------------------+-------------+
| 0 | Date   | DT | Record the covered entrant\'s date  | YYYYMMDD    |
| 5 | of     | 8  | of birth.                           |             |
|   | Birth  |    |                                     |             |
+---+--------+----+-------------------------------------+-------------+
| 0 | Gender | IN | Record 1 if the covered entrant     | 1 = Male    |
| 6 |        | 1  | indicates that he is male.          |             |
|   |        |    |                                     | 2 = Female  |
|   |        |    | Record 2 if the covered entrant     |             |
|   |        |    | indicates that she is female.       |             |
|   |        |    |                                     |             |
|   |        |    | If the covered entrant does not     |             |
|   |        |    | self-identify gender, leave "blank" |             |
|   |        |    | or record 0.                        |             |
+---+--------+----+-------------------------------------+-------------+
| 0 | Indi   | IN | Record 1 if the covered entrant     | 1 = Yes     |
| 7 | vidual | 1  | indicates that he/she has any       |             |
|   | with a |    | \"disability,\" as defined in       | 2 = No      |
|   | Disa   |    | Section 3(2)(a) of the Americans    |             |
|   | bility |    | with Disabilities Act of 1990 (42   |             |
|   |        |    | U.S.C. 12102). Under that           |             |
|   |        |    | definition, a \"disability\" is a   |             |
|   |        |    | physical or mental impairment that  |             |
|   |        |    | substantially limits one or more of |             |
|   |        |    | the person\'s major life            |             |
|   |        |    | activities. (For definitions and    |             |
|   |        |    | examples of \"physical or mental    |             |
|   |        |    | impairment\" and \"major life       |             |
|   |        |    | activities,\" see paragraphs (1)    |             |
|   |        |    | and (2) of the definition of the    |             |
|   |        |    | term \"disability\" in 29 CFR 37.4, |             |
|   |        |    | the definition section of the WIA   |             |
|   |        |    | non-discrimination regulations.)    |             |
|   |        |    |                                     |             |
|   |        |    | Record 2 if the covered entrant     |             |
|   |        |    | indicates that he/she does not have |             |
|   |        |    | a disability that meets the         |             |
|   |        |    | definition.                         |             |
|   |        |    |                                     |             |
|   |        |    | If the covered entrant does not     |             |
|   |        |    | wish to disclose his/her disability |             |
|   |        |    | status, leave \"blank\" or Record   |             |
|   |        |    | 0.                                  |             |
+---+--------+----+-------------------------------------+-------------+
| 0 | Race:  | IN | Record 1 if the covered entrant     | 1 = Yes     |
| 8 | Am     | 1  | indicates that he/she is a person   |             |
|   | erican |    | having origins in any of the        |             |
|   | Indian |    | original peoples of North America   |             |
|   | or     |    | and South America (including        |             |
|   | Alaska |    | Central America), and who maintains |             |
|   | Native |    | cultural identification through     |             |
|   |        |    | tribal affiliation or community     |             |
|   |        |    | recognition.                        |             |
|   |        |    |                                     |             |
|   |        |    | If the covered entrant does not     |             |
|   |        |    | self-identify his/her race as       |             |
|   |        |    | American Indian or Alaska Native,   |             |
|   |        |    | leave \"blank\" or Record 0.        |             |
+---+--------+----+-------------------------------------+-------------+
| 0 | Race:  | IN | Record 1 if the covered entrant     | 1 = Yes     |
| 9 | Asian  | 1  | indicates that he/she is a person   |             |
|   |        |    | having origins in any of the        |             |
|   |        |    | original peoples of the Far East,   |             |
|   |        |    | Southeast Asia, or the Indian       |             |
|   |        |    | Subcontinent (e.g., India,          |             |
|   |        |    | Pakistan, Bangladesh, Sri Lanka,    |             |
|   |        |    | Nepal, Sikkim, and Bhutan). This    |             |
|   |        |    | area includes, for example,         |             |
|   |        |    | Cambodia, China, Japan, Korea,      |             |
|   |        |    | Malaysia, Pakistan, the Philippine  |             |
|   |        |    | Islands, Thailand, and Vietnam.     |             |
|   |        |    |                                     |             |
|   |        |    | If the covered entrant does not     |             |
|   |        |    | self-identify his/her race as       |             |
|   |        |    | Asian, leave \"blank\" or Record 0. |             |
+---+--------+----+-------------------------------------+-------------+
| 1 | Race:  | IN | Record 1 if the covered entrant     | 1 = Yes     |
| 0 | Black  | 1  | indicates that he/she is a person   |             |
|   | or     |    | having origins in any of the black  |             |
|   | A      |    | racial groups of Africa.            |             |
|   | frican |    |                                     |             |
|   | Am     |    | If the covered entrant does not     |             |
|   | erican |    | self-identify his/her race as Black |             |
|   |        |    | or African American, leave          |             |
|   |        |    | \"blank\" or Record 0.              |             |
+---+--------+----+-------------------------------------+-------------+
| 1 | Race:  | IN | Record 1 if the covered entrant     | 1 = Yes     |
| 1 | Ha     | 1  | indicates that he/she is a person   |             |
|   | waiian |    | having origins in any of the        |             |
|   | Native |    | original peoples of Hawaii, Guam,   |             |
|   | or     |    | Samoa, or other Pacific Islands.    |             |
|   | other  |    |                                     |             |
|   | P      |    | If the covered entrant does not     |             |
|   | acific |    | self-identify his/her race as       |             |
|   | Is     |    | Hawaiian Native or Other Pacific    |             |
|   | lander |    | Islander, leave \"blank\" or Record |             |
|   |        |    | 0.                                  |             |
+---+--------+----+-------------------------------------+-------------+
| 1 | Race:  | IN | Record 1 if the covered entrant     | 1 = Yes     |
| 2 | White  | 1  | indicates that he/she is a person   |             |
|   |        |    | having origins in any of the        |             |
|   |        |    | original peoples of Europe, the     |             |
|   |        |    | Middle East, or North Africa.       |             |
|   |        |    |                                     |             |
|   |        |    | If the covered entrant does not     |             |
|   |        |    | self-identify his/her race as       |             |
|   |        |    | White, leave \"blank\" or Record 0. |             |
+---+--------+----+-------------------------------------+-------------+
| 1 | Eth    | IN | Record 1 if the covered entrant     | 1 = Yes     |
| 3 | nicity | 1  | indicates that he/she is a person   |             |
|   | His    |    | of Cuban, Mexican, Puerto Rican,    | 2 = No      |
|   | panic/ |    | South or Central American, or other |             |
|   | Latino |    | Spanish culture in origin,          |             |
|   |        |    | regardless of race.                 |             |
|   |        |    |                                     |             |
|   |        |    | Record 2 if the covered entrant     |             |
|   |        |    | indicates that he/she does not meet |             |
|   |        |    | any of these conditions.            |             |
|   |        |    |                                     |             |
|   |        |    | If the covered entrant does not     |             |
|   |        |    | wish to respond, leave \"blank\" or |             |
|   |        |    | Record 0.                           |             |
+---+--------+----+-------------------------------------+-------------+
| 1 | State  | AN | Record the 2-letter FIPS alpha code | XX          |
| 4 | Code   | 2  | of the state in which the entrant   |             |
|   |        |    | made contact with the workforce     |             |
|   |        |    | system. For example, the State of   |             |
|   |        |    | Alabama would be represented as     |             |
|   |        |    | \"AL.\"                             |             |
+---+--------+----+-------------------------------------+-------------+
| 1 | ETA-As | IN | If the covered entrant first made   | 0000        |
| 5 | signed | 4  | contact with the workforce system   |             |
|   | Local  |    | at a physical location, record the  |             |
|   | Wor    |    | 4-digit ETA-assigned Local          |             |
|   | kforce |    | Board/Statewide code where the      |             |
|   | Boa    |    | entrant first made contact with the |             |
|   | rd/Sta |    | workforce system.                   |             |
|   | tewide |    |                                     |             |
|   | Code   |    | If the covered entrant only         |             |
|   |        |    | received remote or virtual          |             |
|   |        |    | self-service or informational       |             |
|   |        |    | activities, Record 9999 to indicate |             |
|   |        |    | \"statewide/virtual office.\"       |             |
|   |        |    | Record 0 or leave \"blank\" if not  |             |
|   |        |    | known.                              |             |
+---+--------+----+-------------------------------------+-------------+
| 1 | Date   | DT | Record the date on which the        | YYYYMMDD    |
| 6 | of     | 8  | covered entrant received a service, |             |
|   | P      |    | either at a physical location or    |             |
|   | artici |    | through an electronic resource      |             |
|   | pation |    |                                     |             |
+---+--------+----+-------------------------------------+-------------+