EPA Form 6200

- 04EPA Form 6200

- 04 INSTRUCTIONS FOR COMPLETING

JOB TRAINING REPORTING FORM

GENERAL INSTRUCTIONS

Overview: As specified in your cooperative agreement terms and conditions, all J ob T raining cooperative agreement recipients must report to EPA on a r egular basis. This OMB and EPA a pproved reporting form (OMB No.

2050

- 0192 , EPA Form 6200

- 04 ) supplements your Quarterly Reports with information about specific activities and accomplishments that EPA deems necessary to adequately monitor and evaluate progr ess toward goals defined in cooperative agreement s

. Please contact your EPA Regional representative if you have any questions when completing this form. Please note that, in most instances, all reported information is accessible by the public under the Fr eedom of Information Act (FOIA) and may be distributed by EPA to the public unless an FOIA exclusion is applicable.

Compared to the Quarterly Reports, the Job Training Reporting Form (JT Reporting F orm or JT Form ) contains quantitative information on fou r specific measures of recipient performance. Reporting on these specific activities and accomplishments must be provided in the attached JT Reporting F orm rather than in the Quarterly Reports. Additional voluntary and/or narrative information may be provi ded in Part II of this form or in the Quarterly Report.

When to Submit: Original JT Reporting Forms. Cooperative agreement recipients must develop the first JT Reporting F orm when the first specified accomplishment has occurred (e.g., when the first class of trainees “graduates” from the training program provided under the cooperative agreement , or when leveraged funding is committed to supplement the cooperative agreement activities).

Updated JT Reporting Forms. JT Reporting F orms should be updated a nd delivered as additional accomplishments occur. In addition, an updated form should be provided when the c ooperative agreement is being closed out. Cooperative agreement recipients should provide ample time to report job placement

activit i es prior to t he closeout of the project period. If you have data to report after the closeout of the cooperative agreement, please contact the ACRES Help desk at acres_help@epa.gov.

To Whom to Submit: Cooperative agreement recipients must submit JT Reporting Forms to their EPA Regional Representative identified in the terms and conditions of the cooperative agreement. If data is entered online it will automatically be delivered to the EPA Regional Representative.

How to Submit: The Assessment, Cleanup, and Redevel opment Exchange System (ACRES) is available online and is the preferred method for Job Training cooperative agreement recipients to enter and submit the JT Reporting

Form. Electronic reporting is optional . T he JT Reporting Form may also be submitted in har d copy with the next required Quarterly Report or via e

- mail to the EPA Regional Representative

.EPA Form 6200

- 04

DETAILED INSTRUCTIONS FOR COMPLETING EACH ITEM ON FORM

PART I

– COOPERATIVE AGREEMENT RECIPIENT INFORMATION

1. Cooperative Agreement Recipient Nam e. Enter the cooperative agreement recipient name. Use the official name provided in the cooperative agreement, unless otherwise directed by the EPA Regional Representative.

2. Cooperative Agreement Number. Enter the cooperative agreement number. Use t he number as provided in the cooperative agreement.

PART II

- PERFORMANCE MEASURES INFORMATION

This section contains two parts

— one mandatory, for performance measures information; the other optional, for narrative information to supplement the quantitati ve information provided ( Field 8 ).

Mandatory Performance Measures.

P rovide all quantitative information relating to each of the m andatory performance measures. For each measure, enter amounts in column (a)

— This Federal Fiscal Quarter

— to reflect the incremental accomplishments attained during the current federal fiscal reporting quarter and column (b)

— Cumulative

— to reflect the total accomplishments attained to date during the term of the c ooperative agreement . Note:

q uantitative information rel ating to these performance measures should only be provided in the JT Form (i.e., not in narrative reporting contained in the Quarterly Report).

3. Number of Participants Entering Training. Enter the number of participants who entered a cooperative

agre ement funded training program.

3 a . Number of Veterans Entering Training. Enter the number of participants who entered a cooperative

agreement funded training program that are Veteran s

.

4 . Number of Participants Completing Training. Enter the number of pa rticipants taking the cooperative

agreement funded training who have completed the training program.

5 a

. Number of Participants Obtaining Employment. Enter the number of graduates from the cooperative

agreement funded training program who ha ve ob tained employment of any kind. Self

- employed graduates should be included in this count. The cumulative total number inserted in column (b) should only increase during the term of the c ooperative agreement ; the recipients’ reporting of the cumulative total should not reflect any decreases for graduates who had obtained employment but later report ed l osing their jobs. If desired, provide a brief narrative description in section 8 for any reported job losses.

5b. Number of Individuals that did not Obtain Employmen t but are Pursuing Education (e.g., GED, college courses, etc.). Enter the number of graduates from the cooperative agreement funded training program who have not obtained employment but are pursuing an education. Education can include GED

cla s ses, college courses, vocational training, etc.

6. Average Hourly Wage. Enter the average hourly wage of job training graduates in their initial post

training employment. Provide the hourly wage for the first job that each employed graduate secures after comple ting t he job training program. Anecdotal information about subsequent jobs and wages may also be narratively provided.EPA Form 6200

- 04 7. Funds Leveraged. Enter the total amount of funding leveraged as a result of cooperative agreement activities. Capture the total number of non

- cooperative agreement dollars linked and leveraged to support additional, related activities of the recipient. To be reportable, there must be a demonstrable link or connection between the EPA funded activity and the leveraged funding. Funding can oc cur through direct financial assistance and/or through in

- kind services or supplies. Usually, leveraged funding that was committed prior to the award of the EPA recipient should not be reported as leveraged

. In addition, leveraged funding should not be re ported in this section until th e funding has been committed. These leveraged funds may be used to support activities that cannot be funded by the EPA cooperative agreement (e.g., transportation or child care for job training students).

In addition to th e total leveraged funds, also describe the source (s) and amount of funding leveraged, and the types of activities it funded. For each funding source ( 7

- 1), also list the type of activity funded ( 7

- 2) and the amount of funding leveraged per source in column s (a) and (b). As necessary, add additional lines for 7

- 1

and 7

- 2.

7

- 1. Funding Source Name(s). For each funding source, enter the name of the organization providing the funds and/or in

- kind services. Examples of sources of leveraged funding include other EPA programs ; private organizations ; state environmental, labor, or economic agencies ; tribal

governments ; local governments (including community development corporations) ; and other federal agencies.

7

- 2. Activity Funded. For each funding source listed under 7

- 1, provide the type of activity that was supported. Examples of leveraged activities include additional curricula development/training (e.g.,

environmental and non

- environmental), supplies/equipment, transportation for students, and child

care fo r students.

8 . Supplement Performance Measures Information (Optional). Provide a brief narrative description to supplement the required performance measures reporting, including, for example: demographic information (e.g., gender, age, ethnicity, educat ion); description of the training curricula; information on the types of jobs obtained by the participants entering/completing the training; names of employers; names of brownfield sites graduates are placed at; availability of photographs/video footage of the training/graduation/post

- training employment; and/or other milestones tracked by the recipient for its own management.

PART III

- APPROVALS

9

. Cooperative Agreement Recipient Project Manager. Type or print the name of the cooperative

agreement reci pient project manager. The project manager should also sign and date the completed JT Reporting F orm before submission.

10 . U.S. EPA Regional Representative. Type or print the name of th e EPA Regional Representative. The

E PA R epresentative should also si gn and date the reviewed JT Reporting F orm.