I. General Information / Auto populates
II. Total Expenditures (Administrative + Program)
Total Expenditures / Auto populates Section III + Section V
III. Administrative Expenditures
Total Administrative Expenditures / Refer to definition of Administrative Expenditures
a. Cash Portion / Refer to definition of Cash Expenditures
b. Accrued Portion / Refer to definition of Accrued Expenditures
IV. Other Reportable Items (Administrative)
1. Non-Federal Support (Stand-in) / Refer to definition of Stand-In Costs
2. Unliquidated Obligations / Refer to definition of Unliquidated Obligations
3. Program Income Earned / Refer to definition of Program Income
4. Program Income Expended / Refer to definition of Program Income
V. Cumulative Expenditures (Program)
1. Core Self Service / This line item is no longer active. DO NOT ENTER EXPENDITURES.
2. Core Registration/WIOA Career Services Basic / Refer to definition of Career Services (Basic)
3. Intensive Services/WIOA Career Services Ind. / Refer to definition of Career Services (Individualized)
4. Career Services Follow-Up / Refer to definition of Career Services (Follow-Up)
5. WIOA Training Services
  1. WIOA Training Payments
/ Refer to definition of Training Payments
  1. WIOA Other Training Services
/ This line item is no longer active. DO NOT ENTER EXPENDITURES.
Total Training Services / Auto populates Sections V.5.a + V.5.b
6. Other / Any program expenditures that do not fall under 2-5 above, including supportive services
7. Total Program Expenditures (sum of the above items) / Auto populates sum of Section V
a. Cash Portion / Refer to definition of Cash Expenditures
b. Accrued Portion / Refer to definition of Accrued Expenditures
VI. Other Reportable Items (Program)
1. Non-Federal Support (Stand-In) / Refer to definition of Stand-In Costs
2. Unliquidated Obligations / Refer to definition of Unliquidated Obligations
a. Core and Intensive Services/Career Services / This includes basic, individualized, and follow-up services
b. Training Services / Refer to definition of Training Payments
c. Other / Any program unliquidated obligations that do not fall under a and b above
Total Unliquidated Obligations / Auto populates Sections VI.2.a + VI.2.b. + VI.2.c.
3. Program Income Earned / Refer to definition of Program Income
4. Program Income Expended / Refer to definition of Program Income
5. Incentive Funds Expended / Refer to definition of Incentive Funds
VII. Miscellaneous Items (Admin and/or Program)
1. Federally Mandated Match / Refer to definition of Match
a. Cash Contributions / Refer to definition of Cash Contributions
b. In-Kind Contributions / Refer to definition of In-Kind Contributions
Total Federally Mandated Match / Auto populates Sections VII.1.a + VII.1.b.
2. State Mandated Match / Refer to definition of Match
a. Cash Contributions / Refer to definition of Cash Contributions
b. In-Kind Contributions / Refer to definition of In-Kind Contributions
Total State Mandated Match / Auto populates Sections VII.2.a. + VII.2.b.
3. Federal Leveraged Resources / Refer to definition of Leveraged Resources
a. Cash Contributions / Refer to definition of Cash Contributions
b. In-Kind Contributions / Refer to definition of In-Kind Contributions
Total Federal Leveraged Resources / Auto populates Sections VII.3.a. + VII.3.b.
4. Non-Federal Leveraged Resources / Refer to definition of Leveraged Resources
a. Cash Contributions / Refer to definition of Cash Contributions
b. In-Kind Contributions / Refer to definition of In-Kind Contributions
Total Non-Federal Leveraged Resources / Auto populates Sections VII.4.a. + VII.4.b.
5. Fed Share of Unliquidated Obligations for PFP / Refer to definition of Pay-for-Performance (PFP)
6. PFP Contract Expenditures / Refer to definition of Pay-for-Performance (PFP). Note: There is a 10% Pay for Performance (PFP) Contract expenditure cap.
7. Transitional Jobs Expenditures / Refer to definition of Transitional Jobs. Note: There is a 10% Transitional Jobs Cost expenditure cap.
8. Incumbent Worker Training Expenditures / Refer to definition of Incumbent Worker Training. Note: There is a 20% Incumbent Worker Training expenditure cap.
Total Miscellaneous Items / Auto populates sum of Section VII
IX. Comments
X. Certification / Fiscal Administrator’s Information
Certified By
First Name
Last Name
Title
Phone
Date Submitted / Auto populates
Contact / Analyst entering data into report
Name
Title
Phone

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