ETA 9103-2a PLANNING FORM 2 Disaster Projects Temporary Job Creation

PLANNING FORM* 2 – Disaster Projects  Workforce Development Services OMB Approval No. 1205-0439

All quarterly entries are CUMULATIVE over all previous quarters Expiration Date: 01/31/07

Performance Factor

program year quarter

Admin

Program

Qtr 1

Qtr 2

Qtr 3

Qtr 4

Qtr 5

Qt 6

Qtr 7

Qtr 8

Qtr 9

Qtr 10

Qtr 11

Qtr 12

Implementation Schedule

Total Planned Participants

Receiving Intensive Services

Enrolled in Training

Receiving Supportive Services

Receiving Needs-Related Payments

Exits

Entering Employment at Exit

Total Expenditures: Grantee Level

Supportive Services

Program Management and Oversight

Admin Excluding NRP Processing*

NRP Processing

Other *

Indirect

Other*

Total Expenditures: Project Operator Level

Core and Intensive Services

Training Services

Supportive Services

NRPs

Other*

Program Management and Oversight

Admin Excluding NRP Processing*

NRP Processing

Other *

Total Expenditures: Grantee and Project Operator Level

*This form must be accompanied by an appropriate budget narrative which lists, for each *ed line item, components of the costs, e.g. staff salaries, fringe benefits, equipment, travel, facilities, and the estimated cost amounts for each. ETA 9103