VETS-403 Technical Performance Narrative

OMB Approval 1239-0009
Expires mm/dd/yyyy

Updated March 2025

JVSG Technical Performance Narrative
State and Agency Name:
Grant Number:
Fiscal Year and Quarter:

1

Date Prepared:
Instructions for this form are available our JVSG Forms page.
(a)

Compare actual outlays and obligations to the planned budget.

Activity

DVOP
CODL
LVER
Incentives
Mgmt & Admin
Total

Cumulative
Budget Amount
(Planned)
VETS-401 Sec. C

Cumulative
Outlays and
Obligations
VETS-402 Sec. C

Under- or OverExpenditure
Budget minus
Outlay & Obs

% of Plan
Outlays & Obs /
Cumulative Budget

$0

$0

$0

0.0%

$0

$0

$0

0.0%

$0

$0

$0

0.0%

$0

$0

$0

0.0%

$0

$0

$0

0.0%

$0

$0

$0

0.0%

If outlays and obligations are not within 80% to 120% of the planned budget (indicated
by bold red font in the Total row, % of Plan column), explain why:

(b)

VETS-403 TPN

Describe your plan to use or deobligate significantly underspent funds.
Required only if Total row, % of Plan column above is less than 80%.

Page 1

OMB Approval 1239-0009
Expires mm/dd/yyyy

Updated March 2025

(c)

Compare the planned and actual Salaries & Benefits Percentage (S&B%).
Enter percentages as a decimal (.75, not 75%). Your Grant Officer's Technical Representative
(GOTR) can assist you in calculating the actual S&B%.

Activity
DVOP
CODL
LVER
Overall

Planned S&B%
VETS-401 Sec. D

Actual YTD S&B%
Include carry-in

Difference

0.00%

0.00%

0.00%

0.00%
0.00%

0.00%
0.00%

0.00%
0.00%

0.00%

0.00%

0.00%

If actual overall S&B% is more than 5 percentage points lower than planned (indicated by bold red
font), explain why:

(d)

Compare planned and actual performance outcomes and ICS rate.
Use the certified Rolling 4 Quarters report (ETA-9173 for JVSG) for all outcomes, if available;
otherwise, use local records or unvalidated data. Enter percentages as a decimal (.75, not 75%).

Performance Indicators
Employment Rate – 2nd Quarter After Exit
Item D.1, Total Current Period column
Employment Rate – 4th Quarter After Exit
Item D.2, Total Current Period column
Median Earnings – 2nd Quarter After Exit
Item D.3, Total Current Period column

Goal

Actual
Outcome

Goal Met?
(Y/N)

0.0%

0.0%

Y

0.0%

0.0%

Y

$ 0.00

$ 0.00

Y

Describe your progress toward achieving the goals, including any current or anticipated issues that
affect services to veterans and the current or planned actions to address such issues:

VETS-403 TPN

Page 2

Updated March 2025

OMB Approval 1239-0009
Expires mm/dd/yyyy

Calculate your Individualized Career Services Rate using the table below.
Use the ETA-9173 for JVSG, Line A.1.

(

Individualized
Career Services
0

+

Training Services
0

)/

Total Current
Period
0

=

ICS Rate
0.0%

If the ICS Rate calculated above is less than 90 percent (indicated by bold red font), explain why:

(e)

Analyze DVOP services to non-veterans and ineligible participants.
Calculate the rates of services to non-veterans and ineligible participants by completing the table
below. Refer to the ETA-9173 for JVSG, Total Current Period column, for Eligible Veterans and Total
Participants Served. For eligible non-veterans (e.g. transitioning service members), use local
records. Do not duplicate participants who meet more than one criterion.
Percentage of Veteran Participants:

Total Participants Served (line A.2):

0

Eligible Veterans (line B.3a):

0

Eligible Persons:

0

Transitioning service members:

0

Total Eligible Participants:

Wounded/ill/injured service members:

0

Percentage of Eligible Participants:

Spouses/Family Caregivers:

0

0.0%

Percentage of Nonveteran Participants: 100.0%
0

0.0%

Percentage of Ineligible Participants: 100.0%

If any ineligible participants were served by DVOPs (indicated by bold red font), explain why:

VETS-403 TPN

Page 3

OMB Approval 1239-0009
Expires mm/dd/yyyy

Updated March 2025

(f)

Complete the table below to determine the staff utilization rate.
Activity
DVOP
CODL
LVER
Total Staff

Planned # of FTEs
VETS-401 Sec. D

Funded Positions YTD
EDR Sec. C

Staff Utilization Rate
Actual / Planned

0.0

0.00

0.0%

0.0

0.00

0.0%

0.0

0.00

0.0%

0.0

0.00

0.0%

If over- or under-staffed by more than 10 percent in any of the above activities (indicated
by bold red font), explain why:

(g)

If applicable, explain any staff positions that were/are vacant for 60 days or more during or
overlapping the quarter, and the actions taken to fulfill the staffing plan.

(h)

Summarize LVER staff activities and/or best practices during the past quarter such as promoting
the HIRE Veterans Medallion Program (HVMP).

VETS-403 TPN

Page 4

OMB Approval 1239-0009
Expires mm/dd/yyyy

Updated March 2025

(i)

List all staffing changes that occurred during the quarter.
If there were no changes, enter "No changes" in the first row under "Staff Name and Location."
Staff Name and Location

(j)

HT / FT

Activity

Action Type

Date

Fourth Quarter Only: Report on each JVSG-funded staff position filled by a non-veteran for six
months or more, including the reason.

Reminders:
• The VETS-404 Incentive Award Report is due with the Q4 report.
• GOTRs review states' websites during Q4 to identify best practices and opportunities for
technical assistance to enhance the site's usability and accuracy.
• States on a Corrective Action Plan submit a follow-up document with each quarterly report.

The individual whose name is entered in the box below attests on behalf of the JVSG recipient that the
information in this report is accurate and complete to the best of the recipient's knowledge.

State Agency Administrator or Designee Signature
A typed name in this block is considered a valid signature.
VETS-403 TPN

Print Form

Reset Form
Page 5