№ lp_1_2_21483
File format: docx Character count: 107924 File size: 223 KB
A document providing guidelines for the use of verbal self-attestation to determine eligibility for WIOA Title I-B programs during COVID-19, specifying conditions under which verbal attestation is allowed and how case managers should document it.
Effective Date: March 23, 2020
Expiration Date: June 30, 2024
Note: Minimum Requirements for Documenting Eligibility for WIOA Title I-B Programs
Period of Effectiveness: March 23, 2020 – June 30, 2024
Price: 8 / 10 USD
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COVID-19 Enrollment ExceptionWIN 0109, Change 10: Verbal Self-Attestation and Remote Eligibility Documentation
Year: 2020
Region / City: United States
Subject: Eligibility Documentation for WIOA Title I-B Programs
Document Type: Policy Change
Agency / Institution: Department of Labor (DOL)
Author: Not specified
Target Audience: Case Managers, LWDBs, Service Providers
Effective Date: March 23, 2020
Expiration Date: June 30, 2024
Date of Approval: Not specified
Date of Amendments: December 3, 2021
COVID-19 Enrollment ExceptionWIN 0109, Change 10: Verbal Self-Attestation and Remote Eligibility Documentation
Year: 2020
Region / City: United States
Subject: Eligibility Documentation for WIOA Title I-B Programs
Document Type: Policy Change
Agency / Institution: Department of Labor (DOL)
Author: Not specified
Target Audience: Case Managers, LWDBs, Service Providers
Effective Date: March 23, 2020
Expiration Date: June 30, 2024
Date of Approval: Not specified
Date of Amendments: December 3, 2021
COVID-19 Enrollment ExceptionWIN 0109, Change 10: Verbal Self-Attestation and Remote Eligibility Documentation
Year: 2020
Region / City: United States
Subject: Eligibility Documentation for WIOA Title I-B Programs
Document Type: Policy Change
Agency / Institution: Department of Labor (DOL)
Author: Not specified
Target Audience: Case Managers, LWDBs, Service Providers
Effective Date: March 23, 2020
Expiration Date: June 30, 2024
Date of Approval: Not specified
Date of Amendments: December 3, 2021
WIOA Title I Dislocated Worker Program Eligibility Self-Attestation Form
Year: 2023
Region / City: United States
Theme: Employment, Workforce Development
Document Type: Eligibility Form
Agency / Organization: WIOA
Author: WIOA Career Planner
Target Audience: Individuals applying for the Dislocated Worker Program
Validity Period: Ongoing
Approval Date: N/A
Date of Changes: N/A
Context: A form used by individuals to self-attest their eligibility for the Dislocated Worker Program under WIOA based on specific categories of dislocation, including layoffs, military service, and other factors.
Fit and Proper Person Test annual/new starter self-attestation
Note: Year
Fit and Proper Person Test new starter self-attestation
Year: N/A
Region / City: N/A
Subject: Employment / Healthcare / Social Work
Document Type: Self-attestation form
Organization: N/A
Author: N/A
Target Audience: Healthcare professionals, social workers, and other regulated professionals
Validity Period: N/A
Approval Date: N/A
Amendment Date: N/A
Fit and Proper Person Test New Starter Self-Attestation
Document Type: Self-attestation form
Subject: Fit and Proper Person Test declaration
Jurisdiction: England
Applicable Legislation: Fit and Proper Person Test requirements
Related Checks: DBS check
Relevant Sectors: Healthcare and social care
Declarations Included: Character, qualifications, professional registration status, health capability, criminal convictions, bankruptcy status, barred list status, misconduct and mismanagement
Obligation to Notify: Duty to inform the chair of any change in circumstances affecting compliance
Signatories: Applicant and Chair of the organisation
Fields Included: Name, job title/role, professional registrations, DBS check date, appraisal date, signatures and dates
Intended Audience: New starters applying for a role within a regulated organisation
DATA PRIVACY SAFEGUARD PROGRAM DATA MANAGEMENT PLAN SELF-ATTESTATION QUESTIONNAIRE (DMP SAQ) FOR FEDERAL AGENCIES
Note: Year
Topic: Data Privacy, Federal Agencies, Data Security
Document Type: Questionnaire, Data Management Plan
Target Audience: Federal Agencies
Purpose: This form is for federal agencies requesting research data through the CMS Data Use Agreement (DUA) process.
Security Requirements: Data Custodian responsible for compliance with CMS data security requirements.
Evidence Required: Authority to Operate (ATO) Letter(s) with official details.
Fit and Proper Person Test for New Starters Self-Attestation
Year: 2026
Region / City: United Kingdom
Subject: Employment Compliance and Professional Standards
Document Type: Self-Attestation Form
Organization / Institution: Healthcare or Social Care Provider
Author: Employee / New Starter
Target Audience: New hires in regulated roles
Applicable Regulations: Fit and Proper Person Test requirements, professional registration obligations
Required Registrations: Relevant professional body registration if applicable
Background Checks: DBS check, professional qualifications verification
Signature Dates: Employee and Chair acknowledgment
Data Privacy Safeguard Program Data Management Plan Self-Attestation Questionnaire (DMP SAQ)
Program: Data Privacy Safeguard Program
Document Type: Self-Attestation Questionnaire
Subject: Data Security and Privacy Controls for CMS Data
Organization / Authority: Centers for Medicare & Medicaid Services (CMS)
Reference Standard: CMS Acceptable Risk Safeguards (ARS) 3.1
Reference Framework: NIST SP 800-53 Revision 4 Security and Privacy Controls
Purpose: Attestation of organizational compliance with CMS security and privacy safeguard requirements
Primary Topic: Information Security and Privacy Governance
Scope: Access Controls, Security Controls, and Privacy Controls for CMS Data Environments
Applicable Environment Types: Cloud Service Provider (CSP), Onsite, Hybrid Computing Environments
Responsible Role: Data Custodian
Additional Contact Role: Secondary Point of Contact (POC)
Related Document: Data Management Plan (DMP)
Information Type Covered: CMS data including PII/PHI
Intended Respondent: Organizations requesting access to CMS data
Topics: ExceptionWIN 0109 Self-Attestation