25 Education, Training & Library 27 Arts, Design, Entertainment Sports & Media 29 Healthcare Practitioners 31 Healthcare Support 33 Protective Services 35 Food Preparation & Serving Related 37 Bldg., & Grounds Cleaning & Maintenance 39 Personal care & Services 41 Sales & Related Occupations 43 Office & Administrative Support 45 Farming, Fishing & Forestry 47 Construction & Extraction 49 Installation, Maintenance & Repair 51 Production 53 Transportation & Material Moving 55 Military Specific 317- 317 1 *Prior employment (Y/N) >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< AT LEAST 1 OF THESE FIELDS: 318-330, 383, 400, 401, 422, 786, 787, 802, 803, & 813 must have a “Y” in it, as marked on the ICF - form 9061 FIELD# | CHARACTER LENGTH | VALUE_________________________________________________ 318- 318 1 9061 question Vet FS (Y/N) (B1/V 2Ba) 319- 319 1 9061 question Vet Disab (Y/N) (B2/DV) (needs Y in 320 or 321) 320- 320 1 9061 question DV recent (Y/N) (DV/2Bb) (needs Y in 319) 321- 321 1 9061 question DV unemp (Y/N) (DV6/2Bc) (needs Y in 319) 322- 322 1 9061 question SNAP 1 (Y/N) (G1) 323- 323 1 9061 question SNAP 2 (Y/N) (G2) 324- 324 1 9061 question Voc Rehab (Y/N) (E1) 325- 325 1 9061 question Ticket-to-work (Y/N) (E2) 326- 326 1 9061 question VA (Y/N) (E3) 327- 327 1 9061 question TANF 9/18 (Y/N) (A) 328- 328 1 9061 question TANF last 18 (Y/N) (I1) 329- 329 1 9061 question TANF any 18 within 2 yrs (Y/N) (I2) 330- 330 1 9061 question TANF limit (Y/N) (I3) 331- 360 30 Primary recipient of benefits name 361- 380 20 Primary recipient city 381- 382 2 Primary recipient state 383- 383 1 9061 question Felony (Y/N) (C) 384- 391 8 9061 question conviction date (mmddccyy) 392- 399 8 9061 question release date (mmddccyy) 400- 400 1 9061 question Empowerment (Y/N) (D1) 401- 401 1 9061 question Rural Renewal (Y/N) (D2) 402- 421 20 9061 question Rural Renewal County 422- 422 1 9061 question SSI (Y/N) (H) 423- 502 80 Line 1 sources to document eligibility 503- 582 80 Line 2 sources to document eligibility 583- 662 80 Line 3 sources to document eligibility 663- 742 80 Line 4 sources to document eligibility 743- 743 1 *Employer (E) or employee (A) completed form (this field can also have value "C" for Consultant, OR S - SWA or P - Partic Agency, or G - Parent/Guardian) 744- 751 8 *Date of 9061 signature (mmddccyy) 752- 771 20 Out of state benefits received city 772- 773 2 Out of state benefits received state (postal code) 774- 785 12 *Representative 786- 786 1 ARRA Vet category (Y/N) (Not valid after 2011) 787- 787 1 ARRA Youth category (Y/N) (Not valid after 2011) 788- 788 1 Vow to Hire Heroes (Old - Not valid after 2011) *789-790 2 Version of 8850 (16 = 2016) *791-792 2 Version of ICF (16 = 2016, 17=2017) 793-793 1 9062 Y/N (assume 9061 unless this is "Y" - not used yet) 794-794 1 8850 question 2 795-795 1 8850 question 3 796-796 1 8850 question 4 797-797 1 8850 question 5 798-798 1 8850 question 6 (see Field# 815 for question 7) 799-799 1 F/S or blank F=Federal conviction for cat C - S = state 800-801 2 State for state conviction 802-802 1 9061 Vet 6 months (V6) (2Be) 803-803 1 9061 Vet 4 weeks (V4) (2Bd)