Fillable Form 1: QuarterlyBudgetandExpenditureReportingunderCARESActSections18004(a)(1)InstitutionalPortion,18004(a)(2),and 18004(a)(3),ifapplicable (Dickinson State University)

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Form 1: QuarterlyBudgetandExpenditureReportingunderCARESActSections18004(a)(1)InstitutionalPortion,18004(a)(2),and 18004(a)(3),ifapplicable (Dickinson State University)

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OMBControlNumber1840‐0849Expires4/30/2021
1
Version1.3
QuarterlyBudgetandExpenditureReportingunderCARESActSections18004(a)(1)InstitutionalPortion,18004(a)(2),and
18004(a)(3),ifapplicable
InstitutionName:___________________________________________________DateofReport:______________CoveringQuarterEnding:______________
TotalAmountofFundsAwarded:Section(a)(1)InstitutionalPortion:____________Section(a)(2):____________Section(a)(3):___________FinalReport?☐
Category Amount
in(a)(1)
institutionaldollars
Amountin
(a)(2)dollars,
ifapplicable
Amountin
(a)(3)dollars,
ifapplicable
ExplanatoryNotes
Providingadditionalemergencyfinancialaidgrantstostudents.
1
Providingreimbursementsfortuition,housing,roomandboard,or
otherfeerefunds.
Providingtuitiondiscounts.
Coveringthecostofprovidingadditionaltechnology hardware to
students,suchaslaptopsortablets,orcoveringtheaddedcostof
technologyfees.
Providingorsubsidizingthecostsofhigh‐speedinternettostudents
orfacultytotransitiontoanonlineenvironment.
Subsidizingof
f
‐campushousingcostsduetodormitory closuresor
decisionstolimithousingtoonestudentperroom;subsidizing
housingcoststoreducehousingdensity;payingforhotelsorother
off‐campushousingforstudentswhoneedtobeisolated;paying
travelexpensesforstudentswhoneedtoleavecampusearlydueto
coronavirusinfectionsorcampusinterruptions.
Subsidizingfoodservicetoreducedensityineatingfacilities,to
providepre‐packagedmeals,ortoaddhourstofoodservice
operationstoaccommodatesocialdistancing.
Costsrelatedtooperatingadditionalclasssectionstoenablesocial
distancing,suchasthoseforhiringmoreinstructorsandincreasing
campushoursofoperations.
Campussafetyandoperations.
2

1
Tosupportanyelementofthecostofattendance(asdefinedunderSection472oftheHigherEducationActof1965,asamended(HEA))perSection18004(c)oftheCARESAct
andtheInterimFinalRulepublishedintheFederalRegisteronJune17,2020(85FR36494).CommunityCollegesinCalifornia,allpublicinstitutionsinWashingtonState,andall
institutionsinMassachusettshavedifferentrequirementsduetorecentU.S.DistrictCourtactions.Pleasediscusswithlegalcounsel.HEERFlitigationupdatescanbefoundhere.
2
Includingcostsorexpensesrelatedtothedisinfectingandcleaningofdormsandothercampusfacilities,purchasesofpersonalprotectiveequipment(PPE),purchasesof
cleaningsupplies,addingpersonneltoincreasethefrequencyofcleaning,thereconfigurationoffacilitiestopromotesocialdistancing,etc.
Dickinson State University
01/05/2021
12/31/2020
$ 320,046
$ 32,092
$ 0
$ 0
$ 0
$ 5,319
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
OMBControlNumber1840‐0849Expires4/30/2021
2
Version1.3
Category Amount
in(a)(1)
institutionaldollars
Amountin
(a)(2)dollars,
ifapplicable
Amountin
(a)(3)dollars,
ifapplicable
ExplanatoryNotes
Purchasing,leasing,orrentingadditionalinstructionalequipment
andsupplies(suchaslaboratoryequipmentorcomputers)toreduce
thenumberofstudentssharingequipmentorsuppliesduringa
singleclassperiodandtoprovidetimefordisinfectionbetween
uses.
Replacinglostrevenueduetoreducedenrollment.
Replacinglostrevenuefromnon‐tuitionsources(i.e., cancelled
ancillaryevents;disruptionoffoodservice,dorms,childcareorother
facilities;cancellationofuseofcampusvenuesbyother
organizations,lostparkingrevenue,etc.).
3
Purchasingfacultyandstafftraininginonlineinstruction; or paying
additionalfundstostaffwhoareprovidingtraininginadditionto
theirregularjobresponsibilities.
Purchasing,leasing,orrentingadditionalequipmentorsoftwareto
enabledistancelearning,orupgradingcampuswi‐fiaccessor
extendingopennetworkstoparkinglotsorpublicspaces,etc.
OtherUsesof(a)(1)InstitutionalPortion
f
unds.
4
OtherUsesof(a)(2)or(a)(3)
f
unds,ifapplicable.
5
QuarterlyExpendituresforeachProgram
TotalofQuarterlyExpenditures

3
Includingcontinuanceofpay(salaryandbenefits)toworkerswhowouldotherwisesupporttheworkoractivitiesofancillaryenterprises(e.g.,bookstoreworkers,foodservice
workers,venuestaff,etc.).
4
Pleasepostadditionaldocumentationasappropriateandbrieflyexplaininthe“ExplanatoryNotes”section.PleasenotethatcostsforSection18004(a)(1)InstitutionalPortion
fundsmayonlybeused“tocoveranycostsassociatedwithsignificantchangestothedeliveryofinstructionduetothecoronavirus,solongassuchcostsdonotinclude
paymenttocontractorsfortheprovisionofpre‐enrollmentrecruitmentactivities;endowments;orcapitaloutlaysassociatedwithfacilitiesrelatedtoathletics,sectarian
instruction,orreligiousworship.”
5
Pleasepostadditionaldocumentationasappropriateandbrieflyexplaininthe“ExplanatoryNotes”section.PleasenotethatcostsforSections18004(a)(2)and(a)(3)funds
mayonlybeused“todefrayexpenses,includinglostrevenue,reimbursementforexpensesalreadyincurred,technologycostsassociatedwithatransitiontodistanceeducation,
facultyandstafftrainings,payrollincurredbyinstitutionsofhighereducationandforgrantstostudentsforanycomponentofthestudent’scostofattendance(asdefined
undersection472oftheHEA),includingfood,housing,coursematerials,technology,healthcare,andchildcare.”
$ 0
$ 0
$ 0
$ 0
$ 0
$ 1,000
$ 0
$ 0
$ 0
$ 0
$ 0
$ 9,273
$ 0
-$ 92
Refunds for tax charged for Zoom accounts.
Webinar for new COVID regulations.
$ 0
$ 0
$ 5,227
$ 10,273
$ 0
$ 15,500
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Form 1: QuarterlyBudgetandExpenditureReportingunderCARESActSections18004(a)(1)InstitutionalPortion,18004(a)(2),and 18004(a)(3),ifapplicable (Dickinson State University)

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Completed 29 January 2021

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