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.
Lane Community College
10/28/2020
09/30/2020
$ 1,507,133
$ 148,835
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 35,973
$ 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
$ 148,835
$ 0
$ 0
$ 0
$ 458,561
$ 0
$ 0
$ 119,690
$ 0
$ 0
$ 0
$ 0
$ 0
$ 614,224
$ 148,835
$ 0
$ 763,059
OMBControlNumber1840‐0849Expires4/30/2021
3
Version1.31
FormInstructions
CompletingtheForm:Oneachform,fillouttheinstitutionofhighereducation(IHEorinstitution)name,thedateofthereport,theappropriatequarterthe
reportcovers(September30,December31,March31,June30),thetotalamountoffundsawardedbytheDepartment(includingreservefundsifawarded),and
checktheboxifthereportisa“finalreport.”Inthechart,aninstitutionmustspecifytheamountofexpendedCARESActfundsforeachfundingcategory:
Sections18004(a)(1)InstitutionalPortion,18004(a)(2),and18004(a)(3),ifapplicable.Section18004(a)(2)fundsincludesCFDAs84.425J(HistoricallyBlack
CollegesandUniversities(HBCUs)),84.425K(TriballyControlledCollegesandUniversities(TCCUs)),84.425L(MinorityServingInstitutions(MSIs)),84.425M
(StrengtheningInstitutionsProgram(SIP));Section18004(a)(3)fundsareforCFDA84.425N(FundfortheImprovementofPostsecondaryEducation(FIPSE)
FormulaGrant).Eachcategoryisdeliberatelybroadandmaynotcapturespecificgrantprogramrequirements.Explanatoryfootnoteshelpclarifycertain
reportingcategories.Whilesomeitemsinthechartareblockedout,pleasenotethattheblockingofsuchitemsisconsistentwithDepartmentguidanceand
FAQsandisnotdefinitive.Providebriefexplanatorynotesforhowfundswereexpended,includingthetitleandbriefdescriptionofeachprojectoractivityin
whichfundswereexpended.Donotincludepersonallyidentifiableinformation(PII).CalculatetheamountoftheSection18004(a)(1)InstitutionalPortion
(referredtoas“(a)(1)institutional”inthechart),Section18004(a)(2)(referredtoas“(a)(2)”inthechart),andSection18004(a)(3)(referredtoas“(a)(3)”inthe
chart)fundsinthe“QuarterlyExpendituresforeachProgram”row,andthegrandtotalofallthreeinthe“TotalofQuarterlyExpenditures”row.Round
expenditurestothenearestdollar.
PostingtheForm:Thisformmustbeconspicuouslypostedontheinstitution’sprimarywebsiteonthesamepagethereportsoftheIHE’sactivitiesastothe
emergencyfinancialaidgrantstostudentsmadewithfundsfromtheIHE’sallocationunderSection18004(a)(1)oftheCARESAct(StudentAidPortion)are
posted.ItmaybepostedinanHTMLwebpageformatorasalinktoaPDF.Anewseparateformmustbepostedcoveringeachquarterlyreportingperiod
(September30,December31,March31,June30),concludingaftereither(1)postingthequarterlyreportendingSeptember30,2022or(2)whenaninstitution
hasexpendedandliquidatedall(a)(1)InstitutionalPortion,(a)(2),and(a)(3)fundsandchecksthe“finalreport”box.IHEsmustpostthisquarterlyreportformno
laterthan10daysaftertheendofeachcalendarquarter(October10,January10,April10,July10)apartfromthefirstreport,whichisdueOctober30,2020.
Forthefirstreportusingthisform,institutionsmustprovidetheircumulativeexpendituresfromthedateoftheirfirstHEERFawardthroughSeptember30,
2020.EachquarterlyreportmustbeseparatelymaintainedonanIHE’swebsiteorinaPDFdocumentlinkeddirectlyfromtheIHE’sCARESActreporting
webpage.Reportsmustbemaintainedforatleastthreeyearsafterthesubmissionofthefinalreportper2CFR§ 200.333.Anychangesorupdatesafterinitial
postingmustbeconspicuouslynotedafterinitialpostingandthedateofthechangemustbenotedinthe“DateofReport”line.
PaperworkBurdenStatement
AccordingtothePaperworkReductionActof1995(PRA),nopersonsarerequiredtorespondtoacollectionofinformationunlesssuchcollectiondisplaysavalid
OMBcontrolnumber.ThevalidOMBcontrolnumberforthisinformationcollectionis1840‐0849.Publicreportingburdenforthiscollectionofinformationis
estimatedtoaverage2hoursperresponse,includingtimeforreviewinginstructions,searchingexistingdatasources,gatheringandmaintainingthedata
needed,andcompletingandreviewingthecollectionofinformation.UnderthePRA,participantsarerequiredtorespondtothiscollectiontoobtainorretain
benefit.Ifyouhaveanycommentsconcerningtheaccuracyofthetimeestimateorsuggestionsforimprovingthisindividualcollection,orifyouhavecomments
orconcernsregardingthestatusofyourindividualform,application,orsurvey,pleasecontact:JackCox,U.S.DepartmentofEducation,400MarylandAvenue,
SW,Washington,DC20202.