OMBControlNumber1840‐0849Expires4/30/2021
3
Version1.31
FormInstructions
CompletingtheForm:Oneachform,fillouttheinstitutionofhighereducation(IHEorinstitution)name,thedateofthereport,theappropriatequarterthe
reportcovers(September30,December31,March31,June30),thetotalamountoffundsawardedbytheDepartment(includingreservefundsifawarded),and
checktheboxifthereportisa“finalreport.”Inthechart,aninstitutionmustspecifytheamountofexpendedCARESActfundsforeachfundingcategory:
Sections18004(a)(1)InstitutionalPortion,18004(a)(2),and18004(a)(3),ifapplicable.Section18004(a)(2)fundsincludesCFDAs84.425J(HistoricallyBlack
CollegesandUniversities(HBCUs)),84.425K(TriballyControlledCollegesandUniversities(TCCUs)),84.425L(MinorityServingInstitutions(MSIs)),84.425M
(StrengtheningInstitutionsProgram(SIP));Section18004(a)(3)fundsareforCFDA84.425N(FundfortheImprovementofPostsecondaryEducation(FIPSE)
FormulaGrant).Eachcategoryisdeliberatelybroadandmaynotcapturespecificgrantprogramrequirements.Explanatoryfootnoteshelpclarifycertain
reportingcategories.Whilesomeitemsinthechartareblockedout,pleasenotethattheblockingofsuchitemsisconsistentwithDepartmentguidanceand
FAQsandisnotdefinitive.Providebriefexplanatorynotesforhowfundswereexpended,includingthetitleandbriefdescriptionofeachprojectoractivityin
whichfundswereexpended.Donotincludepersonallyidentifiableinformation(PII).CalculatetheamountoftheSection18004(a)(1)InstitutionalPortion
(referredtoas“(a)(1)institutional”inthechart),Section18004(a)(2)(referredtoas“(a)(2)”inthechart),andSection18004(a)(3)(referredtoas“(a)(3)”inthe
chart)fundsinthe“QuarterlyExpendituresforeachProgram”row,andthegrandtotalofallthreeinthe“TotalofQuarterlyExpenditures”row.Round
expenditurestothenearestdollar.
PostingtheForm:Thisformmustbeconspicuouslypostedontheinstitution’sprimarywebsiteonthesamepagethereportsoftheIHE’sactivitiesastothe
emergencyfinancialaidgrantstostudentsmadewithfundsfromtheIHE’sallocationunderSection18004(a)(1)oftheCARESAct(StudentAidPortion)are
posted.ItmaybepostedinanHTMLwebpageformatorasalinktoaPDF.Anewseparateformmustbepostedcoveringeachquarterlyreportingperiod
(September30,December31,March31,June30),concludingaftereither(1)postingthequarterlyreportendingSeptember30,2022or(2)whenaninstitution
hasexpendedandliquidatedall(a)(1)InstitutionalPortion,(a)(2),and(a)(3)fundsandchecksthe“finalreport”box.IHEsmustpostthisquarterlyreportformno
laterthan10daysaftertheendofeachcalendarquarter(October10,January10,April10,July10)apartfromthefirstreport,whichisdueOctober30,2020.
Forthefirstreportusingthisform,institutionsmustprovidetheircumulativeexpendituresfromthedateoftheirfirstHEERFawardthroughSeptember30,
2020.EachquarterlyreportmustbeseparatelymaintainedonanIHE’swebsiteorinaPDFdocumentlinkeddirectlyfromtheIHE’sCARESActreporting
webpage.Reportsmustbemaintainedforatleastthreeyearsafterthesubmissionofthefinalreportper2CFR§ 200.333.Anychangesorupdatesafterinitial
postingmustbeconspicuouslynotedafterinitialpostingandthedateofthechangemustbenotedinthe“DateofReport”line.
PaperworkBurdenStatement
AccordingtothePaperworkReductionActof1995(PRA),nopersonsarerequiredtorespondtoacollectionofinformationunlesssuchcollectiondisplaysavalid
OMBcontrolnumber.ThevalidOMBcontrolnumberforthisinformationcollectionis1840‐0849.Publicreportingburdenforthiscollectionofinformationis
estimatedtoaverage2hoursperresponse,includingtimeforreviewinginstructions,searchingexistingdatasources,gatheringandmaintainingthedata
needed,andcompletingandreviewingthecollectionofinformation.UnderthePRA,participantsarerequiredtorespondtothiscollectiontoobtainorretain
benefit.Ifyouhaveanycommentsconcerningtheaccuracyofthetimeestimateorsuggestionsforimprovingthisindividualcollection,orifyouhavecomments
orconcernsregardingthestatusofyourindividualform,application,orsurvey,pleasecontact:JackCox,U.S.DepartmentofEducation,400MarylandAvenue,
SW,Washington,DC20202.