FormInstructions
Thisformmustbeconspicuouslypostedontheinstitutionofhighereducation’s(IHE’sorinstitution’s)primarywebsiteonthesamepagethereportsoftheIHE’s
activitiesastotheemergencyfinancialaidgrantstostudentsmadewithfundsfromtheIHE’sallocationundersection18004(a)(1)oftheCARESAct(StudentAid
Portion)areposted.ItmaybeposteddirectlyorasalinktoaPDF.Anewformmustbepostedforeachquarterlyreportingperiod(September30,December31,
March31,June30),concludingaftereither(1)postingthequarterlyreportendingSeptember30,2022or(2)whenaninstitutionhasexpendedandliquidated
all(a)(1)institutional,(a)(2),and(a)(3)fundsandchecksthe“finalreport”box.IHE’smustpostthisquarterlyreportformnolaterthan10daysaftertheendof
eachcalendarquarter(October10,January10,April10,July10).Forthefirstreportusingthisform,institutionsmustprovidetheircumulativeexpenditures
fromthedateoftheirfirstHEERFawardthroughSeptember30,2020andpostednolaterthanOctober30,2020.Eachquarterlyreportmustbeseparately
maintainedontheIHE’swebsiteorinaPDFdocumentlinkeddirectlytotheCARESActreportingwebpage.Anychangesorupdatesafterinitialpostingmustbe
conspicuouslynotedandthedateofthechangemustbenotedinthe“DateofReport”line.
Oneachform,fillouttheinstitutionname,thedateofthereport,theappropriatequarterthereportcovers(September30,December31,March31,June30),
theoriginaltotalamountoffundsawardedbytheDepartment,andchecktheboxifthereportisa“finalreport”,ifapplicable.Inthechart,IHE’smustspecify
theamountofexpendedCARESActfundsforeachfundingcategory:Sections18004(a)(1)InstitutionalPortion,18004(a)(2),and18004(a)(3),ifapplicable.
Provideexplanatorynotesforhowfundswereexpended,includingthetitleandbriefdescriptionofeachprojectoractivityallottedfunds.Explanatoryfootnotes
helpclarifycertainreportingcategories.CalculatetheamountoftheSection18004(a)(1)InstitutionalPortion(referredtoas“(a)(1)”inthechart),Section
18004(a)(2)(referredtoas“(a)(2)”inthechart),andSection18004(a)(3)(referredtoas“(a)(3)”inthechart)fundsinthe“QuarterlyExpendituresforeach
Program”row,andthegrandtotalofallthreeinthe“TotalofQuarterlyExpenditures”row.Blankresponsesareconsidered$0forthatcategoryorcolumn.
OMBControlNumber1840‐NEWExp.XX/XX/XXXX
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PaperworkBurdenStatement
AccordingtothePaperworkReductionActof1995(PRA),nopersonsarerequiredtorespondtoacollectionofinformationunlesssuchcollectiondisplaysavalid
OMBcontrolnumber.ThevalidOMBcontrolnumberforthisinformationcollectionis1840‐NEW.Publicreportingburdenforthiscollectionofinformationis
estimatedtoaverage2hoursperresponse,includingtimeforreviewinginstructions,searchingexistingdatasources,gatheringandmaintainingthedata
needed,andcompletingandreviewingthecollectionofinformation.UnderthePRA,participantsarerequiredtorespondtothiscollectiontoobtainorretain
benefit.Ifyouhaveanycommentsconcerningtheaccuracyofthetimeestimateorsuggestionsforimprovingthisindividualcollection,orifyouhavecomments
orconcer
nsregarding
thestatusofyourindividualform,application,orsurvey,pleasecontact:JackCox,U.S.DepartmentofEducation,400MarylandAvenue,
SW,Washington,DC20202.