OMB ControlNumber1840‐NEW Exp.XX/XX/XXXX
FormInstructions
Thisformmustbe conspicuouslypostedonthe institution ofhighereducation’s(IHE’sorinstitution’s)primarywebsiteonthesamepagethereportsoftheIHE’s
activitiesastotheemergencyfinancial aidgrants tostudentsmadewithfundsfromtheIHE’sallocationundersection18004(a)(1)oftheCARESAct(StudentAid
Portion)areposted.ItmaybeposteddirectlyorasalinktoaPDF.Anewformmustbepostedforeachquarterlyreportingperiod(September30,December31,
March31,June30), concludingaftereither(1)postingthequarterlyreportendingSeptember30,2022or(2)whenaninstitutionhasexpendedand liquidated
all(a)(1)institutional,(a)(2),and (a)(3)fundsandchecksthe“final report”box.IHE’smustpostthisquarterlyreportformnolaterthan10daysaftertheendof
eachcalendarquarter(October10,January10,April10,July 10).Forthefirstreportusingthisform,institutionsmustprovidetheircumulativeexpenditures
fromthedateoftheirfirstHEERFawardthroughSeptember30,2020andpostednolater thanOctober30,2020.Eachquarterlyreportmustbeseparately
maintainedontheIHE’swebsiteorina PDFdocumentlinkeddirectlytotheCARESActreportingwebpage.Any changes orupdatesafterinitialpostingmustbe
conspicuouslynoted and thedateofthechangemustbenotedinthe“DateofReport” line.
Oneachform,fillouttheinstitutionname,thedateofthereport, theappropriatequarterthereportcovers(September30,December31,March31,June30),
theoriginaltotalamountoffundsawardedbytheDepartment,andcheckthe boxifthereportisa“finalreport”,ifapplicable.Inthechart,IHE’smustspecify
theamountofexpended CARESActfundsforeachfundingcategory:Sections18004(a)(1)InstitutionalPortion,18004(a)(2),and18004(a)(3),ifapplicable.
Provideexplanatorynotesforhowfundswereexpended,includingthetitle andbrief descriptionofeachprojectoractivityallottedfunds.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,andthe grandtotal ofallthreeinthe“TotalofQuarterlyExpenditures”row.Blankresponsesareconsidered$0forthatcategoryorcolumn.
Paperwork BurdenStatement
AccordingtothePaperworkReductionActof1995(PRA),no personsarerequiredtorespondtoa collectionofinformationunlesssuchcollectiondisplaysavalid
OMBcontrolnumber.ThevalidOMBcontrolnumber forthisinformationcollectionis1840‐NEW.Publicreportingburdenforthiscollectionofinformationis
estimatedtoaverage2hoursperresponse,including timeforreviewinginstructions,searchingexistingdatasources,gatheringandmaintainingthedata
needed,and completingandreviewingthecollection ofinformation.Under thePRA,participantsarerequiredtorespondtothiscollectiontoobtainorretain
benefit.If youhaveanycommentsconcerningtheaccuracy ofthetimeestimateorsuggestionsforimprovingthisindividualcollection,orifyouhavecomments
orconcernsregarding thestatusofyourindividualform,application,orsurvey,pleasecontact:JackCox, U.S. Department ofEducation,400MarylandAvenue,
SW,Washington,DC20202.
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