sds2

OMB No. 0915-0149

Expiration Date:

Scholarships for Disadvantaged Students (SDS)

Performance Report

Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The OMB control number for this project is 0915-0149. Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 10-33, Rockville, Maryland, 20857.

INSTITUTION:

PROGRAM:

FUNDING PERIOD:

Document Number
Total Federal Funds Authorized for the Funding Period	$
Total Amount of Funds Disbursed	$
Unused Balance of Federal Funds	$

12.a NUMBER OF STUDENTS RECEIVING AWARDS FOR PROGRAM		13. NUMBER OF SDS RECEIPIENTS THAT GRADUATED
Race/Ethnicity Hispanic/ Non-Hispanic Latino Latino		Hispanic/ Non-Hispanic Latino Latino
B. American Indian or Alaska Native
C. Asian – All (including under represented)
C. 1 Asian – under represented (see clarification)
D. Black or African American
E. Native Hawaiian or Other Pacific Islander
F. More than one race
G. White
12a. TOTALS