The purpose of the form is to gather
financial information from the institution in order to process
claims for payment. ED Payment Analysts compare data on the form
with disbursement records in the Common Origination and
Disbursement system to determine what amount will be paid to the
institution under the restricted method of payments. Data and
signatures are collected from the institution on these forms. The
data collected is in regards to the Title IV program funds that are
requested and certified by the institution in the
President/Owner/Chief Executive Officer and the Financial Aid
Director/Third Party Servicer section of the form. The forms are
signed by the institution official and submitted when requesting
payment for Reimbursement or Heightened Cash Monitoring 2
claims.
US Code:
20
USC 1094 Name of Law: Title IV, HEA of 1965, as amended
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.