Request for Title IV Reimbursement or Heightened Cash Monitoring 2 (HCM2)

ICR 201408-1845-003

OMB: 1845-0089

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2014-08-19
Supporting Statement A
2014-12-15
IC Document Collections
IC ID
Document
Title
Status
187417 Modified
ICR Details
1845-0089 201408-1845-003
Historical Active 201112-1845-001
ED/FSA 1453.05
Request for Title IV Reimbursement or Heightened Cash Monitoring 2 (HCM2)
Extension without change of a currently approved collection   No
Regular
Approved without change 12/15/2014
Retrieve Notice of Action (NOA) 10/27/2014
  Inventory as of this Action Requested Previously Approved
12/31/2017 36 Months From Approved 02/28/2015
732 0 732
3,660 0 3,660
0 0 0

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
  
None

Not associated with rulemaking

  79 FR 49070 08/19/2014
79 FR 63910 10/27/2014
No

1
IC Title Form No. Form Name
HCM2 Form 270 Title IV Reimbursement for Heightened Cash Monitoring

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 732 732 0 0 0 0
Annual Time Burden (Hours) 3,660 3,660 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$17,460
No
No
No
No
No
Uncollected
Joanne Cheatom 202 377-3730 joanne.cheatom@ed.gov

  No

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.
10/27/2014


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