MOE ESSA Updates

Form for Maintenance of Effort Waiver Requests

moe spreadsheet essa Template.xls

Form for Maintenance of Effort Waiver Requests

OMB: 1810-0693

Document [xlsx]
Download: xlsx | pdf

Overview

Form 1
Form 2
Form 3

Sheet 1: Form 1
OMB Number: Expiration Date: Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 1810-0693. Public reporting burden for this collection of information is estimated to average 80 hours per response, including the time for reviewing instructions, searching existing data resources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is required to obtain or retain a benefit under section 8521(a) of the Elementary and Secondary Education Act of 1965. If you have any comments or concern regarding the status of your individual submission of this form, please contact the program office, Office of School Support and Accountability, Office of Elementary and Secondary Education, U.S. Department of Education, 400 Maryland Avenue, S.W., Washington, D.C. 20202 or OESE.titlei-a@ed.gov.
Form 1: Local Educational Agency (LEA) Expenditure Data
*The comparison year expenditures (SY 2017-2018) are equal to actual SY 2017-2018 expenditures unless the LEA failed to maintain effort in SY 2017-2018. For an LEA that did not maintain effort in SY 2017-2018, report 90 percent of the SY 2016-2017 figure in the SY 2017-2018 column in accordance with section 8521(b)(2) of ESEA.

**If an LEA calculates MOE using more than one per-pupil measure (i.e., enrollment, membership, or attendance), provide the data for the per-pupil measure on which the LEA came closest to maintaining effort.
LEA Name National Center for Education Statistics (NCES) District Identification Number SY 2016-2017 Aggregate Expenditures SY 2017-2018 Aggregate Expenditures* SY 2018-2019 Aggregate Expenditures Difference 2018-2019 vs. SY 2017-2018 Percentage 2018-2019 vs. SY 2017-2018 SY 2016-2017 Per-pupil Expenditures** SY 2017-2018 Per-pupil Expenditures** SY 2018-2019 Per-pupil Expenditures** Difference 2018-2019 vs. SY 2017-2018 Percentage 2018-2019 vs. SY 2017-2018 Percentage Reduction of Covered Program (for FY 20) if MOE Waiver Request Denied
Sample LEA 9999999 $1,000,000 $1,100,000 $950,000 -$150,000 -13.64% $8,000 $8,050 $6,800 -$1,250.00 -15.53% -4.04%





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Sheet 2: Form 2
OMB Number: Expiration Date:












Form 2: Local Educational Agency (LEA) Revenue Data
LEA Name National Center for Education Statistics (NCES) District Identification Number Local SY 2016-2017 Revenue State SY 2016-2017 Revenue SY 2016-2017 Non-revenue Receipts SY 2016-2017 Total Local SY 2017-2018 Revenue State SY 2017-2018 Revenue SY 2017-2018 Non-revenue Receipts SY 2017-2018 Total Local SY 2018-2019 Revenue State SY 2018-2019 Revenue SY 2018-2019 Non-revenue Receipts SY 2018-2019 Total $ Difference SY 2018-2019 vs. SY 2017-2018 % Difference SY 2018-2019 vs. SY 2017-2018
Sample LEA 9999999 $500,000 $500,100 $5,000 $1,005,100 $550,000 $600,000 $5,600 $1,155,600 $420,000 $530,000 $0 $950,000.00 -$205,600.00 -17.79%
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Sheet 3: Form 3

OMB Number: Expiration Date:
Form 3: Explanation
*Section 8521(c) of the ESEA gives the Secretary the authority to waive the ESEA's MOE requirement for an LEA if it would be equitable to grant the waiver due to an exceptional or uncontrollable circumstance such as a natural disaster, or a change in the organizational structure of the local educational agency ora precipitous decline in the LEA's financial resources.
LEA Name National Center for Education Statistics (NCES) District Identification Number Explanation of why LEA did not maintain effort* Has the LEA failed to meet such requirement (as determined using the measure most favorable to the local agency) and received a waiver for 1 or more of the 5 immediately preceding years (SY 2013-2014 through SY 2017-2018)? If so, in which year(s)? Has the LEA failed to meet such requirement (as determined using the measure most favorable to the local agency) and not received a waiver for 1 or more of the 5 immediately preceding years (SY 2013-2014 through SY 2017-2018)? If so, in which year(s)?
Sample LEA 9999998





































File Typeapplication/vnd.ms-excel
File TitleAppendix I: Non-Regulatory Guidance on Title I, Part A Waivers -- October 2011 (Excel)
Authorus department of education
Last Modified ByFisher, Collette
File Modified2019-09-18
File Created1996-10-14
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