CARES Act, Recipient's Funding Certification and Agreement (SIP, MSI, FIPSE)

CARES Act, Recipient’s Funding Certification and Agreement (SIP, MSI, FIPSE)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0843 can be found here:

Documents and Forms

Document Name Document Type
CARES Act CA - FIPSE.docx HEERF@ed.gov Other-Certification and Agreement
CARES Act CA - SIP MSI.docx HEERF@ed.gov Other-Certification and Agreement
CARES Act email to branch campuses.docx Other-Email

Information Collection (IC) Details

IC Title:	CARES Act, Recipient's Funding Certification and Agreement (SIP, MSI, FIPSE)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Certification and Agreement	CARES Act CA - FIPSE.docx	HEERF@ed.gov	Yes	Yes	Fillable Fileable
Other-Certification and Agreement	CARES Act CA - SIP MSI.docx	HEERF@ed.gov	Yes	Yes	Fillable Fileable
Other-Email	CARES Act email to branch campuses.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,474	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,474	1,474
Annual IC Time Burden (Hours)	1,474	1,474
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.