2021-22 Reallocation Form_CLEAN to OMB

Fiscal Operations Report for 2022-2023 and Application to Participate 2024-2025 (FISAP) and Reallocation Form

2021-22 Reallocation Form_CLEAN to OMB

OMB: 1845-0030

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OMB No. 1845-0030

Expires: 05/31/2023



CAMPUS-BASED REALLOCATION FORM
Release 2021–22 Unexpended Campus-Based Funds and

Request 2022–23 Supplemental FWS Funds


Public 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 1845-0030. Public reporting burden for this collection of information is estimated to average 2 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is mandatory in accordance with 34 CFR 675.19 (Federal Work-Study), and 34 CFR 676.19 and 20 U.S.C. 1094 (Federal Supplemental Educational Opportunity Grant). If you have comments or concerns regarding the status of your individual submission of this form, please contact the Common Origination and Disbursement (COD) School Relations Center directly at 1-800-848-0978 or email CODSupport@ed.gov.



Name of School: [Prefilled by COD] OPEID: [Prefilled by COD]
Address of School: [Prefilled by COD]

City: [Prefilled by COD] State: [Prefilled by COD] Zip: [Prefilled by COD]


Deadline for Submission is August 15, 2022


Section A: School release of 2021–22 award year unexpended allocations for the Federal Supplemental Educational Opportunity Grant and Federal Work Study Programs.


You must ensure that any unexpended funds listed in Section A to be returned have not already been drawn down in G5.





Federal Supplemental

Educational Opportunity

Grant (FSEOG)


Federal Work Study

(FWS)


Unexpended 2021–22

Allocation Amount


(1) $


(2) $



Section B: Request for Supplemental FWS funds for the 2022–23 award year.

(Complete only if you want Supplemental FWS funds)



(4) Did your school expend at least 5 percent of its total 2021–22

FWS federal funds to compensate students employed as reading tutors of children or in family literacy activities as part of your community service activities?


YES NO



NA NA


(5) Amount of supplemental 2022–23 FWS funds your school will need for community service jobs.


$



Warning: If you purposely give false or misleading information, you may be fined up to $20,000, sent to prison, or both.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title2012-2013 Reallocation Form Redline 14.0
AuthorI.R.G.
File Modified0000-00-00
File Created2023-08-26

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