Student Aid Internet Gateway Enrollment Form (PDF FILE)

Student Aid Internet Gateway (SAIG)
Enrollment Form
For State Scholarship and Grant Agencies

OMB NO: 1845-0002
Expiration Date: 12/31/2010

State Scholarship and Grant Agency Form

December 2007
Page 1

Enrollment to Participate in the U.S. Department of Education’s Student Aid Internet Gateway (SAIG)
The Student Aid Internet Gateway (SAIG) was established to allow a variety of entities that participate in the Title IV
programs to exchange data electronically with the U. S. Department of Education (ED, Department). In order to
participate in the SAIG, each entity must enroll for access. The enrollment process will enable you to receive, transmit,
and view student financial aid data, both by batch and online.
Each entity has an individual designated as the Primary Destination Point Administrator (DPA). This individual is the
only person within the organization who may enroll other organizational staff for additional SAIG destination points
(DPs) (mailboxes) and associated services. Using the enrollment process, the Primary DPA can add or remove users, edit
information about the entity, or change the entity’s enrollment in various SAIG services.

Notes About This Document
“We” and “us” refer to the U.S. Department of Education (ED, Department). “You” and “your” refer to the state
scholarship and grant agency applying to participate in ED’s Student Aid Internet Gateway, referred to as the SAIG.
The first usage of a term in this document is italicized and can be found in the glossary at the end of this form. This
glossary will assist you in understanding many technical terms and acronyms commonly used in the Title IV student
financial aid programs.

About Enrollment
There are no deadlines for submitting this application. After you enroll, we will automatically continue your enrollment
unless you tell us otherwise.
If you use this form to add and change information, check Box B in Step One, Question 1; fill in the information that has
changed for any questions in Steps One and Two; complete Steps Three, Four, and Five and send your application to the
address below.
Application for enrollment in the SAIG (and changes to enrollment) can also be completed online at
http://www.fsawebenroll.ed.gov.
You may photocopy this form, but you must always send us original signatures for Step Four and Step Five. We will not
accept photocopied or stamped signatures. Forms submitted after the OMB Expiration Date noted on this
application will not be accepted.
If you have any questions about completing your application, call CPS/SAIG Technical Support at 1-800-330-5947. To
reach a telecommunications device for the deaf (TDD/TTY), call 1- 800-511-5806. Technical support representatives are
available 7 a.m. – 7 p.m. CT, Monday through Friday, excluding federal holidays. If you prefer, you can e-mail inquiries
to [email protected]. A technical support specialist will respond to your e-mail within one business day.

Send your completed enrollment form and original, signed signature pages to:

CPS/SAIG Technical Support
2450 Oakdale Blvd.
Coralville, Iowa 52241

December 2007

State Scholarship and Grant Agency Form

Page 2

Available Services For State Scholarship and Grant Agencies
By completing this application, you will be enrolling individuals as Destination Point Administrators (DPAs) for
destination points (DPs), or SAIG mailboxes, on the SAIG. Enrollment is designed to secure the integrity of data that is
exchanged between you and the Federal Student Aid systems accessed over the SAIG or online. These systems include the
Central Processing System (CPS) and the National Student Loan Data System (NSLDS).
State scholarship and grant agencies receive processed applicant data from the CPS. You may receive data for residents
(those who indicate your state as their state of legal residence) and/or non-residents (those who indicate an institution that
is within your state but do not indicate your state as their state of legal residence). You may also receive data for individual
students who do not meet either of these two conditions, as long as you maintain signed forms whereby the students
release their data to you.
The services that state scholarship and grant agencies can access over the SAIG are:
•

Automatic Electronic Institutional Student Information Record (ISIR) processing: With this option, ISIRs are
automatically transmitted to you when students submit applications and corrections. The ISIR contains information
submitted by the student as well as CPS processing results. If a student does not release data to your state, only certain
demographic and processing result fields are provided on the ISIR you receive.

•

The ISIR Datamart Request process: This service allows any agency to electronically request a processed record for
any student on the CPS database through FAA Access to CPS Online. If the student is not a resident of your state or
attending an institution in your state, the student must have submitted a substantially completed and signed loan or
state grant application that releases CPS data to you. You must maintain the signed application.

•

You may also request online access to NSLDS to view Title IV loan, grant, and enrollment history necessary to
perform state scholarship and grant agency functions.

How the Enrollment Process Works
When you enroll a new Destination Point Administrator (DPA), a destination point (SAIG mailbox) will be established
with an assigned TG number that identifies the DPA’s destination point on the SAIG. The TG number will be sent to the
DPA upon successful processing of the enrollment form.
Only one destination point can be established to exchange data available from the CPS. The DPA can then give access to
the enrolled services of a destination point to other persons at the organization. These individuals are called SAIG users
(see Attachment B). The DPA must enforce the security requirements as outlined in the SAIG User Statement (see
Attachment B). Your highest ranking officer legally authorized to execute agreements, or their designee must certify that
each DPA has developed secure procedures in compliance with the security requirements for permitting other people to
use his or her destination point (see Step Five). The DPA also must complete a profile for each SAIG user within the
EDconnect software used to connect to the SAIG. See EDconnect Help Text for instructions.
An unlimited number of destination points may be established for your organization for view-only access to NSLDS
Online. Each user that enrolls for NSLDS Online access is the DPA for his or her own mailbox. That mailbox is in turn
associated with the Primary DPA of your organization. Only the Primary DPA can add or remove users through the
enrollment process.
To complete the SAIG enrollment application, you will need the following information:
•

Currently enrolled organizations will need their existing Primary Destination Point TG number, the name of its DPA,
and the customer number(s) if available. Customer numbers begin with the letter “Z.”

•

All entities will need the name, address, Social Security Number (SSN), date of birth, and mother’s maiden name for
the DPA.

December 2007

State Scholarship and Grant Agency Form

Page 3

Once we receive all necessary signatures, we will process your enrollment. If your enrollment was for a new TG number,
we will send your SAIG TG number to you. If your enrollment was for NSLDS Online and access is granted, the User ID
will be sent to you from NSLDS.
Note: If you want to cancel the enrollment of any DPAs, send a letter on organization letterhead identifying the TG
numbers that you want cancelled. The letter should be mailed to CPS/SAIG Technical Support, 2450 Oakdale Blvd.,
Coralville, IA 52241. You may also cancel online at https://www.fsawebenroll.ed.gov.

December 2007

State Scholarship and Grant Agency Form

Page 4

Instructions for Completing Enrollment
Step One – must be completed by all applicants
Step One collects information about your organization and the Destination Point Administrator (DPA) you want to enroll
or for whom you are changing or adding information.
1.

This enrollment form can be used for multiple purposes. You may use the enrollment form to enroll new
participants in the SAIG and you can also use the enrollment form to change or to add information about an
existing DPA or destination point.
A. Check the box for “initial application” if you are a first-time participant and your organization does not have a TG
number.
B. Check the box to “change information for existing destination point/mailbox” if your organization is enrolled in the
SAIG and you want to change or add any information about an existing destination point. Fill in the information
that has changed for any questions in Steps One and Two; and complete Steps Three, Four, and Five.
If you are uncertain of what to complete, call CPS/SAIG Technical Support at 1-800-330-5947. To reach a
telecommunications device for the deaf (TDD/TTY), call 1-800-511-5806.

2.

Provide the name of your organization, as you would like it to appear on all SAIG correspondence. (The limit is
40 characters, including letters and spaces.)

3.

Confirm your type of organization.

4.

You must identify the DPA you want to enroll or for whom you are changing or adding information. All
information must be provided for the DPA you wish to enroll for the organization you identified in Question 2.
This information will be used to authenticate a user’s identification when a password change is requested.

Step Two
In Step Two you will choose the services for which your institution requires enrollment.
5. A. Complete all required information.
B. Check the boxes for the award years this DPA should receive the applicant data.
C. Choose the preferred delivery option for ISIRs if ISIRs are selected in Question 5-A. You can choose whether to
receive ISIRs on a daily basis or by request. Daily receipt is the default ISIR delivery method. If you choose “by
request,” you must request ISIRs from the ISIR Datamart. The ISIRs are then sent to your destination point
through the SAIG. With either option, you can request a single ISIR or a specified group of ISIRs at any time.
6.

If you would like NSLDS Online access to view Title IV loan, grant, and enrollment history, check the box.

Step Three
Step Three collects the required Agency Participation Agreement to receive electronic ISIRs.

Step Four – must be completed by all applicants
Step Four collects the required agreements from the DPA identified in Step One.
Each DPA must read and sign this statement. The original signature form must be attached to your completed enrollment
form and submitted to CPS/SAIG Technical Support, 2450 Oakdale Blvd., Coralville, Iowa 52241. A copy of each signed
and dated statement must be maintained by your organization. Once we receive all necessary signatures from you, we will
process your enrollment. If your enrollment was for a new TG number, we will send your SAIG TG and customer
numbers to you.

December 2007

State Scholarship and Grant Agency Form

Page 5

Step Five – must be completed by all applicants
Step Five collects the required authorization from your organization to process the enrollment information for the DPA
you have identified in Step One.
For each DPA, the officer legally authorized to execute the Agreement for and on behalf of the Agency must sign this
certification statement. The original signature form must be attached to your completed form and submitted to CPS/SAIG
Technical Support at the address on page 2. A copy of each signed and dated statement must be maintained by your
organization.

If you have any questions about completing your application, call CPS/SAIG Technical Support at 1-800-330-5947.
To reach a telecommunications device for the deaf (TDD/TTY), call 1-800-511-5806.

December 2007

State Scholarship and Grant Agency Form

Page 6

Step One: Provide the following information
1. Is this an initial application or are you changing/adding information to your destination point?
A. † initial application
B. † change information for existing destination point/mailbox with TG_______________
(Read instructions on page 5 carefully.)

2. What is the name of your organization? __________________________________________________
(maximum 40 characters)

3. Confirm your type of organization.
;

State Scholarship Agency

4. Complete the following information for the Destination Point Administrator (DPA) you wish to designate at your
organization. The Destination Point Administrator will be assigned a destination point (mailbox) with an
identification number (TG number).
Name____________________________________________________________________________________
Business address___________________________________________________________________________
Business address___________________________________________________________________________
City__________________________________________State_________________________Zip____________
Area code/phone (_______) _______________________ Area code/fax (_______) ______________________
E-Mail Address: ___________________________________________________________________________
(maximum 70 characters)

Social Security Number_____________________________ Date of birth______________ __________ 19____
(month)

(day)

(year)

Mother’s maiden name ______________________________________________________________________

OMB NO: 1845-0002
Expiration Date: 12/31/2010
December 2007

Office Use Only
Customer number________________________
TG number_____________________________
State Scholarship and Grant Agency Form

Page 7

Step Two: Tell us about the services for which the Destination Point Administrator
wishes to enroll

5. A. Service Selection Information
Select the desired service(s)
† Automatic ISIR Processing: Residents
† Automatic ISIR Processing: Non-Residents
† ISIR Datamart Request Process
B. For which award years? (Check one or both.)
† 2007-2008

†

2008-2009

C. If ISIRs are selected, choose delivery option:
2007-2008

†

2008-2009

† Daily

Daily

†

By request

† By request

6. Do you want this Destination Point Administrator to have access to NSLDS Online?
†

Yes

†

No, Go to Step Three

IMPORTANT: Only the DPA is permitted to use his or her destination point for online access to NSLDS.
Permission to use this destination point for online NSLDS access CANNOT be granted to anyone else.
† NSLDS Online-View Only
Specify State _________________________
Indicate your job functions (check all that apply):
… Job responsibilities are 100% related to state grant agency functions.
… Job responsibilities are less than 100% related to state grant agency functions
… Default/Overpayment Status
… Enrollment
… Loan Forgiveness
… Other ______________________
… Comments _________________________________________________________________________

Go to Step Three

OMB NO: 1845-0002
Expiration Date: 12/31/2010
December 2007

Office Use Only
Customer number________________________
TG number_____________________________
State Scholarship and Grant Agency Form

Page 8

Step Three
Agency Participation Agreement
If you wish to receive electronic Institutional Student Information Record (ISIR) data, you must complete the following
and by doing so you agree to obtain a signed release of information from the student prior to requesting the application
record from the Central Processing System (CPS).
Since many States have programs which provide financial assistance to students attending institutions of higher education,
and applicants for Federal student financial assistance generally also apply for assistance under such State programs, the
administration of such State programs would be greatly assisted if selected data received or generated by the U.S.
Department of Education concerning applicants for Federal student aid were provided to the Agencies administering those
programs.
The Secretary of Education is willing to assist States in the administration of their student aid programs by providing them
selected data in accordance with relevant provisions of the Privacy Act (5 U.S.C. 552a) as long as such Agencies use that
data for limited specified purposes and safeguard the confidentiality of the information provided.
Therefore, in order to facilitate the awarding of financial assistance to students attending institutions of higher education
under State financial assistance programs, and to coordinate the awarding of such assistance with financial assistance
provided by the Federal government under the Higher Education Amendments of 1992 (Pub. L. 102- 325), the Secretary
of Education (hereinafter referred to as the Secretary) will agree to furnish in accordance with relevant provisions of the
Privacy Act to

_____________________________________________________________________________________
(Name of State Scholarship Agency administering higher education student financial aid program)

____________________________________________________________________________________________
(Location)
(hereinafter referred to as Agency), on a periodic basis, the data set forth in Article I of this Agreement, with regard to
persons applying for Federal student aid under the conditions set forth in Articles II and III of this Agreement.

OMB NO: 1845-0002
Expiration Date: 12/31/2010
December 2007

State Scholarship and Grant Agency Form

Office Use Only
Customer number________________________
TG number_____________________________

Page 9

Article I
1.

The furnishing of data described in paragraph 2 of this Article has been established as a “routine use” under the
provisions of the Privacy Act by publication in the Federal Register of December 27, 1999 (18-11-10). The data
described in Paragraph 3 of this Article with respect to a given applicant will be furnished only upon the express
written consent of that applicant. Prior to disseminating any records, the Secretary will make reasonable efforts to
be assured that the records to be furnished are accurate, complete, timely, and relevant (5 U.S.C. 552(e) (6)).

2.

The data that will be furnished by the Secretary for all applicants residing, or applying for assistance, in the State
of ___________________, include: the name of the Federal student aid applicant and that applicant’s address,
social security number, date of birth, dependency status, year in school, the applicant’s Expected Family
Contribution, and the Department of Education’s assigned institution number for the institution(s) of higher
education which the applicant has indicated an interest in attending.

3.

The data that will be furnished by the Secretary upon the expressed written request of those applicants residing, or
applying for assistance, in the State of_________________ include all the information contained in the “Free
Application for Federal Student Aid” (FAFSA).

Article II
1.

The Agency may use the data furnished to it under this Agreement only with regard to the administration of a
State’s and the Federal government’s programs of financial assistance to students in institutions of higher
education.

2.

The Agency shall take all steps necessary to safeguard the confidentiality of the data received. The Agency may
provide access and may release such data only to those personnel of the Agency who are specifically authorized
by the Agency to receive and review that data in connection with the application for and receipt of financial aid for
postsecondary education provided or administered by the Agency.
For purposes of this Agreement, “administration” includes calculation of State student financial aid awards,
guaranteeing of Federal student loans, research necessary for the proper administration of the State program, and
verification of data provided by the applicant on State student aid applications. The Agency may, however, release
to the public statistical summary data obtained from the information furnished by the Secretary, provided that the
identity of individual Federal student aid applicants cannot be ascertained from such summary data.

3.

The Agency agrees to comply with all provisions of the Higher Education Act of 1965, as amended.

Article III
1.

This article shall remain in force until terminated by the Agency or the Secretary. The expiration of this
Agreement shall not, however, affect the obligations incurred by the Agency under this Agreement.

2.

If the Secretary finds that there has been a failure to comply with Article II or paragraph (1) of Article III of this
Agreement, the Agency shall, upon the request of the Secretary, return all the data under this Agreement and
copies made of such data. Furthermore, the Secretary may terminate this Agreement or take such other action as
may be necessary and appropriate to protect the interest of the United States and the Federal aid applicants.

Go to Step Four

Send this form as instructed
OMB NO: 1845-0002
Expiration Date: 12/31/2010
December 2007

State Scholarship and Grant Agency Form

Office Use Only
Customer number________________________
TG number_____________________________

Page 10

Step Four: Responsibilities of the Destination Point Administrator
Step Four: Responsibilities of the Destination Point Administrator
Each Destination Point Administrator must read, sign, and submit this statement (with original signatures) and must keep a
copy for the organization’s records.
1.

2.

Responsibilities of the Destination Point Administrator (DPA):
ƒ

Must ensure that SAIG computing resources are used only for official government business.

ƒ

Must ensure that a substantially established relationship with the applicant is in place (e.g., the applicant is a resident of
the state, has applied for admission to an institution in that state, or the applicant has provided written permission to the
state) before accessing Federal Student Aid systems.

ƒ

Must maintain a profile within the EDconnect software unless the organization uses TDClient. (See the EDconnect Help
Text for instructions on how to create and maintain these profiles. See Attachment B of the SAIG Enrollment Form for
the User Statement.)

ƒ

Only the Destination Point Administrator listed in Step One, Question 4, page 7 is permitted to sign up and use the
National Student Loan Data System (NSLDS) as indicated in Question 6, page 8.

ƒ

Must use software provided by the Department to monitor SAIG mailbox activity. This software will keep track of who is
using the destination point, what information is being used, the date and time, and the batch number (if applicable).

ƒ

By applying for access to Federal Student Aid systems, must consent to monitoring, recording, and auditing, and
acknowledge that information gained in this manner may be disclosed by the Department to an appropriate third party
(e.g., law enforcement personnel).

ƒ

Must ensure that all Federal Student Aid applicant information is protected from access by or disclosure to unauthorized
personnel.

ƒ

Must ensure that password sharing, the sharing of system access, and the use of any tools that allow access to SAIG are
strictly prohibited. (These tools are called “authenticators.”)

ƒ

Must ensure that access is provided only to systems, networks, data, control information, and software for which the
Destination Point Administrator is authorized.

ƒ

Must ensure that procedures for sanitizing stored information are followed (e.g., overwriting disks that contain sensitive
information before reuse).

ƒ

The DPA must inform the organization’s Primary Destination Point Administrator when access to a Federal Student Aid
system is no longer required (i.e. the individual is leaving a position or his or her job responsibilities have changed).

Additional Requirements of the Primary Destination Point Administrator:
ƒ

Must ensure that all users, whether Destination Point Administrators or other authorized users, are aware of and are in
compliance with all of the requirements of a DPA.

ƒ

Must maintain copies of all SAIG enrollment documents submitted to the Department, including the signed
“Responsibilities of the Destination Point Administrator” form for all DPA’s and the certification signed by the
organization’s CEO.

ƒ

Must maintain a signed User Statement (see Attachment B) for anyone who is not a DPA but has access to Federal
Student Aid systems, including by batch or online.

ƒ

Must review SAIG user reports provided by the Department to update user access rights.

OMB NO: 1845-0002
Expiration Date: 12/31/2010
December 2007

Office Use Only
Customer number________________________
TG number_____________________________
State Scholarship and Grant Agency Form

Page 11

4.

ƒ

At least on an annual basis, must monitor the organization’s NSLDS user access by creating reports using the NSLDS
Web site.

ƒ

Must ensure that the organization has a process to inform the Primary Destination Point Administrator of any changes in
a user’s need for access to Federal Student Aid systems because of changes to job responsibilities or termination of
employment. The Primary Destination Point Administrator must immediately inactivate or delete user access rights for
organization employees who no longer require access.

Agreements
The Destination Point Administrator and/or the Primary Destination Point Administrator agree(s) and understand(s) that
intentional submission of false or misleading information to the U.S. Department of Education is subject to a fine of up to
$10,000, imprisonment for up to five years, or both, under provisions of the United States Criminal Code (including 18 U.S.C.
1001). The Destination Point Administrator and/or the Primary Destination Point Administrator also agree(s) to comply with
all provisions of Section 483 of the Higher Education Act of 1965, as amended.
4.

Privacy Act Statement
The information provided to the Destination Point Administrator by the U.S. Department of Education is protected by the
Privacy Act of 1974, as amended. Protecting this information, once it is entrusted to the Destination Point Administrator and
Primary Destination Point Administrator, becomes his or her responsibility. Therefore, the Destination Point Administrator
and Primary Destination Point Administrator agree to protect the privacy of all information that has been provided by the U.S.
Department of Education. The Destination Point Administrator and Primary Destination Point Administrator understand that
any person, including himself or herself, who knowingly and willfully requests or obtains any record concerning an individual
from an agency under false pretenses, shall be guilty of a misdemeanor and is subject to a fine of up to $5,000.

Destination Point Administrator’s name____________________________________________________________________
(printed name)

Signature_________________________________________________________Date_______________________________
(must match name in Question 4 - original signature must be submitted)

Primary Destination Point Administrator’s name _____________________________________________________________
(printed name)

Signature ____________________________________________________________________________________________

Go to Step Five

Sign and send this form as instructed

OMB NO: 1845-0002
Expiration Date: 12/31/2010
December 2007

Office Use Only
Customer number________________________
TG number_____________________________
State Scholarship and Grant Agency Form

Page 12

Step Five: Certification of the Legally Authorized Officer on behalf of the State
Scholarship Agency
1.

Responsibilities of the President/CEO
As the President/CEO you certify that:
• The name of every person who is a SAIG Destination Point Administrator is included in this application (or is already on
file with the SAIG),
• You will immediately notify CPS/SAIG Technical Support in writing when any person no longer serves as a SAIG
Destination Point Administrator,
• You will not permit unauthorized use or sharing of SAIG passwords or codes that have been issued to you or to anyone
else in your organization,
• Each person who is a SAIG Destination Point Administrator for your agency has read and understood the responsibilities
in Step Three,
• Each person who is a SAIG Destination Point Administrator for your agency has signed a copy of “Step Four:
Responsibilities of the Destination Point Administrator” and that a copy of Step Four with an original signature has been
sent to us, and
• That each person who is a SAIG Destination Point Administrator for your agency has made a copy of the signed Step
Four document for his or her own files.

State Scholarship Agency Representative
_________________________________________ ________________________________________________
(Printed name)

(Printed title - Required)

Signature _______________________________________________________ Date___________________________
(original signature must be submitted)

Name of agency _________________________________________________________________________________

U.S. Department of Education authorizing signature:
Signature________________________________________________

Sign and send this form as instructed

OMB NO: 1845-0002
Expiration Date: 12/31/2010
December 2007

Office Use Only
Customer number________________________
TG number_____________________________
State Scholarship and Grant Agency Form

Page 13

Attachment A: Glossary
Central Processing System (CPS). ED’s application data processing facility. The CPS uses information from the Free
Application for Federal Student Aid (FAFSA) to calculate the student’s official Expected Family Contribution
(EFC), to create and transmit to schools the Institutional Student Information Record (ISIR), and to print and mail
to the student the Student Aid Report (SAR).
Destination Point (DP). An electronic mailbox that transmits and receives financial aid data using the SAIG. Every
destination point is administered by a Destination Point Administrator (DPA) and has an electronic mailbox
number that begins with the letters “TG.” (See Destination Point Administrator.)
Destination Point Administrator (DPA). An individual representing an organization involved in the administration of Title
IV student financial aid programs (such as a postsecondary institution, Federal Family Education Loan Program
(FFELP) lender, FFELP guaranty agency or third-party servicer) that is enrolled in the SAIG and assigned a
destination point. To enroll as a DPA, an organization’s representative must complete and submit for processing
the SAIG Enrollment Form to participate in the U.S. Department of Education’s Student Aid Internet Gateway.
Federal Student Aid. The 1998 Reauthorization of the Higher Education Act (HEA) established a performance-

based organization to administer the Federal Student Aid programs at the U.S. Department of Education.
These programs include Federal Grant Programs (Pell, ACG and SMART), FFELP Stafford loans,
Federal Direct Loans, FFELP and Direct PLUS loans, and the "campus-based" programs: Federal Work
Study, Federal Perkins loans, and Federal Supplemental Educational Opportunity grants.
Free Application for Federal Student Aid (FAFSA). The application that the student must file to apply for aid from any
Title IV program, including the FFEL and Direct Loan programs. Students can apply online by using FAFSA on
the Web (http://www.fafsa.ed.gov). The FAFSA is also printed and distributed free of charge by the U.S.
Department of Education.
Institutional Student Information Record (ISIR). The ISIR is an electronic federal output document produced by the CPS
from FAFSA data. The ISIR is sent to schools designated by the student on the FAFSA
ISIR Datamart Request. This is a function of FAA Access to CPS Online that Destination Point Administrators can use to
request ISIRs from the CPS.
National Student Loan Data System (NSLDS). A national database of student loan-level information and selected grant
recipient data for loans and grants disbursed under the Title IV programs.
Primary Destination Point Administrator (DPA). An individual who has been appointed by the organization as the
responsible party for the enrollment of the organization’s additional SAIG users. The Primary Destination Point
Administrator is responsible for the SAIG users’ access to Federal Student Aid systems, to ensure the data
provided by these systems is protected according to the Privacy Act of 1974, as amended, as well as to ensure
users do not inappropriately access records that are not associated with their organization.
Social Security Number (SSN). The number assigned to an individual by the Social Security Administration and used as
the identifying number for many federal purposes, including identifying student financial aid program
administrators and applicants participating in the Title IV programs.
Student Aid Internet Gateway (SAIG). The SAIG links thousands of destination points across the United States, its
territories, and certain ED-designated foreign countries to the Higher Education Act’s Title IV student financial
aid programs and delivery system. Organizations enroll individuals as Destination Point Administrators (DPAs) in
the SAIG. DPAs are assigned destination points (electronic mailboxes), which receive and transmit data for
Federal Student Aid systems such as NSLDS and CPS. (See Destination Point and Destination Point
Administrator.)
December 2007

State Scholarship and Grant Agency Form

Page 14

SAIG User. An individual allowed access to a destination point by the assigned Destination Point Administrator (DPA). A
SAIG user must read and sign a SAIG User Statement, which the DPA must maintain.
TG Number. A TG Number is the identifier for an electronic mailbox. It is a five-digit alphanumeric number, preceded by
“TG.”
U.S. Department of Education (ED, Department). The federal agency responsible for the administration of federal
education programs including the federal student financial aid programs.

December 2007

State Scholarship and Grant Agency Form

Page 15

Attachment B: Federal Student Aid User Statement
Any individual who accesses Federal Student Aid systems and/or uses resources that access those systems, whether by batch or online,
must read this statement. In addition, the Federal Student Aid User Statement must be completed and signed by the user and the
Primary Destination Point Administrator and the original must be maintained by the organization. The user should keep a copy of the
signed statement for his or her records.
The user understands that intentional submission of false or misleading information to the U.S. Department of Education is subject to a
fine up to $10,000, imprisonment for up to five years, or both, under provisions of the United States Criminal Code (including 18
U.S.C. 1001). The user also agrees to comply with all provisions of Section 483 of the Higher Education Act of 1965, as amended.
The user understands that the information provided by the U.S. Department of Education is protected by the Privacy Act of 1974, as
amended. Protecting this information, once it is entrusted to the user, becomes his or her responsibility. Therefore, the user agrees to
protect the privacy of all information provided to him or her by the U.S. Department of Education. The user understands that any
person, including himself or herself, who knowingly and willfully requests or obtains any record concerning an individual from an
agency under false pretenses, shall be guilty of a misdemeanor and is subject to a fine of up to $5,000.
Appropriate Use of Federal Student Aid Systems
Appropriate uses of Federal Student Aid systems by a SAIG user (list is not exhaustive):
•
•
•
•
•
•
•
•
•
•

Must use SAIG computing resources only for official government business.
Must ensure that a substantially established relationship with the applicant is in place (e.g., the applicant is a resident of the state,
has applied for admission to an institution in that state, or the applicant has provided written permission to the state) before
accessing Federal Student Aid systems.
Must know the names of the Primary Destination Point Administrator and/or the Destination Point Administrator for each of the
destination points accessed and how to contact those individuals.
Must protect all Federal Student Aid systems from access by or disclosure to unauthorized personnel.
Must report immediately to the Destination Point Administrator any security incidents, potential threats, or vulnerabilities that
involve SAIG resources.
Must report to the Destination Point Administrator any compromise, suspected compromises, or incidents of sharing of a password
or any other authenticator.
Must access only those systems, networks, data, control information, and software for which he or she is authorized.
Must ensure that all information from the SAIG is marked according to its sensitivity and is properly controlled and stored.
Must inform the organization’s Primary Destination Point Administrator when he or she no longer needs access to a Federal
Student Aid system (i.e., the individual is leaving his or her position or his or her job responsibilities have changed).
Must avoid the introduction of any code that might be harmful to the SAIG.

TG#__________
Destination Point Administrator (DPA) Name___________________________________
SAIG User Name ________________________________________________________________________
(Print)

SAIG Job Title _____________________________ SSN_______________
Phone #(____)_______________
SAIG User Signature______________________________________Date_________________________
DPA Signature _____________________________________Date_______________________________
(This statement with an original signature must be maintained by the Primary Destination Point Administrator.)

Do Not Submit This User Statement The Signed Original Form Must Be Retained By The Organization
OMB NO: 1845-0002
Expiration Date: 12/31/2010
December 2007

State Scholarship and Grant Agency Form

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Attachment C: Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information
unless it displays a valid OMB number. The valid OMB control number of this information collection is 1845-0002
and will expire on 12/31/2008.
The time required to complete this form is estimated to average 40 minutes per initial paper application response, 20
minutes per initial web application online, 15 minutes per updated response on paper, and 10 minutes per updated
response online, including the time to review instructions, search existing data resources, gather the data needed, and
complete and review the information collection. If you have any comments concerning the accuracy of the time
estimates or suggestions for improving this form, write to:
U.S. Department of Education
Union Center Plaza
830 First Street, N.E.
UCP-031C4
Washington, D.C. 20202

December 2007

State Scholarship and Grant Agency Form

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