Request for Indicator Extension and Alternative

State’s Request Under the State Fiscal Stabilization Fund Program

to Use the Alternative Standard for Meeting the Requirements

of Indicator (c)(11) Relative to

Private and Out-of-State Public Institutions of Higher Education

U.S. Department of Education

Washington, D.C. 20202

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Expiration Date: [ ]

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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 [ ]. The time required to complete this information collection is estimated to average 8 hours per response, 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 estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, D.C. 20202-4537. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: State Fiscal Stabilization Fund Program, Implementation and Support Unit, U.S. Department of Education, 400 Maryland Ave., S.W., Room 7E214, Washington, D.C. 20202.

State’s Request Under the State Fiscal Stabilization Fund Program

to Use the Alternative Standard for Meeting the Requirements

of Indicator (c)(11) Relative to

Private and Out-of-State Public Institutions of Higher Education

Current Indicator (c)(11) Requirements

(as modified by the Interim Final Rule)

By January 31, 2012, a State must collect and publicly report or have the capacity to collect and publicly report, for the State, for each local educational agency in the State, for each high school in the State and, at each of these levels, by student subgroup (consistent with section 1111(b)(2)(C)(v)(II) of the Elementary and Secondary Education Act), of the students who graduate from high school consistent with 34 CFR 200.19(b)(1)(1)(i) the number and percentage (including numerator and denominator) who enroll in a institution of higher education (as defined in section 101(a) of the Higher Education Act) within 16 months of receiving a regular high school diploma.

State: _______________________________

1. Extension request. The Office of the Governor and the State educational agency jointly request permission from the U.S. Department of Education (Department) to use the alternative standard to satisfy the Indicator (c)(11) collection and public reporting requirements for high school graduates who enroll in private or out-of-State public institutions of higher education (IHEs). Under the alternative standard, a State may either (1) collect and publicly report enrollment data for students who attend private or out-of-State public schools or (2) increase its capacity to collect and publicly report those data.

2. Current status. The Office of the Governor and the State educational agency have attached to this request a description of the State’s current capacity to collect and publicly report student enrollment data for high school graduates who enroll in private or out-of-State public IHEs and assure that such description is an accurate reflection of the State’s current capacity to collect and publicly report such data required under Indicator (c)(11).

3. Assurance of future effort. The Office of the Governor and the State educational agency further assure that the State

will --

1. Collect and publicly report, by December 31, 2012, the student enrollment data required under Indicator (c)(11) for high school graduates who enroll in private or out-of-State public IHEs; or

2. Increase its current capacity to collect and publicly report such data by December 31, 2012 and, by that date, publicly report the following--

(1) for each in-State private IHE--

(a) whether the State provides funding to the IHE;

(b) whether the State has a data-sharing agreement in place with the IHE and, if so, whether the data-sharing agreement enables the State to track its recent high school graduates; and

(2) for each private out-of-State or public out-of-State IHE with which the State has a data-sharing agreement, whether individually or through a State agency or consortium--

(a) whether the State provides funding to the IHE; and

(b) whether the data-sharing agreement enables the State to track its recent high school graduates.

4. Assurance for revised plan. The Office of the Governor and the State educational agency further assure that the State will submit to the Department, no later than 60 days from the date of submission of this request for an extension, a revised plan for how the State will –

1. Collect and publicly report, by December 31, 2012, the student enrollment data required under Indicator (c)(11) for high school graduates who enroll in private or out-of-State public IHEs; or

2. Increase its current capacity to collect and report those data by December 31, 2012.

The revised plan will include the following information:

1. A detailed description of the appropriate steps that the State will take to ensure that the requirements of Indicator (c)(11) for high school graduates who enroll in private or out-of-State public IHEs will be met by December 31, 2012, including a reasonable timeline for those actions;

2. Identification of the agency or agencies in the State responsible for the development and implementation of the revised plan for Indicator (c)(11) relative to high school graduates who enroll in private or out-of-State public IHEs; and

3. An overall budget, including the funding sources, that is sufficient to support the development and implementation of such revised plan.

5. Consequences for failing to meet the deadline. The Office of the Governor and the State educational agency acknowledge that if the Department authorizes the State to use the alternative standard for meeting the requirements of Indicator (c)(11) for high school graduates who enroll in private or out-of-State public IHEs and the State fails to meet alternative standard by December 31, 2012, both the Office of the Governor and the State educational agency may be placed on high-risk status and subject to such sanctions as the Department may impose, consistent with the sanctions outlined in the “Notice of Final Revisions to Certain Data Collection and Reporting Requirements, and Final Priority,” for the State Fiscal Stabilization Fund program.

________________________________ ________________________________

Printed Name of Governor Printed Name of Chief State School

(or authorized representative) Officer (or authorized representative)

________________________________ ________________________________

Signature of Governor Signature of Chief State School Officer

(or authorized representative) (or authorized representative)

________________________________ ________________________________

Date Date