FAFSA Completion Enrollment Form

U.S. Department of Education’s Federal Student Aid System Access
Enrollment Form For
FAFSA Completion Tracking
For Local Educational Agencies (LEA),
Public Secondary Schools,
Private Secondary Schools,
and State Agencies

OMB NO: 1845-0002
Expiration Date: 12/31/2013
December 2010

FAFSA Completion Tracking Enrollment Form
Page 1

Enrollment to Participate in the Electronic Data Exchange with the U.S. Department of Education’s
Federal Student Aid Systems
In order to obtain information on Free Application for Federal Student Aid (FAFSA) submissions for students affiliated
with an organization, the organization must enroll to participate in the U.S. Department of Education’s Student Aid
Internet Gateway (SAIG). The Student Aid Internet Gateway (SAIG) enrollment process will enable your organization, or
authorized representatives acting on behalf of your organization, to receive high school student FAFSA completion data
online using FAA Access to CPS Online.
Each eligible organization may designate one individual as the Primary Destination Point Administrator (Primary DPA)
who will be given access to FAFSA completion data using the Central Processing System (CPS) Online service.
In order to be eligible to access Federal Student Aid Systems, the organization must validate the individual enrolled as the
Primary DPA for CPS online services on a schedule determined by ED. If validation is not completed within the
prescribed timeframe, the service to the organization and individuals could be permanently deactivated.

Notes About This Document
“We” and “us” refer to the U.S. Department of Education (ED, Department). “You” and “your” refer to the organization
and the Primary DPA applying to participate in ED’s SAIG enrollment process for CPS Online services.
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 technical terms and acronyms commonly used in the Title IV student financial
aid programs.

About Enrollment
Application for enrollment in the SAIG to receive FAFSA completion data (and changes to enrollment) can be completed
online at http://www.fsawebenroll.ed.gov.
This enrollment form can be used to enroll new participants in the FAFSA Completion Tracking program, or to change or
add information for a Primary DPA or organization that is already enrolled in the FAFSA Completion Tracking program.
If you use this form to add or 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; and send your application with updated signatures to the address below.
You may photocopy this form, but you must always send us original signatures for Step Two and Step Three. 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

OMB NO: 1845-0002
Expiration Date: 12/31/2013
December 2010

FAFSA Completion Tracking Enrollment Form
Page 2

Available Services
Local educational agencies (LEA), public secondary schools, private secondary schools, state agencies and other
organizations that are approved by ED can obtain information on FAFSA submission for students affiliated with their
organizations. Authorized representatives of these entities also may enroll in the SAIG to obtain this information on the
entity’s behalf. Please see information in Step Two of the application for information regarding restrictions related to
privacy laws.
By completing this application, the organization will be enrolling an individual as the Primary Destination Point
Administrator (Primary DPA) who will be responsible for the administration of the FAFSA Completion Tracking services
through FAA Access to CPS Online.

How the Enrollment Process Works
To complete the SAIG enrollment application, you will need the following information:
•

Organization information: name, type of organization and code numbers.

•

Primary DPA information: name, address, Social Security Number (SSN), date of birth, mother’s maiden name, and
business email address.

In order for currently enrolled organizations to make changes, the name of the Primary DPA, and the customer number(s)
if available are needed. To access enrollment information online, an FSA User ID and password are required. If you have
not already completed the process for getting your FSA User ID and password, but have completed the initial enrollment
process, you may register at https://www.fsawebenroll.ed.gov/PMEnroll/PMAccountServlet.jrun, provide identifying
information, and follow the remaining registration steps. Once you have completed the registration process, including
establishing your password, your FSA User ID will be e-mailed to you.
Note: If you want to cancel the enrollment of any DPAs, send a letter on organization letterhead identifying the
Primary DPA’s name 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.

OMB NO: 1845-0002
Expiration Date: 12/31/2013
December 2010

FAFSA Completion Tracking Enrollment Form
Page 3

Instructions for Completing Enrollment
Step One – must be completed by all applicants
Step One collects information about your organization and you as the Primary Destination Point Administrator (Primary
DPA)
1.

This enrollment form can be used to enroll new participants in the FAFSA Completion Tracking program, or to
change or add information for a Primary DPA or organization that is already enrolled in the FAFSA Completion
Tracking program.
A. Check the box for “initial application” if you are a first-time participant in the FAFSA Completion Tracking
program.
B. Check the box to “change information for existing FAFSA Completion Tracking account” if your organization
already is enrolled in the FAFSA Completion Tracking program and you want to change or add any information
about an existing Primary DPA or organization that is already enrolled. Fill in the information that has changed
for any questions in Step One; and complete Steps Two and Three.
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 correspondence. (The limit is 40
characters, including letters and spaces.)

3.

On the form, you will check the appropriate box to indicate the type of organization (local educational agency
(LEA), public secondary school, private secondary school or state agency) and the organization’s code.

Step Two – must be completed by all applicants
Step Two collects the required agreements from the Primary DPA identified in Step One.
The Primary DPA s 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. When we receive all necessary
signatures from you, we will process your enrollment.

Step Three – must be completed by all applicants
Step Three collects the required authorization from your organization to process the enrollment information for the
Primary DPA identified in Step One.
The chief officer of the organization (President, CEO, School Superintendent or equivalent person) must sign Section 2,
the responsibility statement.
If you are acting on behalf of another organization, both the organization’s chief officer and your chief officer must sign.
This means both Box 2 and Box 3 in Section 2 must be completed.
The original signature form must be attached to your completed form and submitted to Federal Student Aid 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.
OMB NO: 1845-0002
Expiration Date: 12/31/2013
December 2010

FAFSA Completion Tracking Enrollment Form
Page 4

Step One: Provide the following information
1. Is this an initial FAFSA Completion Tracking application or are you changing/adding information to your existing
account?
A. † Initial application
B. † Change information for existing FAFSA Completion Tracking account
2. What is the name of your organization? ______________________________________________________
(maximum 40 characters)

3. Indicate your type of organization.
… Local educational agency (LEA).

NCES LEA ID (7 digits)

… Public secondary school.

NCES School ID (12 digits) ________________

… Private secondary school

NCES School ID (8 digits)

________________

… State agency

State FIPS Code (2 digits)

________________

________________

4. Complete the following information for Primary DPA at your organization. The Primary DPA will be assigned a
user ID and password to access the FAFSA Completion Tracking system.
First Name_____________________________Last 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 ______________________________________________________________________

Go to Step Two

Office Use Only
Customer number________________________
OMB NO: 1845-0002
Expiration Date: 12/31/2013
December 2010

TG number_____________________________
FAFSA Completion Tracking Enrollment Form

Page 5

Step Two: Responsibilities of the Primary Destination Point Administrator (Primary DPA)
The Primary DPA 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 Primary DPA:
ƒ

Must ensure that an established relationship with the student is in place (e.g., the student is affiliated with the
participating organization) before requesting and accessing information about that student from Federal Student Aid
systems.

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, consistent with the relevant provisions of the Family Educational Rights and Privacy Act (FERPA) and
implementing regulations (20 U.S.C. 1232g and 34 CFR Part 99), the participating organization has designated as
“directory information” under FERPA any personal student information (such as student’s name, address, and date of
birth) before it is disclosed to Federal Student Aid or any third party. In addition, the student or his or her parents must
not have opted not to allow the disclosure of this directory information.

ƒ

Must ensure that password sharing, the sharing of system access, and the use of any tools that allow access to Federal
Student Aid systems 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
Primary DPA is authorized.

ƒ

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

ƒ

Must inform Federal Student Aid and the organization’s Certifying Official 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).

Agreements
The Primary DPA agrees and understands 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 Primary DPA also agrees to comply with all provisions of
Section 483 of the Higher Education Act of 1965, as amended.

3.

Privacy Act Statement
We use the information that you provide on this form to enroll your institution and users for services with Federal Student
Aid systems.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM AND DISCLOSURE OF SOCIAL SECURITY
NUMBERS:
Title IV of the Higher Education Act of 1965, as amended (HEA); 20 U.S.C. 1070 et seq. Section 31 U.S.C. 7701 and
Executive Order 9397, as amended by Executive Order 13478 (November 18, 2008) authorize the collection of Social
Security Numbers of users of this system. The Social Security number is voluntary in order to identify individuals for
federal purposes, but you will not be provided with access to or use of the system if you do not provide a Social Security
Number. Collection of the Social Security Number is authorized consistent with Executive Order 12549 (February 18,
1986), 20 U.S.C. 1082 and 1094 et seq. for the purpose of identifying debarred individuals.
PURPOSE(S):
The information in this system is maintained for the purposes of: (1) Processing stored data from the SAIG Enrollment
Forms (Web and paper versions); (2) maintaining the SAIG Enrollment Web site (titled FSAWebEnroll.ed.gov); (3)

OMB NO: 1845-0002
Expiration Date: 12/31/2013
December 2010

FAFSA Completion Tracking Enrollment Form
Page 6

managing the assignment of individual electronic SAIG mailbox numbers, known as ‘‘TG numbers’’; and (4) authenticating
users of the CPS Online, eCB System, NSLDS Online, COD System, FMS, DMCS, TIVAS, and AIMS.
ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES OF USERS AND
THE PURPOSES OF SUCH USES: The Department may disclose information contained in a record in this system of
records under the routine uses listed in the system of records notice, which was published on January 28, 2005 (70 Fed. Reg.
4112-4115) http://edocket.access.gpo.gov/2005/05-1651.htm without the consent of the individual if the disclosure is
compatible with the purposes for which the record was collected. These disclosures may be made on a case-by-case basis or,
if the Department has complied with the computer matching requirements of the Privacy Act of 1974, as amended (Privacy
Act), under a computer matching agreement.
(1) Program disclosures. The Department may disclose records maintained in the SAIG, Participation Management System
for the purpose of allowing authorized users who are eligible to participate in the electronic exchange of data with the
Department to transmit files to and from the following Department databases and access the Department's Web sites online,
based on the approved program functions of each of the Department's systems that include, but are not limited to the
following:
(a) COD System;
(b) CPS, under the Federal Student Aid Application File;
(c) eCB System;
(d) NSLDS;
(e) FMS;
(f) DMCS, under Common Services for Borrowers (CSB);
(g) TIVAS; and
(h) AIMS.
(2) Freedom of Information Act (FOIA) advice disclosure. The Department may disclose records to the Department of
Justice (DOJ) and the Office of Management and Budget if the Department seeks advice regarding whether records
maintained in the system of records are required to be released under the FOIA and the Privacy Act of 1974.
(3) Disclosure to the DOJ. The Department may disclose records to the DOJ to the extent necessary for obtaining DOJ
advice on any matter relevant to an audit, inspection, or other inquiry related to the programs covered by this system.
(4) Contract disclosure. If the Department contracts with an entity for the purposes of performing any function that requires
disclosure of records in this system to employees of the contractor, the Department may disclose the records to those
employees. Before entering into such a contract, the Department shall require the contractor to maintain Privacy Act
safeguards as required under 5 U.S.C. 552a(m) with respect to the records in the system.
(5) Litigation and Alternative Dispute Resolution (ADR) disclosures. In the event of specified litigation or ADR, if the
Department determines that disclosure of records to the DOJ, or attorneys engaged by DOJ, an adjudicative body before
which the Department is authorized to appear, an individual or entity designated by the Department or otherwise empowered
to resolve or mediate disputes, a party, counsel, representative or witness in an administrative proceeding is relevant and
necessary to the litigation, the Department may disclose those records as a routine use to any of the foregoing individuals or
entities.
(6) Research disclosure. The Department may disclose records to a researcher if an appropriate official of the Department
determines that the individual or organization to which the disclosure would be made is qualified to carry out specific
research related to functions or purposes of this system of records. The official may disclose records from this system of
records to that researcher solely for the purpose of carrying out that research related to the functions or purposes of this
system of records. The researcher shall be required to maintain Privacy Act safeguards with respect to the disclosed records.
(7) Congressional Member disclosure. The Department may disclose records to a member of Congress from the record of
an individual in response to an inquiry from the member made at the written request of that individual. The
Member’s right to the information is no greater than the right of the individual who requested it.
(8) Disclosure for use by Law Enforcement Agencies. The Department may disclose information to any Federal, State,
local or other agencies responsible for enforcing, investigating, or prosecuting violations of administrative, civil, or criminal
law or regulation if that information is relevant to any enforcement, regulatory, investigative or prosecutorial responsibility
within the entity’s jurisdiction.
OMB NO: 1845-0002
Expiration Date: 12/31/2013
December 2010

FAFSA Completion Tracking Enrollment Form
Page 7

(9) Enforcement disclosure. In the event that information in this system of records indicates, either on its face or in
connection with other information, a violation or potential violation of any applicable statute, regulation, or order of a
competent authority, the Department may disclose the relevant records to the appropriate agency, whether foreign, Federal,
State, tribal, or local, charged with the responsibility of investigating or prosecuting that violation or charged with enforcing
or implementing the statute, Executive Order, rule, regulation, or order issued pursuant thereto.
(10) Employment, benefit, and contracting disclosure.
The Department may disclose records to a Federal, State, or local agency maintaining civil, criminal, or other relevant
enforcement or other pertinent records, or to another public authority or professional organization, if necessary to obtain
information relevant to a Departmental or receiving entity’s decision concerning the hiring or retention of an employee or
other personnel action, the issuance of a security clearance, the letting of a contract, or the issuance of a license, grant, or
other benefit.
(11) Employee grievance, complaint or conduct disclosure. The Department may disclose records to another agency of
the Federal Government if the record is relevant to one of the following proceedings regarding a present or former employee
of the Department: complaint, grievance, discipline or competence determination proceedings. The disclosure may only be
made during the course of the proceeding.
(12) Labor organization disclosure. The Department may disclose records to an arbitrator to resolve disputes under a
negotiated grievance procedure or to officials of labor organizations recognized under 5 U.S.C. chapter 71when relevant and
necessary to their duties of exclusive representation.
PRIMARY AND NON-PRIMARY DPA RESPONSIBILITIES:
The information provided to the Primary and Non-Primary DPA 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 Primary and Non-Primary DPA,
becomes his or her responsibility. Therefore, the Primary and Non-Primary DPA agree to protect the privacy of all
information that has been provided by the U.S. Department of Education. The Primary and Non-Primary DPA 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.
Without the information provided on the SAIG enrollment form, a Participating entity would be denied access to
electronically transmit reports and data via the Student Aid Internet Gateway and would be denied access to all websites
affiliated with their agreement as appropriate.
Primary Destination Point Administrator’s Name_________________________________________________________
(printed name)

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

Sign and send this form as instructed.
Go to Step Three

Office Use Only
Customer number________________________
OMB NO: 1845-0002
Expiration Date: 12/31/2013
December 2010

TG number_____________________________
FAFSA Completion Tracking Enrollment Form

Page 8

Step Three: Certification by the President/CEO/Superintendent, or Equivalent Person
Responsibilities of the President/CEO/Superintendent, or equivalent person.
As the President/CEO/Superintendent, equivalent person, you certify that:
ƒ

ƒ
ƒ

ƒ

The name of each individual who will have access to the U.S. Department of Education’s Federal Student Aid systems as
an Primary DPA of the FAFSA Completing Tracking program for your organization is included in this application (or is
already on file with Federal Student Aid).
The organization will immediately update Federal Student Aid systems when there is a change in the designated
authorized official or the Primary DPA.
The Primary DPA for your school, agency, or organization has read and understood the responsibilities set out in Step
Two (Responsibilities of Primary DPA s), has signed a copy and has kept a copy (of Step Two) for his or her own
records, and submitted a copy with their original signature to the U.S. Department of Education.
That you will ensure that all of the requirements for Primary DPA s, as provided in Step Two of this document, and for
Authorizing Officials and Primary DPA s, as provided in Steps Two and Three, are complied with.
Box 2

Authorized Official__________________________________ Title _____________________________________________
(printed name of Authorized Official)

(printed title)

Signature _______________________________________________ Date ________________________________________
(original signature must be submitted)

Name of School or Agency_____________________________________________________________________________

If you are an authorized representative, acting on behalf of another organization, you must read and sign
this certification.
Box 3

Authorized Official__________________________________ Title _____________________________________________
(printed name of Authorized Official)

(printed title)

Signature _______________________________________________ Date ________________________________________
(original signature must be submitted)

Name of Authorized Representative ___________________________________________________________________________

Department of Education Authorizing Signature:
Signature _____________________________________________________________

Sign and send this form as instructed.

Office Use Only
Customer number________________________
OMB NO: 1845-0002
Expiration Date: 12/31/2013
December 2010

TG number_____________________________
FAFSA Completion Tracking Enrollment Form

Page 9

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).
FAA Access to CPS Online. A Web tool that financial aid administrators use to enter application data, view student
information, and make corrections to students’ processed information. It is located at https://faaaccess.ed.gov. An
FSA User ID is required to access student information. The same Web site includes the FAFSA Completion
Tracking system.
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 Services (Pell, ACG, SMART and TEACH), FFELP Stafford loans, Federal
Direct Loans, FFELP and Direct PLUS loans, and the eCB Programs systems: 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.
NCES LEA ID. The seven digit code used by the U.S. Department of Education’s National Center for Education Statistics
(NCES) to uniquely identify a local educational agency (LEA). This field displays the 7 digit LEA identification
number. The first 2 digits of the 7 digit school district ID identify the state (state FIPS code) and the last 5 identify
the district ID. Put together, they make a 7 digit unique ID code for each LE.
NCES Public School ID. The 12 digit code used by the U.S. Department of Education’s National Center for Education
Statistics (NCES) to uniquely identify a public school. The first 7 digits of the 12 digit school ID are the NCES
LEA ID, and the last five are the school ID Put together, they make a 12 digit unique ID code for each school.
NCES Private School ID. The eight digit code used by the U.S. Department of Education’s National Center for Education
Statistics (NCES) to uniquely identify a private school.
Primary Destination Point Administrator (Primary DPA). An individual who has been appointed by the organization as
the responsible party for enrollment to participate in the FAFSA Completion Tracking program and to be
provided access to the FAFSA Completion Tracking system with a user ID and password. The Primary DPA is
responsible for 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.
Secondary school. School that is providing secondary level of instruction, which generally covers grades 9 through 12,
and any instruction of a comparable nature and difficulty provided for adults and youth beyond the age of
compulsory school attendance.
Social Security Number (SSN). 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.
State FIPS Code . The two digit Federal Information Processing Standards (FIPS) Code. This standard provides a set of
two-digit numeric codes for representing the 50 states, the District of Columbia and the outlying areas of the
United States. This code standard was superseded on September 2, 2008 by ANSI standard but is still commonly
OMB NO: 1845-0002
Expiration Date: 12/31/2013
December 2010

FAFSA Completion Tracking Enrollment Form
Page 10

referred to as the state FIPS code. For more information on FIPS codes go to: http://www.itl.nist.gov/fipspubs/cocodes/states.htm.
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.
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.

OMB NO: 1845-0002
Expiration Date: 12/31/2013
December 2010

FAFSA Completion Tracking Enrollment Form
Page 11

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 12/31/2013.
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

OMB NO: 1845-0002
Expiration Date: 12/31/2013
December 2010

FAFSA Completion Tracking Enrollment Form
Page 12