Form 1845-0030 2012-2013 Campus-Based Reallocation Form

WORKSHEET ONLY – DO NOT MAIL OR FAX

Do not send this worksheet to the U.S. Department of Education. Enter data in the reallocation module of the FISAP on the Web http://cbfisap.ed.gov.

OMB NO. 1845-0030

Paperwork 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. The time required to complete this information collection is estimated to average .20 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 estimates(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: Grants & Campus-Based Division, Federal Student Aid, Union Center Plaza, 830 First Street, NE, Washington, D.C. 20202.

Expires: xx/xx/xxxx

CAMPUS-BASED REALLOCATION FORM

SECTION - A: SCHOOL RELEASE OF 2012-2013 AWARD YEAR UNEXPENDED ALLOCATIONS FOR THE FEDERAL SUPPLEMENTAL EDUCATIONAL OPPORTUNITY GRANT, FEDERAL WORK-STUDY AND FEDERAL PERKINS LOAN PROGRAMS.

	Federal Supplemental Educational Opportunity Grant (FSEOG)	Federal Work - Study (FWS)	Federal Perkins Loan Federal Capital Contribution (FCC)
Unexpended 2012-2013 Allocation Amount	(1) $	(2) $	(3) $

SECTION - B: REQUEST FOR SUPPLEMENTAL FWS FUNDS FOR THE 2013-2014 AWARD YEAR.

(COMPLETE ONLY IF YOU WANT SUPPLEMENTAL FWS FUNDS)

(4) Did your school expend at least 5 percent of its total 2012-2013 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 ____ ____
(5) Amount of supplemental 2013-2014 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.

DUE BY August 16, 2013