Form 692 RSA Grant Re-allotment Form

Rehabilitation Services Administration Grant Re-allotment Form

1820-0692 Reallotment_Data_Entry_Form_692_2014

Grant Reallotment Form

OMB: 1820-0692

Document [docx]
Download: docx | pdf

Data Entry: Edit –

OMB# 1820-0692

Top of Form

Shape1 Shape2 Shape3 Shape4 Shape5 Shape6 Shape7 Shape8 Shape9 Shape10 Shape11

Shape12 Shape13 Shape14

Grant Reallotment Form

The Rehabilitation Act of 1973, as amended, authorizes the Commissioner of the Rehabilitation Services Administration (RSA) to reallot to other grant recipients that portion of a recipient’s annual grant that cannot be used. To maximize the use of appropriated funds under the formula grant programs, RSA has developed the Grant Reallotment Form. Each formula grant recipient is required to submit this form to RSA in order to determine whether the grantee is relinquishing grant funds, requesting additional grant funds, or seeking no change in the current award amount. If ample funds are not relinquished, RSA will exercise its discretion to cancel any scheduled reallotment for each program. RSA will notify grantees if a reallotment has been cancelled.


Grantee Name: (Entered Automatically, End-user Data Entry Not Required)

Address: (Entered Automatically, End-user Data Entry Not Required)

Due Date: 08/15/2014


Program

PR Award ID

Grant Award Total

Amount Relinquished

Amount Requested

Additional Amount Approved

Revised Grant Award Total

BASIC-VR

Entered Automatically

Entered Automatically

Shape15

Shape16

Entered by RSA Fiscal Staff

Calculated Automatically

SE

Entered Automatically

Entered Automatically

Shape17

Shape18

Entered by RSA Fiscal Staff

Calculated Automatically

IL

Entered Automatically

Entered Automatically

Shape19

Shape20

Entered by RSA Fiscal Staff

Calculated Automatically

OIB

Entered Automatically

Entered Automatically

Shape21

Shape22

Entered by RSA Fiscal Staff

Calculated Automatically

CAP

Entered Automatically

Entered Automatically

Shape23

Shape24

Entered by RSA Fiscal Staff

Calculated Automatically

PAIR

Entered Automatically

Entered Automatically

Shape25

Shape26

Entered by RSA Fiscal Staff

Calculated Automatically


Certification Section 110(b)(3) of the Rehabilitation Act makes it clear that funds reallotted to another state are considered to be an increase to that state’s allotment for the fiscal year for which funds were appropriated. Therefore, if requesting reallotment funds, I certify that the state is capable of providing sufficient match (21.3% for VR and 10% for IL-Part B and OIB) for the additional funds received by September 30th of the FFY in which the funds were appropriated.


Section 19(a) of the Rehabilitation Act authorizes formula grantees to carry over any funds appropriated, including original allotments and reallotments which are not obligated or expended by recipients by September 30th of the FFY in which the funds were appropriated. Funds carried over remain available for obligation and expenditure during the following fiscal year, provided the grantee has fully met, by September 30th of the FFY in which the funds were appropriated, any matching requirement of the funds to be carried over. I certify that the state can fulfill the matching requirement by September 30th of the FFY in which the funds were appropriated.


Shape27 Signed? Shape28 Yes

Signed On

Shape29

Signed By

Shape30

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. Public reporting burden for this collection of information is estimated to average 2 minutes 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 required to obtain or retain benefit (The Rehabilitation Act of 1973, as amended). Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW, Washington, DC 20210-4537 or email [email protected] and reference the OMB Control Number 1820-0692. Note: Please do not return the completed Reallotment form to this address. If you have any comments or concerns regarding the status of your individual submission of this form, write directly to: U.S. Department of Education, State Monitoring and Program Improvement Division, Fiscal Unit, 400 Maryland Avenue, S.W., PCP Room 5034, Washington, D.C. 20202-2800.




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAuthorised User
File Modified0000-00-00
File Created2021-01-28

© 2024 OMB.report | Privacy Policy