School Lender GA, State and FAFSA Completion Enrollment Forms - Public Institutions

Student Aid Internet Gateway (SAIG) Enrollment Document

2014-2015_FAFSA_Completion_Enrollment_Form_122613

School Lender GA, State and FAFSA Completion Enrollment Forms - Public Institutions

OMB: 1845-0002

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

Enrollment to Participate in the Electronic Data Exchange with the U.S. Department of Education’s
Federal Student Aid Systems
In order to obtain completion status information on Free Application for Federal Student Aid (FAFSA) submissions for
students affiliated with your organization, the organization must enroll to participate in the U.S. Department of
Education’s Student Aid Internet Gateway (SAIG). The 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 Financial Aid Administrator Access to Central Processing System Online (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 FAA Access to CPS Online service.
In order to be eligible to access Federal Student Aid (FSA) 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, HEA student
financial aid programs.

About Enrollment
Application for enrollment in the SAIG to receive FAFSA completion data (and to be able to make changes to enrollment
information) can be completed online at https://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 Step One; sign the application in Steps Two and Three; 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: 1/31/2017
Effective Date: January 2014

FAFSA Completion Tracking Enrollment Form
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Available Services
Local educational agencies (LEAs), public secondary schools, private secondary schools, State Agencies and other
organizations that are approved by ED can obtain FAFSA Completion information 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 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. (See Step One below for additional
information).



Primary DPA information: name, address, Social Security number (SSN), date of birth, mother’s maiden name, and
business e-mail 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://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 your organization’s Primary DPA, you can 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://fsawebenroll.ed.gov.

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

This enrollment form can be used to enroll a new participant 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 Box A for “Initial application” if you are a first-time participant in the FAFSA Completion Tracking
program.
B. Check Box B for “Changing/adding information to the 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 the organization. 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.

Check the appropriate box to indicate the type of organization (local educational agency (LEA), public secondary
school, private secondary school, state agency, or other ED approved entity) and the organization’s code.

4.

Provide the name, address, phone, business e-mail address, Social Security number (SSN), date of birth, and
mother’s maiden name of the Primary DPA for your organization. The fax number is optional.

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 must read and sign Box 1, the Responsibilities of the Primary Destination Point Administrator (Primary
DPA) statement.
The signature form with the Primary DPA’s original signature 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 read and sign
Box 2, the Certification by the President/CEO/Superintendent, or Equivalent Person 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 Step Three must be completed.
Your completed enrollment form must include original signatures, stamped or photocopied signatures are not acceptable.
The completed enrollment form must be 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.
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: 1/31/2017
Effective Date: January 2014

FAFSA Completion Tracking Enrollment Form
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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? Check the appropriate box below.
A.  Initial application
B.

 Changing/adding information to the 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)

________________

 Other ED approved entity

ED provided code

________________

________________

4. Complete the following information about the Primary DPA at your organization. The Primary DPA will be
assigned an FSA 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________________________
TG Number_____________________________
OMB NO: 1845-0002
Expiration Date: 1/31/2017
Effective Date: January 2014

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FAFSA Completion Tracking Enrollment Form

Step Two: Responsibilities of the Primary Destination Point Administrator (Primary
DPA)
The Primary DPA must read, sign, and submit this statement (with an original signature) and must keep a copy for the
organization’s records.
1.

2.

Responsibilities of the Primary DPA:


Must be able to document that an established relationship between the Primary DPA’s employer and the student exists
(e.g., the LEA has attendance records for the student about whom the LEA is requesting FAFSA Completion data and
therefore the student is affiliated with the participating organization) before requesting and accessing information about
that student from Federal Student Aid systems.



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



Must ensure that all Federal Student Aid applicant information is protected from access by or disclosure to unauthorized
personnel. In the event of an unauthorized disclosure or breach of applicant information or other sensitive information
(such as personally identifiable information), the DPA must within 1 hour of becoming aware of the breach notify
Federal Student Aid at [email protected].



To the extent that the provisions of the Family Educational Rights and Privacy Act (FERPA) and its implementing
regulations (20 U.S.C. 1232g and 34 CFR Part 99) are applicable, must ensure compliance with the provisions of
FERPA and implementing regulations including ensuring that any personally identifiable information that is obtained
without parental consent from a student’s education record under FERPA (such as student’s name, address, and date of
birth) has been appropriately and publicly been designated as “directory information” under FERPA and that the student
or his or her parents have not opted out of the disclosure of such directory information before any “directory
information” is disclosed, without consent, to Federal Student Aid or any third party.



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.”)



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



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



Must inform Federal Student Aid at [email protected] and the organization’s Certifying Official when access to a
Federal Student Aid system is no longer required (i.e. the Primary DPA is leaving his or her position or job
responsibilities have changed) and when corrections or changes are required.

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 (November 23, 1943), as amended by Executive Order 13478 (November 18, 2008) authorize the
collection of Social Security numbers of users of this system. The use of one’s Social Security number is voluntary in order
to identify individuals for Federal purposes, but you will not be provided access to or use of the system if you do not provide
your Social Security number.

OMB NO: 1845-0002
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PURPOSE(S):
The information in this system entitled “Student Aid Internet Gateway (SAIG), Participation Management System” (18-1110) 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) managing the assignment of
individual electronic SAIG mailbox numbers, known as ‘‘TG numbers’’; and (4) authenticating users of the Central
Processing System (CPS) Online, electronic Campus Based (eCB) System, National Student Loan Data System (NSLDS)
Online, Common Origination and Disbursement (COD) System, Financial Management System (FMS), Debt Management
and Collections System (DMCS), Federal Loan Servicers, and Access and Identity Management System (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 April 19, 2010 (75 Fed. Reg. 20346-20350)
http://edocket.access.gpo.gov/2010/2010-8959.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 system of records notice;
(c) eCB System;
(d) NSLDS;
(e) FMS;
(f) DMCS, under the Common Services for Borrowers (CSB) system of records notice;
(g) Federal Loan Servicers (TIVAS or NFP); and
(h) AIMS.
(2) Freedom of Information Act (FOIA) Advice or Privacy Act Disclosure. The Department may disclose records to the
Department of Justice (DOJ) and the Office of Management and Budget (OMB) if the Department seeks advice regarding
whether records maintained in the system of records are required to be released under the FOIA or 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.

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(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.
(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 71 when relevant and
necessary to their duties of exclusive representation.
(13) Disclosure in the Course of Responding to a Breach of Data. The Department may disclose records to appropriate
agencies, entities, and persons when (a) the Department suspects or has confirmed that the security or confidentiality of
information in this system has been compromised; (b) the Department has determined that as a result of the suspected or
confirmed compromise, there is a risk of harm to economic or property interests, identity theft or fraud or harm to the
security or integrity of the system or other systems or programs (whether maintained by the Department or another agency or
entity) that rely upon the compromised information; and (c) the disclosure made to such agencies, entities, or other persons is
reasonably necessary to assist in connection with the Department’s efforts to respond to the suspected or confirmed
compromise and prevent, minimize, or remedy such harm.
PRIMARY DPA RESPONSIBILITIES:
The information provided to the 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 DPA, becomes his or her responsibility.
Therefore, the Primary DPA agrees to protect the privacy of all information that has been provided by the U.S. Department of
Education. The Primary DPA 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 (5 U.S.C. 552a(i)(3)).
Without the information provided on the SAIG enrollment form, a participating entity would be denied access to
electronically transmit reports and data via the SAIG and would be denied access to all Web sites affiliated with their
agreement as appropriate.
Box 1

Primary Destination Point Administrator’s Name_________________________________________________________
(Printed name)

Signature_____________________________________________________Date_________________________________
(Must match name in Step One, Item 4 - original signature must be submitted)

Sign and send this form as instructed.
Go to Step Three
Office Use Only
Customer Number______________________
TG Number___________________________
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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, or equivalent executive with legal authority for the school, agency, or other
organization, I certify that:









The name of the individual who will have access to the U.S. Department of Education’s Federal Student Aid systems as
the Primary DPA of the FAFSA Completion Tracking program for my school, agency, or organization is included in this
application (or is already on file with Federal Student Aid).
My school, agency, or 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 my school, agency, or organization has read and understood the responsibilities set out in Step
Two (Responsibilities of the Primary DPA), has signed a copy and has kept a copy (of Step Two) for his or her own
records, my organization has kept a signed copy of Step Two and submitted a copy of Step Two with an original
signature to the U.S. Department of Education.
My school, agency, or organization has provided security due diligence and verifies that administrative, operational, and
technical security controls are in place and are operating as intended. Additionally, my school, agency, or organization
verifies that it performs appropriate due diligence to ensure that, at a minimum, any employee who has access to Federal
Student Aid (FSA) ISIR data meets applicable state security requirements for personnel handling sensitive personally
identifiable information.
I will ensure that all of the requirements for the Primary DPA, as provided in Step Two of this document, and for
Authorizing Officials, as provided in Step 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
below 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 ___________________________________________________________________________

Sign and send this form as instructed.
U.S. Department of Education:
Received on behalf of the U.S. Department of Education: _________________
Date

Office Use Only
Customer Number________________________
TG Number_____________________________

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Attachment A: Glossary
Central Processing System (CPS). The CPS manages the application and eligibility determination portion of the federal
student aid process. It gathers information from applicants via the Free Application for Federal Student Aid
(FAFSA), applies computerized edits and calculations to determine the student’s eligibility, and communicates
the results to the students, schools, state agencies, third-party servicers, and other federal computer systems.
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 and password are required to access student information. The same Web site includes the FAFSA
Completion Tracking system.
FAFSA Completion Tracking Program. A Web tool that enables an organization to request and receive, in a secure
environment, FAFSA completion information for an individual high school student or a specified group of high
school students. This information can be used by participating secondary schools, local educational agencies, state
agencies, and other ED approved entities to facilitate counseling to students on FAFSA completion, assist in
finding financial aid funding for college, and encourage college acceptance and enrollment.
Federal Student Aid (FSA). The 1998 Reauthorization of the Higher Education Act (HEA) established a performancebased organization to administer the Federal Student Aid programs at the U.S. Department of Education. These
programs include the Federal Pell Grant program, the Iraq and Afghanistan Service Grant program, the TEACH
Grant program, the Federal Supplemental Educational Opportunity Grant program, the Federal Direct Loan
program, the Direct PLUS Loan program, the Federal Work-Study program, and the Federal Perkins Loan
program.
Free Application for Federal Student Aid (FAFSA). The application that the student must file to apply for aid from any
Title IV, HEA program, including Direct Loan, the Federal Pell Grant program, the Federal Supplemental
Educational Opportunity Grant program, the Federal Work-Study program, the Iraq and Afghanistan Service
Grant program, the Perkins Loan program, and the TEACH Grant program. Students can apply online by using
FAFSA on the Web (http://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 is 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 digits identify the district ID. In combination, they make a 7-digit unique ID code for each LEA.
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 digits are the school ID. In combination, they make a 12-digit unique ID code for each
public secondary 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 secondary school.
Primary Destination Point Administrator (Primary DPA). An individual who has been designated by the chief operating
officer (or the equivalent) of 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 and to ensure the
data provided by these systems is protected according to the Privacy Act of 1974, as amended, as well as to
ensure that the Primary DPA does not inappropriately access records that are not associated with their
organization.

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Secondary school. A 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 primary
school attendance.
Social Security number (SSN). A number assigned to an individual by the Social Security Administration and used as the
identifying number for many Federal purposes, including identifying a Primary DPA, Title IV, HEA student
financial aid program administrators and applicants participating in the Title IV, HEA programs.
State FIPS Code. The 2-digit Federal Information Processing Standards (FIPS) Code. This standard provides a set of 2digit numeric codes for representing the 50 states, the District of Columbia and the outlying areas of the United
States. This standard was superseded on September 2, 2008 by ANSI standard but is still commonly 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 (institutions, agencies, lenders,
approved entities, etc.) across the United States, its territories, and certain ED-designated foreign countries to the
Department of Education’s Title IV, HEA student financial aid programs and delivery system.
U.S. Department of Education (ED, Department). The Federal agency responsible for the administration of Federal Title
IV, HEA education programs including the Federal student financial aid programs.

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Attachment B: 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. Public reporting burden for this collection of information 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 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 a benefit. 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 1845-0002.

OMB NO: 1845-0002
Expiration Date: 1/31/2017
Effective Date: January 2014

FAFSA Completion Tracking Enrollment Form
Page 12


File Typeapplication/pdf
File TitleMicrosoft Word - PM_2014-2015_FAFSA_Completion_Enrollment_Form_121813.docx
Authorragesu
File Modified2013-12-24
File Created2013-12-19

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