School Data Collection

Evaluation of the Pell Grant Experiments Under the Experimental Sites Initiative

PGE_RA_DataForm_070312

School Data Collection

OMB: 1850-0892

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OMB Package for Pell Grant Experiments Random Assignment Data Collection Form


Data Collection Form: PGE Student Random Assignment Data Collection Form


Instructions: Please provide the following data elements for all students at your institution who are qualified for and have agreed to participate in the Pell Grant Experiments Study. The data matrix below can be completed electronically and uploaded to the secure website upon completion (insert web submission instructions here).





List of Data Elements for Entry into Random Assignment Database

Data Element

Entry Field Instructions

Student’s First Name


Student’s Middle Name


Student’s Last Name


Social Security Number

(xxx-xx-xxxx)

Date of Birth

(yyyy, mm, dd)

Name of PGE Program

(Insert name)






















File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDCornwell
File Modified0000-00-00
File Created2021-01-24

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