School, Lender, GA, and State Enrollment Forms - Private Sector

U.S. Department of Education’s
Student Aid Internet Gateway
Application For
State Grant Agencies

Student Aid Internet Gateway Application for State Grant Agencies
Introduction
The Student Aid Internet Gateway (SAIG) was established to allow authorized entities, including State Grant Agencies
(the Agency) to exchange data electronically with the U.S. Department of Education (ED, Department). In order to
participate in the SAIG, each Agency must enroll for SAIG access. The SAIG Application for State Grant Agencies is
comprised of two parts, an SAIG Enrollment Application and the SAIG Participation Agreement for State Grant
Agencies.
1. Part One – SAIG Enrollment Application for State Grant Agencies (pages 8 – 15), which is comprised of
five sections: Section One – Information about the State Grant Agencies – Instructions, including a description
of whether the form is being used for an initial application, adding a new Primary Destination Point
Administrator (Primary DPA) or Non-Primary Destination Point Administrator (Non-Primary DPA), or
changing information about the Primary DPA or Non-Primary DPA; Section Two – Tell us about the services for
which the Primary DPA wants to enroll for the DPA in Section One – this is where the DPA identified in Section
One is enrolling in SAIG services; Section Three – Responsibilities of the Primary and Non-Primary Destination
Point Administrator; Section Four – Certification of the President/CEO or Designee; and Section Five – Federal
Student Aid User of Electronic Services Statement.
2. Part Two – SAIG Participation Agreement for State Grant Agencies (pages 16 – 22), is the legally binding
agreement between the Department and the Agency. The SAIG Participation Agreement establishes the
conditions under which the Department will provide the Agency with certain data received or generated by the
Department concerning applicants for the Title IV, HEA student financial aid programs (Free Application for
Federal Student Aid [FAFSA®] Applicants). In addition, the SAIG Participation Agreement provides the
authority for the agreement, as well as authorized uses and disclosures of data, data security, and reporting of
unauthorized disclosures.

Information about the Enrollment Process to Participate in the U.S. Department of Education’s SAIG
The enrollment process will enable the Agency to select services to receive, and/or view, student financial aid data
either online or by batch processing using ED provided software – EDconnect (PC-based software) or TDClient
(client software for multiple environments).
Each Agency must designate one individual as its Primary Destination Point Administrator (Primary DPA). Each
Agency is also provided with a Primary Destination Point (an SAIG mailbox, which is identified by a TG Number).
The Primary DPA is the only person within the Agency who may enroll other agency staff as Non-Primary DPAs
with Destination Points assigned for specific SAIG services. Upon completing the enrollment process, the Primary
DPA can add or remove users, edit information about the Agency, or change the Agency’s enrollment in various
SAIG services.
To maintain access to Federal Student Aid (FSA) systems, the Primary DPA must validate the individuals enrolled
for a SAIG Mailbox and Electronic Services for the Agency on a schedule determined by ED. If validation is not
completed via the SAIG Enrollment Web site within the prescribed timeframe, all services assigned to the Agency
and the Agency’s individuals could be deactivated.
Notes about the SAIG Application –
The first usage of a term in this document is italicized and can be found in the glossary located in
Attachment A. The glossary will assist in understanding the many technical terms and acronyms commonly
used in the Title IV, HEA student financial aid programs and in connection with the SAIG system.

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

State Grant Agency Form

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Available Services for State Grant Agencies
The services that a State Grant Agency can access over the SAIG are:


Automatic ISIR processing: A State Grant Agency can receive processed FAFSA applicant data in the form of
an Institutional Student Information Record (ISIR) from the Department’s Central Processing System (CPS). An
Agency may receive data for Residents (Title IV applicants who indicate on their FAFSA, as their state of legal
residence, the state where the Agency is located) and/or Non-Residents (Title IV applicants who included on
their FAFSA a post-secondary institution that is in the state where the Agency is located but not the applicant’s
state of legal residence). With this service, ISIRs are automatically transmitted to the State Grant Agency when
students submit FAFSA applications and corrections to ED. The ISIR contains information submitted by the
student, as well as CPS processing results. The DPA is automatically enrolled for Financial Aid Administrator
(FAA) Access to CPS Online and EDconnect as part of enrolling for ISIR processing. Only one person at the
Agency can be enrolled in the Automatic ISIR Processing.



National Student Loan Data Systems (NSLDS) Online: View Only: The Agency may request that a DPA have
online access to NSLDS to view Title IV, HEA loan, grant, and enrollment history.

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

State Grant Agency Form

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Agency Personnel Involved in the SAIG Enrollment Application Process
There are four categories of users at the Agency who may obtain data from the Department’s systems and who must
complete parts of the SAIG Application:


President/CEO or Designee: The President/CEO is the individual responsible for identifying a Primary DPA for
the Agency, and who is legally authorized to execute the SAIG Participation Agreement in Part Two on behalf of
the Agency. This person is also responsible for signing the Enrollment Application in Section Four –
Certification of the President/CEO or Designee on behalf of the State Grant Agency and to authorize the
enrollment for the Primary DPA or Non-Primary DPA. The President/CEO may also assign a Designee in
Section Four to act as the Authorizing Official on behalf of the President/CEO for future enrollments; however,
only the President/CEO is authorized to sign the SAIG Participation Agreement in Part Two.



Primary DPA: The Primary DPA is the individual at the Agency who is responsible for the administration of
the Agency’s SAIG participation which includes assigning access to the Agency’s mailboxes and services and
determining the Agency’s Electronic Services Users. The Primary DPA is the only individual within the Agency
who may enroll Agency staff as Non-Primary DPAs. The Primary DPA is required to complete and submit
Sections One through Three of the SAIG Enrollment Application to the Coralville, Iowa address provided.
When enrolling Non-Primary DPAs, a portion of Section Three of the Enrollment Application must be
completed by the Primary DPA indicating that the Primary DPA has reviewed the responsibilities of DPAs with
the Non-Primary DPA, including the responsibility to protect the privacy of the information obtained or provided
via SAIG. The Primary DPA is also responsible for obtaining the signature of the President/CEO or Designee in
Section Four for every enrollment of a Primary or Non-Primary DPA.



Non-Primary DPA: When a Primary DPA enrolls a Non-Primary DPA in the SAIG, ED will assign the NonPrimary DPA a SAIG Mailbox with a unique TG number. The Non-Primary DPA, in collaboration with the
Primary DPA, is required to complete and submit Sections One through Three of the Enrollment Application.



Electronic Services Users: Electronic Services Users are enrolled for FAA Access to CPS Online or EDconnect
by the Primary DPA. These Electronic Services Users are associated with the Primary Destination Point and do
not require individually assigned mailboxes to access FAA Access or EDconnect. To protect the integrity and
security of the data being transmitted, all Electronic Services Users must complete and submit Section Five –
Federal Student Aid User of Electronic Services Statement to their Primary DPA. Section Five must also be
signed by and maintained by the Primary DPA at the Agency. Section Five User Statements must be available for
inspection by the Department.

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

State Grant Agency Form

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Part One: SAIG Enrollment Application for State Grant Agencies – Instructions
Completing the SAIG Enrollment Application
General Reminder:
The SAIG Enrollment Application may be completed online at fsawebenroll.ed.gov. As an alternative, the enrollment
application can be printed on paper, completed, and submitted to the address on page 7 of these instructions. Note:
The Department will not accept photocopied signatures or stamped signatures. Applications submitted after
the Office of Management and Budget (OMB) Expiration Date noted on the bottom of each page will not be
accepted.

Help and Questions on Completing and Submitting the Enrollment Application
If you have any questions about completing the SAIG Enrollment 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. Central Time, 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.

Section One (General Information) – must be completed by the Primary DPA for all DPAs
Section One collects information about the type of enrollment, as well as information about the Agency and the DPA
you want to enroll or for whom you are changing or adding information.
Item 1.

This SAIG Enrollment Application can be used for multiple purposes. As the Primary DPA, you may use
the application to enroll new participants in the SAIG and you can use the application to change or add
information about an existing DPA or Destination Point.

A.

Check Box A for “Initial application” if the Agency is a first-time SAIG participant and the Agency does
not have a Destination Point. The President/CEO of the Agency will be designating the individual who will
serve as the Agency’s Primary DPA. This enrollment will establish this user as the Primary DPA of the
Primary Destination Point for the Agency. Note: If item 1A is selected, then enrollees must also complete
items 2 and 4.

B.

Check Box B for “Adding a new user for an additional Destination Point” if the Agency is currently
enrolled in the SAIG and you want to add a Non-Primary DPA and an additional Destination Point.
Fill in the Primary TG Number for the Destination Point. Note: If item 1B is selected, then enrollees must
also complete items 2 and 4.

C.

Check Box C for “Changing information for an existing Destination Point” if the Agency is currently
enrolled in the SAIG and you want to change or add any information about an existing user or Destination
Point. Fill in the TG Number for the Destination Point. Also, complete the information that has changed
for any items in Sections One and Two; and complete Sections Three and Four. Note: If item 1C is
selected, then enrollees must also complete items 2 and 4.
If you are uncertain of which box to check, 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.

Item 2.

Provide the name of the Agency, as you would like it to appear on all SAIG correspondence.
(The limit is 40 characters, including letters and spaces.)

Item 3.

This item is pre-filled with “State Grant Agency.”

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

State Grant Agency Form

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Item 4.

Check whether the information being provided is for the Primary DPA (only one Primary DPA per Agency)
or for a Non-Primary DPA (the Agency may have more than one Non-Primary DPA enroll for NSLDS
Online service). A separate application must be used for each Non-Primary DPA enrolling for NSLDS
Online service. All information must be provided for the DPA enrolling for the Agency identified in Item
2. Note: Do not use a group e-mail address.

Section Two (Selection of Services) – must be completed by the Primary DPA when adding or
changing services
Section Two allows you to add or change services for the Agency and the Primary DPA or Non-Primary DPA
identified in Section One.
Item 5.

If the Agency would like the DPA identified in Item 4 to have access to receive ISIRs check the “Yes,”
box and answer the remaining questions for this section. If not check the “No” box and skip to Item 6.

A.

Check either or both boxes for the appropriate Automatic ISIR Processing.

B.

Check either or both boxes for the award years this DPA should receive the applicant data. If the 20162017 Award Year is selected then the Agency will only receive 2016-2017 ISIRs. If the 2017-2018 Award
Year is selected the Agency’s enrollment will be rolled over automatically to include subsequent award
years.

C.

Choose the preferred delivery option, Daily or By Request. Daily is the default ISIR delivery method. If
“By Request” is checked, the DPA must use FAA Access to CPS Online to request and receive ISIRs. The
ISIRs are then sent to the DPA’s SAIG Mailbox through the SAIG.

Item 6.

If you would like NSLDS Online access to view Title IV, HEA loan, grant, and enrollment history, check
the “Yes” box, check the “NSLDS Online-View Only” box, specify the state that the Agency is located, and
select all applicable job functions.

Section Three (Primary DPA & Non-Primary DPA Responsibilities) – must be completed by all
Primary and Non-Primary DPAs
Section Three collects the required agreements and signature pages from the Primary DPA or the Non-Primary DPA
identified in Section One.
Each Primary and Non-Primary DPA must read and sign the “Responsibilities of the Primary and Non-Primary
Destination Point Administrators” statement.

Section Four – must be completed by the Agency President/CEO or Designee
Section Four collects the required authorization from the Agency to process the enrollment information for the Primary
DPA or Non-Primary DPA identified in Section One.
If the President/CEO wishes to designate another person to be the responsible authorizing official (the Designee), then
Section Four, Box 1 must be completed. This designation needs to be completed only once.
For each Destination Point, the President/CEO or Designee must sign the Certification of the President/CEO or
Designee on behalf of the State Grant Agency in Section Four, Box 2.

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

State Grant Agency Form

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Submitting Enrollment Application and Signature Pages
Send your completed SAIG State Grant Agency enrollment application and original, signed signature pages to:

CPS/SAIG Technical Support
2450 Oakdale Blvd.
Coralville, Iowa 52241
Before mailing signature pages, confirm the following:
 The President/CEO or Designee name and signature match the information on file with the Department.
 Signature pages for both Section Three: Responsibilities of the Primary and Non-Primary Destination Point
Administrators and Section Four: Certification of the President/CEO or Designee are enclosed.
 All signatures are original. Signatures are not photocopied or stamped.
Once the Department receives all necessary signature documents, the Department will process the enrollment.

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

State Grant Agency Form

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SAIG Enrollment Application for State Grant Agencies

Part One: SAIG Enrollment Application for State Grant Agencies
Section One: Provide the following information
1.

Is this an initial application or are you adding a new DPA or changing information on a Destination Point?
Check the applicable box below.
A.  Initial application
B.  Adding a new user for an additional Destination Point under Primary TG_______________
C.  Changing information for an existing Destination Point with TG_______________
(Read instructions on page 5 carefully.)

2.

What is the name of your Agency?_______________________________________________________
(maximum 40 characters)

3.

Confirm your type of organization.


4.

State Grant Agency

Complete the following information for the Primary or Non-Primary Destination Point Administrator (DPA) you wish to
designate at the Agency for this enrollment. The DPA will be assigned a Destination Point with an identification number
(TG number).
Check one:





Primary DPA

First Name

Non-Primary DPA
Last Name

Business address
Business address
City
Area code/phone (

State
)

Zip

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 Section Two

Office Use Only
Customer Number_______________________
TG Number____________________________

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

State Grant Agency Form

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SAIG Enrollment Application for State Grant Agencies

Section Two: Tell us about the services for which the Primary DPA wants to enroll for
the DPA in Section One
5.

Do you want this DPA to have access to ISIR services?

 Yes
A.

B.



If yes, select the appropriate service(s):



Automatic ISIR Processing: Residents



Automatic ISIR Processing: Non-Residents

For which award years? (Check one or both.)

 2016-2017 only
C.

6.

No, Go to Item 6



2017-2018 and all subsequent years

Choose delivery option:
2016-2017



Daily



By Request

2017-2018



Daily



By Request

Do you want this DPA to have access to NSLDS Online? (Note: Paper enrollment for this service is not available.
You must enroll online at fsawebenroll.ed.gov.)

 Yes



No, Go to Item 6

IMPORTANT: Only the DPA is permitted to use his or her Destination Point for online access to NSLDS.
Permission to use this Destination Point for online NSLDS access CANNOT be granted to anyone else.



NSLDS Online-View Only

Specify State
Indicate your job functions (check all that apply):









100% of job responsibilities related to State Scholarship and Grant Agency functions
Less than 100% of job responsibilities related to State Scholarship and Grant Agency functions
Default/Overpayment Status
Enrollment
Loan Forgiveness
Other_
Comments_

Go to Section Three
Office Use Only
Customer Number_______________________
TG Number____________________________

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

State Grant Agency Form

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SAIG Enrollment Application for State Grant Agencies

Section Three: Responsibilities of the Primary and Non-Primary Destination Point
Administrators
Each Destination Point Administrator (DPA) must read, sign, and submit this statement (with original signatures, stamped
signatures will not be accepted) and must keep a copy for the Agency’s records.

1. Responsibilities of the Primary DPA and the Non-Primary DPA:


Must ensure that SAIG computing resources are used only for official government business.



Must ensure that the FAFSA® applicant is a resident of the state where the Agency is located or has included on the
FAFSA a postsecondary institution that is located in the state where the Agency is located.



Only the DPA listed in Section One, Item 4, page 8 is permitted to sign up and use the National Student Loan Data
System (NSLDS) as indicated in Item 6, page 9.



Must use software provided by the Department to monitor SAIG mailbox activity. This software will keep track of who
is using the SAIG Mailbox, what information is being accessed, the date and time of access, and the batch number (if
applicable).



By applying for access to Federal Student Aid systems, must consent to monitoring, recording, and auditing; and
acknowledge that information obtained under this consent may be disclosed by the Department to an appropriate thirdparty (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 an actual or suspected breach of applicant information or other
sensitive information (such as personally identifiable information), the DPA must notify Federal Student Aid within 1
hour of becoming aware of the breach at [email protected].



Must ensure that password sharing, the sharing of system access, and the use of any tools that allow access to the SAIG
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
DPA is authorized.



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



The Non-Primary DPA must inform the Agency’s Primary DPA 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).



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 must 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 (5 U.S.C. 552a(i)(3)).

2. Additional Requirements of the Primary DPA:


Must ensure that all users are aware of and comply with all of the requirements to protect and secure data from
Departmental sources using SAIG.



Must maintain copies of all SAIG enrollment documents submitted to the Department, including the signed
“Responsibilities of the Primary and Non-Primary Destination Point Administrators” application for all DPA’s and the
certification signed by the Agency’s President/CEO or Designee.



Must maintain a signed Federal Student Aid User of Electronic Services Statement (see Section Five) for anyone who is
enrolled in Electronic Services (FAA Access to CPS Online or EDconnect).



At least on an annual basis, must validate all DPA and user access rights for the Agency.



At least on an annual basis, must monitor the Agency’s NSLDS user access by creating reports using the NSLDS Web
site

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

State Grant Agency Form

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SAIG Enrollment Application for State Grant Agencies
Section Three:


Responsibilities of the Primary and Non-Primary Destination Point Administrators
(Continued)

Must ensure that the Agency has a process to inform the Primary DPA of any changes in a user’s need for access to FSA
systems because of changes to job responsibilities or termination of employment. The Primary DPA must immediately
deactivate or delete user access rights for Agency employees who no longer require access.

3. Agreements
The Primary DPA and/or the Non-Primary DPA agree(s) and understand(s) 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 Code (including 18 U.S.C. 1001). The Primary DPA and/or the
Non-Primary DPA also agree(s) to comply with all provisions of Section 483 of the Higher Education Act of 1965, as
amended.

4. Privacy Act Statement
We use the information that you provide on this application to enroll your Agency and its 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 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.
PURPOSE(S):
The information in this system entitled “Student Aid Internet Gateway (SAIG), Participation Management System”
(18-11-10) 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) authorizing users of the CPS, electronic
Campus Based (eCB) System, NSLDS, Common Origination and Disbursement (COD) System, Financial Management
System (FMS), and the 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 FR 20346-20350)
(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 systems 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)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)

COD System;
CPS;
eCB System;
NSLDS;
FMS;
DMCS, under Common Services for Borrowers (CSB) system of records notice;
Federal Loan Servicers (TIVAS and NFP);
DCAS; and
AIMS.

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

State Grant Agency Form

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SAIG Enrollment Application for State Grant Agencies
Section Three:

Responsibilities of the Primary and Non-Primary Destination Point Administrators
(Continued)

(2) Freedom of Information Act (FOIA) or Privacy Act Advice 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 information 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.
(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.

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

State Grant Agency Form

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SAIG Enrollment Application for State Grant Agencies
Section Three:

Responsibilities of the Primary and Non-Primary Destination Point Administrators
(Continued)

(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.
By signing below, I certify that I have read these responsibilities, understand them, agree to fulfill the responsibilities, and
will protect all data obtained through or provided to U.S. Department of Education systems.
Destination Point Administrator’s Name
(Printed name)

Signature

Date
(Must match name in Question 4 – original signature must be submitted. Stamped signature will not be accepted.)

Primary Destination Point Administrator’s Name
(Printed name)

Signature
(Original signature must be submitted. Stamped signature will not be accepted.)

Sign and send this application as instructed
in “Submitting Enrollment Application and Signature Pages.”

Go to Section Four

Office Use Only
Customer Number_______________________
TG Number____________________________

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

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SAIG Enrollment Application for State Grant Agencies
Section Four: Certification of the President/CEO or Designee
Designation of Authorizing Official
Important Note: If you as the President or CEO wish to designate someone other than yourself to sign SAIG Enrollment
Applications, you may do so by completing the designation statement below and signing Box 1. Have your designee complete and
sign Box 2.
I hereby designate________________________________ with the title _____________________________, to be my responsible
(Name of Individual)

authorizing official for all future Federal Student Aid System Enrollment Applications. All related responsibilities of the
President/CEO shall be carried out by this designee. As President/CEO, I agree to assume the responsibility for such actions
associated with this and future enrollment agreements. This designation is effective as of the date signed below.
Box 1
President/CEO___________________________________________Title_________________________________________
(Printed title – Required)

(Printed name of President/CEO)

Signature_______________________________________________ Date_________________________________________
(Original signature must be submitted. Stamped signature will not be accepted.)

Responsibilities of the President/CEO or Designee
As the President/CEO or Designee I certify that:








I or my designee will notify CPS/SAIG Technical Support within one business day, by e-mail at [email protected] or call
1-800-330-5947 when any person no longer serves as a designated authorizing official, Primary DPA or Non-Primary DPA.
I will not permit unauthorized use or sharing of SAIG passwords or codes that have been issued to anyone at my Agency.
Each person who is a SAIG DPA for my agency has read and signed a copy of this application at “Section Three:
Responsibilities of the Primary and Non-Primary DPA.”
Each person who is a SAIG DPA for my agency has made a copy of the signed Section Three document for his or her own
files and a copy is maintained at my Agency.
My Agency has provided security due diligence and verifies that administrative, operational, and technical security controls
are in place and are operating as intended. Additionally, my Agency verifies that it performs appropriate due diligence to
ensure that, at a minimum, any employee who has access to FSA ISIR data meets applicable state security requirements for
personnel handling sensitive personally identifiable information.
I have signed this certification below and sent the original to the Department. I have retained a copy of this certification at
the Agency. My signature below affirms that I have read these responsibilities and agree to abide by them.

Box 2
State Scholarship and Grant Agency President/CEO or Designee
_______________________________________________________Title_________________________________________
(Printed title – Required)

(Printed name)

Signature_______________________________________________ Date_________________________________________
(Original signature must be submitted. Stamped signature will not be accepted.)

Name of Agency______________________________________________________________________________________

Sign and send this application as instructed
in “Submitting Enrollment Application and Signature Pages.”
U.S. Department of Education:
Received on behalf of the U.S. Department of Education:________________
Date

Office Use Only
Customer Number_______________________
TG Number____________________________
OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

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SAIG Enrollment Application for State Grant Agencies

Section Five: Federal Student Aid User of Electronic Services Statement
Any individual who is not a Destination Point Administrator and who accesses Federal Student Aid systems and/or uses resources
that access Federal Student Aid systems, whether by batch or online, must read and sign this statement. The original Federal
Student Aid User of Electronic Services Statement must be maintained by the Agency. The user should keep a copy of the signed
statement for his or her records.
The user understands that intentional submission of false or misleading information to the U.S. Department of Education is subject
to a fine 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 user also agrees to comply with all provisions of section 483 of the Higher Education Act of 1965, as
amended.
The user understands that the information provided 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 user, becomes his or her responsibility. Therefore, the user
agrees to protect the privacy of all information provided to him or her by the U.S. Department of Education. The user 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)).

Responsibilities of the Electronic Services User
Appropriate uses of Federal Student Aid systems by an Electronic Services User:
 Must use Electronic Services computing resources only for official government business.




Must ensure that the FAFSA® applicant is a resident of the state where the Agency is located or has included on the FAFSA a
postsecondary institution that is located in the state where the Agency is located, before accessing Federal Student Aid
systems to obtain privacy protected information about the student.
Must know the name of the Primary DPA and how to contact that individual.




Must protect all Federal Student Aid systems from access by or disclosure to unauthorized personnel.
Must report immediately to the Primary DPA any security incidents, potential threats, or vulnerabilities that involve Electronic
Services.



Must report to the Primary DPA any compromise, suspected compromises, or incidents of sharing of a password or any other
authenticator.



Must access only those systems, networks, data, control information, and software for which he or she is authorized.



Must ensure that all Electronic Services information is marked according to its sensitivity and is properly controlled and
stored.



Must inform the Agency’s Primary DPA that the Electronic Services User no longer needs access to a Federal Student Aid
system (i.e., the individual is leaving his or her position or his or her job responsibilities have changed).



Must not add code that might be harmful to the SAIG or Electronic Services.

My signature below affirms that I have read this Statement and agree to abide by these rules.
TG#
Electronic Services User’s Name
(Print)

Electronic Services User’s Job Title
Phone # (

SSN

)

Electronic Services User’s Signature

Date

Primary DPA Signature

Date

(This statement with an original signature [not a stamped signature] must be maintained by the Primary DPA.)

Do Not Submit This User Statement to the Department of Education.
The Original Must Be Retained By The Agency.
OMB NO: 1845-0002
Expiration Date: 2/28/2017
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SAIG Enrollment Application for State Grant Agencies

Part Two: SAIG Participation Agreement for State Grant Agencies
Instructions for Signing the SAIG Participation Agreement
In order to participate in the SAIG to access data electronically that resides in the U.S. Department of Education’s data
systems (including receiving data on Institutional Student Information Records [ISIRs]), the President/CEO of the
State Grant Agency must complete and sign this SAIG Participation Agreement (Agreement).

Terms of the Agreement
A.

Parties to the Agreement
1. The U.S. Department of Education (referred to as the Department) administers certain Federal
programs, authorized under the Higher Education Act of 1965 as amended (the HEA), that provide
financial assistance to students attending institutions of higher education.
2. The Agency_____________________________________________________________________
(Name of State Grant Agency administering State higher education financial aid program, referred to as the Agency)

located at_______________________________________________________________________
(Street address, City, State, ZIP Code)

in the State of__________________________________________ administers State programs that provide
financial assistance to students attending institutions of higher education.
B.

Purpose of the Agreement
1. The purpose of this Agreement is to establish the conditions under which the Department will provide
to the Agency certain data received or generated by the Department concerning FAFSA® applicants in
order to: (i) facilitate and improve the awarding of financial assistance under State financial aid
programs to students attending institutions of higher education; (ii) coordinate the awarding of such
assistance with financial aid provided by the Federal government under the HEA; (iii) facilitate and
improve the awarding of financial assistance awarded by eligible institutions; and (iv) permit the
Agency to disclose limited ISIR information to local educational agencies (LEAs), secondary schools,
or other entities that have been designated by the U.S. Secretary of Education (as a Designated Entity),
to determine the completion status of a student’s Free Application for Federal Student Aid (FAFSA)
and facilitate providing assistance to such students in completing the FAFSA.

Office Use Only
Customer Number_______________________
TG Number____________________________

OMB NO: 1845-0002
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SAIG Enrollment Application for State Grant Agencies
Part Two: SAIG Participation Agreement for State Grant Agencies (Continued)
C.

Definitions – For purposes of this Agreement, the following definitions apply:
1. Authorized Personnel – (i) Employees of the Agency who require access to the ISIR Data to meet
any of the purposes provided in Section B of this Agreement, including both paid and non-paid staff
and authorized agents such as contractors, subcontractors, volunteers, or other parties to whom the
Agency has outsourced any of its services or functions. All Authorized Personnel must be under the
direct control of the Agency with respect to the use and maintenance of ISIR Data. (ii) Employees of
an LEA, secondary school, or Designated Entity who require access to the FAFSA Filing Status
Information to determine the completion status of a student’s Free Application for Federal Student Aid
(FAFSA) and facilitate providing assistance to such students in completing the FAFSA, including both
paid and non-paid staff and authorized agents such as contractors, subcontractors, volunteers, or other
parties to whom the LEA, secondary school, or Designated Entity has outsourced any of its services or
functions. All Authorized Personnel must be under the direct control of the LEAs, secondary schools,
or Designated Entity with respect to the use and maintenance of ISIR Data.
2. Designated Entity – A public or non-profit entity that has an Established Relationship with the student
that the U.S. Secretary of Education has designated as eligible to receive FAFSA Filing Status
Information from an Agency.
3. Destination Point Administrator – The one Primary Destination Point Administrator (Primary DPA)
at each Agency as appointed and enrolled into the SAIG by the Agency President/CEO or Designee.
Each Agency may have as many Non-Primary Destination Point Administrators (Non-Primary DPAs)
as it needs who are appointed and enrolled into the SAIG by the Primary DPA.
4. Established Relationship – A relationship between a student FAFSA applicant and an LEA,
secondary school, or Designated Entity. In the case of an LEA, an Established Relationship exists
where the student FAFSA applicant is enrolled in a secondary school under the legal authority of the
LEA or the LEA otherwise is providing services to the FAFSA applicant. In the case of a secondary
school, an Established Relationship exists where the student FAFSA applicant is enrolled in the
secondary school itself or the secondary school otherwise is providing services to the FAFSA
applicant. In the case of a Designated Entity, an Established Relationship exists when the student
FAFSA applicant is enrolled in or has registered with or is receiving services from the Designated
Entity in order for the Designated Entity to assist the student in pursuit of postsecondary education.
5. FAFSA – The Free Application for Federal Student Aid form, authorized by HEA section 483, which
is the Department’s common application for determining the need and eligibility of a student for
Federal student aid.
6. FAFSA Filing Status Information – Information from an ISIR that the Agency may disclose to
LEAs, secondary schools, and Designated Entities on the completion status of a student’s FAFSA.
FAFSA Filing Status Information includes: Student’s first name; Student’s last name; Student’s date
of birth; Student’s ZIP Code; FAFSA submitted date (the date the FAFSA was submitted to the
Department); FAFSA processed date (the date the Department processed the FAFSA); a Selected for
Verification flag; and a FAFSA completion flag, as determined by the Agency (e.g., FAFSA not
submitted, FAFSA complete, or FAFSA incomplete).
7. ISIR – The Institutional Student Information Record (ISIR) is the output document resulting from the
submission of a FAFSA to the Department and includes the data received, system generated data
results and FAFSA Filing Status Information.

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SAIG Enrollment Application for State Grant Agencies
Part Two: SAIG Participation Agreement for State Grant Agencies (Continued)
8. LEA – A Local Educational Agency is a public board of education or other public authority legally
constituted within a State for either administrative control of or direction of, or to perform service
functions for, public elementary or secondary schools in a city, county, township, school district, or
other political subdivision of a State; or such combination of school districts or counties a State
recognizes as an administrative agency for its public elementary and secondary schools; or any other
public institution or agency that has administrative control and direction of a public elementary or
secondary school.
9. Secondary School – A day or residential school that provides secondary education as determined
under State law. In the absence of State law, the Secretary may determine, with respect to that State,
whether the term secondary school applies.
D.

Authority
1. Section 483 (a)(10) of the HEA, 20 U.S.C. 1090(a)(10) authorizes the Department to disclose FAFSA
(ISIR) data. The Department’s routine uses in the applicable System of Records Notice published
under the Privacy Act of 1974, as amended, (5 U.S.C. 552a) permits this disclosure of FAFSA data to
the Agency in order to permit the Agency to determine an applicant’s eligibility for financial
assistance under State financial aid programs. Further, in order to encourage and assist students with
the completion of a FAFSA, the Agency may disclose the FAFSA Filing Status Information of a
student to an entity with an Established Relationship with the student, including an LEA, a secondary
school, or a Designated Entity. (Federal Student Aid Application File Systems of Record Notice (Aug.
3, 2011, 76 Fed. Reg. 46774, 46777-78.)

E.

Disclosure of ISIR Data
1. At the agency’s request, the Department will provide student ISIR data to the Agency if the student is a
resident of the State where the Agency is located or the student has included on the FAFSA a
postsecondary institution that is located in the State where the Agency is located.

F.

Authorized Uses
1. The Agency must limit access, disclosure, and use of ISIR data provided to it under this Agreement to
the Agency’s Authorized Personnel and for the authorized uses described in this section and the
Authorized Re-Disclosure of FAFSA Filing Status Information in the next section.
2. The Agency agrees to comply with all provisions of the Higher Education Act of 1965, as amended
(HEA), 20 U.S.C. 1001 et seq., including HEA section 483(a)(3)(E), 20 U.S.C. 1090(a)(3)(E), which
provides that ISIR data (including FAFSA Filing Status Information) may be used “only for the
application, award, and administration” of student aid awarded by the Department, States, and
institutions eligible to participate in the Federal student financial assistance programs, and other entities
that the Secretary may designate.
3. The Agency may use the ISIR data furnished to it under this Agreement only with regard to the
administration of a State’s and the Federal government’s programs of financial assistance to students
attending institutions of higher education, including calculation of State student financial aid awards,
research necessary for the proper administration of a State student aid program, and verification of data
provided by the applicant on State student aid applications.
4. The Agency may use the ISIR data to disclose to the public statistical summary data obtained from the
information furnished by the Department, provided that the identity of individual Federal student aid
applicants cannot be ascertained from such summary data.
5. Consistent with applicable law, the Secretary of Education may designate, through an addendum to this
agreement, additional authorized uses of ISIR data furnished by the Department.

OMB NO: 1845-0002
Expiration Date: 2/28/2017
Effective Date: 9/25/2016

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SAIG Enrollment Application for State Grant Agencies
Part Two: SAIG Participation Agreement for State Grant Agencies (Continued)
G.

Disclosure of FAFSA Filing Status Information
1. The Agency may disclose a student’s FAFSA Filing Status Information to an LEA, secondary school,
and Designated Entity that has been approved by the Secretary, if the LEA, secondary school, or
Designated Entity has an Established Relationship with the student.
2. Before an Agency discloses FAFSA Filing Status Information to an LEA, secondary school, or
Designated Entity, it must execute a written agreement with the LEA, secondary school, or Designated
Entity. The agreement must, at a minimum, include:
(i)
Procedures for oversight by the Agency of the LEA’s, secondary school’s, or Designated Entity’s
compliance with the provisions of the written agreement;
(ii) Appropriate privacy, data security, and information safeguarding provisions consistent with the
Agency’s obligations under this Agreement, including the requirements specified in Section J –
Data Security below;
(iii) Assurances that the FAFSA Filing Status Information will be used by the LEA, secondary school,
or Designated Entity only for purposes consistent with section 483(a)(3)(E) of the HEA;
(iv) Assurances that the LEA, secondary school, or Designated Entity will comply, as applicable, with
the requirements of the Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. 1232g and
its regulations codified at 34 CFR part 99) in disclosing any personally identifiable information
from students’ education records to the Agency or its agents;
(v) Assurances that the disclosures will only be made to Authorized Personnel, as defined in section C.
of this Agreement, of the LEA, secondary school, or Designated Entity and for authorized purposes
described in Section B –Purpose of the Agreement above; and
(vi) Assurances that the LEA, secondary school, or Designated Entity will not re-disclose or share the
FAFSA Filing Status information obtained from the Agency in personally identifiable form other
than (1) to the FAFSA applicant and to the FAFSA applicant’s parents if the applicant is under age
18, to the applicant if the applicant is age 18 or older or enrolled in a post-secondary institution, or
to any other party with the consent of the FAFSA applicant or the consent of the FAFSA applicant’s
parents if the FAFSA applicant is under the age of 18, or (2) if required to do so by law and if such
use is consistent with all applicable privacy laws, including the privacy provisions of section
483(a)(3)(E) of the HEA, 20 U.S.C. 1090(a)(3)(E) and the Family Educational Rights and Privacy
Act (20 U.S.C. 1232g).
3. The written agreements must be made available to the Department upon request.

H.

Prohibition on Unauthorized Disclosures
1. Any use, disclosure, or re-disclosure of ISIR data or FAFSA Filing Status Information provided to the
Agency under this Agreement not specified above in Section F – Authorized Uses or Section G –
Disclosure of FAFSA Filing Status Information, is unauthorized and prohibited.
2. The Agency must ensure that Authorized Personnel are informed about and aware of the prohibitions
regarding the use, disclosure, and re-disclosure of any data and information provided to the Agency
under this Agreement.

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SAIG Enrollment Application for State Grant Agencies
Part Two: SAIG Participation Agreement for State Grant Agencies (Continued)
I.

Reporting of Unauthorized Disclosures
1. The Agency will report to the Department in writing any use, disclosure, or re-disclosure of ISIR data
or FAFSA Filing Status Information not authorized by this Agreement. The Agency shall submit the
report within one (1) business day after the Agency learns of such unauthorized use, disclosure, or redisclosure to: U.S. Department of Education, Federal Student Aid, 830 First St. NE., Union Center
Plaza, Room 32E1, Washington, DC 20202 or via e-mail at [email protected]. The report
must identify: (i) the nature of the unauthorized use, disclosure, or re-disclosure; (ii) the ISIR data or
FAFSA Filing Status Information used, disclosed, or re-disclosed; (iii) the person or entity, if known,
who made the unauthorized use or received the unauthorized disclosure, or re-disclosure; (iv) what the
Agency has done or will do to notify affected FAFSA applicants and to mitigate any deleterious effect
of the unauthorized use, disclosure, or re-disclosure; and (v) what corrective action the Agency has
taken or will take to prevent future similar unauthorized use, disclosure, or re-disclosure.
2. The Agency shall also provide any such other information concerning the unauthorized disclosures as
requested by the Department.

J.

Data Security
1. The Agency will protect the integrity of the ISIR data and, if applicable, FAFSA Filing Status
Information received under this Agreement from unauthorized access, use, or re-disclosure.
2. The Agency shall take all steps necessary to safeguard the confidentiality of the data received. The
Agency will restrict access to the data provided or created under this Agreement to only those
Authorized Personnel who need the data to perform their official duties in connection with the uses of
the data authorized in this Agreement.
3. The Agency will advise all Authorized Personnel who have access to the data of the confidential nature
of the data, the safeguards required to protect the data, and criminal sanctions for noncompliance under
applicable Federal, state, or local laws.
4. The Agency must develop, implement, maintain, and use reasonable and appropriate administrative,
technical, and physical security measures to preserve the confidentiality, integrity, and availability of
all data electronically maintained or transmitted pursuant to this Agreement. The Agency will process
the data provided or created under this Agreement under the immediate supervision and control of
Authorized Personnel in a manner that will protect the confidentiality of the data, so that unauthorized
persons cannot retrieve any data by computer, remote terminal, or other means. Systems personnel
must enter personal identification numbers when accessing data on the Parties’ systems.

K.

Liability
1. The Agency shall be liable for the actions and omissions of its respective officers, employees, and
agents. This obligation shall survive termination of this Agreement.

L.

Oversight and Compliance
1. The Agency shall maintain copies of this Agreement and all SAIG Enrollment Applications submitted
to the Department, as provided in Part 1, Sections One through Four of the SAIG Enrollment
Applications for State Grant Agencies.
2. The Department may, at its discretion, monitor the Agency’s records, processes, procedures, and
electronic systems for compliance with the terms of this Agreement. The Department also may, at its
discretion, perform on-site inspections of the Agency to monitor compliance with the terms of this
Agreement.

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SAIG Enrollment Application for State Grant Agencies
Part Two: SAIG Participation Agreement for State Grant Agencies (Continued)
M.

Entire Agreement
1. This Agreement constitutes the entire understanding of the Parties with respect to their individual
rights and obligations in carrying out the terms of the Agreement, and supersedes any prior or
contemporaneous agreements or understandings.

N.

Effective Date, Modification, Duration, and Termination of the Agreement
1. The effective date of this agreement is upon the Department’s notification to the Agency that the
Agency’s SAIG application has been processed and approved by the Department. The Parties of the
Agreement may modify this Agreement at any time with mutual written consent.
2. This Agreement shall remain in force until terminated by the Agency or the Department, providing that
the party requesting termination provides the other party with written notice.
3. If the Department finds that the Agency has failed to comply with this Agreement, the Agency shall,
upon the request of the Department, delete or return all data received under this Agreement and copies
made of such data. Furthermore, the Department may terminate this Agreement or take such other
action as may be necessary and appropriate to protect the interests of the FAFSA applicants, the United
States, and the Title IV, HEA Federal student aid programs.
4. The expiration of this Agreement shall not, however, affect the obligations incurred by the Agency
under this Agreement.
Remainder of this page intentionally left blank.

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SAIG Enrollment Application for State Grant Agencies
Part Two: SAIG Participation Agreement for State Grant Agencies (Continued)
O.

SIGNATURE PAGE
1. The undersigned has caused this Agreement to be duly executed in its name and on its behalf.

Name of the State Grant Agency

Address of the State Grant Agency

Printed name of the Agency President/CEO

Printed Title

Original Signature of the Agency President/CEO

Date

(Stamped signature will not be accepted.)

Sign and send this application as instructed
in “Submitting Enrollment Application and Signature Pages.”

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
Authorized Personnel: (i) Employees of the Agency who require access to the ISIR Data to meet any of the
purposes provided in Section B of the SAIG Participation Agreement for State Grant Agencies (Part 2 of the
SAIG Application for State Grant Agencies), including both paid and non-paid staff and authorized agents
such as contractors, subcontractors, volunteers, or other parties to whom the Agency has outsourced any of
its services or functions. All Authorized Personnel must be under the direct control of the Agency with
respect to the use and maintenance of ISIR Data. (ii) Employees of LEA, secondary school, or Designated
Entity who require access to the FAFSA Filing Status Information to determine the completion status of a
student’s Free Application for Federal Student Aid (FAFSA) and facilitate providing assistance to such
students in completing the FAFSA, including both paid and non-paid staff and authorized agents such as
contractors, subcontractors, volunteers, or other parties to whom the LEA, secondary school, or Designated
Entity has outsourced any of its services or functions. All Authorized Personnel must be under the direct
control of the LEAs, secondary schools, or Designated Entity with respect to the use and maintenance of
ISIR Data.
Award Year: July 1 of one year through June 30 of the next year. For the Grant Services (Pell Grant, Iraq and
Afghanistan Service Grant, and TEACH Grant), and the eCB programs systems, eligible students are paid
out of funds designated for a particular award year.
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.
Data Challenges and Appeals Solution (DCAS): DCAS provides the online access for accepting, processing,
resolving, and archiving student and loan level data challenges and appeals.
Destination Point: An organization enrolled in the SAIG that uses an electronic mailbox to send and receive
financial aid data using the SAIG. Every Destination Point is administered by a Primary or Non-Primary
Destination Point Administrator (DPA) and has an electronic mailbox number that begins with the letters
“TG.”
Destination Point Administrator (DPA): An individual representing an organization involved in the administration
of Title IV, HEA student financial aid programs (such as a postsecondary institution, a State Agency, or
third-party servicer) that is enrolled in the SAIG and assigned a Destination Point. To enroll as a DPA, an
organization’s representative must complete and submit for processing the SAIG Enrollment Application to
participate in the U.S. Department of Education’s Student Aid Internet Gateway. The DPA is responsible
for the Agency’s SAIG users’ 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. The Primary DPA is
responsible for enrolling additional Non-Primary DPAs for specific SAIG services. Non-Primary DPAs are
not allowed to make SAIG enrollment changes. An Agency may only have one Primary DPA, but may have
many Non-Primary DPAs.
EDconnect: ED’s telecommunications software that allows PC Windows users to send and receive data through
the SAIG.
Electronic Services: Primary Destination Point Administrators (Primary DPAs) and their Secondary Destination
Point Administrators (Secondary DPAs) for their organization may enroll users for FAA Access to CPS
Online or EDconnect Entitlement Access. An FSA User ID and password are required to log in to both
systems.
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Attachment A: Glossary (Continued)
Electronic Services Users: Electronic Services Users are enrolled for FAA Access to CPS Online or EDconnect by
the Primary DPA. These users are associated with the Primary Destination Point and do not require
individually assigned mailboxes to access FAA Access or EDconnect. They must read and sign a Federal
Student Aid User of Electronic Services Statement that the Primary DPA must maintain.
Federal Loan Servicer (Title IV Additional Servicer [TIVAS] or Not-For-Profit [NFP]): An entity that services Title
IV, HEA loans owned by ED. These loans include, but are not limited to, William D. Ford Federal Direct
Loan (Direct Loan) Program loans and Federal Family Education Loan Program (FFELP) Purchased Loans.
Current listings of the Department’s federal loan servicers, including each servicer’s contact information, are
available at the Loan Servicing Centers for Schools and Loan Servicer Centers for Students pages on ED’s
Information for Financial Aid Professionals (IFAP) Web site (ifap.ed.gov).
Federal Student Aid (FSA): The 1998 Reauthorization of the Higher Education Act (HEA) established a
performance-based organization at the U.S. Department of Education to administer the federal student
assistance programs authorized under Title IV of the HEA. 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 William D. Ford Federal Direct Loan Programs,
the Federal Work Study Programs, and the Federal Perkins Loan Program.
FAA Access to CPS Online: For purposes of this document, a Web tool that State Grant Agencies use to enter
identity verification results and request ISIRs. It is located at faaaccess.ed.gov. An FSA User ID is required
to access student information.
Free Application for Federal Student Aid (FAFSA): The application that the student must file to apply for aid from
any Title IV, HEA program. Students can apply online by using FAFSA on the Web (fafsa.ed.gov). The
FAFSA is also printed and distributed free of charge by the U.S. Department of Education.
Institutional Student Information Record (ISIR): The term ISIR refers to all processed student information records
that are sent electronically to institutions and state grant agencies by the CPS. The ISIR contains all
information reported on the Free Application for Federal Student Aid (FAFSA), key processing results, and
NSLDS financial aid history information.
National Student Loan Data System (NSLDS): A national database of student loan-level information and selected
grant recipient data for loans and grants disbursed under the Title IV, HEA programs.
Non-Primary Destination Point Administrator (Non-Primary DPA): The Primary DPA is responsible for enrolling
additional Non-Primary DPAs for specific SAIG services assigned to the Non-Primary DPA’s Destination
Points. Non-Primary DPAs are not allowed to make SAIG enrollment changes.
Non-Resident: Title IV applicants who indicate on their FAFSA a post-secondary institution that is located in the
state where the Agency is located, but the Title IV applicant does not reside in a state other than the state
where the Agency is located).
Primary Destination Point Administrator (Primary DPA): An individual who has been designated by the Agency as
the responsible party for the enrollment of the Agency’s additional Non-Primary DPA’s which result in the
establishment of their SAIG Mailboxes and may include FAA Access Online use. The Primary DPA is
responsible for the SAIG users’ access to Federal Student Aid systems, to ensure that the data provided to
and from these systems are protected according to the Privacy Act of 1974, as amended, as well as to ensure
that users do not inappropriately access records that are not associated with their Agency. Note: The
Primary DPA is responsible for enrolling additional Non-Primary DPAs for specific SAIG services assigned
to the Non-Primary DPA’s Destination Points. The Primary DPA is assigned the primary destination point.

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Attachment A: Glossary (Continued)
Resident: Title IV applicants who indicate on their FAFSA, as their state of legal residence, the state in which the
Agency is located.
SAIG Mailbox: An electronic mailbox that is used to send and receive financial aid data using the SAIG. It is also
referred to as a Destination Point. (See Destination Point.)
Social Security Number (SSN): The number assigned to an individual by the Social Security Administration and
used as the identifying number for many Federal purposes, including identifying an SAIG participant and
applicants for the Title IV, HEA programs.
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, HEA
student financial aid programs, and delivery system. DPAs are assigned Destination Points (electronic
mailboxes), for receiving and transmitting data to various Title IV, HEA Federal Student Aid systems such
as NSLDS and CPS. (See Destination Point and Destination Point Administrator.)
TDClient: ED’s telecommunications software that allows Mainframe/Midrange users to send and receive data
through the SAIG.
TG Number: A TG Number is the identifier for an electronic mailbox which is referred to as a SAIG Mailbox
or Destination Point. The TG Number is a five-digit alphanumeric number, preceded by “TG.”
Title IV, HEA student financial aid programs: Student assistance programs authorized by Title IV of the
Higher Education Act of 1965, as amended, (HEA).
U.S. Department of Education (ED, Department): The federal agency responsible for the administration of
Title IV, HEA Federal Student 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 such collection displays a valid OMB control number. The valid OMB control number for this
information collection is 1845-0002. 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 as cited in the Higher Education Act of 1965, as amended (HEA); 20 U.S.C. 1070 et seq. If you have
comments or concerns regarding the status of your individual submission of this application, please contact U.S.
Department of Education, Systems Integration Division, 830 First Street NE, Washington, DC 20202 directly.

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