MOE ESSA Updates

Form for Maintenance-of Effort Waiver Requests Under the Elementary and Secondary Education Act of 1965, as amended

1810-0693 Copy of MOE spreadsheet ESSA updates 06.21.16.xls

Form for Maintenance-of Effort Waiver Requests Under the Elementary and Secondary Education Act of 1965, as amended

OMB: 1810-0693

Document [xlsx]
Download: xlsx | pdf

Overview

Form 1
Form 2
Form 3

Sheet 1: Form 1
OMB Number: Expiration Date: Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 1810-0693. The time required to complete this information collection is estimated to average 8 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, D.C. 20202-4536. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: Office of State Support, Office of Elementary and Secondary Education, U.S. Department of Education, 400 Maryland Avenue, S.W., Washington, D.C. 20202.
Form 1: Local Educational Agency (LEA) Expenditure Data
*The comparison year expenditures (SY 2014-2015) are equal to actual SY 2014-2015 expenditures unless the LEA failed to maintain effort in SY 2014-2015. For an LEA that did not maintain effort in SY 2014-2015, report 90 percent of the SY 2013-2014 figure in the SY 2014-2015 column in accordance with section 8521(b)(2) of ESEA.

**If an LEA calculates MOE using more than one per-pupil measure (i.e., enrollment, membership, or attendance), provide the data for the per-pupil measure on which the LEA came closest to maintaining effort.
LEA Name National Center for Education Statistics (NCES) District Identification Number SY 2013-2014 Aggregate Expenditures SY 2014-2015 Aggregate Expenditures* SY 2015-2016 Aggregate Expenditures Difference 2015-2016 vs. SY 2014-2015 Percentage 2015-2016 vs. SY 2014-2015 SY 2013-2014 Per-pupil Expenditures** SY 2014-2015 Per-pupil Expenditures** SY 2015-2016 Per-pupil Expenditures** Difference 2015-2016 vs. SY 2014-2015 Percentage 2015-2016 vs. SY 2014-2015 Percentage Reduction of Covered Program (for FY 17) if MOE Waiver Request Denied
Sample LEA 9999999 $1,000,000 $1,100,000 $950,000 -$150,000 -13.64% $8,000 $8,050 $6,800 -$1,250.00 -15.53% -4.04%





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Sheet 2: Form 2
OMB Number: Expiration Date:












Form 2: Local Educational Agency (LEA) Revenue Data
LEA Name National Center for Education Statistics (NCES) District Identification Number Local SY 2013-2014 Revenue State SY 2013-2014 Revenue SY 2013-2014 Non-revenue Receipts SY 2013-2014 Total Local SY 2014-2015 Revenue State SY 2014-2015 Revenue SY 2014-2015 Non-revenue Receipts SY 2014-2015 Total Local SY 2015-2016 Revenue State SY 2015-2016 Revenue SY 2015-2016 Non-revenue Receipts SY 2015-2016 Total $ Difference SY 2015-2016 vs. SY 2014-2015 % Difference SY 2015-2016 vs. SY 2014-2015
Sample LEA 9999999 $500,000 $500,100 $5,000 $1,005,100 $550,000 $600,000 $5,600 $1,155,600 $420,000 $530,000 $0 $950,000.00 -$205,600.00 -17.79%
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Sheet 3: Form 3

OMB Number: Expiration Date:
Form 3: Explanation
*Section 8521(c) of the ESEA gives the Secretary the authority to waive the ESEA's MOE requirement for an LEA if it would be equitable to grant the waiver due to an exceptional or uncontrollable circumstance such as a natural disaster, or a change in the organizational structure of the local educational agency ora precipitous decline in the LEA's financial resources.
LEA Name National Center for Education Statistics (NCES) District Identification Number Explanation of why LEA did not maintain effort* Has the LEA failed to meet such requirement (as determined using the measure most favorable to the local agency) and received a waiver for 1 or more of the 5 immediately preceding years (SY 2010-2011 through SY 2014-2015)? If so, in which year(s)? Has the LEA failed to meet such requirement (as determined using the measure most favorable to the local agency) and not received a waiver for 1 or more of the 5 immediately preceding years (SY 2010-2011 through SY 2014-2015)? If so, in which year(s)?
Sample LEA 9999998





































File Typeapplication/vnd.ms-excel
File TitleAppendix I: Non-Regulatory Guidance on Title I, Part A Waivers -- October 2011 (Excel)
Authorus department of education
Last Modified ByTomakie Washington
File Modified2016-06-21
File Created1996-10-14
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