Designation As An Eligible Institution Under the Title III and Title V Programs and to Request A Waiver of the Non-Federal Cost Share Reimbursement (1894-0001)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1049 Application for Designation as an Eligible Institution	Form	Modified	Available
Form 1049 Application for Designation as an Eligible Institution	Form	Modified	Available
Eligibility FY2017 Supporting Statement FINAL.docx	Supporting Statement A	Uploaded 2016-09-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
21814	Application for designation of eligibility to apply for Institutional Service grants	Form	Modified	Application for Designation as an Eligible Institution
21814	Application for designation of eligibility to apply for Institutional Service grants	Instruction	Modified
195819	Application for designation of eligibility to apply for Institutional Service grants	Form	Modified	Application for Designation as an Eligible Institution
195819	Application for designation of eligibility to apply for Institutional Service grants	Instruction	Modified

ICR Details

OMB Control No: 1840-0103	ICR Reference No: 201609-1840-003
Status: Historical Active	Previous ICR Reference No: 201311-1840-003
Agency/Subagency: ED/OPE	Agency Tracking No:
Title: Designation As An Eligible Institution Under the Title III and Title V Programs and to Request A Waiver of the Non-Federal Cost Share Reimbursement (1894-0001)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/17/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/04/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2019	36 Months From Approved	02/28/2017
Responses	250	0	1,166
Time Burden (Hours)	1,750	0	8,162
Cost Burden (Dollars)	0	0	0

---

Abstract: This collection of information is necessary in order for the Secretary of Education to designate an institution of higher education eligible to apply for funding under Title III, Part A and Title V of the Higher Education Act of 1965, as amended. An institution must apply to the Secretary to be designated as an eligible institution. The programs authorized include the Strengthening Institutions, Alaskan Native and Native Hawaiian-Serving Institutions, Asian-American and Native American Pacific Islander-Serving Institutions, Native American Serving Institutions, Hispanic-Serving Institutions, Hispanic-Serving Institutions (Science, Technology, Engineering and Math and Articulation), Promoting Postbaccalaureate Opportunities for Hispanic Americans, and Predominantly Black Institutions Programs. These programs award discretionary grants to eligible institutions of higher education so that they might increase their self-sufficiency by improving academic programs, institutional management and fiscal stability. This collection of information is gathered electronically by the Department for the purpose of determining an institution’s eligibility to participate in the Title III and Title V programs based on its enrollment of needy students and low average educational and general (E&G) expenditures per full-time equivalent undergraduate student. This collection also allows an institution to request a waiver of certain non-Federal cost-share requirements under Federal Work-Study Program, Federal Supplemental Educational Opportunity Grant, Student Support Services Program and the Undergraduate International Studies and Foreign Language Program. The collection is paired with a computational exercise that results in the simultaneous publication of an Eligibility Matrix, a listing of postsecondary institutions potentially eligible to apply for grants in the Institutional Service grant programs. Criteria derived from applicable legislation and regulations are applied to enrollment and financial data from Department sources to determine the eligibility of each institution for each program. Only those institutions that either do not meet the financial criteria or do not appear in the eligibility matrix need to go through the application process. The results of the application process are a determination of eligibility for grant application and waiver, and updated information on institutional eligibility which is added to the EM.

---

Authorizing Statute(s): US Code: 20 USC 301 Name of Law: Higher Education Act of 1965, as amended
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 68002	10/03/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 68002	10/03/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Application for designation of eligibility to apply for Institutional Service grants	1049	Application for Designation as an Eligible Institution
Application for designation of eligibility to apply for Institutional Service grants	1049	Application for Designation as an Eligible Institution

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	250	1,166	0	0	-916	0
Annual Time Burden (Hours)	1,750	8,162	0	0	-6,412	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Because of the implementation of the Eligibility Matrix (see abstract), institutions can now look up their eligibility status for each IS grant program in advance of applying for eligibility. This reduces the number of institutions that need to apply for a determination of eligibility to those that require a waiver or those (for example, some branch campuses) that do not appear in the EM. Therefore, the adjustment decrease of -6412 hours assessed.

---

Annual Cost to Federal Government: $5,750

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/04/2016

---