Teacher Verification Form for Title II Scholarship Recipients

ICR 201612-1840-002

OMB: 1840-0753

Federal Form Document

ICR Details
1840-0753 201612-1840-002
Historical Active 201403-1840-006
ED/OPE
Teacher Verification Form for Title II Scholarship Recipients
Revision of a currently approved collection   No
Regular
Approved without change 06/12/2017
Retrieve Notice of Action (NOA) 03/09/2017
  Inventory as of this Action Requested Previously Approved
06/30/2020 36 Months From Approved 06/30/2017
1,000 0 410
1,000 0 350
0 0 0

In order to implement the requirements of the statute, confidential information on scholarship recipients will be collected. Specifically, the institution of higher education (IHE) will report to ED the name, address, social security number, and date of birth for each recipient at the time a scholarship award is made. These data will be used to track students after the completion of their studies (or withdrawal from the program) to ascertain whether they are fulfilling the teaching requirement of their award. Any data that is required and maintained by ED itself will be maintained in accordance with the Privacy Act of 1974, as amended. To assure that sensitive data about scholarship recipients are not compromised, all data—whether submitted electronically or as hard copy—will be maintained in a secure location. Access to these data will be limited only to staff who are directly responsible for working with the Teacher Quality Enhancement (TQE) Program and this information is only available onsite at the TQE office via desktop computer. As noted in the Privacy Act of 1974 (5 U.S.C. 552a), the authority for collecting the requested information from and about TQE scholarship recipients is Title II, Section 204(e) of the Higher Education Act of 1965, as amended, and 31 U.S.C. Chapter 37. IHE students are advised that participation in the Teacher Quality Enhancement Grants scholarship program is voluntary and that giving the Department their Social Security Numbers (SSNs) is voluntary, but they must provide the requested information, including their SSNs, to participate. The information will be used to ensure that recipients of scholarships provided with funds under Title II of the Higher Education Act subsequently: (1) complete a teacher education program and teach in a high-need school of a high-need local educational agency for a period of time equivalent to the period for which the recipient received scholarship assistance; or (2) repay the amount of the scholarship. The information in students’ records may be disclosed to third parties as authorized under routine uses in the appropriate systems of records, either on a case-by-case basis, or, if the Department has complied with the computer matching requirements of the Privacy Act, under a computer matching agreement.

PL: Pub.L. 105 - 244 204(e) Name of Law: The Higher Education Act of 1965, as amended
  
None

Not associated with rulemaking

  81 FR 90797 12/15/2016
82 FR 13104 03/09/2017
No

  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 1,000 410 0 590 0 0
Annual Time Burden (Hours) 1,000 350 0 650 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
There is a change in burden because ED is no longer collecting the TQE Scholarship Contractual Agreement or the TQE Scholarship Terms and Conditions Addendum that were previously provided in the clearance package. They are only contacting recipients who do not have a Verification of Teaching Obligation Form on file showing that they completed the requirements. Burden estimates have been updated to reflect this change in the use of forms as well as the anticipated number of scholarship recipients who will need to complete and submit the Verification Form.

$129,839
No
No
No
No
No
Uncollected
Karen WIlson 202 502-7663

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/09/2017


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