Allocation Request

Allocation Request for LEA Survey on the Use of Funds Under

Title II, Part A

(Improving Teacher Quality State Grants)

Form completed by:
Name:		Phone:
Position:		E-mail:

Purpose of this request:

The Elementary and Secondary Education Act of 1965, as amended, provides funds to states and districts to improve the quality of their teaching and principal force and raise student achievement. These funds are provided to states and districts through Title II, Part A (“Improving Teacher Quality State Grants – Subgrants to LEAs”). The purpose of this allocation request is for the U.S. Department of Education to have a better understanding of how states are allocating their funds to their districts. Please provide your assistance by providing this information.

Instructions:

All respondents should complete Questions 1 and 2. You may complete and submit the requested information by e-mail to [email protected], by fax to (301) 294-4475, or use the enclosed envelope to send the hard copy to:

Darcy Pietryka

Westat

1600 Research Blvd, Room RB 2152

Rockville, MD 20850

Proceed to Question 1 

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 1810-0618.  Public reporting burden for this collection of information is estimated to average 1 hour per response, 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 voluntary.  If you have comments or concerns regarding the status of your individual submission of this survey, please contact Elizabeth Witt directly (U.S. Department of Education, 400 Maryland Ave. SW, Rm 3C155, Washington, DC 20202, [email protected]). [Note: Please do not return the completed survey to this address.]

Question 1: The districts below are being surveyed about their use of funds under Title II, Part A. In order to verify the amount of these funds used by each district, please provide the dollar amount of Title II, Part A funds allocated to each of these districts in federal fiscal year 2018-19. Do not include carryover funds.

District, City (NCESID)	Title II, Part A Funds Allocated
	$ _________________
	$ _________________
	$ _________________
	$ _________________
	$ _________________
	$ _________________
	$ _________________
	$ _________________
	$ _________________

Proceed to Question 2 

Question 2: Please provide the total Title II, Part A funds allocated to your state in federal fiscal year 2018-19.

$ ______________________

2016-17 Title II, Part A Grants

OMB # 1810-0618