OMB No: 1845-0152
Expires: 06/30/2021
2019–20 Work Colleges Program Expenditure Report
Award Year July 1, 2019 through June 30, 2020
Submission Deadline: The deadline for submitting the 2019–20 Work Colleges Program Expenditure Report is Thursday, October 1, 2020.
Electronic Submission: The deadline for electronic submission of the expenditure report is 11:59 P.M. (ET) on October 1, 2020. Transmissions must be completed and accepted by 12:00 midnight (ET).
Signature: This form must be signed manually, see instructions.
Mailing Instructions: If the signed copy of the expenditure report is sent through the U.S. Postal Service, it must be postmarked by October 1, 2020 and mailed to:
United
States Department of Education
Federal Student Aid
Grants
& Campus-Based Division
Work Colleges Program
830
First Street, NE, Rm 63C2
Washington, DC 20202-5453
If the signed copy of the report is hand delivered by a commercial courier, use the address provided above except use 20002 as the zip code and it must be delivered by 4:30 P.M. (ET) on October 1, 2020.
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 1845-0152. Public reporting burden for this collection of information is estimated to average 2 hours 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 mandatory in accordance with the 1998 Amendments to the Higher Education Act of 1965 (Pub. L. 105-244 Sec. 424) and the Higher Education Opportunity Act of 2008 (Pub. L. 110-315). If you have comments or concerns regarding the status of your individual submission of this form, please contact the COD School Relations Center directly at 1-800-848-0978 or email [email protected].
2019–20 Work Colleges Program Expenditure Report
Award Year July 1, 2019 through June 30, 2020
Name of Institution: [prefilled by COD] State: [prefilled by COD] OPEID: [prefilled by COD]
Final Adjusted 2019–20 Work
Colleges authorization $
Total federal funds available for the
2019–20 Work Colleges Program
(Lines 1 + 2a + 2b + 2c +
2d) minus
(Lines 2e + 2f + 2g) $ [Calculated]
Total amount of 2019–20 Federal
Work-Study (FWS)
funds transferred to and spent in the Work
Colleges Program $
2020–21 Work Colleges funds
carried back and spent in
2019–20 $
Additional 2020–21 Work Colleges
funds carried back and
spent for 2020 summer
employment $
2018–19 Work Colleges funds
carried forward to be spent in
2019–20 $
2019–20 Work Colleges funds
carried forward to be spent in
2020–21 $
2019–20 Work Colleges funds
carried back and spent in
2018–19 $
Additional 2019–20 Work Colleges
funds carried back and
spent for 2019 summer employment
$
Total federal funds spent for Work Colleges earned compensation
(Lines 3a + 3c) $ [Calculated]
Total federal
funds spent for Work Colleges
Community
Service earned
compensation $___________
Total non-federal
funds spent for Work Colleges
Community
Service earned
compensation $___________
Total federal funds spent for Work Colleges
non-Community Service earned compensation $___________
Total non-federal funds spent for Work Colleges
non-Community Service
earned compensation $___________
Total funds spent for Work Colleges
earned compensation
(Lines 4a + 4b) $ [Calculated]
Total funds spent for Work Colleges Community Service
earned
compensation (Lines 3a + 3b) $[Calculated]
Total funds spent for Work Colleges non-Community Service
earned compensation (Lines 3c + 3d) $[Calculated]
Total funds spent for Work Colleges Job
Location and Development (JLD)
activities
(Lines 5a + 5b) $ [Calculated]
Total federal funds spent for Work
Colleges
JLD Activities $
Total non-federal funds spent for Work
Colleges
JLD Activities $___________
Total funds spent for administrative
cost allowance (ACA) and other Work
Colleges Program allowable
expenses, including staff salaries, related travel,
printing,
and mailing costs
(Lines 6a + 6b) $ [Calculated]
Total federal funds spent for ACA and
other Work Colleges
expenses $
Total non-federal funds spent for ACA
and other Work
Colleges expenses $
Total federal funds spent for the
2019–20 Work Colleges Program
(Lines 3 + 5a +
6a) $ [Calculated]
Total non-federal funds spent for the
2019–20 Work Colleges Program
(Lines 3b + 3d + 5b +
6b) $ [Calculated]
Expended 2019–20 Work Colleges
authorization
(Lines 2e + 2f + 2g + 7) minus
(Lines 2a + 2b + 2c + 2d) $ [Calculated]
Unexpended 2019–20 Work Colleges
authorization
(Line 1 – Line 9) $ [Calculated]
I understand that by signing my name below I am certifying that the information above is true and accurate and that it is subject to review by the U.S. Department of Education.
Signature Date
Signed
Title: [prefilled by COD] Typed Name: [prefilled by COD]
Telephone No.: [prefilled by COD]
2019–20 Work
Colleges Expenditure Report Page
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | 2012-2013 Work Colleges Expenditure Report Redline 14.0 |
| Author | Tammy Gay |
| File Modified | 0000-00-00 |
| File Created | 2021-01-14 |