Information Collection

CARES Act, Recipient's Funding Certification and Agreement (SIP, MSI, FIPSE)

IC 241615 under ICR 202102-1840-003 · OMB 1840-0843.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0843 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CARES Act CA - FIPSE.docx [email protected]	Other-Certification and Agreement
CARES Act CA - FIPSE.docx [email protected]	Other-Certification and Agreement
CARES Act CA - SIP MSI.docx [email protected]	Other-Certification and Agreement
CARES Act CA - SIP MSI.docx [email protected]	Other-Certification and Agreement
CARES Act email to branch campuses.docx	Other-Email
CARES Act email to branch campuses.docx	Other-Email
CA for new (a)(2) CRRSAA HEERF II 2.18.21.docx www.grants.gov	Form
CA for new (a)(2) CRRSAA HEERF II 2.18.21.docx www.grants.gov	Form

IC Title:

CARES Act, Recipient's Funding Certification and Agreement (SIP, MSI, FIPSE)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Certification and Agreement			CARES Act CA - FIPSE.docx	[email protected]	Yes	Yes	Fillable Fileable
Other-Certification and Agreement			CARES Act CA - SIP MSI.docx	[email protected]	Yes	Yes	Fillable Fileable
Other-Email			CARES Act email to branch campuses.docx		Yes	Yes	Fillable Fileable
Form	N/A	N/A	CA for new (a)(2) CRRSAA HEERF II 2.18.21.docx	www.grants.gov	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,517

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,517	43	1,474
Annual IC Time Burden (Hours)	1,732	258	1,474
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.