Education Stabilization Fund- Governor's Emergency Education Relief Fund (GEER) Recipient Data Collection Form

Education Stabilization Fund- Governor's Emergency Education Relief Fund (GEER I and GEER II) Recipient Data Collection Form

GEER Year 2 Collection Form 30-day 102121

Education Stabilization Fund- Governor's Emergency Education Relief Fund (GEER) Recipient Data Collection Form

OMB: 1810-0748

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Conducted by: OMB No. 1810-0748 Expires 12/31/2023

U.S. Department of Education


Education Stabilization Fund—Governor’s Emergency Education Relief Fund

(GEER Fund) Recipient Reporting Data Collection Form

GEER I & GEER II Fund Reporting Form

State or Outlying Area: _____<auto fill from G5>_____________

GEER I PR/Award number: ___<auto fill from G5>___________

GEER II PR/Award number: ___<auto fill from G5>___________

State or Outlying Area Director: _<auto fill from G5>__________

Position: ___<auto fill from G5>___________ (editable)

Office:_ ___<auto fill from G5>___________ (editable)

Telephone:_ ___<auto fill from G5>___________ (editable)

E-mail Address: ___<auto fill from G5>_________


Instructions: States and Outlying Areas that received Governor’s Emergency Education Relief (GEER I and GEER II) or Education Stabilization Fund -Governors (ESF-Governor and ESF II-Governor) funds should fill out this form. To fulfill the annual GEER fund reporting requirements, answer all questions based on the reporting period shown in the Annual Reporting table below.

Definitions

These definitions are provided for the purposes of this reporting activity.

Awarded- An SEA awards funds when it makes a subgrant to an LEA or when it enters into a subgrant or contract with a subrecipient.

CARES- (GEER I, ESF-Governor) Coronavirus Aid, Relief, and Economic Security Act

CRRSA- (GEER II, ESF Governor II) Coronavirus Response and Relief Supplemental Appropriations

Expended- The actual spending of money; an outlay. For purposes of this reporting, reimbursements that are made in the current reporting period but that reimburse expenditures prior to the start of the reporting period and on or after March 13, 2020, are considered “expenditures” for this reporting period.

G5- U.S. Department of Education’s grant management and payment system

GEER - Governor's Emergency Education Relief Fund; For the purposes of this form, “GEER” also includes ESF-Governor Funds

IHE- Institution of Higher Education

LEA- Local Education Agency

Outlying Areas – American Samoa, Guam, the Northern Mariana Islands, and the U.S. Virgin Islands

Planned Uses of Funds - Remaining funds that have been earmarked or budgeted for specific purposes in a political, administrative, or public manner are considered “Planned Uses” of Remaining Funds. The Department acknowledges these plans may change; please provide the State’s most current information regarding budgeted or earmarked uses of remaining funds.

Remaining Funds- The balance remaining after all expenditures through the end of the reporting period have been subtracted from the total award.

SEA- State Education Agency

State– The 50 States, Washington DC, and Puerto Rico






Annual Reporting: This report should be completed based on activities in the applicable reporting periods. Due dates will be determined close to the date of publication of the final template in the Federal Register.


GEER I under the Coronavirus Aid, Relief, and Economic Security (CARES) Act


Annual Report

Due Date

Applicable Reporting Period

Second Annual Report

Early 2022

October 1, 2020 - September 30, 2021

Third Annual Report

Early 2023

October 1, 2021 - September 30, 2022

Fourth Annual Report

Early 2024

October 1, 2021 – September 30, 2023

GEER II under the Coronavirus Response and Relief Supplemental Appropriations (CRRSA) Act


Annual Report

Due Date

Applicable Reporting Period

First Annual Report

Early 2022

October 1, 2020 - September 30, 2021

Second Annual Report

Early 2023

October 1, 2021 - September 30, 2022

Third Annual Report

Early 2024

October 1, 2022 - September 30, 2023

Fourth Annual Report

Early 2025

October 1, 2023 – September 30, 2024


Section 1: Overall GEER Fund Grants


  1. What are the amounts of the State’s or Outlying Area’s GEER I and GEER II total grants, total grant expenditures, total remaining grant funds, and percent of remaining funds planned for specific purposes?


GEER I (CARES Act funding)

GEER II (CRRSAA funding)

a. The total grant amount allocated to the State or Outlying Area

<auto fill from G5>

<auto fill from G5>

b. The total amount of the grant expended in the prior reporting period



c. The total amount of the grant expended in this reporting period

<auto fill from calculation of form fields below>

<auto fill from calculation of form fields below>

c. The total amount of remaining grant funds

<auto fill from calculation>

<auto fill from calculation>

e. Percent of remaining funds planned for specific purpose(s)










  1. Which types of entities within the State or Outlying Area were awarded funds?

Entity Type

GEER I

GEER II

  1. Local Educational Agencies (LEAs)

Yes/ No

Yes/ No

  1. Institutions of Higher Education (IHEs)

Yes/No

Yes/No

  1. Other Education-Related Entities including State Education Agencies (SEAs)

Yes/No

Yes/No


  1. Were there any changes to the State’s or Outlying Area’s LEA GEER I award conditions or requirements since the initial 45-day report to the Department of Education? (Y/N)

    1. If yes, please describe.

(3000 character limit)



















  1. Were there any changes to the State’s or Outlying Area’s LEA GEER II award conditions or requirements since the initial 45-day report to the Department of Education? (Y/N)

    1. If yes, please describe.

(3000 character limit)



















  1. Were there any changes to the State’s or Outlying Area’s IHE GEER I award conditions or requirements since the initial 45-day report to the Department of Education? (Y/N)

    1. If yes, please describe.

(3000 character limit)





















  1. Were there any changes to the State’s or Outlying Area’s IHE GEER II award conditions or requirements since the initial 45-day report to the Department of Education? (Y/N)

    1. If yes, please describe.

(3000 character limit)


















  1. a. Did the State or Outlying Area place any funding conditions or requirements on GEER I or GEER II awards for LEAs, IHEs, or other Education-Related Entities including State Education Agencies (SEAs) to ensure that the funds were spent on specific purposes or activities? (Y/N)

Entity Type

GEER I

GEER II

    1. Local Educational Agencies (LEAs)

Yes/ No

Yes/ No

    1. Institutions of Higher Education (IHEs)

Yes/No

Yes/No

    1. Other Education-Related Entities

Yes/No

Yes/No






<skip logic; if yes to row i, then:>

    1. Did the State or Outlying Area place any funding conditions or requirements directing LEAs to use the funds for activities related to safe reopening, remote instruction, or addressing the impact of lost instructional time (learning loss)? (Y/N).

Funding Condition for LEAs

GEER I

GEER II

    1. Safe Reopening

Yes/ No

Yes/ No

    1. Remote Instruction

Yes/No

Yes/No

    1. Address impact of loss instructional time

Yes/No

Yes/No













<skip logic; if yes to row ii, then:>

    1. Did the State or Outlying Area place any funding conditions or requirements directing IHEs to use the funds for activities related to safe reopening, remote instruction, addressing the impact of lost instructional time (learning loss), or emergency financial grant aid to students? (Y/N).

Funding Condition for IHEs

GEER I

GEER II

    1. Safe Reopening

Yes/ No

Yes/ No

    1. Remote Instruction

Yes/No

Yes/No

    1. Address impact of loss instructional time

Yes/No

Yes/No

    1. Emergency financial grant aid to students

Yes/No

Yes/No

<skip logic; if yes to row iii, then:>

    1. Did the State or Outlying Area place any funding conditions or requirements directing other education-related entities including State Education Agencies (SEAs) to use the funds for activities related to safe reopening, remote instruction, or addressing the impact of lost instructional time (learning loss)? (Y/N).


Funding Condition for Other Education-Related Entities including State Education Agencies (SEAs)

GEER I

GEER II

  1. Safe Reopening

Yes/ No

Yes/ No

  1. Remote Instruction

Yes/No

Yes/No

  1. Address impact of loss instructional time

Yes/No

Yes/No








  1. a. In the table below, for each LEA awarded GEER I or GEER II funds from the State or Outlying Area, provide the amounts expended and select the purposes for which the funds were expended by the LEA. (If the SEA operates as a unitary system then report for the entire SEA.)



GEER I

GEER II

Name of LEA Awarded GEER funds

DUNS #

SAM #

NCES ID#

Total amount awarded to the LEA

Total amount expended by the LEA

Uses of GEER I funds (Y/N)

Which staff and students were served with these funds?

Total amount awarded to the LEA

Total amount expended by the LEA

Uses of GEER II funds (Y/N)

Which staff and students were served with these funds?


<auto fill from FFATA reporting>




<auto fill from FFATA>


1. Purchasing educational technology (including hardware, software, and connectivity), which may include assistive technology or adaptive equipment. <Skip logic: if yes, continue with question 8d; if no, continue>

2. Activities focused specifically to addressing the unique needs of low-income children or students, children with disabilities, English learners, racial and ethnic minorities, students experiencing homelessness, and foster care youth.

3. Providing mental health services and supports.

4. Sanitization and minimizing the spread of infectious diseases, including cleaning supplies and staff training to address sanitization and minimizing the spread of infectious diseases.

5. Extended learning time opportunities, including tutoring, summer learning, and supplemental afterschool programs.

6. Other (uses of funds not included above). If yes, please describe:__________

a). Students and teachers in both Title I and Non-Title I Schools; or b) Only students and teachers in Title I Schools

<auto fill from FFATA>


1. Purchasing educational technology (including hardware, software, and connectivity), which may include assistive technology or adaptive equipment. <Skip logic: if yes, continue with question 8d; if no, continue>

2. Activities focused specifically to addressing the unique needs of low-income children or students, children with disabilities, English learners, racial and ethnic minorities, students experiencing homelessness, and foster care youth.

3. Providing mental health services and supports.

4. Sanitization and minimizing the spread of infectious diseases, including cleaning supplies and staff training to address sanitization and minimizing the spread of infectious diseases.

5. Extended learning time opportunities, including tutoring, summer learning, and supplemental afterschool programs.

6. Other (uses of funds not included above). If yes, please describe:__________

a) Students and teachers in both Title I and Non-Title I Schools; or b) Only students and teachers in Title I Schools














LEA award not reported in FFATA because it did not meet the dollar threshold





























b. In the table below, for each LEA awarded GEER I funds from the State or Outlying Area, provide the % of Remaining Funds that have Planned Uses for the purposes below. (If the SEA operates as a unitary system then report for the entire SEA.)

Name of LEA Awarded GEER I funds

DUNS #

SAM #

NCES ID#

Remaining GEER I Funds

<Auto-fill from above>

Planned Uses of Remaining Funds - GEER I (% of Remaining Funds)

(Note: Categories must sum to 100% of Remaining Funds)

% Remaining Funds Planned for


Purchasing educational technology

% Remaining Funds Planned for


Activities focused specifically to addressing the unique needs of low-income children or students, children with disabilities, English learners, racial and ethnic minorities, students experiencing homelessness, and foster care youth


% Remaining Funds Planned for


Providing mental health services and supports

% Remaining Funds Planned for


Sanitization and minimizing the spread of infectious diseases, including cleaning supplies and staff training to address sanitization and minimizing the spread of infectious diseases

% Remaining Funds Planned for


Extended learning time opportunities, including tutoring, summer learning, and supplemental afterschool programs.

% Remaining Funds Planned for


Other (uses of funds not included above). Please describe:__________

% Remaining Funds



Not Yet Determined
















c. In the table below, for each LEA awarded GEER II funds from the State or Outlying Area, provide the % of Remaining Funds that have Planned Uses for the purposes below. (If the SEA operates as a unitary system then report for the entire SEA.)

Name of LEA Awarded GEER II funds

DUNS #

SAM #

NCES ID#

Remaining GEER II Funds

<Auto-fill from above>

Planned Uses of Remaining Funds – GEER II (% of Remaining Funds)

(Note: Categories must sum to 100% of Remaining Funds)

% Remaining Funds Planned for


Purchasing educational technology

% Remaining Funds Planned for


Activities focused specifically to addressing the unique needs of low-income children or students, children with disabilities, English learners, racial and ethnic minorities, students experiencing homelessness, and foster care youth


% Remaining Funds Planned for


Providing mental health services and supports

% Remaining Funds Planned for


Sanitization and minimizing the spread of infectious diseases, including cleaning supplies and staff training to address sanitization and minimizing the spread of infectious diseases

% Remaining Funds Planned for


Extended learning time opportunities, including tutoring, summer learning, and supplemental afterschool programs.



% Remaining Funds Planned for


Other (uses of funds not included above). Please describe:_______

% Remaining Funds



Not Yet Determined




















[NOTE to reviewers: in the online data collection instrument, question 8d below will be appended to questions 8a above for each LEA.]

<Skip logic: If the LEA used GEER funds for the first “use of funds” purpose, then ask>

d. Did this LEA use GEER I and/or GEER II funds to provide home Internet access for any students?


Did this LEA use GEER funds to provide home Internet access for any students? (Y/N)

If yes, what types of home Internet services were provided by the district using GEER funds? Internet Service type:

GEER I
(Y/N)

GEER II
(Y/N)


Mobile hotspots with paid data plans



Internet connected devices with paid data plans



District pays for the cost of home Internet subscription for student



District provides home Internet access through a district-managed wireless network



Other; If yes, please specify:___________





<Return to 2nd category of uses of funds in Q8a.>















  1. a. In the table below, for each IHE or other education-related entity including State Education Agencies (SEAs) awarded GEER I funds from the State or Outlying Area, provide the amount expended and additional information if GEER I funds were used by the IHE to provide financial aid to students at the IHE.

Name of IHE or Other Education-Related Entity including State Education Agencies (SEAs)

NAME Awarded GEER I funds

DUNS #

SAM #


Awarded Amount

GEER I

Expended Amount

GEER I

Population Served


Uses of Funds (Y/N)

Number students who received financial aid grants as result of GEER I funds






Pre-K

K-12

Post-sec



<auto fill from FFATA>

<auto fill from FFATA>


Amount <auto fill from FFATA>


Y/N

Y/N

Y/N

  1. Provide direct financial support of students (e.g., scholarships)

  2. Support distance learning and remote education

  3. Safe School Reopening

  4. Address impact of lost instructional time

  5. Other, if yes, please specify:











IHE award not reported in FFATA because it did not meet the dollar threshold

N/A


























b. In the table below, for each IHE or other education-related entity including State Education Agencies (SEAs) awarded GEER I funds from the State or Outlying Area, provide the % of Remaining Funds that have Planned Uses for the populations below.

Name of IHE or Other Education-Related Entity including State Education Agencies (SEAs) Awarded GEER I funds

DUNS #

SAM #

Remaining GEER I Funds

<Auto-fill from above>

Planned Uses of Remaining Funds - GEER I (% of Remaining Funds)

(Note: Categories must sum to 100% of Remaining Funds)


% Remaining Funds Planned for


Pre-Kindergarten


% Remaining Funds Planned for


Kindergarten through 12th grade

% Remaining Funds Planned for


Postsecondary Education

% Remaining Funds


Not Yet Determined










c. In the table below, for each IHE or other education-related entity including State Education Agencies (SEAs) awarded GEER I funds from the State or Outlying Area, provide the % of Remaining Funds that have Planned Uses for the purposes below.

Name of IHE or Other Education-Related Entity including State Education Agencies (SEAs) Awarded GEER I funds

DUNS #

SAM #

Remaining GEER I Funds

<Auto-fill from above>

Planned Uses of Remaining Funds - GEER I (% of Remaining Funds)

(Note: Categories must sum to 100% of Remaining Funds)


% Remaining Funds Planned for


Providing direct financial support of students (e.g., scholarships)

% Remaining Funds Planned for


Supporting distance learning and remote education

% Remaining Funds Planned for


Safe School Reopening

% Remaining Funds Planned for


Addressing impact of lost instructional time

% Remaining Funds Planned for


Other (uses of funds not included above). Please describe:_______

% Remaining Funds


Not Yet Determined












  1. a. In the table below, for each IHE or other education-related entity including State Education Agencies (SEAs) awarded GEER II funds from the State or Outlying Area, provide the amount expended and additional information if GEER II funds were used by the IHE to provide financial aid to students at the IHE.



Name of IHE or Other Education-Related Entity including State Education Agencies (SEAs) Awarded GEER II funds

DUNS #

SAM #


Awarded Amount

GEER II

Expended Amount

GEER II

Population Served


Uses of Funds (Y/N)

Number students who received financial aid grants as result of GEER II funds






Pre-K

K-12

Post-sec



<auto fill from FFATA>

<auto fill from FFATA>


Amount <auto fill from FFATA>


Y/N

Y/N

Y/N

  1. Provide direct financial support of students (e.g., scholarships)

  2. Support distance learning and remote education

  3. Safe School Reopening

  4. Address impact of lost instructional time

  5. Other, if yes, please specify:











IHE or other education-related entity award not reported in FFATA because it did not meet the dollar threshold

N/A



















b. In the table below, for each IHE or other education-related entity including State Education Agencies (SEAs) awarded GEER II funds from the State or Outlying Area, provide the % of Remaining Funds that have Planned Uses for the populations below.

Name of IHE or Other Education-Related Entity including State Education Agencies (SEAs) Awarded GEER II funds

DUNS #

SAM #

Remaining GEER II Funds

<Auto-fill from above>

Planned Uses of Remaining Funds - GEER II (% of Remaining Funds)

(Note: Categories must sum to 100% of Remaining Funds)


% Remaining Funds Planned for


Pre-Kindergarten

% Remaining Funds Planned for


Kindergarten through 12th grade


% Remaining Funds Planned for


Postsecondary Education


% Remaining Funds


Not Yet Determined











c. In the table below, for each IHE or other education-related entity including State Education Agencies (SEAs) awarded GEER II funds from the State or Outlying Area, provide the % of Remaining Funds that have Planned Uses for the purposes below.

Name of IHE or Other Education-Related Entity including State Education Agencies (SEAs) Awarded GEER II funds

DUNS #

SAM #

Remaining GEER II Funds

<Auto-fill from above>

Planned Uses of Remaining Funds - GEER II (% of Remaining Funds)

(Note: Categories must sum to 100% of Remaining Funds)

% Remaining Funds Planned for


Providing direct financial support of students (e.g., scholarships)

% Remaining Funds Planned for


Supporting distance learning and remote education

% Remaining Funds Planned for


Safe School Reopening

% Remaining Funds Planned for


Addressing impact of lost instructional time

% Remaining Funds Planned for


Other (uses of funds not included above). Please describe:_______

% Remaining Funds


Not Yet Determined














  1. In the table below, indicate the number of public K-12 schools that received GEER funds or received services paid for with GEER funds. Also indicate the number of non-public K-12 schools, if any, that received services paid for with GEER funds:



GEER I

GEER II

School Type

K-12 schools

K-12 school

Public Schools



Non-public Schools




  1. Did the SEA use any funds under GEER I or GEER II to provide or support vouchers, tuition tax credit programs, education savings accounts, scholarships for individual students, scholarship programs, or tuition-assistance programs for elementary or secondary education students in the 2020-2021 school year. Please note that for GEER II, funds shall not be used to provide direct or indirect financial assistance to scholarship granting organizations or related entities for elementary or secondary education or to provide or support vouchers, tuition tax credit programs, education savings accounts, scholarships, scholarship programs, or tuition-assistance programs for elementary or secondary education, except that a State may use GEER II funds to provide such assistance only to students who receive or received such assistance with funds provided under GEER I for the 2020–2021 school year and only for the same assistance provided such students with GEER I funds.


  1. (Yes/No) if ‘Yes’ provide, the provide the following information:

a. Provide the amount expended and the number of students receiving assistance by GEER I and GEER II.

Type of assistance

The amount of funds expended under GEER I

Number of students who received assistance under GEER I

The amount of funds expended under GEER II

Number of students who received assistance under GEER II

Vouchers





Tuition tax credit programs





Education savings accounts





Scholarships for individual students





Scholarship programs





Tuition-assistance programs





Total

<auto-sum>

<auto-sum>

<auto-sum>

<auto-sum>






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 1810-0748. Public reporting burden for this collection of information is estimated to average 24 hours per response from SEAs and Outlying Areas and 12 hours per response from LEAs, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Under the PRA, participants are required to respond to this collection to obtain or retain a benefit. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this individual collection, or if you have comments or concerns regarding the status of your individual form, please contact Joanne Bogart, US. Department of Education, 400 Maryland Avenue, SW, Washington, DC 20202.


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