MOE ESSA Updates

Form for Maintenance of Effort Waiver Requests

MOE form.xlsx

OMB: 1810-0693

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Overview

Form 1
Form 2
Form 3

Sheet 1: Form 1
OMB Number: 1810-0693 Expiration Date: 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 1810-0693. Public reporting burden for this collection of information is estimated to average 80 hours per response, including the time for reviewing instructions, searching existing data resources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is required to obtain or retain a benefit under section 8521(a) of the Elementary and Secondary Education Act of 1965. If you have any comments or concern regarding the status of your individual submission of this form, please contact the program office, Office of School Support and Accountability, Office of Elementary and Secondary Education, U.S. Department of Education, 400 Maryland Avenue, S.W., Washington, D.C. 20202 or [email protected].
Form 1: Local Educational Agency (LEA) Expenditure Data
*The comparison year expenditures (SY 2020-2021) are equal to actual SY 2020-2021 expenditures unless the LEA failed to maintain effort in SY 2020-2021. For an LEA that did not maintain effort in SY 2020-2021, report 90 percent of the SY 2019-2020 figure in the SY 2020-2021 column in accordance with section 8521(b)(2) of ESEA.

**If an LEA calculates MOE using more than one per-pupil measure (i.e., enrollment, membership, or attendance), provide the data for the per-pupil measure on which the LEA came closest to maintaining effort.
LEA Name National Center for Education Statistics (NCES) District Identification Number SY 2019-2020 Aggregate Expenditures SY 2020-2021 Aggregate Expenditures* SY 2021-2022 Aggregate Expenditures Difference 2021-2022 vs. SY 2020-2021 Percentage 2021-2022 vs. SY 2020-2021 SY 2019-2020 Per-pupil Expenditures** SY 2020-2021 Per-pupil Expenditures** SY 2021-2022 Per-pupil Expenditures** Difference SY 2021-2022 vs. SY 2020-2021 Percentage SY 2021-2022 vs. SY 2020-2021 Percentage Reduction of Covered Program
(for FY 2023) if MOE Waiver Request Denied
Sample LEA 9999999 $1,000,000 $1,100,000 $950,000 -$150,000 -13.64% $8,000 $8,050 $6,800 -$1,250.00 -15.53% -4.04%





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Sheet 2: Form 2
OMB Number: 1810-0693 Expiration Date:












Form 2: Local Educational Agency (LEA) Revenue Data
LEA Name National Center for Education Statistics (NCES) District Identification Number Local SY 2019-2020 Revenue State SY 2019-2020 Revenue SY 2019-2020 Non-revenue Receipts SY 2019-2020 Total Local SY 2020-2021 Revenue State SY 2020-2021 Revenue SY 2020-2021 Non-revenue Receipts SY 2020-2021 Total Local SY 2021-2022 Revenue State SY 2021-2022 Revenue SY 2021-2022 Non-revenue Receipts SY 2021-2022 Total $ Difference SY 2021-2022 vs. SY 2020-2021 % Difference SY 2021-2022 vs. SY 2020-2021
Sample LEA 9999999 $500,000 $500,100 $5,000 $1,005,100 $550,000 $600,000 $5,600 $1,155,600 $420,000 $530,000 $0 $950,000.00 -$205,600.00 -17.79%
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Sheet 3: Form 3

OMB Number: 1810-0693 Expiration Date:
Form 3: Explanation
*Section 8521(c) of the ESEA gives the Secretary the authority to waive the ESEA's MOE requirement for an LEA if it would be equitable to grant the waiver due to an exceptional or uncontrollable circumstance such as a natural disaster, or a change in the organizational structure of the local educational agency ora precipitous decline in the LEA's financial resources.
LEA Name National Center for Education Statistics (NCES) District Identification Number Explanation of why LEA did not maintain effort* Has the LEA failed to meet such requirement (as determined using the measure most favorable to the local agency) and received a waiver for 1 or more of the 5 immediately preceding years (SY 2016-2017 through SY 2020-2021)? If so, in which year(s)? Has the LEA failed to meet such requirement (as determined using the measure most favorable to the local agency) and not received a waiver for 1 or more of the 5 immediately preceding years (SY 2016-2017 through SY 2020-2021)? If so, in which year(s)?
Sample LEA 9999998





































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