IPCA Form redline

OMB Number 1810-0021

Expiration Date 01/31/2024

Indian Parent Committee Information

for Title VI Indian Education Formula Grant Program

LEA Name: City State Zip Code PR Award #: S060A23

Summary: All local education agency (LEA) applicants will upload: (1) the Indian Parent Committee Application Approval; and (2) the Indian Parent Committee Membership List into the ED’s electronic application system before EASIE Part II closes. See EASIE Part II FAQs HERE for more information.

IPC Approval Directions (Note: This section is to be completed by the IPC):

All LEA applicants must develop the project with the participation of an Indian Parent Committee selected in accordance with ESEA section 6114(c); and with the written approval of that parent committee. (ESEA Section 6114(c)(4)).

Attestation: The IPC Chairperson/Designee attests that the IPC: (1) participated fully in the planning and development of the FY23 OIE Formula Title VI (A) application, and (2) approves the proposed program as either a regular formula grant program, Title I School-Wide program, or Integration of Services under ESEA Section 6116. The IPC approval date confirms when the proposed program was approved. The IPC also attests that it had an opportunity to review the program in a timely fashion and that the program is consistent with the purpose of the Formula grant program for Indian students. If a Title I School-Wide application was submitted and approved by the IPC, the IPC understands that the Title VI project funds will be combined with Title I and other federal funding. In doing so, the IPC has determined that including project funds within a Title I School-Wide program would not diminish the availability of culturally- related activities for Indian students. The IPC determined that the program will directly enhance the educational experience of Indian students. (ESEA Sections 6114(c)(4)(C)and 6115(c))

IPC Approval Date:

Print Name and Title VI Indian Parent Committee Chairperson/Designee

(must also appear in Column A of the table at the top of page 12 below)

Signature of Title VI Indian Parent Committee Chairperson/Designee

Section 2: Indian Parent Committee (IPC) Membership List (Note: This section is to be completed by either the IPC or the LEA applicant.)

Directions: All LEA applicants will provide a list of printed names of all current members of the IPC. ESEA section 6114(c)(4) requires the IPC to be comprised of parents and family members (Column A below) of Indian children enrolled in the school; representatives of Indian tribes (Column B below) on Indian lands located within 50 miles of any school that the agency will serve if such tribes have any children in such school; Teachers (Column C below); and if appropriate, Indian students (Column D below) attending the LEA's secondary schools.

The IPC must consist of more than one-half (51%+) of parents and family members of eligible Indian children enrolled in the LEA, with a minimum of three (3) IPC members inclusive of a Chairperson (Column A). Tribal officials (Column B) must have formal delegation from the Tribe on file. Please list each person only once in the table below. Column A is required, Columns B through D are recommended, but not required for approval.

A. Parent/family members: 51% +; 3 min.; inc. Chair (Required)	B. Tribal Reps (recommended)	C. Teachers (recommended)	D. Students (recommended)

Section 3: Indian Parent Committee (IPC) Bylaws

Directions: Within six months of receiving the award, the LEA assures the IPC will adopt and abide by reasonable bylaws for the conduct of the activities of the committee. (ESEA Section 6114(c)(4)(D))