Education Stabilization Fund- Elementary and Secondary S

Conducted by: OMB No. 1810-0749

U.S. Department of Education Expiration Date:

Education Stabilization Fund- Elementary and Secondary School Emergency Relief Fund

(ESSER I/ESSER II/ARP ESSER) Recipient Data Collection Form

ESSER Reporting Form

State ID:______

State Educational Agency: _____<auto fill from G5>_____________

ESSER I PR/Award number: _____<auto fill from G5>_____________

ESSER II PR/Award number: _____<auto fill from G5>_____________

ARP ESSER PR/Award number:_____<auto fill from G5>____________

State Director: _<auto fill from G5>__________

Position: _<auto fill from G5>__________(editable)

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

Mailing Address: _<auto fill from G5>__________(editable)

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

Email address: _<auto fill from G5>__________

Instructions: States that received Elementary and Secondary School Emergency Relief funds under the Coronavirus Aid, Relief, and Economic Security (CARES) Act (ESSER I), the Coronavirus Response and Relief Supplemental Appropriations (CRRSA) Act (ESSER II), or the American Rescue Plan Act (ARP ESSER) should fill out this form. To fulfill the annual ESSER 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.

ARP - American Rescue Plan Act of 2021

ARP ESSER - Elementary and Secondary School Emergency Relief fund authorized under section 2001 of the American Rescue Plan Act of 2021

Awarded- An SEA awards funds when it makes a subgrant to an LEA or, in the case of the SEA Reserve, when it enters into a subgrant or contract with a subrecipient.

CARES (ESSER I) - Coronavirus Aid, Relief, and Economic Security Act

CRRSA (ESSER II) - Coronavirus Response and Relief Supplemental Appropriations

ESSER I- (CARES) Elementary and Secondary School Emergency Relief fund authorized under Section 18003 of Division B

of the Coronavirus Aid Relief, and Economic Security (CARES) Act

ESSER II- (CRRSA) Elementary and Secondary School Emergency Relief fund authorized under Section 313 of the Coronavirus Response and Relief Supplemental Appropriations (CRRSA) Act

Evidence-based- The ARP Act defines the term “evidence-based” as having the meaning in section 8101(21) of the ESEA. Accordingly, “evidence-based” includes several tiers of evidence. Specifically, “evidence-based,” when used with respect to an SEA, LEA, or school activity, means an activity, strategy, or intervention that:

• Demonstrates a statistically significant effect on improving student outcomes or other relevant outcomes based on—

-Strong evidence from at least one well-designed and well-implemented experimental

study (“tier 1”);

-Moderate evidence from at least one well-designed and well-implemented quasi experimental study (“tier 2”); or

-Promising evidence from at least one well-designed and well-implemented correlational

study with statistical controls for selection bias (“tier 3”); or

• Demonstrates a rationale based on high-quality research findings or positive evaluation that such activity, strategy, or intervention is likely to improve student outcomes or other relevant outcomes and includes ongoing efforts to examine the effects of such activity, strategy, or intervention (“tier 4”).

Given the novel context created by the COVID-19 pandemic, an activity need not have generated such evidence during the COVID-19 pandemic to be considered evidence-based.

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

Full-Service Community School- The term ‘‘full-service community school’’ means a public elementary school or secondary school that—participates in a community-based effort to coordinate and integrate educational, developmental, family, health, and other comprehensive services through community-based organizations and public and private partnerships; and provides access to such services in school to students, families, and the community, such as access during the school year (including before- and after-school hours and weekends), as well as during the summer.

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

LEA- Local Educational Agency

Planned Uses of Funds- Remaining funds that have been earmarked or budgeted for specific purposes 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.

Qualified Educator - For the purposes of this document “qualified” means an educator has met all requirements to earn a State license or certification in the area they are assigned to teach (and does not include substitute or provisional license or certification).

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

SEA- State Educational Agency

SEA Reserve funds- An SEA may reserve 10 percent or less of its ESSER I and II grants (the “SEA Reserve”), to address emergency needs as determined by the SEA resulting from COVID-19, which may be addressed through the use of subgrants or contracts, and up to ½ of 1 percent of its total ESSER I and II award for administrative costs, which must come from the SEA reserve. An SEA must reserve at least 7 percent of its ARP ESSER award for mandatory set-asides for evidence-based interventions, as described below, and up to 3 percent for emergency needs as determined by the SEA (the “SEA Reserve”). An SEA may also reserve up to ½ of 1 percent of its total ARP ESSER award for administrative costs, which must come from the 3 percent for emergency needs.

State– The 50 States, the District of Columbia, and the Commonwealth of Puerto Rico

Reporting Periods  

Annual Reporting:  This report should be completed based on activities in each State’s Fiscal Year 202X for ESSER I, ESSER II and ARP ESSER, respectively. 

  

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

  

Annual Report	Applicable Reporting Period
Year 5 Annual Report	State Fiscal Year 2024
Year 6 Annual Report	State Fiscal Year 2025*

   

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

  

Annual Report	Applicable Reporting Period
Year 4 Annual Report	State Fiscal Year 2024
Year 5 Annual Report	State Fiscal Year 2025
Year 6 Annual Report	State Fiscal Year 2026*

  

ARP ESSER under the American Rescue Plan (ARP) Act  

  

Annual Report	Applicable Reporting Period
Year 4 Annual Report	State Fiscal Year 2024
Year 5 Annual Report	State Fiscal Year 2025
Year 6 Annual Report	State Fiscal Year 2026*

 

*Note: Annual performance reports are required until all funds have been liquidated. Given the variation in State Fiscal Year closes and the rate at which States and subgrantees expend funds, some States may be required to submit an additional annual report(s) to cover activities through the end of the respective grant liquidation periods for ESSER I, ESSER II and/or ARP ESSER.

Section 1- State Fiscal Year

1.1 Enter the close of the SEA’s State fiscal year in MM/DD format: _________

Annual Report	Applicable Reporting Period
CARES Annual Report	<auto-calculate>, 20XX - <auto-fill>, 20XX
CRRSA Annual Report	<auto-calculate>, 20XX - <auto-fill>, 20XX
ARP Annual Report	<auto-calculate>, 20XX - <auto-fill>, 20XX

Section 2- Overall ESSER Fund Grants for SEA

2.1 Total SEA Grant

	ESSER I (CARES Act)	ESSER II (CRRSAA)	ARP ESSER
a. The total grant amount allocated to the State Educational Agency (SEA)	<auto-fill from G5>	<auto-fill from G5>	<auto-fill from G5>
b. The total amount of the grant expended by the SEA and all State subrecipients in the prior reporting periods.
c. The total amount of the grant expended by the SEA and all State subrecipients in this reporting period.
d. The total amount of remaining grant funds Subtract all expenditures (rows b and c) from the total grant amount (row a).	<auto-fill from G5>-(b1+c1)	<auto-fill from G5>-(b2+c2)	<auto-fill from G5>-(b3+c3)
e. Amount of remaining funds planned for specific purpose (see definition of planned uses of remaining funds)

Sub-Section 2- ESSER SEA Reserve

2.2a SEA Reserve

	ESSER I (CARES Act)	ESSER II (CRRSAA)	ARP ESSER
a. The total amount reserved by the SEA (This value may not exceed 10% of the value reported in Section 2.1a for the associated fund)	This value may not exceed 10% of the value reported in Section 2.1a for ESSER I	This value may not exceed 10% of the value reported in Section 2.1a for ESSER II	This value may not exceed 10%, and must not be less than 7%, of the value reported in Section 2.1a for ARP ESSER
b. The total amount the SEA reserved for implementation of evidence-based interventions aimed specifically at addressing learning loss, such as summer learning, extended day, comprehensive afterschool programs, or extended year programs			This value must be at least 5% of the value reported in Section 2.1a for ARP ESSER
c. The total amount reserved for the allocation of evidence-based summer enrichment programs			This value must be at least 1% of the value reported in Section 2.1a for ARP ESSER and in addition to any amount reported in 1.2b for summer enrichment programs
d. The total amount reserved for the allocation of evidence-based comprehensive afterschool programs			This value must be at least 1% of the value reported in Section 2.1a for ARP ESSER and in addition to any amount reported in 1.2b for comprehensive afterschool programs
e. The total amount the SEA reserved for administrative costs	(This value may not exceed ½ of 1% of the value reported in Section 2.1a for ESSER I)	(This value may not exceed ½ of 1% of the value reported in Section 2.1a for ESSER II)	(This value may not exceed 1/2 of 1% of the value reported in Section 2.1a for ARP ESSER)
f. The total amount the SEA reserved for emergency needs	(This value may not exceed 10% of the value reported in Section 2.1a for ESSER I)	(This value may not exceed 10% of the value reported in Section 2.1a for ESSER II)	(This value may not exceed 3% of the value reported in Section 2.1a for ARP ESSER and should include the amount reserved for administrative costs reported in row e)

2.2b SEA Expenditures of SEA Reserve

Excluding SEA Reserve Awards made to subgrantees, did the SEA expend any ESSER funds directly from its SEA Reserve? Y/N

<skip logic; If Y, then>

Indicate the total expended directly by the SEA of SEA Reserve funds in the table below. If the SEA did not directly expend funds in a given category, enter “$0” in that cell.

	ESSER I (CARES Act)	ESSER II (CRRSAA)	ARP ESSER
			Learning Loss Activities Set-Aside	Summer Enrichment Set-Aside	Afterschool Programs Set-Aside	Emergency Needs and/or Administrative Costs
The total amount of SEA Reserve the SEA expended directly in the current reporting period

2.2c. Please describe the specific initiatives and services provided by the SEA using the ARP ESSER SEA Reserve funds during the applicable reporting period.

(3,000 character limit)

SEA Interventions and Participation

2.2d SEA Interventions to Address Learning Loss

Did the SEA directly administer any activities or interventions to address learning loss and/or meet the needs of students disproportionately impacted by the COVID-19 pandemic? Y/N

<skip logic; If Y, then>

2.2e SEA Interventions and Participation (Skip this question if the response to 2.2d is N).
How did this SEA use ESSER (ESSER I, ESSER II and/or ARP ESSER SEA Reserve funds) to support learning recovery or acceleration for student groups who were disproportionately impacted by the COVID-19 pandemic? Mark Y/N to each activity below; if an activity was offered by the SEA, provide the number of eligible students in the State and the number of students that participated.

Methods/Intervention Y/N	(If Yes, then) Capacity and Participation
Evidence-based summer learning or summer enrichment programs	Is this program available to all enrolled students? Y/N If no, indicate the number of students this program serves at full capacity: __________ Total unique headcount of students that participated in this activity: __________ Indicate the number of eligible students within each of the following student groups, and the number of eligible students from that student group that participated in this activity: Eligible refers to students within the student group who meet eligibility criteria for participation, such as belonging to the appropriate grade for the activity.
	Student Profile (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)	# Enrolled eligible students in subgroup	# Eligible students in subgroup participating
	Students with one or more disabilities
	Low-income students
	English learners
	Students in foster care
	Migratory students
	Students experiencing homelessness
	American Indian or Alaska Native
	Asian
	Black or African American
	Hispanic/Latino
	Native Hawaiian or Other Pacific Islander
	White
	Two or more races
	Other student subpopulation (Please specify): __________________
Evidence-based afterschool programs	Is this program available to all students? Y/N If no, indicate the number of students this program serves at full capacity: __________ Total unique headcount of students that participated in this activity: __________ Indicate the number of eligible students within each of the following student groups, and the number of eligible students from that student group that participated in this activity: Eligible refers to students within the student group who meet eligibility criteria for participation, such as belonging to the appropriate grade for the activity.
	Student Profile (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)	# Enrolled eligible Students in subgroup	# Eligible students in subgroup participating
	Students with one or more disabilities
	Low-income students
	English learners
	Students in foster care
	Migratory students
	Students experiencing homelessness
	American Indian or Alaska Native
	Asian
	Black or African American
	Hispanic/Latino
	Native Hawaiian or Other Pacific Islander
	White
	Two or more races
	Other student subpopulation (Please specify): __________________
Extended Instructional Time (including extended school day or school week or school year)	Is extended instructional time in place at all schools within the State? Y/N <skip logic; if yes, skip to item d, evidence-based high-dosage tutoring> If no, indicate the unique headcount of students enrolled in schools within the State with mandatory extended instructional time: __________ Indicate the number students from each student group enrolled in schools with extended instructional time:
	Student Profile (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)	# Students Enrolled in Schools with (Mandatory) Extended Instructional Time
	Students with one or more disabilities
	Low-income students
	English learners
	Students in foster care
	Migratory students
	Students experiencing homelessness
	American Indian or Alaska Native
	Asian
	Black or African American
	Hispanic/Latino
	Native Hawaiian or Other Pacific Islander
	White
	Two or more races
	Other student subpopulation (Please specify): __________________
Evidence-based high dosage tutoring	Is this program available to all students? Y/N If no, indicate the number of students this program serves at full capacity: __________ Total unique headcount of students that participated in this activity: __________ Indicate the number of eligible students within each of the following student groups, and the number of eligible students from that student group that participated in this activity: Eligible refers to students within the student group who meet eligibility criteria for participation, such as belonging to the appropriate grade for the activity.
	Student Profile (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)	# Enrolled eligible Students in subgroup	# Eligible students in subgroup participating
	Students with one or more disabilities
	Low-income students
	English learners
	Students in foster care
	Migratory students
	Students experiencing homelessness
	American Indian or Alaska Native
	Asian
	Black or African American
	Hispanic/Latino
	Native Hawaiian or Other Pacific Islander
	White
	Two or more races
	Other student subpopulation (Please specify): __________________
Early childhood education program expansion or enhancement	Did this SEA expand or enhance its early childhood program? Mark Y/N to each below. Expand Y/N Enhance Y/N <Skip logic: if “Expand”=Y, then:> How many additional students or slots were funded with ESSER I, ESSER II or ARP ESSER in the most recent school year? Please include students or slots that were fully and partially funded with ESSER I, ESSER II, or ARP ESSER funds. _________ Total unique headcount of students enrolled in an early childhood education program within the State: __________ Indicate the number of students from each student group enrolled in an early childhood education program within the State below.
	Student Profile (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)	# Enrolled Students in subgroup
	Students with one or more disabilities
	Low-income students
	English learners
	Students in foster care
	Migratory students
	Students experiencing homelessness
	American Indian or Alaska Native
	Asian
	Black or African American
	Hispanic/Latino
	Native Hawaiian or Other Pacific Islander
	White
	Two or more races
	Other student subpopulation (Please specify): __________________
Full-Service Community Schools	How many new or additional full-service community schools were launched using these funds in this State? _____ How many current full-service community schools received additional services and/or support using these funds? _____ What is the total enrollment in full-service community schools supported with ESSER funds within this State? ____
Purchasing educational technology	Was educational technology purchased for all students? Y/N <skip logic; if yes, no additional questions about educational technology purchased by the SEA are required> If no, indicate the number of students for whom educational technology was purchased ________ Indicate the number of eligible students within each of the following student groups, and the number of eligible students from that student group that received or were directly supported by the educational technology: Eligible refers to students within the student group who meet eligibility criteria for the educational technology, such as belonging to the appropriate grade and/or having a specific need for the educational technology.
	Student Profile (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)	# Enrolled eligible Students in subgroup	# Eligible students in subgroup receiving or supported by the education technology
	Students with one or more disabilities
	Low-income students
	English learners
	Students in foster care
	Migratory students
	Students experiencing homelessness
	American Indian or Alaska Native
	Asian
	Black or African American
	Hispanic/Latino
	Native Hawaiian or Other Pacific Islander
	White
	Two or more races
	Other student subpopulation (Please specify): __________________

Sub-Section 3: ESSER I, ESSER II & ARP ESSER SEA Reserve (Up to 10% of total allocation, respectively)

2.3a SEA Reserve Awards & Direct Expenditures

	ESSER I (CARES Act)	ESSER II (CRRSAA)	ARP ESSER
			Learning Loss Activities Set-Aside	Summer Enrichment Set-Aside	Afterschool Programs Set-Aside	Other SEA Reserve
a. Did the SEA award SEA Reserve Funds to local educational agencies (LEAs) in the current reporting period?	Y/N	Y/N	Y/N	Y/N	Y/N	Y/N
b. Did the SEA award SEA Reserve Funds to non-LEA entities in the current reporting period?	Y/N	Y/N	Y/N	Y/N	Y/N	Y/N

2.3b SEA: Identifying Students for Support

Did the SEA use any of the following strategies to identify, or require LEAs or other subgrantees to identify for the use of SEA Reserve awards, which students were disproportionately impacted by the COVID-19 pandemic? Y/N

<skip logic; if yes>

Indicate which strategies were used to identify students disproportionately impacted by the COVID-19 pandemic (Mark Y/N to each)

1. Student demographic data, such as FRPL eligibility or English learner status

2. Student academic outcome data, such as academic data from state or local assessments

3. Other student outcome data, such as data on students’ school experiences and social and emotional wellbeing

4. Data on the number of days of in-person instruction missed during the 2019-2020 and 2020-2021 school years and/or participation rates in remote instruction when offered during school building closures

5. Opportunity to learn data, such as access to technology and access to educators, school counselors, and other support staff

6. State administrative data, such as unemployment claims

7. Health data, such as local COVID-19 infection rates or hospitalizations due to COVID-19

8. Stakeholder input

9. Other (Please specify): (1,500 character limit)____________________

2.3c How did the SEA allocate ARP ESSER SEA Reserve funds to ensure support for students disproportionately impacted by the COVID-19 pandemic? (Please describe the formula or decision-making rubric to allocate funds)

(3,000 character limit)

2.4 ESSER I SEA Reserve Funds

Name of LEA awarded ESSER I SEA Reserve Funds: <Automatically filled from prior year APR submission>

DUNS #: <Automatically filled from prior year APR submission>

UNIQUE ENTITY ID (SAM): <Automatically filled from prior year APR submission>

NCES LEA ID: <Automatically filled from prior year APR submission>

2.4a ESSER I SEA Reserve Awards to LEAs

Name of LEA awarded ESSER I SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	NCES ID#	Total amount awarded to the LEA from the ESSER I SEA Reserve1	Total amount expended by the LEA from the ESSER I SEA Reserve in this reporting period	Uses of ESSER I SEA Reserve funds (Y/N)
						Addressing Physical Health and Safety	Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	Mental Health Supports for Students and Staff	Operational Continuity and Other Uses

2.4b Planned Uses of Remaining ESSER I SEA Reserve Awards to LEAs

Name of LEA awarded ESSER I SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	NCES ID#	Total ESSER I SEA Reserve Expenditures in Prior Reporting Periods	Remaining SEA Reserve Funds <Automatically calculated from above & cell to left>	Planned Uses of Remaining ESSER I SEA Reserve funds (% of Remaining Funds) Note: Categories must sum to 100% of Remaining Funds
						% Remaining Funds Planned for Addressing Physical Health and Safety	% Remaining Funds Planned for Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	% Remaining Funds Planned for Mental Health Supports for Students and Staff	% Remaining Funds Planned for Operational Continuity and Other Uses	% Remaining Funds Not Yet Planned for Specific Use

ESSER I SEA Reserve Funds to non-LEA entities

Name of non-LEA entity awarded ESSER I SEA Reserve Funds: <Automatically filled from prior year APR submission>

DUNS #: <Automatically filled from prior year APR submission>

UNIQUE ENTITY ID (SAM): <Automatically filled from prior year APR submission>

2.4c ESSER I SEA Reserve Awards to Non-LEAs

Name of non-LEA awarded ESSER I SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	Total amount awarded to the non-LEA from the ESSER I SEA Reserve2	Total amount expended by the non-LEA from the ESSER I SEA Reserve in this reporting period	Uses of ESSER I SEA Reserve funds (Y/N)
					Addressing Physical Health and Safety	Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	Mental Health Supports for Students and Staff	Operational Continuity and Other Uses

2.4d Planned Uses of Remaining ESSER I SEA Reserve Awards to Non-LEAs

Name of non-LEA awarded ESSER I SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	Total ESSER I SEA Reserve Expenditures in Prior Reporting Periods	Remaining ESSER I SEA Reserve Funds <Automatically calculated from above & cell to left>	Planned Uses of Remaining ESSER I SEA Reserve funds (% of Remaining Funds) Note: Categories must sum to 100% of Remaining Funds
					% Remaining Funds Planned for Addressing Physical Health and Safety	% Remaining Funds Planned for Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	% Remaining Funds Planned for Mental Health Supports for Students and Staff	% Remaining Funds Planned for Operational Continuity and Other Uses	% Remaining Funds Not Yet Planned for Specific Use

Sub-Section 2.5: ESSER II SEA Reserve Funds

Name of LEA awarded ESSER II SEA Reserve Funds: <Automatically filled from prior year APR submission>

DUNS #: <Automatically filled from prior year APR submission>

UNIQUE ENTITY ID (SAM): <Automatically filled from prior year APR submission>

NCES LEA ID: <Automatically filled from prior year APR submission>

2.5a ESSER II SEA Reserve Awards to LEAs

Name of LEA awarded ESSER II SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	NCES ID#	Total amount awarded to the LEA from the ESSER II SEA Reserve3	Total amount expended by the LEA from the ESSER II SEA Reserve	Uses of ESSER II SEA Reserve funds (Y/N)
						Addressing Physical Health and Safety	Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	Mental Health Supports for Students and Staff	Operational Continuity and Other Uses

2.5b Planned Uses of Remaining ESSER II SEA Reserve Awards to LEAs

Name of LEA awarded ESSER II SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	NCES ID#	Total ESSER II SEA Reserve Expenditures in Prior Reporting Periods	Remaining ESSER II SEA Reserve Funds <Automatically calculated from above & cell to left>	Planned Uses of Remaining ESSER II SEA Reserve funds (% of Remaining Funds) Note: Categories must sum to 100% of Remaining Funds
						% Remaining Funds Planned for Addressing Physical Health and Safety	% Remaining Funds Planned for Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	% Remaining Funds Planned for Mental Health Supports for Students and Staff	% Remaining Funds Planned for Operational Continuity and Other Uses	% Remaining Funds Not Yet Planned for Specific Use

ESSER II SEA Reserve Funds to non-LEA entities:

Name of non-LEA awarded ESSER II SEA Reserve Funds: <Automatically filled from prior year APR submission>

DUNS #: <Automatically filled from prior year APR submission>

UNIQUE ENTITY ID (SAM): <Automatically filled from prior year APR submission>

2.5c ESSER II SEA Reserve Awards to Non-LEAs

Name of non-LEA awarded ESSER II SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	Total amount awarded to the non-LEA from the ESSER II SEA Reserve4	Total amount expended by the non-LEA from the ESSER II SEA Reserve	Uses of ESSER II SEA Reserve funds (Y/N)
					Addressing Physical Health and Safety	Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	Mental Health Supports for Students and Staff	Operational Continuity and Other Uses

2.5d Planned Uses of Remaining ESSER II SEA Reserve Awards to Non-LEAs

Name of non-LEA awarded ESSER II SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	Total ESSER II SEA Reserve Expenditures in Prior Reporting Periods	Remaining ESSER II SEA Reserve Funds <Automatically calculated from above & cell to left>	Planned Uses of Remaining ESSER II SEA Reserve funds (% of Remaining Funds) Note: Categories must sum to 100% of Remaining Funds
					% Remaining Funds Planned for Addressing Physical Health and Safety	% Remaining Funds Planned for Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	% Remaining Funds Planned for Mental Health Supports for Students and Staff	% Remaining Funds Planned for Operational Continuity and Other Uses	% Remaining Funds Not Yet Planned for Specific Use

Sub-Section 2.6: ARP ESSER SEA Reserve Funds

Name of LEA awarded ARP ESSER SEA Reserve Funds: <Automatically filled from prior year APR submission>

DUNS #: <Automatically filled from prior year APR submission>

UNIQUE ENTITY ID (SAM): <Automatically filled from prior year APR submission>

NCES LEA ID: <Automatically filled from prior year APR submission>

Total amount awarded to the LEA from the ARP ESSER SEA Reserve: <Automatically calculated from table 2.6a>

2.6a ARP ESSER SEA Reserve Awards to LEAs

Name of LEA awarded ARP ESSER SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	NCES ID#	Total Amount Awarded from ARP ESSER SEA Reserve Fund5				Total Amount Expended from ARP ESSER SEA Reserve Fund
				Learning Loss Activities Set-Aside	Summer Enrichment Set-Aside	Afterschool Programs Set-Aside	Other SEA Reserve Award	Learning Loss Activities Set-Aside	Summer Enrichment Set-Aside	Afterschool Programs Set-Aside	Other SEA Reserve Award

Name of LEA awarded ARP ESSER SEA Reserve Funds: <Automatically filled from prior year APR submission>

DUNS #: <Automatically filled from prior year APR submission>

UNIQUE ENTITY ID (SAM): <Automatically filled from prior year APR submission>

NCES LEA ID: <Automatically filled from prior year APR submission>

2.6b ARP ESSER SEA Reserve Awards – Other Use

Name of LEA awarded ARP ESSER SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	NCES ID#	Total ARP ESSER SEA Reserve Expenditures in Prior Reporting Periods	Total amount reserved by the LEA from the ARP ESSER SEA Reserve – “other” <Automatically filled from above>	Total amount expended by the LEA from the ARP ESSER SEA Reserve – “other” <Automatically filled from above>	Uses of ARP ESSER SEA Reserve funds (Y/N)
							Addressing Physical Health and Safety	Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	Mental Health Supports for Students and Staff	Operational Continuity and Other Uses

2.6c Planned Uses of Remaining ARP ESSER SEA Reserve Awards – Other Use

Name of LEA awarded ARP ESSER SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	NCES ID#	Remaining ARP ESSER SEA Reserve Funds - Other <Automatically calculated from above>	Planned Uses of Remaining ARP ESSER SEA Reserve funds (% of Remaining Funds) (Note: Categories must sum to 100% of Remaining “Other SEA Reserve” Funds)
					% Remaining Funds Planned for Addressing Physical Health and Safety	% Remaining Funds Planned for Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	% Remaining Funds Planned for Mental Health Supports for Students and Staff	% Remaining Funds Planned for Operational Continuity and Other Uses	% Remaining Funds Not Yet Planned for Specific Use

ARP ESSER SEA Reserve Funds to non-LEA entities:

Name of non-LEA entity awarded ARP ESSER SEA Reserve Funds: <Automatically filled from prior year APR submission>

DUNS #: <Automatically filled from prior year APR submission>

UNIQUE ENTITY ID (SAM): <Automatically filled from prior year APR submission>

2.6d ARP ESSER SEA Reserve Awards to non-LEAs

Name of non-LEA awarded ARP ESSER SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	Total Amount Awarded from ARP ESSER SEA Reserve Fund6				Total Amount Expended from ARP ESSER SEA Reserve Fund
			Learning Loss Activities Set-Aside	Summer Enrichment Set-Aside	Afterschool Programs Set-Aside	Other SEA Reserve Award	Learning Loss Activities Set-Aside	Summer Enrichment Set-Aside	Afterschool Programs Set-Aside	Other SEA Reserve Award

Name of non-LEA awarded ARP ESSER SEA Reserve Funds: <Automatically filled from prior year APR submission>

DUNS #: <Automatically filled from prior year APR submission>

UNIQUE ENTITY ID (SAM): <Automatically filled from prior year APR submission>

2.6e ARP ESSER SEA Reserve Awards – Other Use

Name of non-LEA awarded ARP ESSER SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	Total amount reserved by the non-LEA from the ARP ESSER SEA Reserve – “other” <Automatically filled from above>	Total amount expended by the non-LEA from the ARP ESSER SEA Reserve – “other” <Automatically filled from above>	Uses of ARP ESSER SEA Reserve funds (Y/N)
					Addressing Physical Health and Safety	Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	Mental Health Supports for Students and Staff	Operational Continuity and Other Uses

2.6f Planned Uses of Remaining ARP ESSER SEA Reserve Awards – Other Use

Name of non-LEA awarded ARP ESSER SEA Reserve funds	DUNS #	UNIQUE ENTITY ID (SAM)	Total ARP ESSER SEA Reserve Expenditures in Prior Reporting Periods	Remaining ARP ESSER SEA Reserve Funds - Other <Automatically calculated from above & cell to left>	Planned Uses of Remaining ARP ESSER SEA Reserve funds (% of Remaining Funds) (Note: Categories must sum to 100% of Remaining “Other SEA Reserve” Funds)
					% Remaining Funds Planned for Addressing Physical Health and Safety	% Remaining Funds Planned for Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	% Remaining Funds Planned for Mental Health Supports for Students and Staff	% Remaining Funds Planned for Operational Continuity and Other Uses	% Remaining Funds Not Yet Planned for Specific Use

Section 3- Mandatory Subgrants to LEAs

Subsection A – ESSER Mandatory Subgrants to LEAs, (at least 90% of the ESSER I, ESSER II, and ARP ESSER awards, respectively)

3.a Provide the amount of the mandatory subgrant awarded⁷ to each LEA from the ESSER I, ESSER II, and ARP ESSER awards, respectively:

				ESSER I (CARES)	ESSER II (CRRSAA)	ARP ESSER
LEA Name	DUNS#	UNIQUE ENTITY ID (SAM)	NCES ID#	Total mandatory subgrant amount awarded to LEA	Total mandatory subgrant amount awarded to LEA	Total mandatory subgrant amount awarded to LEA

Subsection B – ESSER Mandatory Subgrants to LEAs, (at least 90% of the ESSER I, ESSER II, and ARP ESSER awards, respectively) – Use of Funds Detail

3.b1 Provide the amount of the LEA expenditures by ESSER Subgrant fund and accounting object for the current reporting period. (If the SEA operates as a unitary system then report for the entire SEA. The total amount reported for subgrant amounts to LEAs may not exceed the total grant amount (Section 2, Question 2.1a) minus total amount reserved (Section 2, Question 2.2a.a))

Report any expenditure ONLY ONCE in the table below; all cells in each column should sum to the total expended by the LEA (or unitary SEA) in this reporting period. Please use the most appropriate and most specific applicable expenditure category/object for each expenditure. See Question 3.b2 for examples of expenditures that should be counted within the four main expenditure categories.

Note: LEA Mandatory Subgrant Expenditure information is reported by accounting object in question 3.b1 and by activity in question 3.b2. As these questions both capture information about the same LEA Mandatory Subgrant Expenditures, the sum of expenditures by ESSER fund and by the four main expenditures categories (Addressing Physical Health and Safety, Meeting Students’ Academic, Social, Emotional, and Other Needs, Mental Health Supports for Students and Staff, and Operational Continuity and Other Allowed Uses) should be equal in questions 3.b1 and 3.b2. For ARP ESSER, the categories in 3.b2 should be equal to the sum of both columns of ARP ESSER in 3.b1.

								ESSER I (CARES Act)	ESSER II (CRRSAA)	ARP ESSER
LEA name	DUNS#		UNIQUE ENTITY ID (SAM)		NCES ID#	Accounting Objects		Total Amount Expended by Accounting Object8	Total Amount Expended by Accounting Object	Total Amount Expended by Accounting Object	Total Amount Expended toward required set-aside to address learning loss (this amount will be exclusive of the amount reported in the preceding column; report each expenditure in only one of the two ARP ESSER columns)
						Addressing Physical Health and Safety		Auto-calculate from rows a-i below	Auto-calculate from rows a-i below	Auto-calculate from rows a-i below	Auto-calculate from rows a-i below
						Personnel Services – Salaries
						Personnel Services – Benefits
						Purchased Professional and Technical Services
						Purchased Property Services
						Other Purchased Services
						Supplies
						Property
						Debt Service and Miscellaneous
						Other Items
						Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)		Auto-calculate from rows j-r below	Auto-calculate from rows j-r below	Auto-calculate from rows j-r below	Auto-calculate from rows j-r below
						Personnel Services – Salaries
						Personnel Services – Benefits
						Purchased Professional and Technical Services
						Purchased Property Services
						Other Purchased Services
						Supplies
						Property
						Debt Service and Miscellaneous
						Other Items
						Mental Health Supports for Students and Staff		Auto-calculate from rows s-aa below	Auto-calculate from rows s-aa below	Auto-calculate from rows s-aa below	Auto-calculate from rows s-aa below
						Personnel Services – Salaries
						Personnel Services – Benefits
						Purchased Professional and Technical Services
						Purchased Property Services
						Other Purchased Services
						Supplies
						Property
						Debt Service and Miscellaneous
						Other Items
						Operational Continuity and Other Allowed Uses		Auto-calculate from rows bb-jj below	Auto-calculate from rows bb-jj below	Auto-calculate from rows bb-jj below	Auto-calculate from rows bb-jj below
						Personnel Services – Salaries
						Personnel Services – Benefits
						Purchased Professional and Technical Services
						Purchased Property Services
						Other Purchased Services
						Supplies
						Property
						Debt Service and Miscellaneous
						Other Items

3.b2 Provide the amount of the LEA expenditures by ESSER Subgrant fund and activity for the current reporting period. (If the SEA operates as a unitary system then report for the entire SEA. The total amount reported for subgrant amounts to LEAs may not exceed the total grant amount (Section 2, Question 2.1a) minus total amount reserved (Section 2, Question 2.2a.a).

Report any expenditure ONLY ONCE in the table below; All cells in each column should sum to the total expended by the LEA (or unitary SEA) in this reporting period. Please use the most appropriate and most specific applicable activity for each expenditure.

Note: LEA Mandatory Subgrant Expenditure information is reported by accounting object in question 3.b1 and by activity in question 3.b2. As these questions both capture information about the same LEA Mandatory Subgrant Expenditures, the sum of expenditures by ESSER fund and by the four main expenditures categories (Addressing Physical Health and Safety, Meeting Students’ Academic, Social, Emotional, and Other Needs, Mental Health Supports for Students and Staff, and Operational Continuity and Other Allowed Uses) should be equal in questions 3.b1 and 3.b2. For ARP ESSER, the categories in 3.b2 should be equal to the sum of both columns of ARP ESSER in 3.b1.

								ESSER I (CARES Act)	ESSER II (CRRSAA)	ARP ESSER
LEA name	DUNS#		UNIQUE ENTITY ID (SAM)		NCES ID#	Activities		Total Amount Expended by Activity	Total Amount Expended by Activity	Total Amount Expended by Activity
						Addressing Physical Health and Safety
						Building and facilities upgrades and maintenance, including ventilation systems and new construction
						Assistance with meals for students
						Cleaning and/or sanitization supplies
						Temporary classroom space to support social distancing
						Temporary or additional transportation services to support social distancing to and from school
						Capacity-building to improve disaster preparedness and response efforts, including coordination with State, local, Tribal, and territorial public health departments, and other relevant agencies to improve coordinated responses to prevent, prepare for, and respond to COVID-19
						Other health protocols not listed above and aligned to guidance from the Centers for Disease Control and Prevention (CDC) such as: vaccines for staff and/or students, COVID-19 testing for staff and/or students, contact-tracing, masks
						Meeting Students’ Academic, Social, Emotional, and Other Needs Excluding Mental Health Supports
						Extended learning and/or summer learning
						Tutoring
						Additional staffing and/or activities to identify and/or respond to unique student needs and/or provide targeted support for underserved student groups, including each major racial and ethnic group, children from low-income families, children with disabilities, English learners, LGBTQ+ students, migratory students, students experiencing homelessness, youth in foster care, and other groups disproportionately impacted by the pandemic that have been identified by the SEA
						Universal screening, academic assessments, and intervention data systems, such as early warning systems and/or opportunities to learn data systems
						Improved coordination of services for students with multiple types of needs, such as full-service community schools or improved coordination with partner agencies, such as the foster care services
						Early Childhood Programs
						Hardware and software
						Wi-Fi, broadband, or other connectivity
						Curriculum adoption and learning materials
						Core staff capacity building / training to increase instructional quality and advance equity
						Investments in talent pipelines for teachers and/or classified staff
						Mental Health Supports for Students and Staff
						Additional staffing and/or activities to assess and support social-emotional well-being, including mental health, for students, educators and/or families
						Operational Continuity and Other Allowed Uses
						Any activity not described above that is authorized by the McKinney-Vento Homeless Assistance Act
						Any activity not described above that is authorized by the Elementary and Secondary Education Act of 1965
						Any activity not described above that is authorized by the Individuals with Disabilities Education Act
						Any activity not described above that is authorized by the Adult Education and Family Literacy Act
						Any activity not described above that is authorized by the Carl D. Perkins Career and Technical Education Act of 2006
						Other activities not described above that are necessary to maintain the operation of and continuity of services in local educational agencies and continuing to employ existing staff of the local educational agency

3.b3 Planned Uses of Remaining ESSER I Funds

What are the LEA’s planned uses of remaining ESSER I mandatory subgrant funds? (Provide the percentage of remaining funds planned for the below expenditure categories.

All categories must sum to 100% of remaining ESSER I mandatory subgrant funds.)

Name of LEA awarded ESSER I Mandatory LEA Subgrant	DUNS #	UNIQUE ENTITY ID (SAM)	NCES ID#	Total ESSER I Expenditures in Prior Reporting Periods	Remaining ESSER I Funds <Automatically calculated from above & cell to left>	Planned Uses of Remaining ESSER I Mandatory Subgrant Funds
						% Remaining Funds Planned for Addressing Physical Health and Safety	% Remaining Funds Planned for Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	% Remaining Funds Planned for Mental Health Supports for Students and Staff	% Remaining Funds Planned for Operational Continuity and Other Uses	% Remaining Funds Not Yet Planned for Specific Use

3.b4 Planned Uses of Remaining ESSER II Funds

What are the LEA’s planned uses of remaining ESSER II mandatory subgrant funds? (Provide the percentage of remaining funds planned for the below expenditure categories.

All categories must sum to 100% of remaining ESSER II mandatory subgrant funds.)

Name of LEA awarded ESSER II Mandatory LEA Subgrant	DUNS #	UNIQUE ENTITY ID (SAM)	NCES ID#	Total ESSER II Expenditures in Prior Reporting Periods	Remaining ESSER II Funds <Automatically calculated from above & cell to left>	Planned Uses of Remaining ESSER II Mandatory Subgrant Funds
						% Remaining Funds Planned for Addressing Physical Health and Safety	% Remaining Funds Planned for Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	% Remaining Funds Planned for Mental Health Supports for Students and Staff	% Remaining Funds Planned for Operational Continuity and Other Uses	% Remaining Funds Not Yet Planned for Specific Use

3.b5 Planned Uses of Remaining ARP ESSER Funds

What are the LEA’s planned uses of remaining ARP ESSER mandatory subgrant funds? (Provide the percentage of remaining funds planned for the below expenditure categories.

All categories must sum to 100% of remaining ARP ESSER mandatory subgrant funds.)

Name of LEA awarded ARP ESSER Mandatory LEA Subgrant	DUNS #	UNIQUE ENTITY ID (SAM)	NCES ID#	Total ARP ESSER Expenditures in Prior Reporting Periods	Remaining ARP ESSER Funds <Automatically calculated from above & cell to left>	Planned Uses of Remaining ARP ESSER Mandatory Subgrant Funds
						% Remaining Funds Planned for Addressing Physical Health and Safety	% Remaining Funds Planned for Meeting Students’ Academic, Social, Emotional, and Other Needs (Excluding Mental Health Supports)	% Remaining Funds Planned for Mental Health Supports for Students and Staff	% Remaining Funds Planned for Operational Continuity and Other Uses	% Remaining Funds Not Yet Planned for Specific Use

3.b6 Maintaining Safe In-Person Instruction

Did the LEA expend ESSER funds on any of the items below in the current reporting period (note, ESSER refers to ESSER I, ESSER II, and ARP ESSER funds and includes both mandatory subgrants and SEA Reserve subgrants): (Mark Y/N for each)

1. Promoting vaccination

2. Consistent and correct mask use

3. Physical distancing

4. Screening testing to promptly identify cases, clusters, and outbreaks

5. Ventilation

6. Handwashing and respiratory etiquette

7. Staying home when sick and getting tested

8. Contact tracing

9. Cleaning and disinfection

3.b7 ESSER Funds to Provide Internet Access

Did this LEA use ESSER to provide home Internet access for any students in the current reporting period?  (ESSER refers to ESSER I, ESSER II and ARP ESSER awards and includes both mandatory subgrants and SEA Reserve subgrants)

Did this LEA use ESSER 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 ESSER funds? Internet Service type:	Yes/No
	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 (Please specify): ___________

3.b8 Reengaging Students

Provide a response for all LEAs that received ESSER I, ESSER II or ARP ESSER funds.

Did the LEA seek to reengage students with poor attendance or participation? (Mark Y or N)

Y/N

<skip logic: if Y, then:>

3.b9 Reengaging Students Activities

How did the LEA seek to reengage students with poor attendance or participation? Please answer regardless of whether ESSER funds were used for this purpose. (Mark Y/N for each)

1. Direct outreach to families

2. Engaging the school district homeless liaison

3. Partnering with community-based organizations

4. Offering home internet service and/or devices

5. Implementing new curricular strategies to improve student engagement

6. Offering credit recovery and/or acceleration strategies

7. Other (please describe): _(1500 character limit)____________

3.b10 LEA Hiring and Retention of Specific Positions with ESSER I, ESSER II, and/or ARP ESSER LEA Mandatory subgrant and SEA Reserve Funds

LEA Name	DUNS#	UNIQUE ENTITY ID (SAM)	NCES ID#	Total Amount Expended for These Staff (cumulative across all ESSER funds)	Indicate the total number of these specific positions supported with any of the ESSER funds for the following positions for the reporting period. Support indicates salaries and/or benefits were partially or fully paid with ESSER funds. (Note, ESSER refers to ESSER I, ESSER II, and ARP ESSER funds and includes both mandatory subgrants and SEA Reserve subgrants)
<Automatically filled from prior year APR submission>	<Automatically filled from prior year APR submission>	<Automatically filled from prior year APR submission>	<Automatically filled from prior year APR submission>		___Special educators and related service personnel ___Paraprofessionals ___Bilingual or English as a second language educators ___School counselors, school psychologists and/or social workers ___Nurses ___Short term contractors ___Classroom educators, not covered by previous categories ___Support personnel, not covered by previous categories ___Administrative staff, not covered by previous categories

Subsection C –Allocation of ESSER Resources within LEA

3.c Did this LEA allocate some portion of ESSER funds to schools in this reporting period? Note, ESSER refers to ESSER I, ESSER II, and ARP ESSER funds and includes both mandatory subgrants and SEA Reserve subgrants Y/N

<skip logic; if yes then>

How did this LEA allocate ESSER funds? Mark ‘Y/N’ to indicate whether the below criteria were used to allocate ESSER funds to schools. For example, if the LEA allocated funds using a weighted formula of total number of enrollments and total number of enrolled students with disabilities, the LEA should mark ‘Y’ to rows a and b below.

LEA Name	DUNS#	UNIQUE ENTITY ID (SAM)	NCES ID#	Criteria Used to Allocate Funds to Schools Within LEA (Y/N)
<Automatically filled from prior year APR submission>	<Automatically filled from prior year APR submission>	<Automatically filled from prior year APR submission>	<Automatically filled from prior year APR submission>	Flat amount per school or per pupil Number or proportion of students at the school with specific curricular needs, such as students with disabilities or English learners Number or proportion of students at the school who are eligible for Free or Reduced-Price Lunch and/or other indicators of low-income background Measure(s) of lost instructional time (“learning loss”) Stakeholder or community input Title I status Other data (please specify) (1500 character limit)

Subsection D– ARP ESSER Mandatory Subgrants to LEAs, Reserve to Address Impact of Learning Loss

3.d1 The total amount reserved by the LEA to address the impact of learning loss (note: this value must be at least 20% of the value reported in 3a for ARP ESSER)

3.d2: Total expenditures of ARP ESSER LEA Reserve in this reporting period: <Automatically filled from the expenditure amount reported in 3.b1>

3.d3 Provide the amount expended from the ARP ESSER LEA Reserve in this reporting period on each listed activity or intervention to satisfy the LEA’s mandatory set-aside requirements of ARP ESSER funds, which respond to students’ academic, social, and emotional needs and address the disproportionate impact of COVID-19 on underserved student groups, including each major racial and ethnic group, children from low-income families, children with disabilities, English learners, migratory students, students experiencing homelessness, youth in foster care, and other groups disproportionately impacted by the pandemic that have been identified by the SEA (e.g., youth involved in the criminal justice system, students who have missed the most in-person instruction during the 2019-2020 and 2020-2021 school years, students who did not consistently participate in remote instruction when offered during school building closures, and LGBTQ+ students):

1. Summer learning or summer enrichment

2. Afterschool programs

3. Extended instructional time (school day, school week, or school year)

4. Tutoring

5. Additional classroom teachers

6. Other additional staffing and/or activities to assess and support social-emotional well-being (excluding mental health supports), for students, educators and/or families

7. Other additional staffing and/or activities to assess and support mental health needs, for students, educators and/or families

8. Other additional staffing and/or activities to identify and/or respond to unique student needs and/or provide targeted support for vulnerable students (including low-income children or students, students with disabilities, English learners, racial and ethnic minorities, students experiencing homelessness, and children and youth in foster care)

9. Universal screening, academic assessments, and intervention data systems, such as early warning systems and/or opportunity to learn data systems.

10. Improved coordination of services for students with multiple types of needs, such as full-service community schools or improved coordination with partner agencies, such as foster care services

11. Early childhood programs

12. Curriculum adoption and learning materials

13. Core staff capacity building / training to increase instructional quality and advance investments in talent pipelines for teachers and/or classified staff

14. Other (Please specify):_(1,500 character limit)______________

3.d4 Please describe how the expenditures reported in 3.d3 address the disproportionate impact of COVID-19 on each listed underserved student groups, including each major racial and ethnic group, children from low-income families, children with disabilities, English learners, migratory students, students experiencing homelessness, youth in foster care, and other groups disproportionately impacted by the pandemic that have been identified by the SEA.

(3,000 character limit)

Section 4: LEA Interventions and Participation

4.b1 How did this LEA use ESSER (ESSER I, ESSER II and/or ARP ESSER) funds to support learning recovery or acceleration for student groups who were disproportionately impacted by the COVID-19 pandemic? Mark Y/N to each activity below; if an activity was offered by the LEA, provide the number of eligible students in the LEA and the number of students that participated. (Note, ESSER refers to ESSER I, ESSER II, and ARP ESSER funds and includes both mandatory subgrants and SEA Reserve subgrants.)

LEA	DUNS#	UNIQUE ENTITY ID (SAM)	NCES ID#	Methods/Intervention Y/N	(If Yes, then) Capacity and Participation
<Automatically filled from prior year APR submission>	<Automatically filled from prior year APR submission>	<Automatically filled from prior year APR submission>	<Automatically filled from prior year APR submission>	Evidence-based summer learning or summer enrichment programs	Is this program available to all students? Y/N If no, indicate the number of students this program serves at full capacity: __________ Total unique headcount of students that participated in this activity: __________ Indicate the number of eligible students within each of the following student groups, and the number of eligible students from that student group that participated in this activity: Eligible refers to students within the student group who meet eligibility criteria for participation, such as belonging to the appropriate grade for the activity.
					Student Group (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)	# Enrolled eligible Students at LEA in subgroup	# Eligible students in subgroup participating
					Students with one or more disabilities
					Low-income students
					English learners
					Students in foster care
					Migratory students
					Students experiencing homelessness
					American Indian or Alaska Native
					Asian
					Black or African American
					Hispanic/Latino
					Native Hawaiian or Other Pacific Islander
					White
					Two or more races
					Other student subpopulation (Please specify): __________________
				Evidence-based afterschool programs	Is this program available to all students? Y/N If no, indicate the number of students this program serves at full capacity: __________ Total unique headcount of students that participated in this activity: __________ Indicate the number of eligible students within each of the following student groups, and the number of eligible students from that student group that participated in this activity: Eligible refers to students within the student group who meet eligibility criteria for participation, such as belonging to the appropriate grade for the activity.
					Student Group (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)	# Enrolled eligible Students at LEA in subgroup	# Eligible students in subgroup participating
					Students with one or more disabilities
					Low-income students
					English learners
					Students in foster care
					Migratory students
					Students experiencing homelessness
					American Indian or Alaska Native
					Asian
					Black or African American
					Hispanic/Latino
					Native Hawaiian or Other Pacific Islander
					White
					Two or more races
					Other student subpopulation (Please specify): __________________
				Extended Instructional Time (including extended school day or school week or school year)	Is extended instructional time in place at all schools within the LEA? Y/N <skip logic; if Yes, skip to item 4, evidence-based high-dosage tutoring> If no, indicate the unique headcount of students enrolled in schools within the LEA with mandatory extended instructional time: __________ Indicate the number students from each student group enrolled in schools with extended instructional time:
					Student Group (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)	#Students Enrolled in Schools with (Mandatory) Extended Instructional Time
					Students with one or more disabilities
					Low-income students
					English learners
					Students in foster care
					Migratory students
					Students experiencing homelessness
					American Indian or Alaska Native
					Asian
					Black or African American
					Hispanic/Latino
					Native Hawaiian or Other Pacific Islander
					White
					Two or more races
					Other student subpopulation (Please specify): __________________
				Evidence-based high dosage tutoring	Is this program available to all students? Y/N If no, indicate the number of students this program serves at full capacity: __________ Total unique headcount of students that participated in this activity: __________ Indicate the number of eligible students within each of the following student groups, and the number of eligible students from that student group that participated in this activity: Eligible refers to students within the student group who meet eligibility criteria for participation, such as belonging to the appropriate grade for the activity.
					Student Group (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)	# Enrolled eligible Students at LEA in subgroup	# Eligible students in subgroup participating
					Students with one or more disabilities
					Low-income students
					English learners
					Students in foster care
					Migratory students
					Students experiencing homelessness
					American Indian or Alaska Native
					Asian
					Black or African American
					Hispanic/Latino
					Native Hawaiian or Other Pacific Islander
					White
					Two or more races
					Other student subpopulation (Please specify): __________________
Early childhood education program expansion or enhancement	Did this LEA expand or enhance its early childhood program? Mark Y/N to each below. Expand Y/N Enhance Y/N <Skip logic: if “Expand”=Y, then:> How many additional students or slots were funded with ESSER I, ESSER II or ARP ESSER in the most recent school year? Please include students or slots that were fully and partially funded with ESSER I, ESSER II, or ARP ESSER funds. _________ Total unique headcount of students enrolled in an early childhood education program within the LEA: __________ Indicate the number of students from each student group enrolled in an early childhood education program within the LEA below.
	Student Group (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)	# Enrolled Students
	Students with one or more disabilities
	Low-income students
	English learners
	Students in foster care
	Migratory students
	Students experiencing homelessness
	American Indian or Alaska Native
	Asian
	Black or African American
	Hispanic/Latino
	Native Hawaiian or Other Pacific Islander
	White
	Two or more races
	Other student subpopulation (Please specify): __________________
Full-Service Community Schools	How many new or additional full-service community schools were launched using these funds in this LEA? _____ How many current full-service community schools received additional services and/or support using these funds? _____ What is the total enrollment in full-service community schools supported with ESSER funds within this LEA? ____
Purchasing educational technology	Was educational technology purchased for all students? Y/N <skip logic; if yes, no additional questions about educational technology purchased by the LEA are required> If no, indicate the number of students for whom educational technology was purchased ________ Indicate the number of eligible students within each of the following student groups, and the number of eligible students from that student group that received or were directly supported by the educational technology: Eligible refers to students within the student group who meet eligibility criteria for the educational technology, such as belonging to the appropriate grade and/or having a specific need for the educational technology.
	Student Group (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)	# Enrolled eligible Students at LEA in subgroup	# Eligible students in subgroup receiving or supported by the educational technology
	Students with one or more disabilities
	Low-income students
	English learners
	Students in foster care
	Migratory students
	Students experiencing homelessness
	American Indian or Alaska Native
	Asian
	Black or African American
	Hispanic/Latino
	Native Hawaiian or Other Pacific Islander
	White
	Two or more races
	Other student subpopulation (Please specify): __________________

4.b2 Total LEA Student Enrollment by Demographic Subgroup

Indicate the total number of enrolled students within the LEA by each student group below. Students should be counted in all student groups to which they belong. Please use the same methodology to identify student counts as used to report enrollment data to EDFacts.

LEA	DUNS#	UNIQUE ENTITY ID (SAM)	NCES ID#	Student Group	Count Enrolled Students at LEA
				Students with one or more disabilities
				Low-income students
				English learners
				Students in foster care
				Migratory students
				Students experiencing homelessness
				American Indian or Alaska Native
				Asian
				Black or African American
				Hispanic/Latino
				Native Hawaiian or Other Pacific Islander
				White
				Two or more races
				Other student subpopulation (Please specify): __________________
				Total Unique Headcount of Enrolled Students (Note, the total unique headcount does not need to equal the sum of rows a – n, as a student may be counted in multiple rows.)

Subsection C. Access to select staff

4.c1 Please provide the count of FTE staff assigned to serve each school in this LEA, regardless of funding source, as of September 30th of the school year most closely aligned to the reporting period. For example, if one full-time nurse is shared equally by five schools within an LEA, allocate 0.2 FTE to each school served.

LEA NAME

DUNS #

UNIQUE ENTITY ID (SAM)

NCES ID#

School Name

(within LEA)

Count FTE by Staff Type (to the nearest tenth)

<Automatically filled from prior year APR submission>

<Automatically filled from prior year APR submission>

<Automatically filled from prior year APR submission>

<Automatically filled from prior year APR submission>

Staff Type	FTE
Special educators and related service personnel, including paraprofessionals
Bilingual educators or English as a second language educators
School counselors, social workers, or school psychologists
Nurses

Section 5- Full-Time Equivalent (FTE) Positions

[Note to reviewers: these questions will be appended to the LEA and non-LEA entities tables above in the online data collection tool.]

5.a Provide the number of full-time equivalent (FTE) positions for the LEA, or non-LEA Entity as of the listed reporting dates. (The number of FTE positions includes all staff regardless of whether the position is funded by Federal, State, local, or other funds—and equals the sum of the number of full-time positions plus the full-time equivalent of the number of part-time positions.)

Name of LEA/non-LEA Entity	DUNS#	UNIQUE ENTITY ID (SAM)	NCES ID#	Full-time equivalent (FTE) positions as of September 30, 2018	Full-time equivalent (FTE) positions as of September 30, 2019	Full-time equivalent (FTE) positions as of March 13, 2020	Full-time equivalent (FTE) positions on September 30, 2020	Full-time equivalent (FTE) positions on September 30, 2021	Full-time equivalent (FTE) positions on September 30, 2022	Full-time equivalent (FTE) positions on September 30, 2023	Full-time equivalent (FTE) positions on September 30, 20XX*
<Automatically filled from prior year APR submission>	<Automatically filled from prior year APR submission>	<Automatically filled from prior year APR submission>	<Automatically filled from prior year APR submission>	<Pre-populate from data provided in prior year reporting if applicable>	<Pre-populate from data provided in prior year reporting if applicable>	<Pre-populate from data provided in prior year reporting if applicable>	<Pre-populate from data provided in prior year reporting if applicable>	<Pre-populate from data provided in prior year reporting if applicable>	<Pre-populate from data provided in prior year reporting if applicable>	<Pre-populate from data provided in prior year reporting if applicable>
…

*Subgrantees will provide the FTE information for September 30 of the most current year in each annual performance report.

Student Outcomes

The U.S. Department of Education will append the most recent and certified submission of LEA and SEA data (with disaggregation by subpopulation) from existing collections as detailed below:

Metric Category	Specific Metric(s)
Engagement and Participation	% participating in math, English language arts/reading and science assessment (where available) % participating in English language proficiency assessment (where available) Average daily attendance Chronic absenteeism Rates of suspension (including in-school suspensions) and expulsion Incidences of bullying and harassment
Student Learning and Progression	Assessment data (where available), specifically % proficient in math, English language arts/reading, and science FAFSA completion rate 4-year adjusted cohort graduation rate (where available) Rates of college, career, and civic readiness (where available)

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 1810-0749.  Public reporting burden for this collection of information is estimated to average 140 hours per SEA response and 140 hours per LEA response, 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.

1 This value should reflect the total award under the CARES Act, inclusive of any changes to the total award that may have occurred within or prior to the current reporting period. For example, if an LEA received $1M in total ESSER I / CARES SEA Reserve funds in a prior reporting period, and no changes were made to the total SEA Reserve allocation to the LEA through the end of the current reporting period, the LEA should report $1M. If the total allocation to the LEA was reduced by $200K, and regardless of whether that reduction occurred within or prior to the current reporting period, the LEA should report $800K.

2 This value should reflect the total award under the CARES Act, inclusive of any changes to the total award that may have occurred within or prior to the current reporting period. For example, if a non-LEA received $1M in total ESSER I / CARES SEA Reserve funds in a prior reporting period, and no changes were made to the total SEA Reserve allocation to the non-LEA through the end of the current reporting period, the non-LEA should report $1M. If the total allocation to the non-LEA was reduced by $200K, and regardless of whether that reduction occurred within or prior to the current reporting period, the non-LEA should report $800K.

3 This value should reflect the total award under the CRRSA Act, inclusive of any changes to the total award that may have occurred within or prior to the current reporting period. For example, if an LEA received $1M in total ESSER II / CRRSA SEA Reserve funds in a prior reporting period, and no changes were made to the total SEA Reserve allocation to the LEA through the end of the current reporting period, the LEA should report $1M. If the total allocation to the LEA was reduced by $200K, and regardless of whether that reduction occurred within or prior to the current reporting period, the LEA should report $800K.

4 This value should reflect the total award under the CRRSA Act, inclusive of any changes to the total award that may have occurred within or prior to the current reporting period. For example, if a non-LEA received $1M in total ESSER II / CRRSA SEA Reserve funds in a prior reporting period, and no changes were made to the total SEA Reserve allocation to the non-LEA through the end of the current reporting period, the non-LEA should report $1M. If the total allocation to the non-LEA was reduced by $200K, and regardless of whether that reduction occurred within or prior to the current reporting period, the non-LEA should report $800K.

5 These values should reflect the total awards under the ARP Act, inclusive of any changes to the total awards that may have occurred within or prior to the current reporting period. For example, if an LEA received $1M in total ARP ESSER SEA Reserve funds from the set-aside to address learning loss in a prior reporting period, and no changes were made to the SEA Reserve allocation to the LEA through the end of the current reporting period, the LEA should report $1M. If the allocation to the LEA was reduced by $200K, and regardless of whether that reduction occurred within or prior to the current reporting period, the LEA should report $800K.

6 These values should reflect the total awards under the ARP Act, inclusive of any changes to the total awards that may have occurred within or prior to the current reporting period. For example, if a non-LEA received $1M in total ARP ESSER SEA Reserve funds from the set-aside to address learning loss in a prior reporting period, and no changes were made to the SEA Reserve allocation to the non-LEA through the end of the current reporting period, the non-LEA should report $1M. If the allocation to the non-LEA was reduced by $200K, and regardless of whether that reduction occurred within or prior to the current reporting period, the non-LEA should report $800K.

7 These values should reflect the total mandatory subgrant awards under the respective Act (CARES, CRRSA or ARP), inclusive of any changes to the total award that may have occurred within or prior to the current reporting period. For example, if an LEA received $1M in total ESSER I / CARES mandatory subgrant funds in a prior reporting period, and no changes were made to the total mandatory subgrant allocation to the LEA through the end of the current reporting period, the LEA should report $1M. If the total allocation to the LEA was reduced by $200K, and regardless of whether that reduction occurred within or prior to the current reporting period, the LEA should report $800K.

8 This value should reflect only expenditures made in the current reporting period.