OMB control number
Hispanic-Serving Institutions (HSI) Certification Form
OMB 3145-0247 · NSF.
OMB 3145-0247
The lead institution submitting a proposal to the Hispanic-Serving Institution Program must certify that they meet the eligibility requirements of an HSI as defined by law in section 502 of the Higher Education Act of 1965 (20 U.S.C. 1101a) (http://legcounsel.house.gov/Comps/HEA65_CMD.pdf). Therefore, the HSI Certification Form, signed by the institutional representative, must be included as a supplementary document with the submission of a proposal to the HSI Program.
The latest form for Hispanic-Serving Institutions (HSI) Certification Form expires 2021-07-31 and is listed under ICR 201802-3145-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form NSF 1715 Hispanic-Serviing Institutions Certification Form | Form |
| nsf20599.pdf | Supplementary Document |
 3145-0247 - HSI Certification Supporting Statement 2021.docx | Supporting Statement A |
 Hispanic-Serviing Institutions Certification Form |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202107-3145-003 | Revision of a currently approved collection | 2021-07-29 | Approved without change | |
| 201802-3145-001 | New collection (Request for a new OMB Control Number) | 2018-02-15 | Approved with change |