Table of Contents and Worksheet and First Grade - Excel

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Table of Contents and Worksheet and First Grade - Excel Powered By Docstoc
					                          Table of Contents




ARRA Reimbursement & Reporting Workbook
           Version 1.1 - Use Only Until 12-21-09

                   Table of Contents

     1   Cover Sheet
     2   ARRA Title I, Part A
     3   ARRA Title I, Part A Equitable Services (DCPS ONLY)
     4   ARRA IDEA 611
     5   ARRA IDEA 611 CEIS
     6   ARRA IDEA 611 Equitable Services (DCPS ONLY)
     7   ARRA IDEA 619
     8   ARRA IDEA 619 CEIS
     9   ARRA IDEA 619 Equitable Services (DCPS ONLY)
    10   ARRA McKinney-Vento
    11   JOBS: Personnel - All ARRA Programs
    12   JOBS: Other Jobs Created - All ARRA Programs
    13   JOBS: Vendor Jobs Created - All ARRA Programs
    14   Reference: Jobs Calculators
    15   Reference: First Dates for Obligation
    16   Reference: OSSE Contact Information




                            Page 1 of 23
                                                                              Sheet Number: 1




                                     Return to Table of       ARRA Reimbursement & Reporting Workbook
                                         Contents           Version 1.1 - Use Only Until 12-21-09
                                                                         (Version 2.0 to be released in January 2010)


                                        This Cover Sheet must be signed, scanned, and submitted, along with the
                                      complete Excel workbook, to OSSE.Reimbursement@dc.gov by
                                                           5:00 P.M. EST on Monday, December 21, 2009.
Please fill out this cover page with the requested information. After the Authorized Official signs the form and the applicable worksheets are completed,
                                         please submit BOTH (1) a scanned, signed copy of all applicable tabs and (2) the completed Excel workbook
to the Office of the State Superintendent of Education at OSSE.Reimbursement@dc.gov.
              Every sub-recipient must print out tabs 1, 11, 12, and 13. Other worksheets should be printed only if the subgrantee is eligible to receive those funds.

                                                                                                        Workbook Prepared By:
     Name of Subgrantee:
                                                                                                               Date Prepared:
           Street Address:                                                                                             Email:
                  Zip Code:                                                                                                  Phone:

           DUNS Number:                                                                       Is your agency registered in CCR?


 Authorized Official Name:
                                                                                               Beginning Date Covered by this Request:
   Authorized Official Title:

                 Signature:                                                                    Ending Date Covered by this Request:



  Please select the grant             Select Applicable Grant Program                    Select Applicable Grant Program                    Select Applicable Grant Program
   programs your LEA is               Select Applicable Grant Program                    Select Applicable Grant Program                    Select Applicable Grant Program
       eligible to receive:
                                      Select Applicable Grant Program                    Select Applicable Grant Program                    Select Applicable Grant Program

Does your LEA have an approved Indirect Cost Rate with OSSE?                                  If so, what is that rate?


                                                                                  For OSSE Use Only:

                                                  ARRA Title I, Part A                                                ARRA McKinney-Vento
                                      PO Number:                                                           PO Number:
                                      Sub-Award Number:                                                    Sub-Award Number:
                                      OSSE Reviewer:                                                       OSSE Reviewer:
                                      Date Reviewed:                                                       Date Reviewed:
                                      Total Requested:      $                 -                            Total Requested:     $                -
                                      Total Allowed:        $                 -                            Total Allowed:       $                -

                                                     ARRA IDEA 611                                                        ARRA IDEA 619
                                      PO Number:                                                           PO Number:
                                      Sub-Award Number:                                                    Sub-Award Number:
                                      OSSE Reviewer:                                                       OSSE Reviewer:
                                      Date Reviewed:                                                       Date Reviewed:
                                      Total Requested:      $                 -                            Total Requested:      $               -
                                      Total Allowed:        $                 -                            Total Allowed:        $               -




                                                                                  Page 2 of 23
                                                                                                                                                                                                                  Sheet Number: 2




   Return to Table of    ARRA Title I, Part A Reimbursement and Reporting Worksheet
       Contents



Step 1: Input the First Date for Obligating
                ARRA Title I, Part A Funds:



                                                                                                                                                                                                                                                                                                            Check
                                                               School or Campus Where                                                                         Title I-A Educational or Instructional              Description of Goods or Services Provided                                               Number (if                                                                                                                                                                        Additional Information Provided after
      Program Category                Budget Category                                                      Payee                Required or Optional Set-                                                                                                                  Invoice       Total Invoice                     Check or          Amount                                                                                    Amount




                                                                                                                                                                                                                                                                                                                                                            Subgrantees: Do Not Enter Any Data Beyond Column L
                                                                Goods or Services were                                                                       Initiative or Project being funded with   (provide a clear description of how expenditure addressed Title                                  paid by other                                                                                            Amount Allowed                             Reason Disallowed                OSSE Outreach (as necessary to
  (refer to approved budget)     (refer to approved budget)                                       (Vendor, Consultant, etc.)    Aside (or Non Set-Aside)                                                                                                                     Date          Amount                        Payment Date       Requested                                                                                 Disallowed
                                                                       Provided                                                                                           this expenditure                                    I, Part A purposes)                                                        instrument,                                                                                                                                                                              demonstrate allowability)
                                                                                                                                                                                                                                                                                                           put "n/a")
Contractual Services           Contractual Services           ZYX Senior High School     Academic Goods, Inc.                  Non Set-Aside                Extended Learning Opportunities            Supplemental literacy curriculum materials for 8th grade classes   9/5/2009   $          500.00 1244             9/16/2009       $        500.00                                                                                            DO NOT WRITE IN THESE COLUMNS

                                                                                                                                                                                                                                                                                                                                                                                                                                                    This information is provided, when    This information is provided, when applicable, on
                                                                      For Personnel Salaries/Benefits - please put all details in the "Personnel" tab. The amount requested for this specific grant will automatically populate HERE →                                                                                                  $               -                                                        $          -     $            -   applicable, on the Personnel tab.     the Personnel tab.
                                                                                                                                                                                                                                                                                                                                                                                                                                  $            -
                                                                                                                                                                                                                                                                                                                                                                                                                                  $            -
                                                                                                                                                                                                                                                                                                                                                                                                                                  $            -
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               TOTAL                                                                                                                                                                                                                                                                 $              -                                   $               -                                                        $          -     $            -




                                                                                                                                                                                                                          Page 3 of 23
                                                                                                                                                                                                  Sheet Number: 3-(DCPS Only)




   Return to Table of   ARRA Title I, Part A Equitable Services Reimbursement and Reporting Worksheet
       Contents



Step 1: Input the First Date for Obligating         ARRA
  Title I, Part A Funds:                    (Consult Tab                                    This worksheet is for DCPS use only.
                            #15)


                                                                                                                                                                                                                                                                                                                Check
                                                                School or Campus Where                                                                            Title I-A Educational or Instructional              Description of Goods or Services Provided                                               Number (if                                                                                                                                                                        Additional Information Provided after
      Program Category                 Budget Category                                                      Payee                   Required or Optional Set-                                                                                                                  Invoice       Total Invoice                     Check or          Amount                                                                                    Amount




                                                                                                                                                                                                                                                                                                                                                                Subgrantees: Do Not Enter Any Data Beyond Column L
                                                                 Goods or Services were                                                                          Initiative or Project being funded with   (provide a clear description of how expenditure addressed Title                                  paid by other                                                                                            Amount Allowed                             Reason Disallowed                OSSE Outreach (as necessary to
  (refer to approved budget)      (refer to approved budget)                                       (Vendor, Consultant, etc.)       Aside (or Non Set-Aside)                                                                                                                     Date          Amount                        Payment Date       Requested                                                                                 Disallowed
                                                                        Provided                                                                                              this expenditure                                    I, Part A purposes)                                                        instrument,                                                                                                                                                                              demonstrate allowability)
                                                                                                                                                                                                                                                                                                               put "n/a")
Contractual Services            Contractual Services           ZYX Senior High School     Academic Goods, Inc.                     Non Set-Aside                Extended Learning Opportunities            Supplemental literacy curriculum materials for 8th grade classes   9/5/2009   $          500.00 1244             9/16/2009       $        500.00                                                                                            DO NOT WRITE IN THESE COLUMNS

                                                                                                                                                                                                                                                                                                                                                                                                                                                        This information is provided, when    This information is provided, when applicable, on
                                                                       For Personnel Salaries/Benefits - please put all details in the "Personnel" tab. The amount requested for this specific grant will automatically populate HERE →                                                                                                     $               -                                                        $          -     $            -   applicable, on the Personnel tab.     the Personnel tab.
                                                                                                                                                                                                                                                                                                                                                                                                                                      $            -
                                                                                                                                                                                                                                                                                                                                                                                                                                      $            -
                                                                                                                                                                                                                                                                                                                                                                                                                                      $            -
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               TOTAL                                                                                                                                                                                                                                                                     $              -                                   $               -                                                        $          -     $            -




                                                                                                                                                                                                                              Page 4 of 23
                                                                                                                                                                                                                   Sheet Number: 4



 Return to Table of    ARRA IDEA Part B, Section 611 Reimbursement and Reporting Worksheet
     Contents




 Step 1: Input the First Date for Obligating ARRA IDEA
              611 Funds: (Consult Tab #15)



                                                                                                                                                                                                                                                                                 Check Number
                                                                School or Campus Where                                                                     Description of Goods or Services Provided             Is This an OSSE-Approved Expenditure                               (if paid by                                                                                                                                                                      Additional Information Provided after




                                                                                                                                                                                                                                                                                                                                      Subgrantees: Do Not Enter Any Data Beyond Column K
      Program Category                Budget Category                                       Payee                                                                                                                                                        Invoice   Total Invoice                     Check or          Amount                                                                                    Amount
                                                                 Goods or Services were                                                         (provide a clear description of how expenditure addressed IDEA       for Equipment over $5,000 or for                                   other                                                                                              Amount Allowed                              Reason Disallowed              OSSE Outreach (as necessary to
  (refer to approved budget)     (refer to approved budget)                                         (Vendor, Consultant, etc.)                                                                                                                             Date      Amount                        Payment Date       Requested                                                                                 Disallowed
                                                                        Provided                                                                                            purposes)                                         Infrastructure?                                    instrument, put                                                                                                                                                                           demonstrate allowability)
                                                                                                                                                                                                                                                                                        "n/a")
Contractual Services           ZYX Senior High School          Academic Goods, Inc.       Supplemental literacy curriculum materials for 8th grade classes                                                                                              9/5/2009   $      500.00 1244            9/16/2009        $         500.00                                                                                           DO NOT WRITE IN THESE COLUMNS

                                                                                                                                                                                                                                                                                                                                                                                                                             This information is provided, when    This information is provided, when applicable, on
                                                              For Personnel Salaries/Benefits - please put all details in the "Personnel" tab. The amount requested for this specific grant will automatically populate HERE →                                                                                    $               -                                                        $          -     $            -   applicable, on the Personnel tab.    the Personnel tab.
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
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                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
               TOTAL                                                                                                                                                                                                                                               $          -                                   $               -                                                        $          -     $            -




                                                                                                                                                                                                                         Page 5 of 23
                                                                                                                                                                                                                   Sheet Number: 5



  Return to Table of   ARRA IDEA Part B, Section 611 CEIS Reimbursement and Reporting Worksheet
      Contents



 Step 1: Input the First Date for Obligating ARRA IDEA
              611 Funds: (Consult Tab #15)



                                                                                                                                                                                                                                                                                 Check Number
                                                                School or Campus Where                                                                     Description of Goods or Services Provided             Is This an OSSE-Approved Expenditure                               (if paid by                                                                                                                                                                      Additional Information Provided after




                                                                                                                                                                                                                                                                                                                                      Subgrantees: Do Not Enter Any Data Beyond Column K
      Program Category                Budget Category                                       Payee                                                                                                                                                        Invoice   Total Invoice                     Check or          Amount                                                                                    Amount
                                                                 Goods or Services were                                                         (provide a clear description of how expenditure addressed IDEA       for Equipment over $5,000 or for                                   other                                                                                              Amount Allowed                              Reason Disallowed              OSSE Outreach (as necessary to
  (refer to approved budget)     (refer to approved budget)                                         (Vendor, Consultant, etc.)                                                                                                                             Date      Amount                        Payment Date       Requested                                                                                 Disallowed
                                                                        Provided                                                                                            purposes)                                         Infrastructure?                                    instrument, put                                                                                                                                                                           demonstrate allowability)
                                                                                                                                                                                                                                                                                        "n/a")
Contractual Services           ZYX Senior High School          Academic Goods, Inc.       Supplemental literacy curriculum materials for 8th grade classes                                                                                              9/5/2009   $      500.00 1244            9/16/2009        $         500.00                                                                                           DO NOT WRITE IN THESE COLUMNS

                                                                                                                                                                                                                                                                                                                                                                                                                             This information is provided, when    This information is provided, when applicable, on
                                                              For Personnel Salaries/Benefits - please put all details in the "Personnel" tab. The amount requested for this specific grant will automatically populate HERE →                                                                                    $               -                                                        $          -     $            -   applicable, on the Personnel tab.    the Personnel tab.
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
               TOTAL                                                                                                                                                                                                                                               $          -                                   $               -                                                        $          -     $            -




                                                                                                                                                                                                                         Page 6 of 23
                                                                                                                                                                                               Sheet Number: 6-(DCPS Only)



  Return to Table of                                    ARRA IDEA Part B, Section 611 Equitable Services Reimbursement and Reporting Worksheet
      Contents



 Step 1: Input the First Date for Obligating ARRA IDEA                                      This worksheet is for DCPS use only.
              611 Funds: (Consult Tab #15)



                                                                                                                                                                                                                                                                                 Check Number
                                                                School or Campus Where                                                                     Description of Goods or Services Provided             Is This an OSSE-Approved Expenditure                               (if paid by                                                                                                                                                                      Additional Information Provided after




                                                                                                                                                                                                                                                                                                                                      Subgrantees: Do Not Enter Any Data Beyond Column K
      Program Category                Budget Category                                       Payee                                                                                                                                                        Invoice   Total Invoice                     Check or          Amount                                                                                    Amount
                                                                 Goods or Services were                                                         (provide a clear description of how expenditure addressed IDEA       for Equipment over $5,000 or for                                   other                                                                                              Amount Allowed                              Reason Disallowed              OSSE Outreach (as necessary to
  (refer to approved budget)     (refer to approved budget)                                         (Vendor, Consultant, etc.)                                                                                                                             Date      Amount                        Payment Date       Requested                                                                                 Disallowed
                                                                        Provided                                                                                            purposes)                                         Infrastructure?                                    instrument, put                                                                                                                                                                           demonstrate allowability)
                                                                                                                                                                                                                                                                                        "n/a")
Support Services               Supplies and Materials         Academic Goods, Inc.        Supplemental literacy curriculum materials for 8th grade classes                                                                                              9/5/2009   $      500.00 1244            9/16/2009        $         500.00                                                                                           DO NOT WRITE IN THESE COLUMNS

                                                                                                                                                                                                                                                                                                                                                                                                                             This information is provided, when    This information is provided, when applicable, on
                                                           For Personnel Salaries/Benefits - please put all details in the "Personnel" tab. The amount requested for this specific grant will automatically populate HERE →                                                                                       $               -                                                        $          -     $            -   applicable, on the Personnel tab.    the Personnel tab.
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
                                                                                                                                                                                                                                                                                                                                                                                                            $            -
               TOTAL                                                                                                                                                                                                                                               $          -                                   $               -                                                        $          -     $            -




                                                                                                                                                                                                                         Page 7 of 23
                                                                                                                                                                                                                  Sheet Number: 7



 Return to Table of    ARRA IDEA Part B, Section 619 Reimbursement and Reporting Worksheet
     Contents



 Step 1: Input the First Date for Obligating ARRA IDEA
              619 Funds: (Consult Tab #15)



                                                                                                                                                                                                                                                                                Check Number
                                                               School or Campus Where                                                                     Description of Goods or Services Provided             Is This an OSSE-Approved Expenditure                               (if paid by                                                                                                                                                                      Additional Information Provided after




                                                                                                                                                                                                                                                                                                                                     Subgrantees: Do Not Enter Any Data Beyond Column K
      Program Category                Budget Category                                      Payee                                                                                                                                                        Invoice   Total Invoice                     Check or          Amount                                                                                    Amount
                                                                Goods or Services were                                                         (provide a clear description of how expenditure addressed IDEA        for Equipment over $5,000 or                                      other                                                                                              Amount Allowed                              Reason Disallowed              OSSE Outreach (as necessary to
  (refer to approved budget)     (refer to approved budget)                                        (Vendor, Consultant, etc.)                                                                                                                             Date      Amount                        Payment Date       Requested                                                                                 Disallowed
                                                                       Provided                                                                                            purposes)                                         Infrastructure?                                    instrument, put                                                                                                                                                                           demonstrate allowability)
                                                                                                                                                                                                                                                                                       "n/a")
Support Services               Supplies and Materials         Academic Goods, Inc.       Supplemental literacy curriculum materials for 8th grade classes                                                                                              9/5/2009   $      500.00 1244            9/16/2009        $         500.00                                                                                           DO NOT WRITE IN THESE COLUMNS

                                                                                                                                                                                                                                                                                                                                                                                                                            This information is provided, when    This information is provided, when applicable, on
                                                         For Personnel Salaries/Benefits - please put all details in the "Personnel" tab. The amount requested for this specific grant will automatically populate HERE →                                                                                        $               -                                                        $          -     $            -   applicable, on the Personnel tab.    the Personnel tab.
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
               TOTAL                                                                                                                                                                                                                                              $          -                                   $               -                                                        $          -     $            -




                                                                                                                                                                                                                        Page 8 of 23
                                                                                                                                                                                                                  Sheet Number: 8



                    ARRA IDEA Part B, Section 619 CEIS Reimbursement and Reporting Worksheet
Return to Table of Contents


 Step 1: Input the First Date for Obligating ARRA IDEA
              619 Funds: (Consult Tab #15)



                                                                                                                                                                                                                                                                                Check Number
                                                               School or Campus Where                                                                     Description of Goods or Services Provided             Is This an OSSE-Approved Expenditure                               (if paid by                                                                                                                                                                      Additional Information Provided after




                                                                                                                                                                                                                                                                                                                                     Subgrantees: Do Not Enter Any Data Beyond Column K
      Program Category                Budget Category                                      Payee                                                                                                                                                        Invoice   Total Invoice                     Check or          Amount                                                                                    Amount
                                                                Goods or Services were                                                         (provide a clear description of how expenditure addressed IDEA        for Equipment over $5,000 or                                      other                                                                                              Amount Allowed                              Reason Disallowed              OSSE Outreach (as necessary to
  (refer to approved budget)     (refer to approved budget)                                        (Vendor, Consultant, etc.)                                                                                                                             Date      Amount                        Payment Date       Requested                                                                                 Disallowed
                                                                       Provided                                                                                            purposes)                                         Infrastructure?                                    instrument, put                                                                                                                                                                           demonstrate allowability)
                                                                                                                                                                                                                                                                                       "n/a")
Support Services               Supplies and Materials         Academic Goods, Inc.       Supplemental literacy curriculum materials for 8th grade classes                                                                                              9/5/2009   $      500.00 1244            9/16/2009        $         500.00                                                                                           DO NOT WRITE IN THESE COLUMNS

                                                                                                                                                                                                                                                                                                                                                                                                                            This information is provided, when    This information is provided, when applicable, on
                                                         For Personnel Salaries/Benefits - please put all details in the "Personnel" tab. The amount requested for this specific grant will automatically populate HERE →                                                                                        $               -                                                        $          -     $            -   applicable, on the Personnel tab.    the Personnel tab.
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
               TOTAL                                                                                                                                                                                                                                              $          -                                   $               -                                                        $          -     $            -




                                                                                                                                                                                                                        Page 9 of 23
                                                                                                                                                                                              Sheet Number: 9-(DCPS Only)



       ARRA IDEA Part B, Section 619 Equitable Services Reimbursement and Reporting Worksheet
Return to Table of Contents


 Step 1: Input the First Date for Obligating ARRA IDEA                                     This worksheet is for DCPS use only.
              619 Funds: (Consult Tab #15)



                                                                                                                                                                                                                                                                                Check Number
                                                               School or Campus Where                                                                     Description of Goods or Services Provided             Is This an OSSE-Approved Expenditure                               (if paid by                                                                                                                                                                      Additional Information Provided after




                                                                                                                                                                                                                                                                                                                                     Subgrantees: Do Not Enter Any Data Beyond Column K
      Program Category                Budget Category                                      Payee                                                                                                                                                        Invoice   Total Invoice                     Check or          Amount                                                                                    Amount
                                                                Goods or Services were                                                         (provide a clear description of how expenditure addressed IDEA        for Equipment over $5,000 or                                      other                                                                                              Amount Allowed                              Reason Disallowed              OSSE Outreach (as necessary to
  (refer to approved budget)     (refer to approved budget)                                        (Vendor, Consultant, etc.)                                                                                                                             Date      Amount                        Payment Date       Requested                                                                                 Disallowed
                                                                       Provided                                                                                            purposes)                                         Infrastructure?                                    instrument, put                                                                                                                                                                           demonstrate allowability)
                                                                                                                                                                                                                                                                                       "n/a")
Support Services               Supplies and Materials         Academic Goods, Inc.       Supplemental literacy curriculum materials for 8th grade classes                                                                                              9/5/2009   $      500.00 1244            9/16/2009        $         500.00                                                                                           DO NOT WRITE IN THESE COLUMNS

                                                                                                                                                                                                                                                                                                                                                                                                                            This information is provided, when    This information is provided, when applicable, on
                                                         For Personnel Salaries/Benefits - please put all details in the "Personnel" tab. The amount requested for this specific grant will automatically populate HERE →                                                                                        $               -                                                        $          -     $            -   applicable, on the Personnel tab.    the Personnel tab.
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
                                                                                                                                                                                                                                                                                                                                                                                                           $            -
               TOTAL                                                                                                                                                                                                                                              $          -                                   $               -                                                        $          -     $            -




                                                                                                                                                                                                                      Page 10 of 23
                                                                                                                                                                                                Sheet Number: 10


                              ARRA McKinney-Vento Reimbursement and Reporting Worksheet
Return to Table of Contents


Step 1: Input the First Date for Obligating ARRA IDEA 619
                 Funds: (Consult Tab #15)



                                                                                                                                                                                                                                                Check Number
                                                                   School or Campus Where                                                                    Description of Goods or Services Provided                                             (if paid by                                                                                                                                                                           Additional Information Provided after




                                                                                                                                                                                                                                                                                                    Subgrantees: Do Not Enter Any Data Beyond Column J
       Program Category                  Budget Category                                        Payee                                                                                                               Invoice       Total Invoice                     Check or                                                                                                   Amount
                                                                    Goods or Services were                                                        (provide a clear description of how expenditure addressed IDEA                                       other                     Amount Requested                                                        Amount Allowed                                  Reason Disallowed                OSSE Outreach (as necessary to
  (refer to approved budget)        (refer to approved budget)                                          (Vendor, Consultant, etc.)                                                                                    Date          Amount                        Payment Date                                                                                                Disallowed
                                                                           Provided                                                                                           purposes)                                                         instrument, put                                                                                                                                                                                demonstrate allowability)
                                                                                                                                                                                                                                                       "n/a")
Support Services                  Supplies and Materials         Academic Goods, Inc.        Supplemental literacy curriculum materials for 8th grade classes                                                      9/5/2009   $          500.00 1244            9/16/2009        $        500.00                                                                                               DO NOT WRITE IN THESE COLUMNS

                                                                                                                                                                                                                                                                                                                                                                                                This information is provided, when    This information is provided, when applicable, on
                                                                          For Personnel Salaries/Benefits - please put all details in the "Personnel" tab. The amount requested for this specific grant will automatically populate HERE →                                       $            -                                                          $          -     $                -   applicable, on the Personnel tab.     the Personnel tab.
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
                                                                                                                                                                                                                                                                                                                                                                          $                -
               TOTAL                                                                                                                                                                                                          $               -                                  $            -                                                          $          -     $                -




                                                                                                                                                                                                      Page 11 of 23
                                                                                                    Sheet Number: 11




                               All ARRA Personnel Reimbursement and Reporting Worksheet
 Return to Table of Contents


                               Subgrantees: Please insert data in columns A through AA only.




                                                                                                                                                     Brief Description of the Employee's Role
        Program Category                                                                                                                                                                                     Unique Identifier
                                                                       School or Campus where
                                   Title/Position of the Employee                                                Name of Employee                                                                                           (OSSE Use
                                                                           Employee Works                                           (Please explain how the position is linked to purpose of grant/funding
   (refer to approved budget)                                                                                                                                                                                          Only)
                                                                                                                                                                   source)




Instruction                       Literacy Coach                    ZYX Senior High School      Stephon Martin                      Provides extra literacy support to students
Support Services                  Literacy Coach                    ZYX Senior High School      Tania Martinez                      Provides literacy training to teachers
                                                                                                                                                                                                                OSSE Use Only




TOTAL PERSONNEL EXPENDITURES:




                                                                                                        Page 12 of 23
                                                                                                           Sheet Number: 11




                                                                                                                                                           Percentage of Total Salary to be Charged to each Cost Objective or Funding Source (including all federal and al

                                                                                                                      NOTE: These must add up to 100%.
                                                                                                                                                For each grant program for which reimbursement is requested, the subgrantee must maintain time and effort documenta
                                                          Required for Reporting Jobs Created & Retained


                                                                                              Total Number of Hours
                          Total Salary &       Did This Employee                               Worked by a Typical
                                                                       Total Number of Hours
Total ANNUALSalary     Benefits during this     Work During This                                 FTE in This or a                                       % Charged to                                                                            % Charged to
                                                                          Worked by This                                               % Charged to                                       % Charged to                       % Charged to
 & Benefits for this     Reimbursement        Reporting Period in a                              Similar Position      % Charged to                     ARRA Title I,    % Charged to                      % Charged to                        ARRA IDEA
                                                                       Employee During This                                            ARRA Title I,                                      ARRA Title I,                      ARRA IDEA
Employee, from ALL        Period for this     Job (in whole or part)                               During This         ARRA Title I,                       Part A        ARRA Title I,                     ARRA IDEA                            Part B,
                                                                         Reporting Period                                             Part A Parental                                        Part A                          Part B,
 Funding Sources       Employee, from ALL      that was Created or                            Reporting Period        Part A Non-Set-                   Professional    Part A HQT Set-                     Part B,                              Section 611
                                                                        (Hint: Use Calculator                                          Involvement                                         Equitable                         Section 611
Combined (including     Funding Sources        Retained Due to the                                           (Hint:        Aside                        Development          Aside                          Section 611                          Equitable
                                                                           #1 in Tab 14 to                                               Set-Aside                                          Services                              CEIS
 non-federal funds)    Combined (including     Availability of ARRA                            Use Calculator #2 in                                       Set-Aside                                                                               Services
                                                                       determine this number)
                        non-federal funds)            Funds?                                   Tab 14 to determine
                                                                                                   this number)

$          60,000.00   $          15,000.00   Yes                                        450                    450             100%              0%               0%               0%               0%                 0%                0%                0%
$          60,000.00   $          15,000.00   Yes                                        450                    450               0%             50%               0%               0%               0%                 0%                0%                0%




                       $                -                                                                         0




                                                                                                               Page 13 of 23
                                                                                                                              Sheet Number: 11




luding all federal and all local funds) in this Reporting Period
                                                                                                                                                                                                                   Total Amounts Being Requested from Each Funding Source in this Reimbursement Period, Automatically Calcula
e and effort documentation to support the percentage being charged to that grant program.




                                                                                                                                Subgrantees: Do Not Enter Any Data Beyond Column AA
                                                                                                      Name of the Other
                                                                                                          Source
                                                     % Charged to
                                  % Charged to                                                                                                                                                                                For ARRA Title I,
               % Charged to                         ARRA IDEA           % Charged to                                                                                                                      For ARRA Title I,                                                         For ARRA IDEA For ARRA IDEA
                                  ARRA IDEA                                                           (if a federal source,                                                           For ARRA Title I,                            Part A       For ARRA Title I, For ARRA Title I,
               ARRA IDEA                               Part B,             ARRA        % Charged to                                                                                                        Part A Parental                                                                  Part B,      Part B,
                                  Part B,                                                             be sure to include a                                                             Part A Non-Set-                          Professional     Part A HQT       Part A Equitable
                Part B,                                   Section        McKinney-     Other Source                                                                                                         Involvement                                                                    Section        Section
                                  Section 619                                                            request for this                                                                   Aside                              Development          Set-Aside         Services
                Section 619                          619 Equitable         Vento                                                                                                                              Set-Aside                                                                   611         611 CEIS
                                       CEIS                                                            expenditure in the                                                                                                         Set-Aside
                                                       Services
                                                                                                           appropriate
                                                                                                            workbook)


                             0%                0%                  0%             0%             0% n/a
                             0%                0%                  0%             0%            50% non-ARRA Title I                                                                   OSSE Use Only
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -
                                                                                                                                                                                      $            -      $            -      $           -    $           -    $           -    $           -    $           -




                                                                                                                               Page 14 of 23
                                                                                                                Sheet Number: 11




eriod, Automatically Calculated Based on % Charged to Each Funding Source




                                                                                                                                          Amount                                                                         Amount
                                                                                                                          Amount                                          Amount           Amount         Amount                         Amount
              For ARRA IDEA                                       For ARRA IDEA                        Amount                            Allowed for      Amount                                                        Allowed for
                               For ARRA IDEA For ARRA IDEA                                                              Allowed for                                     Allowed for      Allowed for    Allowed for                    Allowed for
                Part B,                                             Part B,                          Allowed for                        ARRA Title I,    Allowed for                                                  ARRA IDEA
                                       Part B,      Part B,                         For ARRA                            ARRA Title I,                                   ARRA Title I,   ARRA IDEA      ARRA IDEA                      ARRA IDEA
              Section 611                                         Section 619                        ARRA Title I,                          Part A      ARRA Title I,                                                 Part B,
                                      Section        Section                      McKinney- Vento                     Part A Parental                                      Part A            Part B,      Part B,                          Part B,
                  Equitable                                           Equitable                     Part A Non-Set-                     Professional    Part A HQT                                                    Section 611
                                     619         619 CEIS                                                              Involvement                                       Equitable           Section        Section                        Section
                  Services                                            Services                           Aside                          Development       Set-Aside                                                      Equitable
                                                                                                                         Set-Aside                                        Services           611          611 CEIS                         619
                                                                                                                                          Set-Aside                                                                      Services




              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
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              $           -     $           -    $           -    $          -    $          -
              $           -     $           -    $           -    $          -    $          -
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              $           -     $           -    $           -    $          -    $          -
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              $           -     $           -    $           -    $          -    $          -
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              $           -     $           -    $           -    $          -    $          -      $          -      $           -     $          -    $          -    $          -    $         -    $         -    $           -   $         -




                                                                                                                      Page 15 of 23
                                                                                                      Sheet Number: 11




                  Amount                                                                Amount                                                                               Amount                                             Amount
   Amount                                                              Amount                                             Amount                            Amount                                             Amount
                 Allowed for        Amount          Amount                           Disallowed for      Amount                            Amount                         Disallowed for      Amount                         Disallowed for
 Allowed for                                                       Disallowed for                                      Disallowed for                    Disallowed for                                     Disallowed for
               ARRA IDEA           Allowed for   Disallowed for                       ARRA Title I,   Disallowed for                    Disallowed for                    ARRA IDEA        Disallowed for                    ARRA IDEA
ARRA IDEA                                                            ARRA Title I,                                      ARRA Title I,                    ARRA IDEA                                          ARRA IDEA
               Part B,                ARRA        ARRA Title I,                          Part A        ARRA Title I,                    ARRA IDEA                               Part B,    ARRA IDEA                               Part B,
   Part B,                                                         Part A Parental                                         Part A                            Part B,                                            Part B,
               Section 619         McKinney-     Part A Non-Set-                      Professional    Part A HQT                          Part B,                                Section     Part B,                                Section
     Section                                                        Involvement                                          Equitable                          Section 611                                        Section 619
                  Equitable           Vento           Aside                          Development        Set-Aside                          Section 611                     611 Equitable      Section 619                     619 Equitable
   619 CEIS                                                           Set-Aside                                           Services                            CEIS                                               CEIS
                  Services                                                             Set-Aside                                                                             Services                                           Services




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                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
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                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
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                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
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                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
                                                 $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -     $          -
$         -                    $             -   $          -      $           -     $          -     $          -     $          -     $          -     $          -     $          -     $          -                      $          -




                                                                                                          Page 16 of 23
                                                                              Sheet Number: 11




                                                                                              Calcuating Numerators for Jobs Calculations                                   Calculating Denominators for Jobs Calculations




                                                                                                        Number of         Number of         Number of                                  Number of         Number of
   Amount                                                                                                                                                       Number of                                                  Number of
                                                                                 Number of            Hours Worked      Hours Worked      Hours Worked                               Typical Hours     Typical Hours
Disallowed for                       Additional Information Provided by LEA                                                                                    Typical Hours                                              Typical Hours
                                                                               Hours Worked            Attributed to     Attributed to     Attributed to                             Worked by an      Worked by an
    ARRA         Reason Disallowed    after OSSE Outreach (as necessary to                                                                                     Worked by an                                               Worked by an
                                                                                Attributed to          ARRA IDEA        ARRA IDEA             ARRA                                    FTE for IDEA      FTE for IDEA
  McKinney-                                  demonstrate allowability)                                                                                         FTE forTitle I,                                               FTE for
                                                                                Title I, Part A       Part B, Section   Part B, Section     McKinney-                                Part B, Section   Part B, Section
    Vento                                                                                                                                                          Part A                                                McKinney-Vento
                                                                                                            611               619              Vento                                       611               619




$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -                                                                                      0                 0                 0                    0                     0                 0                 0                0
$          -




                                                                                Page 17 of 23
                                                                                                                                                                                                                                                    Sheet Number: 12




Return to Table of Contents   Additional Jobs Created Due to ARRA Funds Reporting Worksheet

Subgrantees: Only complete this worksheet, as applicable, if this is your last (or only) submission for the quarter.
Note: This tab requests information required for ARRA reporting purposes only. Nothing on this tab will lead to an additional reimbursement beyond
those listed on the tab/s of one or more specific programs.
Complete this tab only to include cases where the use of ARRA funds for non-personnel expenditures made non-ARRA funds available to be used to
hire personnel (that is, where a job (FTE) was created or retained).




                                                                                                                                                                                                                                                                                                                                                                                                                       Subgrantees: Do Not Enter Any Data Beyond Column M
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Calcuating Numerators for Jobs Calculations                            Calculating Denominators for Jobs Calculations

                                                                                                                                                                                                                                                                                                                                                                                            Total Number of Hours
                                                                                                                                                     Amount of ARRA Title I,                                                            Amount of ARRA                                      Did This Employee                                                                                Worked by a Typical
                                                                                                                                                                                 Amount of ARRA IDEA        Amount of ARRA IDEA                                                                                                                                     Total Number of Hours
                                                                                                                                                      Part A Funds Paid for                                                          McKinney-Vento Funds                                   Work During This                                                                                   FTE in This or a                                                                                  Number of          Number of         Number of                              Number of         Number of
                                                                                                                                                                                611 Funds Paid for Non-    619 Funds Paid for Non-                                                                                                                                     Worked by This                                                                                                                                                                 Number of                                                  Number of
                                                                                                                                                         Non-Personnel                                                               Paid for Non-Personnel                               Reporting Period in a                                                                                Similar Position                                                               Number of        Hours Worked       Hours Worked      Hours Worked                           Typical Hours     Typical Hours
                                                                                                                                                                                Personnel Expenditures     Personnel Expenditures                                 Total Salary for This                                                                             Employee During This                                                                                                                                                             Typical Hours                                              Typical Hours
                                                                        School or Campus Where                                                        Expenditures During                                                             Expenditures During                                 Job (in whole or part)                                                                                During This                                                                 Hours Worked        Attributed to      Attributed to     Attributed to                         Worked by an      Worked by an
        Name of Employee            Title/Position of the Employee                                           Unique Identifier (OSSE Use Only)                                  During Reporting Period    During Reporting Period                              Person During Reporting                                  Brief Description of the Employee's Role     Reporting Period                                                                                                                                                               Worked by an                                               Worked by an
                                                                            Employee Works                                                           Reporting Period Which                                                          Reporting Period Which                                that was Created or                                                                              Reporting Period                                                                 Attributed to      ARRA IDEA          ARRA IDEA             ARRA                               FTE for IDEA      FTE for IDEA
                                                                                                                                                                                Which Made Other Funds     Which Made Other Funds                                        Period                                                                                      (Hint: Use Calculator                                                                                                                                                           FTE forTitle I,                                               FTE for
                                                                                                                                                       Made Other Funds                                                                Made Other Funds                                    Retained Due to the                                                                                               (Hint:                                                          Title I, Part A   Part B, Section    Part B, Section     McKinney-                            Part B, Section   Part B, Section
                                                                                                                                                                                 Available to Create or     Available to Create or                                                                                                                                      #1 in Tab 14 to                                                                                                                                                                  Part A                                                McKinney-Vento
                                                                                                                                                      Available to Create or                                                          Available to Create or                              Funds Being Freed up                                                                               Use Calculator #2 in                                                                                     611                619             Vento                                   611               619
                                                                                                                                                                                    Retain This Job            Retain This Job                                                                                                                                      determine this number)
                                                                                                                                                         Retain This Job                                                                 Retain This Job                                     by ARRA Funds?                                                                                  Tab 14 to determine
                                                                                                                                                                                                                                                                                                                                                                                                 this number)
Pat Smith                          Literacy Coach                    ZYX Senior High School                         OSSE Use Only                                   $5,000.00                      $0.00                     $0.00                      $0.00                   $15,000   Yes                      Provides extra literacy support to students                          500                      500
John Smith                         Literacy Coach                    ZYX Senior High School                                                                         $1,000.00                  $2,000.00                     $0.00                  $2,000.00                    $6,000   Yes                      Provides literacy training to teachers                               200                      500                                                                                                                 OSSE Use Only
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0                  0                 0                0                     0                 0                 0               0




                                                                                                                                                                                                                                                               Page 18 of 23
                                                                                                                                                                                                                                                Sheet Number: 13




Return to Table of Contents               Vendor Jobs Created Reporting Worksheet

Subgrantees: Only complete this worksheet, as applicable, if this is your last (or only) submission for the quarter.
Note: This tab requests information required for ARRA reporting purposes only. Nothing on this tab will lead to an additional reimbursement beyond
those listed on the tab/s of one or more specific programs.
Complete this tab only to include cases where the use of ARRA funds for non-personnel expenditures led to at least a portion of a job (FTE) being
created or retained by a vendor.                                                                                                                                                                                                                                                                                                                                                                                                                                         Calcuating Numerators for Jobs Calculations                           Calculating Denominators for Jobs Calculations




                                                                                                                                                                                                                                                                                                                                                                                                     Subgrantees: Do Not Enter Any Data Beyond Column M
                                                                                                                                                                                                                                                                                                                                                                           Total Number of Hours
                                                                                                                                                                                                                                                                                                                                                                            Worked by a Typical
                                                                                                                                                                                                                                                                                                                                                   Total Number of Hours
                                                                                                                                                                                                                                                                                                                                                                              FTE in This or a                                                                                 Number of          Number of         Number of                              Number of         Number of
                                                                                                                                                                                                                                                                                                                                                      Worked by This                                                                                                                                                                Number of                                                  Number of
                                                                                                                                                      Amount of ARRA Title I,    Amount of ARRA IDEA        Amount of ARRA IDEA          Amount of ARRA         Total Amount of All ARRA                                                                                      Similar Position                                                              Number of        Hours Worked       Hours Worked      Hours Worked                           Typical Hours     Typical Hours
                                                                                                                                                                                                                                                                                                                                                   Employee During This                                                                                                                                                            Typical Hours                                              Typical Hours
                                                                                                        Sub-Recipient Vendor Sub-Award Number         Part A Payments to this     611 Payments to this       619 Payments to this        McKinney-Vento          Payments Combined to                                                                                          During This                                                                Hours Worked        Attributed to      Attributed to     Attributed to                         Worked by an      Worked by an
         Name of Vendor                Vendor DUNS Number                  Vendor Zip Code                                                                                                                                                                                                     Brief Description of the Employee's Role              Reporting Period                                                                                                                                                              Worked by an                                               Worked by an
                                                                                                                    (OSSE Use Only)                  Vendor During Reporting    Vendor During Reporting    Vendor During Reporting    Payments to this Vendor      this Vendor During                                                                                      Reporting Period                                                                Attributed to      ARRA IDEA         ARRA IDEA              ARRA                               FTE for IDEA      FTE for IDEA
                                                                                                                                                                                                                                                                                                                                                    (Hint: Use Calculator                                                                                                                                                          FTE forTitle I,                                               FTE for
                                                                                                                                                               Period                    Period                     Period            During Reporting Period        Reporting Period                                                                                                      (Hint:                                                          Title I, Part A   Part B, Section    Part B, Section     McKinney-                            Part B, Section   Part B, Section
                                                                                                                                                                                                                                                                                                                                                       #1 in Tab 14 to                                                                                                                                                                 Part A                                                McKinney-Vento
                                                                                                                                                                                                                                                                                                                                                                            Use Calculator #2 in                                                                                   611                619              Vento                                   611               619
                                                                                                                                                                                                                                                                                                                                                   determine this number)
                                                                                                                                                                                                                                                                                                                                                                            Tab 14 to determine
                                                                                                                                                                                                                                                                                                                                                                                this number)
AYP, Inc.                                              123456789                              20002                OSSE Use Only                                   $10,000.00                      $0.00                      $0.00                     $0.00                 $10,000.00 Led workshops on interpreting data and using data to drive instruction        120                     450
Orange                                                 987654321                              20015                                                                     $0.00                  $5,000.00                  $1,000.00                     $0.00                  $6,000.00 Developed custom software                                                      50                     450                                                                                                                 OSSE Use Only
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0
                                                                                                                                                                                                                                                                                   $0.00                                                                                                                                                                                 0                  0                 0                0                     0                 0                 0               0




                                                                                                                                                                                                                                                       Page 19 of 23
                                                                                        Sheet Number: 14




Return to Table of Contents                                       Jobs Created or Retained Calculators



                              CALCULATORS FOR ACTUAL HOURS WORKED AND TYPICAL HOURS WORKED
                                            Calculator #1                                                                                 Calculator #2
                       Actual Hours Worked by this Employee During this Period                           Typical Hours Worked by an FTE in this or a Similar Position During this Period


      Beginning Date     Hours Per Day    Ending Date       Business Days       Hours             Beginning Date     Hours Per Day     Ending Date        Business Days       Hours
                                                                            0               0                                                                             0                0


      Beginning Date     Hours Per Day    Ending Date       Business Days       Hours             Beginning Date     Hours Per Day     Ending Date        Business Days       Hours
                                                                            0               0                                                                             0                0


      Beginning Date     Hours Per Day    Ending Date       Business Days       Hours             Beginning Date     Hours Per Day     Ending Date        Business Days       Hours
                                                                            0               0                                                                             0                0


      TOTAL: Enter in Column L of Tab 10, Tab 11, or Tab 12:                                0     TOTAL: Enter in Column M of Tab 10, Tab 11, or Tab 12:                                   0




                                                                                         Page 20 of 23
                                                                                             Sheet Number: 15



 Return to Table of Contents               First Date for Obligation of ARRA Funds, by Grant Program
DESCRIPTION: The table below details the dates LEAs' Phase I ARRA Applications were approved by OSSE staff. LEAs were eligible to begin obligating ARRA funds on the
date their Phase I Applications were approved. For example, Capital City PCS was eligible to begin obligating ARRA Title I, Part A funds on 7/31/09. Note if "NA" is listed in
a cell, this means the LEA does not receive this ARRA grant and therefore should not report expenditure and job activity for this grant. LEAs must report expenditure and
job activity for any grant with a date listed. LEAs may not seek reimbursement for expenditures made prior to these dates. Likewise, LEAs may not report job activity
information for periods prior to the first date for obligation of ARRA funds. For example, Capital City PCS may not seek reimbursement for an ARRA Title I, Part A
expenditure made before July 31, 2009 nor may it report an ARRA Title I, Part A job created prior to July 31, 2009.



INSTRUCTIONS: LEAs must use the following dates as the "Beginning Date" for reporting grant expenditure and job activity for their first ARRA reporting submission. In
most instances, an LEA will have different "Beginning Dates" for each ARRA grant received. Please pay close attention to ensure the correct period of time is reported for
each ARRA grant. For example, Center City PCS will report expenditure and job activity information for Title I, Part for the period of time ranging from 7/31/09 to 12/14/09
for the December 21, 2009 ARRA reporting deadline.




                     Local Educational Agency                             ARRA Title I, Part A        ARRA IDEA 611              ARRA IDEA 619         ARRA McKinney-Vento



Achievement Preparatory Academy PCS                                             07/30/09                  07/30/09                     NA                        NA
Academy for Learning Through the Arts (ALTA) PCS                                07/30/09                  09/08/09                  09/08/09                     NA
Arts & Technology Academy PCS                                                   07/30/09                  08/03/09                  08/03/09                     NA
Booker T. Washington PCS                                                        07/21/09                     NA                        NA                        NA
Capital City PCS                                                                07/31/09                  08/10/09                  08/10/09                  09/14/09
Center City PCS                                                                 07/31/09                  08/11/09                  08/11/09                     NA
Cesar Chavez PCS                                                                07/24/09                     NA                        NA                        NA
Children's Studio PCS                                                           08/03/09                     NA                        NA                        NA
City Collegiate PCS                                                             07/24/09                  07/27/09                     NA                        NA
Community Academy PCS                                                           07/31/09                  08/03/09                  08/03/09                     NA
DC Bilingual PCS                                                                07/28/09                  08/03/09                  08/03/09                     NA
DC Preparatory Academy PCS                                                      07/30/09                  08/03/09                  08/03/09                     NA
DCPS - District of Columbia Public Schools                                      07/31/09                  08/19/09                  08/19/09                  09/02/09
                                                                                                  Phase I Application has
DYRS - Department of Youth Rehabilitative Services                                 NA                                                  NA                        NA
                                                                                                   not been submitted
Eagle Academy PCS                                                               07/30/09                  08/28/09                  08/28/09                     NA
Early Childhood Academy PCS                                                     07/28/09                     NA                        NA                        NA
E.L. Haynes PCS                                                                 07/30/09                  07/28/09                  07/28/09                     NA
Elsie Whitlow Stokes Community Freedom PCS                                      07/16/09                  07/22/09                  07/22/09                     NA
Excel Academy PCS                                                               08/03/09                  08/06/09                  08/06/09                     NA
Friendship PCS                                                                  07/31/09                  08/19/09                  08/19/09                  10/06/09
Hope Community PCS                                                              07/31/09                  08/13/09                  08/13/09                     NA



                                                                                                 Page 21 of 23
                                                                             Sheet Number: 15




                     Local Educational Agency             ARRA Title I, Part A      ARRA IDEA 611   ARRA IDEA 619   ARRA McKinney-Vento



Hospitality PCS                                                07/31/09                   NA             NA              09/11/09
Howard Road Academy PCS                                        07/16/09                07/30/09       07/30/09              NA
Howard University Middle School of Math and Science PCS        07/31/09                08/03/09          NA                 NA
Hyde Leadership Academy PCS                                    07/30/09                08/06/09       08/06/09              NA
Ideal Academy PCS                                              07/29/09                   NA             NA                 NA
Imagine Southeast PCS                                          07/31/09                08/05/09       08/05/09              NA
Integrated Design Electronics Academy (IDEA) PCS               07/23/09                07/24/09          NA                 NA
Kamit Institute for Magnificent Achievers PCS                  07/22/09                   NA             NA                 NA
KIPP DC PCS                                                    07/28/09                   NA             NA              09/11/09
Latin American Montessori Bilingual (LAMB) PCS                 07/30/09                08/06/09       08/06/09              NA
Mary McLeod Bethune PCS                                        07/28/09                09/21/09       09/21/09              NA
Maya Angelou PCS                                               07/16/09                07/22/09          NA                 NA
Meridian PCS                                                   07/29/09                08/06/09       08/06/09           09/14/09
National Collegiate Preparatory PCS                            07/28/09                08/05/09          NA                 NA
Next Step/El Proximo Paso PCS                                  07/31/09                   NA             NA                 NA
Nia Community PCS                                              07/20/09                08/07/09       08/07/09              NA
Options PCS                                                    07/31/09                08/10/09          NA              09/11/09
Paul Junior High PCS                                           07/31/09                   NA             NA                 NA
Potomac Lighthouse PCS                                         07/22/09                07/23/09       07/23/09              NA
School for the Arts in Learning (SAIL) PCS                     07/16/09                07/27/09       07/27/09           09/01/09
The SEED PCS                                                   07/30/09                08/19/09          NA                 NA
Septima Clark PCS                                              08/07/09                08/25/09       08/25/09              NA
St. Coletta Special Education PCS                              07/20/09                   NA             NA                 NA
Thea Bowman Preparatory Academy PCS                            07/30/09                09/02/09          NA                 NA
Thurgood Marshall Academy PCS                                  07/24/09                   NA             NA                 NA
Tree of Life Community PCS                                     07/31/09                09/02/09       09/02/09              NA
Two Rivers PCS                                                 08/27/09                09/25/09       09/25/09              NA
Washington Latin School PCS                                       NA                   09/16/09          NA                 NA
Washington Math Science Technology PCS                         07/16/09                08/14/09          NA                 NA
Washington Yu Ying PCS                                         07/31/09                08/12/09       08/12/09              NA
William E Doar Jr. PCS                                         07/31/09                   NA             NA                 NA
Young America Works PCS                                        07/31/09                08/20/09          NA              09/11/09
Data accurate as of November 23, 2009.




                                                                                 Page 22 of 23
                                                      Sheet Number: 16




Return to Table of Contents   OSSE Contact Information for ARRA Grant Managers


      ARRA Grant Program          Name of OSSE Grant Manager             Email Address   Phone Number

         Title I, Part A              Jeremy Skinner            Jeremy.Skinner@dc.gov    202-724-2343

IDEA Part B, Section 611              Charity Hallman
                                                                Charity.Hallman@dc.gov   202-741-0477
IDEA Part B, Section 619              Charity Hallman

  IDEA McKinney-Vento                 Sheryl Hamilton           Sheryl.Hamilton@dc.gov   202-741-6404




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