ESSER State Fiscal Report

ESSER State Fiscal Report

Instructions: This recipient data collection report form must be completed by local educational agencies (LEAs) that received funding under specific Elementary and Secondary School Emergency Relief (ESSER) Grant programs, including ESSER II, ESSER III, and ESSER Supplemental. LEA staff completing this recipient data collection report must answer each question to remain in compliance with grant requirements. This report form is not intended to align to the application categories exactly and should not be audited as such.

For questions please contact: ESSERExpenditures@tea.texas.gov

Select Grant Program:*

Select

Search LEA Name or County-District Number*

Select

If not found in dropdown above, input manually.

Organization Name

CDN

Vendor ID

DUNS/UEI Number

Mailing Address

Phone Number

Phone

Name of individual completing this form.*

Title of individual completing this form*

Email of individual completing this form.*

Phone Number of individual completing this form*

Phone

NOGA ID#*

Transaction Date Corresponding to Payment Request Submitted to TEA in ER System*

The date of actual draw down request to access your grant funds in expenditure reporting.

***Must be MM/DD/YYYY

***WARNING: NO Apostrophe (').

Transaction Amount corresponding to payment request submitted to TEA in ER system*

Total dollar amount $:

Program Data

Provide the amount of LEA expenditures of ESSER subgrant funds by the Category and Activities listed below for the corresponding date above. Indicate whether a one-time or on-going cost. The allowable uses category numbers are indicated next to the activity.

1.0 More Time for Instruction to Students:

1.1. Structured Before/After School Programs

1.1. One-Time Cost Amount $

1.1. On-going cost amount $

1.2. Structured Summer School Programs

1.2. One-time cost amount $

1.2. On-going cost amount $

1.3. Additional School Days (intercessional, full-year extension)

1.3. One-time cost amount $

1.3. On-going cost amount $

1.4. Tutoring, distinct from Structured Before/After/Summer Programs

1.4. One-time cost amount $

1.4. On-going cost amount $

2.0 Innovation in Curriculum & Instruction:

2.1. Curricular Resource Purchases

2.1. One-time cost amount $

2.1. On-going cost amount $

2.2. Professional Development aligned to high quality instructional materials

2.2. One-time cost amount $

2.2. On-going cost amount $

2.3. Other Professional Development, Stipends/Compensation Associated with PD or teacher coaching

2.3. One-time cost amount $

2.3. On-going cost amount $

2.4. Strategic Planning Supports

2.4. One-time cost amount $

2.4. On-going cost amount $

2.5. Talent Pipeline Supports (e.g. Grow Your Own/Residencies/Other HR Practice Improvements)

2.5. One-time cost amount $

2.5. On-going cost amount $

3.0 Additional Services:

3.1. Counseling, Social, Mental Health Services

3.1. One-time cost amount $

3.1. On-going cost amount $

3.2. Parent Engagement Services

3.2. One-time cost amount $

3.2. On-going cost amount $

3.3. Student Advising

3.3. One-time cost amount $

3.3. On-going cost amount $

3.4. Additional Instructional staff/class size reduction

3.4. One-time cost amount $

3.4. On-going cost amount $

3.5. Other Interventionists

3.5. One-time cost amount $

3.5. On-going cost amount $

3.6. Special Education Services

3.6. One-time cost amount $

3.6. On-going cost amount $

3.7. Nursing, General Health Services

3.7. One-time cost amount $

3.7. On-going cost amount $

3.8. Food Services

3.8. One-time cost amount $

3.8. On-going cost amount $

3.9. Additional Compensation (Extra Duty, Stipends (not associated with PD, Strategic Retention, etc.)

3.9. One-time cost amount $

3.9. On-going cost amount $

3.10. Other Academic Enrichment and Student Readiness Programs

3.10. One-time cost amount $

3.10. On-going cost amount $

3.11. Payroll, bonuses, stipends, or extra-duty pay for existing staff

3.11. One-time cost amount $

3.11. On-going cost amount $

3.12 Continuity of services not identified in other items.

3.12. One-time cost amount $

3.12. On-going cost amount $

4.0 Infrastructure, Supplies, and Oversight:

4.1. Air Quality/Ventilation Upgrades

4.1. One-time cost amount $

4.1. On-going cost amount $

4.2. Instructional Setting Upgrades (CTE Labs, etc.)

4.2. One-time cost amount $

4.2. On-going cost amount $

4.3. PPE/Plexiglass/Cleaning Supplies

4.3. One-time cost amount $

4.3. On-going cost amount $

4.4. COVID Testing/Vaccine Supports

4.4. One-time cost amount $

4.4. On-going cost amount $

4.5. Auditing/Monitoring/Reporting

4.5. One-time cost amount $

4.5. On-going cost amount $

4.6. Other Construction

4.6. One-time cost amount $

4.6. On-going cost amount $

5.0 Technology (combination):

5.1. Campus/LEA Hardware & IT Infrastructure

5.1. One-time cost amount $

5.1. On-going cost amount $

5.2. Software (Distinct from Curricular Resources)

5.2. One-time cost amount $

5.2. On-going cost amount $

5.3. Student Devices/Internet

5.3. One-time cost amount $

5.3. On-going cost amount $

5.4. Other Technology

5.4. One-time cost amount $

5.4. On-going cost amount $

6.0 Other (uses of funds not described above);

Items listed under “Other” will require manual review and enhanced monitoring; a TEA staff member. This process will slow the approval of your payment request. You must specify the item and expense amount for each item listed under Other.

6.0. One-time cost amount $

6.0. On-going cost amount $

6.0. If the LEA used ESSER funds for "Other" activities in the previous question, please describe these activities below:

6.1 Indirect Costs

6.1. Indirect Cost $

Negative Amounts

Negative explanations for all fields (Categories 1 through 5)

Negative Amount Description(s)

Certification of Submission

By submitting this electronic form, I hereby certify that:

1.) the information and data contained in this form is, to the best of my knowledge and belief, true, complete, and correct;*

2.) any ensuing program and activity will be conducted in accordance and compliance with all applicable federal and state laws and regulations.*

Send me a copy of my responses

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