OMB
No. 1840-0813 Exp.
OMB
No. 1875-0106
Exp.
06/30/2001
OMB
No. 1875-0106
Exp.
06/30/2001
U.S. Department of Education
Historically Black Colleges and Universities Master’s Degree Program
Annual Performance Report
FY 2014 Academic Year 2012-2013
1. PR/Award #: _______________________________________
2. Name of Grantee: __________________________________________________________________________________________________
3. Grantee Address: __________________________________________________________________________________________________
4. Name of Project Director/Contact Person:_______________________________________________________________
Phone: ( ) ________ - __________ Ext: ( ) Fax: ( ) ________ - __________
Email Address: __________________________________________________
5. Name of Certifying Official:__________________________________________________________________________
Phone: ( ) ________ - __________ Ext: ( ) Fax: ( ) ________ - __________
Email Address: __________________________________________________
6. Reporting Period: From: _____/_____/_______ To: _____/_____/_______
(Month/Day/Year) (Month/Day/Year)
To the best of our knowledge and belief, all data in this performance report are true and correct and the report fully discloses all known weaknesses concerning the accuracy, reliability, and completeness of the data.
Name of Project Director (Print): ____________________________________________________________
Signature: _____________________________________________________ Date: _____/_____/_______
Name of Certifying Official (Print): ___________________________________________________________
Signature: _____________________________________________________ Date: _____/_____/_______
According to the Paperwork
Reduction Act of 1995, no persons are required to respond to a
collection of information unless it displays a valid OMB control
number. The valid OMB control number for this information
collection is 1840-0813. The time required to complete this
information collection is estimated to average 35 hours per
response, including the time to review instructions, search existing
data sources, gather the data needed, and complete and review the
information collection. If you have any comments concerning the
accuracy of the time estimate(s) or suggestions for improving this
form, please write to: U.S. Department of Education, Washington,
DC 20202-4651. If you have comments or concerns regarding the
status of your individual submission of the form, write directly to:
Frederick Winter, HBCU Master’s Degree Program, U.S.
Department of Education, 1990 K Street, N.W., Suite 6153,
Washington, DC 20006-8544.
File Type | application/msword |
File Title | ED 524-B Form -- Part 1, Cover Sheet for Grant Performance Report -- February 2008 (MSWord) |
Author | nalini.lamba-nieves |
Last Modified By | Authorised User |
File Modified | 2013-04-10 |
File Created | 2013-04-10 |