ED-EP-0001.04 

CHILD CARE ACCESS MEANS PARENTS IN SCHOOL (CCAMPIS) 

PROGRAM ANNUAL PERFORMANCE REPORT - DATA SURVEY

OMB NO: 1840-0763 

Exp. Date 01/31/2026

Institution Name: Fiscal Year: Row #

Participant

College/

Univ ID#

Race/EthnicityGenderHousehold StatusPell Grant StatusFall Academic StatusFall CCAMPIS StatusWinter Academic StatusWinter CCAMPIS StatusSpring Academic StatusSpring CCAMPIS StatusSummer Academic StatusSummer CCAMPIS StatusHours of ChildcareNumber of Children ServedTotal Hours of Child CareChild Care Fees Paid per Month by StudentCCAMPIS Subsidy Applied per Month2-Year InstitutionsYears Taken totransfer/completion4-Year InstitutionsYears Taken totransfer/completionDegree/Certificate

PR Award #:
ED-EP-0001.04 

CHILD CARE ACCESS MEANS PARENTS IN SCHOOL (CCAMPIS) 

PROGRAM ANNUAL PERFORMANCE REPORT - DATA SURVEY

OMB NO: 1840-0763 

Exp. Date 01/31/2026

Row #

Participant

College/

Univ ID#

Race/EthnicityGenderHousehold StatusPell Grant StatusFall Academic StatusFall CCAMPIS StatusWinter Academic StatusWinter CCAMPIS StatusSpring Academic StatusSpring CCAMPIS StatusSummer Academic StatusSummer CCAMPIS StatusHours of ChildcareNumber of Children ServedTotal Hours of Child CareChild Care Fees Paid per Month by StudentCCAMPIS Subsidy Applied per Month2-Year InstitutionsYears Taken totransfer/completion4-Year InstitutionsYears Taken totransfer/completionDegree/Certificate
ED-EP-0001.04 

CHILD CARE ACCESS MEANS PARENTS IN SCHOOL (CCAMPIS) 

PROGRAM ANNUAL PERFORMANCE REPORT - DATA SURVEY

OMB NO: 1840-0763 

Exp. Date 01/31/2026

Row #

Participant

College/

Univ ID#

Race/EthnicityGenderHousehold StatusPell Grant StatusFall Academic StatusFall CCAMPIS StatusWinter Academic StatusWinter CCAMPIS StatusSpring Academic StatusSpring CCAMPIS StatusSummer Academic StatusSummer CCAMPIS StatusHours of ChildcareNumber of Children ServedTotal Hours of Child CareChild Care Fees Paid per Month by StudentCCAMPIS Subsidy Applied per Month2-Year InstitutionsYears Taken totransfer/completion4-Year InstitutionsYears Taken totransfer/completionDegree/Certificate
CHILD CARE ACCESS MEANS PARENTS IN SCHOOL (CCAMPIS) PROGRAM 

ANNUAL PERFORMANCE REPORT - DATA SURVEY

OMB NO: 1840-0763 

Exp. Date 01/31/2026

SECTION III-A PARTICIPANT DEMOGRAPHICS, ATTENDANCE, PERSISTANCE AND GRADUATION

APR Data Totals

Race/Ethnicity (R/E) Total

AI American

AS Asian

B Black or African American

H Hispanic or Latino

PI Native Hawaiian or Other 

Pacific Islander

W White

TW Two or More Races

Total Students Participated by R/E

Total Number of Student Participants

Gender Total

F Female

M Male

Cert. or Degree Earned Total

C Certificate

D Diploma

T Teaching Certificate

AA Associate Degree

BA Bachelor Degree

MS Masters/Any 

Graduate Degree

Total Cert. or Degree Earned

Total Child Care Hours

Total Number of Children Served

2-Year Transfer Average

4-Year Transfer Average

ED-EP-0001.04

Household Status Total

M Married

D Not Married and 

Dependent

I Not Married and Independent

PELL Grant Status Total

R Receiving Pell Grant

E Eligible but NOT receiving a Pell Grant

LIG Low Income Graduate Student

LIF Low Income Foreign Student

ACADEMIC ENROLLMENT STATUS TERM

Fall Winter Spring Summer Total

G Graduated

E Enrolled

T Transferred

W Withdrew

CCAMPIS ENROLLMENT STATUS TERM

Fall Winter Spring Summer Total

EPC Enrolled Participating 

CCAMPIS

EDPC Enrolled Declined 

Participating CCAMPIS

WFCP Withdrawn from 

CCAMPIS Program