FORM APPROVED

OMB NO. 1810-0036

EXPIRATION DATE: xx/xx/20xx

Paperwork Burden Statement: According to the Paperwork Reduction Act of 1995, no persons are required to 

respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB 

control number for this information collection is 1810-0036. The time required to complete this information 

collection is estimated to average 1.5 hour per response, including the time to review instructions, search existing 

data resources, 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, D.C. 20202-4651. If you have any comments or concerns regarding 

the status of your individual submission of this form, write directly to: Impact Aid Program, U.S. Department of 

Education, 400 Maryland Ave., S.W., Washington, D.C. 20202-6244.

U.S. DEPARTMENT OF EDUCATION

IMPACT AID PROGRAM

INSTRUCTIONS FOR COMPLETING THE

FY 2015 APPLICATION FOR 

IMPACT AID, SECTION 8002

PROGRAM CONTACT INFORMATION

Phone: 202-260-3858

Toll-Free Fax: 866-799-1272

Email: Impact.Aid@ed.gov

DEADLINE: 11:59 p.m. EDT, January 30, 2014
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Contents

The Impact Aid Section 8002 Program ........................................................................................... 3

Who May Apply............................................................................................................................... 3

When To Apply................................................................................................................................ 3

Deadline ................................................................................................................................. 3

Late Applications.................................................................................................................... 3

Amendments.......................................................................................................................... 4

How To Apply.................................................................................................................................. 4

Mandatory Forms ........................................................................................................................... 4

Cover Page ...................................................................................................................................... 4

Impact Aid and PR/Award Numbers...................................................................................... 4

DUNS Number........................................................................................................................ 5

Applicant Name and Address................................................................................................. 5

Contact Person....................................................................................................................... 5

Changes in Acreage of Eligible Properties and Changes in Boundaries ................................ 5

Program Assurances and Certifications.......................................................................................... 5

Authorized Certifying Representative ................................................................................... 5

Table 1............................................................................................................................................. 6

Table 2............................................................................................................................................. 6

Table 3............................................................................................................................................. 7

Table 4............................................................................................................................................. 7
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The Impact Aid Section 8002 Program

Payments for Federal Property under Section 8002 of the Elementary and Secondary Education 

Act assist local school districts that have lost a portion of their local tax base because of federal 

ownership of property. To be eligible, a school district must demonstrate that the federal 

government has acquired, since 1938, real property with an assessed valuation of at least 10 

percent of all real property in the district at the time of acquisition.

Before completing the application, you should review Section 8002 of the Elementary and 

Secondary Education Act which provides detailed eligibility requirements, definition of terms, 

and the specific requirements of P.L. 112-239. Due to amendments in P.L. 112-239, authorized 

with the National Defense Authorization Act for Fiscal Year 2013, changes were made to the 

reporting requirements of Section 8002 of the Impact Aid program. These changes are 

reflected in Table 1, Table 3, and Table 4 of the application. 

You can prepare and submit this application only by using G5 e-Application, the Department of 

Education’s electronic application system, which is available on the Internet at www.g5.gov. If 

you need further assistance in preparing this application, please call the IAP at 202-260-3858. 

Who May Apply

Any local educational agency (LEA) in which the Federal government has acquired significant 

amounts of local real property since 1938 may apply for assistance. The term “LEA” means a 

board of education or other legally constituted local school authority that has administrative 

control and direction of free public elementary and secondary education through grade 12 in a 

county, township, independent or other school district located within a State. An eligible LEA 

must provide free public elementary and/or secondary education, under public supervision and 

direction without tuition charge, pursuant to the law of the State in which the LEA is located. 

When To Apply

Deadline—The deadline for submitting this electronic application is: 

January 30, 2014, 11:59 p.m., Eastern Daylight Time

An application is timely filed if the Impact Aid Program receives the application on or before the 

application deadline, and the signature pages are received by fax or email. The assurances and 

signature pages are also due by the application deadline. 

Do not wait until the application deadline to fax the signature and assurances pages and risk 

missing the deadline. Keep your fax machine’s confirmation printout or your email receipt to 

document your timely submission.

Late Applications—Applicants can still file for Section 8002 assistance up to 60 days after the 

application deadline. Applicants that file within this window will have payments for that fiscal 

year reduced by 10%. The late application deadline for FY 2015 applications is...TBA
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Amendments—Users can submit amendments to their FY 2015 applications until TBA. 

How To Apply

Prepare and submit this application by using the U.S. Department of Education’s electronic 

grant application system, G5 e-application, available online at www.G5.gov. If you are not 

already a registered user, you must register on this web site to begin the electronic grant 

application process. Whether you are a new user or have used this web site in the past, we 

urge you to log on to the site and familiarize yourself with it at your earliest convenience, and 

to complete the application process well before the due date.

After submitting the electronic application, you must email or fax to the Impact Aid Program all 

forms for which signatures are required. Your authorized representative must sign and date 

the cover page of the application and the Impact Aid Program Assurances and Certifications 

page. Fax the pages to the Impact Aid Program at (866) 799-1272, our toll-free fax number, or 

scan the pages as a PDF file and send the file by email to Impact.Aid@ed.gov. If you choose to 

fax the forms, use the cover sheet from the list of Documents & Instructions on the Package 

Information screen in G5 e-Application. Your application is not complete until you have 

submitted the G5 e-Application online and you have emailed or faxed all pages with signatures 

to the Impact Aid Program. 

In addition, you must forward a complete copy of the application to your State educational 

agency (SEA) at the same time you submit it to the U.S. Department of Education. Use the 

transmittal form from the list of Documents & Instructions on the Package Information screen 

in G5 e-Application. Your SEA Impact Aid contact is included in a list on our website at 

www.ed.gov/about/offices/list/oese/impactaid/searl.html.

Mandatory Forms

Your application must contain all mandatory forms, including:

• Cover Page

• Assurances

• Table 1 

• Table 3

• Table 4

Table 2: Complete Table 2 if you have revenue from the eligible Federal property. Do not 

include revenue from Impact Aid or any other Department of Education program. 

Cover Page

Impact Aid and PR/Award Numbers—Your Impact Aid Number and PR/Award Number

will be pre-populated if you previously have applied for Impact Aid. If your LEA previously has 

applied for Impact Aid and any of these numbers is blank or the Impact Aid Number displayed 
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on the screen begins with “GIA” please contact the Impact Aid Program at (202) 260-3858 

before continuing so that we may be certain your application has been correctly pre-populated.

If your LEA has not received Impact Aid previously, these numbers may be blank or the Impact 

Aid Number may begin with “GIA.” The Impact Aid Program will assign these numbers for you 

after you submit your application.

DUNS Number—If you do not know your LEA’s DUNS Number or if you would like to verify 

the number displayed on the application screen, call Dun and Bradstreet, Inc., at 800-333-0505

or visit their website to obtain or check the number. The DUNS Number on the application 

should be assigned to the same name and address that is on this application. 

Applicant Name and Address—Your LEA’s name and address will be displayed as they are 

listed in the Impact Aid Program records. The name should be your LEA’s legal name and the 

address should be the mailing address of your school district offices. We use this address to 

mail information to you.

Contact Person—The Contact Person should be for the person on your LEA’s staff who is 

most knowledgeable about this application. Please be careful to provide an accurate email 

address. The IAP uses this address to provide applicants with timely information throughout 

the year. 

Changes in Acreage of Eligible Properties and Changes in Boundaries—Check the 

applicable box on the cover sheet if there has been a change in the number of acres of eligible 

Federal property that you include on your application. If, for example, ownership of some of 

the section 8002 property has been transferred from the Federal Government or the Federal 

Government has acquired additional property in the school district, you should check this box.

Check the applicable box if there have been changes in the geographical boundaries of the LEA, 

including through a consolidation with one or more other LEAs. 

If you check either of these boxes, you will need to upload supporting documentation (i.e.,

consolidation, annexation, dissolution, or deed documentation). 

Program Assurances and Certifications

Authorized Certifying Representative—Enter the name and title of the LEA’s authorized 

certifying representative. The signature of the LEA’s representative commits the applicant to 

the assurances contained in the application, including the assurance that the applicant meets 

all statutory, regulatory, and administrative requirements. The representative must sign and 

date the printed copies of the Cover Page and the Assurances and Certifications form on or 

before the filing deadline.
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New applicants must obtain and file the additional assurances and certifications noted on page 

two of the application by the application deadline. Contact the Impact Aid Program for 

additional information.

Table 1

SECTION 8002- ELIGIBLE FEDERAL PROPERTY IN THE LOCAL EDUCATIONAL AGENCY

On Table 1, you will need to list all Section 8002-eligible Federal property in the LEA. Since all 

Federal acres in your LEA may not be Section 8002-eligible, it is essential that you include only 

Section 8002 acres that have been approved by the Impact Aid Program. Do not assume that all 

Federal acres in your LEA are eligible or approved for the purposes of Section 8002. Contact 

your program analyst if you have any questions concerning the number of approved Section 

8002-eligible acres in your LEA. 

When the Section 8002-eligible Federal property is located in more than one jurisdiction, enter 

the total number of acres in each jurisdiction. 

1. In column 1, enter the name of the Section 8002-eligible Federal property.

2. In column 2, enter the name of the corresponding taxing jurisdiction.

3. In column 3, enter the number of Federal acres associated with and approved as eligible 

federal acres for the purposes of the Impact Aid Program. 

If the total number of Section 8002-eligible acres has changed from last year’s total (increase or 

decrease), you will need to submit official documentation of this change which will be verified 

by the Impact Aid Program prior to approval. An example of the documentation required is a 

deed showing the property has been acquired by the Federal government (increase in acres) or 

returned to the LEA (decrease in acres). 

You can only upload one document for each table. If you have more than one document, you 

will need to scan those documents into one PDF document and then upload it. 

Table 2

REVENUE FROM ELIGIBLE FEDERAL PROPERTY

List all revenue from Federal and non-Federal sources during the second preceding fiscal year 

(e.g., FY 2012-2013 data for the FY 2015 application) from activities associated with section 

8002-eligible Federal property. If revenue is from Federal programs, provide the name of each 

Federal program and the name of the Federal agency responsible for administering that 

program. If only a portion of the Federal property generating the revenue is eligible under 

Section 8002, prorate the revenue to reflect the share attributable to the section 8002-elgible 

property. For example, if the LEA has 10,000 acres of U.S. Forest Service property that 

generated $20,000 in timber revenues, but only 2,000 acres are eligible under section 8002, the 

LEA should report one-fifth (20 percent) of the total, or $4,000, as revenue associated with 
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section 8002-eligble Federal property. Do not report Impact Aid revenue or receipts from other 

U.S. Department of Education programs on this table. If you receive no other revenue for the 

Section 8002-eligible acreage, leave this form blank.

Table 3

TOTAL ACREAGE AND TAXABLE VALUE IN THE LOCAL EDUCATIONAL AGENCY

To assist the Secretary in determining the taxable value of the eligible federal property, an 

authorized LEA official must obtain the information for columns 2 and 3 and provide the source 

of the official data, such as a document from a State website or website address. Upload a PDF 

file of this documentation to the G5 application or fax it to the Impact Aid Program along with 

the LEA’s signature pages. If the information was obtained directly from a local official (e.g., 

local tax assessor), you must submit a certification by that official that includes the person’s 

name, title, email address, and telephone number. If the LEA is located in more than one taxing 

jurisdiction (e.g., two counties) or contains more than one taxing jurisdiction (e.g., two 

townships), enter the information for each jurisdiction on a separate line. 

1. In column 1, enter the name of the taxing jurisdiction. This information must match the 

jurisdictions listed on Table 1.

2. In column 2, enter the total number of acres located in the LEA or taxing jurisdiction. Include 

all types of property (taxable and non-taxable, including the Federal acres) in the total acreage

amount. 

3. In column 3, enter the total taxable value, for the purpose of levying property tax for school 

purposes for current expenditures, of real property located within the boundaries of the LEA for 

the prior fiscal year (e.g., for the FY 2015 application, enter the taxable value for the 2013-2014

year, or the specific value as of January 2014). If the LEA is located in more than one taxing 

jurisdiction (e.g., two counties) or contains more than one taxing jurisdiction (e.g., two 

townships), enter the information for each jurisdiction separately.

You can only upload one document for each table. If you have more than one document, you 

will need to scan those documents into one PDF document and then upload it. 

Table 4

TAX LEVY INFORMATION

Enter the local real property tax levy, in mills or dollars, that was used to raise funds for current 

operating expenditures for the local educational agency (LEA) for the prior fiscal year (e.g., FY 

2012-2013 data for the FY 2014 application). Enter a single tax rate for school operations 

expenditures for all types of real property in the jurisdiction. When funds for current operating 

expenditures for the LEA are raised by more than one taxing jurisdiction, enter the tax rate 

information for each additional jurisdiction on a separate line. If this page is pre-populated with 

information provided by your LEA in last year’s application, please update or correct items as 

needed.