# U.S. Department of Education’s
Student Aid Internet Gateway
Application For
State Grant AgenciesOMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 2 

## Student Aid Internet Gateway Application for State Grant Agencies

Introduction

The Student Aid Internet Gateway (SAIG) was established to allow author ized entities, including State Grant Agencies (the Agency) to exchange data electronically with the U.S. Department of Education (ED, Department)

. In order to participate in the SAIG, each entity must enroll for SAIG access

. The SAIG Application for State Grant Agencies is comprised of two parts, an SAIG Enrollment Fo rm and the SAIG Participation Agreement for State Grant Agencies. In order to participate in the SAIG, a St ate Grant Agency must submit a complete application that contains both:

1. Part One - SAIG Enrollment Form for State Grant Agencies (pages 8 – 15), which is comprised of four sections: Section One – Information about the State Grant Agency and the Primary Destination Point Administrator (Primary DPA) or Non-Primary Destination Point Administrator (Non-Primary DPA)
, including a description of whether the form is being used for an initial appli cation, adding a new NonPrimary DPA, or changing information about the Primary DPA or Non-Primary DPA; Section Two – Selection of Services – this is where the DPA iden tified in Section One is enrolling in SAIG services; Section Three – Responsibilities of the DPA; Secti on Four – Certification of the President/CEO or Designee; and Section Five - Federal Student Aid User of Electronic Services Statement.

2. Part Two - SAIG Participation Agreement for State Grant Agencies (pages 16 – 21), is the legally binding agreement between the Department and th e Agency. The SAIG Participation Agreement establishes the conditions under which the Department w ill permit the disclosure to the Agency of certain data received or generated by the Department concerning Federal Student Aid (FSA) applicants. In addition, the SAIG Participation Agreement provides the authority for the agreement, as well as, authorized uses and disclosures of data, data security, and reporting of unauthorized disclosures.

Information about the Enrollment Process to Participat e in the U.S. Department of Education’s SAIG

The enrollment process will enable the Agen cy to select services to receive, and/or view, student financial aid data either online or by batch processi ng using ED provided software - EDconnect (PC-based software) or TDClient (client software for multiple environments).

Each Agency must designate one individual as its Pr imary Destination Point Administrator (Primary DPA)

. Each Agency is also provided with a Primary Destinati on Point (an SAIG mailbox, which is identified by a TG Number )

. The Primary DPA is the only person within the Agency who may enroll other agency staff as Non-Primary DPAs with Destination Points assigned for specific SAIG services. Upon co mpleting the enrollment process, the Primary DPA can add or remove users, edit information about the Agency, or change the Agency’s enrollment in various SAIG services.

To maintain access to Federal Student Aid systems, the Primary DPA must validate the individuals enrolled for a SAIG Mailbox and Electronic Services for the Agency on a schedule determ ined by ED. If validation is not completed via the SAIG Enrollment Web site within the prescribed timeframe, all services assigned to the Agency and the Agency’s individuals could be deactivated.

Notes about the SAIG Application – The first usage of a term in this document is ita licized and can be found in the glossary located in Attachment A. The glossary will assist in understanding the many technical terms and acronyms commonly used in the Title IV, HEA student financial aid programs and in connection with the SAIG system

.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 3 Available Services for State Grant Agencies

The services that a State Grant Agency can access over the SAIG are:

 Automatic ISIR processing: A State Grant Agency can receive processed Free Application for Federal Student Aid (FAFSA) applicant data in the form of an Institutional Student Information Record (ISIR) from the Department’s Central Processing System (CPS) . An Agency may receive data for Residents (Title IV applicants who indicate on their FAFSA, as their state of le gal residence, the state wh ere the Agency is located) and Non-Residents (Title IV applicants who included on their FA FSA a post-secondary institution that is in the state where the Agency is located. With this service, ISIRs are automatically transmitted to the State Grant Agency when students submit FAFSA applications and co rrections to ED. The ISIR contains information submitted by the student, as well as CPS processing results. The DPA is automatically enrolled for Financial Aid Administrator (FAA) Access to CPS Online and EDconnect as part of enrolling for ISIR processing. Only one person at the Agency can be enro lled in the Automatic ISIR Processing.

 National Student Loan Data Systems (NSLDS) Online: View Only: The Agency may request that a DPA have online access to NSLDS to view Title IV, HE A loan, grant, and enrollment history.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 4 Agency Personnel Involved in the SAIG Enrollment Application Process

There are four categories of users at the Agency who may obtain data from the Department’s systems and who must complete parts of the SAIG Application:

 President/CEO or Designee: The President/CEO is the individual responsible for identifying a Primary DPA for the Agency, and who is legally authorized to execute the SAIG Participation Agreement in Part Two on behalf of the Agency. This person is also r esponsible for signing the Enrollment Form in Section Four - Certification of the President/CEO or Designee on behalf of the State Grant Agency and to authorize the enrollment for the Primary DPA or Non-Primary DP A. The President/CEO may also assign a Designee in Section Four to act as the Authorizing Official on behalf of the President/CEO for future enrollments; however, only the President/CEO must sign the SA IG Participation Agreement in Part Two.

 Primary Destination Point Administrators (Primary DPA): The Primary DPA is the individual at the Agency who is responsible for the administration of the Agency’s SAIG participation which includes assigning access to the Agency’s mailboxes and services and determining the Agency’s Electronic Services Users. . The Primary DPA is the only individual within the Agency who may enroll Agency staff as NonPrimary DPAs. The Primary DPA is required to comp lete and submit Sections One through Three of the SAIG Enrollment Application to the Coralville, Io wa address provided. When enrolling Non-Primary DPAs, a portion of Section Three of the Enrollment Form must be completed by the Primary DPA indicating that the Primary DPA has reviewed the responsibilities of DPAs with the Non-Primary DPA, including the responsibility to protect the privacy of the information obtained or provided via SAIG. The Primary DPA is also responsible for obtaining the sign ature of the President/CEO or Designee in Section Four for every enrollment of a Primary or Non-Primary DPA.

 Non-Primary Destination Point Administrators (Non-Primary DPA) : When a Primary DPA enrolls a Non-Primary DPA in the SAIG, ED will assign the Non- Primary DPA a SAIG Mailbox with a unique TG number. The Non-Primary DPA, in collaboration with the Primary DPA, is required to complete and submit Sections One through Three of the Enrollment Application.

 Electronic Services Users: Electronic Services Users are enrolle d for FAA Access to CPS Online or EDconnect by the Primary DPA. These Users are associ ated with the Primary Destination Point and do not require individually assigned mailboxes to access FAA Ac cess or EDconnect. To protect the integrity and security of the data being transmitted, all Electronic Se rvices Users must complete and submit Section Five – Federal Student Aid User of Electronic Services Statem ent to their Primary DPA. Section Five must also be signed by and maintained by the Primary DPA at th e Agency. Section Five User Statements must be available for inspection by the Department.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 5 

## Part One: SAIG Enrollment Form for State Grant Agencies - Instructions

Completing the SAIG Enrollment Form

General Reminder:

The SAIG Enrollment Form may be completed online at https://fsawebenroll.ed.gov . As an alternative, the enrollment form can be printed on paper, completed, and submitted to the address on page 7 of these instructions. Please note that the Department will not accept photo copied signatures or stamped signatures. Forms submitted after the Office of Management and Budget (OMB) Expiration Date noted on the bottom of each page will not be accepted.

Help and Questions on Completing and Submitting the Enrollment Form

If you have any questions about completing the SAIG Enrollment Form, call CPS/SAIG Technical Support
at 1-800-330-5947. To reach a telecommunications device for the deaf (TDD/TTY), CALL 1-800-511-5806. Technical support representatives are available 7 A.M. – 7 P.M. CST, Monday through Friday, excluding federal holidays. If you prefer, you can e-mail inquiries to CPSSAIG@ed.gov . A technical support specialist will respond to your e-mail within one business day.

Section One (General Information) – must be completed by the Primary DPA for all DPAs

Section One collects information about the type of enro llment, as well as information about the Agency and the DPA you want to enroll or for whom you are changing or adding information.

Item 1. This SAIG Enrollment Form can be used for multiple purposes. As the Primary DPA, you may use the form to enroll new participants in the SAIG and you can also use the form to change or add information about an existing DPA or Destination Point.

A. Check Box A for “Initial application” if the Agency is a first-time SAIG participant and the Agency does not have a Destination Point. The President/CEO of the Agency will be designating the individual who will serve as the Agency’s Primary DPA. This enrollm ent will establish this user as the Primary DPA of the Primary Destination Point for the Agency.

B. Check Box B for “Adding a new user for an additi onal Destination Point” if the Agency is currently enrolled in the SAIG and you want to add a Non-Primary DPA and an add itional Destination Point.. Fill in the Primary TG Number for the Destination Point.

C. Check Box C for “Changing information for an exis ting Destination Point” if the Agency is currently enrolled in the SAIG and you want to change or add an y information about an existing user or Destination Point. Fill in the TG Number for the Destination Poin t. Also, complete the information that has changed for any items in Sections One and Two; a nd complete Sections Three and Four.

If you are uncertain of which box to check, call CPS/SAIG Technical Suppor t at 1-800-330-5947. To reach a telecommunications device for th e deaf (TDD/TTY), call 1-800-511-5806.

Item 2. Provide the name of the Agency, as you would like it to appear on all SAIG correspondence. (The limit is 40 characters, including letters and spaces.)

Item 3. This item is pre-filled with “ State Grant Agency ”.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 6 Item 4. Check whether the information being provide d is for the Primary DPA (only one Primary DPA per Agency) or for a Non-Primary DPA (the Agency ma y have more than one Non-Primary DPA enroll for NSLDS Online service). A separate form must be used for each Non-Primary DPA enrolling for NSLDS Online service. All information must be provided for the DPA enrolling for the Agen cy identified in Item 2. Note: Do not use a group e-mail address.

Section Two (Selection of Services) – must be comple ted by the Primary DPA when adding or changing services

Section Two allows you to add or change services for the Agency and the Primary DPA or Non-Primary DPA identified in Section One.

Item 5. A. If the Agency would like the DPA identified in Item 4 to have access to receive ISIRs, check either or both boxes for the appropriate Automatic ISIR Processing.

B. Check either or both boxes for the award years this DPA should receive the applicant data. If the 2013-2014 award year is selected then the Agency will only receive 2013-14 ISIRs. If the 2014-2015 award year is selected the Agency’s enrollment will be rolled over automatically to include subsequent award years.

C. Choose the preferred delivery option, Daily or By Request. Daily is the default ISIR delivery method. If “By Request” is checked, the DPA must use F AA Access to CPS Online to request and receive ISIRs. The ISIRs are then sent to th e DPA’s SAIG Mailbox through the SAIG.

Item 6. If you would like NSLDS Online access to view Title IV, HEA loan, grant, and enrollment history, check the ‘Yes’ box, check the ‘NSLDS Online-View Only’ box, specify the state that th e Agency is located, and select all applicable job functions.

Section Three (Primary DPA & Non-Pr imary DPA Responsibilities) – must be completed by all Primary and Non-Primary DPAs

Section Three collects the required agreements and signa ture pages from the Primary DPA or the Non-Primary DPA identified in Section One.

Each Primary and Non-Primary DPA must read and si gn the “Responsibilities of the Primary and Non-Primary Destination Point Administrators” statement.

Section Four – must be completed by the Agency President/CEO or Designee

Section Four collects the required authorization from th e Agency to process the enro llment information for the Primary DPA or Non-Primary DPA identified in Section One.

If the President/CEO wishes to designate another person to be the responsible authorizing official (the Designee), then Section Four, Box 1 must be completed. This designation needs to be completed only once.

For each Destination Point, the President/CEO or Design ee must sign the Certification of the President/CEO or Designee on behalf of the State Grant Agency in Section Four, Box 2.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 7 Submitting Enrollment Form and Signature Pages

Send your completed SAIG State Grant Agency enrollm ent form and original, signed signature pages to:

Before mailing signature pag es, confirm the following:

 The President/CEO or Designee name and signature ma tch the information on file with the Department.  Signature pages for both Section Three: Responsibilities of the Primary and Non-Primary Destination Point Administrators and Section Four: Certification of the President/CEO or Designee are enclosed

.  All signatures are original. Signatures are not photocopied or stamped.

Once the Department receives all necessary signature documents, the Department will process the enrollment. 

## CPS/SAIG Technical Support 2450 Oakdale Blvd. Coralville, Iowa 52241OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 8 

## Part One: SAIG Enrollment Fo rm for State Grant Agencies Section One: Provide the following information

Is this an initial application or are you adding a new DPA or changing information on a Destination Point? Check the applicable box below.

A.   Initial application

B.  Adding a new user for an additional Destination Point under Primary TG___________

C.   Changing information for an existing Destination Point with TG_______________ (Read instructions on page 5 carefully.)

What is the name of your Agency? __________________________________________________ (maximum 40 characters)

Confirm your type of organization.

  State Grant Agency

Complete the following information for the Primary or Non-Primary Destination Point Administrator (DPA) you wish to designate at the Agency for this enrollment. The DPA will be assigned a Destination Point with an identification number (TG number).

Check one:

 Primary DPA  Non-Primary DPA

First Name___________________________ Last Name __________________________________________

Business address__________________________________________________________________________

Business address__________________________________________________________________________

City__________________________________________State_________________________Zip__________

Area code/phone (_______) _______________________ Area code/fax (_______) ____________________

Email Address: __________________________________________________________________________ (maximum 70 characters) Social Security number_____________________________ Date of birth______________ ________19____ (month) (day) (year) Mother’s maiden name ____________________________________________________________________



### Go to Section Two 1



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2.

4. 3.

Office Use Only

Customer Number________________________

TG Number_____________________________OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 9 

## Section Two: Tell us about the services fo r which the Primary DP A wants to enroll for the DPA in Section One

A. Do you want this DPA to have access to ISIR services?

 Yes  No, Go to Item 6 If yes, select the ap propriate service(s):

 Automatic ISIR Processing: Residents

 Automatic ISIR Processing: Non-Residents B. For which award years? (Check one or both.)

  2013-2014 only    2014-2015 and all subsequent years C. Choose delivery option:

2013-2014  Daily  By Request

2014-2015   Daily   By Request

Do you want this DPA to ha ve access to NSLDS Online? (Note: Paper enrollment for this service is not available. You must enroll online at https://fsawebenroll.ed.gov .)

 Yes  No IMPORTANT: Only the DPA is permitted to use his or her Destination Point for online access to NSLDS. Permission to use this Destination Point for onlin e NSLDS access CANNOT be granted to anyone else.

 NSLDS Online-View Only Specify State _________________________

Indicate your job functions (check all that apply):

 100% of job responsibilities related to State Scholarship and Grant Agency functions

 Less than 100% of job responsibilities related to State Scholarship and Grant Agency functions

 Default/Overpayment Status

 Enrollment

 Loan Forgiveness

 Other ______________________

 Comments _______________________________________________________________________



### Go to Section Three 5



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6



### .

Office Use Only

Customer Number________________________

TG Number_____________________________OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 10 

## Section Three: Responsibilities of the Pr imary and Non-Primary Destination Point Administrators

Each Destination Point Admini strator (DPA) must read, sign, and submit th is statement (with orig inal signatures) and must keep a copy for the Agency’s records.

1. Responsibilities of the Primar y DPA and the Non-Primary DPA:

 Must ensure that SAIG computing resources ar e used only for official government business.

 Must ensure that the applicant is a resi dent of the state where the Agency is located or has includ ed on the FAFSA a postsecondary institution that is located in the state where the Agency is located.

 Only the DPA listed in Section One, Item 4, page 8 is permitted to sign up and use the National Student Loan Data System (NSLDS) as indicated in Item 6, page 9.

 Must use software provided by the Department to monitor SAIG mailbox activity. This software will keep track of who is using the SAIG Mailbox, what information is being accessed, the da te and time of access, and the batch number (if applicable).

 By applying for access to Federal Student Aid systems, mu st consent to monitoring, recording, and auditing; and acknowledge that information obtained under this consent may be disclosed by the Department to an appropriate third-party (e.g., law enforcement personnel).

 Must ensure that all Federal Student Aid applicant info rmation is protected from access by or disclosure to unauthorized personnel. In the event of an unauthorized di sclosure or an actual or suspected breach of applicant information or other sensitive information (such as persona lly identifiable information), the DPA must notify Federal Student Aid within 1 hour of becoming aware of the breach at CPSSAIG@ed.gov

.

 Must ensure that password sharing, the sharing of system access, and the use of any tools that allow access to the SAIG are strictly prohibited. (These tools are called “authenticators.”)

 Must ensure that access is provided only to systems, networ ks, data, control information, and software for which the DPA is authorized.

 Must ensure that procedures for sanitizing stored inform ation are followed (e.g., overwriting electronic media that contain sensitive information before reuse).

 The Non-Primary DPA must inform the Agency’s Primary DPA when access to a Federal Student Aid system is no longer required (i.e. the individual is leaving a position or his or her job responsibilities have changed).

 The information provided to the Primary and Non-Primary DP A by the U.S. Department of Education is protected by the Privacy Act of 1974, as amended. Protecting this in formation, once it is entrusted to the Primary and NonPrimary DPA, becomes his or her responsibility. Theref ore, the Primary and Non-Primary DPA must protect theprivacy of all information that has been provided by the U.S. Department of Education. The Primary and NonPrimary DPA understand that any person, including himsel f or herself, who knowingly and willfully requests or obtains any record concerning an individual from an agen cy under false pretenses shall be guilty of a misdemeanor and is subject to a fine of up to $5,000 (5 U.S.C. 552a(i)(3)).
2. Additional Requirements of the Primary DPA:

 Must ensure that all users are aware of and are in compliance with all of the requirements to protect and secure data from Departmental sources using SAIG.

 Must maintain copies of all SAIG enrollment documents submitted to the Department, including the signed “Responsibilities of the Primary and No n-Primary Destination Point Administrators” form for all DPA’s and the certification signed by the Agency’s President/CEO or Designee.

 Must maintain a signed Federal Student Aid User of Elect ronic Services Statement (see Section Five) for anyone who is enrolled in Electronic Services (FAA Access to CPS Online or EDconnect).

 At least on an annual basis, must validate all DPA and user access rights for the Agency.

 At least on an annual basis, must monitor the Agency’s NSLDS user access by creating reports using the NSLDS Web site.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 11 

## Section Three: Responsibilities of the Pr imary and Non-Primary Destination Point Administrators ( Continued )

 Must ensure that the Agency has a proc ess to inform the Primary DPA of any changes in a user’s need for access to Federal Student Aid systems because of changes to job responsibilities or term ination of employment. The Primary DPA must immediately deactivate or delete user access righ ts for Agency employees who no longer require access.

3. Agreements The Primary DPA and/or the Non-Primary DPA agree(s) and understand(s) that intentiona l submission of false or misleading information to the U.S. Department of Education is subject to a fine of up to $10,000, imprisonment for up to five years, or both, under provisions of the United States Criminal Code (including 18 U.S.C. 1001). The Primary DPA and/or the Non-Primary DPA also agree(s) to comply with a ll provisions of Section 483 of the Higher Education Act of 1965, as amended.
4. Privacy Act Statement We use the information that you provide on this form to enroll your Agency and its users for services with Federal Student Aid systems.

AUTHORITY FOR MAINTENANCE OF THE SYSTEM AND DISCLOSURE OF SOCIAL SECURITY NUMBERS: Title IV of the Higher Education Act of 1965, as amended (HEA); 20 U.S.C. 1070 et seq. Section 31 U.S.C. 7701 and Executive Order 9397 (November 23, 1943), as amended by Executive Order 13478 (November 18, 2008) authorize the collection of Social Security Numbers of users of this system. The Social Secu rity Number is voluntary in order to identify individuals for Federal purposes, but you will not be provided with access to or use of the system if you do not provide a Social Security Number.
PURPOSE(S): The information in this system entitled “Student Aid Inte rnet Gateway (SAIG), Participation Management System” (18- 11-10) is maintained for the purposes of: (1) Processing stored data from the SAIG Enrollment Forms (Web and paper versions); (2) maintaining the SAIG Enrollment Web site ( titled FSAWebEnroll.ed.gov); (3) managing the assignment of individual electronic SAIG mailbox numbers, known as ‘‘TG numbers’’; and (4) authenticating users of the CPS Online, electronic Campus Based (eCB) System, NSLDS Online, Common Origination and Disbursement (COD) System, Financial Management System (FMS), Debt Management Collection System, Federal Loan Servicers , and the Access and Identity Management System (AIMS).

ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES OF USERS AND THE PURPOSES OF SUCH USES: The Department may disclose information contained in a record in this system of records under the routine uses listed in the system of records notice, which was published on April 19, 2010 (75 Fed. Reg. 20346-20350) http://edocket.access.gpo.g ov/2010/2010-8959.htm without the consent of the individual if the disclosure is compatible with the purposes for which the record wa s collected. These disclosures may be ma de on a case-by-case basis or, if the Department has complied with the computer matching requirements of the Privacy Act of 1974, as amended (Privacy Act), under a computer matching agreement. (1) Program Disclosures . The Department may disclose records maintained in the SAIG, Participation Management System for the purpose of allowing authorized users who are elig ible to participate in the elect ronic exchange of data with the Department to transmit files to and from the following Department systems and access the Department's Web sites online, based on the approved program functions of each of the Department's systems that include, but are not limited to the following: (a) COD System; (b) CPS, under the Federal Student Aid Application File system of records notice; (c) eCB System; (d) NSLDS; (e) FMS; (f) DMCS, under Common Services for Borrowers (CSB) system of records notice; (g) Federal Loan Servicers (TIVAS and NFP); and (h) AIMS.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 12 

## Section Three: Responsibilities of the Pr imary and Non-Primary Destination Point Administrators ( Continued )

(2) Freedom of Information Act (FOIA) or Privacy Act Advice Disclosure

. The Department may disclose records to the Department of Justice (DOJ) and the Office of Management and Budget (OMB), if the Department seeks advice regarding whether records maintained in the system of records are required to be released under the FOIA or the Privacy Act of 1974. (3) Disclosure to the DOJ . The Department may disclose records to the DOJ to the extent necessary for obtaining DOJ advice on any matter relevant to an audit, inspection, or ot her inquiry related to the programs covered by this system. (4) Contract Disclosure . If the Department contracts with an entity for the purposes of performing any function that requires disclosure of records in this system to employees of the contractor, th e Department may disclose the records to those employees. Before entering into such a contract, the Department shall require the contractor to maintain Privacy Act safeguards as required under 5 U.S.C. 552a(m) with respect to the records in the system. (5) Litigation and Alternative Dispute Resolution (ADR) Disclosures. In the event of specified litigation or ADR, if the Department determines that disclosure of records to the DOJ, or attorneys engaged by DOJ, an adjudicative body before which the Department is authorized to appear, an individual or entity designated by the Department or otherwise empowered to resolve or mediate disputes, a party, counsel, representative or witness in an administrative proceeding is relevant and necessary to the litigation, the Department may di sclose those records as a routin e use to any of the foregoing individuals or entities. (6) Research Disclosure . The Department may disclose records to a re searcher if an approp riate official of the Department determines that the individual or organization to which the disclosure would be made is qualified to carry out specific research related to functions or purposes of this syst em of records. The official may disclose records from this system of records to that researcher solely for the purpos e of carrying out that research related to the functions or purposes of this system of records. Th e researcher shall be required to maintain Privacy Act safeguards with respect to the disclosed records. (7) Congressional Member Disclosure

. The Department may disclose information to a member of Congress from the record of an individual in response to an inquiry from th e member made at the written request of that individual. The Member’s right to the information is no greater than the right of the individual who requested it. (8) Disclosure for Use by Law Enforcement Agencies . The Department may disclose information to any Federal, State, local or other agencies responsible for enforcing, investigating, or prosecuting violations of administrative, civil, or criminal law or regulation if th at information is relevant to any enforcemen t, regulatory, investigative or prosecutorial responsibility within the entity’s jurisdiction. (9) Enforcement Disclosure . In the event that information in this system of records indicates, either on its face or in connection with other information, a violation or potential viol ation of any applicable statute, regulation, or order of a competent authority, the Department may disclose the releva nt records to the appropriat e agency, whether foreign, Federal, State, tribal, or local, charged with the responsibility of investigating or prosecuting that violation or charged with enforcing or implementing the statute, Executive Order, rule, regulation, or order issued pursuant thereto. (10) Employment, Benefit, and Contracting Disclosure

. The Department may disclose records to a Federal, State, or local agency maintaining civil, criminal, or other relevant enforcement or other pertinent records, or to another public authority or professional organi zation, if necessary to obtain information rele vant to a Departmental or receiving entity’s decision concerning the hiring or retention of an employee or other personnel action, the issu ance of a security clearance, the letting of a contract, or the issuance of a license, grant, or other benefit. (11) Employee Grievance, Complaint or Conduct Disclosure . The Department may disclose records to another agency of the Federal Government if the record is relevant to one of the following proceedings regarding a present or former employee of the Department: co mplaint, grievance, discipline or co mpetence determination proceedings. The disclosure may only be made during the course of the proceeding. (12) Labor Organization Disclosure . The Department may disclose records to an arbitrator to resolve disputes under a negotiated grievance procedure or to officials of labor organi zations recognized under 5 U.S.C. chapter 71 when relevant and necessary to their duties of exclusive representation.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 13 

## Section Three: Responsibilities of the Pr imary and Non-Primary Destination Point Administrators ( Continued )

(13) Disclosure in the Course of Re sponding to a Breach of Data . The Department may disclose records to appropriate agencies, entities, and person s when (a) the Department suspects or has confirmed that the security or confidentiality of information in this system has been compromised; (b) the Department has determined that as a result of the suspected or confirmed compromise, there is a risk of harm to economic or property interests, identity theft or fraud or harm to the security or integrity of the system or other systems or programs (whether maintained by the Department or another agency or entity) that rely upon the compromised information; and (c) the disclosure made to such agencies, entities, or other persons is reasonably n ecessary to assist in connec tion with the Department’s efforts to respond to the suspected or confirmed compromise and pr event, minimize, or remedy such harm.

By signing below, I certify that I have read these responsibi lities, understand them, agree to fulfill the responsibilities, an d will protect all data obtained through or provided to U.S. Department of Education systems.



## Sign and send this form as instructed in Submitting Enrollment Form and Signature Pages

Go to Section Four Destination Point Administrator’s Name_________________________________________________________ (Printed name)
Signature_________________________________________________________Date_______________________________ (Must match name in Question 4 - original signature must be submitted)
Primary Destination Point Administrator’s Name ____________________________________________________________ (Printed name)
Signature ____________________________________________________________________________________________

Office Use Only

Customer Number________________________

TG Number_____________________________OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 14 

## Section Four: Certification of the President/CEO or Designee

Designation of Authorizing Official If you as the President or CEO wish to designate someone other than yourself to sign SAIG Enrollment forms, you may do so by completing the designation statement below and signing Box 1, and having your designee complete and sign Box 2. I hereby designate _____________________________ Title ________________, to be my responsible authorizing official for all future Federal Student Aid System Enrollment forms. All rela ted responsibilities of the Presiden t/CEO shall be carried out by this designee. I agree to assume the responsibility for such actions associated with this and future enrollment agreements. This designation is effective as of the date signed below.

Responsibilities of the President/CEO or Designee As the President/CEO or Designee I certify that: • I or my designee will notify CPS/SAIG Technical Support within one business day, by e-mail at CPSSAIG@ed.gov orcall 1-800-330-5947 when any person no longer serves as a designated authorizing official, Primary DPA or NonPrimary DPA. • I will not permit unauthorized use or sharing of SAIG passwords or codes that have been issued to anyone at my Agency. • Each person who is a SAIG DPA for my agency has re ad and signed a copy of this form at “Section Three: Responsibilities of the Prim ary and Non-Primary DPA.” • Each person who is a SAIG DPA for my agency has made a copy of the signed Section Three document for his or her own files and a copy is maintained at my Agency.

• My Agency has provided security due diligence and verifies that administrative, operational, and technical security controls are in place and are operating as intended. Additionally, my Agency verifies that it performs appropriate due diligence to ensure that, at a minimu m, any employee who has access to Federa l Student Aid (FSA) ISIR data meets applicable state security requirements for personnel ha ndling sensitive personally identifiable information.

• I have signed this certification below and sent the original to the Department. I have retained a copy of this certification at the Agency. My signature below affirms that I have read these responsibilities and agree to abide by them.



## Sign and send this form as instructed in Submitting Enrollment Form and Signature Pages

U.S. Department of Education: Received on behalf of the U.S. Department of Education:

____________ Date Box 2 State Scholarship and Grant Agency President/CEO or Designee ________________________________________________ Title _____________________________________ (Printed name) (Printed title - Required) Signature _______________________________________________________ Date ___________________________ (Original signature must be submitted) Name of Agency _________________________________________________________________________________

Office Use Only Customer Number___________________
TG Number________________________ Box 1 President/CEO _________________________________________________ Title __________________________________ (Printed name of President/CEO) (Printed title - Required)

Signature _____________________________________________________ Date __________________________________ (Original signature must be submitted)OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 15 

## Section Five: Federal Student Aid User of Electronic Services Statement

Any individual who is not a Destination Po int Administrator and who accesses Federal St udent Aid systems and/or uses resources that access Federal Student Aid systems, whether by batch or online, must read and sign this statement. The original Federal Studen t Aid User of Electronic Services Statement must be maintained by the Agency. The user shou ld keep a copy of the signed statement fo r his or her records.

The user understands that intentional submission of false or misleading information to the U.S. Department of Education is subj ect to a fine up to $10,000, imprisonment for up to five years, or both, under provisions of the United States Criminal Code (including 18 U.S.C. 1001). The user also agrees to comply with all provisions of Section 483 of the Higher Education Act of 1965, as amende d.

The user understands that the information provided by the U.S. Department of Education is protected by the Privacy Act of 1974, as amended. Protecting this information, once it is entrusted to the user, becomes his or her responsibility. Therefore, the use r agrees to protect the privacy of all information provided to him or her by the U.S. Department of Education. The user understands that a ny person, including himself or herself, who knowingly and willfully requests or obtains any record concerning an individual from an agency under false pretenses, shall be guilty of a misdemeanor and is subject to a fine of up to $5,000 (5 U.S.C. 552a(i)(3)).

Responsibilities of the El ectronic Services User Appropriate uses of Federal Student Aid systems by an Electronic Services User:

 Must use Electronic Services computing resources only for official government business.

 Must ensure that the applicant is a reside nt of the state where the Agency is located or has included on the FAFSA a postsecond ary institution that is located in the state wh ere the Agency is located, before accessing Federal Student Aid systems to obtain pr ivacy protected information about the student.

 Must know the name of the Primary DPA and how to contact that individual.

 Must protect all Federal Student Aid systems from access by or disclosure to unauthorized personnel.

 Must report immediately to the Primary DPA any security inci dents, potential threats, or vulnerabilities that involve Electroni c Services.

 Must report to the Primary DPA any compro mise, suspected compromises, or incidents of sharing of a password or any other authenticator.

 Must access only those systems, networks, data, control information, and software for which he or she is authorized.

 Must ensure that all Electronic Services information is marked according to its se nsitivity and is properly controlled and stor ed.

 Must inform the Agency’s Primar y DPA that the Electronic Services User no lo nger needs access to a Federal Student Aid system (i.e., the individual is leaving his or her position or his or her job responsibilities have changed).

 Must not add code that might be harmful to the SAIG or Electronic Services.

My signature below affirms that I have read th is Statement and agree to abide by these rules.

TG#__________

Electronic Services User’s Name ____________________________________________________ (Print)
Electronic Services User’s Job Title ______________________________________ SSN_______________

Phone # (______) ___________________

Electronic Services User’s Signature ______________________________________ Date_______________

Primary DPA Signature ______________________________________________________ Date__________________
(This statement with an original signature must be maintained by the Primary DPA.)


### Do Not Submit This User Statement to the Department of Education. The Original Must Be Retained By The Agency.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 16 

## Part Two: SAIG Participation Agreement for State Grant Agencies

Instructions for Signing the SAIG Participation Agreement

In order to participate in the SAIG to access data electronically that resides in the U.S. Department of Education’s data systems (including receiving data on Ins titutional Student Information Records (ISIR s)), the President/CEO of the State Grant Agency must complete and sign this SAIG Participation Agreement (Agreement).



### Terms of the Agreement

A. Parties to the Agreement

1. The U.S. Department of Education (referred to as th e Department) administers certain Federal programs, authorized under the Higher Educati on Act of 1965 as amended (the HEA), that provide financial assistance to students attending institutions of higher education.

2. The Agency ___________________________________________________________________________ ( Name of State Grant Agency administering State higher education financial aid program
, referred to as the Agency)

located at _____________________________________________________________________________ (Street address, City, State, ZIP Code)

in the State of ____________________________________________ that administers State programs that provide financial assistance to students a ttending institutions of higher education.

B. Purpose of the Agreement

1. The purpose of this Agreement is to establish the co nditions under which the Department will permit the disclosure to the Agency of certain data received or ge nerated by the Department concerning applicants for Federal student aid in order to: (i) facilitate and im prove the awarding of financial assistance under State financial aid programs to students attending institutions of higher education; (ii) coordinate the awarding of such assistance with financial aid provided by the Fe deral government under the HEA; (iii) facilitate and improve the awarding of financial assistance awarded by eligible institutions; and (iv) permit the Agency to re-disclose limited ISIR information to local educa tional agencies (LEAs), secondary schools, or other entities that have been designated by the U.S. Secretary of Education (Designated Entity), to determine the completion status of a student’s Free Application for Federal Stude nt Aid (FAFSA) and facilitate providing assistance to such students in completing the FAFSA.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 17 

### Part Two: SAIG Participation Agreemen t for State Grant Agencies (Continued)

C. Definitions - For purposes of this Agreement, the following definitions apply:

1. Authorized Personnel - (i) Employees of the Agency who require access to the ISIR Data to meet any of the purposes provided in Section B of this Agreement, in cluding both paid and non-p aid staff and authorized agents such as contractors, subcontractors, volunteers, or other parties to whom the Agency has outsourced any of its services or functions. All Authorized Personnel must be under the direct control of the Agency with respect to the use and maintenance of ISIR Data. ( ii) Employees of an LEA, secondary school, or Designated Entity who require access to the FAFSA Filing Status In formation to determine the completion status of a student’s Free Application for Federal Student Ai d (FAFSA) and facilitate providing assistance to such students in completing the FAFSA, including both paid and non-paid staff and authorized agents such as contractors, subcontractors, volunteers, or other pa rties to whom the LEA, secondary school, or Designated Entity has outsourced any of its services or functions. All Authorized Personnel must be under the direct control of the LEAs, secondary schools, or Designated Entit y with respect to the use and maintenance of ISIR Data. 2. Designated Entity - An entity that the U.S. Secretary of Edu cation has designated as eligible to receive FAFSA Filing Status Information from an Agency and that has an Established Relationship with the student. 3. Destination Point Administrator - The one Primary Destination Point Administrator (Primary DPA) at each Agency as appointed and enrolled into the SAIG by th e Agency President/CEO or Designee. Each Agency may have as many Non-Primary Destination Point Admi nistrators (Non-Primary DPAs) as it needs who are appointed and enrolled into the SAIG by the Primary DPA. 4. Established Relationship - A relationship between a student FAFSA applicant and an LEA, secondary school, or Designated Entity. In the case of an LEA, an Established Relationship exists where the student FAFSA applicant is enrolled in a secondary school unde r the legal authority of the LEA. In the case of a secondary school, an Established Relati onship exists where the student FAFSA applicant is enrolled in the secondary school itself. In the case of a Designated En tity, an Established Relationship exists when the student FAFSA applicant has registered with or been assigned to the Designated Entity in order for the Designated Entity to assist the student in pursuit of postsecondary education. 5. FAFSA - The Free Application for Federal Student Aid fo rm, authorized by HEA section 483, which is the Department’s common application for de termining the need and eligibility of a student for Federal student aid. 6. FAFSA Filing Status Information - Information from an ISIR that the Agency may re-disclose to LEAs, secondary schools, and Designated Entities on the comple tion status of a student’s FAFSA. FAFSA Filing Status Information includes: Student’s first name; Student’s last name; Stude nt’s date of birth; Student’s ZIP Code; FAFSA submitted date (the da te the FAFSA was submitted to the Department); FAFSA processed date (the date the Department processed the FAFSA); a Se lected for Verification flag; and a FAFSA completion flag, as determined by the Agency (e.g., FAFSA not submitted, FAFSA complete, or FAFSA incomplete). 7. ISIR - The Institutional Student Information Record that is the output document resulting from the submission of a FAFSA to the Department and includes the data received, as well as system generated data results. 8. LEA - A Local Educational Agency is a public board of edu cation or other public au thority legally constituted within a State for either administrative control of or di rection of, or to perform service functions for, public elementary or secondary schools in a city, county, township , school district, or other political subdivision of a State; or such combination of school districts or count ies a State recognizes as an ad ministrative agency for its public elementary and secondary schools; or any other public institution or agency that has administrative control and direction of a public elementary or secondary school. 9. Secondary School - A day or residential school that provid es secondary education as determined under State law. In the absence of State law, the Secretary may dete rmine, with respect to that State, whether the term includes education beyond the twelfth grade.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 18 

### Part Two: SAIG Participation Agreemen t for State Grant Agencies (Continued)

D. Authority

1. Section 483 (a)(10) of the HEA, 20 U.S.C. 1090(a)(10) authorizes the Department to disclose FAFSA (ISIR) data. The Department’s routine uses in the applicable System of Records Notice published under the Privacy Act of 1974, as amended, (5 U.S.C. 552a) permits this disclosure of FAFSA data to the Agency in order to permit the Agency to determine an a pplicant’s eligibility for financial assistance under State financial aid programs. Further, in order to encourage and assist students with the completion of a FAFSA, the Agency may disclose the FAFSA Filing Status Information of a student to the Agency, to an LEA, including a secondary school where the student is or was enrolled, or to a Designated Entity to assist the student with the completion and submission of his or her FAFSA. (Feder al Student Aid Application File Systems of Record Notice (Aug. 3, 2011, 76 Fed. Reg. 46774, 46777-78.)

E. Disclosure of ISIR Data

1. The Department will provide student ISIR data to the Agen cy if the student is a resident of the State where the Agency is located or the student has included on the FAFSA a postsecondary institution that is located in the State where the Agency is located.

F. Authorized Uses

1. The Agency must limit access, disclosure and use of IS IR data provided to it under this Agreement to the Agency’s Authorized Personnel and for the authorized uses described in this section and the Authorized ReDisclosure of FAFSA Filing Status Information in the next section. 2. The Agency agrees to comply with all provisions of the Higher Education Act of 1965, as amended (HEA), 20 U.S.C. 1001 et seq., including HEA section 483(a)(3)(E) , 20 U.S.C. 1090(a)(3)(E), which provides that ISIR data (including FAFSA Filing Status Information) ma y be used “only for the application, award, and administration” of student aid awarded by the Department , States, and institutions eligible to participate in the Federal student financial assistance programs, and other entities that the Secretary may designate. 3. The Agency may use the ISIR data furnished to it under this Agreement only with regard to the administration of a State’s and the Federal government’s programs of fina ncial assistance to students attending institutions of higher education, including calculation of State student financial aid awards, research necessary for the proper administration of a State student aid program, a nd verification of data provided by the applicant on State student aid applications. 4. The Agency may use the ISIR data to disclose to the public statistical summary data obtained from the information furnished by the Department, provided that the identity of individual Federal student aid applicants cannot be ascertained from such summary data. 5. Consistent with applicable law, the Secretary of E ducation may designate, through an addendum to this agreement, additional authorized uses of ISIR data furnished by the Department.

G. Authorized Re-Disclosure of FAFSA Filing Status Information

1. The Agency may re-disclose a student’s FAFSA Filing Status Information to LEAs and secondary schools that are located in the same State as the Agency and that ha ve an Established Relationship with the student. The Agency may also re-disclose a student’s FAFSA Filing Status Information to a Designated Entity that has an Established Relationship with the student.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 19 

### Part Two: SAIG Participation Agreemen t for State Grant Agencies (Continued)

2. Before an Agency re-discloses FAFSA Filing Status In formation to an LEA, secondary school, or Designated Entity, it must execute a written agreement with the LEA, secondary school, or Designated Entity for that purpose. The agreement must, at a minimum, include: (i) procedures for oversight by the Agency of the LEA’s, secondary schools, or Designated Entity’s complia nce with the provisions of the written agreement; (ii) appropriate privacy, data security and information safeguarding provisions consistent with the Agency’s obligations under this Agreement, including the requireme nts specified in Section I. - Data Security below; (iii) assurances that the FAFSA Filing Status Informat ion will be used by the LEA, secondary school, or Designated Entity only for purposes consistent with sec tion 483(a)(3)(E) of the HEA; (iv) assurances that the LEA, secondary school or Designated Entity will comply, as applicable, with the requirements of the Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. 1232g and its regulations codified at 34 CFR part 99) in disclosing any personally identifiable informati on from students’ education records to the Agency or its agents; (v) assurances that the re-disclosures w ill only be made to Authorized Personnel of the LEA, secondary school, or Designated Entity and for authori zed purposes described in Section B –Purpose of the Agreement above; and (vi) assurances that the LEA, secondary school, or Designated Entity will not further re-disclose or share the FAFSA Filing Status informati on obtained from the Agency in personally identifiable form other than: (1) to the FAFSA applicant and to th e FAFSA applicant’s parents if the applicant is under age 18, to the applicant if the applicant is age 18 or olde r or enrolled in a post-secondary institution, or to any other party with the consent of the FAFSA applicant or the consent of the FAFSA applicant’s parents if the FAFSA applicant is under the age of 18, or (2) if required to do so by law and if such use is consistent with all applicable privacy laws, including the privacy provi sions of section 483(a)(3)(E) of the HEA, 20 U.S.C. 1090(a)(3)(E) and the Family Educational Rights and Privacy Act (20 U.S.C. 1232g). 3. The written agreements described in paragraph G.2 must be made available to the Department upon request.

H. Prohibition on Unauthorized Disclosures

1. Any use, disclosure, or re-disclosure of ISIR data or FAFSA Filing Status Information provided to the Agency under this Agreement not specified above, is una uthorized and prohibited. The Agency must ensure that Authorized Personnel are informed about and aware of the prohibitions regarding the use, disclosure, and re-disclosure of any data and information provid ed to the Agency under this Agreement.

I. Reporting of Unauthorized Disclosures

1. The Agency will report to the Department in writing any use, disclosure, or re-disclosure of ISIR data or FAFSA Filing Status Information not authorized by th is Agreement. The Agency shall submit the report within one (1) business day after the Agency learns of su ch unauthorized use, disclosure, or re-disclosure to: U.S. Department of Education, Federal Student Aid, 830 First St. NE., Union Center Plaza, Room 32E1, Washington, DC 20202 or via email at FAFSACompletion@ed.gov . The report must identify: (i) the nature of the unauthorized use, disclosure, or re-disclosure; (ii) the ISIR data or FAFSA Filing Status Information used, disclosed, or re-disclosed; (iii) the person or entity, if known, who made the unauthorized use or received the unauthorized disclosure, or re-disclosure; (iv) what the Agency has done or will do to notify affected FAFSA applicants and to mitigate any deleterious effect of the unauthorized use, disclosure, or redisclosure; and (v) what corrective action the Agency has taken or will take to prevent future similar unauthorized use, disclosure, or re-disclosure. 2. The Agency shall also provide any such other in formation concerning the unauthorized disclosures as requested by the Department.

J. Data Security

1. The Agency will protect the integrity of the ISIR data and, if applicable, FAFSA Filing Status Information received under this Agreement from unauthorized access, use or re-disclosure.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 20 

### Part Two: SAIG Participation Agreemen t for State Grant Agencies (Continued)

2. The Agency shall take all steps necessary to safeguard the confidentiality of the data received. The Agency will restrict access to the data provided or created under this Agreement to only those Authorized Personnel who need the data to perform their o fficial duties in connection with the u ses of the data authorized in this Agreement. Further, the Agency will advise all Aut horized Personnel who have access to the data of the confidential nature of the data, the safeguards require d to protect the data, and criminal sanctions for noncompliance under applicable Fede ral, state, or local laws. 3. The Agency must develop, implement, maintain and u se reasonable and appropriate administrative, technical and physical security measures to preserve the confid entiality, integrity, and availability of all data electronically maintained or transmitted pursuant to this Agreement. The Agency will process the data provided or created under this Agreement under the im mediate supervision and control of Authorized Personnel in a manner that will protect the confidentia lity of the data, so that unauthorized persons cannot retrieve any data by computer, remote terminal, or other means. Systems personnel must enter personal identification numbers when accessing data on the Parties’ systems.

K. Liability

1. The Agency shall be liable for the actions and omissi ons of its respective officers, employees and agents. This obligation shall survive termination of this Agreement.

L. Oversight and Compliance

1. The Agency shall maintain copies of this Agreemen t and all SAIG Enrollment Forms submitted to the Department, as provided in Part 1, Secti ons One through Four of this Agreement. 2. The Department may, at its discretion, monitor the Agency’s records, processes, procedures, and electronic systems for compliance with the terms of this Agreemen t. The Department also may, at its discretion, perform on-site inspections of the Agency to monito r compliance with the terms of this Agreement.

M. Entire Agreement

1. This Agreement constitutes the entire understanding of the Parties with respect to their individual rights and obligations in carrying out the terms of the Agreem ent, and supersedes any prior or contemporaneous agreements or understandings.

N. Effective Date, Modification, Duration, and Termination of the Agreement

1. The effective date of this agreement is upon the Depart ment’s notification to the Agency that the Agency’s SAIG application has been processed and approved by the Department. The Parties of the Agreement may modify this Agreement at any time with mutual written consent. 2. This Agreement shall remain in for ce until terminated by the Agency or the Department, providing that the party requesting termination provides the other party with written notice.
3. If the Department finds that the Agency has failed to co mply with this Agreement, the Agency shall, upon the request of the Department, delete or return all data received under this Agreement and copies made of such data. Furthermore, the Department may terminate th is Agreement or take such other action as may be necessary and appropriate to protect the interests of the FAFSA applicants, the United States, and the Title IV, HEA Federal student aid programs. 4. The expiration of this Agreement shall not, however, aff ect the obligations incurred by the Agency under this Agreement.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 21 

### Part Two: SAIG Participation Agreemen t for State Grant Agencies (Continued)

O. SIGNATURE PAGE

1. The undersigned has caused this Agreement to be duly executed in its name and on its behalf.

__________________________________________________________________________________ Name of the State Grant Agency

__________________________________________________________________________________ Address of the State Grant Agency

___________________________________________ _________________________________ Printed name of the Agency President/CEO Printed Title

___________________________________________ _________________________________ Signature of the Agency President/CEO Date



## Sign and send this form as instructed in Submitting Enrollment Form and Signature Pages

U.S. Department of Education: Received on behalf of the U.S. Department of Education:

_______________ Date

Office Use Only

Customer Number________________________

TG Number_____________________________OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 22 

## Attachment A: Glossary

Authorized Personnel: (i) Employees of the Agency who require acces s to the ISIR Data to meet any of the purposes provided in Section B of this Agreement, in cluding both paid and non-p aid staff and authorized agents such as contractors, subcontractors, volunteers, or other parties to whom the Agency has outsourced any of its services or functions. All Authorized Pers onnel must be under the direct control of the Agency with respect to the use and maintenance of ISIR Da ta. (ii) Employees of LEA, secondary school, or Designated Entity who require access to the FAFSA Fili ng Status Information to determine the completion status of a student’s Free Application for Federal St udent Aid (FAFSA) and facilitate providing assistance to such students in completing the FAFSA, including bot h paid and non-paid staff and authorized agents such as contractors, subcontractors, volunteers, or other parties to whom the LEA, secondary school, or Designated Entity has outsourced any of its services or functions. All Authorized Personnel must be under the direct control of the LEAs, secondary schools, or Designated Entity with respect to the use and maintenance of ISIR Data.

Award Year: July 1 of one year through June 30 of the next year. For the Grant Services (Pell Grant, Iraq and Afghanistan Service Grant, and TEACH Grant), and th e eCB programs systems, eligible students are paid out of funds designated for a particular award year.

Central Processing System (CPS): The CPS manages the application and eligibility determination portion of the federal student aid process. It gathers information from applicants via the Free Application for Federal Student Aid (FAFSA), applies computerized edits and calculations to determine the student’s eligibility, and communicates the results to the students, schools, state agencies, third-party servicers, and other federal computer systems.

Destination Point: An organization enrolled in the SAIG that uses an electronic mailbox to send and receive financial aid data using the SAIG. Every Destination Point is administered by a Primary or Non-Primary Destination Point Administrator (DPA) and has an elect ronic mailbox number that begins with the letters “TG.”

Destination Point Administrator (DPA): An individual representing an organi zation involved in the administration of Title IV, HEA student financial aid programs (such as a postsecondary institution, a State Agency or third-party servicer) that is enrolled in the SAIG and assigned a Destination Point. To enroll as a DPA, an organization’s representative must complete and submit for processing the SAIG Enrollment Form to participate in the U.S. Department of Education’s St udent Aid Internet Gateway. The DPA is responsible for the Agency’s SAIG users’ access to Federal Student Aid systems, to ensure the data provided by these systems is protected according to the Privacy Act of 1974, as amended, as well as to ensure users do not inappropriately access records that are not associated with their organization. The Primary DPA is responsible for enrolling additional Non-Primary DPAs for specific SAIG services. Non-Primary DPAs are not allowed to make SAIG enrollment changes. An Agency may only have one Primary DPA, but may have many Non-Primary DPAs.

EDconnect: ED’s telecommunications software that allows PC Windows users to send and receive data through the SAIG.

Electronic Services: Primary Destination Point Administrators (P rimary DPAs) and their Secondary Destination Point Administrators (Secondary DPAs) for their or ganization may enroll users for FAA Access to CPS Online or EDconnect Entitlement Access . An FSA User ID and password are required to log in to both systems.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 23 

### Attachment A: Glossary (Continued)

Electronic Services Users: Electronic Services Users are enrolled for FAA Access to CPS Online or EDconnect by the Primary DPA. These users are associated with the Primary Destination Point and do not require individually assigned mailboxes to access FAA Access or EDconnect. They must read and sign a Federal Student Aid User of Electronic Services Statement that the Primary DPA must maintain.

Federal Loan Servicer (Title IV Additional Servicer [TIVAS] or Not-For-Profit [NFP]): An entity that services Title IV, HEA loans owned by ED. These loans incl ude, but are not limited to, William D. Ford Federal Direct Loan (Direct Loan) Program loans and Federa l Family Education Loan Program (FFELP) Purchased Loans. Current listings of the Department's fede ral loan servicers, including each servicer's contact information, are available at the Loan Servicing Centers for Schools and Loan Servicer Centers for Students pages on ED’s Information for Fina ncial Aid Professionals (IFAP) Web site ( http://ifap.ed.gov ).

Federal Student Aid (FSA): The 1998 Reauthorization of the Higher Education Act (HEA) established a performance-based organization at the U.S. Department of Education to administer the federal student assistance programs authorized under Title IV of the HEA. These programs include the Federal Pell Grant Program, the Iraq and Afghanistan Service Grant Program, the TEACH Grant Program, the Federal Supplemental Educational Opportunity Grant Program, th e William D. Ford Federal Direct Loan Programs, the Federal Work Study Programs, and the Federal Perkins Loan Program.

FAA Access to CPS Online . For purposes of this document, a Web t ool that State Grant Agencies use to request ISIRs. It is located at https://faaaccess.ed.gov . An FSA User ID is required to access student information.

Free Application for Federal Student Aid (FAFSA): The application that the student must file to apply for aid from any Title IV, HEA program. Students can apply online by using FAFSA on the Web ( http://fafsa.ed.gov ). The FAFSA is also printed and distributed free of charge by the U.S. Department of Education.

Institutional Student Information Record (ISIR): The term ISIR refers to all processed student information records that are sent electronically to institutions and state grant agencies by the CPS. The ISIR contains all information reported on the Free Application for Fede ral Student Aid (FAFSA), key processing results, and NSLDS financial aid history information.

National Student Loan Data System (NSLDS): A national database of student loan-level information and selected grant recipient data for loans and grants disbursed under the Title IV, HEA programs.

Non-Primary Destination Point Administrator (Non-Primary DPA): The Primary DPA is responsible for enrolling additional Non-Primary DPAs for specific SAIG serv ices assigned to the Non-Primary DPA’s Destination Points. Non-Primary DPAs are not a llowed to make SAIG enrollment changes.

Non-Resident: Title IV applicants who indicate on their FAFSA a post-secondary institution that is located in the state where the Agency is located, but the Title IV app licant does not reside in a state other than the state where the Agency is located).OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 24 

### Attachment A: Glossary (Continued)

Primary Destination Point Administrator (Primary DPA): An individual who has been designated by the Agency as the responsible party for the enrollment of the Ag ency’s additional Non-Primary DPA’s which result in the establishment of their SAIG Mailboxes and may incl ude FAA Access Online use. The Primary DPA is responsible for the SAIG users’ access to Federal Student Aid systems, to ensure that the data provided to and from these systems are protected according to the Privacy Act of 1974, as amended, as well as to ensure that users do not inappropriately access records that are not associated with their Agency. Note: The Primary DPA is responsible for enrolling additio nal Non-Primary DPAs for specific SAIG services assigned to the Non-Primary DPA’s Destination Points. The Primary DPA is assigned the primary destination point.

Resident: Title IV applicants who indicate on their FAFSA, as th eir state of legal residence, the state in which the Agency is located.

SAIG Mailbox. An electronic mailbox that is used to send and receiv e financial aid data using the SAIG. It is also referred to as a Destination Point. (See Destination Point .)

Social Security Number (SSN): The number assigned to an individual by the Social Security Administration and used as the identifying number for many Federal purpo ses, including identifying an SAIG participant and applicants for the Title IV, HEA programs.

Student Aid Internet Gateway (SAIG): The SAIG links thousands of Destina tion Points across the United States, its territories, and certain ED-designated foreign countri es to the Higher Education Act’s Title IV, HEA student financial aid programs and delivery system. DPAs are assigned Destination Points (electronic mailboxes), for receiving and transmitting data to va rious Title IV, HEA Federal Student Aid systems such as NSLDS and CPS. (See Destination Point and Destination Point Administrator .)

TDClient: ED’s telecommunications software that allows Mainframe/Midrange users to send and receive data through the SAIG.

TG Number : A TG Number is the identifier for an electroni c mailbox which is referred to as a SAIG mailbox or Destination Point. The TG Number is a five -digit alphanumeric number, preceded by “TG.”

Title IV, HEA student financial aid programs: Student assistance programs authorized by Title IV of the Higher Education Act of 1965, as amended, (HEA).

U.S. Department of Education (ED, Department): The federal agency r esponsible for the administration of Title IV, HEA Federal student aid programs.OMB NO: 1845-0002 Expiration Date: 1/31/2017 Effective Date: January 2014 State Grant Agency Form Page 25 

## Attachment B: Burden Statement

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 number. Public reporting burden for this collection of information is estimated to average 40 minutes per initial paper appli cation response, 20 minutes per initial web application online, 15 minutes per updated response on paper, and 10 minutes per updated response online, including time for reviewing instructions, searching existin g data sources, gathering and maintain ing the data needed, and completing and reviewing the collection of information. The obligati on to respond to this collection is required to obtain or retain a benefit. Send comments regarding the burden estim ate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U. S. Department of Education, 400 Maryland Ave., SW, Washington, DC 20210-4537 or email ICDocketMgr@ed.gov and reference the OMB Control Number 1845-0002.