OMB Approval No.: 1840-NEW 

 Expiration Date: [TBD]

Veterans Upward Bound (VUB) Program

Annual Performance Report

Program Year 2012–13

Authority: Public Law 102-325, as amended.

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. Public reporting burden for this collection of information is estimated to average 17

hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data 

needed, and completing and reviewing the collection of information. The obligation to respond to this collection is required to obtain 

or retain benefit (Title IV, Sections 402A(c)(2) and 402C of the Higher Education Act of 1965, as amended; the program regulations 

in 34 CFR 645, and the Education Department General Administrative Regulations (EDGAR), in 34 CFR 74.51, 75.720, and 75.732). 

Send comments regarding the burden estimate 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 20202-4536 or email 

ICDocketMgr@ed.gov and reference the OMB Control Number 1840-0762. Note: Please do not return the completed annual 

performance report to this address. 

SECTION I, Part 1 – PROJECT IDENTIFICATION, CERTIFICATION, AND 

WARNING

A. Identification (all fields with an asterisk [*] are mandatory):

1. PR/Award Number: [will be prepopulated]

2. Name of Grantee Institution/Agency: [will be prepopulated]

3. Address: Campus:

Street:*

City:*

State:* [dropdown box] Zip:*

4. Name of Project Director:

Prefix: [dropdown box allowing choice among Mr., Mrs., Ms., Dr., Sister, 

Father]

First Name:* MI: Last Name:*

5. Telephone Number:* ext.:

Fax Number: ext.:

E-mail Address:*

6. Report Period: [will be prepopulated]

7. Type of Project: [will be prepopulated]
8. Data Entry Person:

Prefix [dropdown box allowing choice among Mr., Mrs., Ms., Dr., Sister, Father]

First Name:* MI: Last Name:*

Telephone Number:* ext.:

E-mail address:*

B. Certification

The Project Director and Certifying Official are required to sign and date Section I, Part 1 of the 

2012–13 Annual Performance Report form to certify the accuracy and completeness of the 

information submitted electronically. After completing the entire report online, you will be able 

to print a copy of Section I, Part 1, which will include signature lines for the project director and 

certifying official. Once the form has been signed, please scan it and, using the functionality on 

the APR site, upload it. If a grantee is unable to upload Section I, it may be faxed to 703-832-

1360.

 I have verified the information in this section.

C. Warning

Any person who knowingly makes a false statement or misrepresentation on this report is subject 

to penalties which may include fines, imprisonment, or both, under the United States Criminal 

Code and 20 U.S.C. 1097.

Further federal funds or other benefits may be withheld under these programs unless this report is 

completed and filed as required by existing law (20 U.S.C. 1231a) and regulations (34 CFR 

75.590 and 75.720)
SECTION I, Part 2: Competitive Preference Priorities (If Applicable)

The 2012 VUB grant competition established two competitive preference priorities concerning 

data-based decision-making and productivity. Below, please indicate whether your project 

addressed the two competitive preference priorities. For each priority addressed, please complete 

the text boxes with concise information about implementation. 

Enabling More Data-Based Decision-Making- Projects that are designed to collect (or 

obtain), analyze, and use high-quality and timely data, including data on program 

participant outcomes, in accordance with privacy requirements (as defined in this notice), 

in: (a) improving postsecondary student outcomes relating to enrollment, persistence, 

and completion and leading to career success, and (b) providing reliable and 

comprehensive information on the implementation of Department of Education programs, 

and participant outcomes in these programs, by using data from State longitudinal data 

systems or by obtaining data from reliable third-party sources.

1A. Not applicable □

1B. Yes □ 

If “Yes”, indicate below which data systems your project utilized.

State longitudinal data systems Third-party data systems
Improving Productivity- Projects that are designed to significantly increase efficiency in the use 

of time, staff, money, or other resources while improving student learning or other educational 

outcomes (i.e., outcome per unit of resource). Such projects may include innovative and 

sustainable uses of technology, modification of school schedules and teacher compensation 

systems, use of open educational resources (as defined in the notice), or other strategies.

3A. Not applicable □

3B. Yes □

If “Yes”, indicate below how your project achieved this productivity by increasing 

efficiency in the use of time, staff, money or other resources.

Resource/Measure used with increased 

efficiency

Improved Outcome