Appendix A: MOEquity Data Submission

Summary

Appendix A, the MOEquity Data Submission form, as completed for one state. It requires each SEA to submit MOEquity baseline and initial data by July 30, 2021, and allows projected data or a request for an extension to provide data not currently available by October 15, 2021. For FY 2022 the state must submit a spreadsheet of nine items, including its high-need and highest-poverty LEAs, per-pupil State funding for those LEAs in FY 2019, FY 2021 and FY 2022, and its high-poverty schools. The Chief State School Officer or an authorized representative certifies that the data are true and correct, citing liability under the False Claims Act, 31 U.S.C. § 3729 et seq.

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Appendix A: MOEquity Data Submission
State mw L SSéur,

Each SEA must submit the following MOEquity baseline and initial data by July 30, 2021.
To the extent that FY 2022 funding data are not available, an SEA may provide projected data or request
an extension to provide the data that are not currently available by October 15, 2021.

For the purposes of maintaining equity for FY 2022, each State must submit in a spreadsheet in .xls, .csv
or similar format:
I. A list of the State’s high-need LEAs including NCES LEA/district ID;
2. The statewide per-pupil amount of State funds provided to all LEAs in the State in FY 2021;
3. The statewide per-pupil amount of State funds provided to all LEAs in the State in FY 2022 (if
available);
4. The per-pupil amount of State funds provided to each high-need LEA in the State in FY 2021;
9. The per-pupil amount of State funds provided to each high-need LEA in the State in FY 2022 (if
available);
A list of the State’s highest-poverty LEAs including NCES LEA/district ID;
The per-pupil amount of State funding provided for each highest-poverty LEA in FY 2019;
The per-pupil amount of State funding provided for cach highest-poverty LEA in FYs 2022 (if
available); and
9. A list of the high-poverty schools in each LEA in the State {including the NCES school ID) for
which it must maintain equity in FY 2022 (which may be provided via a link to a website if the
State posts such information on its public website).

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To the best of my knowledge and belief, all of the information in this MOEquity data
submission is true and correct and the failure to submit accurate data may result in liability
under the False Claims Act, 31 U.S.C. § 3729 et seq., OMB Guidelines to Agencies on
Governmentwide Debarment and Suspension (N onprocurement) in 2 CFR part 180, as adopted
and amended as regulations of the Department in 2 CFR part 3485; 18 USC § 1061, as
appropriate, and other enforcement actions.

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Chief State §chool Officer or Authorized Re resentative (Typed or Printed Name) Telephone

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icf State School Officer or Authorized Representative Date

22

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