Form ED80-0016 "Certification of Eligibility for Federal Assistance in Certain Programs"

What Is Form ED80-0016?

This is a legal form that was released by the U.S. Department of Education on April 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2020;
  • The latest available edition released by the U.S. Department of Education;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ED80-0016 by clicking the link below or browse more documents and templates provided by the U.S. Department of Education.

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Download Form ED80-0016 "Certification of Eligibility for Federal Assistance in Certain Programs"

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Certification of Eligibility for Federal Assistance in Certain Programs
I understand that 34 C.F.R. 75.60, 75.61, and 75.62 require that I make specific certifications of eligibility to the U.S. Department of
Education (ED) as a condition of applying for Federal funds in certain programs and that these requirements are in addition to any other
eligibility requirements that ED imposes under program regulations. Under 34 C.F.R. 75.60 – 75.62:
I.
I certify that:
A. I do not owe a debt, or I am current in repaying a debt, or I am not in default (as that term is used at 34 C.F.R. Part 668) on
a debt:
1.
To the Federal Government under a nonprocurement transaction (e.g., a previous loan, scholarship, grant, or
cooperative agreement); or
2.
For a fellowship, scholarship, stipend, discretionary grant, or loan in any program of ED that is
subject to 34 C.F.R. 75.60, 75.61, and 75.62.
OR
B.
I have made arrangements satisfactory to ED to repay a debt as described in A.1. or A.2. (above) on which I had not been
current in repaying or on which I was in default (as that term is used in 34 CFR Part 668).
II.
I certify also that I have not been declared by a judge, as a condition of sentencing under section 5301 of the Anti-Drug Abuse
Act of 1988 (21 U.S.C. 862), ineligible to receive Federal assistance for the period of this requested funding.
I understand that providing a false certification to any of the statements above makes me liable for repayment to ED for funds received on
the basis of this certification, for civil penalties, and for criminal prosecution under 18 U.S.C. 1001.
(Signature)
(Date)
(Typed or Printed Name)
Name or number of ED program under which this certification is being made:
ED 80-0016 (Revised 04/2020)
Certification of Eligibility for Federal Assistance in Certain Programs
I understand that 34 C.F.R. 75.60, 75.61, and 75.62 require that I make specific certifications of eligibility to the U.S. Department of
Education (ED) as a condition of applying for Federal funds in certain programs and that these requirements are in addition to any other
eligibility requirements that ED imposes under program regulations. Under 34 C.F.R. 75.60 – 75.62:
I.
I certify that:
A. I do not owe a debt, or I am current in repaying a debt, or I am not in default (as that term is used at 34 C.F.R. Part 668) on
a debt:
1.
To the Federal Government under a nonprocurement transaction (e.g., a previous loan, scholarship, grant, or
cooperative agreement); or
2.
For a fellowship, scholarship, stipend, discretionary grant, or loan in any program of ED that is
subject to 34 C.F.R. 75.60, 75.61, and 75.62.
OR
B.
I have made arrangements satisfactory to ED to repay a debt as described in A.1. or A.2. (above) on which I had not been
current in repaying or on which I was in default (as that term is used in 34 CFR Part 668).
II.
I certify also that I have not been declared by a judge, as a condition of sentencing under section 5301 of the Anti-Drug Abuse
Act of 1988 (21 U.S.C. 862), ineligible to receive Federal assistance for the period of this requested funding.
I understand that providing a false certification to any of the statements above makes me liable for repayment to ED for funds received on
the basis of this certification, for civil penalties, and for criminal prosecution under 18 U.S.C. 1001.
(Signature)
(Date)
(Typed or Printed Name)
Name or number of ED program under which this certification is being made:
ED 80-0016 (Revised 04/2020)