FSA Payment Vehicle Account (PVA) Program Pilot
School Expression of interest

Instructions

Please complete the following expression of interest in participating in the PVA Program pilot. We encourage your expression of interest with answer submissions by July 24, 2019.

Question Title

* 1. School Information

Institution OPEID Number

Institution Name

Point of Contact Name

Phone Number

Email Address

Question Title

* 2. Check methods of credit balance refunds that your institution offers:

Direct Deposit to Prepaid, Debit, or Credit Card

Direct Deposit to Checking or Savings Account via ACH

Print Credit Check (either pick up or mail to student)

Cash

Other (please specify)

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 1845-0155. Public reporting burden for this collection of information is estimated to average 5 minutes 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 voluntary. If you have comments or concerns regarding the status of your individual submission of this application, please contact FSAPaymentVehicle@ed.gov directly.

FSA Payment Vehicle Account (PVA) Program PilotSchool Expression of interest

Instructions

Question Title

* 1. School Information

Question Title

* 2. Check methods of credit balance refunds that your institution offers:

FSA Payment Vehicle Account (PVA) Program Pilot
School Expression of interest