Form ED-646-1 FISAP

Fiscal Operations Report for 2006-2007 and Application to Participate for 2008-2009 (FISAP) and Reallocation Form E 40-4

2008-2009 FISAP

FISAP and Instructions (Private Institutions)

OMB: 1845-0030

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ED Form 646-1
OMB no 1845-0030
Expires 06/30/2008

Fiscal Operations Report and Application to Participate (FISAP)
Report: Award Year July 1, 2006 through June 30, 2007; Application: Award Year July 1, 2008
through June 30, 2009
Part I. Identifying Information, Certification and Warning
Section A. Identifying Information
1(a) Name and address of school

1(b) Mailing address (if different from 1(a))

__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________

__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________

2. OPEID Number _____________________
3. Type of school (select one)
__ 3.1 public
__ 3.2 private/non-profit
__ 3.3 proprietary
(Select one if proprietary)
__ (a) art
__ (b) business
__ (c) cosmetology
__ (d) trade and technical
__ (e) other

5. Additional locations
Schools with separately eligible additional locations that will be
funded under this application must list these locations and their
addresses and OPEID Numbers on the screen. You may not
file a separate application for any separately eligible school
listed herein.

6. Financial Aid Administrator
_____________________________
Name
E-mail address _____________________________

4. Length/type of longest program (select one)
__ 4.1
__ 4.2
__ 4.3
__ 4.4
__ 4.5
__ 4.6
__ 4.7

less than 1 year
1 year but less than 2 years
2 years but less than 3 years
3 years but less than 4 years
4 years (no higher than a baccalaureate degree)
5 years or more
post-baccalaureate only

We have entered a list of separately
eligible additional locations included
in this application.
__ yes

__ no

Telephone No. ______________
Fax No.
______________

7. Name and address of private financial aid consultant firm, if any
_____________________________________________
Name
Address 1_____________________________________________
Address 2_____________________________________________
City
____________________ State ______ Zip ____________

FISAP Version:

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ED Form 646-1
OMB no 1845-0030
Expires 06/30/2008

Section B. Certification and Warning
Applicants must review the requirements for certification regarding lobbying included in the regulations
cited below before completing this form. Applicants must sign this form to comply with the certification
requirements under 34 CFR Part 82, “New Restrictions on Lobbying.” This certification is a material
representation of fact upon which the Department of Education relies when it makes a grant or enters into
a cooperative agreement.
As required by Section 1352, Title 31 of the U.S. Code, and implemented at 34 CFR Part 82, for persons entering
into a Federal contract, grant or cooperative agreement over $100,000, as defined at 34 CFR Part 82, Sections
82.105 and 82.110, the applicant certifies that:
(a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any
person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with the making of any
Federal grant, the entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of any Federal grant or cooperative agreement;
(b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing
or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative
agreement, the undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report
Lobbying,” in accordance with its instructions (Available at the following link:
http://www.ed.gov/fund/grant/apply/appforms/sflll.doc); and
(c) The undersigned shall require that the language of this certification be included in the award documents for all
subawards at all tiers (including subgrants and contracts under grants and cooperative agreements) and that all
subrecipients shall certify and disclose accordingly.
As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with
the above certification. I further certify that the information contained in this electronic FISAP is in
compliance with governing legislation and regulations and is true and accurate. I understand that all
information associated with this FISAP is subject to audit and program review by representatives of the Secretary
of Education.
WARNING: Any person who knowingly provides false or misleading information on this FISAP will be
subject to a fine of up to $10,000 or imprisonment of up to 5 years or both under provisions of Section
1001, Title 18 of the U.S. Code.
8. Chief Executive Officer (includes President, Chancellor, and Director)

_________________________________
Name ____________________________________
Title _____________________________________
E-mail address _____________________________
Signature

_______________
Telephone No. ____________
Fax No. _________________

Date signed

Mail signed form to
FISAP Administrator
2020 Company, LLC
3110 Fairview Park Drive
Suite 950
Falls Church, VA 22042

FISAP Version:

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ED Form 646-1
OMB no 1845-0030
Expires 06/30/2008

Application to Participate, Part II
Name of school _____________________________________________________
OPEID Number _________
State _______

Part II. Application to Participate for Award Year July 1, 2008 through June 30, 2009
Section A. Request for Funds for the 2008-2009 Award Year
1. Federal Perkins Loan Level of Expenditures

$ _________

2. Federal Perkins Loan Federal Capital Contribution

$ _________

3. FSEOG federal funds

$ _________

4. FWS federal funds

$ _________

Section B. Federal Perkins Loan Program Liquidation Request
(Applies only to certain schools; see instructions)
5. My school wishes to discontinue participation in the Federal Perkins Loan Program.

__ yes

__ no

Section C. Waiver Request for the Underuse of Funds
My school has returned more than 10 percent of its Federal Perkins Loan, FSEOG, or FWS allocation for the 20062007 award year.
6. My school wishes to apply for a waiver of the penalty for the underuse of funds and will provide, on the Additional
Information screen, a written explanation of the circumstances. __ yes
__ no

FISAP Version:

DO NOT SEND THESE PAGES TO THE DEPARTMENT

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ED Form 646-1
OMB no 1845-0030
Expires 06/30/2008

Application to Participate, Part II (continued)
Name of school _____________________________________________________
OPEID Number _________
State _______

Part II. Application to Participate for Award Year July 1, 2008 through June 30, 2009
Section D. Information on Enrollment
My school’s calendar is __ Traditional

__ Non-Traditional

Schools with a non-traditional calendar that had 20062007 enrollment, fill in fields 9 through 20.

Schools with a traditional calendar that had 2006-2007 enrollment,
fill in Field 7.
Undergraduate
(a)
7. Total number of
students, 2006-2007

_____________

Continuing Students
(a)

Graduate/Professional
(b)

9. July 1, 2006
10. August 1
11. September 1
12. October 1
13. November 1
14. December 1
15. January 1, 2007
16. February 1
17. March 1
18. April 1
19. May 1
20. June 1, 2007
21. TOTAL

_________________

Schools with a traditional calendar that did not have 2006-2007
enrollment, fill in Field 8.
Undergraduate
(a)

8. Estimated number of
students, 2007-2008

_____________

Graduate/Professional
(b)

__________________

New Starts
(b)

_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________

_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________

Section E. Assessments and Expenditures
22. Total tuition and fees for the award year July 1, 2006 to June 30, 2007

Undergraduate
(a)
$____________

23. Title IV, Part A, Subpart I, Grants
(a) Total Federal Pell Grant expenditures for the 2006-2007 award year
(b) Total ACG expenditures for the 2006-2007 award year
(c) Total National SMART Grant expenditures for the 2006-2007 award year

$____________
$____________
$____________

24. Total expended for state grants and scholarships made to
undergraduates for the award year July 1, 2006 to June 30, 2007

$____________

Graduate/Professional
(b)
$____________

Section F. Information on Eligible Aid Applicants Enrolled in Your School for Award Year 2006-2007
Dependent Undergraduate
Without Baccalaureate/
With Baccalaureate/
1st Prof. Degree
1st Prof. Degree
(a)
(b)

25. Students with an
“Automatic” Zero EFC

___________

_________

Taxable and Untaxed Income
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.

$0 - $2,999
$3,000 - $5,999
$6,000 - $8,999
$9,000 - $11,999
$12,000 - $14,999
$15,000 - $17,999
$18,000 - $23,999
$24,000 - $29,999
$30,000 - $35,999
$36,000 - $41,999
$42,000 - $47,999
$48,000 - $53,999
$54,000 - $59,999
$60,000 and over
TOTAL

FISAP Version:

____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________

Independent Undergraduate
Without Baccalaureate/ With Baccalaureate/
1st Prof. Degree
1st Prof. Degree
(c)
(d)

___________

Independent
Graduate/
Professional
(e)

_________

____________

_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________

____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________

Taxable and Untaxed Income
__________
__________
__________
__________
__________
__________
__________
__________
__________
__________
__________
__________
__________
__________
__________

$0 - $999
$1,000 - $1,999
$2,000 - $2,999
$3,000 - $3,999
$4,000 - $4,999
$5,000 - $5,999
$6,000 - $7,999
$8,000 - $9,999
$10,000 - $11,999
$12,000 - $13,999
$14,000 - $15,999
$16,000 - $17,999
$18,000 - $19,999
$20,000 and over
TOTAL

____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________

DO NOT SEND THESE PAGES TO THE DEPARTMENT

Page A-4

ED Form 646-1
OMB no 1845-0030
Expires 06/30/2008

Fiscal Operations Report, Part III
Name of school _____________________________________________________
OPEID Number _________
State _______

Part III. Federal Perkins Loan Program for Award Year July 1, 2006 through June 30, 2007
Section A. Fiscal Report (Cumulative) as of June 30, 2007
Field Item
1.1.
1.2.
2.
3.
4.
5.
6.

7.

Cash on hand and in depository as of 6/30/2007
Cash on hand and in depository as of 10/31/2007
Funds receivable from federal government
Funds receivable from school
Funds advanced to students
Loan principal collected
Loan principal assigned to and accepted by the United
States

Amount
(a)

30.
31.
32.
33.
34.
35.
36.
37.
38.
39.

Loan principal canceled for the following categories:
teaching/military service (applies to loans made prior to
07/01/1972)

Cost of loan principal and interest canceled for the following categories:
teaching/military service (applies to loans made prior to
07/01/1972)
certain subject matter teaching service (math, science,
foreign languages, bilingual education)
all other authorized teaching service (applies to loans made
07/01/1972 and after)
military service (applies to loans made 07/01/1972 and after)
volunteer service in the Peace Corps or under the
Domestic Volunteer Service Act of 1973
law enforcement and corrections officer service
child/family/early intervention service
nurse/medical technician service
death/disability
bankruptcy
surviving spouses of public service victims of 9-11 terrorist attacks
Cost of loan principal and interest assigned to and accepted
by the United States

40. Cost of loan principal and interest canceled for loans
discharged due to closed schools
FISAP Version:

Credit Balances
(d)

$__________

certain subject matter teaching service (math,
science, foreign languages, bilingual education)
9.
all other authorized teaching service
10.
military service (applies to loans made 07/01/1972 and after)
11.
volunteer service
12.
law enforcement and corrections officer service
13.
child/family/early intervention service
14.
nurse/medical technician service
15.
death/disability
16.
bankruptcy
17.
surviving spouses of public service victims of 9-11 terrorist attacks
18.
loans discharged due to closed schools
19. Loan principal adjustments – other
20. Federal Capital Contributions
21. Repayments of fund capital to federal government
22. Institutional Capital Contributions
23. Repayments of fund capital to school
24. Interest income on loans
25. Other income
26. Reimbursements to the Fund of the amounts canceled
on loans made 07/01/1972 and after
27.1. Administrative cost allowance
$________
27.2. Collection costs
$________
27.3. Administrative cost allowance and collection costs (control)

29

Debit Balances
(c)

$_______

8.

28.

Number of Borrowers
(b)

_________________
_________________

$__________
$__________
$__________
$__________

_________________

$__________

_________________

$__________

_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________

$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________

$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
Page A-5

ED Form 646-1
OMB no 1845-0030
Expires 06/30/2008

Fiscal Operations Report, Part III (continued)
Name of school _____________________________________________________
OPEID Number _________
State _______

Part III. Federal Perkins Loan Program for Award Year July 1, 2006 through June 30, 2007
Section A. Fiscal Report (Cumulative) as of June 30, 2007
Amount
(a)

Field Item
41.
42.
43.
44.

Number of Borrowers
(b)

Debit Balances
(c)

Credit Balances
(d)

$__________
$__________

Other costs or losses
Balancing Adjustments (Debits)
Balancing Adjustments (Credits)
Total debits and credits (Sum of fields 1.1 through 43)

$__________

$__________
$__________

Section B. Fund Activity (Annual) During the 2006-2007 Award Year (July 1, 2006 through June 30, 2007)
Number of Borrowers
(a)

Amount
(b)
$__________

1. Final adjusted Federal Capital Contribution (FCC) authorization
2. FCC transferred to:
(a) FSEOG

$__________
$__________

(b) FWS
3. The unexpended amount of final adjusted authorized FCC for award year 2006-2007
that was NOT requested from GAPS by June 30, 2007. This amount will be reduced
from your total award amount next spring (see instructions).

$__________

4. Institutional Capital Contribution (ICC) deposited into the Fund between July 1,
2006 and June 30, 2007

$__________

5. Loans advanced to students from the Fund during the 2006-2007 award year
(minus 2006-2007 award year refunds)

$__________

6. Administrative cost allowance claimed for the 2006-2007 award year (see
instructions)

$__________

7. Total principal and interest repaid by borrowers from all sources during the 20062007 award year

_________________

$__________

8. Total principal repaid by borrowers from all sources during the 2006-2007 award
year for loans in default for more than 2 years but not more than 5 years

_________________

$__________

9. Total principal repaid by borrowers from all sources during the 2006-2007 award
year for loans in default for more than 5 years

_________________

$__________

FISAP Version:

DO NOT SEND THESE PAGES TO THE DEPARTMENT

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ED Form 646-1
OMB no 1845-0030
Expires 06/30/2008

Fiscal Operations Report, Part III (continued)
Name of school _____________________________________________________
OPEID Number _________
State _______

Part III. Federal Perkins Loan Program for Award Year July 1, 2006 through June 30, 2007
Section C. Cumulative Repayment Information as of June 30, 2007
Status of Borrowers as of June 30, 2007
Amount

Number of
Borrowers
(b)

Amount Lent

________

$__________

$__________

$____________

2.2. Assignments due to total and permanent disability discharge

________
________
________

$__________
$__________

$____________
$____________

3.

Total borrowers not in repayment status

________

$____________

4.

Borrowers on schedule in repayment status

________

$____________

(a)
1.1. Borrowers whose loans are fully retired

$_______

1.2. Loans that have been purchased
2.

(c)

Principal Amount
Outstanding
(d)

Borrowers whose loans were assigned to and officially accepted
by the U.S. Department of Education as of June 30, 2007
(Note: Field 2 equals the sum of Field 2.1 plus Field 2.2.)
2.1. Assignments due to default or liquidation

5.1. In default less than 240 days (monthly installments) or less than
270 days (other installments)

________

$__________

$____________

5.2. In default 240 days or more (monthly installments) or 270 days
or more (other installments), up to 2 years

________

$__________

$____________

5.3. In default more than 2 years but not more than 5 years

________

$__________

$____________

5.4. In default more than 5 years

________

$__________

$____________

Cohort Default Rate (Sections D and E)
Schools with fewer than 30 borrowers who entered repayment in the 2005-2006 award year should skip to Section E.

Section D. Schools with 30 or More Borrowers Who Entered Repayment in the 2005-2006 Award Year
1.1. Number of borrowers who entered repayment in 2005-2006

__________________________

1.2. Number of borrowers from Field 1.1 above with loans in default by June 30, 2007

__________________________

1.3. Cohort default rate ((Field 1.2 / Field 1.1) x 100)

__________________________

Section E. Schools with Fewer than 30 Borrowers Who Entered Repayment in the 2005-2006 Award Year
2.1. Number of borrowers who entered repayment in:

2.2. Number of borrowers with loans in default by:

(a) 2003-2004 (07/01/2003-06/30/2004)

__________

(a) June 30, 2005 (those in 2.1(a) only)

__________

(b) 2004-2005 (07/01/2004-06/30/2005)

__________

(b) June 30, 2006 (those in 2.1(b) only)

__________

(c) 2005-2006 (07-01/2005-06/30/2006)

__________

(c) June 30, 2007 (those in 2.1(c) only)

__________

2.3. Total number of borrowers who entered repayment during the three years above (fields 2.1(a) + 2.1(b) + 2.1(c))

__________

2.4. Total number of borrowers with loans in default during the three years above (fields 2.2(a) + 2.2(b) + 2.2(c))

__________

2.5. Cohort default rate ((Field 2.4 / Field 2.3) x 100)

__________

FISAP Version:

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ED Form 646-1
OMB no 1845-0030
Expires 06/30/2008

Fiscal Operations Report, Part IV
Name of school _____________________________________________________
OPEID Number _________
State _______

Part IV. Federal Supplemental Educational Opportunity Grant (FSEOG) Program for Award Year
July 1, 2006 through June 30, 2007
Section A. Federal Funds Authorized for FSEOG
$____________

1. Final adjusted FSEOG authorization

Section B. Federal Funds Available for FSEOG Expenditures
2. FWS funds transferred to and spent in FSEOG

+$____________

3. Federal Perkins Federal Capital Contribution funds transferred to and spent in FSEOG

+$____________

4. 2007-2008 FSEOG funds carried back and spent in 2006-2007

+$____________

5. Additional 2007-2008 FSEOG funds carried back and spent for 2007 summer enrollment

+$____________

6. 2005-2006 funds carried forward and spent in 2006-2007

+$____________

7. 2006-2007 funds carried forward to be spent in 2007-2008

- $____________

8. 2006-2007 funds carried back and spent in 2005-2006

- $____________

9. Additional 2006-2007 funds carried back and spent for 2006 summer enrollment

- $____________

10. Total federal funds available for 2006-2007 FSEOG (fields 1 + 2 + 3 + 4 + 5 + 6 - 7 - 8 - 9)

$____________

Section C. Funds to FSEOG Recipients
11. Total funds to FSEOG recipients (fields 12 + 13)

$____________

12. Nonfederal share of funds to FSEOG recipients (25 percent of Field 11)

$____________

(a) Cash outlay contributed

$____________

(b) Other resources designated

$____________

Section D. Federal Funds Spent for FSEOG Program
13. Federal share of funds to FSEOG recipients (75 percent of Field 11)
14. Administrative cost allowance claimed
15. Federal funds spent for FSEOG (fields 13 + 14)

$____________
+$____________

$____________

Section E. Use of FSEOG Authorization
16. Expended FSEOG authorization (fields 7 + 8 + 9 + 15) minus (fields 2 + 3 + 4 + 5 + 6)

$____________

17. Unexpended FSEOG authorization (Field 1 - Field 16) (cannot be negative)

$____________

FISAP Version:

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ED Form 646-1
OMB no 1845-0030
Expires 06/30/2008

Fiscal Operations Report, Part V
Name of school _____________________________________________________
OPEID Number _________
State _______

Part V. Federal Work-Study (FWS) Program for Award Year July 1, 2006 through June 30, 2007
Section A. Federal Funds Authorized for FWS
$____________

1. Final adjusted FWS authorization

Section B. Federal Funds Available for FWS Expenditures
2. Federal Perkins Federal Capital Contribution funds transferred to and spent in FWS

+$____________

3. FWS funds transferred to and spent in FSEOG

-$____________

4. 2007-2008 FWS funds carried back and spent in 2006-2007

+$____________

5. Additional 2007-2008 FWS funds carried back and spent for 2007 summer enrollment

+$____________

6. 2005-2006 funds carried forward and spent in 2006-2007

+$____________

7. 2006-2007 funds carried forward to be spent in 2007-2008

- $____________

8. 2006-2007 funds carried back and spent in 2005-2006

- $____________

9. Additional 2006-2007 funds carried back and spent for 2006 summer enrollment

- $____________

10. Total federal funds available for 2006-2007 FWS (fields 1 + 2 - 3 + 4 + 5 + 6 - 7- 8- 9)

$____________

Section C. Total Compensation for FWS
$____________

11. Total earned compensation for FWS Program
(a) On-campus earned compensation

$____________

(b) Off-campus earned compensation for public or private non-profit
agencies, excluding amounts reported in Field 11c

$____________

(c) Off-campus earned compensation for agencies that were unable to pay
regular nonfederal share and had a federal share up to 90 percent

$____________

(d) Off-campus earned compensation for private for-profit organizations

$____________
$____________

12. Total institutional share of earned compensation (see instructions)

Section D. Funds Spent from Federal Share of FWS
$____________

13. Total federal share of FWS earned compensation

(a) Federal share paid at a rate up to 75 percent
(b) Federal share paid at a rate up to 100 percent for waivers of
nonfederal share

$____________
$____________

(c) Federal share paid at a rate up to 90 percent for agencies that were
$____________

unable to pay regular nonfederal share

(d) Federal share paid at a rate up to 50 percent for off-campus, private
$____________

for-profit organizations
14. Administrative cost allowance claimed

+$____________

15. Federal share of Job Location and Development (JLD) Program expenditures

+$____________

16. Total federal funds spent for FWS (fields 13 + 14 + 15)

$____________

Section E. Use of FWS Authorization
17. Expended FWS authorization (fields 3 + 7 + 8 + 9 + 16) minus (fields 2 + 4 + 5 + 6)

$____________

18. Unexpended FWS authorization (Field 1 - Field 17)

$____________

Section F. Information About the Job Location and Development (JLD) Program
19. Total expenditures for the JLD Program

$____________

20. Institutional expenditures for the JLD Program (see instructions)

$____________

21. Number of students for whom jobs were located or developed

____________
$____________

22. Total earnings of the students in Field 21 above
FISAP Version:

DO NOT SEND THESE PAGES TO THE DEPARTMENT

Page A-9

ED Form 646-1
OMB no 1845-0030
Expires 06/30/2008

Fiscal Operations Report, Part V (continued)
Name of school _____________________________________________________
OPEID Number _________
State _______

Part V. Federal Work-Study (FWS) Program for Award Year July 1, 2006 through June 30, 2007
Section G. Information About FWS Students Employed in Community Service Activities
_____________
$____________
$____________

23. Number of students in community service employment
24. Federal share of community service earned compensation
25. Nonfederal share of community service earned compensation

Section H. Information About FWS Students Employed as Reading Tutors of Children or Employed in
Family Literacy Activities
26. Number of FWS students employed as reading tutors of children or employed in family literacy
activities

_____________

27. Federal share of earned compensation for FWS students employed as reading tutors of children
or employed in family literacy activities

$____________

(a) Amount of the federal share in Field 27 spent on community service
employment

$____________

28. Total earned compensation for FWS students employed as reading tutors of children or employed

$____________

in family literacy activities

Section I. Information About FWS Students Employed as Mathematics Tutors of Children
29. Number of FWS students employed as mathematics tutors of children

_____________

30. Federal share of earned compensation for FWS students employed as mathematics tutors of
children

$____________

31. Total earned compensation for FWS students employed as mathematics tutors of children

$____________

FISAP Version:

DO NOT SEND THESE PAGES TO THE DEPARTMENT

Page A-10

ED Form 646-1
OMB no 1845-0030
Expires 06/30/2008

Fiscal Operations Report, Part VI
Name of school _____________________________________________________
OPEID Number _________
State _______

Part VI. Program Summary for Award Year July 1, 2006 through June 30, 2007
Section A. Distribution of Program Recipients and Expenditures by Type of Student
Taxable and Untaxed
Income Category
Student Type

Federal Perkins Loan
Recipients
(a)

Funds
(b)

FSEOG
Recipients
(c)

Funds
(d)

FWS
Recipients
(e)

Funds
(f)

Unduplicated
Recipients
(g)

Undergraduate
Dependent

_________
_________
_________
_________
_________
_________
_________

_________
_________
_________
_________
_________
_________
_________

_________
_________
_________
_________
_________
_________
_________

_________
_________
_________
_________
_________
_________
_________

_________
_________
_________
_________
_________
_________
_________

_________
_________
_________
_________
_________
_________
_________

_________
_________
_________
_________
_________
_________
_________

14. $20,000 and over

_________
_________
_________
_________
_________
_________
_________

_________
_________
_________
_________
_________
_________
_________

_________
_________
_________
_________
_________
_________
_________

_________
_________
_________
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_________
_________
_________

_________
_________
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_________
_________

_________
_________
_________
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_________
_________
_________

_________
_________
_________
_________
_________
_________
_________

15. Graduate/Professional

_________

_________

_________

_________

_________

16. TOTAL (fields 1-15)

_________

_________

_________

_________

_________

_________

_________

17. Total less-than-full-time
students
(from fields 1-15)

_________

_________

_________

_________

_________

_________

_________

18. Total “Automatic” Zero
EFC students
(from fields 1-15)

_________

_________

_________

_________

_________

_________

_________

1. $0 - $ 5,999
2. $6,000 - $11,999
3. $12,000 - $23,999
4. $24,000 - $29,999
5. $30,000 - $41,999
6. $42,000 - $59,999
7. $60,000 and over

Undergraduate
Independent
8. $0 - $ 1,999
9. $2,000 - $ 3,999
10. $4,000 - $ 7,999
11. $8,000 - $11,999
12. $12,000 - $15,999
13. $16,000 - $19,999

FISAP Version:

does not apply does not apply

DO NOT SEND THESE PAGES TO THE DEPARTMENT

Page A-11

ED Form 646-1
OMB no 1845-0030
Expires 06/30/2008

Fiscal Operations Report, Part VI (continued)
Name of school _____________________________________________________
OPEID Number _________
State _______

Part VI. Program Summary for Award Year July 1, 2006 through June 30, 2007
Section B. Calculating the Administrative Cost Allowance
Administrative Cost Allowance Worksheet (Worksheet must be retained for audit and program reviews)
Step 1. Calculate the amount spent in 2006-2007 on which the administrative cost allowance is based.
1. Total compensation in FWS (amount from Part V, Section C, Field 11)

$____________

2. Amount of Federal Perkins Loan funds advanced to students (amount from Part III, Section B, Field 5)

+$____________

3. Total funds to FSEOG recipients (amount from Part IV, Section C, Field 11)

+$____________

$____________

4. Total amount spent (fields 1 + 2 + 3)

Step 2. Calculate the administrative cost allowance.
Schools whose total amount spent was $2,750,000 or less
5. Enter total amount spent (Field 4)

$____________

6. Multiply

x

7. Total administrative cost allowance—go to Step 3

$____________

0.05

Schools whose total amount spent was more than $2,750,000 but less than $5,500,000
$____________

8. Enter total amount spent (Field 4)

-$

9. Subtract

2,750,000

10. Expenditures over $2,750,000 (Field 8 - Field 9)

$____________

11. Multiply

x

12. Administrative cost allowance on expenditures over $2,750,000 (Field 10 x Field 11)

$____________

13. Add administrative cost allowance on expenditures of $2,750,000 ($2.75 million x .05)
14. Total administrative cost allowance (Field 12 + Field 13)—go to Step 3

+$

0.04
__137,500

$____________

Schools whose total amount spent was $5,500,000 or more
$____________

15. Enter total amount spent (Field 4)

-$

16. Subtract

5,499,999

17. Expenditures of $5,500,000 or more (Field 15 - Field 16)

$____________

18. Multiply

x

19. Administrative cost allowance on expenditures of $5,500,000 or more (Field 17 x Field 18)
20. Add administrative cost allowance on expenditures less than $5,500,000 (($2.75 million x .05) + Field 12)
21. Total administrative cost allowance (Field 19 + Field 20)—go to Step 3

0.03

$____________
+$

__247,500

$____________

Step 3. Decide how much administrative cost allowance your school claimed.
22. How much administrative cost allowance did your school claim? (The amount may be the same or less
than the amount calculated in Step 2.)

$____________

23. How much administrative cost allowance did your school claim in each program?
(a) Federal Perkins Loan (must be the same as Part III, Section B, Field 6)

$____________

(b) FSEOG (must be the same as Part IV, Section D, Field 14)

$____________

(c) FWS (must be the same as Part V, Section D, Field 14)

$____________

FISAP Version:

DO NOT SEND THESE PAGES TO THE DEPARTMENT

Page A-12


File Typeapplication/pdf
File TitleFiscal Operations Report and Application to Participate (FISAP)
File Modified2007-02-22
File Created2007-02-22

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