Annual Operating Report Form InstructionsThe Web Reporting System (WRS) provides on-screen edit messages for items that may need further clarification. The Student Financial Aid Guidelines (SFAG) provide comprehensive information regarding the programs. The SFAG can be found at the following website: http://bhpr.hrsa.gov/dsa/. If loans have ever been disbursed to students, they must be reported on your Borrower Accounts Worksheet; therefore, your report will not be considered complete if Page 6 of the report contains all zeros. All data must be in agreement with your institution's general ledger records. Entries in the "Current" column(s) should be the net totals of transactions for the current reporting period indicated on the report.
Entries
in the "Cumulative" column(s) are system generated and
should be the totals of transactions (account balances) since
the institution first began participating in the loan program
through the current reporting period. 4.2 Student Borrower Section AOR (Report Page 1)THE FOLLOWING INFORMATION APPLIES ONLY TO ACTIVE PROGRAMS. ITEM 1 Number of Student Borrowers
ITEM 2 Total Dollar Amount of Loans Awarded
ITEM 3 Total Full-Time Enrollment for the Discipline Reporting Program
ITEM 4 Race/ethnicity of Individuals Receiving Assistance During This Reporting Period and Total Enrollment
(Note: Each race must be categorized into Hispanic/Latino and Non-Hispanic/Non-Latino ethnicities.)
Item 4, C Total Number of Graduates and Disadvantaged Graduates
Items 5, 6, 7, and 8 refer to HPSL/PCL Allopathic and Osteopathic Medicine Only(Primary Care Loans): ITEMS 5 & 6 Number of PCL student borrowers and total PCL dollar amount awarded
ITEM 7 Defaults on Service Obligation
ITEMS 8 Total Graduates and Graduates in Primary Care Residency and Practice (allopathic and osteopathic medicine only)
8A, 8B Total Full-Time graduates
8C. Percentage
4.3 Program Accounts Section (Report Pages 2 and 3)Values in cumulative fields are based on previous awards and reports. Please contact us (Appendix A) for assistance when discrepancies arise. ITEM A Federal Funds Awarded
ITEM B Cash Balance - Start of Report Period
ITEM C1 Federal Funds Received/Receivable This amount should be the cumulative net funds received that is equal to the total funds drawn each year from Payment Management System (PMS) minus any same year returns of funds to PMS.
ITEM C2 Institutional Contributions Deposited This amount should be the current amount of institutional contribution deposited. The cumulative amount must equal at least one-ninth of the cumulative FCC Funds received (Item C.1) plus any cumulative transfers from scholarships (item C.3) and less cumulative transfer to scholarships (Item D.2).
ITEM C.3 Transferred from Scholarship Fund
ITEM C.4 Loan Principal Collected
ITEM C.5 Interest Income Collected on Loans
ITEM C.6 Penalty Charges Collected on Loans
ITEM C.7 Investment Income
ITEMS C.8, C.9, & C.10 Institutional Repayments of Bad Debts, Principal, Interest, and Penalty Charges
ITEMS D1 Loaned to Students
ITEMS D2 Transferred to Scholarship Fund
ITEMS D3, D4, & D5 Repayments to Federal Government, Principal, Interest and Other Income
Please refer to the Student Financial Aid Guidelines for further information. If you have any questions on your school's compliance, refer to Appendix A for contact information. Note: Make check payable to Public Health Service and enclose a letter with the following information:
ITEM D.6 Repayments - to Institution, Principal
ITEM D.7 Repayments to Institution, Interest
ITEM D.8 Repayments to Institution, Other Income
ITEMS D9, D10, D11, and D12 Collection Agent Costs, Principal and Interest Litigation Costs, Principal and Interest
An institution directs a collection agency to collect $1,000.00 principal and $200.00 interest for a total of $1,200.00 from a delinquent borrower. The collection agency collects all $1,200.00 but deducts $360.00, or 30% of the amount collected, before remitting the net amount of $840.00 to the institution. The institution reports as follows:
An institution directs a collection agency to collect $1,500.00 principal and $500.00 interest for a total of $2,000.00 from a delinquent borrower. At the end of the report period, the collection agency has collected $1,600.00 (80% of $2,000.00), which it remits to the institution with a bill for $480.00 (30% of the $1,600.00 collected). The institution pays the collection agency $480.00 taken from the Fund and reports as follows:
ITEM E. CASH BALANCE - End of Period Covered by This Report
ITEM F.1 & 2 LOAN CANCELLATIONS TO BORROWERS – Professional Practice & Nursing Employment
ITEM F.1.a. Professional Practice – HP Practice-Shortage (10%)
ITEM F.1.b HP Practice – Rural Shortage (15%)
ITEM F.2.a.b.c. Nursing Employment
ITEM F.3.a DEATH
ITEM F.3.b DEATH
ITEM F.4.a Permanent and Total Disability
ITEM F.4.b Permanent and Total Disability
ITEM H Bad debts approved for write-off by DHHS, and Bad debts under $3,000 approved for write-off by the institution.
4.4 Calculation of Excess Cash Worksheet (Report Page 4)FOR ACTIVE PROGRAMS ONLY HOW THE FEDERAL GOVERNMENT DETERMINES EXCESS CASH Note: Excess cash is automatically calculated for all programs except Allopathic and Osteopathic Medicine. Allopathic and Osteopathic schools should use the worksheet to figure out their Excess Cash. Item A. General Ledger Cash Balance as of…
Item B. Actual Collections for…
Item C. Federal Funds Received/Receivable for…
Item D. Institutional Contribution for …
Item E. Projected Collections for…
Item F. Projected Funds Available as of …
Item G. Actual Expenditures for …
Item H. Projected Expenditures for…
Item I. Projected Expenditures as of…
Item J. Projected Cash Balance as of …
Item K. Less Projected Expenditures for…
Item L. Excess Cash
Item M. General Ledger Ending Cash Balance as of …
4.5 Check List / Questions (Report Page 5)ITEM J.1 Default Rate
Note: Programs with both HPSL and LDS reports will not see the combined default rate until data from both reports have been entered. ITEM J.2 Excess Cash Returned to PMS (Applicable to ACTIVE programs only)
ITEM J.3 Excess Cash Returned to DFO (Applicable to ACTIVE programs only)
ITEM J.4 Cash Due to Federal Government (Applicable to Closing Programs only)
ITEM K.1 Total Interest Past Due
ITEM K.2.a Period Of Last Biennial Audit
ITEM K.2.b Date Audit Submitted To Regional Audit Agency
WORK SHEET #2a - VERSION 1
CALCULATION
OF PRINCIPAL, INTEREST AND OTHER INCOME FOR * FCC * CLOSING * PROGRAMS * ONLY For use by those institutions newly in closing status and repaying the Federal Government for the first few times. BASE DATA NEEDED A. (Cumulative from the beginning of the program): 1. Federal Funds Received $_________ 2. Institutional Contributions Deposited $_________ 3. Transfers from Scholarship Fund $_________ 4. Transfers to Scholarship Fund $_________ 5. Interest Income Collected on Loans $_________ 6. Penalty Charges Collected on Loans $_________ 7. Investment Income $_________ 8. Institutional Repayment of Bad Debts, Interest $_________ 9. Institutional Repayment of Bad Debts, Penalty Charges $_________ 10. Collection Costs, Interest $_________ 11. Litigation Costs, Interest $_________ 12. Credit Bureau Fees $_________ 13. Other Costs $_________ 14. Total Other Income Previously Repaid to the Fed. Govt.(if any)* $_________ 15. Total Interest Previously Repaid to the Fed. Govt.(if any)* $_________ * For example, if associated with return of excess cash while in active status. B. (Current period data) 1. Cash Balance End of Period Covered By This Report $_________
Using the BASE DATA items above: Step 1: Calculate the Federal Government's percentage contributed to the Fund: Federal percentage (F%) = (A.1 + A.3 – A.4) / (A.1 + A.2 + A.3 –A.4) Step 2: Calculate the total amount due the Federal Government: Total Amount Due Federal Government = F% x B.1 Step 3: Calculate the portion of the Total Amount Due Federal Government which is Other Income: Other Income = [F% x (A.6 + A.7 + A.9)] – A.14 Step 4: Calculate the portion of the Total Amount Due Federal Government which should be interest: Interest = [F% x (A.5 + A.8 – A.10 – A.11 – A.12 – A.13)] – A.15 Step 5: Calculate the portion of the Total Amount Due Federal Government which should be principal: Principal = Total Amount due Federal Government minus Interest minus Other Income Note: The Federal Government will always recover its proportionate share of any interest, penalty charges, and investment income collected (less its proportionate share of expenses) before any repayments are applied to principal. Once the initial interest amounts have been recovered, Work Sheet #2b, Version 2 that follows may be used to determine principal, interest, and other income repayments for each current period. WORK SHEET #2b - VERSION 2
CALCULATION
OF PRINCIPAL, INTEREST AND OTHER INCOME FOR * FCC * CLOSING * PROGRAMS * ONLY For use by those institutions that have been in closing status for a period of time awhile and have repaid the initial bulk of interest to the Federal Government. BASE DATA NEEDED A. (Cumulative from the beginning of the program): 1. Federal Funds Received $_________ 2. Institutional Contributions Deposited $_________ 3. Transfers from Scholarship Fund $_________ 4. Transfers to Scholarship Fund $_________
B. (Current period data): 1. Loan Principal Collected $_________ 2. Interest Income Collected on Loans $_________ 3. Penalty Charges Collected on Loans $_________ 4. Investment Income $_________ 5. Institutional Repayments of Bad Debts, Principal $_________ 6. Institutional Repayments of Bad Debts, Interest $_________ 7. Institutional Repayments of Bad Debts, Penalty Charges $_________ 8. Collection Costs, Principal $_________ 9. Collection Costs, Interest $_________ 10. Litigation Costs, Principal $_________ 11. Litigation Costs, Interest $_________ 12. Credit Bureau Fees $_________ 13. Other Costs $_________ 14. Cash Balance End of Period Covered by this Report $_________
Using the BASE DATA items above: Step 1: Calculate the Federal Government's percentage contributed to the Fund: Federal percentage (F%) = (A.1 + A.3 – A.4) / (A.1 + A.2 + A.3 – A.4) Step 2: Calculate the total amount due the Federal Government: Total Amount Due Step 3: Calculate the portion of the Total Amount Due Federal Government which is other income: Other Income = F% x (B.3 + B.4 + B.7) Step 4: Calculate the portion of the Total Amount Due Federal Government which should be interest: Interest = F% x (B.2 + B.6 – B.9 – B.11 – B.12 – B.13) Step 5: Calculate the portion of the Total Amount Due Federal Government which should be principal: Principal = F% x (B.1 + B.5 – B.8 – B.10) Note: The results of Step 3, Step 4 and Step 5, when added together, should equal the result of Step 2. 4.6 Borrower Accounts Worksheet (Report Page 6)In completing this section, you must use the status of all borrower accounts as of the end of this reporting period — not just the accounts that changed status during this reporting period. The total number of borrowers reported on Page 6 should never be lower than the number on the prior year’s report. Borrowers who have renegotiated their repayment schedules are to be included in the "current" category provided they are making their renegotiated payments on time. Any borrower whose repayment becomes more than 60 days past due must be placed on a monthly repayment schedule and assessed a penalty charge. A borrower in default who has made sporadic payments must remain in the default category. Even though the borrower has received more than one loan, the borrower must be counted only once in Column 1. If a borrower has more than one loan, the borrower must be categorized according to the longest overdue loan. Regardless of which category the borrower is placed in, the school must show the dollar amounts for each loan according to the actual status of the loan. Within the same loan, if there are payments overdue in different time frames, report that loan according to the longest overdue payment. Schools should report the TOTAL OUTSTANDING LOAN BALANCE (as defined below) in default when State law permits them to enforce the acceleration clause in a BHPr-approved promissory note and demand for the entire balance has been made. If some of the borrower's promissory notes contain an acceleration clause, and some do not, determine the past due under each type of promissory note separately and report the sum of those amounts as determined from the individual notes. TOTAL OUTSTANDING LOAN BALANCE equals the sum of the borrower's original amounts of all loans (Column 2) minus any amounts that have been repaid (Column 3) and minus any amounts that have been cancelled for employment/professional practice (Column 4). Columns: Number Description of Required Information 1. Number of Borrowers Under this program - The number of borrowers who received loans. 2. PRINCIPAL LOANED – The dollar amount of loan principal disbursed. 3. PRINCIPAL REPAID – The dollar amount of loan principal repaid. 4. PRINCIPAL CANCELLED FOR EMPLOYMENT/PROFESSIONAL PRACTICE – The dollar amount of loan principal cancelled for employment. Note: Applies to Nursing Set Aside Program Loans incurred prior to September 29, 1979; and for those borrowers whose health professions loans for the study of medicine, dentistry, osteopathy, or optometry were incurred prior to November 19, 1971. Loan cancellation to borrowers in professional practice and nursing employment is no longer permitted. The cumulative numbers remain as historical data of loan cancellations granted when they were permitted. 5. PRINCIPAL CANCELLED FOR DEATH/DISABILITY - The dollar amount of loan principal cancelled due to the death or permanent and total disability of the borrower. 6. PRINCIPAL DELINQUENT - The dollar amount of loan principal that is in default. Include only the amount of those payments that are in default. 7. PRINCIPAL UNCOLLECTIBLE NOT PAST DUE - The dollar amount of loan principal not past due which the school has determined to be uncollectible after exercising due diligence in the collection of loans. DO NOT duplicate any of these amounts in column 8. 8. PRINCIPAL OUTSTANDING BUT NOT DUE - The dollar amount of loan principal outstanding but not yet due according to the original or renegotiated repayment schedule. DO NOT duplicate any of these amounts in column 7. 9. PRINCIPAL WRITTEN OFF - The dollar amount of loan principal which has been written off pursuant to receiving written authorization, plus the dollar amount reflected in institutional write-off of loans under $3000.00 with due diligence, minus any subsequent collections received from a borrower whose loan was approved for write off. 10. CAPITALIZED INTEREST — Report capitalized interest for any borrower defaulting on the primary care loan service obligation. This figure represents the recalculation of the interest on the loan back to date of disbursement and should not be decreased by amounts paid against the interest capitalized. (This figure should also be included in columns 3 through 8 as appropriate.) Interest that is capitalized is considered loan principal; therefore, edit checks will verify that the sum of column 2 and 10 equal the sum of columns 3 through 9 Report the following information in the columns (described on previous page) as they apply: Rows: Description of Required Information 1.A Report the information pertaining to borrowers who have fully retired their loans through cash repayments and/or through cancellation for eligible employment/professional practice. 1.B Report the information pertaining to loans that have been fully retired due to death of the borrower. 1.C Report the information pertaining to borrowers whose loans have been fully retired due to total disability. 1.D Report the information pertaining to borrowers who have fully retired their loans through discharge in bankruptcy and have not received write off approval. 1.E Report the information pertaining to borrowers whose loans have been fully retired due to DHHS approved write-off. 1.F Report
the information pertaining to borrowers whose loans have been
fully retired in 2.A Report the information pertaining to borrowers who are currently in student status working towards the degree for which they obtained their loans. 2.B Report the information pertaining to borrowers who are currently in the grace period due to termination or completion of the course of study for which they obtained their loans. 2.C Report the information pertaining to borrowers who are currently in eligible deferment periods as specified on applicable HPSL, PCL, LDS, and NSL Promissory Notes. 2.D Report-the information pertaining to borrowers who are currently engaged in employment which qualifies them for cancellation, who have filed a Request for Postponement of Installment Payment, and who are not past due on any payment. 2.E Report the information pertaining to borrowers who are making payments in accordance with their repayment schedules. 2.F Report the information pertaining to borrowers who have installments past due for up to 119 days.
Rows: Description of Required Information 3.A Report the information pertaining to borrowers who are currently making payments under a wage-earner’s agreement (Chapter 13 proceedings). 4.A Report the information pertaining to borrowers who are in default in their repayments for 120 days or over 5.A Report the information pertaining to borrowers who are currently in Forbearance. See the Student Financial Aid Guidelines, October 1980, Section 116.2 (HPSL) or Section 216.2 (NSL) for more information.
Total Summarize the information on ALL ACCOUNTS of ALL BORROWERS who have ever received loan Funds through the HPSL, PCL, LDS or NSL programs.
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File Type | application/msword |
File Title | 4 AOR/SDSPR Form Instructions |
Author | Hrsa |
Last Modified By | Hrsa |
File Modified | 2009-01-29 |
File Created | 2009-01-27 |