Form DATA 1 DATA 1 IMMEDIATE DISASTER ASSISTANCE PROGRAM -PAYMENT REPORTING

Guaranteed Disaster Assistance Program - Payment Reporting

3245-0373 Payment Report Data Elements March 2011.xlsx

IMMEDIATE DISATER ASSISTANCE PROGRAM PAYMENT REPORTING

OMB: 3245-0373

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ATTACHMENT 1 - PAYMENT REPORT DATA ELEMENTS





OMB Control #: 3245 - 0373


Expiration Date:
IMMEDIATE DIASTER ASSISTANCE PROGRAM - PAYMENT REPORTING






This Attachment identifies the data elements to be collected from Lenders participating in the Immediate Disaster Assistance Program. The elements are broken down into static or one-time data enties and dynamic, or multi-period entries. This information is filed monthly to SBA through electronic transmission and is used to monitor loan payment performance of this small business initiative.






A. STATIC DATA ELEMENTS




Data Element Data Type Description of Data Element
Lender's Name: Alphanumeric Name of Respondent



Lender's Street Address: Alphanumeric Address of Respondent Preparing Report



Lender's City, State, Zip: Alphanumeric City, State Zip of Respondent Preparing Report



Lender's Contact Person: Alphanumeric Name of Reporting Respondent Employee



Contact Person's Telephone No.: Alphanumeric Telephone Number of Reporting Respondent Employee



Contact Person's Fax No: Alphanumeric Facsimile Number of Reporting Respondent Employee



Month Ending (aka Process Effective Date): Date (mm/dd/yyyy) Month-end Date Identitifed by Reporting Respondent



SBA Loan Number Ten digit Numeric SBA Loan Number - Unique Identifier



Lender Loan Number Alphanumeric Lender-designated Loan Number



Date of First Disbursement Date (mm/dd/yyyy) Entered Once at Initial Disbursement



B. DYNAMIC DATA ELEMENTS




Data Element Data Type Description of Data Element
Loan Status Alphanumeric Toggle Option Payment Status of Loan at Time of Month-end Report Date



Gross Amount Disbursed: Integer out to Second Decimal Gross Amount of Loan Disbursement made within Reporting Period



Guaranteed Principal Paid Amount Integer Out to Second Decimal Portion of Periodic Payment Attributed to Guaranteed Principal



Guaranteed Interest Paid Amount Integer out to Second Decimal Portion of Periodic Payment Attributed to Guaranteed Interest



Interest Paid To Date Date (mm/dd/yyyy) Date When All Interest Accrued is Paid



Next Installment Due Date Date (mm/dd/yyyy) Date When Next Scheduled Installment Payment is due



Gross Outstanding Balance: Integer out to Second Decimal Gross Amount of Principal Balance Outstanding at Time of Month-end Report Date



Gross Undisbursed Balance: Integer out to Second Decimal Gross Amount of Loan Remaining Undisbursed at Time of Month-end Report Date



Interest Rate: Percentage out to Fourth Decimal Gross Interest Rate on Loan









PLEASE NOTE: The estimated burden for completing this information collection is 5 minutes for each loan account reported. You are not required to respond to any collection of

information unless it displays a currently valid OMB approval number. Comments on the burden should be sent to U.S. Small Business Administration, Chief AIB,

409 3rd St., S.W., Washington, D.C. 20416 and Desk Officer for the Small Business Administration, Office of Management and Budget, New Executive Office Building,

Room 10202, Washington, D.C. 20503. OMB Approval (3245-0080). PLEASE DO NOT SEND FORMS TO OMB.


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