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

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.