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AC 150/5900-1B 1/31/79 Appendix 1 INSTRUCTIONS FOR PREPARING PAGE 1 OF THE REPORT OF FEDERAL CASH TRANSACTIONS item 1— Enter the name of the Federal grantor agency and organizational element to which this report is submitted. Item 2— Enter the name and complete mailing address in- cluding the ZIP Code for the grantee organization. Item 3 — Enter the employer identification number as- signed by the U. S. Internal Revenue Service. Item 4 — Enter the Federal grant number or other identify- ing numbers requested by the grantor agency. If this report covers more than one grant, leave this space blank and pro- vide the information on page 2 of this report. Item 5 — This space is reserved for an account number or other identifying number which may be assigned by the grantee. Item 6 — Enter the letter of credit number which applies to this report. If all advances were made by Treasury check, enter "NA" for not applicable and leave Items 7 and 8 blank. Item 7 — Enter the voucher number of the last letter of credit payment voucher (Form TUS 5401) which was credited to your account. Item 8 — Enter the total number of letter of credit pay- ment vouchers which were credited to your account during the reporting period. Item 9 — Enter the total number of Treasury checks re- ceived during the reporting period, whether or not de- posited. Item 10 — Enter the month, day, and year of the beginning and ending dates of the period covered by this report. Item 11 — STATUS OF FEDERAL CASH Line a. Enter the total amount of Federal cash on hand at the beginning of the reporting period including all of the Federal funds on deposit, imprest funds, and un- deposited Treasury checks. Line b. Enter the total amount of all Federal funds re- ceived through payment vouchers (Form TUS 5401) which were credited to your account during the reporting period. Line c. Enter the total amount of all Federal funds re- ceived during the reporting period through Treasury checks, whether or not deposited. Line d. Enter the sum of Lines b and c. Line e. Enter the sum of Lines a and d. Line f. Enter the total Federal cash disbursements or payments made during the reporting period including dis- 24 bursements of cash received as program income. Disburse- ments as used here also include the amount of advances and payments less refunds to subgrantees or contractors and the amount to which the grantee is entitled for in- direct costs and usage charges for buildings and equip- ment. Line g. Enter the Federal share of program income re- ceived during the reporting period. Enter only the amount of program income which was required to be used on the project or program by the terms of the grant. Line h. Enter the net disbursements. This amount is the difference between the amount shown on Line f minus the amount on Line g. Line i. Enter the amount of all adjustments pertaining to prior periods affecting the ending balance which have not been included in any lines above. Identify each grant for which an adjustment was made, and enter an explanation for each adjustment in the "Remarks" space provided. Line j. Enter the total amount of Federal cash on hand at the end of the reporting period. This amount should in- clude all funds on deposit. imprest funds, and unde- posited funds (Line e less Line h plus or minus Line i). Item 12 — Enter the estimated number of days until the cash on hand, shown on Line 11 j, will be expended. If more than three days cash requirements are on hand, provide an explanation in the "Remarks" space as to why the draw - down was made prematurely, or other reasons for the ex- cess cash. The requirement for the explanation does not apply to prescheduled or automatic advances. Item 13 — OTHER INFORMATION Line a. Enter the amount of interest earned on advances of Federal funds but not remitted to the grantor agency. If this includes any amount earned and not remitted to the grantor agency for over 60 days, explain in the "Re- marks" space. (States and State agencies do not need to complete this line.) Line b. Enter the amount of advances to subgrantees or other secondary recipients included in Line 11h. Item 14 — In addition to providing explanations as required above, th is space is provided for additional explanation deemed necessary by the grantee and for the information required by the Federal grantor agencies in compliance with the governing legislation. Item 15 — Complete the certification before submitting this report. • • •