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MSA-1 Instructions
Schools are encouraged to use the Mandated Services Aid online system to enter school year 2018-19 Mandated Services Aid claims. The system is designed to enhance the application process and expedite the issuance of the schools mandated services aid payment.
Read the accompanying Guidelines and introductory information on the Schedule A/Worksheet. Complete Sections II, III, & IV of this form and the Schedule A/Worksheet. Transferring the total expenditures for each mandate from the Schedule A/Worksheet to Section I of this form is not required.
Please note that REQUIRED fields are denoted with an asterisk on the MSA-1 form and Schedule A/Worksheet. The online system performs the mathematical calculations to arrive at the average hourly rate and populates the Section 1 Summary of Expenditures page. The online system also calculates the combined hours for each mandate.
Enter the BEDS code, Institution Code, School Information and OSC Vendor ID number as it appears in SEDREF. It is also very important for schools verify that the information in the OSC Vendor file is accurate so that their payments can be processed efficiently. The OSC vendor website is HYPERLINK "http://www.sfs.ny.gov" http://www.sfs.ny.gov
If submitting a paper claim, complete the Certification portion of the MSA-1 form and mail it with the Schedule A/Worksheet to the above address.
Applications should be received by close of business February10, 2020 to ensure timely payment. This form can be used only for the 2018-2019 school year. Go to HYPERLINK "http://www.p12.nysed.gov/nonpub/" www.p12.nysed.gov/nonpub/ to access forms for other years.
School Year
7/1/18 6/30/19
The University of the State of New York
THE STATE EDUCATION DEPARTMENT
Office of Grants Management
Room 1075, EBA
Albany, NY 12234Nonpublic School
Mandated Services Aid
MSA-1
December 2019
BEDS Code
Institution code*8000000
School Name: _________________________________________________
School Address: _________________________________________________
_________________________________________________
OSC Vendor ID*
MSA Certification
I hereby certify that the expenditures reported have been incurred and calculated in accordance with all applicable statutes, regulations and guidelines; that the claim is just and correct; and that the balance is due and owing.
CAP Certification
B y c h e c k i n g t h i s b o x , I f u r t h e r c e r t i f y t h a t t h i s s c h o o l h a s a d o p t e d a n d i m p l e m e n t e d a c o m p r e h e n s i v e a t t e n d a n c e p o l i c y ( C A P ) p u r s u a n t t o S e c t i o n 1 0 4 . 1 ( i ) o f t h e R e g u l a t i o n s o f t h e C o m m i s s i o n e r o f E d u c a t i o n a n d t h a t t h i s s c h o o l i s e n t i t l e d t o r e i m b u r s e m e n t for CAP expenditures as funds become available.
Original Signature of Chief Administrator*Chief Administrator Name
(PLEASE PRINT) Date Chief Administrator Email Address
Fax NumberTelephone Number*Person Completing Form
(PLEASE PRINT)*Title of Person Completing Form
Telephone Number*The New York State Education Department reserves the right to monitor and/or audit any claims for payment pursuant to Section 305 of Education Law.
Mandate 1. PUPIL ATTENDANCE REPORTING (PAR)
TIME AND EFFORT STANDARDS
Average
Class Size
1-9
10-12
13-18
19-25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Teacher
13.0
20.0
30.0
40.0
41.6
43.2
44.8
46.4
48.0
49.6
51.2
52.8
54.4
56.0
57.6
59.2
60.8
62.4
64.0
Admin
2.0
3.7
5.5
7.5
7.8
8.1
8.4
8.7
9.0
9.3
9.6
9.9
10.2
10.5
10.8
11.1
11.4
11.7
12.0
Support
2.0
3.5
5.0
7.0
7.2
7.5
7.8
8.1
8.4
8.6
8.9
9.2
9.5
9.8
10.0
10.3
10.6
10.9
11.2
Average
Class Size
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
Teacher
65.6
67.2
68.8
70.4
72.0
73.6
75.2
76.8
78.4
80.0
81.6
83.2
84.8 84.8
86.4
88.0
89.6
91.2
92.8
94.4
96.0
Admin.
12.3
12.6
12.9
13.2
13.5
13.8
14.1
14.4
14.7
15.0
15.3
15.6
15.9
16.2
16.5
16.8
17.1
17.4
17.7
18.0
Support
11.4
11.7
12.0
12.3
12.6
12.8
13.1
13.4
13.7
14.0
14.2
14.5
14.8
15.1
15.4
15.7
16.0
16.3
16.6
16.9
SECTION I SUMMARY OF EXPENDITURES
The online system will populate these fields. Paper claim submissions may want to transfer total expenditures for each mandate from the Schedule A/Worksheet to determine if explanations for increases in total PAR or total Aid will be required. Note: The PAR total is in Section III of this Form. Check the transferred totals for accuracy.
MandatesWhole Dollars Only 1. PAR 1. 2. EIA a. General Expenditures2.a. b. Teacher Workshop Expendituresb. 3. BEDS3. 4. RE a. General Expenditures4.a. b. Teacher Workshop Expendituresb. c. Test Kits c. 5. RCT 5. 6. CE6. 7. RHS7. 8. SSIP8. 9. DIRI 9.10. HSGR10.11. GFST a. General Expenditures11.a. b. Teacher Workshop Expendituresb. c. Test Kits c.12. TSS12.13. SAE13.14. GEST a. General Expenditures14.a. b. Teacher Workshop Expendituresb. c. Test Kits c.________________15. REMOVED Formerly GESST Test No Longer Offered15. N/A16. REMOVED Formerly GFSST Test No Longer Offered 16. N/A17. PNN17.18. NYSESLAT/ a. General Expenditures18.a. NYSITELL b. Teacher Workshop Expendituresb.19. RIC and Scoring Center Costs 19.
TOTAL AID 2018-2019 SCHOOL YEAR
_______________________
Note: If the claim total exceeds the previous year by 20% or more, a precise and clear explanation justifying the increase must be attached or written in the space provided.
SECTION II ENROLLMENT
Enrollment is used to determine average class size in calculating PAR reimbursement. Enter the highest of opening, closing or BEDS enrollment below and check enrollment used.
Opening enrollment is the number of pupils who were in attendance on the first day of school plus those who were registered but were absent on opening day.
Closing enrollment is the number of pupils still enrolled when school closed at the end of the year.
BEDS enrollment is the number submitted to the State Education Department based on a count taken during the first week of October 2018.
Pupils in ungraded classes should be counted as ungraded elementary if under 13 years of age and ungraded secondary if 13 years old or older. Do not include enrollment of nursery school or pre-kindergarten pupils, postgraduate students or pupils with disabilities who are enrolled pursuant to a contract with a public school district or the State Education Department.
Required fields are denoted with an asterisk.
Grade Level2018-2019 Enrollment*1. Grades K-61.2. Grades 7-82.3. Grades 9-123.4. Ungraded Elementary4.5. Ungraded Secondary5.6. Total Enrollment (sum of entries 1 through 5)6.
Enrollment used:*OpeningClosingBEDS
NOTE: If you chose Opening or Closing and the enrollment varies by more than 20% of the reported BEDS data, a precise and clear explanation justifying the increase must be attached or written in the space provided:
SECTION III Pupil Attendance Reporting (PAR)
Calculation of Hourly Rate
See Schedule A/Worksheet for definitions related to the calculation of hourly rate.
Required fields are denoted with an asterisk
FOR HOURS WORKED BY STAFF Select The Box Below That Applies*:
FORMCHECKBOX Standard Work Day:
# of Days Worked in the School Year: teachers:_______ adminstrators:________support staff:______
# of Hours Worked in a Standard Day: teachers:_______administrators:________support staff:______
FORMCHECKBOX Actual hours of employees are varied:
*Refer to Attachment 2 of the Guidelines for recommended definitions on Days in School Year, Hours in the Work Day and Total Hours. These definitions apply to both a standard day and actual hours of employees vary.
TEACHERSADMINISTRATORSSUPPORT STAFF
1.* Total number of staff employed by school who participated in Pupil Attendance Reporting (PAR). (Do not include Pre-K teachers)
2.* Total hours of work for all assigned tasks performed by employees reported in item 1.
3.* Total salaries paid for all services performed by employees in item 1.
4.* Total employee benefits paid on salaries reported in item 3.
5. Total salaries and benefits paid for employees reported in item 1. (Item 3 plus Item 4)
6. Average hourly rate. (Item 5 divided by Item 2). Do not round.
Calculation of Expenditures
Refer to the Time and Effort Standards PAR (on Page 2)
(1)
Employee Group(2)*
Total # Teachers
Taking Daily
Attendance(3)
Enter Appropriate Parameter (from page 2)(4)
Combined
Hours
(Col. 2 x Col. 3)(5)
Hourly Rate for Salaries
and Benefits
(from #6 above)(6)
Expenditures
(Col. 4 x Col. 5)Classroom Teacher* Administrative Support StaffSupplies and Materials
($10 per teacher)Total Expenditures PAR
NOTE: If the PAR total exceeds the previous year by 20% or more, a precise and clear explanation justifying the increase must be attached or written in the space provided.
SECTION IV - TIME AND EFFORT STANDARDS
CALCULATION OF COMBINED HOURS
(for Selected Mandates)
Please calculate the combined hours for teachers by entering the number of exams that were administered and then multiplying the number of exams by the applicable time and effort parameter. Transfer the total combined hours to the appropriate mandate on Schedule A/Worksheet. Administrative and Support Staff standards are fixed and have been pre-entered on Schedule A/Worksheet for each mandate. The online system will perform the mathematical calculations. Required fields for online claims are denoted with an asterisk.
MandateNumber of Exams*Time & Effort Standard
Use number in [ ] if Field Test was AdministeredTotal
Combined HoursMandate 2: English Language Arts and Math (EIA)
Grade 3 ELA .75 [.80] x # of exams (10.0[11.0] hr. minimum)Grade 3 Math.55 [.60] x # of exams (8.0[9.0] hr. minimum)Grade 4 ELA .85 [.90] x # of exams (10.0[11.0] hr. minimum)Grade 4 Math .65 [.70] x # of exams (8.0[9.0] hr. minimum)Grade 5 ELA .80 [.85] x # of exams (11.0[12.0] hr. minimum)Grade 5 Math.65 [.70] x # of exams (8.0[9.0] hr. minimum)Grade 6 ELA 1.00 [1.05] x # of exams (11.5[12.5] hr. minimum)Grade 6 Math.80 [.85] x # of exams (9.5[10.5] hr. minimum)Grade 7 ELA .95 [1.00] x # of exams (11.0[12.0] hr. minimum) Grade 7 Math.75 [.80] x # of exams (9.5[10.5] hr. minimum) Grade 8 ELA 1.00 [1.05] x # of exams (11.5[12.5] hr. minimum)Grade 8 Math.85 [.90] x # of exams (8.0[9.0] hr. minimum)Mandate 2: Total Combined Hours (Transfer to Schedule A/Worksheet)Mandate 3: Basic Educational Data System Reporting (BEDS)
(Calculation done on the Schedule A/Worksheet)
MandateNumber of Exams*Time & Effort Standard
Use number in [ ] if Field Test was AdministeredTotal
Combined Hours
(Transfer to Schedule A/Worksheet)Mandate 4: Regents Exams (RE)
(August 2018, January 2019 and June 2019 Regents Sessions)English Language Arts1.08 [1.13] x # of examsAlgebra I2.36 [2.41] x # of examsAlgebra II2.36 [2.41] x # of examsGeometry2.36 [2.41] x # of examsGlobal History & Geography II.81 [.86] x # of exams
Transition Exam in Global History & Geography .81 [.86] x # of exams
US History & Govt..81 [.86] x # of examsChemistry .48 [.53] x # of examsPhysics.48 [.53] x # of examsEarth Science.65 [.70]x # of examsLiving Environment.84 [.89] x # of exams If total combined hours are less than 8[9] hrs., use the minimum of 8[9] hrs. Mandate 4: Total Combined Hours (Transfer to Schedule A/Worksheet)Mandate 5: Regents Competency Test (RCTP)Regents Competency Tests .55 x # of exams
(8 hr. minimum)Mandate 6: Calculator Expense (CE) (Calculation done on the Schedule A/Worksheet)Mandate 7: Registration of High School (RHS) (Calculation done on the Schedule A/Worksheet)Mandate 8: State School Immunization Program (SSIP)
(Calculation done on the Schedule A/Worksheet)Mandate 9: Documentation of Integration of Required Instruction (DIRI) in 7th & 8th GradeDIRITotal # of 7th & 8th grade teachers involved in DIRI___1 hour per 7th & 8th grade teacherMandate 10: Graduation Report (HSGR)
(Calculation done on the Schedule A/Worksheet)Mandate 11: Grade Four Science Test (GFST)Grade 4 Science.47 x # exams
(5 hr. minimum)Mandate 12: Travel Costs to Examination Storage Site (TSS)
(Calculation done on the Schedule A/Worksheet)MandateNumber of Exams*Time & Effort StandardTotal
Combined Hours
(Transfer to Schedule A/Worksheet)Mandate 13: Scholarships for Academic Excellence (SAE)
(Calculation done on the Schedule A/Worksheet)Mandate 14: Grade Eight Science Test (GEST)Grade 8 Science.59 x # exams (4 hr. minimum) Mandate 15: REMOVED Formerly Grade Eight Social Studies (GESST) Mandate 16: REMOVED Formerly Grade Five Social Studies (GFSST)Mandate 17: Pesticide Neighbor Notification (PNN)
(Calculation done on the Schedule A/Worksheet)Mandate 18: New York State English as a Second Language Achievement Test (NYSESLAT)
And New York State Identification Test for English Language Learners (NYSITELL)NYSESLAT
NYSITELL_______.98 x # exams (6 hr. minimum)
.81 x # exams (4 hr. minimum)Mandate 19: RIC and Scoring Center Costs
(Calculation done on the Schedule A/Worksheet)
Combined hours: Calculate the average class size (see page 2 for the formula), locate the appropriate Time & Effort Standard also on page 2, and multiply the Time & Effort Standard for each employee group by the number of teachers listed in column 2. Credit is only given for taking attendance once each day for each student. Combined hours must be rounded to the nearest whole number (e.g., 16.49 and below = 16; 16.5 and above = 17).
Hourly rates must be reported in dollars and cents (e.g. $26.77 = $26.77)
Expenditures must be rounded to the next highest dollar (e.g., $455.02 = $456)
PAGE
Page PAGE \* MERGEFORMAT 1 | NUMPAGES \* Arabic \* MERGEFORMAT 1
Calculation of Average Class Size for determining PAR standards:
Total Opening, Closing or BEDS Enrollment, whichever is highest
(Page 5, Section II, item 6) = Average
Total # of Teachers Taking Daily Attendance Class Size
day kindergarten teachers are considered as one teacher for each day session
Round Average Class Size to nearest whole number (e.g., 27.49 and below, round to 27; 27.50 and above, round to 28)
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