Lost Wages Claimant Summary & Admin Costs.xlsx
XLSX spreadsheet 21 KB Posted
- Attached to
- Other Needs Assistance - Lost Wages
- Opportunity number
- DHS-20-ONA-050-00-99
- Issued by
-
Federal Emergency Management Agency
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Lost Wages Claimant Summary & Admin Costs
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State submission
| Box 1: Claimant Summary - [INSTERT STATE/TERRITORY NAME] | Number of eligible claimants (actual or estimated) | Fed-share per eligible claimant | Lost Wages Benefit (fed-share) |
| Week ending 8/1/20 | |||
| Unemployment compensation, including Unemployment Compensation for Federal Employees (UCFE) and Unemployment Compensation for Ex-Service members (UCX) | $300 | $0 | |
| Pandemic Emergency Unemployment Compensation | $300 | $0 | |
| Pandemic Unemployment Assistance | $300 | $0 | |
| Extended Benefits | $300 | $0 | |
| Short-Time Compensation | $300 | $0 | |
| Trade Readjustment Allowance | $300 | $0 | |
| Payments under the Self-Employment Assistance program | $300 | $0 | |
| SUBTOTAL | 0 | $0 | |
| Week ending 8/8/20 | |||
| Unemployment compensation, including Unemployment Compensation for Federal Employees (UCFE) and Unemployment Compensation for Ex-Service members (UCX) | $300 | $0 | |
| Pandemic Emergency Unemployment Compensation | $300 | $0 | |
| Pandemic Unemployment Assistance | $300 | $0 | |
| Extended Benefits | $300 | $0 | |
| Short-Time Compensation | $300 | $0 | |
| Trade Readjustment Allowance | $300 | $0 | |
| Payments under the Self-Employment Assistance program | $300 | $0 | |
| SUBTOTAL | 0 | $0 | |
| Week ending 8/15/20 | |||
| Unemployment compensation, including Unemployment Compensation for Federal Employees (UCFE) and Unemployment Compensation for Ex-Service members (UCX) | $300 | $0 | |
| Pandemic Emergency Unemployment Compensation | $300 | $0 | |
| Pandemic Unemployment Assistance | $300 | $0 | |
| Extended Benefits | $300 | $0 | |
| Short-Time Compensation | $300 | $0 | |
| Trade Readjustment Allowance | $300 | $0 | |
| Payments under the Self-Employment Assistance program | $300 | $0 | |
| SUBTOTAL | 0 | $0 | |
| TOTAL (3 weeks of Lost Wages benefit payments, fed-share) | 0 | $0 |
Box 2: Administrative Costs Instructions to State/Territory: Enter the total estimated administrative costs, as outlined on your SF-424A, in the box to the right.
Calculations
Award Calculations- [INSTERT STATE/TERRITORY NAME]
| Lost Wages Benefit Payments | |||
| Total Benefits | |||
| ($400/claimant) | Federal Share | ||
| ($300/claimant) | Non-federal share |
($100/claimant)
| Number of eligible claimants for week ending 8/1/20 | 0 | $0 | $0 | $0 |
| Number of eligible claimants for week ending 8/8/20 | 0 | $0 | $0 | $0 |
| Number of eligible claimants for week ending 8/15/20 | 0 | $0 | $0 | $0 |
| Lost Wages benefit payments subtotal | 0 | $0 | $0 | $0 |
Lost Wages Administrative Costs Reviewer instructions for Admin Costs:
1) Confirm that the state/territory entered their admin costs, as reflected in the SF-424A, into "Box 2" of the "State submission" tab.
2) Compare the "FEMA-calculated administrative costs" to the "State-submitted administrative costs", and enter the lesser of the two amounts in the bright green box.
| Total Admin Costs | Federal Share | Non-federal share | ||
| FEMA-calculated administrative costs | 1.00% | $0 | $0 | $0 |
| State-submitted administrative costs | ERROR:#DIV/0! | $0 | $0 | $0 |
| Lost Wages administrative costs (lesser of the two) | $0 | $0 |
| Total Award: Lost Wages Benefits + Administrative Costs | ||||||
| Total Award | ||||||
| (Benefits + Admin Costs) | Federal Share | Non-federal share | ||||
| Lost Wages benefit payments for 3-week period | ||||||
| (weeks ending 8/1, 8/8, and 8/15) | $0 | $0 | $0 | |||
| Lost Wages administrative costs (lesser of the two) | $0 | $0 | $0 | |||
| TOTAL | $0 | $0 | $0 |
Table for Award Letter The table below is formatted so that it may be copied and pasted into the award letter template.
All reviewers should double check that $$ figures copy and paste into the award letter accurately.
| Total | |
| Lost Wages Payments for the week ending 8/1/20 | $0 |
| Lost Wages Payments for the week ending 8/8/20 | $0 |
| Lost Wages Payments for the week ending 8/15/20 | $0 |
| Administrative Costs | $0 |
| Total | $0 |
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