**NATIONAL SCIENCE FOUNDATION**

**FELLOWSHIP PAYMENT RECORD**

INSTRUCTIONS (see page 2)

<table style="width:100%;">
<colgroup>
<col style="width: 6%" />
<col style="width: 11%" />
<col style="width: 6%" />
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<col style="width: 16%" />
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<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 9%" />
<col style="width: 15%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="14"><p>Type of fellowship:</p>
<p> Postdoctoral NATO Graduate Other, specify      </p></td>
</tr>
<tr class="even">
<td colspan="14"></td>
</tr>
<tr class="odd">
<td colspan="11"><p>Name (last, first, middle initial)</p>
<p>     </p></td>
<td colspan="3"><p>Social Security Number</p>
<p>     </p></td>
</tr>
<tr class="even">
<td colspan="6"><p>Division Abbreviation</p>
<p>     </p></td>
<td colspan="8"><p>Fellowship Award Number</p>
<p>     </p></td>
</tr>
<tr class="odd">
<td colspan="14"></td>
</tr>
<tr class="even">
<td><p>Payment</p>
<p>Number</p></td>
<td><p>Month/</p>
<p>Year</p></td>
<td colspan="3">Stipend</td>
<td colspan="2"><p>Special</p>
<p>Allowance</p></td>
<td><p>Payment</p>
<p>Number</p></td>
<td colspan="2"><p>Month/</p>
<p>Year</p></td>
<td colspan="3">Stipend</td>
<td><p>Special</p>
<p>Allowance</p></td>
</tr>
<tr class="odd">
<td>1</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>25</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>2</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>26</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>3</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>27</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>4</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>28</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>5</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>29</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>6</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>30</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>7</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>31</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>8</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>32</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>9</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>33</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>10</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>34</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>11</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>35</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>12</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>36</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>13</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>37</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>14</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>38</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>15</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>39</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>16</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>40</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>17</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>41</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>18</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>42</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>19</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>43</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>20</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>44</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>21</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>45</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>22</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>46</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>23</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>47</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="even">
<td>24</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>48</td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td></td>
</tr>
<tr class="even">
<td colspan="3">Total Stipend</td>
<td colspan="3">Institutional Allowance</td>
<td colspan="6">Total Special Allowance</td>
<td colspan="2">Total</td>
</tr>
<tr class="odd">
<td colspan="3">     </td>
<td colspan="3">     </td>
<td colspan="6">     </td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td colspan="14"></td>
</tr>
<tr class="odd">
<td colspan="14">Comments:      </td>
</tr>
<tr class="even">
<td colspan="14">     </td>
</tr>
<tr class="odd">
<td colspan="14">     </td>
</tr>
<tr class="even">
<td colspan="14">     </td>
</tr>
<tr class="odd">
<td colspan="14">     </td>
</tr>
<tr class="even">
<td colspan="14">     </td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="5"></td>
</tr>
<tr class="even">
<td colspan="4">Prepared by:</td>
<td colspan="5">Title</td>
<td colspan="5">Date</td>
</tr>
<tr class="odd">
<td colspan="4">     </td>
<td colspan="5">     </td>
<td colspan="5">     </td>
</tr>
<tr class="even">
<td colspan="4">Contact (if different from above):</td>
<td colspan="5">Title</td>
<td colspan="5">Phone Number</td>
</tr>
<tr class="odd">
<td colspan="4">     </td>
<td colspan="5">     </td>
<td colspan="5">     </td>
</tr>
</tbody>
</table>

**Nsf 1367 (3/98)**

**INSTRUCTIONS**

**Advance Stipend Payments**

NSF Form 929, *Request For Stipend Advance,* is required for authorizing
advance payment of stipends. When an advance stipend payment is
authorized, the *Fellowship Payment Record* should include the advance
on the first line with the words "Advance Payment Made" following the
amount. Please note that an advance payment is considered the first
months' stipend payment, so the fellow will not receive another stipend
payment until the second month of tenure.

**"Catchup" Stipend Payments**

In a situation where issuance of a *Starting Certificate* and/or a
*Fellowship Payment Record* is delayed, catch-up or makeup stipend
payments will be separately scheduled on the *Fellowship Payment Record*
in the normal manner and then bracketed (in the "Payment Number" column)
to authorize the combining of the missed payments with the upcoming
payment. OPP will verify entitlement to the bracketed payments by
reference to the *Starting Certificate.*

**Excess Stipend and Special Allowance**

When the total stipend divided by the number of tenure months is not
evenly divisible, the excess amount should be reflected on the
*Fellowship Payment Record* as an increase to the "Special Allowance"
payment. A payment description is available for most special allowance
payments, however it is not unusual to have a special allowance payment
combined with a stipend payment.

**Interruptions**

A break in a previously approved fellowship tenure will be referred to
as an "interruption:" The authorizing Program Official will advise OPP
of an interruption by the issuance of a **revised** *Fellowship Payment
Record (*showing only the rescheduled payments) attached to NSF Form
383, *Fellowship/Grant Action*, explaining the reason for interruption.
Based on the revised *Fellowship Payment Record,* OPP will reschedule
the unpaid stipend amounts.

**Schedule Guidelines**

The first month of the schedule must agree with the *Starting
Certificate.* If the Fellow starts on the fifteenth, the Program
Official may decide to begin the schedule the following month. There is
to be only one month per line. Payments are made for the 1^st^ of each
month. Every month of the fellowship must be included in the schedule,
whether or not there is a stipend payment. Stipend month payments that
have already been made cannot be deleted or reduced, only additions can
be made.

**Overpayments**

OPP should be advised of all overpayments. If an overpayment is made
while the fellowship is still active, it is the Program Officials choice
to either adjust the schedule payments or to ask for a refund by check.
Decisions regarding refund of overpayments at the end of fellowship
tenure should be made in consultation with OPP. Refunds, in this case,
will be requested by OPP.