Form BIE-6259 Tribal Colleges and Universities Annual Report Form

BIE Form 6259

OMB Control No. 1076-0018
Expires: xx/xx/xxxx

TRIBAL COLLEGES & UNIVERSITIES ANNUAL REPORT FORM
FISCAL YEAR _2018___________
25 CFR 41, PUBLIC LAW 95-471, AS AMENDED
DUE ON OR BEFORE DECEMBER 31, 2020___

Paperwork Reduction Act Statement: This information is collected to meet annual reporting requirements.
Response to this request is required by Public Law 95-471, as amended. The information collected is
subject to the Paperwork Reduction Act. An agency may not request nor sponsor, and a person need not
answer a request for information that does not contain a valid OMB control number. A response to this
request is required to obtain a benefit and no action may be taken against the institution in refusing to supply
the information. The public reporting burden for this form is estimated to average eleven (11) hours per
response, including the time for reviewing the instructions, gathering and maintaining data, and completing
and reviewing the form. Send comments regarding the burden estimate or any other aspect of this form to
Attn: Information Collection Clearance Officer – Indian Affairs, Indian Affairs, 1001 Indian School Road
NW, Suite 229, Albuquerque, NM 87104.
_______________________________________________________________
Name of Institution

___________________

Date
_____________________________________________________________________________________
Mailing Address

1.1Institutional Accreditation:
(Circle One)

1.2
1.3
1.4

1.5

Accredited
Candidate

Date _______________
Date _______________

Does the Institution have a governing board? _________ __________
Y
N
Is the Institution sanctioned by the tribe(s)? _________ __________
Y
N
Does the Institution have the ‘ability to benefit’ as part of their admission requirements?
Ability to Benefit:
_________ __________
Y
N
Provide a comparison of actual accomplishments to the goals established for the academic year.
(Use an attachment if necessary.)

1

BIE Form 6259

SECTION 2.0

OMB Control No. 1076-0018
Expires: xx/xx/xxxx

DEGREES CONFERRED

Master of Arts/Master of Science

Indian

Non-Indian

Bachelor Arts/ Bachelor Science

Indian

Non-Indian

Associate Arts/Associate Science

Indian

Non-Indian

Certificate

Indian

Non-Indian

Totals

Indian

Non-Indian

SECTION 3.0 STUDENT HEAD COUNT (Identify number of male and female students enrolled)
INDIAN
MALE

INDIAN
FEMALE

NON-INDIAN
MALE

SUMMER
FALL
WINTER
SPRING
TOTALS

SECTION 4.0 Student Costs of Attendance Per Academic Year
TUITION

$

ROOM & BOARD

$

TRANSPORTATION

$

TEXT BOOKS

$

SUPPLIES

$

PERSONAL EXPENSES

$

MISCELLANEOUS EXPENSES

$

FEES

$

2

NON-INDIAN
FEMALE

BIE Form 6259

OMB Control No. 1076-0018
Expires: 01/31/2025

5.0 CURRENT FUNDS REVENUE BY SOURCE
This report covers finance activity for the 12 month fiscal year beginning __________, _____ and ending _________.
LINE
NO.

SOURCE
OF REVENUE

01

Tuition & Fees

02

Government
Appropriations
(excluding PL 95-471)

UNRESTRICTED
FUNDS

RESTRICTED
FUNDS

a. Title III
b. Carl Perkins
c. PL 93-638
d. School to Work
e. Work Study
f. Federal Pell
03

PL 95-471(Operational)1

04

PL 95-471(Technical
Assistance)

05

Government Grants &
Contracts

06

Endowment Income

07

Tribal Support

08

Auxiliary Enterprise

09

Other Sources

10

Independent Operations

11

Total FY Revenue

1. Sum of Line 3 + Sum of Line 4 / Line 11 Unstricted Funds Column = PL 95-471% of Total FY Revenue

3

TOTAL

BIE Form 6259

OMB Control No. 1076-0018
Expires: xx/xx/xxxx

SECTION 5.1 GRANT EXPENDITURES FOR PREVIOUS YEAR
Total

Salaries &
Wages

Benefits

Instruction
Research
Public Service
Academic
Support
Student
Services
Institutional
Support
Auxiliary
Enterprises
Scholarship
& Fellowships
Independent
Operations
O&M of Plant
Total
Expenses

4

O&M

Depreciation

Interest

All Others

BIE Form 6259

OMB Control No. 1076-0018
Expires: xx/xx/xxxx

SECTION 6.0 Certificate of Authority
“I certify that the information contained in this annual report is complete and accurate and that the report
has been filed with the governing body of the Indian tribe(s) chartering this tribally controlled community
college”.

____________________________________________________________________________________
College/University President

Date

__________________________________________________________________
Printed or Typed Name

____________________________________________________________________________________
Authorized College/University Board Member
Date

__________________________________________________________________
Printed or Typed Name

5

BIE Form 6259

OMB Control No. 1076-0018
Expires: xx/xx/xxxx

TRIBAL COLLEGES & UNIVERSITIES ANNUAL REPORT FORM INSTRUCTIONS
25 CFR 41, PUBLIC LAW 95-471, AS AMENDED
Paperwork Reduction Act Statement: This information is collected to meet annual reporting requirements. Response
to this request is required by Public Law 95-471, as amended. The information collected is subject to the Paperwork
Reduction Act. An agency may not request nor sponsor, and a person need not answer a request for information that
does not contain a valid OMB control number. A response to this request is required to obtain a benefit and no
action may be taken against the institution in refusing to supply the information. The public reporting burden for
this form is estimated to average eleven (11) hours per response, including the time for reviewing the instructions,
gathering and maintaining data, and completing and reviewing the form. Send comments regarding the burden
estimate or any other aspect of this form to Attn: Information Collection Clearance Officer – Indian Affairs, 1001
Indian School Road NW, Suite 229, Albuquerque, New Mexico 87104.

Page 1
• Provide the name of the institution, the date the report was completed, and the complete mailing
address.
• 1.1. Circle whether the institution is accredited or is a candidate for accreditation, and provide
the date accredited or of candidacy.
• 1.2. Indicate whether or not the institution has a governing board.
• 1.3. Indicate whether or not the institution is sanction by the tribe(s).
• 1.4. Indicate whether or not the institution has the “ability to benefit” as part of academic
requirements.

•

“Ability to Benefit” is defined as an exam which demonstrates a student’s ability to benefit from the
education offered by the higher education institution. For example, if a student does not have a U.S. high
school diploma or recognized equivalent such as a GED, they must take and pass an ability to benefit exam
designated by the high education institution to be eligible to attend class and apply for aid.

1.5. Provide a comparison of actual accomplishments to the goals established for the reporting
academic year.

Page 2
• 2.0. Provide the number of degrees conferred for the most recent academic year by Indian and
non-Indian numbers.
• 3.0. Identify the number of male and female students enrolled for the most recent academic year
by semester and Indian and Non-Indian categories.
• 4.0. Provide data regarding the student costs of attendance per academic year, using the most
recent data available.
Page 3
• 5.0. Report funds revenue for the most recently completed fiscal year. See General Guidance for
Current Funds Revenue by Source on page 7 for source definitions.
Page 4
• 5.1. Report data for P.L. 95-471 grant expenditures only using the most recently completed fiscal
year’s data. See General Guidance for Expenditures Category on page 8 for category definitions.

6

BIE Form 6259

OMB Control No. 1076-0018
Expires: xx/xx/xxxx

Page 5
• 6.0. Certificate of Authority—provide the College/University President’s signature and an
authorized College/University board member signature.
TRIBALLY CONTROLLED COMMUNITY COLLEGES ANNUAL REPORT FORM
GENERAL GUIDANCE FOR CURRENT FUNDS REVENUE BY SOURCE
Unrestricted Current Funds means resources by an institution that have no limitations or stipulations placed on
them by external agencies or donors.
Restricted Current Funds means resources provided to an institution that have externally established limitations or
stipulations placed upon their use. Externally imposed restrictions are to be contrasted with internal designations
imposed by the governing board on unrestricted funds.
Tuition and Fees means those fees assessed against students for education purposes. Include tuition and fee
remissions or exemptions even though there is no intention of collecting from the student.
Government Appropriations means all amounts received by the institution through acts of a legislative body, except
grants and contracts. These funds are for meeting current operating expenses, not for specific projects or programs.
An example is Federal land-grant appropriations.
Public Law 95-471(Operational) and (Technical Assistance) means those funds available for the general operating
fund of the institution to defray expenditures for academic, educational, and administrative purposes. These funds
are not to be used for religious worship or sectarian instruction.
Government Grants and Contracts are revenue from governmental agencies that are for specific research projects
or other types of programs. Examples are research projects, training programs, similar activities for which amounts
are received or expenditures are reimbursable under the terms of a government grant or contract. Related indirect
costs recovered should be reported as unrestricted revenues. Amounts equal to direct costs incurred should be
recorded as charges against current restricted funds and reported as restricted current funds. Do not include
revenues from the Federal Direct Student Loan (FDSL) Program.
Endowment Income means the reporting of (1) unrestricted income of endowment an similar funds; (2) restricted
income of endowment and similar funds to the extend expended for current operating purposes; and (3) income from
funds held in trust by others under irrevocable trusts. Do not include capital gains or losses unless the institution has
adopted a spending formula by which it expends not only the yield but also a prudent portion of the appreciation of
the principal; in this case, the amount calculated by the total return concept would be reported. If any such gains are
spent for current operations, these should be treated as transfers, not revenues.
Auxiliary Enterprise means revenues generated by auxiliary enterprise operations that exist to furnish a service to
students, faculty or staff and that charge a fee that is directly related to the cost of the service. Examples are
residence halls, food services, student health services, college unions, college stores and movie theaters.
Other Sources includes all revenue not covered elsewhere. Examples are interest income and gains (net of loses)
from investments of unrestricted current funds, miscellaneous rentals and sales, expired term endowments, and
terminated annuity or life income agreements, if not material. Include revenues resulting from the sales and services
of internal service departments to persons or agencies external to the institution (i.e., sale of computer time).
Independent Operations includes all revenues associated with operations independent of the primary missions of
the institution. This category generally includes only those revenue associated with major Federally funded research
and development centers. Do not include the net profit, or loss, from operations owned and managed as investments
of the institution’s endowment funds.

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BIE Form 6259

OMB Control No. 1076-0018
Expires: xx/xx/xxxx

GENERAL GUIDANCE FOR EXPENDITURES CATEGORIES
Instruction means expenditures of the colleges, schools, departments, and other instructional divisions of the
institution and expenditures for departmental research and public service that are not separately budgeted should be
included in this classification. Include expenditures for both credit and non-credit activities. Exclude expenditures
for academic administration where the primary function is administration (e.g., academic deans - such expenditures
should be reported under Academic Support). The instruction category includes general academic instruction,
occupational and vocational instruction, special session instruction, community education, preparatory and adult
basic education and remedial and tutorial instruction conducted by the teaching faculty for the institution’s students.
Research means all funds expended for activities specifically organized to produce research outcomes and
commissioned by an agency either external to the institution or separately budgeted by an organizational unit within
the institution. Do not report non-research sponsored programs (e.g. training programs).
Public Service means funds budgeted specifically for public service and expended for activities established
primarily to provide non-instructional services beneficial to groups external to the institution. Examples are
seminars and projects provided to particular sectors of the community. Include expenditures for community services
and cooperative extension services.
Academic Support means support services that are an integral part of the institution’s primary mission of
instruction, research, or public service. Include expenditures for libraries, museums, galleries, audio/visual services,
academic computing support, academic administration, personnel development, and course and curriculum
development. Include expenditures for veterinary and dental clinics if their primary purpose is to support the
institutional program.
Student Services means those funds expended for admissions, registrar activities, and activities who primary
purpose is to contribute to student’s emotional and physical well-being and to their intellectual, cultural, and social
development outside the context of the formal instructional program. Examples are career guidance, counseling,
financial aid administration, and student health services. Include administrative allowance for Pell Grants.
Institutional Support means expenditures for the day-to-day operational support of the institution, excluding
expenditures for physical plant operations. Include expenditures for general administrative services, executive
direction and planning, legal and fiscal operations, and public relations/development.
Auxiliary Enterprises means those self-supporting operations of the institution that exist to furnish a service to
students, faculty, or staff and that charge a fee that is directly related to, although not necessarily equal to, the cost of
the service. Examples are residence halls, food services, student health services, intercollegiate athletics, college
unions, college stores and barber shops.
Scholarships and fellowships means all expenditures given in the form of outright grants and trainee stipends to
individuals enrolled in formal course work, either for credit or non-credit. Aid to students in the form of tuition or
fee remissions should be excluded, (Exclude those remissions that are granted because of faculty or staff status.
Charge this to staff benefits). Do not report College Work Study program expenses here; report these expenses
where the student served. Do not include expenditures for Federal Direct Student (FDSL) Loan Program.
Independent Operations means all funds expended for operations that are independent of or unrelated to the
primary missions of the institution (i.e., instruction, research, public service), although they may contribute
indirectly to the enhancement of these programs. This category is generally limited to expenditures of major
Federally funded research and development centers. Do not include the expenditures of operations owned and
managed as investments of the institution’s endowment funds.
Operation and maintenance of plant means all expenditures for operations established to provide service and
maintenance related to grounds and facilities used for educational and general purposes. Also include expenditures
for utilities, fire protection, property insurance, and similar items. Do not include expenditures made from the
institutional plant funds account.

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