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FihtAPJCtAL STATUS REPORT
<br /> (Short Form)
<br /> Public reporFtng'burden for this collection of information is estimated fo average 90 minutes per response, inctuding time for reviewing instructions, searching
<br /> existing data sauces, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the
<br /> burdQt-esiirr~fe"'or any other aspect of this collection of information, inctuding suggestions far reducing this burden, to the Office of Managementand Budget,.
<br /> Paper~vork.~ieduction Project {0348-0038}, Washington, OG 20503.
<br /> ~ ~~E~~E Nt3T RET[!RN YOUR COMPLETED FORM T® THE (3F~lCE Ni~AhlAGE6ViENT ~1H® BUDt~ET.
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<br /> ~ SE~iD iT TO THE. ADDRESS PROVIDED ev THE sPt~NSORtNG AGEtVGV.
<br /> Please type or print legibly. The foNawing general instructions exp€ain how to use the farm itsa€f. You may need add€tional information to
<br /> camp€ete certain items correctly, or to decide whether a specific ttem is applicable to thts award. Usually, such information will be found in
<br /> the Federal agency's gran# regulations or €n the terms and Condit€ons of the award. You may also contact the Federal agency directly.
<br /> €tem Entry €tem -Entry
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<br /> 1, 2 and 3. Self-explanatory. the value of in-kind contributions applied,. and the net
<br /> increase ar decrease in the amounts awed by the recipient
<br /> j 4. Enter the Employer Identification Number (EIN} for goods and other property received, for services
<br /> assigned by the U.S. Internal Revenue Service. performed by employees, contractors, subgrantees and
<br /> other payees, and other amounts becoming owed under
<br /> 5. Space reserved for an account number or other programs for which no current services or performances are'
<br /> identifying number assigned by the recipient. required, such as annuities, insurance claims, and other
<br /> benefit payments.
<br /> 6. Check yes only if this is the East report far the
<br /> j ,period spawn in item 8. ~ 10b. Se€f-explanatory.
<br /> 7. Self-explanatory. i gc. Self-explanatory.
<br /> 8. Unless you have received other. instructions from. 1Qd. Enter the total amount of unliquidated obtigations,
<br /> -__the___awarding agency, enter-ttre. _beginning-anal------- --includ€ng--unt€quidated--ob€igatians ~o -subgrantees--and-_.___-
<br /> ending-dates-of-the-eurter~t
<br /> fartding-period: tf-tM~s-is- -------GOntr-actors.----
<br /> a multi-year program, the Federal agency might
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<br /> ' require cumulative- reporting through consecutive Unliquidated obligations an- a cash basis are obligations
<br /> funding. periacfs. In that case, ehter the beginning incurred, but not yet paid. On an accrual basis, they are
<br /> ,;and ending dates of the grant period, and in the rest ob€€gations €ncurred, but far which an outlay has not yet
<br /> of these instructions, substitute the term "grant... been recorded.
<br /> .period" for "funding period."
<br /> [3a not inctude any amounts on €ine 1 Eld that have been
<br /> 9. Sett-exp€anatory. included on lines 1 tta, b, or G.
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<br /> Thy purpose _of_cs~lumns 1,_€€, ar~d_Ili is~o show_the--- Qn the #ina€_report, line 14d must be zero.-
<br /> effect of_ this reporting period's: transactions on__ _
<br /> - - cumulatiue -finaneiat status. -The-amounts-entered-'rn- t ga: - f> g, h~-h ands: --Sett-ex{~ianatary-.__.. _ _ _ .mw
<br /> _ - eolurrtn i-wi€€ normally -be the same as those--in
<br /> column lli of 'the previous repor# do .the ::.same 3:t a. Self-explanatory.
<br /> funding period. If this is the first ai• only report of the
<br /> funding period, leave columns € and I€ blank. If you 11 b. Enter the indirect cost rate in effect during the reporting
<br /> need to adjust amounts entered an previous reports, period.
<br /> footnote the column I entry an this report and attach
<br /> an explanation. f 1 c. Enter the amount of the base against which the rate was
<br /> applied.
<br /> tQa. Enter tata€ program outlays €ess any rebates,
<br /> refunds, or other credits: For reports prepared on a 7 i d. Enter the tota€ amount of indirect costs charged during the
<br /> cash basis, outlays are the sum of actua€ cash report period.
<br /> disbursements far direct casts far goods and
<br /> services, the amount of indirect expense charged, j 1e. Enter the Federal share of tite an~iaunt in 11d.
<br /> the value bf in-kind contributions appl€ed, and the
<br /> amount of cash advances and payments made to Note: If more than one rate was in affect during the period shown
<br /> subracipients. For reports prepared on an accrua€ in item 8, attach a schedule showing the bases against
<br /> whi h t e ifferent rat wer a lied the res ect€ve rates
<br /> i t G h d eS e pp p
<br /> bass ou la s are the sum at actua€ Gash
<br /> Y '
<br /> disbursements for direct charges for goods and the Galendar per€ads they were in e#feGt, amounts of indirect
<br /> services, the amount of indirect ex ense incurred expense charged to the project, and the Federal share of
<br /> p ,
<br /> indirect expanse Gharged to the project to data.
<br /> 'U. S. Government Printing pffice: 1993 - 342-19'7%842$9 SF-269A (Rev. 7.97) Back
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