Listing of Grant Committments (Contracts and Other Firm

OMB Control Number: 1024-0038

Expiration Date: MM/DD/YYYY

Attachment to SF 269A

Listing of Grant Commitments

(Contracts and Other Firm Commitments)

Commitment (Contractor or Item)	Federal Share of Commitment	Amount Expended as of 12/31	Amount Unexpended as of 12/31
	$	$	$
	$	$	$
	$	$	$
	$	$	$
	$	$	$
	$	$	$
	$	$	$
	$	$	$
Total	$__________	$__________ (include in item 10.c.)	$____________ (include in item 10.d.)
Amount Expended and Billed to NPS as of 12/31 [item 10.c. of SF 269A]	$__________
2. Amount Expended and Sent to your Tribal Finance Office for Billing but not as yet Sent to NPS for Payment [also item 10.c.]	$__________
3. Amount of Unexpended Committed Funds Being Carried Over [item 10.d.]	$__________
4. Uncommitted Carryover [item 10.i.]	$__________
Total of 1, 2, 3, and 4 should equal Grant Award	$__________

NOTE:

• The total amount expended on commitments (Line 1 plus Line 2) must be included in item 10.c.

• The total amount unexpended on commitments to be carried over for second year must be included in item 10.d.

Paperwork Reduction Act Statement: This information is being collected for the annual report to NPS on the financial achievements that Tribal Historic Preservation Office (THPO) has accomplished with its Historic Preservation Fund grant. Response to this request is required to obtain a benefit pursuant to the National Historic Preservation Act, as amended (16 U.S.C. 470 et seq.). A Federal agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number.

Estimated Burden Statement: Public reporting burden for this information collection is estimated to average 45 minutes per response, including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding this burden estimate to the Chief, Historic Preservation Grants, National Park Service, 1849 “C” Street, NW (2255), Washington, DC 20240.