Tribal RFI Worksheet
CARES Act Coronavirus Relief Fund for SLT
TRIBAL RFI WORKSHEET Final.xlsx
Tribal Affidavit
OMB: 1505-0264
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1505-0264 can be found here:
Document [xlsx]
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Overview
Employees
Expenditures
Sheet 1: Employees
| SUPPLEMENTAL REQUEST FOR TRIBAL INFORMATION |
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| Name of Tribe: |
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Calendar Year 2019 |
| NUMBER OF EMPLOYEES |
Q1 |
Q2 |
Q3 |
Q4 |
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| Employed by Tribe |
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| Employed by Tribal entities |
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| If the Tribe does not file IRS Form 941, check here: |
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Sheet 2: Expenditures
| SUPPLEMENTAL REQUEST FOR TRIBAL INFORMATION |
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| Name of Tribe: |
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| EXPENDITURES |
Fiscal Year 2019 |
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| Total governmental expenditures |
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| Total amount of federal financial assistance |
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| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |