Form OSM-47 Budget Information Report

30 CFR Parts 735, 885 and 886 - Grants to States and Tribes

OSM47

Form OSM-47

OMB: 1029-0059

Document [pdf]
Download: pdf | pdf
U.S. DEPARTMENT OF THE INTERIOR

OMB Control No. 1029-0059

Office of S urface Mining Reclamation and Enforcement

Exp. Date: 7/31/2021

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,03257$173OHDVHUHDGLQVWUXFWLRQVRQWKHUHYHUVHRIWKLVSDJHEHIRUHFRPSOHWLQJWKLVIRUP
A. Program
E. Budget Period (Month, Day, Year)
B. Grantee
Beginning Date
C. Grant Program
Ending Date
D. Rate of Federal Sharing (%)

F. Mark 'X' in Appropriate Box
(
) New Budget
(
) Revised Budget (Enter Grant Number)
(
) Grant Number

352*5$0)81&7,216$&7,9,7(6

TOTAL
(a)

(b)

(c)

(d)

(e)

(f)

(g)

1. Personnel
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2EMHFW&ODVV

$0.00

2. Fringe Benefit

$0.00

3. Travel
4. Equipment
5. Supplies
6. Contractural

$0.00
$0.00
$0.00

$0.00

7. Construction

$0.00

8. Other
$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

10. Indirect Charges
7RWDl

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

6HFWLRQ%
E\
6RXUFH

13. Federal Share

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E\
,QFRPH

14. Program Income

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,QGLUHFW
&RVW

15. Detail on Indirect Cost
Type of Rate (mark 'X' in Box)
Rate________%

$0.00

 

12. Non-Federal Share

E. Signature of Authorizing Official

Excel

$0.00

9. Total Direct Charges

$0.00

$0.00

$0.00

(
) Predetermined
Total Amount _______________
F. Name and Title (type or print)

(
) Provisional
Base _________

(

) Final

G. Telephone Number (Area Code, Number
and Extension)

(

) Fixed

H. Date Report Submitted

OSM-47 (8/97)


File Typeapplication/pdf
File TitleOSM 47
SubjectOSM 47, Budget Information Report, Form, FAM, Federal Assistance Manual
AuthorOSM 47
File Modified2019-07-25
File Created2010-07-01

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