Tribal RFI Worksheet

CARES Act Coronavirus Relief Fund for State, Local and Tribal Governments

TRIBAL RFI WORKSHEET Final.xlsx

Tribal Affidavit

OMB: 1505-0264

Document [xlsx]
Download: xlsx | pdf

Overview

Employees
Expenditures


Sheet 1: Employees

SUPPLEMENTAL REQUEST FOR TRIBAL INFORMATION








Name of Tribe:









Calendar Year 2019
NUMBER OF EMPLOYEES Q1 Q2 Q3 Q4





Employed by Tribe








Employed by Tribal entities








If the Tribe does not file IRS Form 941, check here:




Sheet 2: Expenditures

SUPPLEMENTAL REQUEST FOR TRIBAL INFORMATION


Name of Tribe:


EXPENDITURES Fiscal Year 2019


Total governmental expenditures


Total amount of federal financial assistance
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