Form 17001a NHRPC Grant Offer Acknowledgement

OMB Control No. 3095-0013
Expiration date: 09/30/20XX

NHPRC GRANT OFFER ACKNOWLEDGMENT
NHPRC Application No.

(please complete)

On behalf of

, we agree to comply with all applicable

Federal grants management and NHPRC rules and regulations.
If indirect cost rates are included in your budget, please indicate the rate and when it is due to expire:
Indirect Cost Rate:
Authorizing Federal Agency:
Expiration Date:

Please sign and date:

Authorized Representative

Date

Project Director

Date

Additional Remarks:

Please complete this form and return it to the NHPRC no later than six weeks after
receipt via fax (202-357-5914) or email to your program officer.

NA Form 17001a (05-16)

NATIONAL ARCHIVES AND RECORDS ADMINISTRATION

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