FS-1500-18 Collection Agreement Financial Plan

Federal and Non-Federal Financial Assistance Instruments

FS 1500-18 Collection Agreement Financial Plan.xlsx

Individuals

OMB: 0596-0217

Document [xlsx]
Download: xlsx | pdf
Forest Service Agreement #
Cooperator Agreement #

Collection Agreement Financial Plan
Cooperator and FS Contributions
COST ELEMENTS and related data Cooperator Contribution FS Non-Cash Contribution


Line Item Cost Subtotals Subtotal Subtotal Combined Subtotals
PERSONNEL
ccoppenbarger: Examples of positions are: Forest Planner NEPA Coordinator Heritage Resources/CR Fisheries Biologist Transportation Planner Logging Systems Wildlife Biologist Geologist Recreation Planner Hydrologist Botanist Resource Specialists (List all personnel): # of Days $/Day






$0.00
$0.00



$0.00
$0.00



$0.00
$0.00



$0.00
$0.00



$0.00
$0.00




$0.00 $0.00




$0.00 $0.00




$0.00 $0.00




$0.00 $0.00




$0.00 $0.00
Subtotal, Personnel: 0.00
$0.00 $0.00 $0.00
TRAVEL
Explanation of trips:
From Where/To Where/For Whom
ccoppenbarger: Compute by multiplying miles x current mileage rate, then enter number in cell. OR Insert total airfare: one-way or round-trip, as applicable. Vehicle Mileage Cost or Airfare Cost # of Trips PerDiem and Lodging







$0.00
$0.00




$0.00
$0.00





$0.00 $0.00
Subtotal, Travel: $0.00 0 $0.00 $0.00 $0.00 $0.00
EQUIPMENT
Name and Type of Equipment: Unit Cost Quantity






$0.00
$0.00



$0.00
$0.00




$0.00 $0.00
Subtotal, Equipment: $0.00 0 $0.00 $0.00 $0.00
SUPPLIES
Name and Type of Supplies: Unit Cost Quantity






$0.00
$0.00



$0.00
$0.00




$0.00 $0.00
Subtotal, Supplies: $0.00 0 $0.00 $0.00 $0.00
CONTRACTUAL
Describe Contracts that will most likely result from this project:






$0.00



$0.00



$0.00
Subtotal, Contractual: $0.00 $0.00 $0.00
OTHER
Describe Other Costs of the Project:






$0.00



$0.00



$0.00
Subtotal, Other: $0.00 $0.00 $0.00
TOTAL DIRECT CHARGES $0.00 $0.00 $0.00
OVERHEAD ASSESSMENT
(if applicable, see FSH 1909.13)
Insert Rate Here: ccoppenbarger: Insert Rate Here.
$0.00


Total Party Costs $0.00 $0.00 $0.00
COST ELEMENTS SUBJECT TO NATIONAL PASS-THROUGH RATES Cooperator Contribution




TOTAL CHARGES $0.00
OVERHEAD ASSESSMENT
(if applicable, see FSH 1909.13)
Insert Rate Here: ccoppenbarger: Insert Rate Here.
$0.00
Total Pass-Through Costs $0.00
TOTAL PROJECT COSTS $0.00
Burden Statement

According to the Paperwork Reduction Act of 1995, an 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. The valid OMB control number for this information collection is 0596-0217. The time required to complete this information collection is estimated to average 45 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

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To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free (866) 632-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice). USDA is an equal opportunity provider and employer.

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