|
U S. Forest Service
<br />OMB 0596-0217
<br />FS -1500-18
<br />it Service Agreement 0116 -CO -11061700-100 1 Cooperator Agreement #
<br />Collection Agreement Financial Plan
<br />Cooperalbs and FS Contributions
<br />COST ELEMENTS and related data
<br />7
<br />Cooperator
<br />Contributlon
<br />FS Non -Cash
<br />contribution
<br />Line Item Cost Subtotals
<br />subtotal
<br />Snhlotal
<br />Combined Sublolabi
<br />PERSONNEL
<br />Resource Specialists (Lis[ all pet sonnel):
<br /># of Days $/Day
<br />GS 4- Set ies 1001
<br />8800 $11600 $1 D,208 00
<br />$10,20800
<br />Overtime/Compensatory 7 Ime
<br />3090 $5B 00 $1 7920 3
<br />$1,79200
<br />$0 OC
<br />s0 Do
<br />91115t1otelr Nestillmr
<br />118.90 $12,000.00 $0.00
<br />$12,000.00
<br />'TRAVEL
<br />Explanation at trips:
<br />From Whereffo Where/For Whom Vehicle Mileage PerDiem and
<br />Cost or Airfare # of Trips
<br />Cost Lodging
<br />S000 $000
<br />S000 $000
<br />$0 DO $0 DD
<br />Subtotal. Travel: $0.00 0 $0.00 $0.00 $0.00 $0.00
<br />(EQUIPMENT
<br />.(Name and Type ofE ui ment: Uuil COs( Quidiptiky
<br />$o DD $055
<br />$000 $0-0
<br />$0001 $o Do
<br />Snitluinf, nl In1Sal: $0.00 0 $0.00 $O.Otl $0-00
<br />SUPPLIES
<br />Nalnt and L1'Z(Ipof S111Unit Cnct
<br />Qa,ar it_v.
<br />$0.00 $D 00
<br />$0001 $D Da
<br />S11111rial. till IK: $0.00
<br />0 $0.001 so.0ol $0.00
<br />CONTRACTUAL
<br />ilrtrl•ihr Comrnnr that %III man Ilkely rchul11rom sla% pr0]crtt
<br />_
<br />$001
<br />tnl' ,170
<br />Sobtalnl, Cont raJaAl- 1 $0.00
<br />$0.00
<br />$0.00
<br />OTHER
<br />Describe Other Costs of the Project:
<br />$0 OD
<br />$D DD
<br />Snbtolal, Other: $0.00 $0.00 $0.00
<br />TOTAL DIRECT CHARGES $12.000.00 $0 00 $12.0aD.oB
<br />OVERHEAD ASSESSMENT
<br />lit applicable, see FSH 1909 13)
<br />Insert Rate Here:
<br />001/1 $0.00
<br />Total Party Costs
<br />$1200D.00 $000 $12,000-00
<br />TOTAL PROJECT COSTS $12,000.00
<br />11_ a1«,..«
<br />According to the Paperwork Reduction A,I of 1995, an agency may not conduct or sporaor, am a person is not required to respond to a celleclon of inlorm alien unless t displays a valid OMB control number The slid 0Ma,a ml number
<br />for (his information collection is 059fi-0217 The lime requ'ved to complete (his inform alion collection is.stimated to average 45 mind,, per response, .mWng the time for reHewng Inslnctons, searclwg ..sling data ,Duces, galhervg
<br />and maintaining the dal. needed and co mpletirg.� --M the coleclien of in(onnalion
<br />The US Department of Agriculur,(USDA) pmhibils d.c.hali in all As programs and activih.s o n the basis ofrace,color,national.,gm aged—Wily and wh.,a applicable,sex,manta)stilus, F.Wel slat.. parental latus rel.gi.,
<br />u.Ionenlahon genetic inlormation pahtical belefsepn..1 or because all or part of-ndrvid.erincome s derived from.nypubhc assslance (Not all p,,hbited bases apply to 11 programs)Persons vnth d—bililieswho q,V,
<br />,he... ire means for communmation of program information (Braille. Urge pnnl, audiotape, etc ) slwuld contact USDA's TARGET Center al 202-720-26W (voce and TDO)
<br />To file, complaint of discriminalnn,wrde USDlLOaeclor, OKeol Cml Right; 14001 dependence Ave—, SW Washington, DC 20250-9410 or ca11 fell fre.(866)632-9992(wce) TDD users can cor 1 USDA through to cal relay or the
<br />Federal relay at (800) 8778339(TDD) o, (866) 377-8642 (relay wee) USDA is an equal opp,,1 m1y pr,vd,, and employer
<br />
|