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U.S_ Foresl Service OMS 0596-0217
<br />FS-1 500-18
<br />It Service Agreement pl-I ___ '!,;$::..,.=C:,:O::..--,-1-'.-1 ::06::1:.:7",O:.::O,--.1!,;O::;O=-__ -, Cooperator Agreement ... 1 _____________ -'
<br />Collection Agreement Financial Plan
<br />Cooj)JlflllI:)r and FS Contributions
<br />COST ,EL~MENTS ........ _ data
<br />Line Item Cost Subtotals ~
<br />PERSONNEL
<br />,Reslllirce Specialists (LIst all pers01111el)
<br /># of Days $/llny
<br />OS 4, Series 1001 88 00 $1160q
<br />Overtime/Compensatory Time 3090 $5800
<br />Subtolal. Personnelt 118.911 Jl
<br />-up,W!:L
<br />g~flh"Ultion (If tl"ips:
<br />Prom Where/To W here/Fol \Vholll Vehiclr Mileage PerDieJll and Cost or Airfm (' #ofTI'ips Lodging Cosl
<br />S ubtotal, Tr.wel : $oM a $0.0
<br />EQUIPMENT
<br />Nllme :md l -ype or Eqllipment ~ Unit Cost Quantity
<br />Subtotal, Equipment: $O~Ob 0
<br />SUPPLIES
<br />IName ,HId Typo of Supplies: Unil Cost Q",uttitv
<br />cSi.ll)loIIU.JlUntlll ... t $O .O~ 0
<br />~= ~
<br />CONTRACTUAL
<br />Deter)lIc Contr<lclS th"' will mos"Hk.h ... ,M '.'o n. ibi3 1)O'ujW :
<br />$U illa l ~l {e~II (",oiI .nl!
<br />OTHER
<br />Q."'rIlJc·O,h .. r 0"" or Ihn P ro·~. t:
<br />IlbIUI~I. Olll~h
<br />TOTA L OIRECTCHA'RGES
<br />OVERHEAD ASSESSMENT Insert Rate Here: (if applicable, see FSH 1909.13) 00%
<br />Total Party Costs
<br />TOTAL PROJECT COSTS
<br />BUfden Statement
<br />=
<br />• (111/1; ;~
<br />, Q 1 il.\.Jl. 9l\ir \~,
<br />~!~t~141 Subtotal Comhlned SuhtntHb:
<br />$10,20B.00 $10,20a.0~
<br />$1,79200 $1,79200
<br />$0.00 $000
<br />$12,000.00 $0.01) SU,OOO liW
<br />$0.00 SO DO
<br />$0.00 $000
<br />50 OCt $000
<br />$0'1)1) $0 .00 ~O.Oi/
<br />$000 $000
<br />$000 $000
<br />$000 $(l,CO
<br />$0.00 ~O 00 to.pQ
<br />$0.00 $000
<br />$000 $000
<br />$O.oq $O.O~ S1!,OO
<br />'1
<br />$00
<br />, $0.<111
<br />$0.00 $0.00 SO.OO
<br />$0 ;00
<br />SlTOO
<br />$0.00 $o.oq 'SO:OQ
<br />$12,000.00 SO .OO S12.000 .00
<br />$D.DD
<br />S12.000.00 SO .oo S12.000.00
<br />$12,000.00
<br />Accord~ hlilhe Paperwork Reduc!k.n.4:d of '_a" ;iI!Ilq may not con:Jucl or spOr6or, and il person IS not requued 10 fliSpOnd 10 a collecl'on ofinrormahon un~ss l displays a valid OMS conlrol r:t¥nbll. The valKl tHl(3-CO)I.rolu.iler
<br />for l!"Iis ~allCn colJectio n IS 059G!.(iQlt ThiII""e ~"lo compJele thiS information collection is estimated 10 il'Jerage 4S minUoes per response, includng the time for reVlevling 1n9lrucl;ons, seatllU. ,XtSIr.g data lOUIC"n. gal".,....
<br />and ma,n[ilinng Ihe data neededi and cornplellrg and reViEwing the co l echon or Information
<br />thtu.s DD-pnll"ofAG'tQ;Ihl ... t~,jIIlItAb~m inCltio,,""~ ttfWo,rClm.8ICI activiWl-llnthe basis of race, color, nalional origin, ~~.etlohl"" ~c;able, sex, marHal status, fa milial s.lalus, parenlalstalus, religIOn,
<br />1O:NIl~:Gct Qranrdic ~ftI~~~ I~al, or~IrI ... paritLt W'lildlV'JwJ .... income £; demed from any public assisWlOt.-.t ....... ~_.sapplylo all programs) Personswllh disab~ille'who requre
<br />"'~a' ..... _~fl tn~ ..... ~ .. (Bral1t. ...,. rmrt aud_fIII' elq iiraJd conlact USDA's TARGET Cenl er at 2fT.H"~1~1I'41C(l)
<br />To r~e a complaint of discriminalion, wr~e USDA, Dltector, OffICe of Civil Rights, 1400 Independence Awnue, SW, WaShington, DC 2025()'9410 or ca ll toll free (866) 632·9992 (vui!;e) TOO users ca n contact USDA Ihrough local relay or the
<br />Federal relay al (800) 677-8339 (TOO) or (666) In·6S42 (relay wite) USDA IS an equal opportunity provider and employer
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