Paperwork Burden Disclosure Notice
"Public reporting burden for this form is estimated to average 1 hour per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing, reviewing, and submitting the form. Send comments regarding the accuracy of the burden estimates and any suggestions for reducing the burden to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, S.W, DC 20472."
INSTRUCTIONS
1. Enter the FEMA Regional Office which awarded the grant/cooperative agreement to your organization.
2. Enter the number assigned by FEMA and listed in item 1 of the Obligating Document for Award/Amendment, FEMA Form 76-10A.
3. Enter the name and address of the organization receiving the funds. This information should be the same information as shown in item 5 of FEMA Form 76-10A.
4. Enter the number assigned by the recipient by the Internal Revenue Service. This number should be the same as the number reported in item 6 of the applicant's Application for Federal Assistsance, SF 424.
5. Enter the account number or other identifying number assigned by the recipient.
6. Make the appropriate box.
7. Make the appropriate box.
8. Enter the beginning and ending dates of the current grant period.
9. Enter the beginning and ending dates of the quarter being reported.
10. Enter the program acronym for each program being reported. Enter the CFDA number assigned to the program being reported. Enter the cumulative amounts of:
10a.Outlays for each program (Federal and non-Federal). Enter cumulative program outlays less any rebates, refunds, or other
credits.
10b. Non-Federal outlays that are included in line 10a.
10c.Federal outlays that are included in line 10a.
10d.Unliquidated obligations (Federal and non-Federal), including unliquidated obligations to subgrantees and contractors.
10e. Non-Federal unliquidated obligations which are included in line 10d.
10f. Federal share of unliquidated obligations included on line d10g. Enter the total Federal share of outlays and unliquidated obligations.
10h. The amount of Federal funds authorized for the grant period.
10i. This amount should be line 10h minus line 10g.
11. Report in this section the computation of total indirect costs reported on lines 10a through 10g.
11b. Enter in each column the indirect cost rate(s) that were in effect during the reporting period. If more space is needed, attach a schedule showing the computation of indirect cost.
11c. Enter in each column the amount of the base to which the indirect cost rate was applied.
11d. Enter total amount of indirect cost charged during the report period.
11e. Enter total amount of Federal share of the indirect cost.
12. Self-explanatory.
13. Enter the name, title, telephone number of the authorized official, and date report was submitted.
Last Modified: Thursday, 21-Sep-2006 13:06:19 EDT