Attachment_24_-_Financial_Report_of_Contract_-_NIH-2706.pdf

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Surveillance, Epidemiology, and End Results (SEER) Program
Solicitation number
75N91019R00029
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About this file

This document contains a financial report template for individual projects or contracts with the National Institutes of Health.

The template includes sections for expenditure category, percentage of effort or hours worked, cumulative incurred costs at the end of prior periods, incurred costs for the current period, cumulative costs to date, estimated costs to complete, estimated total costs, negotiated contract amount, and any variance between estimated total costs and negotiated contract amount. Rows are provided to enter data for multiple expenditure categories. The template requests key contract details including project or task name, contract number, date of the report, and reporting period. Space is also provided for the contractor's name and address.

Attachment 24 - Financial Report of Contract - NIH-2706

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Text version

National Institutes of Health

FINANCIAL REPORT OF INDIVIDUAL

PROJECT/CONTRACT, NIH FORM 2706

Note: Complete this Form in Accordance with Accompanying Instructions.

Project Task: Contract No.: Date of Report: 0990-0134 0990-0131

Reporting Period: Contractor Name and Address:

Expenditure Category Percentage of Effort/Hours

Cumulative Incurred Cost at End of Prior

Period

Incurred Cost--

Current Period

Cumulative Cost to Date

(D + E)

Estimated Cost to

Complete

Estimated Cost at Completion

(F + G)

Negotiated Contract Amount

Variance (Over or Under)

(I - H)

Negotiated Actual

A B C D E F G H I J

NIH-2706 (5/97) (Formerly HHS-646)

Project Task:
Contract No:
Date of Report:
Reporting Period:
Contractor Name and Address:
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