DRAFT_Jb_Att_7_NF533M_PESS_II.pdf

NASA Form 533M 04/16 (3.3) NRRS 5/1aPREVIOUS EDITIONS ARE OBSOLETE

National Aeronautics and Space Administration

Monthly Contractor Financial Management Report

Form Approved O M

No 0-0003 Exp : 3/31/2019

2. REPORT FOR MONTH ENDING AND

NUMBER OF WORKING DAYS

TO: FROM: 3. CONTRACT VALUE

a. COST b. FEE

1. DESCRIPTION

OF

CONTRACT

a. TYPE

c. SCOPE OF WORK

b. CONTRACT NO. AND LATEST DEFINITIZ MODIFICATION NO.

d. AUTHORIZED CONTRACTOR RESENTATIVE

Type name:

Signature:

DATE

4. FUND LIMITATION

5. BILLING

a. INVOICE AMTS. B LLED b. TOTAL PYTS. REC'D.

PAGE OF PAGES

Baseline Plan Identification (Col. 7b & 7d): Revision No. , Dated

6. REPORTING CATEGORY

7. COST INCURRED/HOURS WORKED

DURING MONTH CUM. TO DATE

ACTUAL

a.

PLANNED

b.

ACTUAL

c.

PLANNED

8. E ED COST/HOURS TO COMPLETE

ETAIL BALANCE OF

CONTRACT

a. b. c.

9. EST MATED FINAL

COST/HOURS

CONTRACTOR

ESTIMATE

a.

CONTRACT

VALUE

b.

10. UNFILLED

ORDERS

OUTSTANDING

DRAFT

80ARC018R0003 PESS II DRAFT J(b) ATTACHMENT 7

NASA Form 533M 04/16 (3.3) NRRS 5/1aPREVIOUS EDITIONS ARE OBSOLETE

Instructions for Completing the Monthly Contractor Financial Management Rep rt

General - Paragraph references below are to the current edition of NPR 9501.2, which includes addi ional instructions for completing NASA Form 533 (NF 533) reports. Copies of the NPR are available from the NASA Contracting Officer, at http://nodis3.gsfc.nasa.gov/lib_docs.cfm?range=9%5B0,1,2,3,4,5,6,7%5D__, or the Superintendent of Documents, Government Printing Office. Washington, DC 20401. All data entered shall be as of he report date, unless stated otherwise below.

Forms - Forms will be obtained from he NASA Contracting Officer or http://server-mpo arc.nasa.gov/Services/NEFS/ by entering he NASA form number 533. Electronic repor ing is preferred for transmitting data.

Security Classification - If information in the report is classified, appropriate security classification shall be given he report (par. 1.8).

Submission - The NF 533M is due not later than 10 working days following the close of the contractor's monthly accounting period, unless otherwise specified in the contract (par. 3.3). For ini ial reports and other related items of significance, seepar.3.2 and the contract. The addressees and number of copies to be submitted will be specified by he contract or administrative instruction.

Amounts - Report whole dollars and hours (may be rounded to the nearest hundred or thousand dollars or tenths thousands of hours, if directed by the NASA Contracting Officer, e g., $32,600 as $33, or 462 hours as .5).

Form Preparation - Complete the form as follows:

To - Enter full name and address of the NASA Center and NASA Contracting Officer or other designated recipient From - Enter full name and address of he contractor and, if applicable, he contractor's subordinate organization performing the contract.

1. Description of Contract:

a. Type - Cost-Plus-Fixed-Fee, Cost-Plus-Incentive-Fee, etc.

b. Contract No. and Latest Definitized Modification No. - Enter complete letter or co l number, and number of latest definitized modification.

c. Scope of Work - Enter a brief description of the contract effort. Identify the ser project, syst subsystem and, where hardware is concerned, the quantity being procured posed.

d. Authorized Contractor Representative (Signature) and Date - the auth d contractor repre ative shall sign and date he summary page to reflect approval.

2. Report for Month Ending and Number of Working Days - Enter the g date of the contra accounting month and the number of working days for that accounting mon h.

3. Contract Value - Enter he total definitized cost (a) and fee (b) of all curren horized w be performe under the contract. Include dollar amounts through he latest definitized modifi as n in 1b above.

For fixed price incentive contracts, enter he negotiated target cost and fee. For c ncentive-fee contracts, enter the negotiated estimated cost and fee.

4. Fund Limitation - Enter the amount of total funds obli rresponding ct modification number.

5. Billing:

a. Invoice Amts. Billed - Enter he total amount o ces billed against ntract and la oice number.

b. Total Pyts. Rec'd. - Enter he total amount ments received for the c ct.

6. Reporting Category - Enter captions of re g categories specified in the ct (par. 2.5.5)

7. Cost Incurred/Hours Worked - Cost an data will be reported in he cate s specified in he contract.

a. Actual During Month - Enter the total ac st incurred/hours worked for the ounting month being reported (block 2).

b. & d. Planned - Enter the planned cost for the being reported in column 7 d cumulative to date in column 7d. The planned cost is obtained from th -phased baseline plan w h includes he original contract value plus authorized changes. Identify th line plan used by d nd revision number at the bottom of he report.

c. Actual Cum. to Date - Enter he cumulative actual cost i d/hours w . Where the cumulative data reported in his column is only for the current "schedule" or th rt summary shall show the total cumulative cost for each of all previous "schedules" or option otal cumulative contract cost from inception.

8. Estimated Cost/Hours to Com - E urrent estimates for performing authorized work included in the most recently executed contract m ation, plu ional authorized work (directions to proceed) for which execution of modifications is pending es imates will planning purposes only and not be binding on he contractor or NASA.

a. Show the most cur t estimate for the next mon

b. Show the most nt estimate for the month (or o propriate period) following the month reported in column 8.a a cted by he NASA Contracting Office

c. Enter cost data for the balance of the contract not in g columns 8a and 8b. Where amounts reported in his n represent work which will exceed one fiscal y breakdown by fiscal year may be required.

9. Estima nal Cost/Hours:

a. C ctor Es imate - Enter otal estimated cost/hours for completion of the contracted effort ( his will equal th of columns 7c, 8 , and 8c).

b. Con alue -Enter istribution of the Contract Value to the reporting categories. The total of this column shall ag h blo described above. Significant differences between columns 9a and 9b shall be explained " actor Narrative Remarks."

10. Unfilled Orde standing - As directed by the NASA Contracting Officer, enter the total of unfilled orders outstanding (par 4d.).

Contractor Narrative Re -

Narrative remarks on sign items materially affecting historical or projected cost or performance shall any each monthly rep g., see item 9b above and par. 3.6).

2. Incl ciliation from the original to the present contract value as reported in block 3. A sample format appear ions on the back of NF 533Q and par. 3.6.5.

3. The A Cont er may require changes authorized but not finalized be fur her subdivided as:

a ges negotiated ut not definitized hanges pending negotiation . Changes pending estimation

Identify effects of new change orders as set forth in par. 3.6.6 and Figure A below.

Subdivision of Work Change Order Number

Total Figure A

PRA Burden Statement This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 2700-0003 and expires on 03/31/2019. We estimate that it will take 9 hours to read the instructions, gather the facts, and answer the questions.

Send only comments relating to our time estimate to: shelley j.meredith@nasa.govDRAFT

80ARC018R0003 PESS II DRAFT J(b) ATTACHMENT 7