ARPA-H COST PROPOSAL SPREADSHEET (Other Transaction) 3.25.25.xlsx

XLSX spreadsheet 286 KB Posted Mar 26, 2025

Attached to: Ocular Laboratory for Analysis of Biomarkers (OCULAB)
Solicitation number: ARPA-H-SOL-25-115
Issued by: Department of Health and Human Services National Institutes of Health

About this file

Written by GovTribe AI · Mar 26, 2025

This is an ARPA-H Cost Proposal Spreadsheet template for an Other Transaction (OT) award, designed for proposers to detail comprehensive financial information across three potential project phases. The spreadsheet provides structured input sections for labor rates, indirect rates, materials, equipment, travel, consultants, other direct costs, and cost sharing, with instructions emphasizing that only green-colored cells should be populated by proposers.

The template is specifically linked to the Ocular Laboratory for Analysis of Biomarkers (OCULAB) Program solicitation (ARPA-H-SOL-25-115), which anticipates multiple awards from the Department of Health and Human Services' National Institutes of Health. Key instructions include populating data in sequential order, using six maximum time periods per phase, and ensuring that labor rates and indirect rates can be escalated annually. The spreadsheet includes guidance on entering subcontractor costs, time period selections, and requires proposers to justify any proposed cost-sharing arrangements, with a notable prohibition against project teams receiving fees or profits under ARPA-H awards.

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Other files

File	Type	Posted
ARPA-H-SOL-25-115 OCULAB ISO Amend 04 4.10.25.pdf	PDF	Apr 10, 2025
APPENDIX C FULL PROPOSAL FORMAT AND INSTRUCTIONS ver 2 4.10.2025.docx	DOCX document	Apr 10, 2025
ARPA-H COST PROPOSAL SPREADSHEET (Other Transaction) 03.31.2025.xlsx	XLSX spreadsheet	Mar 31, 2025
ARPA-H-SOL-25-115 OCULAB ISO Amend 03 3.25.25.pdf	PDF	Mar 25, 2025
ARPA-H-SOL-25-115 OCULAB ISO Amend 01 1.10.25.pdf	PDF	Jan 21, 2025
ARPA-H-SOL-25-115 OCULAB ISO Amend 02 1.17.25.pdf	PDF	Jan 17, 2025
ARPA-H-SOL-25-115 OCULAB ISO Amend 01 1.20.25.pdf	PDF	Jan 10, 2025
Other Transaction Bundle.zip	ZIP file	Dec 20, 2024
ARPA-H-SOL-25-115 OCULAB ISO 12.20.24 Final.pdf	PDF	Dec 20, 2024
Cooperative Agreement Bundle.zip	ZIP file	Dec 20, 2024
APPENDIX A-F.zip	ZIP file	Dec 20, 2024
ARPA-H-SOL-25-115 - OCULAB ISO FINAL DRAFT 11.4.24.pdf	PDF	Nov 5, 2024

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Summary Base Proposed Calculated Govt Position Delta Base Proposed Calculated Govt Position Delta NOTES

Total Labor Costs	$0	$0	$0
Total Fringe Benefit Costs	$0	$0	$0
Total Overhead Costs	$0	$0	$0
Travel (see tab E.)	$0	$0	$0
Materials - Supplies (see tab C.)	$0	$0	$0
Equipment (see tab D.)	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
Total Other Direct Costs	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
Total Consultant Costs	$0	$0	$0
	$ -	$ -	$ -
	$ -	$ -	$ -
	$ -	$ -	$ -
	$ -	$ -	$ -
	$ -	$ -	$ -
	$ -	$ -	$ -
Total Subcontract Costs	$0	$0	$0
Total Material Handling Costs	$0	$0	$0
Total G&A/F&A Costs	$0	$0	$0
Subtotal Costs	$0	$0	$0
Fixed Fee	$0	$0	$0
Total Estimated Costs	$0	$0	$0
Option 1	Proposed	Calculated	Govt Position	Delta	Option 1	Proposed	Calculated	Govt Position	Delta	NOTES

Total Labor Costs	$0	$0	$0
Total Fringe Benefit Costs	$0	$0	$0
Total Overhead Costs	$0	$0	$0
Travel (see tab E.)	$0	$0	$0
Materials - Supplies (see tab C.)	$0	$0	$0
Equipment (see tab D.)	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
Total Other Direct Costs	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
Total Consultant Costs	$0	$0	$0
	$ -	$ -	$ -
	$ -	$ -	$ -
	$ -	$ -	$ -
	$ -	$ -	$ -
	$ -	$ -	$ -
	$ -	$ -	$ -
Total Subcontract Costs	$0	$0	$0
Total Material Handling Costs	$0	$0	$0
Total G&A/F&A Costs	$0	$0	$0
Subtotal Costs	$0	$0	$0
Fee	$0	$0	$0
Total Estimated Costs	$0	$0	$0
Option 2	Proposed	Calculated	Govt Position	Delta	Option 2	Proposed	Calculated	Govt Position	Delta	NOTES

Total Labor Costs	$0	$0	$0
Total Fringe Benefit Costs	$0	$0	$0
Total Overhead Costs	$0	$0	$0
Travel (see tab E.)	$0	$0	$0
Materials - Supplies (see tab C.)	$0	$0	$0
Equipment (see tab D.)	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
Total Other Direct Costs	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
	$0	$0	$0
Total Consultant Costs	$0	$0	$0
	$ -	$ -	$ -
	$ -	$ -	$ -
	$ -	$ -	$ -
	$ -	$ -	$ -
	$ -	$ -	$ -
	$ -	$ -	$ -
Total Subcontract Costs	$0	$0	$0
Total Material Handling Costs	$0	$0	$0
Total G&A/F&A Costs	$0	$0	$0
Subtotal Costs	$0	$0	$0
Fee	$0	$0	$0
Total Estimated Costs	$0	$0	$0

Instructions Legend

Yellow Fill = Calculated and/or linked values	Locked Cells
Green Fill = Value that is linked TO elsewhere - requires proposer data entry	Unlocked Cells

1. Enter data into sheets in the order in which they appear, beginning with Proposal Data, and then tabs A. through G. This will allow the Base and Subcontractor tabs to populate and calculate your data.

2. In general, only enter data into cells with a green fill. The yellow-filled cells will calculate and populate values using the data entered in the green cells.

3. Cells that are outlined in red are locked; all cells that can be edited are outlined in black.

4. This spreadsheet includes a single Base tab and two (2) option tabs. Each Base and Option (and the information from tabs A. though G.) are composed of a maximum of six (6) time periods. Total subcontractor costs may be entered into the Base and Option tabs, while full subcontractor proposals should be entered into a separate spreadsheet.

5. Time periods are used to properly calculate changes over time in labor rates and/or indirect rates. For instance, if the proposal is a 3-year Base (1/1/24 - 12/31/26) and the labor rates are escalated annually in July, your first time period should be 1/1/24 - 6/30/24, and the second time period would be 7/1/24 - 6/30/25, followed by 7/1/25 - 6/30/26 and 7/1/26 - 12/31/26 or four (4) periods. Ensure that you select a period type (Phase, Summer, Academic, Fiscal Year, etc) for each time period.

6. Once the Proposal Data and tabs A. though G. are completed, then the labor hours and the bases for the indirect costs should be filled out in the Base and Option tabs. Enter data only in the green cells.

Proposal Data

Proposal Data
Instructions:	The below fields populate all of the other sheets.
	The information from the cost proposal is not required, however all entries in green cells beginning at name of contractor are required.

Cost Proposal Volume 2

ISO #:

NAICS Code

ISO Area(s) of Interest

Technical Point of Contact:

Mailing Address:

Physical Address:

Telephone #:

Email Address:

Administrative Point of Contact:

Mailing Address:

Physical Address:

Telephone #:

Email Address:

Contractor’s business type

CAGE Code

Unique Entity Identification (UEI) number

Subcontractors participating in the research and estimated cost

Small businesses participating in the research and estimated cost

Historically Black Colleges and Universities or Minority Institutions

Performance Period

Contract type or FFP types

Research title

Brief research description

Total Estimated Cost

Fixed Fee Amount - the fee shall not exceed 10% of the estimated cost

Prime Contractor

Subcontractors

Subcontractor 1

Subcontractor 2

Subcontractor 3

Subcontractor 4

Subcontractor 5

Subcontractor 6

Periods of Performance

Prime Contractor
	Phase I	Period Type	Period #	Start Date	End Date	Months	Phase
							Calendar Year	Phase I PoP
							Academic Year
							Summer
							Fiscal Year

Total

Phase II	Period Type	Period #	Start Date	End Date	Months
						Phase II PoP

Total

Phase III	Period Type	Period #	Start Date	End Date	Months
						Phase III PoP

Total

Phase I Cost Proposal - Phase I Effort

Instructions:	This sheet combines all of the information entered in Proposal Data and sheets A. through G. The green cells require input (the bases for the indirect costs/fee and the hours for labor).
	Enter applicable data into the green cells, including the totals for subcontractors. Detailed subcontractor proposals should be entered in a separate spreadsheet.

Totals

	Direct Labor
Labor Category	Name	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Total $
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
		Total Labor Costs	0		$ - 0	0		$ - 0	0		$ - 0	0		$ - 0	0		$ - 0	0		$ - 0	0	$ - 0
	Fringe		0			0			0			0			0			0				$ -
			0			0			0			0			0			0				$ -
			0			0			0			0			0			0				$ -
			0			0			0			0			0			0				$ -
		Total Fringe Benefit Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
	Overhead		0			0			0			0			0			0				$ -
			0			0			0			0			0			0				$ -
		Total Overhead Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
	Subcontracts																					$ -
																						$ -
																						$ -
																						$ -
																						$ -
																						$ -
		Total Subcontract Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
	Consultants				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Total Consultant Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
	Other Direct Costs	Travel (see tab E.)			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Materials - Supplies (see tab C.)			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Equipment (see tab D.)			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Total Other Direct Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Subtotal Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
	Material Handling		0			0			0			0			0			0				$ -
			0			0			0			0			0			0				$ -
		Total Material Handling Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
	G&A/F&A		0			0			0			0			0			0				$ -
			0			0			0			0			0			0				$ -
		Total G&A/F&A Costs			$ - 0		ERROR:#REF!	$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
	Facilities - Cost of Money (FCCM)		$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0				$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0				$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0				$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0				$ - 0
		Total FCCM			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Subtotal Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
		Fixed Fee	$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0				$ - 0
		Total Estimated Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -

Phase II Cost Proposal - Phase II

Instructions:	This sheet combines all of the information entered in Proposal Data and sheets A. through G. The green cells require input (the bases for the indirect costs/fee and the hours for labor).
	Enter applicable data into the green cells, including the totals for subcontractors. Detailed subcontractor proposals should be entered in a separate spreadsheet.

Totals

	Direct Labor
Labor Category	Name	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Total $
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
		Total Labor Costs	0		$ - 0	0		$ - 0	0		$ - 0	0		$ - 0	0		$ - 0	0		$ - 0	0	$ - 0
	Fringe	f1	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		f2	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		f3	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		f4	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		Total Fringe Benefit Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
	Overhead	oh1	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		oh2	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		Total Overhead Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
	Subcontracts																					$ -
																						$ -
																						$ -
																						$ -
																						$ -
																						$ -
		Total Subcontract Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
	Consultants				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Total Consultant Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
	Other Direct Costs	Travel (see tab E.)			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Materials - Supplies (see tab C.)			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Equipment (see tab D.)			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Total Other Direct Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Subtotal Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
	Material Handling	mh1	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		mh2	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		Total Material Handling Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
	G&A/F&A	ga1	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		ga2	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		Total G&A/F&A Costs			$ - 0		ERROR:#REF!	$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
	Facilities - Cost of Money (FCCM)	fcm1	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0		$ - 0
		fcm2	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0		$ - 0
		fcm3	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0		$ - 0
		fcm4	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0		$ - 0
		Total FCCM			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Subtotal Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
		Fee	$ - 0	0.000%	$ - 0	$ - 0	0.000%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0		$ - 0
		Total Estimated Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -

Phase III Cost Proposal - Phase III

Instructions:	This sheet combines all of the information entered in Proposal Data and sheets A. through G. The green cells require input (the bases for the indirect costs/fee and the hours for labor).
	Enter applicable data into the green cells, including the totals for subcontractors. Detailed subcontractor proposals should be entered in a separate spreadsheet.

Totals

	Direct Labor
Labor Category	Name	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Hourly Labor Rate	Direct Labor Cost	Hours	Total $
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
																					0	$ -
		Total Labor Costs	0		$ - 0	0		$ - 0	0		$ - 0	0		$ - 0	0		$ - 0	0		$ - 0	0	$ - 0
	Fringe		0			0			0			0			0			0				$ -
			0			0			0			0			0			0				$ -
			0			0			0			0			0			0				$ -
			0			0			0			0			0			0				$ -
		Total Fringe Benefit Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
	Overhead		0			0			0			0			0			0				$ -
			0			0			0			0			0			0				$ -
		Total Overhead Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
	Subcontracts																					$ -
																						$ -
																						$ -
																						$ -
																						$ -
																						$ -
		Total Subcontract Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
	Consultants				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Total Consultant Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
	Other Direct Costs	Travel (see tab E.)			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Materials - Supplies (see tab C.)			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Equipment (see tab D.)			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
					$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Total Other Direct Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Subtotal Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
	Material Handling	mh1	0	0.00%	$ - 0	0	0.00%		0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		mh2	0	0.00%	$ - 0	0	0.00%		0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		Total Material Handling Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
	G&A/F&A	ga1	0	0.00%	$ - 0	0	0.00%		0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		ga2	0	0.00%	$ - 0	0	0.00%		0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0	0	0.00%	$ - 0		$ -
		Total G&A/F&A Costs			$ - 0		ERROR:#REF!	$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
	Facilities - Cost of Money (FCCM)	fcm1	$ - 0	0.00%	$ - 0	$ - 0	0.00%		$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0		$ - 0
		fcm2	$ - 0	0.00%	$ - 0	$ - 0	0.00%		$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0		$ - 0
		fcm3	$ - 0	0.00%	$ - 0	$ - 0	0.00%		$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0		$ - 0
		fcm4	$ - 0	0.00%	$ - 0	$ - 0	0.00%		$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0		$ - 0
		Total FCCM			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ - 0
		Subtotal Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -
		Fee	$ - 0	0.000%	$ - 0	$ - 0	0.000%		$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0	$ - 0	0.00%	$ - 0		$ - 0
		Total Estimated Costs			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0		$ -

A. Labor Rates Labor Rates

Instructions: Enter labor categories, notes/names, and hourly rates under the appropriate period in the green cells. Include basis for rate and/or how rate was derived in notes section to the right.

Phase I RATES Basis of Labor Rate

Proposer's Labor Category Name or Comment Hourly Labor Rate Hourly Labor Rate Escalation Hourly Labor Rate Escalation Hourly Labor Rate Escalation Hourly Labor Rate Escalation Hourly Labor Rate Escalation

Phase II LABOR RATES Basis of Labor Rate

Phase III LABOR RATES Basis of Labor Rate

B. Indirect Rates & Fee Indirect Rates and Fee

Instructions: Enter indirect rates that correspond to the rate categories in column A, and the performance periods in row 5. Include the basis for the rates in the comments section to the right.

PHASE I		Basis of Rate	Documents
Rate Category	Proposer's Indirect Rate Name
Fringe
Fringe
Fringe
Fringe
Overhead
Overhead
Material Handling
Material Handling
General and Adminstrative / Facilities and Adminstration
General and Adminstrative / Facilities and Adminstration
Facilities Cost of Money 1
Facilities Cost of Money 2
Facilities Cost of Money 3
Facilities Cost of Money 4
Fee

PHASE II									Basis of Rate	Documents
Rate Category		Proposer's Indirect Rate Name
Fringe	1	f1	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Fringe	2	f2	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Fringe	3	f3	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Fringe	4	f4	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Overhead	5	oh1	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Overhead	6	oh2	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Material Handling	7	mh1	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Material Handling	8	mh2	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
General and Adminstrative / Facilities and Adminstration	9	ga1	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
General and Adminstrative / Facilities and Adminstration	10	ga2	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Facilities Cost of Money 1	11	fcm1	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Facilities Cost of Money 2	12	fcm2	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Facilities Cost of Money 3	13	fcm3	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Facilities Cost of Money 4	14	fcm4	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Fee	15	Fee	0.000%	0.000%	0.00%	0.00%	0.00%	0.00%

Phase III									Basis of Rate	Documents
Rate Category		Proposer's Indirect Rate Name
Fringe	16	f1	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Fringe	17	f2	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Fringe	18	f3	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Fringe	19	f4	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Overhead	20	oh1	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Overhead	21	oh2	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Material Handling	22	mh1	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Material Handling	23	mh2	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
General and Adminstrative / Facilities and Adminstration	24	ga1	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
General and Adminstrative / Facilities and Adminstration	25	ga2	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Facilities Cost of Money 1	26	fcm1	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Facilities Cost of Money 2	27	fcm2	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Facilities Cost of Money 3	28	fcm3	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Facilities Cost of Money 4	29	fcm4	0.000%	0.000%	0.000%	0.000%	0.000%	0.000%
Fee	30	Fee	0.000%	0.000%	0.00%	0.00%	0.00%	0.00%

C. Materials-Supplies Materials - Supplies

Instructions: Enter indirect rates that correspond to the rate categories in column A, and the performance periods in row 5. Include the basis for the rates in the comments section to the right.

Phase I
Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes
1				$0.00		1				$0.00		1				$0.00		1				$0.00		1				$0.00		1				$0.00
2				$0.00		2				$0.00		2				$0.00		2				$0.00		2				$0.00		2				$0.00
3				$0.00		3				$0.00		3				$0.00		3				$0.00		3				$0.00		3				$0.00
4				$0.00		4				$0.00		4				$0.00		4				$0.00		4				$0.00		4				$0.00
5				$0.00		5				$0.00		5				$0.00		5				$0.00		5				$0.00		5				$0.00
6				$0.00		6				$0.00		6				$0.00		6				$0.00		6				$0.00		6				$0.00
7				$0.00		7				$0.00		7				$0.00		7				$0.00		7				$0.00		7				$0.00
8				$0.00		8				$0.00		8				$0.00		8				$0.00		8				$0.00		8				$0.00
9				$0.00		9				$0.00		9				$0.00		9				$0.00		9				$0.00		9				$0.00
10				$0.00		10				$0.00		10				$0.00		10				$0.00		10				$0.00		10				$0.00
11				$0.00		11				$0.00		11				$0.00		11				$0.00		11				$0.00		11				$0.00
12				$0.00		12				$0.00		12				$0.00		12				$0.00		12				$0.00		12				$0.00
13				$0.00		13				$0.00		13				$0.00		13				$0.00		13				$0.00		13				$0.00
14				$0.00		14				$0.00		14				$0.00		14				$0.00		14				$0.00		14				$0.00
15				$0.00		15				$0.00		15				$0.00		15				$0.00		15				$0.00		15				$0.00
16				$0.00		16				$0.00		16				$0.00		16				$0.00		16				$0.00		16				$0.00
17				$0.00		17				$0.00		17				$0.00		17				$0.00		17				$0.00		17				$0.00
18				$0.00		18				$0.00		18				$0.00		18				$0.00		18				$0.00		18				$0.00
			Phase I Total	$0.00					Total	$0.00					Total	$0.00					Total	$0.00					Total	$0.00					Total	$0.00

Phase II
Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes
1				$0.00		1				$0.00		1				$0.00		1				$0.00		1				$0.00		1				$0.00
2				$0.00		2				$0.00		2				$0.00		2				$0.00		2				$0.00		2				$0.00
3				$0.00		3				$0.00		3				$0.00		3				$0.00		3				$0.00		3				$0.00
4				$0.00		4				$0.00		4				$0.00		4				$0.00		4				$0.00		4				$0.00
5				$0.00		5				$0.00		5				$0.00		5				$0.00		5				$0.00		5				$0.00
6				$0.00		6				$0.00		6				$0.00		6				$0.00		6				$0.00		6				$0.00
7				$0.00		7				$0.00		7				$0.00		7				$0.00		7				$0.00		7				$0.00
8				$0.00		8				$0.00		8				$0.00		8				$0.00		8				$0.00		8				$0.00
9				$0.00		9				$0.00		9				$0.00		9				$0.00		9				$0.00		9				$0.00
10				$0.00		10				$0.00		10				$0.00		10				$0.00		10				$0.00		10				$0.00
11				$0.00		11				$0.00		11				$0.00		11				$0.00		11				$0.00		11				$0.00
12				$0.00		12				$0.00		12				$0.00		12				$0.00		12				$0.00		12				$0.00
13				$0.00		13				$0.00		13				$0.00		13				$0.00		13				$0.00		13				$0.00
14				$0.00		14				$0.00		14				$0.00		14				$0.00		14				$0.00		14				$0.00
15				$0.00		15				$0.00		15				$0.00		15				$0.00		15				$0.00		15				$0.00
16				$0.00		16				$0.00		16				$0.00		16				$0.00		16				$0.00		16				$0.00
17				$0.00		17				$0.00		17				$0.00		17				$0.00		17				$0.00		17				$0.00
18				$0.00		18				$0.00		18				$0.00		18				$0.00		18				$0.00		18				$0.00
			Phase II Total	$0.00					Total	$0.00					Total	$0.00					Total	$0.00					Total	$0.00					Total	$0.00

Phase III
Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes	Item	Description	Qty	Unit Price	Total Price	Notes
1				$0.00		1				$0.00		1				$0.00		1				$0.00		1				$0.00		1				$0.00
2				$0.00		2				$0.00		2				$0.00		2				$0.00		2				$0.00		2				$0.00
3				$0.00		3				$0.00		3				$0.00		3				$0.00		3				$0.00		3				$0.00
4				$0.00		4				$0.00		4				$0.00		4				$0.00		4				$0.00		4				$0.00
5				$0.00		5				$0.00		5				$0.00		5				$0.00		5				$0.00		5				$0.00
6				$0.00		6				$0.00		6				$0.00		6				$0.00		6				$0.00		6				$0.00
7				$0.00		7				$0.00		7				$0.00		7				$0.00		7				$0.00		7				$0.00
8				$0.00		8				$0.00		8				$0.00		8				$0.00		8				$0.00		8				$0.00
9				$0.00		9				$0.00		9				$0.00		9				$0.00		9				$0.00		9				$0.00
10				$0.00		10				$0.00		10				$0.00		10				$0.00		10				$0.00		10				$0.00
11				$0.00		11				$0.00		11				$0.00		11				$0.00		11				$0.00		11				$0.00
12				$0.00		12				$0.00		12				$0.00		12				$0.00		12				$0.00		12				$0.00
13				$0.00		13				$0.00		13				$0.00		13				$0.00		13				$0.00		13				$0.00
14				$0.00		14				$0.00		14				$0.00		14				$0.00		14				$0.00		14				$0.00
15				$0.00		15				$0.00		15				$0.00		15				$0.00		15				$0.00		15				$0.00
16				$0.00		16				$0.00		16				$0.00		16				$0.00		16				$0.00		16				$0.00
17				$0.00		17				$0.00		17				$0.00		17				$0.00		17				$0.00		17				$0.00
18				$0.00		18				$0.00		18				$0.00		18				$0.00		18				$0.00		18				$0.00
			Phase III Total	$0.00					Total	$0.00					Total	$0.00					Total	$0.00					Total	$0.00					Total	$0.00
TOTALS

Phase I Materials/Supplies		Phase II Materials/Supplies		Phase III Materials/Supplies
Period	Total Cost	Period	Total Cost	Period	Total Cost
1	0	1	0	1	0
2	0	2	0	2	0
3	0	3	0	3	0
4	0	4	0	4	0
5	0	5	0	5	0
6	0	6	0	6	0
Total	0	Total	0	Total	0

D. Equipment Equipment

Instructions: Enter description, quantity and unit price for each equipment line item.

Phase I
Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes
1				$0.00		1	$0.00	1	$0.00	1	$0.00	1	$0.00	1	$0.00
2				$0.00		2	$0.00	2	$0.00	2	$0.00	2	$0.00	2	$0.00
3				$0.00		3	$0.00	3	$0.00	3	$0.00	3	$0.00	3	$0.00
4				$0.00		4	$0.00	4	$0.00	4	$0.00	4	$0.00	4	$0.00
5				$0.00		5	$0.00	5	$0.00	5	$0.00	5	$0.00	5	$0.00
6				$0.00		6	$0.00	6	$0.00	6	$0.00	6	$0.00	6	$0.00
7				$0.00		7	$0.00	7	$0.00	7	$0.00	7	$0.00	7	$0.00
8				$0.00		8	$0.00	8	$0.00	8	$0.00	8	$0.00	8	$0.00
9				$0.00		9	$0.00	9	$0.00	9	$0.00	9	$0.00	9	$0.00
10				$0.00		10	$0.00	10	$0.00	10	$0.00	10	$0.00	10	$0.00
				$0.00			$0.00		$0.00		$0.00		$0.00		$0.00

Phase II
Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes
1				$0.00		1	$0.00	1	$0.00	1	$0.00	1	$0.00	1	$0.00
2				$0.00		2	$0.00	2	$0.00	2	$0.00	2	$0.00	2	$0.00
3				$0.00		3	$0.00	3	$0.00	3	$0.00	3	$0.00	3	$0.00
4				$0.00		4	$0.00	4	$0.00	4	$0.00	4	$0.00	4	$0.00
5				$0.00		5	$0.00	5	$0.00	5	$0.00	5	$0.00	5	$0.00
6				$0.00		6	$0.00	6	$0.00	6	$0.00	6	$0.00	6	$0.00
7				$0.00		7	$0.00	7	$0.00	7	$0.00	7	$0.00	7	$0.00
8				$0.00		8	$0.00	8	$0.00	8	$0.00	8	$0.00	8	$0.00
9				$0.00		9	$0.00	9	$0.00	9	$0.00	9	$0.00	9	$0.00
10				$0.00		10	$0.00	10	$0.00	10	$0.00	10	$0.00	10	$0.00
				$0.00			$0.00		$0.00		$0.00		$0.00		$0.00

Phase III
Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes	Item
Description	Qty	Unit Price	Total Price	Notes
1				$0.00		1	$0.00	1	$0.00	1	$0.00	1	$0.00	1	$0.00
2				$0.00		2	$0.00	2	$0.00	2	$0.00	2	$0.00	2	$0.00
3				$0.00		3	$0.00	3	$0.00	3	$0.00	3	$0.00	3	$0.00
4				$0.00		4	$0.00	4	$0.00	4	$0.00	4	$0.00	4	$0.00
5				$0.00		5	$0.00	5	$0.00	5	$0.00	5	$0.00	5	$0.00
6				$0.00		6	$0.00	6	$0.00	6	$0.00	6	$0.00	6	$0.00
7				$0.00		7	$0.00	7	$0.00	7	$0.00	7	$0.00	7	$0.00
8				$0.00		8	$0.00	8	$0.00	8	$0.00	8	$0.00	8	$0.00
9				$0.00		9	$0.00	9	$0.00	9	$0.00	9	$0.00	9	$0.00
10				$0.00		10	$0.00	10	$0.00	10	$0.00	10	$0.00	10	$0.00
				$0.00			$0.00		$0.00		$0.00		$0.00		$0.00
TOTALS

Phase I Equipment		Phase II Equipment		Phase III Equipment
Period	Total Cost	Period	Total Cost	Period	Total Cost
1	$0	1	$0	1	$0
2	$0	2	$0	2	$0
3	$0	3	$0	3	$0
4	$0	4	$0	4	$0
5	$0	5	$0	5	$0
6	$0	6	$0	6	$0
Total	$0	Total	$0	Total	$0

E. Travel Phase I Travel

Instructions: Enter travel details as appropriate below in the green cells.

Phase I
	Purpose of Trip	Origin Destination	Final Destination	# People	# Days	# of Trips	# days at 100% Hotel per diem	# days at 100% M&IE per diem	# days at 75% M&IE per diem	Round Trip Airfare/ Trainfare per person	Total Airfare/ Trainfare $ per Trip	Hotel Per Diem Rate per person	Total Hotel Per Diem $ per trip	M&IE Per Diem Rate per person	100% M&IE Per Diem $	75% M&IE Per Diem $	Total M&IE Per Diem $ per trip	Car Rental dollars per day including Taxes & Fees	# of Cars (1-3 people per car)	Total Car rental $ per trip	Standard Personal Car Mileage Rate	Estimated Number of Round trip Miles per Car	# of Personal Cars	Total Mileage Rate Dollars	Conference Fees	Other Expenses (tolls, parking, rental gas, wi-fi)	TOTAL DIRECT DOLLARS PER TRIP	GRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
						0																						$ -

Phase I
	Purpose of Trip	Origin Destination	Final Destination	# People	# Days	# of Trips	# days at 100% Hotel per diem	# days at 100% M&IE per diem	# days at 75% M&IE per diem	Round Trip Airfare/ Trainfare per person	Total Airfare/ Trainfare $ per Trip	Hotel Per Diem Rate per person	Total Hotel Per Diem $ per trip	M&IE Per Diem Rate per person	100% M&IE Per Diem $	75% M&IE Per Diem $	Total M&IE Per Diem $ per trip	Car Rental dollars per day including Taxes & Fees	# of Cars (1-3 people per car)	Total Car rental $ per trip	Standard Personal Car Mileage Rate	Estimated Number of Round trip Miles per Car	# of Personal Cars	Total Mileage Rate Dollars	Conference Fees	Other Expenses (tolls, parking, rental gas, wi-fi)	TOTAL DIRECT DOLLARS PER TRIP	GRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
						0																						$ -

Phase I
	Purpose of Trip	Origin Destination	Final Destination	# People	# Days	# of Trips	# days at 100% Hotel per diem	# days at 100% M&IE per diem	# days at 75% M&IE per diem	Round Trip Airfare/ Trainfare per person	Total Airfare/ Trainfare $ per Trip	Hotel Per Diem Rate per person	Total Hotel Per Diem $ per trip	M&IE Per Diem Rate per person	100% M&IE Per Diem $	75% M&IE Per Diem $	Total M&IE Per Diem $ per trip	Car Rental dollars per day including Taxes & Fees	# of Cars (1-3 people per car)	Total Car rental $ per trip	Standard Personal Car Mileage Rate	Estimated Number of Round trip Miles per Car	# of Personal Cars	Total Mileage Rate Dollars	Conference Fees	Other Expenses (tolls, parking, rental gas, wi-fi)	TOTAL DIRECT DOLLARS PER TRIP	GRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
						0																						$ -

Phase I
	Purpose of Trip	Origin Destination	Final Destination	# People	# Days	# of Trips	# days at 100% Hotel per diem	# days at 100% M&IE per diem	# days at 75% M&IE per diem	Round Trip Airfare/ Trainfare per person	Total Airfare/ Trainfare $ per Trip	Hotel Per Diem Rate per person	Total Hotel Per Diem $ per trip	M&IE Per Diem Rate per person	100% M&IE Per Diem $	75% M&IE Per Diem $	Total M&IE Per Diem $ per trip	Car Rental dollars per day including Taxes & Fees	# of Cars (1-3 people per car)	Total Car rental $ per trip	Standard Personal Car Mileage Rate	Estimated Number of Round trip Miles per Car	# of Personal Cars	Total Mileage Rate Dollars	Conference Fees	Other Expenses (tolls, parking, rental gas, wi-fi)	TOTAL DIRECT DOLLARS PER TRIP	GRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
						0																						$ -

Phase I
	Purpose of Trip	Origin Destination	Final Destination	# People	# Days	# of Trips	# days at 100% Hotel per diem	# days at 100% M&IE per diem	# days at 75% M&IE per diem	Round Trip Airfare/ Trainfare per person	Total Airfare/ Trainfare $ per Trip	Hotel Per Diem Rate per person	Total Hotel Per Diem $ per trip	M&IE Per Diem Rate per person	100% M&IE Per Diem $	75% M&IE Per Diem $	Total M&IE Per Diem $ per trip	Car Rental dollars per day including Taxes & Fees	# of Cars (1-3 people per car)	Total Car rental $ per trip	Standard Personal Car Mileage Rate	Estimated Number of Round trip Miles per Car	# of Personal Cars	Total Mileage Rate Dollars	Conference Fees	Other Expenses (tolls, parking, rental gas, wi-fi)	TOTAL DIRECT DOLLARS PER TRIP	GRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
						0																						$ -

Phase I
	Purpose of Trip	Origin Destination	Final Destination	# People	# Days	# of Trips	# days at 100% Hotel per diem	# days at 100% M&IE per diem	# days at 75% M&IE per diem	Round Trip Airfare/ Trainfare per person	Total Airfare/ Trainfare $ per Trip	Hotel Per Diem Rate per person	Total Hotel Per Diem $ per trip	M&IE Per Diem Rate per person	100% M&IE Per Diem $	75% M&IE Per Diem $	Total M&IE Per Diem $ per trip	Car Rental dollars per day including Taxes & Fees	# of Cars (1-3 people per car)	Total Car rental $ per trip	Standard Personal Car Mileage Rate	Estimated Number of Round trip Miles per Car	# of Personal Cars	Total Mileage Rate Dollars	Conference Fees	Other Expenses (tolls, parking, rental gas, wi-fi)	TOTAL DIRECT DOLLARS PER TRIP	GRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
						0																						$ -
Travel Summary
Phase I Total	# of Trips	Total Cost
1	0	$ -
2	0	$ -
3	0	$ -
4	0	$ -
5	0	$ -
6	0	$ -
Phase I Total	0	$0

E. Travel Phase II Travel

Instructions: Enter travel details as appropriate below in the green cells.

Phase II
	Purpose of Trip	Origin Destination	Final Destination	# People	# Days	# of Trips	# days at 100% Hotel per diem	# days at 100% M&IE per diem	# days at 75% M&IE per diem	Round Trip Airfare/ Trainfare per person	Total Airfare/ Trainfare $ per Trip	Hotel Per Diem Rate per person	Total Hotel Per Diem $ per trip	M&IE Per Diem Rate per person	100% M&IE Per Diem $	75% M&IE Per Diem $	Total M&IE Per Diem $ per trip	Car Rental dollars per day including Taxes & Fees	# of Cars (1-3 people per car)	Total Car rental $ per trip	Standard Personal Car Mileage Rate	Estimated Number of Round trip Miles per Car	# of Personal Cars	Total Mileage Rate Dollars	Conference Fees	Other Expenses (tolls, parking, rental gas, wi-fi)	TOTAL DIRECT DOLLARS PER TRIP	GRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
						0																						$ -

Phase II
	Purpose of Trip	Origin Destination	Final Destination	# People	# Days	# of Trips	# days at 100% Hotel per diem	# days at 100% M&IE per diem	# days at 75% M&IE per diem	Round Trip Airfare/ Trainfare per person	Total Airfare/ Trainfare $ per Trip	Hotel Per Diem Rate per person	Total Hotel Per Diem $ per trip	M&IE Per Diem Rate per person	100% M&IE Per Diem $	75% M&IE Per Diem $	Total M&IE Per Diem $ per trip	Car Rental dollars per day including Taxes & Fees	# of Cars (1-3 people per car)	Total Car rental $ per trip	Standard Personal Car Mileage Rate	Estimated Number of Round trip Miles per Car	# of Personal Cars	Total Mileage Rate Dollars	Conference Fees	Other Expenses (tolls, parking, rental gas, wi-fi)	TOTAL DIRECT DOLLARS PER TRIP	GRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
						0																						$ -

Phase II
	Purpose of Trip	Origin Destination	Final Destination	# People	# Days	# of Trips	# days at 100% Hotel per diem	# days at 100% M&IE per diem	# days at 75% M&IE per diem	Round Trip Airfare/ Trainfare per person	Total Airfare/ Trainfare $ per Trip	Hotel Per Diem Rate per person	Total Hotel Per Diem $ per trip	M&IE Per Diem Rate per person	100% M&IE Per Diem $	75% M&IE Per Diem $	Total M&IE Per Diem $ per trip	Car Rental dollars per day including Taxes & Fees	# of Cars (1-3 people per car)	Total Car rental $ per trip	Standard Personal Car Mileage Rate	Estimated Number of Round trip Miles per Car	# of Personal Cars	Total Mileage Rate Dollars	Conference Fees	Other Expenses (tolls, parking, rental gas, wi-fi)	TOTAL DIRECT DOLLARS PER TRIP	GRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
						0																						$ -

Phase II
	Purpose of Trip	Origin Destination	Final Destination	# People	# Days	# of Trips	# days at 100% Hotel per diem	# days at 100% M&IE per diem	# days at 75% M&IE per diem	Round Trip Airfare/ Trainfare per person	Total Airfare/ Trainfare $ per Trip	Hotel Per Diem Rate per person	Total Hotel Per Diem $ per trip	M&IE Per Diem Rate per person	100% M&IE Per Diem $	75% M&IE Per Diem $	Total M&IE Per Diem $ per trip	Car Rental dollars per day including Taxes & Fees	# of Cars (1-3 people per car)	Total Car rental $ per trip	Standard Personal Car Mileage Rate	Estimated Number of Round trip Miles per Car	# of Personal Cars	Total Mileage Rate Dollars	Conference Fees	Other Expenses (tolls, parking, rental gas, wi-fi)	TOTAL DIRECT DOLLARS PER TRIP	GRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -
							0	0	0		$ - 0		$ - 0		$0.00	$0.00	$ - 0			$ - 0				$ - 0			$ -	$ -

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Mar 26, 2025.