Att15_NIH Form 2706.pdf

NIH Form PDF 70 KB Posted

Attached to
Quality Assessment Support for the National Institute of Environmental Health Sciences
Solicitation number
75N96025R00002
Issued by

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This document is an NIH Form 2706 - Financial Report of Individual Project/Contract. It provides a detailed financial reporting template for tracking costs and expenditures associated with a federal contract. The form includes line items for expenditure categories, percentage of effort, cumulative incurred costs, estimated costs to complete, negotiated contract amount, and cost variances.

The related federal contract opportunity is for "Quality Assessment Support for the National Institute of Environmental Health Sciences" under Solicitation Number 75N96025R00002. This is a civilian agency Request for Proposal (RFP) issued by the Department of Health and Human Services, National Institutes of Health, National Institute of Environmental Health Sciences. The RFP document and all related attachments contain the full details on the required products/services, proposal submission requirements, evaluation criteria, and other solicitation terms.

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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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