Att16_NIH2706.pdf

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Attached to
Pathology Support for the National Institute of Environmental Health Sciences
Solicitation number
75N96025R0003
Issued by

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This is NIH Form 2706, a Financial Report of Individual Project/Contract template used by the National Institutes of Health to track project/contract expenditures. The blank form contains columns for tracking percentage of effort/hours (both negotiated and actual), cumulative incurred costs from prior periods, current period costs, cumulative costs to date, estimated costs to complete, estimated costs at completion, and variance calculations. The form is associated with solicitation 75N96025R0003 for Pathology Support services at the National Institute of Environmental Health Sciences. As this is a blank template form, it does not contain any actual financial data or specific contract details.

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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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