Attachment 12_NIH2706.pdf

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Attached to
75N93025R00013 - Medical Residents for NIH's Clinical Center
Solicitation number
75N93025R00013
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About this file

This document is an NIH Form 2706, a Financial Report of Individual Project/Contract template used to track project expenditures, costs, and contract financial performance. The form is designed to capture detailed financial information across multiple categories, including cumulative incurred costs, current period costs, estimated costs to complete, and contract variance. While the specific solicitation relates to Medical Residents for NIH's Clinical Center (Solicitation Number 75N93025R00013), this particular document appears to be a blank financial reporting template without completed contract-specific details. The form is issued by the National Institutes of Health and is used for tracking and reporting financial progress on federal contracts, with provisions for documenting percentage of effort, hours worked, and financial performance against negotiated contract amounts.

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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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