Attachment 3b. - ARPA-H COST PROPOSAL SPREADSHEET (Other Transaction).xlsx

XLSX spreadsheet 276 KB Posted

Attached to
Groundbreaking Lymphatic Interventions and Drug Exploration
Opportunity number
ARPA-H-SOL-24-111
Issued by

About this file

This document is an attachment containing a cost proposal spreadsheet for the ARPA-H GLIDE (Groundbreaking Lymphatic Interventions and Drug Exploration) program solicitation. The spreadsheet provides a template for proposers to input cost details for a base effort and two optional efforts. Key details include:

The spreadsheet contains tabs for entering labor rates, indirect rates/fees, materials and supplies, equipment, travel, other direct costs, consultants, and a summary of total costs. Proposers must enter data into green-filled cells, while yellow-filled cells will calculate and populate based on the entered data. The spreadsheet allows for up to six time periods per base and option effort. Total subcontractor costs can be entered, while full subcontractor proposals should be submitted separately. The solicitation is being issued by the Department of Health and Human Services' Advanced Research Projects Agency for Health (ARPA-H) under the ARPA-H grant program (CFDA 93.384).

Attachment 3b

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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 1ProposedCalculatedGovt PositionDeltaOption 1ProposedCalculatedGovt PositionDeltaNOTES
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 2ProposedCalculatedGovt PositionDeltaOption 2ProposedCalculatedGovt PositionDeltaNOTES
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 valuesLocked Cells
Green Fill = Value that is linked TO elsewhere - requires proposer data entryUnlocked 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
BasePeriod TypePeriod #Start DateEnd DateMonthsPhase
Calendar YearBase PoP
Academic Year
Summer
Fiscal Year

Total

Option 1Period TypePeriod #Start DateEnd DateMonths
Option 1 PoP

Total

Option 2Period TypePeriod #Start DateEnd DateMonths
Option 2 PoP

Total

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.

BASE LABOR 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

Option 1 LABOR 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

Option 2 LABOR 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

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.

BASEBasis of RateDocuments
Rate CategoryProposer'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
OPTION 1Basis of RateDocuments
Rate CategoryProposer's Indirect Rate Name
Fringe1f110.000%11.000%12.000%13.000%14.000%15.000%
Fringe2f220.000%21.000%22.000%23.000%24.000%25.000%
Fringe3f330.000%31.000%32.000%33.000%34.000%35.000%
Fringe4f440.000%41.000%42.000%43.000%44.000%45.000%
Overhead5oh150.000%51.000%52.000%53.000%54.000%55.000%
Overhead6oh260.000%61.000%62.000%63.000%64.000%65.000%
Material Handling7mh170.000%71.000%72.000%73.000%74.000%75.000%
Material Handling8mh280.000%81.000%82.000%83.000%84.000%85.000%
General and Adminstrative / Facilities and Adminstration9ga190.000%91.000%92.000%93.000%94.000%95.000%
General and Adminstrative / Facilities and Adminstration10ga2100.000%101.000%102.000%103.000%104.000%105.000%
Facilities Cost of Money 111fcm1110.000%111.000%112.000%113.000%114.000%115.000%
Facilities Cost of Money 212fcm2120.000%121.000%122.000%123.000%124.000%125.000%
Facilities Cost of Money 313fcm3130.000%131.000%132.000%133.000%134.000%135.000%
Facilities Cost of Money 414fcm4140.000%141.000%142.000%143.000%144.000%145.000%
Fee15Fee1.000%2.000%3.00%4.00%5.00%6.00%
OPTION 2Basis of RateDocuments
Rate CategoryProposer's Indirect Rate Name
Fringe16f110.000%11.000%12.000%13.000%14.000%15.000%
Fringe17f220.000%21.000%22.000%23.000%24.000%25.000%
Fringe18f330.000%31.000%32.000%33.000%34.000%35.000%
Fringe19f440.000%41.000%42.000%43.000%44.000%45.000%
Overhead20oh150.000%51.000%52.000%53.000%54.000%55.000%
Overhead21oh260.000%61.000%62.000%63.000%64.000%65.000%
Material Handling22mh170.000%71.000%72.000%73.000%74.000%75.000%
Material Handling23mh280.000%81.000%82.000%83.000%84.000%85.000%
General and Adminstrative / Facilities and Adminstration24ga190.000%91.000%92.000%93.000%94.000%95.000%
General and Adminstrative / Facilities and Adminstration25ga2100.000%101.000%102.000%103.000%104.000%105.000%
Facilities Cost of Money 126fcm1110.000%111.000%112.000%113.000%114.000%115.000%
Facilities Cost of Money 227fcm2120.000%121.000%122.000%123.000%124.000%125.000%
Facilities Cost of Money 328fcm3130.000%131.000%132.000%133.000%134.000%135.000%
Facilities Cost of Money 429fcm4140.000%141.000%142.000%143.000%144.000%145.000%
Fee30Fee1.000%2.000%3.00%4.00%5.00%6.00%

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.

ItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotes
1$0.001$0.001$0.001$0.001$0.001$0.00
2$0.002$0.002$0.002$0.002$0.002$0.00
3$0.003$0.003$0.003$0.003$0.003$0.00
4$0.004$0.004$0.004$0.004$0.004$0.00
5$0.005$0.005$0.005$0.005$0.005$0.00
6$0.006$0.006$0.006$0.006$0.006$0.00
7$0.007$0.007$0.007$0.007$0.007$0.00
8$0.008$0.008$0.008$0.008$0.008$0.00
9$0.009$0.009$0.009$0.009$0.009$0.00
10$0.0010$0.0010$0.0010$0.0010$0.0010$0.00
11$0.0011$0.0011$0.0011$0.0011$0.0011$0.00
12$0.0012$0.0012$0.0012$0.0012$0.0012$0.00
13$0.0013$0.0013$0.0013$0.0013$0.0013$0.00
14$0.0014$0.0014$0.0014$0.0014$0.0014$0.00
15$0.0015$0.0015$0.0015$0.0015$0.0015$0.00
16$0.0016$0.0016$0.0016$0.0016$0.0016$0.00
17$0.0017$0.0017$0.0017$0.0017$0.0017$0.00
18$0.0018$0.0018$0.0018$0.0018$0.0018$0.00
Total$0.00Total$0.00Total$0.00Total$0.00Total$0.00Total$0.00
ItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotes
1$0.001$0.001$0.001$0.001$0.001$0.00
2$0.002$0.002$0.002$0.002$0.002$0.00
3$0.003$0.003$0.003$0.003$0.003$0.00
4$0.004$0.004$0.004$0.004$0.004$0.00
5$0.005$0.005$0.005$0.005$0.005$0.00
6$0.006$0.006$0.006$0.006$0.006$0.00
7$0.007$0.007$0.007$0.007$0.007$0.00
8$0.008$0.008$0.008$0.008$0.008$0.00
9$0.009$0.009$0.009$0.009$0.009$0.00
10$0.0010$0.0010$0.0010$0.0010$0.0010$0.00
11$0.0011$0.0011$0.0011$0.0011$0.0011$0.00
12$0.0012$0.0012$0.0012$0.0012$0.0012$0.00
13$0.0013$0.0013$0.0013$0.0013$0.0013$0.00
14$0.0014$0.0014$0.0014$0.0014$0.0014$0.00
15$0.0015$0.0015$0.0015$0.0015$0.0015$0.00
16$0.0016$0.0016$0.0016$0.0016$0.0016$0.00
17$0.0017$0.0017$0.0017$0.0017$0.0017$0.00
18$0.0018$0.0018$0.0018$0.0018$0.0018$0.00
Total$0.00Total$0.00Total$0.00Total$0.00Total$0.00Total$0.00
ItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotes
1$0.001$0.001$0.001$0.001$0.001$0.00
2$0.002$0.002$0.002$0.002$0.002$0.00
3$0.003$0.003$0.003$0.003$0.003$0.00
4$0.004$0.004$0.004$0.004$0.004$0.00
5$0.005$0.005$0.005$0.005$0.005$0.00
6$0.006$0.006$0.006$0.006$0.006$0.00
7$0.007$0.007$0.007$0.007$0.007$0.00
8$0.008$0.008$0.008$0.008$0.008$0.00
9$0.009$0.009$0.009$0.009$0.009$0.00
10$0.0010$0.0010$0.0010$0.0010$0.0010$0.00
11$0.0011$0.0011$0.0011$0.0011$0.0011$0.00
12$0.0012$0.0012$0.0012$0.0012$0.0012$0.00
13$0.0013$0.0013$0.0013$0.0013$0.0013$0.00
14$0.0014$0.0014$0.0014$0.0014$0.0014$0.00
15$0.0015$0.0015$0.0015$0.0015$0.0015$0.00
16$0.0016$0.0016$0.0016$0.0016$0.0016$0.00
17$0.0017$0.0017$0.0017$0.0017$0.0017$0.00
18$0.0018$0.0018$0.0018$0.0018$0.0018$0.00
Total$0.00Total$0.00Total$0.00Total$0.00Total$0.00Total$0.00
TOTALS
Base Materials/SuppliesOption 1 Materials/SuppliesOption 2 Materials/Supplies
PeriodTotal CostPeriodTotal CostPeriodTotal Cost
101010
202020
303030
404040
505050
606060
Total0Total0Total0

D. Equipment Equipment

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

Item
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotes
1$0.001$0.001$0.001$0.001$0.001$0.00
2$0.002$0.002$0.002$0.002$0.002$0.00
3$0.003$0.003$0.003$0.003$0.003$0.00
4$0.004$0.004$0.004$0.004$0.004$0.00
5$0.005$0.005$0.005$0.005$0.005$0.00
6$0.006$0.006$0.006$0.006$0.006$0.00
7$0.007$0.007$0.007$0.007$0.007$0.00
8$0.008$0.008$0.008$0.008$0.008$0.00
9$0.009$0.009$0.009$0.009$0.009$0.00
10$0.0010$0.0010$0.0010$0.0010$0.0010$0.00
$0.00$0.00$0.00$0.00$0.00$0.00
Item
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotes
1$0.001$0.001$0.001$0.001$0.001$0.00
2$0.002$0.002$0.002$0.002$0.002$0.00
3$0.003$0.003$0.003$0.003$0.003$0.00
4$0.004$0.004$0.004$0.004$0.004$0.00
5$0.005$0.005$0.005$0.005$0.005$0.00
6$0.006$0.006$0.006$0.006$0.006$0.00
7$0.007$0.007$0.007$0.007$0.007$0.00
8$0.008$0.008$0.008$0.008$0.008$0.00
9$0.009$0.009$0.009$0.009$0.009$0.00
10$0.0010$0.0010$0.0010$0.0010$0.0010$0.00
$0.00$0.00$0.00$0.00$0.00$0.00
Item
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotes
1$0.001$0.001$0.001$0.001$0.001$0.00
2$0.002$0.002$0.002$0.002$0.002$0.00
3$0.003$0.003$0.003$0.003$0.003$0.00
4$0.004$0.004$0.004$0.004$0.004$0.00
5$0.005$0.005$0.005$0.005$0.005$0.00
6$0.006$0.006$0.006$0.006$0.006$0.00
7$0.007$0.007$0.007$0.007$0.007$0.00
8$0.008$0.008$0.008$0.008$0.008$0.00
9$0.009$0.009$0.009$0.009$0.009$0.00
10$0.0010$0.0010$0.0010$0.0010$0.0010$0.00
$0.00$0.00$0.00$0.00$0.00$0.00
TOTALS
Base EquipmentOption 1 EquipmentOption 2 Equipment
PeriodTotal CostPeriodTotal CostPeriodTotal Cost
1$01$01$0
2$02$02$0
3$03$03$0
4$04$04$0
5$05$05$0
6$06$06$0
Total$0Total$0Total$0

E. Travel Base Travel

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

Base Period 1
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Base Period 2
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Base Period 3
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Base Period 4
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Base Period 5
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Base Period 6
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Travel Summary
Base Total# of TripsTotal Cost
10$ -
20$ -
30$ -
40$ -
50$ -
60$ -
Base Total0$0

E. Travel Option 1 Travel

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

Option 1 Period 1
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Option 1 Period 2
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Option 1 Period 3
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Option 1 Period 4
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Option 1 Period 5
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Option 1 Period 6
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Travel Summary
Option 1# of TripsTotal Cost
10$ -
20$ -
30$ -
40$ -
50$ -
60$ -
Option 1 Total0$0

E. Travel Option 2 Travel

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

Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
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0$ -
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
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000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -

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