J.1.(b).5 Contract Facilities Capital Cost of Money (DD Form 1861) .pdf

PDF 43 KB Posted

Attached to
Aircraft and Spaceflight Systems Engineering Support Services (ASSESS) Federal contract opportunity
Solicitation number
80ARC023R0006
Issued by
National Aeronautics and Space Administration Ames Research Center

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PREVIOUS EDITION IS OBSOLETE.

DD FORM 1861, AUG 2004

CONTRACT FACILITIES CAPITAL COST OF MONEY

The public reporting burden for this collection of information is estimated to average 10 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0267). Respondents should be aware that notwishstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

RETURN COMPLETED FORM TO YOUR CONTRACTING OFFICIAL.

1. CONTRACTOR NAME

2. BUSINESS NAME

3. CONTRACTOR ADDRESS

4. RFP/CONTRACT PIIN NUMBER 5. PERFORMANCE PERIOD

6. DISTRIBUTION OF FACILITIES CAPITAL COST OF MONEY

POOL

a.

ALLOCATION BASE

b.

FACILITIES CAPITAL COST OF MONEY

c.

FACTOR

(1)

AMOUNT

(2)

d. TOTAL

e. TREASURY RATE

f. FACILITIES CAPITAL EMPLOYED (TOTAL DIVIDED BY TREASURY RATE)

7. DISTRIBUTION OF FACILITIES CAPITAL EMPLOYED

PERCENTAGE (%)

a.

AMOUNT

b.

(1) LAND

(2) BUILDINGS

(3) EQUIPMENT

(4) FACILITIES CAPITAL EMPLOYED

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

DD FORM 1861, AUG 2004

CONTRACT FACILITIES CAPITAL COST OF MONEY

The public reporting burden for this collection of information is estimated to average 10 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0267). Respondents should be aware that notwishstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

RETURN COMPLETED FORM TO YOUR CONTRACTING OFFICIAL.

6. DISTRIBUTION OF FACILITIES CAPITAL COST OF MONEY

POOL a.

ALLOCATION BASE b.

FACILITIES CAPITAL COST OF MONEY c.

FACTOR (1)

AMOUNT (2)

d. TOTAL

e. TREASURY RATE

f. FACILITIES CAPITAL EMPLOYED (TOTAL DIVIDED BY TREASURY RATE)

7. DISTRIBUTION OF FACILITIES CAPITAL EMPLOYED

PERCENTAGE (%) a.

AMOUNT b.

(1) LAND

(2) BUILDINGS

(3) EQUIPMENT

(4) FACILITIES CAPITAL EMPLOYED

9.0.0.2.20120627.2.874785 DD 1861, "Contract Facilities Capital Cost of Money"

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