Attachment_3_MLSR_Template.docx

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Attached to
Technical Assistance for Commercial Nuclear Power Plant Probabilistic Risk Assessment (PRA) Tasks
Solicitation number
NRC-HQ-60-15-R-0012
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Attachment 3 MLSR Template

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Attachment #3

MONTHLY LETTER STATUS REPORT-TEMPLATE

Reporting Period Start Date

Reporting Period End Date

NRC Contract Number

Order Number (if applicable)

Contract/Order Title

Period of Performance Start Date:

Period of Performance End Date:

Contracting Officer’s Representative (COR)

COR Telephone
COR E-mail

Contractor Name

Contractor Complete Address (Street, City , State, and Zip Code)

Contract Project Manager(s)/Contractor Lead Reviewer

Telephone
E-mail

PROVIDE THE INFORMATION REQUESTED IN EACH OF THE FOLLOWING SECTIONS IF APPLICABLE (Please insert N/A beside items that are not applicable)

FINANCIAL STATUS

A. Overall Funding:

1.
Total Ceiling Amount
$
2.
Total Amount of Funds Obligated to Date
$
3.
Total Amount Invoiced - This Period
$
4.
Total Amount Invoiced - Cumulative Amount to Date
$
5.
Total Amount of Funds Expended to Date (Based on Obligated Funds)
$
6.
Percentage of Funds Expended to Date (Based on Obligated Funds)
____%
7.
Balance of Obligated Funds Remaining (Based on Invoiced Amounts)
$
8.
Total Amount/Costs Incurred (Invoiced amounts & amounts not yet invoiced—e.g. pending; outstanding to subcontractor)
$
9.
Balance of Obligated Funds Remaining after Deducting Total Incurred Amounts/Costs
$
10.
Balance of Funds Required for Completion
$

B. Contractor Acquired Property:

Item*
Description
Manufacturer
Model Number
Serial Number
Acquisition Cost ($)
Receipt Date
Property Identification Number

*Asterisk represents sensitive item

C. NRC-Funded Software Developed:

Name*
Function
Development Cost ($)
Computer Language Used
Operating System
Location of System
Date Software Completed
Date of Scheduled Replacement/

Useful Life

*Asterisk represents sensitive software

TECHNICAL STATUS

A. Deliverables/Milestones Schedule:

(Any variance in schedule shall be identified and discussed in detail. Discussion shall include the cause for the variance, together with any proposed solution to bring the dates within the original planned dates.)

Task/Subtask
Description
Planned Completion Date
Revised Completion Date (if applicable)
Actual Completion Date

B. Progress During Reporting Period: ___________________________________________

C. Travel for this Period:

Staff
Purpose of Travel
NRC Authorization Required/

Obtained*

Start Date
End

Date Destination/Activity

*Include name of NRC authorizing official and date authorization was obtained.

D. Anticipated and Encountered Problem Areas: __________________________________

E. Plans for the Next Reporting Period: ___________________________________________

F. Staff Hours Summary:

Task/Subtask/Phase
Staff Assigned
Hours Budgeted
Hours Expended This Reporting Period
Total Cumulative Hours Expended
Notes

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