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A · As Necessary; within 5 calendar days after events.
F: Final; 90 calendar days after the performance of the effort ends.
Q . Quarterly; within 30 days after end of calendar quarter or portion thereof.
0 - One time after project starts; within 30 days after award.
X. Required with proposals or with the application or with significant planning changes.
y · Yearly: 30 days after the end of program year. (Financial Status Reports 90 days).
S · Semiannually; within 30 days aher end of program fiscal half year.

5. Special Instructions:

(SEE ATTACHED)

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6. Prepared by: (Signature and Date)

7. Reviewed by: (Signature and Date)

FEDERAL ASSISTANCE REPORTING CHECKLIST

PURPOSE

This form serves to identity plans and reports selected by DOE as reporting requirements for the Federal Assistance Program/Project.

INSTRUCTIONS

hem 1 - Enter the program /project identification number as it appears in the official award.
hem 2 Enter the program/project description as it appears in the official award.
hem 3 Enter the name of the recipient.
hem 4 Check spaces to indicate plans and reports selected. For each report checked, indi-

cate frequency of delivery in column provided using one of the frequency of deliv.
ery codes as shown, as well as the number of copies requested and to whom they
should be sent.
Federal Assistance Milestone Plan - presents, with the accompanying Milestone
Log, a schedule of the planned activity.
Federal Assistance Budget Information Form – presents the planned costs,
Federal Assistance Management Summary Report registers planned progress
and costs to actual progress and costs in a capsulized format.
Federal Assistance Program/Project Status Report periodically reports project
status, explains variances and problems, and discusses any other areas of concern
or achievements.
Financial Status Report, OMB Form 269 – presents the status of funds committed
to the project.
Notice of energy R&D Project - provides information on unclassified DOE RED
Project for dissemination to the scientific, technical, and industrial communties and
to the public. Also provides information to the Smithsonian Information Exchange
and to the DOE Technical Information Center.
Technical Progress Report - periodically reports progress and/or results of DOE
supported R&D and scientific projects covering a specific reporting period.
Topical Report presents the technical results of work performed on a specific
phase of a project.
Final Technical Report presents a technical accounting of the total work perform

ed on a project. Frequency Codes · Each code represents a specific reporting frequency (such as Quarterly ).

These time periods are suggested in the program announcement and negotiated at

the time of the award. Hem 5 – Identity any special reporting requirements or instructions not identified in Item 4.

(Use additional sheets as necessary.). hem 6 Signature of person preparing the checklist and the date prepared. Preparation is by

person responsible for program solicitation. hem 7 - Signature of the person reviewing the checklist and date reviewed.

ATTACHMENT FOR "FED ASSISTANCE REPORTING CHECKLIST"

5. Special Instructions

a.

Program/Project Management reporting will be by work break down

[blocks in formation]

b.

Technical reports sent to OSTI should be in the form of a

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Monitoring Plan Guidelines" for guidance) (0/1,2,1,1/ABCD).

2. Environmental Monitoring Plan (0/1,2,1,1/ABCD) (see 1 above).

3. Quarterly Environmental Monitoring Report (Q/1,2,1,1/ABCD) (see

1 above).

4.

Annual Environmental Monitoring Report (A/1,2,1,1/ABCD) (see 1

above).

5. Project Evaluation Plan (see Model Cooperative Agreement for

discussion) (0/1,2,1,1,/ABCF).

and end of Phase II /1,2,1,1/ABCF).

7. Preliminary Design Report (at end of Preliminary Design

11,2,1,1/A,B,C,D).

8. Final Design Report (after completion of Phase I

11,2,1,1/A,B,C,D).

9. Environmental Report (to be used in NE PA evaluation) (prior to

initiation of detail design /1,2,1,1/A,B,C,D).

10. Program Income/Revenue Report as described in Schedule Article

II, paragraph D to be submitted (by January 1 of each year/
1,1,1,1/A,B,C,F).

11. Federal Cash Transactions Report (SF-272) to be used for

Advanced Payment Only. (Frequency to be determined at time of award/1,1,/C,F).

12. Conference Papers (as necessary/1,1/A,B).

13. A11 Deliverable/reports Called for in the Statement of Work

shown in Attachment A. (Frequency is one-time only/1, 1/A,B).

d.

The final technical report and all deliverable/reports called for in the Statement of Work will be submitted in draft form. DOE will be given 30 days for review and comment. The Participant will incorporate the DOE comments and finalize the report within 15 days.

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