Retail Price Report - DTMO

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Retail Price Report - DTMO Powered By Docstoc
					                                    Per Diem, Travel and Transportation                                                 Duty Station
                                            Allowance Committee
                                                                                                                         Command
                                        Retail Price Schedule (RPS)
                                           Commissary & Exchange                                         Report Date (Date most data collected)
                                               RCS DD-P&R(AR)-2123

 Instructions
                                                              Completing the Report
  1. BEFORE beginning this report review the instructions in the Joint Federal Travel Regulations (JFTR), App M and the Retail Price
Schedule (RPS) Handbook.
 2. If there was a previous report, it should be used as a guide in preparing this report.
 3. For local outlets and stores, report the prices in the local currency; for commissary/exchange data, report the prices in US dollars.
 4. Price collectors should collect price data as if shopping for the typical uniformed member. The typical member is an E6 or O3 with ten
years of service and three dependents.
 5. Use the space provided to describe brand, quality, origin, or other pertinent details about the item.
 6. Report on each page of the schedule any retail sales taxes not included in the prices listed. (Specify the tax rate on each type of goods or
services.)
 7. List prevailing currency exchange rates available to Federal Government military personnel and the source:

       Report Exchange Rate:                                                     Source of Exchange Rate:


                                                              Submitting the Report
JFTR, App M reporting locations must forward the signed original first page of
                                                                                                Attach the completed report and e-mail to:
this report to:
    Defense Travel Management Office                                                                allowances@dtmo.pentagon.mil
    Strategic Planning and Policy Division, Allowances Branch
    4800 Mark Center Drive, Suite 04J25-01                                                                or FAX the report to:
    Alexandria, VA 22350-9000                                                               Commercial: 571-372-1301 or DSN: 312-372-1301


                              Report Responsibility                                                 Officer with Overall Responsibility
                                                                                  I hereby certify that the retail outlets selected for this report
Indicate below the signed concurrence of representatives of all U.S. Government are based on the current Living Pattern Survey (LPS) and
                   Military Commands affected by this report:                   that the report was prepared in accordance with instructions
                                                                                in the Retail Price Handbook. I also certify that the last LPS
          Command(s)                       Names of Representatives             was completed in full compliance with the instructions in
                                                                                JFTR, App M.
                                                                                    Name of Certifying Official (Printed or Typed)


                                                                                    Signature of Certifying Official


                                                                                    Title


                                                                                    POC Commercial Phone Number (incl Country Code)
            List the individuals responsible for price collection:
          Command(s)                      Names of Price Collectors                 POC Email Address



                                                                                    Date Price Collection Began (YYYY/MM/DD):
                                                                                    Date Completed (YYYY/MM/DD):



                                                                                                                                 Page 1 of 103
                                                                                                                         Revised February 2012

        Introduction
                       Page 2 of 103
               Revised February 2012

Introduction
                       Page 3 of 103
               Revised February 2012

Introduction
                                                  Category: Meat and Dairy


Category Tax Rate:
Subcategory: Beef
Is tax included in the No tax is included in   Quantity    Unit      Price   Description
    reported price?         the price.
Name of Most Frequently Used Store:
                      Typical
Beef
                      Substitute
Name of Second Most Used Store:
                      Typical
Beef
                      Substitute
Subcategory Comments:




Subcategory: Pork
Is tax included in the No tax is included in   Quantity    Unit      Price   Description
    reported price?         the price.
Name of Most Frequently Used Store:
                      Typical
Pork
                      Substitute
Name of Second Most Used Store:
                      Typical
Pork
                      Substitute
Subcategory Comments:




Subcategory: Lamb
Is tax included in the No tax is included in   Quantity    Unit      Price   Description
    reported price?         the price.
Name of Most Frequently Used Store:
                      Typical
Lamb
                      Substitute
Name of Second Most Used Store:
                      Typical
Lamb
                      Substitute
Subcategory Comments:




                                                                                      Page 4 of 103
       Part A Meat and Dairy
                                                  Category: Meat and Dairy


Subcategory: Seafood
Category Tax Rate:
Is tax included in the No tax is included in   Quantity    Unit      Price        Description
    reported price?         the price.
Name of Most Frequently Used Store:

Fresh Fish (uncooked Typical
filet; specify type) Substitute
                         Typical
Canned Tuna
                         Substitute
Name of Second Most Used Store:

Fresh Fish (uncooked Typical
filet; specify type) Substitute
                         Typical
Canned Tuna
                         Substitute
Subcategory Comments:




Subcategory: Poultry
Is tax included in the No tax is included in   Quantity    Unit      Price        Description
    reported price?         the price.
Name of Most Frequently Used Store:
                         Typical
Poultry
                         Substitute
Name of Second Most Used Store:
                         Typical
Poultry
                         Substitute
Subcategory Comments:




Subcategory: Dairy Products
Is tax included in the No tax is included in   Quantity    Unit      Price   Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                         Typical
Eggs
                         Substitute
Ice Cream (liter /       Typical
quart)                   Substitute
Cheese (natural, firm    Typical
to hard)                 Substitute




                                                                                           Page 5 of 103
          Part A Meat and Dairy
                                             Category: Meat and Dairy


Category Tax Rate:
Subcategory: Dairy Products (Continued)   Quantity    Unit      Price   Brand and Description


Name of Second Most Used Store:
                        Typical
Eggs
                        Substitute
Ice Cream (liter /      Typical
quart)                  Substitute
Cheese (natural, firm   Typical
to hard)                Substitute




                                                                                      Page 6 of 103
        Part A Meat and Dairy
                        Page 7 of 103
Part A Meat and Dairy
                        Page 8 of 103
Part A Meat and Dairy
                        Page 9 of 103
Part A Meat and Dairy
                        Page 10 of 103
Part A Meat and Dairy
                        Page 11 of 103
Part A Meat and Dairy
                        Page 12 of 103
Part A Meat and Dairy
                        Page 13 of 103
Part A Meat and Dairy
                        Page 14 of 103
Part A Meat and Dairy
                        Page 15 of 103
Part A Meat and Dairy
                                                     Category: Groceries


Category Tax Rate:
Subcategory: Milk
Is tax included in the No tax is included in   Quantity    Unit      Price   Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                       Typical
Fresh Milk
                       Substitute
Name of Second Most Used Store:
                       Typical
Fresh Milk
                       Substitute
Subcategory Comments:




Subcategory: Bread and Flour
Is tax included in the No tax is included in   Quantity    Unit      Price   Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                       Typical
White Bread (sliced)
                       Substitute

General Purpose        Typical
Flour                  Substitute
Name of Second Most Used Store:
                       Typical
White Bread (sliced)
                       Substitute

General Purpose        Typical
Flour                  Substitute
Subcategory Comments:




                                                                                          Page 16 of 103
       Part B Groceries
                                                     Category: Groceries


Subcategory: Cereal
Category Tax Rate:
Is tax included in the No tax is included in   Quantity    Unit      Price   Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
Breakfast Cereal      Typical
(ready-to-eat)        Substitute
Name of Second Most Used Store:

Breakfast Cereal      Typical
(ready-to-eat)        Substitute
Subcategory Comments:




Subcategory: Rice and Pasta
Is tax included in the No tax is included in   Quantity    Unit      Price   Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                      Typical
Regular Rice
                      Substitute
                      Typical
Pasta (Uncooked)
                      Substitute
Name of Second Most Used Store:
                      Typical
Regular Rice
                      Substitute
                      Typical
Pasta (Uncooked)
                      Substitute
Subcategory Comments:




                                                                                          Page 17 of 103
       Part B Groceries
                                                     Category: Groceries


Subcategory: Tea and Coffee
Category Tax Rate:
Is tax included in the No tax is included in   Quantity    Unit      Price   Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                         Typical
Tea
                         Substitute
                         Typical
Coffee (non-instant)
                         Substitute
                         Typical
Instant Coffee
                         Substitute
Name of Second Most Used Store:
                         Typical
Tea
                         Substitute
                         Typical
Coffee (non-instant)
                         Substitute
                         Typical
Instant Coffee
                         Substitute
Subcategory Comments:




Subcategory: Soft Drinks and Bottled
Water
                                               Quantity    Unit      Price   Brand and Description
Is tax included in the No tax is included in
    reported price?         the price.
Name of Most Frequently Used Store:
                         Typical
Carbonated Soft Drink
                         Substitute
                         Typical
Bottled Drinking Water
                         Substitute
Name of Second Most Used Store:
                         Typical
Carbonated Soft Drink
                         Substitute
                         Typical
Bottled Drinking Water
                         Substitute
Subcategory Comments:




                                                                                          Page 18 of 103
       Part B Groceries
                                                     Category: Groceries


Subcategory: Candy and Sugar
Category Tax Rate:
Is tax included in the No tax is included in   Quantity    Unit      Price   Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                      Typical
Candy Bar - Plain
                      Substitute
                      Typical
Granulated Sugar
                      Substitute
Name of Second Most Used Store:
                      Typical
Candy Bar - Plain
                      Substitute
                      Typical
Granulated Sugar
                      Substitute
Subcategory Comments:




Subcategory: Baby Food
Is tax included in the No tax is included in   Quantity    Unit      Price   Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:

Baby Food (excluding Typical
meat & cereal)       Substitute
Name of Second Most Used Store:
Baby Food (excluding Typical
meat & cereal)       Substitute
Subcategory Comments:




                                                                                          Page 19 of 103
       Part B Groceries
                                                     Category: Groceries


Subcategory: Fats
Category Tax Rate:
Is tax included in the No tax is included in   Quantity    Unit      Price   Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                      Typical
Cooking Oil
                      Substitute
                      Typical
Peanut Butter
                      Substitute
Name of Second Most Used Store:
                      Typical
Cooking Oil
                      Substitute
                      Typical
Peanut Butter
                      Substitute




                                                                                          Page 20 of 103
       Part B Groceries
                   Page 21 of 103
Part B Groceries
                   Page 22 of 103
Part B Groceries
                   Page 23 of 103
Part B Groceries
                   Page 24 of 103
Part B Groceries
                   Page 25 of 103
Part B Groceries
                   Page 26 of 103
Part B Groceries
                   Page 27 of 103
Part B Groceries
                   Page 28 of 103
Part B Groceries
                   Page 29 of 103
Part B Groceries
                   Page 30 of 103
Part B Groceries
                   Page 31 of 103
Part B Groceries
                   Page 32 of 103
Part B Groceries
                   Page 33 of 103
Part B Groceries
                   Page 34 of 103
Part B Groceries
                   Page 35 of 103
Part B Groceries
                                               Category: Alcohol and Tobacco


Category Tax Rate:
Subcategory: Wine
Is tax included in the No tax is included in    Quantity   Unit     Price      Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
Table Wine (no        Typical
premium brands)       Substitute
Name of Second Most Used Store:

Table Wine (no        Typical
premium brands)       Substitute
Subcategory Comments:




Subcategory: Whiskey
Is tax included in the No tax is included in    Quantity   Unit     Price      Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
Whiskey (no premium   Typical
brands)               Substitute
Name of Second Most Used Store:

Whiskey (no premium   Typical
brands)               Substitute
Subcategory Comments:




Subcategory: Beer
Is tax included in the No tax is included in    Quantity   Unit     Price      Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:

Beer (no premium      Typical
brands)               Substitute
Name of Second Most Used Store:

Beer (no premium      Typical
brands)               Substitute
Subcategory Comments:




                                                                                           Page 36 of 103
       Part C Alcohol and Tobacco
                                               Category: Alcohol and Tobacco


Subcategory: Cigarettes
Category Tax Rate:
Is tax included in the No tax is included in    Quantity   Unit     Price      Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:

Cigarettes (carton of   Typical
200)                    Substitute
Name of Second Most Used Store:

Cigarettes (carton of   Typical
200)                    Substitute
Subcategory Comments:




                                                                                           Page 37 of 103
        Part C Alcohol and Tobacco
                             Page 38 of 103
Part C Alcohol and Tobacco
                             Page 39 of 103
Part C Alcohol and Tobacco
                             Page 40 of 103
Part C Alcohol and Tobacco
                             Page 41 of 103
Part C Alcohol and Tobacco
                             Page 42 of 103
Part C Alcohol and Tobacco
                             Page 43 of 103
Part C Alcohol and Tobacco
                                               Category: Fruits and Vegetables


Category Tax Rate:
Subcategory: Fresh Fruit
Is tax included in the No tax is included in    Quantity    Unit     Price       Brand and Description
   reported price?          the price.
Name of Most Frequently Used Store:
Oranges
Lemons
Apples
Bananas
Pineapples, Fresh
Name of Second Most Used Store:
Oranges
Lemons
Apples
Bananas
Pineapples, Fresh
Subcategory Comments:




Subcategory: Canned Juice
Is tax included in the No tax is included in    Quantity    Unit     Price       Brand and Description
   reported price?          the price.
Name of Most Frequently Used Store:
Apple Juice
Orange Juice
Tomato Juice
Name of Second Most Used Store:
Apple Juice
Orange Juice
Tomato Juice
Subcategory Comments:




                                                                                              Page 44 of 103
         Part D Fruits and Vegetables
                                               Category: Fruits and Vegetables


Subcategory: Fresh Vegetables
Category Tax Rate:
Is tax included in the No tax is included in    Quantity    Unit     Price       Brand and Description
   reported price?          the price.
Name of Most Frequently Used Store:
Potatoes
Green Beans
Carrots
Eggplant
Lettuce
Onions
Squash
Tomatoes, fresh
Broccoli
Name of Second Most Used Store:
Potatoes
Green Beans
Carrots
Eggplant
Lettuce
Onions
Squash
Tomatoes, fresh
Broccoli
Subcategory Comments:




Subcategory: Canned Fruit
Is tax included in the No tax is included in    Quantity    Unit     Price       Brand and Description
   reported price?          the price.
Name of Most Frequently Used Store:
Peaches
Pineapples, canned
Pears
Name of Second Most Used Store:
Peaches
Pineapples, canned
Pears
Subcategory Comments:




                                                                                              Page 45 of 103
         Part D Fruits and Vegetables
                                               Category: Fruits and Vegetables


Subcategory: Canned Vegetables
Category Tax Rate:
Is tax included in the No tax is included in    Quantity    Unit     Price       Brand and Description
   reported price?          the price.
Name of Most Frequently Used Store:
String Beans, canned
Green Peas, canned
Corn
Tomatoes, canned
Name of Second Most Used Store:
String Beans, canned
Green Peas, canned
Corn
Tomatoes, canned
Subcategory Comments:




Subcategory: Frozen Vegetables
Is tax included in the No tax is included in    Quantity    Unit     Price       Brand and Description
   reported price?          the price.
Name of Most Frequently Used Store:
Spinach
String Beans, frozen
Green Peas, frozen
French Fries
Name of Second Most Used Store:
Spinach
String Beans, frozen
Green Peas, frozen
French Fries
Subcategory Comments:




                                                                                              Page 46 of 103
       Part D Fruits and Vegetables
                               Page 47 of 103
Part D Fruits and Vegetables
                               Page 48 of 103
Part D Fruits and Vegetables
                               Page 49 of 103
Part D Fruits and Vegetables
                               Page 50 of 103
Part D Fruits and Vegetables
                               Page 51 of 103
Part D Fruits and Vegetables
                               Page 52 of 103
Part D Fruits and Vegetables
                               Page 53 of 103
Part D Fruits and Vegetables
                               Page 54 of 103
Part D Fruits and Vegetables
                               Page 55 of 103
Part D Fruits and Vegetables
                                                      Category: Clothing


Category Tax Rate:
Subcategory: Men's Clothing
Is tax included in the   No tax is included   Price                        Brand and Description
   reported price?         in the price.
Name of Most Frequently Used Store:
                         Typical
Men's Dress Slacks
                         Substitute
                         Typical
Men's Dress Shirt
                         Substitute
                         Typical
Men's Dress Shoes
                         Substitute
Name of Second Most Used Store:
                         Typical
Men's Dress Slacks
                         Substitute
                         Typical
Men's Dress Shirt
                         Substitute
                         Typical
Men's Dress Shoes
                         Substitute
Subcategory Comments:




Subcategory: Women's Clothing
Is tax included in the   No tax is included   Price                        Brand and Description
   reported price?         in the price.
Name of Most Frequently Used Store:
                         Typical
Women's Dress Shirt
                         Substitute
                         Typical
Women's Dress Skirt
                         Substitute
                         Typical
Women's Dress Slacks
                         Substitute
Name of Second Most Used Store:
                         Typical
Women's Dress Shirt
                         Substitute
                         Typical
Women's Dress Skirt
                         Substitute
                         Typical
Women's Dress Slacks
                         Substitute
Subcategory Comments:




                                                                                                   Page 56 of 103
  Part E Clothing
                                                      Category: Clothing


Subcategory: Children's Clothing
Category Tax Rate:
Is tax included in the   No tax is included   Price                        Brand and Description
   reported price?         in the price.
Name of Most Frequently Used Store:
                         Typical
Children's Jeans
                         Substitute

Children's Athletic      Typical
Shoes                    Substitute
Name of Second Most Used Store:
                         Typical
Children's Jeans
                         Substitute

Children's Athletic      Typical
Shoes                    Substitute
Subcategory Comments:




                                                                                                   Page 57 of 103
   Part E Clothing
                  Page 58 of 103
Part E Clothing
                  Page 59 of 103
Part E Clothing
                  Page 60 of 103
Part E Clothing
                  Page 61 of 103
Part E Clothing
                                                 Category: Personal Care


Category Tax Rate:
Subcategory: Toiletries
Is tax included in the No tax is included in   Quantity   Unit     Price   Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                        Typical
Toothpaste
                        Substitute

Razor Blades (pkg of 5- Typical
10 twin blades)         Substitute
                        Typical
Sanitary Napkins
                        Substitute
                        Typical
Shampoo
                        Substitute
Name of Second Most Used Store:
                        Typical
Toothpaste
                        Substitute

Razor Blades (pkg of 5- Typical
10 twin blades)         Substitute
                        Typical
Sanitary Napkins
                        Substitute
                        Typical
Shampoo
                        Substitute
Subcategory Comments:




Subcategory: Medicine
Is tax included in the No tax is included in   Quantity   Unit     Price   Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:

Pain Reliever (325 mg Typical
strength)             Substitute
                        Typical
Adult Multi-Vitamins
                        Substitute
                        Typical
Children's Vitamins
                        Substitute
Name of Second Most Used Store:

Pain Reliever (325 mg Typical
strength)             Substitute
                        Typical
Adult Multi-Vitamins
                        Substitute
                        Typical
Children's Vitamins
                        Substitute
Subcategory Comments:




                                                                                                   Page 62 of 103
          Part F Personal Care
                                                Category: Personal Care


Subcategory: Laundry and Dry Cleaner
Category Tax Rate:
Is tax included in the No tax is included in   Price                      Description
    reported price?         the price.
Name of Most Frequently Used Laundry and Dry Cleaner:
Launder Men's Shirt
Dry Clean Men's Slacks
Name of Second Most Used Laundry and Dry Cleaner:
Launder Men's Shirt
Dry Clean Men's Slacks
Subcategory Comments:




Special Arrangements for Government Employees:
Name of Laundry and Dry Cleaner:
Launder Men's Shirt
Dry Clean Men's Slacks
Subcategory Comments:




                                                                                        Page 63 of 103
          Part F Personal Care
                                                   Category: Personal Care


Subcategory: Hair Services
Category Tax Rate:
                                                  Price
Is tax included in the No tax is included in                 Tip %           Description
                                               Without Tip
    reported price?         the price.
Name of Most Frequently Used Barber Shop or Salon:
Men's Regular Haircut
Women's Shampoo, Haircut & Blow Dry
Women's Permanent
Child's Haircut
Name of Second Most Used Barber Shop or Salon:
Men's Regular Haircut
Women's Shampoo, Haircut & Blow Dry
Women's Permanent
Child's Haircut
Subcategory Comments:




Special Arrangements for Government Employees:
Name of Barber Shop or Salon:
Men's Regular Haircut
Women's Shampoo, Haircut & Blow Dry
Womens Permanent
Child's Haircut
Subcategory Comments:




                                                                                           Page 64 of 103
           Part F Personal Care
                       Page 65 of 103
Part F Personal Care
                       Page 66 of 103
Part F Personal Care
                       Page 67 of 103
Part F Personal Care
                       Page 68 of 103
Part F Personal Care
                       Page 69 of 103
Part F Personal Care
                       Page 70 of 103
Part F Personal Care
                                   Category: Household Furnishings and Supplies


Category Tax Rate:
Subcategory: Household Appliances
Is tax included in the No tax is included in       Price           Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                      Typical
Microwave
                      Substitute
                      Typical
Two-slice Toaster
                      Substitute
                      Typical
Coffee Maker
                      Substitute
Name of Second Most Used Store:
                      Typical
Microwave
                      Substitute
                      Typical
Two-slice Toaster
                      Substitute
                      Typical
Coffee Maker
                      Substitute
Subcategory Comments:




Subcategory: Washing Machine
Is tax included in the No tax is included in       Price           Brand and Desription
    reported price?         the price.
Name of Most Frequently Used Store:
                      Typical
Washing Machine
                      Substitute
Name of Second Most Used Store:
                      Typical
Washing Machine
                      Substitute
Subcategory Comments:




                                                                                           Page 71 of 103
       Part G Household Furnishings and Supplies
                                   Category: Household Furnishings and Supplies


Subcategory: Personal Computer
Category Tax Rate:
Supplies
                                               Quantity   Unit   Price         Brand Desription
Is tax included in the No tax is included in
    reported price?         the price.
Name of Most Frequently Used Store:
                      Typical
Black Ink Cartridge
                      Substitute

Printer Paper (500    Typical
sheets)               Substitute

Blank DVD R/W (pkg. Typical
of 5 DVDs)          Substitute
Name of Second Most Used Store:
                      Typical
Black Ink Cartridge
                      Substitute

Printer Paper (500    Typical
sheets)               Substitute

Blank DVD R/W (pkg. Typical
of 5 DVDs)          Substitute
Subcategory Comments:




Subcategory: Consumables
Is tax included in the No tax is included in   Quantity   Unit   Price       Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                      Typical
Laundry Detergent
                      Substitute
                      Typical
Disposable Diapers
                      Substitute
Name of Second Most Used Store:
                      Typical
Laundry Detergent
                      Substitute
                      Typical
Disposable Diapers
                      Substitute
Subcategory Comments:




                                                                                          Page 72 of 103
       Part G Household Furnishings and Supplies
                                    Category: Household Furnishings and Supplies


Category Tax Rate:
Subcategory: Residential Telephone                                                   Cost for Each
                                                              No. of Local Calls                     Length of
Is tax included in the No tax is included in       Cost                               Additional                          Description
                                                              Incl in Fixed Cost                     Local Call
    reported price?         the price.                                                Local Call

Cost for Local
Telephone Service

Fixed cost is for which type of service?




Subcategory: Cellular Telephone                                                      Cost for Each
                                                              No. of Calls Incl in
Is tax included in the No tax is included in       Cost                               Additional                   Description
                                                                  Fixed Cost
    reported price?         the price.                                                   Call
Cost for 1-month
Cellular Phone
Service
Subcategory Comments:




Note: Report monthly, bi-monthly, or quarterly service fee in the fixed price column. In the second column, report the number of local calls,
if any, included in the service fee or state if zero. If none are included in the service fee, report cost of local telephone call in the third
column. Provide length of call in the fourth column. If price varies by time of day, report both day and evening rates.
Subcategory: Long Distance
                                                Cost of One Three Minute Call
Is tax included in the No tax is included in                                                                Description
                                                     to Wasnington, DC
    reported price?         the price.
Long distance charge
(indicate if price varies throughout the day)
Subcategory Comments:




Subcategory: Internet Service
Is tax included in the No tax is included in              Monthly Cost                                      Description
    reported price?         the price.
Monthly Internet fee (DSL)
Monthly Internet fee (Dial Up)
Subcategory Comments:




                                                                                                                           Page 73 of 103
       Part G Household Furnishings and Supplies
                                            Page 74 of 103
Part G Household Furnishings and Supplies
                                            Page 75 of 103
Part G Household Furnishings and Supplies
                                            Page 76 of 103
Part G Household Furnishings and Supplies
                                            Page 77 of 103
Part G Household Furnishings and Supplies
                                            Page 78 of 103
Part G Household Furnishings and Supplies
                                            Page 79 of 103
Part G Household Furnishings and Supplies
                                            Page 80 of 103
Part G Household Furnishings and Supplies
                                            Page 81 of 103
Part G Household Furnishings and Supplies
                                            Page 82 of 103
Part G Household Furnishings and Supplies
                                                  Category: Recreation


Category Tax Rate:
Subcategory: Audio Visual Supplies
Is tax included in the No tax is included in   Price                     Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                        Typical
Blu-Ray Player
                        Substitute
                        Typical
Audio CD
                        Substitute
Digital Music           Typical
Download                Substitute
                        Typical
Blu-Ray Disc
                        Substitute
Name of Second Most Used Store:
                        Typical
Blu-Ray Player
                        Substitute
                        Typical
Audio CD
                        Substitute
Digital Music           Typical
Download                Substitute
                        Typical
Blu-Ray Disc
                        Substitute
Subcategory Comments:




Subcategory: Photographic Supplies
Is tax included in the No tax is included in   Price                     Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:

Digital Film Processing Typical
(single print 4 x 6)    Substitute
                        Typical
Micro SD Card (4 GB)
                        Substitute
Name of Second Most Used Store:

Digital Film Processing Typical
(single print 4 x 6)    Substitute
                        Typical
Micro SD Card (4 GB)
                        Substitute
Subcategory Comments:




                                                                                                 Page 83 of 103
    Part I Recreation
                                                  Category: Recreation


Subcategory: Reading Material
Category Tax Rate:
Is tax included in the No tax is included in   Price                     Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                        Typical
Paperback Book
                        Substitute
                        Typical
Electronic Book
                        Substitute
                        Typical
Daily Newspaper
                        Substitute

Weekly News             Typical
Magazine                Substitute
Name of Second Most Used Store:
                        Typical
Paperback Book
                        Substitute
                        Typical
Electronic Book
                        Substitute
                        Typical
Daily Newspaper
                        Substitute

Weekly News             Typical
Magazine                Substitute
Subcategory Comments:




Subcategory: Recreational Equipment
Is tax included in the No tax is included in   Price                     Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                        Typical
Bicycle
                        Substitute
                        Typical
Soccer Ball
                        Substitute
Name of Second Most Used Store:
                        Typical
Bicycle
                        Substitute
                        Typical
Soccer Ball
                        Substitute
Subcategory Comments:




                                                                                                 Page 84 of 103
    Part I Recreation
                                                         Category: Recreation


Subcategory: Recreational Activities
Category Tax Rate:
Is tax included in the No tax is included in                    Price           Outlet and Location
    reported price?         the price.
Most Frequently Used:
                                               Typical
                        Matinee
                                               Economy
Movie Theater
                                               Typical
                        Evening
                                               Economy
                                               Typical
                        Matinee
                                               Economy
Performing Arts
                                               Typical
                        Evening
                                               Economy
                                               Typical
                        Afternoon
                                               Economy
Sports Events
                                               Typical
                        Evening
                                               Economy
Subcategory Comments:




Special Arrangements for Government Employees:
                                               Typical
                        Matinee
                                               Economy
Movie Theater
                                               Typical
                        Evening
                                               Economy
                                               Typical
                        Matinee
                                               Economy
Performing Arts
                                               Typical
                        Evening
                                               Economy
                                               Typical
                        Afternoon
                                               Economy
Sports Events
                                               Typical
                        Evening
                                               Economy
Subcategory Comments:




                                                                                                      Page 85 of 103
    Part I Recreation
                                                    Category: Recreation


Subcategory: Pet Food
Category Tax Rate:
Is tax included in the No tax is included in   Quantity    Unit      Price   Brand and Description
    reported price?         the price.
Name of Most Frequently Used Store:
                        Typical
Cat Food (bag)
                        Substitute
                        Typical
Dog Food (bag)
                        Substitute
Name of Second Most Used Store:
                        Typical
Cat Food (bag)
                        Substitute
                        Typical
Dog Food (bag)
                        Substitute
Subcategory Comments:




                                                                                            Page 86 of 103
    Part I Recreation
                    Page 87 of 103
Part I Recreation
                    Page 88 of 103
Part I Recreation
                    Page 89 of 103
Part I Recreation
                    Page 90 of 103
Part I Recreation
                                            Category: Public Transportation


Subcategory: Taxi                            Distance    Unit     Price       Tip %          Description

Name of Most Frequently Used Taxi Company:
Approx. 1.25 miles or 2 km
Subcategory Comments:




Subcategory: Municpal Bus                    Distance    Unit     Price               Description

This is the local city bus, if available.
Subcategory Comments:




Subcategory: Subway                          Distance    Unit     Price               Description

This is the local subway, if available.
Subcategory Comments:




                                                                                             Page 91 of 103
        Part J Public Transportation
                               Page 92 of 103
Part J Public Transportation
                               Page 93 of 103
Part J Public Transportation
                               Page 94 of 103
Part J Public Transportation
                                          Category: Personally Owned Vehicle


Category Tax Rate:
Subcategory: Auto Maintenance
Is tax included in the No tax is included in     Price                                           Description
    reported price?         the price.
Name of Most Frequently Used Service Station:
Oil Change (Labor, 5 Qts Oil, & Filter)
30,000-Mile Car Inspection
Labor Charge per Hour
Name of Second Most Used Service Station:
Oil Change (Labor, 5 Qts Oil, & Filter)
30,000-Mile Car Inspection
Labor Charge per Hour
Subcategory Comments:




Special Arrangements for Government Employees:
Service Station Name:
Oil Change (Labor, 5 Qts Oil, & Filter)
30,000-Mile Car Inspection
Labor Charge per Hour
Subcategory Comments:




Subcategory: Auto Fuel
Is tax included in the No tax is included in   Quantity            Unit             Price                      Description
    reported price?         the price.
Name of Most Frequently Used LOCAL Service Station:
                        Regular Octane
Gasoline                Medium Octane
                        High Octane
                                          In spaces above, report full local retail price for gasoline.
Duty-Free or Special Arrangements
Service Station Name:
                        Regular Octane
Gasoline                Medium Octane
                        High Octane
    In spaces above, report price of gasoline obtained duty-free with coupons or a tax refund program at a local station. If coupons are
                           purchased in US dollars report the price in dollars and explain in comments section.
Percentage of duty-station personnel eligible to purchase duty-free gasoline, through any means:                                      %
Subcategory Comments:




                                                                                                                             Page 95 of 103
  Part K Personally Owned Vehicle
                                             Category: Personally Owned Vehicle


Subcategory: Auto Tire
Category Tax Rate:
Is tax included in the No tax is included in        Quantity             Unit         Price                         Description
    reported price?         the price.
Name of Most Frequently Used Store:
                         Typical
Radial Tires
                         Substitute
Name of Second Most Used Store:
                         Typical
Radial Tires
                         Substitute
Subcategory Comments:




Subcategory: Auto Insurance                  Report the annual premium cost for All Inclusive / All Risk Coverage (the total for liability,
Is tax included in the No tax is included in collision, and comprehensive). Report the cost for a 25 year old married, male driver, with
    reported price?         the price.       good driving record insuring a two year old vehicle, e.g. Ford Taurus.
Most Frequently Used Insurance Company: N/A (SEE LOCAL RPS)

Cost of ANNUAL All Inclusive Insurance Premium

Is locally purchased liability insurance required by host-country law?
If employees typically purchase additional insurance from a U.S. based or off-shore company, explain and report the price below in the Comments
section.
Cost for any additional required insurance not reported above:
Subcategory Comments:




                                                                                                                                  Page 96 of 103
  Part K Personally Owned Vehicle
                                  Page 97 of 103
Part K Personally Owned Vehicle
                                  Page 98 of 103
Part K Personally Owned Vehicle
                                  Page 99 of 103
Part K Personally Owned Vehicle
                                  Page 100 of 103
Part K Personally Owned Vehicle
                                      Category: Childcare and Household Help


                                               Hourly        Five Day
Subcategory: Childcare                                                                            Description
                                               Wages        Weekly Rate
Most Frequently Used:
Childcare outside the home
Childcare in the home of the parent
Subcategory Comments:




                                                Base
                                                          Social Security
Subcategory: Household Help                    Hourly                                             Description
                                                               Tax
                                               Wage
Household Help
Avg. number of hours worked per week:

Household Help is necessary for (select yes/no for all applicable blocks):
Security                                     Shopping / Food Preparation
                                             Extra Cleaning / Laundry due
Language
                                             to Climate
Other (Explain in Comments Section)
Justification for Household Help. Explain fully why each type of domestic help listed above is needed at the post. Use additional
pages if necessary.




General Comments (Use addiitonal pages if necessary):




                                                                                                                            Page 101 of 103
       Part L Childcare and Household Help
                                      Page 102 of 103
Part L Childcare and Household Help
                                      Page 103 of 103
Part L Childcare and Household Help

				
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