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									ARRA 1512 Preparer Checklist                                                                                                                                 V1 10/01/2009

                                                                              ARRA 1512 PREPARER'S CHECK LIST
                                                                                        Prime Recipient


   Data
                                                     Data Element Name
 Element         Date / Initials of Preparer                                                        Preparer Activity                             Comments
                                                     and Icon Description
   Nbr
                                                                                       Reporting Information
     1                                         Award Type                   Valid entries include Grant or Loan. Include a copy of the
                                                                            award document in workpapers. Award type on document
                                                                            should reference data element number.
     2                                         Award Number                 Enter award number from award document. (Please note that
                                                                            this field is case, space, and special character sensitive.) Verify
                                                                            using the Merlin Report: Lead Agency Recipients - Revenue.
                                                                            Include a copy of this report in workpapers. Award number on
                                                                            document should reference data element number.

     3                                         Final Report                 Valid entries include Y or N. Procedures should be in place to
                                                                            determine if this is a final report. These procedures should be
                                                                            consistent with established agency policies. Documentation of
                                                                            agency policy should be included in workpapers along with
                                                                            supporting documentation verifying that this is a final report.

                                                                                  Award Recipient Information
     4                                         Recipient DUNS Number        Enter the Data Universal Numbering System (DUNS) number
                                                                            from the award document. DUNS number on document should
                                                                            reference data element number.
     5                                         Recipient Account Number     This is an optional field. To be used by agencies that have
                                                                            developed their own recipient account number. Supporting
                                                                            documentation should be included in workpapers.

     6                                         Recipient Congressional      Identify the Congressional District receiving the most benefit. If
                                               District                     no single district can be identified as receiving the most benefit,
                                                                            the district that agrees to your DUNS number location shall be
                                                                            used. Provide support in workpapers for the district entered.

                                                                                       Award Information
     7                                         Funding Agency Code          Enter funding agency code from award document. Verify using
                                                                            the Merlin Report: Lead Agency Recipients - Revenue.
                                                                            Include a copy of this report in workpapers. Funding agency
                                                                            code on document should reference data element number.


     8                                         Awarding Agency Code         Enter awarding agency code from award document. (In most
                                                                            instances, will be the same as Funding Agency Code. If
                                                                            different, it will represent the code of the Federal Agency that
                                                                            awarded and administers the award on behalf of the Funding
                                                                            Agency.) Verify using the Merlin Report: Lead Agency
                                                                            Recipients - Revenue. Awarding agency code on document
                                                                            should reference data element number.




                                                                                                                                                              1 of 10 Pages
ARRA 1512 Preparer Checklist                                                                                                                                 V1 10/01/2009

   Data
                                                     Data Element Name
 Element         Date / Initials of Preparer                                                          Preparer Activity                           Comments
                                                     and Icon Description
   Nbr
     9                                         Award Date                                date that Information
                                                                               Enter theReportingthe award is signed. (Use the following
                                                                               format: DD/MM/YYYY.) Award date on document should
                                                                               reference data element number.
    10                                         Amount of Award                 Enter award amount from award document. (Represents the
                                                                               amount of Federal Dollars on grant awards, or the Face Value
                                                                               on loans.) Include a copy of this report in workpapers. Award
                                                                               amount on document should reference data element number.

    11                                         CFDA Number                     Enter the CFDA number from the award document. (It should
                                                                               be entered in ##.### format.) Verify using the Merlin Report:
                                                                               Lead Agency Recipients - Revenue. CFDA number on
                                                                               document should reference data element number.

    12                                         Program Source (TAS)            Enter the program source (TAS) provided by the federal
                                                                               awarding agency. Include the communication from the federal
                                                                               funding agency indicating program source (TAS) in workpapers.
                                                                               Program source (TAS) on communication should reference
                                                                               data element number.
    13                                         Sub Account Number for          This field is optional. If data element is used provide
                                               Program Source (TAS)            supporting documentation in workpapers.


    14                                         Total Number of Sub-awards to   Enter the total number of sub-awards to individuals. Reconcile
                                               individuals                     the total number of sub-award to the agency's financial records.
                                                                               Include documentation in workpapers. This data element is
                                                                               typically left blank. Recipients should contact the
                                                                               appropriate program office if they believe any of its ARRA
                                                                               grants (including SFSF) should be awarded as subawards
                                                                               to individuals.


    15                                         Total Amount of Sub-awards to   Enter the total amount of sub-awards to individuals. Reconcile
                                               Individuals                     the total amount of sub-award to the agency's financial records.
                                                                               Include documentation in workpapers. This data element is
                                                                               typically left blank. Recipients should contact the
                                                                               appropriate program office if they believe any of its ARRA
                                                                               grants (including SFSF) should be awarded as subawards
                                                                               to individuals.


    16                                         Total Number of payments to     Enter the number of payments to vendors less than
                                               vendors less than $25K/award    $25K/award. Verify using the Merlin Report: Lead Agency
                                                                               Recipients – Vendor Expenditure by Grant. Reconcile the
                                                                               total number of payments to the agency's financial records.
                                                                               Include documentation in workpapers.




                                                                                                                                                              2 of 10 Pages
ARRA 1512 Preparer Checklist                                                                                                                                    V1 10/01/2009

   Data
                                                     Data Element Name
 Element         Date / Initials of Preparer                                                             Preparer Activity                           Comments
                                                     and Icon Description
   Nbr
    17                                         Total Amount of payments to        Enter theReporting Information to vendors less than
                                                                                            total amount of payments
                                               vendors less than $25K/award       $25K/award. Verify using the Merlin Report: Lead Agency
                                                                                  Recipients – Vendor Expenditure by Grant. Reconcile the
                                                                                  total number of payments to the agency's financial records.
                                                                                  Include documentation in workpapers.
    18                                         Total Number of Sub-awards less Enter the number of sub-awards less than $25K/award matches
                                               than $25K/award                 the provided information. Reconcile the total number of
                                                                               payments to the agency's financial records. Include
                                                                               documentation in workpapers.
    19                                         Total Amount of Sub-awards less Enter the amount of sub-awards less than $25K/award from the
                                               than $25K/award                 provided information. Reconcile the total amount of sub-award
                                                                               to the agency's financial records. Include documentation in
                                                                               workpapers.
    20                                         Award Description               Enter the award description. (The description should capture
                                                                               one of the following: the overall purpose and expected
                                                                               outcomes; the results of the contract; or the expected results of
                                                                               the contract funded under ARRA.) Include documentation in
                                                                               workpapers.
                                                                                            Project Information
    21                                         Project Name or Project/Program Enter the Project Name. (This should contain a brief descriptive
                                               Title                           title of project(s) funded.) Include supporting documentation in
                                                                               workpapers.

    22                                         Project Status                     Enter the project status. (The response is one of the following:
                                                                                  Not started; Less than 50% completed; Completed 50% or
                                                                                  More; Fully Completed.) The documentation of progress may
                                                                                  include project manager reports, engineer reports, reporting
                                                                                  from sub-recipients (including support) or other relevant
                                                                                  documentation. Prepare workpapers showing ratio of financial
                                                                                  expenditures to-date to total awards and compare to the
                                                                                  reported status for reasonableness. Document discrepancies
                                                                                  and conclusions.


    23                                         Total Federal Amount ARRA          Enter ARRA funds received/invoiced. Verify using the Merlin
                                               Funds Received/Invoiced            Report: Lead Agency Recipients – Revenue. Include
                                                                                  documentation in workpapers.




                                                                                                                                                                 3 of 10 Pages
ARRA 1512 Preparer Checklist                                                                                                                                    V1 10/01/2009

   Data
                                                     Data Element Name
 Element         Date / Initials of Preparer                                                             Preparer Activity                           Comments
                                                     and Icon Description
   Nbr
    24                                         Number of Jobs                     Enter theReporting Information Agencies should have a
                                                                                             number of jobs created.
                                                                                  system for collecting job information from: a) State Agency b)
                                                                                  Vendors of State c) Sub-recipients of State d) Sub-recipient
                                                                                  Vendors This system must include the collection of sufficient
                                                                                  information to evaluate the reasonableness of the job data
                                                                                  reported. Calculations MUST be supported by documentation
                                                                                  such as payroll, board minutes, head count pre and post ARRA,
                                                                                  etc. Since each agency approach to testing job data may vary
                                                                                  based on program data, we are unable to prescribe the control
                                                                                  steps. The agency may also need to follow up reported job data
                                                                                  with on site visits at both the Sub-recipient and vendor level.
                                                                                  Include all documentation in workpapers.



    25                                         Description of Jobs Created        Enter the description of jobs created. Provide documentation
                                                                                  obtained from sub-recipients and vendors for support. Ensure
                                                                                  broad labor categories are used and terms are widely
                                                                                  understood to describe general nature of work. Include all
                                                                                  documentation in workpapers.
    26                                         Quarterly Activities/Project       Enter the Quarterly Activities/Project Description. This element
                                               Description                        must contain a description of the overall purpose and expected
                                                                                  results of the recipient and first-tier sub-awards including
                                                                                  significant deliverables. If funding multiple projects, activity
                                                                                  should be stated in broad terms. Documentation of activities of
                                                                                  all projects should be supported in the workpapers.

    27                                         Activity Code (NAICS or NTEE-      Enter the activity code. Agencies may enter up to 10 codes. If
                                               NPC)                               an agency has more than 10 activity codes, the top 10 should
                                                                                  be prioritized. Documentation supporting priorities should be
                                                                                  included in workpapers.
    28                                         Total Federal Amount of ARRA       Enter total amount of ARRA expenditures. Verify using the
                                               Expenditure                        Merlin Report: Lead Agency Recipients – Total Expenditure
                                                                                  by Grant. Compare the expenditure amount to the amount of
                                                                                  funds received/invoiced. Document discrepancies and verify
                                                                                  reasons why these exist. Include all documentation in
                                                                                  workpapers.
    29                                         Total Federal ARRA Infrastructure Enter expenditures. Verify using the Merlin Report: Lead
                                               Expenditures                      Agency Recipients – Total Expenditure by Grant. Determine
                                                                                 if the award has been identified as an infrastructure project.
                                                                                 Document justification in writing on why or why not the
                                                                                 expenditures are considered infrastructure expenditures.
                                                                                 Provide calculations and supporting documentation for
                                                                                 infrastructure expenditures in workpapers. If ARRA
                                                                                 Infrastructure expenditures are entered, ensure at least one of
                                                                                 the activity codes (Data Element 27) selected represents
                                                                                 infrastructure.




                                                                                                                                                                 4 of 10 Pages
ARRA 1512 Preparer Checklist                                                                                                                                   V1 10/01/2009

   Data
                                                     Data Element Name
 Element         Date / Initials of Preparer                                                           Preparer Activity                            Comments
                                                     and Icon Description
   Nbr
    30                                         Infrastucture Contact Name                Reporting Information
                                                                               If there are Federal ARRA Infrastructure Expenditures (Data
                                                                               Element 29), this element is required. Enter the name of the
                                                                               individual submitted as the most qualified to answer federal
                                                                               questions related to the ARRA Infrastructure expenditures and
                                                                               1512 reporting. Include in workpapers justification for individual
                                                                               submitted.
    31                                         Infrastructure Contact Email    If there are Federal ARRA Infrastructure Expenditures (Data
                                                                               Element 29), this element is required. Enter the contact email
                                                                               for the contact name listed.
    32                                         Infrastructure Contact Phone    If there are Federal ARRA Infrastructure Expenditures (Data
                                                                               Element 29), this element is required. Enter the contact phone
                                                                               number for the contact name listed.
    33                                         Infrastructure Contact Extn.    If there are Federal ARRA Infrastructure Expenditures (Data
                                                                               Element 29), this element is required. Enter the contact
                                                                               Extension the contact name.
    34                                         Infrastructure Contact Street   If there are Federal ARRA Infrastructure Expenditures (Data
                                               Address 1                       Element 29), this element is required. Verify that the Street
                                                                               address is for the contact name.
    35                                         Infrastructure Contact Street   If there are Federal ARRA Infrastructure Expenditures (Data
                                               Address 2                       Element 29), this element is required. Enter the Street address
                                                                               for the contact name.
    36                                         Infrastructure Contact Street   If there are Federal ARRA Infrastructure Expenditures (Data
                                               Address 3                       Element 29), this element is required. Enter the Street address
                                                                               for the contact name.
    37                                         Infrastructure Contact City     If there are Federal ARRA Infrastructure Expenditures (Data
                                                                               Element 29), this element is required. Enter city for the contact
                                                                               name.
    38                                         Infrastructure Contact State    If there are Federal ARRA Infrastructure Expenditures (Data
                                                                               Element 29), this element is required. Enter the state for the
                                                                               contact name.
    39                                         Infrastructure State/Local      If there are Federal ARRA Infrastructure Expenditures (Data
                                               Contact Zip Code +4             Element 29), this element is required. Enter the zip code + 4
                                                                               the contact name.




                                                                                                                                                                5 of 10 Pages
ARRA 1512 Preparer Checklist                                                                                                                                   V1 10/01/2009

   Data
                                                     Data Element Name
 Element         Date / Initials of Preparer                                                           Preparer Activity                            Comments
                                                     and Icon Description
   Nbr
    40                                         Infrastructure Purpose and                 Reporting Information
                                                                                If there are Federal ARRA Infrastructure Expenditures (Data
                                               Rationale                        Element 29), this element is required. Enter one of following
                                                                                purposes: (1) To preserve and create jobs and promote
                                                                                economic recovery, (2) To assist those most impacted by the
                                                                                recession, (3) To provide investments needed to increase
                                                                                economic efficiency by spurring technological advances in
                                                                                science and health, (4) To invest in transportation,
                                                                                environmental protection, and other infrastructure that will
                                                                                provide long-term economic benefits, (5) To stabilize State and
                                                                                local government budgets in order to minimize and avoid
                                                                                reductions in essential services and counterproductive state
                                                                                and local tax increases the infrastructure purpose and rationale.
                                                                                Include in workpapers documentation supporting the purpose
                                                                                and rationale chosen. The descriptions should be review by
                                                                                program personnel.


                                                                                     Primary Place of Performance
    41                                         Primary Place of Performance -   Enter address of primary place of performance. If funding
                                               Street Address 1                 multiple projects, all projects and funding should be
                                                                                documented and a primary place of performance identified from
                                                                                these projects. The agency should document the approach for
                                                                                determining the primary place of performance. If no single
                                                                                primary place of performance can be identified, the agency
                                                                                should use its own address. Document justification for address
                                                                                chosen. Document that program personnel have reviewed and
                                                                                approve address chosen.


    42                                         Primary Place of Performance -   Enter address of primary place of performance.
                                               Street Address 2

    43                                         Primary Place of Performance –   Enter city of primary place of performance.
                                               City


    44                                         Primary Place of Performance –   Enter state of primary place of performance.
                                               State


    45                                         Primary Place of Performance -   Enter zip + 4 of primary place of performance.
                                               Zip Code + 4


    46                                         Primary Place of Performance -   Enter congressional district of primary place of performance.
                                               Congress. District               Document that program personnel have reviewed and approve
                                                                                the congressional district chosen.
    47                                         Primary Place of Performance –   Enter country of primary place of performance.
                                               Country


                                                                                Recipient Highly Compensation Officers

                                                                                                                                                                6 of 10 Pages
ARRA 1512 Preparer Checklist                                                                                                                                     V1 10/01/2009

   Data
                                                     Data Element Name
 Element         Date / Initials of Preparer                                                            Preparer Activity                             Comments
                                                     and Icon Description
   Nbr
    48                                         Prime Recipient Indication of    This dataReporting Information to apply to most State
                                                                                          element is not expected
                                               Reporting Applicability          agencies. The decision by the agency should be documented in
                                                                                the workpapers.
    49                                         Prime Recipient Highly           This data element only applies if the Reporting Applicability
                                               Compensated Name(5)              (Data Element 48) is Yes. Each agency should include
                                                                                documentation supporting determination.
    50                                         Prime Recipient Highly Comp.     This data element only applies if the Reporting Applicability
                                               Compensation (5) (Conditional)   (Data Element 48) is Yes. Each agency should include
                                                                                documentation supporting determination.
                                                                                                Sub Recipient
                                                                                           Reporting Information
    51                                         Award Type                       Valid entries include Grant or Loan. Include a copy of the
                                                                                award document in workpapers. Award type on document
                                                                                should reference data element number. ENTER THE SAME
                                                                                TYPE AS DATA ELEMENT 1.
    52                                         Award Number                     Enter award number from award document. (Please note that
                                                                                this field is case, space, and special character sensitive.)
                                                                                Include a copy of this report in workpapers. Award number on
                                                                                document should reference data element number. ENTER THE
                                                                                SAME TYPE AS DATA ELEMENT 2.

    53                                         Recipient DUNS Number            Enter the DUNS number from the award document. DUNS
                                                                                number on document should reference data element number.
                                                                                ENTER THE SAME TYPE AS DATA ELEMENT 4.

                                                                                       Sub Recipient Information
    54                                         Sub-recipient DUNS Number        Enter the sub-recipients DUNS number. Document the DUNS
                                                                                number with program personnel responsible for registration.
                                                                                Ensure that DUNS number matches to CCR-CAGE registered
                                                                                number. Agencies are required to verify CCR registration before
                                                                                any funds are sent to a sub-recipient. Workpapers should
                                                                                include sub-recipients documentation.

    55                                         Sub-award Number                 Enter the sub-award number. Agencies that use the sub-grant
                                                                                system or record projects in SAAS may obtain sub-award
                                                                                number through SAAS or Merlin. In all cases documentation of
                                                                                sub-award numbers must be included in workpapers.

    56                                         Sub-recipient Congressional      Identify the Congressional District receiving the most benefit. If
                                               District                         no single district can be identified as receiving the most benefit,
                                                                                the district that agrees to the sub-recipient's DUNS number
                                                                                location shall be used. Provide support in workpapers for the
                                                                                district entered.
                                                                                          Sub Award Information




                                                                                                                                                                  7 of 10 Pages
ARRA 1512 Preparer Checklist                                                                                                                                    V1 10/01/2009

   Data
                                                     Data Element Name
 Element         Date / Initials of Preparer                                                            Preparer Activity                            Comments
                                                     and Icon Description
   Nbr
    57                                         Amount of Sub-award              Enter theReporting Information
                                                                                          amount of the sub-award. Agencies that use the sub-
                                                                                grant system or record projects in SAAS may obtain sub-award
                                                                                amount through SAAS or Merlin. In all cases documentation of
                                                                                sub-award amount must be included in workpapers. Along with
                                                                                the agency's notification of award. Verify the total amount of all
                                                                                sub-awards does not exceed the total Award Amount.

    58                                         Total Sub-award Funds            Enter the sub-award funds disbursed. Reconcile agency
                                               Disbursed                        records to SAAS. If discrepancies exist, document and justify
                                                                                reasons for discrepancies. Verify the amount disbursed is less
                                                                                than the amount of the sub ward.
    59                                         Sub-award Date                   Enter the sub-award date from the signed source
                                                                                documentation using the following format: DD/MM/YYYY

                                                                                  Sub Recipient Place of Performance
    60                                         Sub-recipient Primary Place of   Enter address of sub-recipient primary place of performance. If
                                               Performance - Street Address 1   funding multiple projects, all projects and funding should be
                                                                                documented and a primary place of performance identified from
                                                                                these projects. The Sub-recipient should document the
                                                                                approach for determining the primary place of performance. If
                                                                                no primary place of performance is identified, the Sub-recipient
                                                                                should use its own address. Document program personnel
                                                                                review of the address listed. Document that program personnel
                                                                                have reviewed and approve address chosen. Document
                                                                                justification for address chosen. The agency must include all
                                                                                sub-recipient documentation in their workpapers along with the
                                                                                agency's documentation.


    61                                         Sub-recipient Primary Place of   Enter address of sub-recipient primary place of performance.
                                               Performance - Street Address 2



    62                                         Sub-recipient Place of           Enter city of sub-recipient primary place of performance.
                                               Performance – City

    63                                         Sub-recipient Place of           Enter state of sub-recipient primary place of performance.
                                               Performance – State

    64                                         Sub-recipient Place of           Enter zip + 4 of sub-recipient primary place of performance.
                                               Performance - Zip Code + 4


    65                                         Sub-recipient Place of           Enter congressional district of sub-recipient primary place of
                                               Performance - Congressional      performance. Document that program personnel have reviewed
                                               District                         and approve the congressional district chosen.




                                                                                                                                                                 8 of 10 Pages
ARRA 1512 Preparer Checklist                                                                                                                                  V1 10/01/2009

   Data
                                                     Data Element Name
 Element         Date / Initials of Preparer                                                           Preparer Activity                           Comments
                                                     and Icon Description
   Nbr
    66                                         Sub-recipient Place of                  Reporting Information
                                                                               Enter country of sub-recipient primary place of performance.
                                               Performance – Country

                                                                             Sub Recipient Highly Compensation Officers
    67                                         Sub-recipient indication of     The decision by the agency should be documented in the
                                               reporting applicability         workpapers. The entry should be either "Yes" or "No".


    68                                         Sub-recipient Highly            This data element only applies if the Reporting Applicability for
                                               Compensated Name (5)            the Sub-recipient (Data Element 67) is Yes. Each agency
                                                                               should include documentation supporting determination.


    69                                         Sub-recipient Highly            This data element only applies if the Reporting Applicability for
                                               Compensated Compensation (5)    the Sub-recipient (Data Element 67) is Yes. Each agency
                                               (Conditional)                   should include documentation supporting determination.


                                                                                                 Vendors
                                                                                          Reporting Information
    70                                         Award Number                    Enter award number from award document. (Please note that
                                                                               this field is case, space, and special character sensitive.)
                                                                               Include a copy of this report in workpapers. Award number on
                                                                               document should reference data element number. ENTER THE
                                                                               SAME NUMBER AS DATA ELEMENT 2.

                                                                                           Vendor Information
    71                                         Sub-award Number - Subrepient   Enter a sub-award number for each Sub-recipient vendor.
                                               Vendor                          Verify the list is complete by agreeing the vendors listed to the
                                                                               list of vendors provided by the sub-recipient. Include
                                                                               documentation from the sub-recipient in workpapers.


    72                                         Vendor DUNS Number              Enter vendor DUNS number from documentation provided by
                                                                               sub-recipient. If Vendor DUNS number is not available, verify
                                                                               the Vendor Name & Vendor Zip Code are entered. Include sub-
                                                                               recipient documentation in workpapers.

    73                                         Vendor Name                     Enter the vendor name. Verify using the Merlin Vendor
                                                                               Information Query. Reconcile the list of vendors to the report
                                                                               provided by MERLIN and, if possible reconcile the list to the
                                                                               agency's financial system. This field is required (along with
                                                                               Vendor HQ Zip) if Vendor DUNS number is not provided.

    74                                         Vendor HQ Zip Code + 4          Enter the HQ zip code + 4. This field is required (along with
                                                                               Vendor Name) if Vendor DUNS number is not provided. Verify
                                                                               using the Merlin Vendor Information Query.




                                                                                                                                                               9 of 10 Pages
ARRA 1512 Preparer Checklist                                                                                                                                                                          V1 10/01/2009

   Data
                                                       Data Element Name
 Element         Date / Initials of Preparer                                                                   Preparer Activity                                            Comments
                                                       and Icon Description
   Nbr
    75                                          Product and Service Description              Reporting Information
                                                                                    Enter product and service description. This field is optional for
                                                                                    sub-recipients. Verify there is an entry for each of the
                                                                                    Recipient's vendors. Document product and service
                                                                                    descriptions in workpapers along with program personnel
                                                                                    approvals.
    76                                          Payment Amount                      Enter payment amount. Verify there is an entry for each of the
                                                                                    Recipient's vendors. The field is optional for sub-recipients.
                                                                                    Include supporting documentation in the workpapers. Verify
                                                                                    using the Merlin Report: Lead Agency Recipients – Total
                                                                                    Expenditure by Grant AND/OR the Merlin Report: Sub-
                                                                                    Allocated Agency Recipients – Total Expenditure by Grant.

                                                                                                 Inferred Fields
                                                                                              Reporting Information

               Of the data elements required for ARRA Section 1512 Reporting, many of them will be inferred or incorporated to your 1512 report by FederalReporting.gov once it appears on Recovery.gov. These
                                                  fields will be inferred based on other data elements supplied by the Lead Agency’s 1512 Quarterly Report. Such fields include:

                                                                                    Description of the Activity Code for NAICS or NTEE-NPC.
                                                        Activity Description

                                                                                    The Federal Agency name corresponding to the Awarding Agency Code used.
                                                      Awarding Agency Name

                                                                                    The Federal Agency name corresponding to the Federal Agency Code used.
                                                       Funding Agency Name

                                                   Government Contracting Office    The government contracting office name inferred from the government
                               Prime                                                contracting office code used.
                                                              Name
                                                                                    Unique identified of Parent Organization/Company (DUNS No.).
                                                       Parent DUNS Number
                                                                                    Recipient name and address of Organization. The legal and DBA (Doing-
                                                                                    Business-As) name of recipient organization and address, including zip code.
                                                          Recipient Details         This should be the same name and address that appears in recipient's Central
                                                                                    Contractor Registration (CCR) profile.

                                                                                    Recipient name and address of Organization. The legal and DBA (Doing-
                                                                                    Business-As) name of recipient organization and address, including zip code,
                        Sub Recipient                   Sub Recipient Details       country, and type. This should be the same name and address that appears in
                                                                                    recipient's Central Contractor Registration (CCR) profile.




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