Attachment

UNITED STATES GOVERNMENT INTERAGENCY AGREEMENT (IAA) -- ames Agreement Between Federal Agencies Order Requirements and Funding Information (Order) Section ST BUREAU OF THE Fiscal Service LEAD. TRANSFORM. DELIVER. 00000 GTEC # Order # 'Amendment #/ Mod # ~~ Tracki Servicing Agency's Agreement ing Number (Optional) CONTACT INFORMATION 39. FINANCE OFFICE Point:'s of Contact (POCs) Requesting Agency (Payment Office) Servicing Agency (Billing Office) Name Tammy Meaney James Conklin, Se = Title Administrative Officer Sr. Financial Analyst - Office Address . . Telephone Number Fax Number Email Address '@nih.gov Signature & Date (Optional) O19 chs cov This may include CONTRACTIING Office Points of Contact (POCs). 40. ADDITIONAL Points of Contact (POCs} (as determined by each Agency) Telephone Number Requesting Agency Servicing Agency Name Adele Bartha Alexandria H: Davidson > Title Administrative Technician Interagency Agreements Specialist Office Address = TM ee fashington, Fax Number Email Address SO 0 Signature & Date (Optional) @hq.dhs.gov Name William Dowling Title Program Officer Ee e e Office Address d : ' : Telephone Number Fax Number Email Address @nih.gov Signature & Date (Optional) Name Title Office Address Telephone Number Fax Number Email Address Signature & Date (Optional) FS Form 76008 (04-12) Department of the Treasury I Bureau of the Fiscal Ser vice September 2016 - page 5 of 5