Attachment
Reading Room Production, p.402 · reading_room:exh:00111
Page text: p.402 · original PDF
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UNITED STATES GOVERNMENT INTERAGENCY
BUREAU OF THE
--_=_--_.
AGREEMENT (IAA)
. Til i
i
Agreement Between Federal Agencies
\e Fiscal Service
Order Requirements and Funding Information (Order) Section
LEAD. TRANSFORM. DELIVER.
IAANumber
AAI18027
00000
Servicing Agency's Agreement.
GT&C#
Order #
'Amendment#/Mod#
Tracking Number (Optional)
PRIMARY ORGANIZATION /OFFICE INFORMATION
24.
Requesting Agency
Servicing Agency
Primary Organization / Office
IHHS/NIH/NIAID
Department of Homeland Security
Name
Science and Technology Directorate
Responsible Organization / Office
Address
o-oo
Washington, D.C. 4
ORDER REQUIREMENTS INFORMATION
25. Order Action (Check One)
v¥I
New
Modification (Mod) - List affected Order blocks being changed and explain the changes being made.
For Example: for a performance period mod, state the new performance period for this Order in Block 27.
Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting, or
changing Funding for an Order Line.
Cancellation - Provide a brief explanation for Order cancellation and fill in the Performance Period End
ate for the effective cancellation date.
26. Funding Modification
Line #
Line #
Line #
Total of All Other
Total
Summary by Line
Lines (attach
funding details)
Original Line Funding
$2,508,000.00
$2,508,000.00
Cumulative Funding
Changes From Prior Mods
$0.00
[addition (+) or reduction (-)]
Funding Change for This Mod
$0.00
TOTAL Modified Obligation I $2,508,000.00
$0.00
$0.00
$0.00
$2,508,000.00
Total Advance Amount (-)
$0.00
Net Modified Amount Due
$2,508,000.00
$0.00
$0.00
$0.00
$2,508,000.00
27. Performance Period
Start Date
08/15/2018
End Date
08/14/2019
For a performance period mod, insert
MM-DD-YYYY
MM-DD-YYYY
the start and end dates that reflect the
new performance period.
FS Form 7600B (04-12)
Department of the Treasury I Bureau of the Fiscal Service
September 2016 - page 1 of 5