Form 1122-XXXX Technical Assistance Provider Conference Planning and Co

DEPARTMENT OF JUSTICE APPROPRIATIONS ACT OF 2008 CONFERENCE PLANNING AND REPORTING
	Agency/TA Provider:	asdfasdf
	Award Number:	asdfd
	Submitted by:	asdf
	Date submitted:	sadfsd
1	CONFERENCE TITLE / NAME OF EVENT	asdfasd
2	CONFERENCE / EVENT START DATE
3	CONFERENCE / EVENT END DATE
4	FACILITY NAME (e.g. Washington DC Convention Center)
5	CITY
6	STATE
7	NUMBER OF FEDERAL ATTENDEES	0
8	NUMBER OF NON-FEDERAL ATTENDEES	0
9	TOTAL NUMBER OF ATTENDEES	0
10	PURPOSE OF THE CONFERENCE (please provide a brief description)
	CATEGORY	AMOUNT	NOTES
SECTION TWO: Conference Costs
9	MEETING SPACE COSTS (INCLUDING ROOMS FOR BREAK-OUT SESSIONS)	$0.00
10	AUDIO VISUAL EQUIPMENT & SERVICES	$0.00
11	OTHER EQUIPMENT COSTS (E.G., COMPUTER FEES, TELEPHONE FEES [ON SITE])	$0.00
12	PRINTING AND DISTRIBUTION	$0.00
13	COSTS OF MEALS PROVIDED DURING THE EVENT (WORKING LUNCH, DINNER)	$0.00
14	COSTS OF REFRESHMENTS PROVIDED DURING THE EVENT (CONTINENTAL BREAKFAST, BREAKS)	$0.00
15	MEALS & INCIDENTAL EXPENSES (M&IE PORTION OF PER DIEM) REIMBURSED	$0.00
16	LODGING COSTS	$0.00
17	TRANSPORTATION TO/FROM EVENT LOCATION (E.G., COMMON CARRIER)	$0.00
18	LOCAL TRANSPORTATION (E.G., PRIVATELY OWNED VEHICLE (POV), TAXI, PUBLIC TRANSPORTATION)	$0.00
19	COSTS OF EVENT PLANNER (MEETING LOGISTICS PLANNING STAFF OR CONSULTANT)	$0.00
20	COSTS OF EVENT FACILITATOR(S)	$0.00
21	OTHER COSTS (include presenters/faculty fees)	$0.00
22	TOTAL CONFERENCE COSTS	$0.00
23	AVERAGE COST PER ATTENDEE	#DIV/0!
24	ORIGINAL TOTAL COST ESTIMATE	$0.00
25	DIFFERENCE BETWEEN ORIGINAL AND ACTUAL	$0.00
SECTION THREE
26	REGISTRATION FEES/GRANT INCOME	$0.00
SECTION FOUR
A	Describe any issue encountered in determining the costs related to the event/conference.
B	Describe the contracting procedures employed*
*	including whether the contracts were awarded on a competitive basis for the conference and a discussion of any cost comparison conducted by the Department in evaluating potential contractors for that conference.
	Section Five
	If this form does not address other costs associated with this conference: