BLS LMI-1B Budget Information Form

Labor Market Information Cooperative Agreement

BLS_LMI-1B

LMI Cooperative Agreement

OMB: 1220-0079

Document [pdf]
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BUREAU OF LABOR STATISTICS
BUDGET INFORMATION FORM

U.S. DEPARTMENT OF LABOR

See complete instructions in LMI Cooperative Agreement, Part II, Applications Instructions.

We estimate that it will take an average of 1 to 6 hours to complete this form including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing
and reviewing the information. Your response is required to obtain or retain benefits under 29 USC 49L-1. If you have any comments on the estimates or the form, send them to BLS, Division of Financial
Management (1220-0079), 2 Massachusetts Avenue, NE, Room 4135, Washington, DC 20212-0001. You are not required to respond to the collection of information unless it displays a currently valid OMB
control number.

State Abbreviation:
Name of Submitting Official:
CA No.:
Title:
FY:
CA Duration:
Col. C
Col. D
Col. E
Col. A
Col. B
FIRST QUARTER
SECOND QUARTER
THIRD QUARTER
Line
Number Program and Cost Category Staff years
Dollars
Staff years
Dollars
Staff years
Dollars
3URJUDP)/&$FWLYLW\7LWOH
1
Program Staff
2
AS & T Staff
3
Nonpersonal Services
0.00
$ 0.00
0.00
$ 0.00
0.00
$ 0.00
4
Total Resources
3URJUDP)/&$FWLYLW\7LWOH
5
Program Staff
6
AS & T Staff
7
Nonpersonal Services
0.00
$ 0.00
$ 0.00
0.00
$ 0.00
8
Total Resources
0.00
3URJUDP)/&$FWLYLW\7LWOH
9
Program Staff
10
AS & T Staff
11
Nonpersonal Services
0.00
$ 0.00
0.00
$ 0.00
0.00
$ 0.00
12
Total Resources
3URJUDP)/&$FWLYLW\7LWOH
13
Program Staff
14
AS & T Staff
15
Nonpersonal Services
0.00
$ 0.00
0.00
$ 0.00
0.00
$ 0.00
16
Total Resources
3URJUDP)/&$FWLYLW\7LWOH
17
Program Staff
18
AS & T Staff
19
Nonpersonal Services
20
Total Resources
21

Total LMI $$0&V

BLS LMI-1B (Revised May 2015)

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00

Page
Phone:
Date Completed:
Col. F
FOURTH QUARTER
Staff years
Dollars

OMB No.
1220-0079
Approval Expires
xx-xx-20xx

of

Col. G
TOTAL:
FY
AAMC
Staff years
Dollars
0.00

$ 0.00

0.00

$ 0.00
$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00
$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00
$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00
$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00

0.00

$ 0.00


File Typeapplication/pdf
AuthorL. William Derrow
File Modified2018-03-06
File Created2012-02-06

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