Form OSM-47 Budget Information Report

U.S. DEPARTMENT OF THE INTERIOR

OMB Control No. 1029-0059

Office of S urface Mining Reclamation and Enforcement

Exp. Date: 7/31/2021

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A. Program
E. Budget Period (Month, Day, Year)
B. Grantee
Beginning Date
C. Grant Program
Ending Date
D. Rate of Federal Sharing (%)

F. Mark 'X' in Appropriate Box
(
) New Budget
(
) Revised Budget (Enter Grant Number)
(
) Grant Number

352*5$0)81&7,216$&7,9,7(6

TOTAL
(a)

(b)

(c)

(d)

(e)

(f)

(g)

1. Personnel
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$0.00

2. Fringe Benefit

$0.00

3. Travel
4. Equipment
5. Supplies
6. Contractural

$0.00
$0.00
$0.00

$0.00

7. Construction

$0.00

8. Other
$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

10. Indirect Charges
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$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

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13. Federal Share

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14. Program Income

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15. Detail on Indirect Cost
Type of Rate (mark 'X' in Box)
Rate________%

$0.00

 

12. Non-Federal Share

E. Signature of Authorizing Official

Excel

$0.00

9. Total Direct Charges

$0.00

$0.00

$0.00

(
) Predetermined
Total Amount _______________
F. Name and Title (type or print)

(
) Provisional
Base _________

(

) Final

G. Telephone Number (Area Code, Number
and Extension)

(

) Fixed

H. Date Report Submitted

OSM-47 (8/97)