Form Approved
CONTRACT FACILITIES CAPITAL COST OF MONEY
OMB No. 0704-0267
Expires Apr 30, 2004
The public reporting burden for this collection of information is estimated to average 10 hours per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports
(0704-0267), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be
subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THIS ADDRESS.
RETURN COMPLETED FORM TO YOUR CONTRACTING OFFICIAL.
1. CONTRACTOR NAME
2. CONTRACTOR ADDRESS
3. BUSINESS UNIT
4. RFP/CONTRACT PIIN NUMBER
5. PERFORMANCE PERIOD
6. DISTRIBUTION OF FACILITIES CAPITAL COST OF MONEY
FACILITIES CAPITAL COST OF MONEY
c.
POOL
ALLOCATION BASE
FACTOR
AMOUNT
a.
b.
(1)
(2)
d. TOTAL
$0.00
e. TREASURY RATE
f. FACILITIES CAPITAL EMPLOYED
(TOTAL DIVIDED BY TREASURY RATE)
7. DISTRIBUTION OF FACILITIES CAPITAL EMPLOYED
PERCENTAGE
AMOUNT
a.
b.
%
(1) LAND
%
(2) BUILDINGS
%
(3) EQUIPMENT
100%
(4) FACILITIES CAPITAL EMPLOYED
$0.00
DD FORM 1861, MAY 2001
PREVIOUS EDITION MAY BE USED.
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