Form 1310-20 - Project/subproject Number Assignment And Information Form
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1
2UNITED STATES
Form 1310-20
DEPARTMENT OF THE INTERIOR
(August
2002)
BUREAU OF LAND MANAGEMENT
PROJECT/SUBPROJECT NUMBER ASSIGNMENT AND INFORMATION FORM
SEE INSTRUCTIONS ON NEXT PAGE
4. Subproject Number:
5. Real Property Number (if needed):
2. Program(s) (Subactivity):
3. Project
1. Submission:
Number:
Original
R
Revision
6. Case File
7. Submission Date:
9. Land Purchase?
8. Project Name:
Number:
/
/
Subproject Name:
Yes
No
10. Description of Project:
11. Applicant/Vendor's Name:
Applicant's Address:
Applicant's Phone Number:
12. Organization Code of Lead Office:
13. Organization Codes of Other Offices Charging to the Project/Subproject:
14a. Estimated Start Date:
14b. Estimated Completion Date:
15. Estimated Project Total Cost:
16. Estimated Subproject Total Cost:
/
/
$
/
/
$
17. Project Manager's Name:
Project Manager's Telephone Number:
Project Manager's Organization Code:
Field Office Contact:
Field Office Contact Phone Number:
TRUST FUND PROJECTS (Program 7122) MAY BE AUTHORIZED AN INDIRECT COST RATE
OTHER THAN THE ANNUAL PREVAILING RATE
18. Exception Indirect Cost Rate:
%
19. Under the authority of:
20. Approving Officer's Name (Print):
21. Approving Officer's Signature:
Date:
/
/
22. Title:
FOR NATIONAL BUSINESS CENTER BC-612 USE ONLY
IWPT
SPRJ
23. Tables:
PROJ
FPCA
PROJEDIT
24. Vendor Number:
25. Agreement Number:
26. RA Document Number:
Date:
/
/
27. Input by:
28. Routing:
Retained by: Requesting Office, State/Washington Office Budget
State/Washington Office Budget; Forward to BC-612
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