Dd Form 2566 - Dod Assistance Award Action Report

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INTERAGENCY REPORT
DOD ASSISTANCE AWARD ACTION REPORT
CONTROL NUMBER
0252-DOC-QU
A1. TYPE OF REPORT
A2. REPORT NO.
A3. CONTRACTING OFFICE CODE
PART
A
O Original
1 Cancelling
2 Correcting
B1. CONTRACTOR
B2. CAGE CODE
B3.
FICE CODE
B4.
TIN
B5.
PARENT
TIN
IDENTIFICATION NUMBER
PART
B
B6.
RECIPIENT NAME
AND DIVISION NAME
B7.
RECIPIENT ADDRESS
(Street, City, State)
B8.
RECIPIENT
B9.
RECIPIENT
CITY OR PLACE
STATE OR
CODE
COUNTRY CODE
B10. ZIP CODE
B11. TYPE OF RECIPIENT
B12. OTHER RECIPIENT INFORMATION
1
State Government
7 Indian Tribe
1
Historically Black Colleges and Universities
2
County Government
8 Nonprofit Agency (Other than Educational)
2
Minority Institution
3
Municipal Government
9 Private Higher Education Institution
3
Foreign University
4
Special District Government
10 Individual
4
Foreign Nonprofit Organization
5
Independent School District
11 Profit Organization (Not a Small Business)
5
Federally Funded Research and Development Center (Academic)
6
State Controlled Institutions
12 Small Business
6
Federally Funded Research and Development Center (Nonprofit)
of Higher Education
13 All Other
7
Not Applicable
C3.
OBLIGATION
C1.
AWARD
NUMBER
C2.
MOD NUMBER
C4.
PROJECT STARTING
C5.
PROJECT ENDING DATE
DATE
(YYYYMMDD)
DATE (YYYYMMDD)
(YYYYMMDD)
PART
C
C9. TOTAL FEDERAL VALUE
C6.
TYPE
OF ACTION
C7A. FEDERAL OBLIGATION AMOUNT
C7B. FEDERAL OBLIGATION SIGN
OF AWARD
(Enter whole dollars only)
(Enter whole
1 New Award
1 Obligation
dollars only)
2 Subsequent Incremental Funding Action
2 Deobligation
3 Exercise of Option, Additional Research,
C8A. NONFEDERAL OBLIGATION
C8B. NONFEDERAL OBLIGATION SIGN
AMOUNT
(Enter whole dollars only)
Revision of Research Proposal
1 Obligation
4 Funding Adjustment to Completed Project
2 Deobligation
C10. TYPE OF AWARD
C11. CFDA NUMBER
10 Direct Payment (Unrestricted Use)
OTHER
GRANT
COOPERATIVE AGREEMENT
12 Technology Investment Agreement
6 Direct Payment (Specific Use)
2 Block Grant
5A Technology Investment Agreement
7 Direct Loan
(Not a Cooperative Agreement)
3 Formula Grant
that is a Cooperative Agreement
13 All Other Reimbursable, Contingent,
8 Guaranteed Insured Loan
4 Project Grant
5B Any Other Cooperative Agreement
9 Insurance
Intangible, Direct
C12. PROJECT DESCRIPTION
C13. PRIMARY ADMINISTERING
C15. TYPE OF FUNDS
C14. PRINCIPAL PLACE OF PERFORMANCE
AGENCY
1 Basic Research (6.1)
5 Engineering/Manufacturing
C14A. CITY OR
C14B. STATE OR
2 Exploratory Development (6.2)
Development (6.4)
PLACE CODE
COUNTRY CODE
3 Advanced Technology
6 Management Support (6.5)
Development (6.3A)
7 Operational Systems Development (6.6)
4 Demonstration/Validation (6.3B)
8 Other (Non-RDT&E)
C16. AGENCY APPROPRIATION
C17. EXTENT COMPETED
1 ARMY
4 OSD
7 NSA
10 DIA
13 DLA
16 OCE
1 Competed Action
2 NIMA
5 DARPA
8 DTRA
11 USMC
14 USUHS
17 OTHER DOD
4 Not Competed
3 BMDO
6 AF
9 DISA
12 NAVY
15 NON-DOD
AMOUNT
C19. CATEGORY OF SCIENCE AND ENGINEERING
C18.
CATEGORY OF SUPPORT (Choose one category)
C19A.
C18A. RESEARCH AND DEVELOPMENT
C18B. FELLOWSHIPS, TRAINEESHIPS
C19B.
C18C. R&D PLANT
C18D. FACILITIES AND EQUIPMENT FOR SCIENCE AND ENGINEERING (DoD Instrumentation)
C19C.
C18E. GENERAL SUPPORT FOR SCIENCE AND ENGINEERING
C18F. OTHER ACTIVITIES RELATED TO SCIENCE AND ENGINEERING (Conference/Symposia)
C18G. ALL OTHER ACTIVITIES NOT RELATED TO SCIENCE AND ENGINEERING
D1.
NAME OF CONTRACTING
OFFICER OR
D2.
SIGNATURE
D3. TELEPHONE NUMBER
D4.
DATE
SIGNED
REPRESENTATIVE
(Last, First, Middle Initial)
(Include Area Code)
(YYYYMMDD)
PART
D
DD FORM 2566, SEP 1998
PREVIOUS EDITION IS OBSOLETE.
Reset

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