*DOE F 4600.4* **U.S. Department of Energy** OMB Control No.

*(04-94)* 1910-0400

*Replaces EIA-459C* **Federal Assistance Budget Information**

# All Other Editions Are Obsolete

**[OMB Burden Disclosure Statement]{.underline}**

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the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other
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reducing this burden, to Office of Information Resources Management
Policy, Plans and Oversight, Records Management Division, HR-422 - GTN,
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Independence Avenue, S.W., Washington, DC 20585; and to the Office of
Management and Budget (OMB), Paperwork Reduction Project (1910-0400),
Washington, DC 20503.

+-------------+---------+--------------+------+-----------+----------+
| 1\.         |         | 2\.          |      |           |          |
| Prog        |         | Pro          |      |           |          |
| ram/Project |         | gram/Project |      |           |          |
| Ide         |         | Title        |      |           |          |
| ntification |         |              |      |           |          |
| No.         |         |              |      |           |          |
+-------------+---------+--------------+------+-----------+----------+
|             |         |              |      |           |          |
+-------------+---------+--------------+------+-----------+----------+
| 3\. Name    |         |              |      | 4\.       |          |
| and Address |         |              |      | Progra    |          |
|             |         |              |      | m/Project |          |
|             |         |              |      | Start     |          |
|             |         |              |      | Date      |          |
+-------------+---------+--------------+------+-----------+----------+
|             |         |              |      |           |          |
+-------------+---------+--------------+------+-----------+----------+
|             |         |              |      | 5\.       |          |
|             |         |              |      | C         |          |
|             |         |              |      | ompletion |          |
|             |         |              |      | Date      |          |
+-------------+---------+--------------+------+-----------+----------+
|             |         |              |      |           |          |
+-------------+---------+--------------+------+-----------+----------+
| ## SECTI    |         |              |      |           |          |
| ON A -- BUD |         |              |      |           |          |
| GET SUMMARY |         |              |      |           |          |
+-------------+---------+--------------+------+-----------+----------+

![](media/image1.wmf)

+-----------------------------------------------------------------------+
| ## SECTION B -- BUDGET CATEGORIES                                     |
+-----------------------------------------------------------------------+

![](media/image2.wmf)

*DOE F 4600.4*

*(04-94)* **FEDERAL ASSISTANCE BUDGET INFORMATION** OMB Control No.

*Replaces EIA-459C* 1910-0400

### INSTRUCTIONS

+---------------------------------+---+--------------------------------+
| Item 1 - Enter the Federal      |   | period. The amount(s) in       |
| grant or agreement              |   | Column (g) should be the sum   |
| identification number for the   |   | of the amounts in Columns (e)  |
| current year as it appears in   |   | and (f).                       |
| the official award, if known.   |   |                                |
|                                 |   | For supplemental awards and    |
| Item 2 - Enter the              |   | changes to existing wards, do  |
| Program/Project official title  |   | not use Columns (c) and (d).   |
| as it appears in the award.     |   | Enter in Column (e) the amount |
|                                 |   | of the increase or decrease of |
| Item 3 - Enter name and address |   | Federal funds and enter in     |
| of the agency or office         |   | Column (f) the amount of       |
| responsible for coordination    |   | increase or decrease of        |
| and administration of the       |   | non-Federal funds. In Column   |
| Program/Project.                |   | (g) enter the new total        |
|                                 |   | budgeted amount (Federal and   |
| Item 4 - Enter the official     |   | non-Federal) which includes    |
| start date.                     |   | the total previous authorized  |
|                                 |   | budgeted amounts plus or       |
| Item 5 - Enter the official     |   | minus, as appropriate, the     |
| completion date as of the       |   | amounts shown in Columns (e)   |
| latest official modification.   |   | and (f). The amount(s) in      |
|                                 |   | Column (g) should not equal    |
| **Section A. Budget Summary**   |   | the sum of the amounts in      |
|                                 |   | Columns (e) and (f).           |
| Lines 1-4, Columns (a) and (b). |   |                                |
|                                 |   | Line 5 - Show the totals for   |
| For application pertaining to a |   | all columns used.              |
| single Federal assistance       |   |                                |
| program (Federal Domestic       |   | **Section B. Budget            |
| Assistance Catalog number) and  |   | Categories**                   |
| are requiring a functional or   |   |                                |
| activity breakdown, enter on    |   | In the column headings (1)     |
| Line 1 under Column (a) the     |   | through (4), enter the titles  |
| catalog program title and the   |   | of the same programs,          |
| catalog number in Column (b).   |   | functions, and activities      |
|                                 |   | shown on Lines 1-4, Column     |
| For applications pertaining to  |   | (a), Section A. When           |
| a single program requiring      |   | additional sheets were         |
| budget amounts by multiple      |   | prepared for Section A,        |
| functions or activities, enter  |   | provide similar column         |
| the name of each line in Column |   | headings on each sheet. For    |
| (a), and enter the catalog      |   | each program, function or      |
| number in Column (b). For       |   | activity, fill in the total    |
| applications pertaining to      |   | requirements for funds (both   |
| multiple programs where none of |   | Federal and non-Federal) by    |
| the programs require a          |   | object class categories.       |
| breakdown by function or        |   |                                |
| activity, enter the catalog     |   | Item 6a-h Show the estimated   |
| program title on each line in   |   | amount for each direct cost    |
| Column (a) and the respective   |   | budget (object class) category |
| catalog number on each line in  |   | for each column with program,  |
| Column (b).                     |   | function or activity heading.  |
|                                 |   |                                |
| For applications pertaining to  |   | Item 6i - Show the totals of   |
| multiple programs where one or  |   | Lines 6a to 6h in each column. |
| more programs require a         |   |                                |
| breakdown by function or        |   | Item 6j - Show the amount of   |
| activity, prepare a separate    |   | indirect cost.                 |
| sheet for each program          |   |                                |
| requiring the breakdown.        |   | Item 6k - Enter the total of   |
| Additional sheets should be     |   | amounts on Line 6i and 6j. For |
| used when one form does not     |   | all applications for new and   |
| provide adequate space for all  |   | continuation awards, the total |
| breakdown of data required.     |   | amount in Column (5), Line 6k, |
| However, when more than one     |   | should be the same as the      |
| sheet is used, the first page   |   | total amount shown in Section  |
| should provide the summary      |   | A, Column (g), Line 5. For     |
| totals by programs.             |   | supplemental awards and        |
|                                 |   | changes to awards, the total   |
| Lines 1-4, Columns (c) through  |   | amount of the increase or      |
| (g).                            |   | decrease as shown in Columns   |
|                                 |   | (1) - (4), Line 6k, should be  |
| For new applications, leave     |   | the same as the sum of the     |
| Columns (c) and (d) blank. For  |   | amounts in Section A, Columns  |
| each line energy in Columns (a) |   | (e) and (f) on Line 5. When    |
| and (b), enter in Columns (e),  |   | additional sheets were         |
| (f), and (g) the appropriate    |   | prepared, the last two         |
| amounts of funds needed to      |   | sentences apply only to the    |
| support the project.            |   | first page with summary        |
|                                 |   | totals.                        |
| For continuing assistance       |   |                                |
| program applications, submit    |   | Item 7 - Enter the estimated   |
| these forms before the end of   |   | amount of income, if any,      |
| each funding year if required   |   | expected to be generated from  |
| by Program Manager. Enter in    |   | this project. Do not add or    |
| Columns (c) and (d) the         |   | subtract this amount from the  |
| estimated amounts of funds      |   | total project amount. Show     |
| which will remain unobligated   |   | under the program narrative    |
| at the end of the funding       |   | statement the nature and       |
| period only if the award        |   | source of income. The          |
| instructions provide for this.  |   | estimated amount of program    |
| Otherwise, leave these columns  |   | income may be considered by    |
| blank. Enter in Columns (e) and |   | the Program Manager in         |
| (f) the amount of funds needed  |   | determining the total amount   |
| for the upcoming                |   | of the award.                  |
+---------------------------------+---+--------------------------------+

  -----------------------------------------------------------------------
  THIS REPORT IS REQUIRED IN ACCORDANCE WITH 42 U.S.C. 7254 AND 40 U.S.C.
  471 [ET. SEQ.]{.underline} FAILURE TO REPORT MAY RESULT IN CONTRACT
  TERMINATION OR PENALTIES AS PROVIDED BY LAW.

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