*DOE F 4600.3#* **U.S. DEPARTMENT OF ENERGY** OMB Control No.

*(01-93* 1910-0400

*Replaces EIA-459BAll Other Editions are Obsolete* **FEDERAL ASSISTANCE
MILESTONE PLAN**

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

Public reporting burden for this collection of information is estimated
to average 1 hour 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 this burden, to Office of Information Resources Management,
AD‑224 ‑ GTN, Paperwork Reduction Project (1910-0400), U.S. Department
of Energy, 1000 Independence Avenue, S.W., Washington, DC 20585; and to
the Office of Management and Budget (OMB), Paperwork Reduction Project
(1910-0400), Washington, DC 20503.

<table>
<colgroup>
<col style="width: 9%" />
<col style="width: 21%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 9%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="4">1. Program/Project Identification No.      </td>
<td colspan="25">2. Program/Project Title      </td>
</tr>
<tr class="even">
<td colspan="21" rowspan="2"><p>3. Performer (Name, Address)</p>
<p>     </p></td>
<td colspan="8">4. Program/Project Start Date      </td>
</tr>
<tr class="odd">
<td colspan="8">5. Program/Project Completion Date      </td>
</tr>
<tr class="even">
<td rowspan="2"><p>6. Identification</p>
<p>Number</p></td>
<td rowspan="2"><p>7. Planning Category (Work</p>
<p>Breakdown Structure Tasks)</p></td>
<td colspan="26">8. Program/Project Duration</td>
<td rowspan="17"><p>9. Comments</p>
<p>(Notes, Name</p>
<p>of Performer)</p></td>
</tr>
<tr class="odd">
<td>  </td>
<td colspan="2">  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td colspan="2">  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
<td>  </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td colspan="26">     </td>
</tr>
<tr class="odd">
<td colspan="29">10. Remarks      </td>
</tr>
<tr class="even">
<td colspan="10">11. Signature of Recipient and Date</td>
<td colspan="19">12. Signature of U.S. Department of Energy (DOE)
Reviewing Representative and Date</td>
</tr>
</tbody>
</table>

If this form is used as a plan:

If this form is used as a report:

[No further monies or other benefits may be paid out under this program
unless this report is completed and filed as required by existing law
and regulations (DOE Organizational Act: PL. 95‑91; 42 USC 7254 and
Federal Grant and Cooperative Agreement Act of 1977; PL. 95‑224; 41 USC
508)]{.underline}

**FEDERAL ASSISTANCE MILESTONE PLAN**

**PURPOSE**

The Milestone Plan is used as a planning tool, establishing the time
schedule for accomplishing the planned work. Usually it is accompanied
by the DOE F 4600.3A, \"Milestone Log.\"

### INSTRUCTIONS

Item 1 - Enter the Federal grant or agreement identification number for
the current year as it appears in the official award, if known.

Item 2 - Enter the identifying name or description of the
program/project, and, if applicable, the project identification number.

Item 3 - Enter the name and address of the performer responsible for
managing the task.

Item 4 - Enter the original start date of the program/project.

Item 5 - Enter the official completion date as of the latest
modification.

Item 6 - Enter the milestones\' identification numbers from the work
breakdown structure or as assigned by the U.S. Department of Energy
(DOE) program office or managing office.

Item 7 - Enter a brief, identifying description of the milestones.

Item 8 - Enter the first letter of each month of the program/project
duration in the appropriate boxes if the duration is 24 months or less.
Divide the program/project time period up into intervals of two or more
months for durations longer than 24 months and enter the first letter of
the last month of each interval in the appropriate box.

Item 9 - Enter the name of the organization responsible for performing
the work if different than in Item 4 or any note for clarification of
line entries.

Item 10 - Enter any explanatory notes. If more space is required, attach
additional sheets and so indicate in this block.

Item 11 - Enter the signature of the Federal Assistance Recipient and
the date signed to verify that the information is reasonable, based on
knowledge of the project.

Item 12 - Signature of the DOE reviewer and the date signed, which
indicates that the infor­ma­tion on the plan has been reviewed and appears
reasonable.

**CHARTING INFORMATION**

![](media/image1.wmf)