February 7, 2005 (js)

[(Delete this and everything above it when using the form. Do not fill
out online. See .)]{.underline}

**[PROJECT OFFICER CHECKLIST FOR THE USE OF APPROPRIATED FUNDS
]{.underline}**

**[FOR LIGHT REFRESHMENTS AND MEALS UNDER A CONTRACT]{.underline}**

[It is the intent of the NIH to maximize the use of resources for
research. Therefore, expenditure of funds for entertainment will be
limited to those activities clearly in support of the goals and
objectives of NIH and as authorized by NIH Manual Chapter 1160-1,
Entertainment. Documentation of the correct usage of funds for
entertainment is necessary. Entertainment activities must comply with
all legal and policy requirements, and be designed to encourage each
employee of NIH to observe high standards of ethical conduct.
]{.underline}**[Entertainment expenditures must be authorized in advance
using NIH form 2408-1, Request for Use of Appropriated Funds/Gift Funds
for Light Refreshments/Meals and Other Entertainment Expenses, as
provided in paragraph (G) of the NIH Manual Chapter 1160-1.
]{.underline}**

[Please note that in those cases where all conditions have been met to
authorize the provision of meals, the travel per diem for those federal
and/or non-federal individuals coming from outside the local area must
be reduced to account for the meals provided using the appropriated
funds. ]{.underline}

[Contractor:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
]{.underline}

[RFP/Contract No:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
]{.underline}

[Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ ]{.underline}

***[The Project Officer must complete only the section of this form
relating to the type of Activity identified on the NIH 2408-1
form.]{.underline}***

+-------------------------------+---+-------------------------------+
| *[YES NO]{.underline}*[       |   | ***Activity No:***            |
| ]{.underline}                 |   |                               |
|                               |   | **[(1) NIH Sponsored Training |
| \_\_\_\_ \_\_\_\_             |   | or Conference Training under  |
|                               |   | the Government Employees      |
| \_\_\_\_ \_\_\_\_             |   | Training Act                  |
|                               |   | (GETA)]{.underline}**         |
| [\_\_\_\_                     |   |                               |
| \_\_\_\_]{.underline}         |   | [a. This event is required to |
|                               |   | be conducted under the terms  |
| \_\_\_\_ \_\_\_\_             |   | of the contract.]{.underline} |
|                               |   |                               |
| [\_\_\_\_ \_\_\_\_            |   | [b. The event will be held at |
| ]{.underline}                 |   | one of these                  |
|                               |   | locations:]{.underline}       |
| [\_\_\_\_                     |   |                               |
| \_\_\_\_]{.underline}         |   | ·                             |
|                               |   |                               |
| [\_\_\_\_                     |   | -   [On campus; other local   |
| \_\_\_\_]{.underline}         |   |     NIH facility; other local |
|                               |   |     government                |
| [\_\_\_\_                     |   |     facility]{.underline}     |
| \_\_\_\_]{.underline}         |   |                               |
|                               |   | ·                             |
| [\_\_\_\_                     |   |                               |
| \_\_\_\_]{.underline}         |   | -   [Non-government local     |
|                               |   |     facility]{.underline}     |
| [\_\_\_\_ \_\_\_\_            |   |                               |
| ]{.underline}                 |   | ·                             |
|                               |   |                               |
| [\_\_\_\_ \_\_\_\_            |   | -   [Facility outside the     |
| ]{.underline}                 |   |     local area ("local" means |
|                               |   |     within a 50-mile radius   |
| *[YES ]{.underline}*[         |   |     from                      |
| ]{                            |   |     ]{.unde                   |
| .underline}*[NO]{.underline}* |   | rline}**[both]{.underline}**[ |
|                               |   |     the employee's residence  |
| [\_\_\_\_                     |   |     and permanent duty        |
| \_\_\_\_]{.underline}         |   |     station to a temporary    |
|                               |   |     duty site)]{.underline}   |
| [\_\_\_\_                     |   |                               |
| \_\_\_\_]{.underline}         |   | [c. The training is a         |
|                               |   | planned, prepared, and        |
| [\_\_\_\_                     |   | coordinated program, course,  |
| \_\_\_\_]{.underline}         |   | curriculum, or subject in     |
|                               |   | scientific, professional,     |
| [\_\_\_\_                     |   | technical, fiscal,            |
| \_\_\_\_]{.underline}         |   | administrative, or other      |
|                               |   | field that will improve       |
| \_\_\_\_ \_\_\_\_             |   | individual and organizational |
|                               |   | performance and assist in     |
| \_\_\_\_ \_\_\_\_             |   | achieving the agency's        |
|                               |   | mission and performance       |
| \_\_\_\_ \_\_\_\_[            |   | goals.]{.underline}           |
| ]{.underline}                 |   |                               |
|                               |   | [d. If the training is a      |
| \_\_\_\_ \_\_\_\_             |   | conference,                   |
|                               |   | ]{.und                        |
| \_\_\_\_ \_\_\_\_             |   | erline}**[all]{.underline}**[ |
|                               |   | of the following conditions   |
| \_\_\_\_ \_\_\_\_[            |   | must be met:]{.underline}     |
| ]{.underline}                 |   |                               |
|                               |   | ·                             |
| \_\_\_\_ \_\_\_\_[            |   |                               |
| ]{.underline}                 |   | -   [The announced purpose of |
|                               |   |     the conference is         |
| \_\_\_\_ \_\_\_\_             |   |     educational or            |
|                               |   |                               |
| \_\_\_\_ \_\_\_\_[            |   |   instructional;]{.underline} |
| ]{.underline}                 |   |                               |
|                               |   | ·                             |
| \_\_\_\_ \_\_\_\_             |   |                               |
|                               |   | -   [More than half of the    |
| \_\_\_\_ \_\_\_\_             |   |     time is scheduled for a   |
|                               |   |     planned, organized        |
| *YES * *NO*                   |   |     exchange of information   |
|                               |   |     between presenters and    |
| [\_\_\_\_                     |   |     audience;]{.underline}    |
| \_\_\_\_]{.underline}         |   |                               |
|                               |   | ·                             |
| \_\_\_\_ \_\_\_\_             |   |                               |
|                               |   | -   [The content of the       |
| \_\_\_\_ \_\_\_\_             |   |     conference is germane to  |
|                               |   |     improving individual      |
| [\_\_\_\_ \_\_\_\_            |   |     and/or organizational     |
| ]{.underline}                 |   |     performance;              |
|                               |   |     and]{.underline}          |
| [\_\_\_\_                     |   |                               |
| \_\_\_\_]{.underline}         |   | ·                             |
|                               |   |                               |
| *[\_\_\_\_                    |   | -   [Development benefits     |
| \_\_\_\_]{.underline}*        |   |     will be derived through   |
|                               |   |     the employee's            |
| [\_\_\_\_                     |   |     attendance.]{.underline}  |
| \_\_\_\_]{.underline}         |   |                               |
|                               |   | [e. In general, under the     |
| [\_\_\_\_                     |   | above activities, only LR     |
| \_\_\_\_]{.underline}         |   | will be authorized; however,  |
|                               |   | if meals are to be provided   |
| [\_\_\_\_                     |   | to federal employees at a     |
| \_\_\_\_]{.underline}         |   | "training" event,             |
|                               |   | ]{.unde                       |
| [\_\_\_\_                     |   | rline}**[both]{.underline}**[ |
| \_\_\_\_]{.underline}         |   | of the following two          |
|                               |   | conditions                    |
| \_\_\_\_ \_\_\_\_             |   | ]{.unde                       |
|                               |   | rline}**[must]{.underline}**[ |
| \_\_\_\_ \_\_\_\_             |   | be met:]{.underline}          |
|                               |   |                               |
| \_\_\_\_ \_\_\_\_             |   | ·                             |
|                               |   |                               |
| *YES * *NO*                   |   | -   [The provision of meals   |
|                               |   |     is necessary to achieve   |
| \_\_\_\_ \_\_\_\_             |   |     the objectives of the     |
|                               |   |     training program in that  |
| \_\_\_\_ \_\_\_\_             |   |     partaking of the meal is  |
|                               |   |     necessary for the         |
| [\_\_\_\_                     |   |     continued flow of the     |
| \_\_\_\_]{.underline}         |   |     training. ]{.underline}   |
|                               |   |                               |
| \_\_\_\_ \_\_\_\_             |   | ·                             |
|                               |   |                               |
| \_\_\_\_ \_\_\_\_             |   | -   [Meals are linked to the  |
|                               |   |     training event in that a  |
| \_\_\_\_ \_\_\_\_             |   |     portion of the training   |
|                               |   |     is conducted during the   |
| \_\_\_\_ \_\_\_\_             |   |     meal session.             |
|                               |   |     ]{.underline}             |
|                               |   |                               |
|                               |   | [f. The non-Federal           |
|                               |   | attendees, if any, are        |
|                               |   | legitimately performing a     |
|                               |   | direct service. ]{.underline} |
|                               |   |                               |
|                               |   | [(i.e., making a              |
|                               |   | presentation, conducting the  |
|                               |   | training, or advising in an   |
|                               |   | area of expertise).           |
|                               |   | ]{.underline}                 |
|                               |   |                               |
|                               |   | [\[NOTE: Since the GETA       |
|                               |   | applies only to individuals   |
|                               |   | employed in or under an       |
|                               |   | agency, non-Federal persons   |
|                               |   | must be serving in the above  |
|                               |   | capacity and cannot be        |
|                               |   | collaborating, participating, |
|                               |   | or simply                     |
|                               |   | attending.\]]{.underline}     |
|                               |   |                               |
|                               |   | **[(2) NIH Sponsored          |
|                               |   | Conference/Meeting            |
|                               |   | (Non-Training)                |
|                               |   | ]{.underline}**               |
|                               |   |                               |
|                               |   | [a. This event is required to |
|                               |   | be conducted under the terms  |
|                               |   | of the contract.]{.underline} |
|                               |   |                               |
|                               |   | [b. The event will be held at |
|                               |   | one of these                  |
|                               |   | locations:]{.underline}       |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [On campus; other local   |
|                               |   |     NIH facility; other local |
|                               |   |     government                |
|                               |   |     facility]{.underline}     |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [Non-government local     |
|                               |   |     facility]{.underline}     |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [ Facility outside the    |
|                               |   |     local area ("local" means |
|                               |   |     within a 50-mile radius   |
|                               |   |     from                      |
|                               |   |     ]{.unde                   |
|                               |   | rline}**[both]{.underline}**[ |
|                               |   |     the employee's residence  |
|                               |   |     and permanent duty        |
|                               |   |     station to a temporary    |
|                               |   |     duty site)]{.underline}   |
|                               |   |                               |
|                               |   | [c. This is a non-routine     |
|                               |   | event that is an              |
|                               |   | administrative or             |
|                               |   | scientific-based conference,  |
|                               |   | workshop, seminar, or         |
|                               |   | symposium.]{.underline}       |
|                               |   |                               |
|                               |   | [d. The event will last for a |
|                               |   | minimum of 4                  |
|                               |   | hours.]{.underline}           |
|                               |   |                               |
|                               |   | [e. The provision of LR is    |
|                               |   | necessary to the continued    |
|                               |   | flow of the event. This means |
|                               |   | that it is logistically       |
|                               |   | difficult for the number of   |
|                               |   | attendees to disperse and     |
|                               |   | take a LR break in a timely   |
|                               |   | manner without disrupting the |
|                               |   | flow of the                   |
|                               |   | event.]{.underline}           |
|                               |   |                               |
|                               |   | [f. Partaking of the LR is    |
|                               |   | necessary for employees to    |
|                               |   | participate fully in the      |
|                               |   | event.]{.underline}           |
|                               |   |                               |
|                               |   | [g. Employees are not able to |
|                               |   | take the LR elsewhere without |
|                               |   | missing formal discussions    |
|                               |   | lectures, speeches, etc.,     |
|                               |   | concerning the purpose of the |
|                               |   | event.]{.underline}           |
|                               |   |                               |
|                               |   | h\. The non-Federal           |
|                               |   | attendees, if any, are        |
|                               |   | legitimately performing a     |
|                               |   | direct service; for example,  |
|                               |   | making a presentation,        |
|                               |   | advising in an area of        |
|                               |   | expertise, collaborating, or  |
|                               |   | participating.                |
|                               |   |                               |
|                               |   | [i. In general, under the     |
|                               |   | above activities, only LR     |
|                               |   | will be authorized; however,  |
|                               |   | if meals are being requested, |
|                               |   | ]{.unde                       |
|                               |   | rline}**[both]{.underline}**[ |
|                               |   | of the following two          |
|                               |   | conditions                    |
|                               |   | ]{.unde                       |
|                               |   | rline}**[must]{.underline}**[ |
|                               |   | be met:]{.underline}          |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [The event is held        |
|                               |   |     outside of the local      |
|                               |   |     area.]{.underline}        |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [The 12-hour per diem     |
|                               |   |     rule has been met. This   |
|                               |   |     rule states that a per    |
|                               |   |     diem allowance cannot be  |
|                               |   |     allowed when the official |
|                               |   |     travel period is 12 or    |
|                               |   |     fewer hours. (See NIH     |
|                               |   |     Manual Chapter 1500,      |
|                               |   |     Travel Policy and         |
|                               |   |     Procedures).]{.underline} |
|                               |   |                               |
|                               |   | **[(3) Co-Sponsored Event     |
|                               |   | (Training and Non-Training    |
|                               |   | Related)]{.underline}**       |
|                               |   |                               |
|                               |   | [a. This event is required to |
|                               |   | be conducted under the terms  |
|                               |   | of the contract.]{.underline} |
|                               |   |                               |
|                               |   | [b. The conference, seminar,  |
|                               |   | symposium, educational        |
|                               |   | program, public information   |
|                               |   | campaign, or similar event is |
|                               |   | related to the mission of the |
|                               |   | NIH, and jointly developed    |
|                               |   | and sponsored by NIH and one  |
|                               |   | or more non-Federal entities  |
|                               |   | that share a mutual interest  |
|                               |   | in the subject matter. This   |
|                               |   | does not include prospective  |
|                               |   | co-sponsors that would        |
|                               |   | provide only funding for an   |
|                               |   | event.]{.underline}           |
|                               |   |                               |
|                               |   | [c. For                       |
|                               |   | ]{.underlin                   |
|                               |   | e}**[training]{.underline}**[ |
|                               |   | events:]{.underline}          |
|                               |   |                               |
|                               |   | 1\.                           |
|                               |   |                               |
|                               |   | 1.  [The training is a        |
|                               |   |     planned, prepared, and    |
|                               |   |     coordinated program,      |
|                               |   |     course, curriculum, or    |
|                               |   |     subject in scientific,    |
|                               |   |     professional, technical,  |
|                               |   |     fiscal, administrative,   |
|                               |   |     or other field that will  |
|                               |   |     improve individual and    |
|                               |   |     organizational            |
|                               |   |     performance and assist in |
|                               |   |     achieving the agency's    |
|                               |   |     mission and performance   |
|                               |   |     goals.]{.underline}       |
|                               |   |                               |
|                               |   | 2\.                           |
|                               |   |                               |
|                               |   | 1.  [In general, under the    |
|                               |   |     above activities, only LR |
|                               |   |     may be authorized;        |
|                               |   |     however, if meals are to  |
|                               |   |     be provided to federal    |
|                               |   |     employees at a "training" |
|                               |   |     event,                    |
|                               |   |     ]{.unde                   |
|                               |   | rline}**[both]{.underline}**[ |
|                               |   |     of the following two      |
|                               |   |     conditions                |
|                               |   |     ]{.unde                   |
|                               |   | rline}**[must]{.underline}**[ |
|                               |   |     be met:]{.underline}      |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [ The provision of meals  |
|                               |   |     is necessary to achieve   |
|                               |   |     the objectives of the     |
|                               |   |     training program in that  |
|                               |   |     partaking of the meal is  |
|                               |   |     necessary for the         |
|                               |   |     continued flow of the     |
|                               |   |     training. ]{.underline}   |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [The meals are linked to  |
|                               |   |     the training event in     |
|                               |   |     that a portion of the     |
|                               |   |     training is conducted     |
|                               |   |     during the meal           |
|                               |   |     sessions.]{.underline}    |
|                               |   |                               |
|                               |   | [3. The non-Federal           |
|                               |   | attendees, if any, are        |
|                               |   | legitimately performing a     |
|                               |   | direct service. (i.e., making |
|                               |   | a presentation, conducting    |
|                               |   | the training, or advising in  |
|                               |   | an area of expertise).        |
|                               |   | ]{.underline}                 |
|                               |   |                               |
|                               |   | [ NOTE: Since the GETA        |
|                               |   | applies only to individuals   |
|                               |   | employed in or under an       |
|                               |   | agency, non-Federal persons   |
|                               |   | must be serving in the above  |
|                               |   | capacity and cannot be        |
|                               |   | collaborating, participating, |
|                               |   | or simply                     |
|                               |   | attending.]{.underline}       |
|                               |   |                               |
|                               |   | [d. For                       |
|                               |   | ]{.underline}**               |
|                               |   | [non-training]{.underline}**[ |
|                               |   | events:]{.underline}          |
|                               |   |                               |
|                               |   | 1\.                           |
|                               |   |                               |
|                               |   | 1.  [The expenses are for     |
|                               |   |     attendance at a           |
|                               |   |     non-internal business     |
|                               |   |     meeting, conference or    |
|                               |   |     seminar with the sole     |
|                               |   |     purpose of discussing HHS |
|                               |   |     or NIH special directives |
|                               |   |     or                        |
|                               |   |     initiatives.]{.underline} |
|                               |   |                               |
|                               |   | 2\.                           |
|                               |   |                               |
|                               |   | 1.  [In general, under the    |
|                               |   |     above activities, only LR |
|                               |   |     may be authorized;        |
|                               |   |     however, if meals are     |
|                               |   |     being requested,          |
|                               |   |     ]{.unde                   |
|                               |   | rline}**[both]{.underline}**[ |
|                               |   |     of the following two      |
|                               |   |     conditions                |
|                               |   |     ]{.unde                   |
|                               |   | rline}**[must]{.underline}**[ |
|                               |   |     be met:]{.underline}      |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [ The event is held       |
|                               |   |     outside the local         |
|                               |   |     area.]{.underline}        |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [The 12-hour per diem     |
|                               |   |     rule has been met. This   |
|                               |   |     rule states that a per    |
|                               |   |     diem allowance cannot be  |
|                               |   |     allowed when the official |
|                               |   |     travel period is 12 or    |
|                               |   |     fewer hours. (See NIH     |
|                               |   |     Manual Chapter 1500,      |
|                               |   |     Travel Policy and         |
|                               |   |     Procedures).]{.underline} |
|                               |   |                               |
|                               |   | **[(4) NIH EEO/Cultural       |
|                               |   | Awareness Program (Meals,     |
|                               |   | Music, Etc.) ]{.underline}**  |
|                               |   |                               |
|                               |   | [a. This event is required to |
|                               |   | be conducted under the terms  |
|                               |   | of the contract.]{.underline} |
|                               |   |                               |
|                               |   | [b. The event will be held at |
|                               |   | one of these                  |
|                               |   | locations:]{.underline}       |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [On campus; other local   |
|                               |   |     NIH facility; other local |
|                               |   |     government                |
|                               |   |     facility]{.underline}     |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [Non-government local     |
|                               |   |     facility]{.underline}     |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [Facility outside the     |
|                               |   |     local area ("local" means |
|                               |   |     within a 50-mile radius   |
|                               |   |     from                      |
|                               |   |     ]{.unde                   |
|                               |   | rline}**[both]{.underline}**[ |
|                               |   |     the employee's residence  |
|                               |   |     and permanent duty        |
|                               |   |     station to a temporary    |
|                               |   |     duty site)]{.underline}   |
|                               |   |                               |
|                               |   | c\.                           |
|                               |   |                               |
|                               |   | c.  [In order for the         |
|                               |   |     non-Federal guest         |
|                               |   |     speaker/presenter to      |
|                               |   |     receive a meal, the event |
|                               |   |     must be away from their   |
|                               |   |     home or place of          |
|                               |   |     business. ]{.underline}   |
|                               |   |                               |
|                               |   | d\.                           |
|                               |   |                               |
|                               |   | c.  [ Federal employees may   |
|                               |   |     partake of small samples  |
|                               |   |     of ethnic foods served as |
|                               |   |     part of the formal        |
|                               |   |     program. See NIH Manual   |
|                               |   |     Chapter 1160-1 for        |
|                               |   |     further                   |
|                               |   |     guidance.]{.underline}    |
|                               |   |                               |
|                               |   | **[(5) NIH Special Events     |
|                               |   | (Activity (5)                 |
|                               |   | ]                             |
|                               |   | {.underline}[--]{.underline}[ |
|                               |   | (8) on form NIH               |
|                               |   | 2408-1)]{.underline}**        |
|                               |   |                               |
|                               |   | [a. This event is required to |
|                               |   | be conducted under the terms  |
|                               |   | of the contract.]{.underline} |
|                               |   |                               |
|                               |   | [b. The event will be held at |
|                               |   | one of these                  |
|                               |   | locations:]{.underline}       |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [On campus; other local   |
|                               |   |     NIH facility; other local |
|                               |   |     government                |
|                               |   |     facility]{.underline}     |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [Non-government local     |
|                               |   |     facility]{.underline}     |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [Facility outside the     |
|                               |   |     local area ("local" means |
|                               |   |     within a 50-mile radius   |
|                               |   |     from                      |
|                               |   |     ]{.unde                   |
|                               |   | rline}**[both]{.underline}**[ |
|                               |   |     the employee's residence  |
|                               |   |     and permanent duty        |
|                               |   |     station to a temporary    |
|                               |   |     duty site)]{.underline}   |
|                               |   |                               |
|                               |   | [c. The event furthers NIH    |
|                               |   | objectives.]{.underline}      |
|                               |   |                               |
|                               |   | [d. In general, under the     |
|                               |   | above activities, only LR     |
|                               |   | will be authorized; however,  |
|                               |   | if meals are being requested, |
|                               |   | ]{.unde                       |
|                               |   | rline}**[both]{.underline}**[ |
|                               |   | of the following two          |
|                               |   | conditions must be            |
|                               |   | met:]{.underline}             |
|                               |   |                               |
|                               |   | ·                             |
|                               |   |                               |
|                               |   | -   [The event is held        |
|                               |   |     outside of the local      |
|                               |   |     area.]{.underline}        |
|                               |   |                               |
|                               |   | ·                             |
+-------------------------------+---+-------------------------------+
|                               |   |                               |
+-------------------------------+---+-------------------------------+
|                               |   |                               |
+-------------------------------+---+-------------------------------+
|                               |   |                               |
+-------------------------------+---+-------------------------------+

-   [The 12-hour per diem rule has been met. This rule states that a per
    diem allowance cannot be allowed when the official travel period is
    12 or fewer hours. (See NIH Manual Chapter 1500, Travel Policy and
    Procedures)]{.underline}

**[Signed:]{.underline}**

[ ]{.underline}*[Project Officer]{.underline}[ ]{.underline}[
]{.underline}[ ]{.underline}[Typed or Printed Name]{.underline}*

[ ]{.underline}*[Date]{.underline}[ ]{.underline}[ ]{.underline}[
]{.underline}[Phone No.]{.underline}*