ML20206R493

Request for OMB Review & Supporting Statement Re NRC Form 64, Travel Voucher (Part 1), Form 64A, Travel Voucher (Part 2) & Form 64B, Optional Travel Voucher (Part 2). Estimated Respondent Burden 100 H

ML20206R493
Person / Time
Issue date:	05/12/1999
From:	Shelton B NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
To:
Shared Package
ML20206R483	List: ML20206R478 ML20206R493
References
OMB-3150, OMB-3150-0000, NUDOCS 9905200138
Download: ML20206R493 (12)

Text

h6 5 #G Ald TE D O rig I N A L. ' ' '

g' PAPERWORK REDUCTION ACT SUBMISSION Ple:se rind the instructions befora completing this form. For additional forms or cssist:nce In compl ting this form. cont:ct your agency's Paperwork Clearance Officer. Send two copies of this form the collection instrument to be reviewed. the Supporting Statement and any additional documentation to: Office of Information and Regulatory Affairs, Office of Management and Buciget, Docket Library, Room 10102,72517th Street NW, Washington, DC 20503.

1. Agency / Subagency onginaung request 2. OM8 control number

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U.S. Nuclear Regulatory Commission a. 3150-0 y b.None

3. Type of information collection (check one) 4. Type of review requested (check one) g a. New conection y a. Regular c. Delegated

b. Revision of a currently approved collection b. Ernergency . Approval requested by (date):

c. Extension of a currently approved collection 5. Will this information collection have a a.Yes

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signrficant economic impact on a -

substantial number of small entities?

d Reinstatement'hich collection for w approval has expiredwithout change, of a previously approved y b.No c.col R e oNr"hh h a o"vNhaehr J a. Three years from approval date 6'

• Requested

• # d#*

f. Existing collection in use without an OMB control number b. Other (Specify):

7. Title NRC Form 64, Travel Voucher (Part 1); NRC Form 64A, Travel Voucher (Part 2); NRC Form 64B, Optional Travel Voucher (Part 2)

8. Agency form number (s) (if applicable)

NRC Form 64, NRC Form 64A, and NRC Form 64B

9. Keywords Administration, Travel Voucher, Administrative Process

10. Abstract As a part of completing the travel process, the traveler must file travel reimbursement vouchers and trip -

reports. The respondent universe for the above forms includes consultants and contractors and those who are ixvited by the NRC to travel, e.g., prospective employees. Travel expenses that are reimbursed are confined to those expenses essential to the transaction of official business for an approved trip.

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11. Affacted pubhc tuen onmery am vem en arters met ecoty um m 12. Obligatson to respond cuern onmey am y emr en amers mer nooty um m

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T a. Individuals or households d. Farms a. Voluntary T b. Business or other for profit e. Federal Govemment T b. Required to obtain or retain benefits T c. Not for-profit institutions f. State. Local or Tribal Govemment c. Mandatory

13. Annual reporting and recordkeeping hour burden 14. Annual reporting and recordkeeping cost burden (in mov.enos oraosers;

a. Number of respondents 100 a Total annualized capital /startup costs

b. Totalannualresponses 100 b. Total annual costs (O&M)

1. Percentage of these responses c. Total annualized cost requested conected electromcally 0.0  % d. Current OMB inventory

c. Total annual hours requested 100 e. Difference

d. Current OMB inventory

f. Explanation of drfference

e. Difference 100

f. Explanation of difference ** #*"9'

1. Program change 2. AdNetment

2. Adjustment

15. Purpose of information collection 16. Frequency of recordkeeping or reporting (check allanat appy)

(Mest pnmary wer 'P'and as others that a#y wei "X") a. Recordkeeping b. Third-party disclosure T a. Application for benefits T e. Program planning or management 7

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c. Reporting

b. Program evaluation

c. General purpose statistics

f. Research

g. Regulatory or compliance

] 1. On occasion

4. Quarterty

2. Weekly

5. Semi-annually

3. Monthly

6. Annually

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d. Audit 7. Biennially 8. Other (describe)

17. Stattstical methods 18. Agency contact (person who can best answer questions regardmg me y Doec this information collection employ statistical methods?

Narne: Frank P. Cardile Yes  % No Phone: 301-415-6185 omasu m.a-. a-ew.m. 10/95 9905200138 990512 PDR ORG EUSOMB PDR r '

19.Certifliatirn f r Pcperw:rk Reduction Act Submissi::ns On behalf of this Federal agency, I certify that the collerdon ofinfornwian encompassed by this request complies with 5 CFR 1320.9, NOTE: The text of 5 CFR 1320.9, and the related provisions of 5 CFR I320.3 (b)(3), appear at the end of the instructions. The certification is to be made with reference to those regulatoryprovisions as setforth in the imtructioM.

'Ibe following is a summary of the topics, regarding the proposed collection ofinformation, that the certification covers:

(a) It is necessary for the proper performance of agency functions; (b) It avoids unnecessary duplication; (c) It reduces burden on small entities; (d) It uses plain, coherent, and unambiguous terminology that is understandable to respondents; (e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices; (f) It indicates the retention periods for recordkeeping requirements; (g) It Informs respondents of the information called for under 5 CFR 1320.8 (b)(3):

(i) Why the information is being collected; (ii) Use ofinfonnation; (iii) Burden estimate; (iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Na2ure of extent of confidentiality; and (vi) Need to display currently valid OMB control number; (h) It was developed by an ofTice that has planned and allocated resources for the efficient and effective management and use of the information to be collected (see note in item 19 of the instructions);

(i) It uses effective and efficient statistical survey methodology; and (j) It makes appropriate use ofinformation technology.

If you are unable to certify compliance with any of these provisions, identify the item below and explain the reason in item 18 of the Supporting Statement.

Sqnature of Authonzed Agency Omcial Date Sqnature,of Senior Omcastor de Date B

s i s. )) . M hh a Jo. SheltonkNRQfClemence Officer Office of the Chief information Officer

1. y /.',i //f//

OMS 83-1 10/95

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. FINAL OMB SUPPORTING STATEMENT FOR NRC FORM 64, ' TRAVEL VOUCHER (PART 1), "

NRC FORM 64A, " TRAVEL VOUCHER (PART 2),"

AND NRC FORM 648, ' OPTIONAL TRAVEL VOUCHER (PART 2)"

NEW COLLECTION Descriotion of the Information Collection As a part of completing the travel process, tne traveler must file travel vouchers and trip reports.

The respondent universe for the forms includes consultants and contractors and those who are invited by the NRC to travel, e.g., prospective employees. The information collected includes the name, address, social security number, and the amount to be reimbursed. Travelers do not receive a travel advance, but are paid on a reimbursement bases only. Guidance on allowable travel expenses can be found in the General Services Administration (GSA) Federal Travel ,

Regulations (FTR) and in NRC Management Directive 14.1, Temporary Duty Travel.

l A. JUSTIFICATION

1. Need for and Practical Utility of the Collection of Information. l f

Travel vouchers provide information to the govemment that aids in the f reimbursement of travel funds. The traveler must complete a travel voucher (NRC Forms 64,64A,648) in order to be reimbursed for allowable expenses as govemed by GSA's travel regulations. In addition, NRC has additional travel I guidance in their Management Directive 14.1, Temporary Duty Travel. i

2. Aaency Use of information.

Information on these forms is used to ensure that only legitimate travel expenses )

are reimbursed in accordance with FTR and NRC regulations. Once a travel voucher has been examined and approved in the NRC travel office, the appropriate accounting information is entered into NRC's accounting system then transmitted to the Department of Treasury's Financial Management Service for payment. The only information transmitted to the Department of Treasury is the name, address, and dollar amount of the payment.

3. Reduction of Burden Throuah Information Technoloav.

l There is no legal obstacle to reducing the burden associated with this information i collection by use of information technology or otherwise. Moreover, NRC encourages its use.

4. Effort to identify Duplication and Use Similar Information.

I The information Requirements Control Automated System (IRCAS) was l searched for duplication, and none was found. l 1

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. - . . . . . . . . . . . . - .. . . . - . ~ . - - - . . -

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5. Effort to Re' duce Small Business Burden.

4 Completion of the NRC Forms 64 and its continuation pages,64A or 64B, are required by non-Federal personnel such as, consultants, contractors, and NRC invited travelers. This is the minimum information needed to authorize travel for this group.

6. Conseauences to Federal Proaram or Policy Activities if the Collection is Not l Conducted or is Conducted Less Freauentiv.

This information is required by GAO and the Federal Travel Regulations in order  !

s to reimburse travelers for expenses associated with their official travel on behalf of the NRC.

7. Circumstances which Justify Variation from OMB Guidelines.

This information is required by GAO and the Federal Travel Regulations in order l to reimburse travelers for expenses associated with their official travel on behalf .

of the NRC. l

8. Consultations Outside the NRC.

An opportunity to comment on the information collection requirements for this new collection was published in the Federal Reaister on February 17,1999 (64 FR 7913) and no comments were received.

9. Payment or Gift to Respondents.

Not Applicable.

10. Confidentiality of information.

This information is protected frorn public disclosure under the Privacy Act of 1974 and is handled in accordance with routine uses specified in the Privacy Act Statement.

11. Justification for Sensitive Questions.

Not applicable.

12. Estimate of Burden and Burden Hour Cost.

It is estimated that 100 NRC Forms 64 and 64A or 64 and 64B will be completed annually. At an estimated burden of 1 hr per form and rts continuation page, the annual burden is estimated to be 100 hrs. At a professionally hourly rate of

($121/hr), the annual cost is 12,100 (100 forms annually x 1 hr/ form x

$121/hr/ form).

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. 13. Estimate of Other Additional Costs.

None.

14. Estimated Annualized Cost to the Federal Govemment. i l

The total annualized cost to the NRC for reviewing and assessing NRC Forms 64 l and its continuation page, 64A or 64B is $2,250 (50 staff hrs x $45/hr[ clerical staff hourly rate]) ,

15. Reasons for Chanaes in Burden or Cost.

New collection.

16. Publication for Statistical Use.

None.

17. Reason for Not Disolavina the Exoiration Date.

Not applicable.

18. Exceotions to the Certification Statement.

Not applicable.

B. COLLECTION OF INFORMATION EMPLOYING STATISTICAL METHODS Not applicable.

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Estimated ensden per rosconee e comply witn the volwaary conecten rar= ==* 1 '

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TRAVEL VOUCHER (PART 1) hour pe,mf.or.NRC Forms 64rand

, tw on-a,et 64A c-m n..,o or 648 nieN.MC u,*eesden gere,o the rWo,rmea.n..to.sulhorue e e to ine

• Locords Management 8tanch M ESL U S Nuclear Regulatwy C-mtsen.

FOLLOW INSTRUCTIONS Weenmoton. DC 20MS C001, er by e.msd ta the1(nc gov. and to the Desh

1. AUTHORIZATION NUMBER L DUc6% 51 Jurm v No. Omcer. Once of Wormsion and Esguietary APars. NEOE.10202. 0150@0CL e Omca et Managemers and Budget. Washrigion. DC 20503 at a means used to repose en eformaten conection does riot esplay a currently volwl OM8 controt

3. mnest (Last. Fret aedes insisel) e WPPict TELEPMVNE 'g wm t ammmaa (muss a cose) 6 RECLAIM VOUCHER 7 VOUCHER STATUS YES NO PARTIAL FMAL n cf n n 4 TRAVEL PERCD($)

WTROM7314MXFYYYYJ 5 To (N 9 OFFICIAL OUTy STATCN (Cdy and Stafe; 10 RES10ENCE (C#y and Stafe)

Rockville. MD

11. LEAVE TAKEN 12. COMPARATIVE il TYPE OF TRAVEL 14 METHOO OF PAYMENT IS AIRLINE ACCOMMOOATONS TRAVEL 0 coauSCOMESTC HEADOuARTERS TO 8E PAio 8Y ErT C FiRSTCtASS IP NT O 8cx 0 NONFOREIGN OUTSOE COMUS ) (TE E ACCOUNT C OTHER PREMlUM CLASS R.. OTHER O FMEGN O FREE UPGRADE (FROM N FOR 64kNRC FORM 648)

n. COS r U **'R n Non40NTRACT EXPENSES AMOUNT CLAMEO

17. TRANSPOgpTHOO OF 19 TRANSPORTATON A SUBSISTENCE AND GTR/GTS ACCTCOVT ISSUED CARCCASH 16 CARRIER GTR m p

2a M OUNT OTHCR EXPENSEC Ilrenneh haa ~l 8 PLANE. TRAIN,8US (PAJO BY TRAVELER)

31. TRAVELEW5 6sn rwi%ATION. lHERhoY A554GN TO ir4E UNITED 5 TATE: W PARTIES W CONNECTON VATH ltEIM8 URSA 8LE TRANSPORTATON CHARGES ANYDESCRISED RiGHT I MAY HAVE A80VE, A.'AeN5T ANY *QM PURCHASED UNDER CASH PAYMENT PROCE.PURES l C* TOTAL CLAIM 22 READ CAREFmY 23. TRAVEL ADVANCE (It Aucher ctudee any at the tonowmg. mort the appropnete boxes } TOTAL ADVANCE RECBVED (Travow Must Compente)

O (REFUNDEspern an Port DUE ON UNUSED 2 and artscn TICF ET. PARTIAL TICKET. ANOCR REFUND SLIP so kant of woucher) ATM REMITTANCE ATTACHED IN THl! MECW

] MOUNT OF. 3 l OTHER <

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24. ICERTIFY THAT THl3 VOUCHER it TRUE AND CORRECT TO THE BEST OF MY KNOY& EDGE AND BELIEF AND THAT PAYMENT OR FOR EXAMINER USE CREDff HAS NOT BEEN RECEIVEC OY ME SIGNATURCITRAVELER' DATE O BE AM I

BALANCE DUE THib VOUCHER 18 APPROVED. l AIDAATI.Rr;APPROV53G'DFFICIAL ""

jDATE

! 26. EXAMINER'S ADJUSTMENTS l 1

27 TRAVELER DESIGMICN I DES!ONATE TO RECErVE CASH PAYMENT OF THIS TRAVEL VOUCHER.1 ACCEPT 7.ESPONS181LffY FOR THE PAYMENT ONCE THE IMPREST FUND CASHIER PROPERLY OfSBURSES THE CASH TO MY DESIGNEE.

EiCNATDRE TRAVELIM DATE

, EXAMINED 8Y jDATE

28. CASH PAYMENT OF TRAVEL VOUCHER (For CasNor Use) l ECE E CASH m FM 2g THl3 VOUCHER IS CERTIFIED CORRECT AND THE AMOUNT OF. $ PROPER FOR PAYMENT SiCHATUtt .DATE *e'a us .w.emino camme oman

NRC BADGE NUMBER )ous

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30. ACCOUNTING CLASSIFICATION (For Division of Accounting and Finance use)

A > 8 C 0 COST E i F (2110 8) j C 2120.D) H

{ PURPOSE ggy l ORGANIZATION i JOO SUS $1STENCE C COST i TOTAL i CODE I t CODE CODE ANO OTHER CARRIER I

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DOMESTC i

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g gg gen om m en expense account works a forteture of the Ciesm (20 U S C. 2$14) and may resua e a fine of nos more than $10.000 or impnoonment of riot more than 6

" It long estance issophone cose are ricteded, the Approvrig Omcial must have been authorned m wnleg by the heed at the Department or Agency to so ceridy (31 U S C. 680s).

NRC FORM 64 (MM-YYYY)

TRAVELER'S COPY [ ADVANCE COPY [ MEMORANDUM [ AUTHORIZATION [ AUDIT [FUNOS CONTROL

-- .~ . _ _ _ . . _ . ._ _ . _ _ ._ . _ . .

.-t

. PRIVACY ACT STATEMENT Pursuant TO 5 U.S.C. 552a(e)(3), enacted into law by Section 3 of the Privacy Act of 1974 (Public Law 93-579), the following statement is furnished to individuals who supply information to the U.S. Nuclear Regulatory Commission on NRC Forms 64,64A, and 64B. This information is maintained in a system of records designated as NRC-20 and described at 58 Federal Register 36468 (July 7,1993), or the most recent FederalRegister publication of the Nuclear Regulatory Commission's " Republication of Systems of Records Notices" that is available at the NRC Public Document Room, Gelman Building, Lower Level, 2120 L Street NW, Washington, DC.

1

1. AUTHORITY: 5 U.S.C. 5701; 31 U.S.C. 716,1104,1108, 3511, 3512, 3701, 3711, 3717, 3718 (1988); Federal Travel Regulations,41 CFR Parts 301-304; and Federal Property Management Regulations,41 CFR Part 101-71. The authority for soliciting the social security number is Executive Order 9397, dated November 22,1943.

2. PRINCIPAL PURPOSE (S): The information is used to make reimbursement claims for approved and authorized travel expenses, per diem, and other change of station expenses.

3. ROUTINE USE(S): The information is used for transmittal to the U.S. Treasury to secure payment.

The information may also be disclosed to an appropriate Federal, State, local, or Foreign agency in the event the information indicates a violation or potential violation of law a nd in the course of an administrative or judicial proceeding. In addition, this information may be transferred to an appropriate Federal, State, local, or Foreign agency to the extent rolevant and necessary for an NRC decision about you or to the extent relevant and necessary for that agency's decision about you.

Information from this form may also be disclosed, in the course of discovery under a protective order issued by a court of competent jurisdiction, and in presenting evidence, to a Congressional office to respond to their inquiry made at your request, or to NRC-paid experts, consultants, and others under contract with the NRC, on a need-to-know basis.

4. WHETHER DISCLOSURE IS MANDATORY OR VOLUNTARY AND EFFECT ON INDMDUAL OF NOT PROVIDING INFORMATION: Disclosure is mandatory. If the requested information is not provided, reimbursement may be denied. Failure to provide the Social Security number is made necessary because of the large number of present and former Federal employees and applicants who have identical names and birth dates, and whose identities can only be distinguished by use of I I

a social security number.

5. SYSTEM MANAGER (S) AND ADDRESS:

Chief, Travel Management Branch Division of Accounting and Finance Office of the Chief Financial Officer U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 4

i PAGE OF l NRC. FORM S4A U.S. NUCLEAR REGULATORY COMMISSION 3 ,, , TRAVEL VOUCHER (PART 2) em,.on e s, tois SCHEDULE OF EXPENSES AND AMOUNT CLAIMED Apfmet by NARs 1Mt FOLLOWINSTRUCTIONS ON REVERSE OF FORM SET l

N (L88t. M 48) AUTNORIZATION NO oEPART FRoM office DATe (UA6COTY) TIME O AM n pu

" 8 AMOUNT 19 NATURE OF EXPENSE " 58 CLAIMED g metas I

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lS"Ly"c'!E/s*T7/efei,? GRAND TOTAL (Amount to be shown in item 20.D, Part 1)

Nac'oaM**^ "4"# OTRAveteers copy c AovAnce copy c usMoRAnouw OAuTwoRizATion O AuoiT c [ug g

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NRC FORM $4B U S NUCLEAR REGULATORY COMMISSION -

g $' Aarn.ORswcoN NuM Ea

• OPTIONAL TRAVEL VOUCHER (PART 2) ,40E - . Or . _.

, EXPENSE REPORT POv McEAoE RARE p cPenn asa.ae. eaa orweer s44) FOLLOW INSTRUCTIONS ON REVERSE OF FORM SET CEurSmiLE M OF EMPLOYEE (La r, Frut, M) e y

OrriCE pg gDATE g TIME {t Au o PM .

j A. LOCAL TRANSPORTATION TO COMMON CARRIER TERMINAL DATE WOOE PCN MILEAGE VMERE USED COST OF TRF i i  !

l 8  ; ,

A ruIs S l $ i 1 B. ITINERARY DEPARTURE DATE ]

(MMoorYY) ,

CITYtSTATE TIME O ^u O AM O Au O ru O A" , mm m j (SPECFY AM OR AM)

O Pu O Pu O Pu O Pu O PW iS REOuiREO uSE CONTINUATION PAGES 1 ARRfVAL DATE i l (MMcoVY) I t CffYf87 ATE TIME O Au O Au l 0 ^" O Au O ^" l (SPEC #Y AM OR P M) R PM p PM O PM P PM ) O PM [

C. MILEAGE - P.O.V. l NUMSER Or MILES  ! I f f ,

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c. TOTAL  !

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e .W 'S 'S 'S ' !S 'S *

$ I D. PER DIEM CR ACTUAL SUBSISTENCE (Check box if per diem - do not Check if actual) l ACTUAL LOOGiNG ig g lg l g , fg f MEALS & INCIDENTAL E

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f.xPENSES *$ $ $ $ 8 LESS PREPAlO l  ! l MEALS (OOoMo im >* >* . >* >* * )

8 TATE SPECIFIC PREPAIO , .

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j WEALS (BAJO) OR_LOOOING .

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. GAL OAILY PER DIEM '

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, l j TENCE NTE S IS i 18 * 'S ' l8 lS

' I I E. OTHER EXPENSES (List) 5 l

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.  : $ I F. LOCAL TRANSPORTATION AT TEMPORARY DUTY STATION CAR RENTAL f I l i l i  ! f '

(PAIO 8Y TRAVELER) t S fS ' lS

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, l OATE MOOE l POV MILEACE l YMERE USED l COST OF TRF ,

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. r. suis t i i t !S 'l $ I i G. LOCAL RETURN TRANSPORTATION TO OFFICE OR OFFICIAL DUTY STATION FROM COMMON CARRIER TERMINAL l i

OATE I MOOE i POV MILEAGE I VMERE USED l COST OF TRIP

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! i 8 l r, ivis l  ! l 8  ! $ i i

TOTAL CLAIM (A.G) - TO BE CARRIED FORWARD TO ITEM 20A ON NRC FORM M. $ j l

PLANE TRAIN, BUS (PAID BY TRAVELER) - TO BE CARRIED FORWARD TO ITEM 208 ON NRC FORM M. $ l l

GRAND TOTAL - TO BE CARRIED FORWARD TO ITEM 20C ON NRC FORM M. $  ! j

""C'""***"*) " * * '

EA%U4C ACYSla'TE0EIfI CTRAVELER'S COPY C ADVANCE COPY [ MEMORANDUM C AUTHORIZATION O AUOfT C FUNOS CONTROL

~ . . .-. - - - - -~

I INSTRUCTIONS FOR COMPl.ETIN3 NRC FORM 64, TRAVEL VOUCHERS (PART 1)

Type or handwrite thb form using the instructions below. Ensure thit all copies ars legible. The traviler must initial any erasures and alterations in totals on,the voucher. An electronic version of this form is also available in Informs. 4 i

1

1. Authorization Number. Enter the Authorization 14. Method of Payment. Enter the method of payment Number from NRC Form 279, " Official Travel for reimbursement of travel expenses.

Authorization," ltem No. 3. -

2. Social Security No. Provide the travelers Social

15. Airline Accommodations. Check all classes of ,

Security Number. service that were authorized for the travel.

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3. Name. Provide travelefs name using the sumame, 16. Expenses Claimed. Enter the appropriate amounts i first name, and middle initial. from NRC Form 64A or NRC Form 648. j

4. Office Telephone. Indicate the travelers office j telephone number. 17.-20.  ;

l 6. Malling Address. Insert the address where eave Nank unless Vaveler WasM Mets using a Govemment-issued charge card or cash (under reimbursement is to be sent. If office address is q used, indicate mail stop.

r emergences onW as hmenh '

required).

j 6. Ialm Voucher. Place an "X"in the appropriate

21. Traveler's Certification. The General Services Administration (GSA) audits tickets purchased with  ?

7. Voucher Status. Applies to vouchers submitted cash. This certification permits the Govemment to  ;

against " Blanket" or " Change of Station" recover any excess charges by carriers. Initial the  ;

authorizations only. If more than one voucher will be certification if applicable. '

l submitted, place an "X" in the " Partial" box. Place l an "X" in the " Final" box when the last voucher is 22. Read Carefully. Mark the appropriate boxes and submitted. follow the instructions provided.

8. Travel Period (s). Insert at "A." the date that travel j started (MM/DD/YYYY) and insert at "B." the date 23. Travel Advance. Traveler must provide the amount I l that travel ended (MM/DD/YYYY). of advance received. Voucher Examiner will

9. Official Duty Station. Indicate the place of the travelers designated headquarters or official station. j Enter " Consultant" for consu' tant travel or 24. Signature -Traveler. Traveler must sign and date

" Invitational" for invitational travel. in ink. The voucher shall not be s,gned i by anyone for the traveler. i

10. Residence. Enter city and state of residence from l

which employee commutes to work if different from 25. Signature - Approving Official. Approving official 4 the address shown in item 7. must sign and date in ink. ]

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11. Leave Taken. If travelis interrupted, specify annual, sick, or other type of leave taken during the

26. Examiner's Adjustments. Leave Blank.

period of travel

27. Traveler Designation. The traveler shall designate the person to whom cash payment shall be made

12. Comparative Travel. Place an "X"if actual travelis and sign and date the designation.

a result of personal preference rather than what is officially authorized. To determine whether travel

28. Cash Payment of Travel Voucher. Leave Blank.

was beneficial to the Government, specific details of travel must be reconstructed on Part 2 (i.e. details must compare actual travel with travel that was 29. Signature - Authorized Certifying Officer. Leave officially authorized). Blank.

13. Type of Travel. Enter the type of travel performed, e g. Continental United States (CONUS / Domestic), 30. Accounting Classification. Leave Blank.  !

i nonforeign outside CONUS (includes the States of i Alaska and Hawaii, the Commonwealths of Puerto Rico and the Northern Mariana Islands, and the

territories and possessions of the United States),

foreign, or change of station (COS).  ;

l  !

INSTRUCTIONS FOR CO'JPLETING NRC FORM 64A, TRAVEL VOUCHERS (PART 2)

, Th's form 13 an attachment to NRC Fonn 64 (Part 1). Type or hindwrite this form using the instructions below. Ensuro all copies cre legibic. An electronic virsion cf this form is also cvailable in informs j A. Page Number. Enter page number, starting with Page 1. Per Diem. (Continued)

"1." if additional pages of this form are required, enter The total may not exceed the authorized rate of Page "2," "3," etc. as appropriate, on each succeeding per diem. Also see Section 6.1.2.3 of Part 6 for

-page. the amounts to be deducted for each meal and/or

8. Authorization Number. Enter the authorization number lodging that is provided by the govemment at no and the travelers name for which the voucher applies. cost to the traveler.

Also, enter date and time of traveler's departure date. 2. Actual Subsistence. Show the actuallodging cost. Itemize daily expenses for breakfast, lunch, C. Itemization. dinner, tips, etc. when the actual subsistence authority provides for higher costs for these items.

1. General. Show the details of the expenses actually (See NRCMD 14.1, Part 6). The total may not incurred. Officiallocal telephone calls; parking exceed the authorized actual subsistence rate.

meter fees; and local streetcar, bus, and subway F. Explanations Required.

charges may be summarized for the trip. The summarized amounts must be itemized if the total 1. Cash Purchase of transportation tickets.

for each summarized item exceeds $75.

2. Chronological Order. Itemize expenses incurred 2. Taking ofleave of any kind.

in chronological order. 3. Interruption of travel for emergency or personal

3. Leave of Absence. When leave of any kind is taken, reasons.

show the exact hour of departure from and retum to 4. Indirect travel for personal reasons duty status, along with the total amount of leave used.

5. Delays at places other than duty posts.

4. ATM Transaction Fees and Bank Surcharges. 6. Mileage claimed is greater than mileage of a These fees may be claimed as long as the total usually traveled route.

advance amount withdrawn did not exceed the 7. Use of a rental vehicle or other special means of amount of the authorized travel advance. Fees that transportation when it was not authorized on NRC are unknown at the time the original voucher is for 279," Official Travel Authorization."

prepared may subsequently be claimed on a travel voucher or local travel voucher. (When a trip is G. Foreign Travel.

canceled and the advance was obtained within three 1. Itemize expenditures by items in the currency in business days of the scheduled departure date, which the expenditures were made.

claim the ATM transaction fee on SF-1164. (See 2. Convert total foreign expenditures into U.S. dollars NRCMD 14.1, Exhibit 2.1.) at rate or rates at which the foreign currency was D. Transportation. obtained. I

1. Departure and arrival. Indicate the actual 3. Show rates of conversions and commissions departure date from home or office, and the mode of charged.

transportation used, e.g., POV, limo, taxi, etc. H. Attachments. (Staple to left side of Original Copy of Page 1 of this form.)

2. Common Carrier. Indicate location (city / state) of departure termmal and arrival terminal and method 1. Passenger coupon copy of tickets that were used.

of transportation used. (Attach unused tickets or portions of unused tickets to the front of NRC Form 64 if they have

3. Mlleage. Insert mileage rate authorized. List not been retumed previously to the headquarters number of miles between various points for which or region travel office.) Do not attach boarding mileage will be claimed. Indicate amount claimed passes or ticket folders.

for mileage. This may be done by showing the 2. Receipts are required for alllodgings. They are amount involved (number of miles times rate per also required for itemized cash expenses over $75 mile) between different points as specified in NRCMD 14.1, Exhibit 7.1.

4. Rental Vehicle and Other Special Means of Transportation. Show dates and points of travel, 3. AExhibit foreign ki transportation used, and the amount 4.3)flag certification which provides the(See NRCMD justification fo 14.1'r a travele,r's use of a foreign flag carrier for any part of foregn travel.

5. Cash Payment for Common Carrier Faro. If common carrier was procured fro the travelers I. Erasures and Alterations. Traveler mustinitial personal funds, show amount spent, including any alterations in totals. Erasures and alterations in totals <

Federal transportation tax, mode, and class of on receipts must be initialed by person who signed receipt. To correct errors on vouchers, draw a line transportaten used.

through the error and initial the correction. Do not E. Perdiem /ActualSubsistence. J. P!8%arative Cost Statements. Prepare Comparative

1. Per Diem. Show the actuallodging cost and meals Cost Statements to reflect costs that would have been and incidental expenses (M&lE) rate for each day incurred had the travel been accomplished by the most for which per diem is claimed. (See NRCMD 14.1, expeditious means. An example of a cost compenson Part 6). statement is shown in NRCMD 14.1., Exhibit 7.4.

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INSTRUCTIONS FOR COMPLETING NRC FORM 64B, OPTIONAL TRAVEL VOUCHERS (PART 2)

Thb is an option *1 form and is En attachment to NRC Form 64, (P rt 1), in luu of NRC Form 64A and can be typed or

• hindwritten using tha instructions below. Ensura til copts ars legible. Wh n this form is pr: pared, th3 travtler must

. Initial the chinge if cn cit: ration is rpade to the " Grand Total". To correct in crror, draw a fina through thD crror and initiil I the correction.

This " Expense Report"is used as a log to record the traveler's expenses on a daily basis. It is designed to allow entry for l up to 5 days travel expenses. Use additional forms if your travel exceeds 5 days or when a cost comparison is required.

Note: When travel is performed in one duty location for several consecutive days and reimbursement is under the lodgings-plus per diem system, the traveler may record the first and last days of travelin separate columns (to accommodate quarter-day computations for M&lE rate) and consolidate all interim days in one column.

Record each expense that applies to that day's travel. Upon completion of all daily expenses, show the cumulative totals for each type of expense in the " Totals" column on the far right of the form.

A. Local Transportation to Common Carrier Terminal. E. Other Expenses. Use this space to list ATM Complete the appropriate blocks for the transportation transaction fees and bank surcharges, communication that the traveler used to get to a common carrier services, baggage, supplies, and other authorized terminal and enter the total at "A. Total". miscellaneous expenses. Officiallocal telephone calls may be summarized for the trip unless they exceed B. Itinerary.

$75.

Depart: Enter date. F. Local Transportation at Tomporary Duty Station.

Enter city and state of the departure Enter the amount paid for authorized car rental. Show location. the amount for the day the car is tumed in. A receipt is Arrive: Enter date. not required unless the rental car cost exceeds $75.

Enter travel location for each day of travel. Complete the appropriate blocks when transportation was by other than car rental. Local streetcar, bus and C. Mileage. Use this space only if the traveler is subway charges, and parking meter fees may be authonzed a privately owned vehicle (POV) for the summarized for the trip unless the total for each entire trip. Enter the number of miles traveled on a ' summarized item exceeds $75.

daily basis on the first line. Enter the authorized G. Local Return Transportation to Office or Official mileage rate for reimbursement and the resulting cost Duty Station From Common Carrier Terminal.

D. NMn or Actual Subsistence. Complete the appropriate blocks for the transportation j the tra/eler used to retum to the office or residence Actual Lodging. Enter the actual amount paid for from a common carrier terminal, if costs for parking lodging. A receipt is required. were incurred, include in this space.

Meals and incidental Expenses. Enter the meals and Complete ramalning " TOTALS" as noted on the form. l incidental rate (M&lE) for the locality. Use 3/4 of the applicable M&lE rate for the first and last days of travel H. Attae'cments. (Staple to left side of Original Copy of under lodgings plus per diem system. Page 1 of this form.)

Less Prepaid Meals / Lodging. Enter amounts to be 1. Passenger coupon copy of tickets that were used.

deducted for meals / lodging that were included in (Attach unused tickets or portions of unused registration fees, tuition, fumished to the traveler at no tickets to the front of NRC Form 64 if they have not cost, etc. been retumed previously to the headquarters or region travel office.) Do not attach boarding State Specific Prepaid Meals (Breakfast, Lunch, ,

passes or ticket folders. I Dinner) or Lodging. Identify each item, and the quantity of each, that is calculated in the deduction 2. Receipts are required for alllodgings. They are amount. also required for itemized cash expenses over $75 {'

as specified in NRCMD 14.1, Exhibit 7.1.

Total Daily Per Diem NTE. Use this block if per diem reimbursement was authorized. Enter the total of the lodging and M&lE up to the authorized per diem for i each day. I Total Daily Actual Subsistence NTE. Use this block if j actual subsistence was authorized for lodgings plus the 1 applicable locality rate for M&lE. Enter the total of the lodging and M&lE up to the authorized actual subsistence amount. (if the actual subsistence authorization included actual meals and incidental expenses, use NRC Form 64A to claim travel expenses or itemize the meals and incidental expenses such as dry cleaning. coin-operated laundries, baggage handlers, etc. in "Other Expenses".)

If the "Other Expenses" column is used for this purpose, be sure to include the total at item D. Instead y .,

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