Exhibit 1-40-A

SAMPLE IHS CONFERENCE PROPOSAL

IHS EXHIBIT 1-40-A
General Administration Manual
IHS Transmittal 94.01 (09/09/94)

1. Area Office
Division/Branch/Program
2. Conference Name
3. Conference No.
4. Dates
5. Conference Location & Site Federal______ Non-Federal______Tribal______ (Attach cost comparison and quotes from at least three sources) Justification of Out-of-Area Location or Non-Federal Factility
6. Estimated No. of attendees: HQ______ AREA______ TRIBAL______ OTHER______ Total number of attendees for which IHS is to pay T&TP________
7. Projected source(s) of estimated conference funds (indicate estimated obligations from appropriate source(s)): A. Operations $______* C. Contract Award $______ B. Grant Award $______ D. Co-op Agreement $______ *For operational funds only, indicate estimates of:
8. TRVL & PD $_____ FACILITIES $_____ SERVICES $_____ MATERIALS $_____ HONORIA $_____ TIME $_____ COST $_____ TOTAL $_____
9. Areas and organizations Represented:
10. Conference Objectives and Purpose (How do these fit into Agency mission.)
11. Contact name and Phone No:

APPROVED_________ NOT APPROVED___________ DATE_____________

______________________________________
Area/Associate Director
(All information must be completed and proposal signed before approval)