Guidance for Preparation of

Funding Documents

5/19/2011
 Important Note
The Office of Management and Budget (OMB) has outlined to all
federal agencies in their June 6, 2008 memorandum titled “Improving
the Management and Use of Interagency Acquisitions” for use of an
IA Part B – Requirements & Funding Information or an IA Part B –
Financial Addendum. In compliance with this directive GSA / FAS /
AAS requires that all funding packages tendered by client agencies,
whether DoD or Civilian, must include one of these documents.

If the funding is for a new requirement a complete IA Part B must be

provided. If the funding is for an existing requirement the IA Part B –
Financial Addendum may be used.

Clients are encouraged by OMB and GSA to submit the IA Part B or

the Financial Addendum as the funding document. Agencies may
also submit their own agency specific funding document forms (MIPR,
RWA, etc.) at their option. However in all cases the Part B or
Financial Addendum must be provided as well.

All Funding documents, including Part B or Financial

Addendum should be sent to the Funding Document
Mailbox
R07 aasfundingdocs@gsa.gov
A copy should also be sent to the Project Manager
Essential Elements of a Funding Document – DoD
1. MIPR number plus Basic or Amendment #

2. Appropriation and line of accounting

3. Budget Point of Contact Name, phone number and email

4. Amount

5. Period of Performance – Required IAW the Defense Federal

Acquisition Regulation Supplemental 253.208-1: The MIPR must
include a realistic (estimated) time of delivery/performance. If the
period of performance is uncertain verbiage such as “Date of award plus
12 months” is recommended.

6. Signature and date signed

7. Must be Reimbursable (Category I) Cannot be Direct Site (Category II)

8. Accounting Station Number

9. Requesting Agency Name and Address

10. Purpose of funding (Bona Fide Need – may be contained in Part B)

11. Required IAW the USD(C)CFO March 27, 2006, memorandum,

“Proper Use of Interagency Agreements with Non-
Department of Defense Entities Under Authorities Other Than
the Economy ACT”. For DoD appropriations using 1year
O&M funds the following verbiage must be included on the
MIPR:

“These funds are available for services for a period not to exceed
one year from the date of obligation and acceptance of this order. All
unobligated funds shall be returned to the ordering activity no later
than one year after the acceptance of the order or upon completion of
the order, whichever is earlier.”

12. Funding authority must come from The Clinger-Cohen Act 40

USC 1302 (also known as the Information Technology and
Management Reform Act of 1996) or the Property Act 40 USC
501-506, 592 (b) (2). We do not accept MIPR’s referencing The
Economy Act 31 USC 1535.
 MIPR
Number

Must be
Reimbursable
(Category 1)

Amount of funding on
this MIPR

Budget This verbiage is required if 1 year

Point of O&M funds are cited.
Contact

Estimated Period of
Total funding for this
Performance
MIPR and all
amendments

Appropriation

Line of Accounting
Must be signed, script or
electronic, and dated
Essential Elements of a Funding Document – Civilian

1. Funding Document Number

2. Appropriation Code and line of accounting

3. Budget Point of Contact Name, phone number and email

4. Type of Appropriation (Annual, Multi Year, No Year)

5. Amount

6. Signature and Date

7. Purpose of funding (Bona Fide Need – may be contained in

Part B)

Agencies are encouraged to use the IA Part B (for new

requirements) and the Financial Addendum
(for modifications) as your funding document.

OMB has outlined to all federal agencies in their

June 6, 2008, memo titled Improving the Management
And Use of Interagency Acquisitions for agencies
to use the IA Part B Requirements for a new
Requirement and the Financial Addendum
for all modifications as your funding document.

However, Civilian agencies may supply their own

funding document form at their option. However, a
Part B Requirements & Funding Information or the
Financial Addendum must still be provided.
Part B – Requirements & Funding Information
 GENERAL SERVICES ADMINISTRATION (GSA)
FEDERAL ACQUISITION SERVICE (FAS)
ASSISTED ACQUISITION SERVICES (AAS)
INTERAGENCY AGREEMENT

PART B – Requirements & Funding Information

B.1. Purpose

This Part of the IA (hereinafter “Part B”) serves as or supplements the funding document
received. It provides specific information on the requirements of [insert the name of
agency/organization with a requirement], hereinafter “the Requesting Agency” sufficient to
demonstrate a bona fide need and identifies funds associated with the requirement to allow
GSA/FAS/AAS, hereinafter “the Servicing Agency,” to provide acquisition assistance and
conduct an interagency acquisition.

Insert name
B.2. Authority

The parties’ authority to enter into this interagency agreement is (check applicable box):

X Revolving Fund (40 USC § 321)

Identify specific statutory authority: The Servicing Agency’s authority for this IA is
derived from 40 U.S.C §§ 501-502 (for personal property and non-personal services),
40 USC § 11314 (for some aspects of information technology), 40 USC 11302(e)
(OMB's executive agent designation) and/or the Acquisition Services Fund, 40 USC §
321. These statutory authorities are independent of the Economy Act and therefore,
the Economy Act does not apply to this agreement

B.3. Part B Identifier

Task Number: _________________ Insert Funding

Funding Document
Document Number
Amendment Number
Funding Document: _______________________

Part B Amendment Number: B-________________ (insert N/A for original)

Purpose of Amendment: (insert N/A for original) e.g. “exercising option 2” or

“incremental funding” or
“increasing level of effort”

B.4. General Terms & Conditions

Activities undertaken pursuant to this document are subject to the general terms and
conditions set forth in Part A, IA Number: [insert IA number found in section 3 of Part A].
Part A is located at (check applicable box):

[insert location]
Name of project relative to bona
Attached fide need. Not AAS project
number.
B.5. Project Title

[insert name of Requesting Agency’s project]

B.6. Description of Products or Services / Bona Fide Need

This section describes the goods or services that will be acquired from a contractor by the
Servicing Agency on behalf of the Requesting Agency under this IA.

[Include a specific, definite, and clear description that demonstrates a bona fide
need and supports a binding agreement that can be recorded as an obligation in
the fiscal year that the funds are available for obligation. See IA instructions for
further information. ]

If the goods and/or services to be acquired are described in an attachment, check the box
below and describe the attachment.

Description of goods or services is attached. [insert brief description of attachment]

B.7. Projected Milestones

Examples (these will need to be updated as the project progresses):

Event Estimated Completion Date
Requirements Documents Finalized
Complete Acquisition Plan
Issue Task Order Request/Solicitation
Complete Proposal Evaluations
Contract/Order Award
Task Order Start
Task Order Completion
Others deliverables, as needed
B.8. Billing and Payment

The Servicing Agency will pay contractor invoices from amounts identified in section 13 on a
reimbursable basis. The Servicing Agency will present an itemized statement to the Requesting
Agency for reimbursement of incurred contract costs and assisted services support costs. The
Requesting Agency will pay reimbursable billings to the Servicing Agency from funds identified in
section 12. See section 7 of Part A for additional terms and conditions addressing billing and
payment.

B.9. Description of Acquisition Assistance

The Servicing Agency will provide the following services to the Requesting Agency.

The Servicing Agency will provide full life cycle acquisition and project management support
to the Requesting Agency. These services shall include acquisition planning, contract
execution, contract administration, and project management support.

Specific Roles and Responsibilities for the Servicing Agency and the Requesting Agency are
delineated in Part A, Section A.6.

B.10. Fees

Services charges will be determined as follows:

The Requesting Agency will reimburse the Servicing Agency for the costs of
supplies/services provided under this IA. Costs of supplies/services include the amounts
due the contractor under the task/delivery/purchase order plus any applicable charges for
recovery of the Servicing Agency’s costs of doing business on behalf of the Requesting
Agency. Servicing Agency services are non-severable. Assisted services provided under
this Part B will be reimbursed on the following basis:
Insert applicable surcharge

Surcharge in the amount of ____ percent of amount(s) obligated on contract

Actual Servicing Agency Labor Hours (billed at the hourly rates in effect at the time
the hours are worked)

Actual Servicing Agency Labor Hours (billed at the hourly rates in effect at the time
the hours are worked) plus transaction fee for amounts obligated on contract

Fixed Price

Other (describe here) Insert estimated amount

The annual estimated cost for AAS support (AAS labor and fees) for this Part B is
$___________ . This cost estimate is based on the best information available at this time.
As better information becomes available, or should unforeseen circumstances arise, it may
be necessary to modify these estimates.
 B.11. Obligation Information

Servicing Agency and Requesting Agency shall complete the table below.

Common Requirement Type of Type of AAS

Agreement Requirement Requirement
Number (Flowthrough) (AAS labor/fees)
(Severable
Service / Non-
severable
service)

Insert IA
Number Will be zero if original.
Otherwise sum of original
and previous Amount of this Total previous and
Funding Summary amendments
funding action current

Previous IA Funding Current IA Funding Total IA Part B Funding

$ $ $ 0.00
Ex: 57(agency)
0(FY)
B.12. Requesting Agency Funding Information 3400(appropriation)

The Requesting Agency’s Certifying Official shall complete the table & certification.
(use continuation page if additional blocks are needed)

Basic appropriation symbol (Treasury account symbol) Treasury FASTBOOK

Amount obligated (contract costs plus assisting agency’s $

service fee)
Should be same
Fund citation (line of accounting) In addition to LOA, also include MIPR number in
as LOA on MIPR
this field

Appropriation expiration date Make sure this field includes appropriation

expiration date, First FY available, FY of Funds, and
Type of Funding (one year, multi-year, no year)
Describe in
Unique restrictions on funding (if any) B.14
Business event type code DISB (Treasury BETC info Treasury TAS Info)

Agency location code (8-digit) for IPAC

DUNS/BPN number (Business Partner Network or BPN #) Dun and Bradstreet DUNS Locator

Funding agency code

Funding office code

Billing Office Adddress If Different from Financial POC address in B.17.

Must be signed electronically

or script Requesting Agency Funds Certifying Official

I certify that the funds cited above are properly chargeable for the purposes set forth in paragraphs B.4
and B.11 of this IA.

Signature: Date

Printed Name:

Title: Agency:
B.13. Servicing Agency Funding Information

The Servicing Agency shall complete the table below.

Basic appropriation symbol (Treasury account symbol) 47X4534.001

Fund citation (line of accounting) 299X. A07VR110.TDF1.25.TDC01.H08

Business event type code COLL

Agency Location Code (8-digit) for IPAC 47 000016

DUNS/BPN number 126788004

Cage Code 3MSU6

DODAAC 477AAF

Servicing Agency Funds Certifying Official

Signature: Date

Printed Name: Michael Walker

Title: Funds Manager Agency: GSA/FAS/AAS

OR

Signature: Date

Printed Name: Virginia Manning

Title: Funds Manager Agency: GSA/FAS/AAS

B.14. Description of Requesting-Agency Unique Restrictions

This section identifies unique restrictions applicable to the Requesting Agency regarding
acquisition, other than funding. [insert description e.g., the Berry Amendment]
Note: unique restrictions on funding should be identified in paragraph B.12.

B.15. Small Business Credit

The Servicing Agency shall use the following FIPS 95-2 Code to identify the Requesting
Agency in FPDS: [the Requesting Agency should insert the lowest FIPS 95-2
Agency/Bureau component]. Note: If the code is not provided, the Servicing Agency will
allocate the credit to the highest Requesting Agency FIPS 95-2 Code.

B.16. Amendments

Any amendments to the terms and conditions in Part B shall be made in writing and signed
by both the Servicing Agency and the Requesting Agency.
B.17. Contact Information

Servicing Agency Program Office POC Requesting Agency Program Office POC
Name: Name:
Address: GSA/FAS/AAS Address:
819 Taylor Street
Fort Worth, TX 76102

Email: Email:
Phone/Fax: Phone/Fax:
Servicing Agency Financial POC Requesting Agency Financial POC
Name: Mike Walker Name:
Name: Virginia Manning
Address: GSA/FAS Address:
819 Taylor Street
Fort Worth, TX 76102
Email mike.walker@gsa.gov Email:
Email virginia.manning@gsa.gov
Phone: 817-850-8345 or 817-850-8343 Phone/Fax:
Servicing Agency Project Manager
Name:
Address: GSA/FAS/AAS
819 Taylor Street
Fort Worth, TX 76102
Email:
Phone/Fax:
B.18. Signatures
By signing this document, the Requesting Agency confirms that a bona fide need exists and that
funds are for the designated purpose, meet time limitations, and are legally available for the acquisition
described in this document; that all unique funding and procurement requirements, including all statutory
and regulatory requirements applicable to the funding being provided, have been disclosed to Servicing
Agency; and all internal reviews and approvals required prior to transferring funds to the Servicing Agency
have been completed. The Servicing Agency’s acceptance of this document creates an obligation on the
part of the Requesting Agency.

Requesting Agency Official Servicing Agency Official

__________________________ _________ ___________________________ __________

Signature Date Signature Date

Printed Name

Title: ---------------Title:

Agency: Agency: GSA/FAS/AAS

Financial Addendum Part B – Funding Information
 GENERAL SERVICES ADMINISTRATION (GSA)
FEDERAL ACQUISITION SERVICE (FAS)
ASSISTED ACQUISITION SERVICES (AAS)
INTERAGENCY AGREEMENT

Financial Addendum Part B– Funding Information

B.1. Purpose

This Part of the IA (hereinafter “Financial Addendum Part B”) serves as or supplements the
funding document received. It provides specific information on the requirements of [insert
the name of agency/organization with a requirement], hereinafter “the Requesting Agency”
sufficient to demonstrate a bona fide need and identifies funds associated with the
requirement to allow GSA/FAS/AAS, hereinafter “the Servicing Agency,” to provide
acquisition assistance and conduct an interagency acquisition.
Insert Funding Insert Name
B.3. Part B Identifier document Number

Task Number: _________________ Funding Document Amendment

Number
Funding Document : _____________________

Part B Amendment Number: B-________________ e.g. “exercising option 2” or

“incremental funding” or
Purpose of Amendment: “increasing level of effort”

B.11. Obligation Information

Servicing Agency and Requesting Agency shall complete the table below.

Common Requirement Type of Type of AAS

Agreement Requirement Requirement
Number (Flowthrough) (AAS labor/fees)
(Severable
Service / Non-
severable
service)
Will be zero if original.
Insert IA
Otherwise sum of Amount of this
Number original and previous funding action
Total previous and
current
amendments
Funding Summary

Previous IA Funding Current IA Funding Total IA Part B Funding

$ $ $ 0.00
 Ex: 57(agency) 0(FY)
3400(appropriation)

B.12. Requesting Agency Funding Information

The Requesting Agency’s Certifying Official shall complete the table & certification.
(use continuation page if additional blocks are needed)

Basic appropriation symbol (Treasury account symbol) Treasury FASTBOOK

Amount obligated (contract costs plus assisting agency’s $

service fee)
Should be same as
Fund citation (line of accounting) LOA on MIPR
Appropriation expiration date Make sure this field includes appropriation
expiration date, First FY available, FY of Funds, and
Type of Funding (one year, multi-year, no year)
Describe in
Unique restrictions on funding (if any)
B.14 if any
Business event type code DISB (Treasury BETC info Treasury TAS Info)

Agency location code (8-digit) for IPAC

DUNS/BPN number (Business Partner Network or BPN #) Dun and Bradstreet DUNS Locator

Funding agency code

Funding office code

Must be signed electronically or

Requesting Agency Funds Certifying Official
script
I certify that the funds cited above are properly chargeable for the purposes set forth in paragraphs B.4
and B.11 of this IA.

Signature: Date

Printed Name:

Title: Agency:

B.13. Servicing Agency Funding Information

The Servicing Agency shall complete the table below.

Basic appropriation symbol (Treasury account symbol) 47X4534.001

Fund citation (line of accounting) 299X. A07VR110.TDF1.25.TDC01.H08

Business event type code COLL

Agency Location Code (8-digit) for IPAC 47 000016

DUNS/BPN number 126788004

Cage Code 3MSU6
DODAAC 477AAF
 Servicing Agency Funds Certifying Official

Signature: Date

Printed Name: Michael Walker

Title: Funds Manager Agency: GSA/FAS/AAS

OR

Signature: Date

Printed Name: Virginia Manning

Title: Funds Manager Agency: GSA/FAS/AAS

B.18. Signatures

By signing this document, the Requesting Agency confirms that a bona fide need exists and that
funds are for the designated purpose, meet time limitations, and are legally available for the
acquisition described in this document; that all unique funding and procurement requirements,
including all statutory and regulatory requirements applicable to the funding being provided,
have been disclosed to Servicing Agency; and all internal reviews and approvals required prior
to transferring funds to the Servicing Agency have been completed. The Servicing Agency’s
acceptance of this document creates an obligation on the part of the Requesting Agency.

Requesting Agency Official Servicing Agency Official

__________________________ __________ ___________________________ __________

Signature Date Signature Date

Printed Name
Title
Title:

Agency: Agency: GSA/FAS/AAS