OMB Number 2900-0208
Estimated Burden: 4 hours
Expiration Date 1/31/06
ARCHITECT - ENGINEER FEE PROPOSAL
The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of
1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all
individuals who must complete this form will average 4 hours. This includes the time it will take to read instructions, gather the necessary facts and fill out the form. This form,k or other agreed upon
format, is used by VA Resident Engineers to supervise your work and verify the work progression so that you may be paid.
DATE OF PROPOSAL
ESTIMATED NUMBER OF CONTRACT DRAWINGS
DESCRIPTION
A/E
VA
PROJECT
ARCHITECTURAL
SITE AND LANDSCAPING
STRUCTURAL AND BORINGS
SANITARY
PLUMBING
NAME OF ARCHITECT/ENGINEER
HEATING AND AIR CONDITIONING
ELECTRICAL
TOTAL NUMBER OF DRAWINGS
PART I - PREPARATION OF CONTRACT DRAWINGS AND SPECIFICATIONS
COSTS
EMPLOYEE HOURS
HOURLY
LINE
A. SALARY COSTS
SALARIES
NO.
A/E
VA
A/E
VA
ARCHITECTURAL
1A
$
$
$
SUPERVISORS
1B
DESIGNERS
1C
DRAFTERS
1D
SPECIFICATION WRITERS
1E
TYPISTS
1F
ESTIMATORS
1G
1H
SUB-TOTAL
1I
SITE AND LANDSCAPING
2A
SUPERVISORS
2B
DESIGNERS
2C
DRAFTERS
2D
SPECIFICATION WRITERS
2E
TYPISTS
2F
ESTIMATORS
2G
2H
SUB-TOTAL
2I
STRUCTURAL AND BORINGS
3A
SUPERVISORS
3B
DESIGNERS
3C
DRAFTERS
3D
SPECIFICATION WRITERS
3E
TYPISTS
3F
ESTIMATORS
3G
3H
SUB-TOTAL
3I
SANITARY
4A
SUPERVISORS
4B
DESIGNERS
4C
DRAFTERS
4D
SPECIFICATION WRITERS
4E
TYPISTS
4F
ESTIMATORS
4G
4H
SUB-TOTAL
4I
VA FORM
1 0 -6 2 9 8
PAGE 1 OF 9
JAN 1999 (R)
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