FABRICATION EXPENDITURE QUESTIONNAIRE
FORM INSTRUCTIONS
Page 1 of 2
Enter the name of the fabrication
Describe the functionality/purpose of the fabrication
Select the estimated date the fabrication will be placed in service
Enter the Cost Object assigned to the project funding this fabrications. Options include:
Work Breakdown Structure Element (WBSE) - ARL Use Only
nternal Order Type #12 pt #50
If Fabrication requires cost-share tracking, enter the 52 IO #
SIMBA Grant #
Identify the fabrication expenditures for the completed fabrication. This is a table with 2 columns and 15 rows for entering information.
The first column is for entering information or a description of the fabrication expenditure (be specific)
The second column is for entering the estimated cost associated with the description entered in the first column
There are 15 rows for entering descriptions and estimated costs
Row 16 is Estimated Cost Per Unit and is a subtotal of the 15 rows of estimated costs. This is a calculated field and no entry is necessary
Row 17 is Quantity of Units and requires a numerical entry
Row 18 is Estimated Total Costs. This is a calculated field and no entry is necessary
NOTE: If insufficient rows are available in this table, enter "See attached spreadsheet" in the first row description, skip the rest of the table, and substitute a spreadsheet detailing the complete fabrication costs using the same format. Name the spreadsheet using the same name as indicated when naming the fabrication
Is the FEQ a continuation of a previously approved FEQ? Select Yes or No from drop-down list
If Yes was selected in previous question, enter the WBSE or #37 IO numbers assigned to the previously approved FEQ. If no was selected, skip this field.
Will this Fabrication be funded by a Sponsored Project, PSU Internal Project, or Both? Select the appropriate funding source for this fabrication from the drop-down list.
Is this fabrication a Contractual Deliverable? Select Yes or No from the drop-down list
Is the fabrication expected to be consumed, expended, or destroyed within 1 year after completion, with supporting agreement language documented in the grant/contract with the sponsor? Select Yes or No from the drop-down list
If yes selected for the previous question, provide explanation. If no selected, skip this field
End of Page 1
Page 2 of 2
Based upon discussions with the Sponsor or as defined by the solicitation, is the title (ownership) for this fabrication expected to be Sponsor or PSU? Select appropriate option and attach evidence of sponsor recommendation to title ownership
Is this fabrication an upgrade to an existing item? Select Yes or No from the drop-down list
If yes selected in previous question, provide information about the item to be updated. If no selected, skip this field
Enter the existing Property Inventory Tag number
Enter the previous fabrication number
Enter the account number charged when first acquired
If the Property Inventory Tag number is unknown, enter the location where the item is located
Enter the name of the initiator of this fabrication request
Select the date the initiator completed this form
Select the date final reports submitted and Grant or Contract closed
Central Office Use Only
Select the Ownership title from the drop-down list. Options include Sponsor, University, or Conditional
Select the expense categorization of fabrication. Options include Material (MAT), Equipment (EQP), Captial Asset (CAP), Contractual Deliverable - Material (CDM), or Contractual Deliverable - Equipment (CDE)
Enter the Fabrication Internal Order (IO) Type = 37 and/or 52
Enter the Office of Sponsored Programs (OSP) number
Entr the Fabrication CCO number
Enter the six (6) digit Grant Number (if applicable)
Research Administration or Financial Officer (or delegate) must provide a hand-written signature or their digital ID
If the Research Administration or Financial Officer (or delegate) provides a hand-written signature, enter the the date the form was signed. If a digital ID was provided, skip this field
Principal Investigator (or delegate) must provide a hand-written signature or their digital ID
If the Principal Investigator (or delegate) provided a hand-written signature, enter the date the form was signed. If a digital ID was provided, skip this field
Department Head/Institute Director must provide a hand-written signature or their digital ID
If the Department Head/Institute Director provided a hand-written signature, enter the date the form was signed. If a digital ID was provided, skip this field
Property Inventory provides a hand-written signature or their digital ID (required post-award)
If Property Inventory provided a hand-written signatures, enter the date the form was signed. If a digital ID was provided, skip this field