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Page 2 <br />33.Approved Budget(Excludes Direct Assistance) <br />I.Financial Assistance from the Federal Awarding Agency Only <br />II.Total project costs including grant funds and all other financial participation <br />a.Salaries and Wages <br />b.Fringe Benefits <br />c. Total Personnel Costs <br />d.Equipment <br />e.Supplies <br />f.Travel <br />g.Construction <br />h.Other <br />i.Contractual <br />j. TOTAL DIRECT COSTS <br />INDIRECT COSTS <br />TOTAL APPROVED BUDGET <br />m.Federal Share <br />n.Non-Federal Share <br />34. Accounting Classification Codes <br />k. <br />l. <br />Not Available <br />31.Assistance Type <br />32.Type of Award <br />Notice of Award <br />Award# <br />FAIN# <br />Federal Award Date: <br />Recipient Information <br />Recipient Name <br />Congressional District of Recipient <br />Payment Account Number and Type <br />Employer Identification Number (EIN) Data <br />Universal Numbering System (DUNS) <br />Recipient’s Unique Entity Identifier <br />$583,890.00 <br />$146,650.00 <br />$730,540.00 <br />$0.00 <br />$0.00 <br />$3,273.00 <br />$0.00 <br />$90,336.00 <br />$1,420,081.00 <br />$2,244,230.00$2,244,230.00 <br />$287,351.00$287,351.00 <br />$2,531,581.00$2,531,581.00 <br />$2,531,581.00$2,531,581.00 <br />$0.00$0.00 <br />12/15/2021 <br />2B2CMS331758-03-00 <br />2B2CMS331758 <br />Department of Health and Human Services <br />Centers for Medicare & Medicaid Services <br />Duke University <br />2200 W Main St Ste 820 <br />Duke Univ. School of Medicine <br />Durham, NC 27705-4673 <br />[NoPhoneRecord] <br />Cooperative Agreement <br />01 <br />044387793 <br />560532129 <br />1560532129A1 <br />Other <br />FY-ACCOUNT NO.DOCUMENT NO.ADMINISTRATIVE CODE OBJECT CLASS AMT ACTION FINANCIAL ASSISTANCE APPROPRIATION <br />2-5991466 2B2331758A 2B2 4158 $2,000,000.00 75-X-0522 <br />DocuSign Envelope ID: 7832B0E4-F34E-430E-A3C2-1A6A14F29307