Form Pr 20 PDF Details

The Pr 20 form plays a crucial role in the efficient functioning of State Departments of Transportation across the United States, particularly in the area of reimbursing costs incurred on Federal-aid projects. Mandated for use, this form is not simply a piece of paperwork but a key component in the fiscal management and operational transparency between state agencies and the federal government. It requires a meticulous collection of information, underscored by an average time investment of 30 minutes per respondent, to cover processes that include reviewing instructions, searching existing data sources, and gathering as well as maintaining the necessary data before completion. The adherence to such detailed procedures underscores the importance of accuracy and accountability in the use and management of federal funds. Noteworthy is the inclusion of a currently valid Office of Management and Budget (OMB) control number, 2125-0507, affirming the form’s compliance with federal standards, albeit with an expiration date, emphasizing the need for timely submissions. The form facilitates a structured approach to financial reporting, from presenting total costs incurred to detailing amounts claimed from the U.S. government, all the while ensuring that claims adhere to project agreements and applicable laws. This critical financial instrument, complete with avenues for official certifications and adjustments, underscores a system of checks and balances designed to ensure that claimed costs are justifiable and within the bounds of established federal and state agreements.

QuestionAnswer
Form NameForm Pr 20
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namespr 20 form, fhwa form pr 20, New_Jersey, PR-20

Form Preview Example

This collection of information is Mandatory and will be used to reimburse State Departments of Transportation for costs incurred on Federal-aid projects. Public reporting burden is estimated to average

30 minutes per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 2125-0507. The expiration date for this OMB number is Nov. 30, 2007. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Highway Administration, 1200 New Jersey Avenue SE, Washington, DC, 20590.

Office of Management and Budget

Federal Highway Administration

 

Paperwork Reduction Project 2135-0507

Finance Division HCFM-30

 

Washington, D.C. 20503

1200 New Jersey Avenue SE

 

 

 

 

Washington, D.C. 20590

 

 

 

 

 

 

 

 

 

 

 

 

STATE VOUCHER NO.

 

 

VOUCHER FOR WORK PERFORMED

 

U. S. Department

UNDER PROVISIONS OF THE FEDERAL AID

 

of Transportation

 

AND FEDERAL HIGHWAY ACTS,

FHWA VOUCHER NO.

 

 

Federal Highway

 

AS AMENDED

 

 

 

Administration

 

 

 

 

 

 

 

 

 

 

 

APPROPRIATION

 

 

 

 

FHWA SCHEDULE NO.

 

 

 

 

THE UNITED STATES, DR., TO (Insert official or depositary named in project agreement)

PAID BY

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

(For use of Paying Office)

 

 

 

 

 

 

STATE

 

 

 

VOUCHER TYPE (Check Appropriate Block)

 

 

 

 

 

 

 

 

 

 

CURRENT BILLING

 

 

 

 

 

 

 

VOUCHER PERIOD

 

FROM

 

OTHER PROGRESS

FEDERAL AID PROJECT NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

FINAL VOUCHER(*)

 

 

 

 

 

 

 

(*) Use Form FHWA-1447 for Final Voucher for a project constructed under certification acceptance or secondary road procedures (23 U.S.C. 117).

TOTAL ACTUAL COST

TOTAL

PRO-RATA OF

PARTICIPATING

PARTICIPATING COST

COST

CLAIMED FROM U.S.

 

 

TOTAL AMOUNT

CLAIMED

FROM U.S.

LESS

PREVIOUS PAYMENTS

NET

AMOUNT CLAIMED

I certify that the cost shown in this voucher have been incurred in accordance with terms of project agreements; applicable State and Federal laws or regulations; and that no claim has previously been submitted for costs claimed.

STATE HIGHWAY AGENCY

DATE

SIGNATURE OF AUTHORIZED OFFICIAL

I certify that supporting records for costs claimed, and the referenced project (if applicable), have been subjected to required reviews, approvals and inspections by the Federal Highway Administration and that the amount approve is justly due.

AMOUNT SUBMITTED

ADJUSTMENTS

SIGNATURE OF FHWA REPRESENTATIVE

AMOUNT APPROVED

DATE APPROVED

FORM PR-20 (Rev. 8-07)

PREVIOUS EDITIONS ARE OBSOLETE

ITEM

NO.

STATEMENT OF COSTS INCURRED UNDER PROJECT AGREEMENT

 

 

 

UNIT

 

NOTATIONS

ITEM

QUANTITY

UNIT

AMOUNT

(Payee must not

PRICE

 

 

 

 

use this column)

 

 

 

 

 

 

 

 

 

 

 

AMOUNT CARRIED FORWARD......

How to Edit Form Pr 20 Online for Free

Using PDF documents online is certainly super easy using our PDF tool. You can fill out PR-20 here painlessly. The editor is continually maintained by our staff, receiving new awesome features and turning out to be better. Here is what you'd have to do to get going:

Step 1: Hit the "Get Form" button in the top section of this page to access our editor.

Step 2: The editor will give you the capability to change your PDF in a variety of ways. Change it by adding customized text, correct what's originally in the PDF, and place in a signature - all within a few mouse clicks!

As a way to complete this document, make sure that you type in the necessary information in each and every area:

1. Whenever submitting the PR-20, ensure to complete all needed blank fields within its associated area. It will help expedite the process, allowing your details to be handled swiftly and accurately.

Best ways to fill in HCFM-30 step 1

2. The subsequent part is usually to complete all of the following blanks: COST, PARTICIPATING COST CLAIMED FROM US, CLAIMED FROM US, PREVIOUS PAYMENTS, AMOUNT CLAIMED, I certify that the cost shown in, STATE HIGHWAY AGENCY, DATE, SIGNATURE OF AUTHORIZED OFFICIAL, I certify that supporting records, AMOUNT SUBMITTED, ADJUSTMENTS, AMOUNT APPROVED, SIGNATURE OF FHWA REPRESENTATIVE, and DATE APPROVED.

Writing segment 2 of HCFM-30

3. The next segment should also be rather uncomplicated, ITEM NO, ITEM, QUANTITY, UNIT, UNIT PRICE, AMOUNT, and Payee must not use this column - every one of these empty fields has to be filled in here.

Filling in section 3 of HCFM-30

4. This next section requires some additional information. Ensure you complete all the necessary fields - - to proceed further in your process!

Part number 4 in filling out HCFM-30

Be really mindful when completing this field and next field, since this is the part in which many people make some mistakes.

5. To conclude your form, the last area includes some additional blanks. Filling out AMOUNT CARRIED FORWARD will conclude everything and you'll be done very fast!

AMOUNT CARRIED FORWARD, AMOUNT CARRIED FORWARD, and AMOUNT CARRIED FORWARD inside HCFM-30

Step 3: Just after proofreading your entries, hit "Done" and you're done and dusted! Right after starting a7-day free trial account here, you'll be able to download PR-20 or email it promptly. The PDF file will also be easily accessible in your personal account menu with all your changes. FormsPal guarantees your data privacy via a secure system that in no way records or distributes any private data used. Feel safe knowing your paperwork are kept safe when you work with our service!

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