Manual Exhibit 5-22.5-B

SAMPLE TRANSMITTAL MEMORANDUM

TO: Director
Program Integrity and Ethics Staff

 
FROM: Office Director/Area Director/Service Unit Director

 
SUBJECT: Request for Approval of Acceptance of Payment of Travel Expenses From a Non-Federal Source

 
This is to submit a “Request for Approval to Accept Payment of Travel Expenses from a Non-Federal Source,” for approval. I have indicated Area/Program Office approval by signing as the “Recommending Official” to certify that the non-Federal source will not use Federal funds to fund this travel. I have attached an original of the required documents for the following employee:

________________________________________________
Name of Employee                                                    Title

________________________________________________
Dates of Travel                                                   Destination

________________________________________________
Purpose of Travel

IN CASH/IN KIND REQUEST CHECKLIST

______ 1. Form HHS-348, “Request and Approval for Acceptance of Payment of Travel Expenses in Cash or in Kind,” pages 1-2, original.

 
______ 2. Approved Travel Authorization.

 
______ 3. Letter of Invitation dated ___________________ .

 
______ 4. Meeting Agenda and/or Program Announcement.

 
______ 5. Form HHS-520, “Outside Activity Request” (if applicable).

 
______  6. International Travel Notification memorandum (if applicable), original.

 
______ 7. Any other related Documentation.

 
 

_______________________________________
Office Director/Area Director/Service Unit Director