General Information
This template can be used by smaller recharge and cost centers who have up to 4 rates in their center.
Center Name:
Budget #:
Rate Begin Date:
Rate End Date:
Contact Information
Name:
Email:
Box #:
Phone #:
Purpose of Budget
Short Description of Rates
Rate 1
Rate 2
Rate 3
Rate 4
Input info in yellow fields
Salaries
RATE 1 RATE 2 RATE 3 RATE 4
BASE TOTAL ON
FTE ON SALARY (AT CENTER INCL.
NAME TITLE BEN % CENTER 100% FTE) BENEFITS Enter short description of each rate here
Direct Salaries Multiply salary by % time for each rate
0.0% 0% - - - - - -
% FTE for each rate 0% 0% 0% 0%
0.0% 0% - - - - - -
% FTE for each rate 0% 0% 0% 0%
0.0% 0% - - - - - -
% FTE for each rate 0% 0% 0% 0%
0.0% 0% - - - - - -
% FTE for each rate 0% 0% 0% 0%
Total Direct Salaries - - - - - -
Administrative & Clerical Salaries
0.0% 0% - -
0.0% 0% - -
Total Administrative & Clerical Salaries - -
Notes:
Add additional lines as necessary
Administrative and clerical salaries can be included in rates if they meet the following criteria:
1. There is an unlike circumstance and,
2. They were not included in the F&A rate proposal previously (contact MAA for more information).
Equipment Schedule - Used for equipment that costs more than $5,000 individually
Equipment costing less than $5,000 per item should be entered on the non-salary costs worksheet.
Depreciation Schedule
University Acquisition Acquistion Depr Start Depr End Acquisition Residual Useful Life Depr in
Desc/Type of Equipment Tag No. Budget No. Date (UW) Date Date Cost Value (years) Proposal
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
Totals - -
Use Allowance Schedule
University Acquisition Acquistion Acquisition Use Allow # of months in Amount in Accum Use
Desc/Type of Equipment Tag No. Budget No. Date (UW) Cost % proposal proposal Allow
- 0.00% - -
- 0.00% - -
- 0.00% - -
- 0.00% - -
- 0.00% - -
- 0.00% - -
- 0.00% - -
- 0.00% - -
Totals - - -
Non-Salary Costs
Rate 1 Rate 2 Rate 3 Rate 4
SERVICES Allocation % 0% 0% 0% 0%
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
SUBTOTAL SERVICES - - - - -
TRAVEL Allocation % 0% 0% 0% 0%
- - - - -
- - - - -
- - - - -
- - - - -
SUBTOTAL TRAVEL - - - - -
SUPPLIES Allocation % 0% 0% 0% 0%
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
SUBTOTAL SUPPLIES - - - - -
NON-CAPITALIZED EQUIPMENT
Equipment Cost Individually $5000) Allocation % 0% 0% 0% 0%
See Attached Depreciation & Use Allowance Schedule - - - - -
TOTAL DIRECT COSTS - - - - -
Overhead Costs Allocation % 0% 0% 0% 0%
Admin & Clerical Salaries - - - - -
Prior Year Balance (Add Deficit, Subtract Surplus) - - - - -
TOTAL COSTS INCLUDING OVERHEAD - - - - -
# of Annual Units - - - -
Type of Unit Enter unit type here
Internal Rate per Unit - - - -
External Rate per Unit * - - - -
Note: If costs are directly assigned to a particular service, override the formula and enter the amount in the
appropriate cell. On a separate sheet, please note how the allocation % were calculated.
* External rate does not have to be cost based but has to be set at least equal to Internal Rate + Institutional Overhead
Additional Cost Worksheet
Used to identify recharge center costs paid by non-recharge center budgets
Description of Cost Budget Number Amount In Proposal?