General Information
Center Name:
Budget #:
Rate Begin Date:
Rate End Date:
Contact Information
Name:
Email:
Box #:
Phone #:
General Description of Please provide a short (1 paragraph) description of the overall activities of the center and methodology used in the proposal.
Services: This can be done in this Excel workbook, or submitted as a separate attachment.
Color Index
Pale Yellow Information filled in by center
Light Purple Automatically filled in via formulas
Usage & Description of Rates
Purpose: To provide a short description of the services for each rate and the number of units expected to be sold.
Units Sold
Rate # Name Short Description Unit Base* Prior Year Actual Proposal Estimate
1
2
3
4
5
6
7
8
*This is the unit by which the center bills its users. For example, per sample, per hour, etc.
If there are significant changes between prior year actual and the proposal estimate, include a short explanation.
Notes:
Salaries & Benefits
Purpose: To list personnel paid on the center and allocate S&B to each rate.
Total FTE% for all rates should add up to 100%.
BASE TOTAL ON
SALARY (AT FTE ON CTR (INC.
NAME TITLE 100% FTE) BEN % CENTER BENEFITS) RATE 1 RATE 2 RATE 3
- - -
Direct Salaries FTE % Amount FTE % Amount FTE % Amount
- 0.0% 0% - 0% - 0% - 0% -
- 0.0% 0% - 0% - 0% - 0% -
- 0.0% 0% - 0% - 0% - 0% -
- 0.0% 0% - 0% - 0% - 0% -
- 0.0% 0% - 0% - 0% - 0% -
- 0.0% 0% - 0% - 0% - 0% -
- 0.0% 0% - 0% - 0% - 0% -
- 0.0% 0% - 0% - 0% - 0% -
- 0.0% 0% - 0% - 0% - 0% -
- 0.0% 0% - 0% - 0% - 0% -
Total Direct Salaries - - - - -
Administrative & Clerical Salaries*
- 0.0% 0% -
- 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).
Salaries & Benefits
Purpose: To list personnel paid on the center and allocate S&B to each rate.
Total FTE% for all rates should add up to 100%.
BASE
SALARY (AT FTE ON
NAME TITLE 100% FTE) BEN % CENTER RATE 4 RATE 5 RATE 6
- - -
Direct Salaries FTE % Amount FTE % Amount FTE % Amount
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
Total Direct Salaries - - - -
Administrative & Clerical Salaries*
- 0.0% 0%
- 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).
Salaries & Benefits
Purpose: To list personnel paid on the center and allocate S&B to each rate.
Total FTE% for all rates should add up to 100%.
BASE
SALARY (AT FTE ON
NAME TITLE 100% FTE) BEN % CENTER RATE 7 RATE 8 non-center
- -
Direct Salaries FTE % Amount FTE % Amount FTE % Amount
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
- 0.0% 0% 0% - 0% - 0% -
Total Direct Salaries - - - -
Administrative & Clerical Salaries*
- 0.0% 0%
- 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).
Depreciation & Use Allowance Schedule
Purpose: Used to caculate depreciation or use allowance for equipment that costs more than $5,000 per individual item.
Use the 'Other Costs' worksheet to detail costs that are less than $5,000 per individual item.
Depreciation Schedule
UW Tag Acquisition Acquistion Depr End Acquisition Useful Life Depr in
Desc/Type of Equipment No. Budget No. Date (UW) Depr Start Date Date Cost (years) Proposal
- - -
- - -
- - -
- - -
- - -
- - -
- - -
Totals - -
Use Allowance Schedule
UW Tag Acquisition Acquistion Acquisition # of months in Amount in Accum Use
Desc/Type of Equipment No. Budget No. Date (UW) Cost Use Allow % proposal proposal Allow
- 0.00% - -
- 0.00% - -
- 0.00% - -
- 0.00% - -
- 0.00% - -
- 0.00% - -
- 0.00% - -
- 0.00% - -
Totals - - -
Depreciation & Use Allowance Allocation Schedule
Purpose: To allocate the depreciation & use allowance to the different rates.
Overhead RATE 1 RATE 2 RATE 3 RATE 4 RATE 5 RATE 6 RATE 7 RATE 8
- - - - - - - -
% Amount % Amount % Amount % Amount % Amount % Amount % Amount % Amount % Amount
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
- - - - - - - - -
Overhead RATE 1 RATE 2 RATE 3 RATE 4 RATE 5 RATE 6 RATE 7 RATE 8
- - - - - - - -
% Amount % Amount % Amount % Amount % Amount % Amount % Amount % Amount % Amount
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% - 0% -
- - - - - - - - -
Notes: Overhead is used for equipment that benefits all rates. It will be allocated to all rates based on total direct costs.
Other Non-Salary & Non-Equipment Costs
Purpose: To detail non-salary and non-equipment costs in rates.
02 Contract Pers Serv & 03 Outside Services RATE 1 RATE 2 RATE 3 RATE 4
- - - -
BSR Code Description Source Document Annual Amt % Amount % Amount % Amount % Amount
0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% -
Totals - - - - -
04 Travel RATE 1 RATE 2 RATE 3 RATE 4
- - - -
BSR Code Description Source Document Annual Amt % Amount % Amount % Amount % Amount
0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% -
0% - 0% - 0% - 0% -
Totals - - - - -
05 Supplies & 06 Equipment $5000) - - - - - - - - -
TOTAL DIRECT COSTS - - - - - - - - -
% of Total Direct Costs 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Overhead Costs
Admin & Clerical Salaries - - - - - - - - -
Prior Year Balance (Add Deficit, Subtract Surplus) - - - - - - - - -
Depr or Use Allow (Cost Individually >$5000) - - - - - - - - -
TOTAL COSTS INCLUDING OVERHEAD - - - - - - - - -
# of Annual Units - - - - - - - -
Unit Base - - - - - - - -
Rate per Unit - - - - - - - -
Additional Cost Worksheet
Purpose: Used to identify recharge center costs paid by non-recharge center budgets
Description of Cost Budget Number Amount In Proposal?