Budget Narrative form and instructions 2012 2013_1_ by huanghengdong

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									                                                             BUDGET NARRATIVE                                                                                     Instructions: Make sure you use the correct budget narrative form for each budget, as indicated on the worksheet tabs at the
                                                                                                                                                                  bottom. NOTE: The gray rows are MAJOR line items; the rest are MINOR line items; the blue cells do not require
                                                                                                                                                                  information. Rows can be added if needed, just double check the formula for the major line item. Adding rows in the middle
                                            FY13 Title X/CFPI Grant                                                                                               (verses the bottom) of the section will help keep the integrity of the formulas.
                     APPLICANT:
                FOR THE PERIOD: June 30, 2012 - June 29, 2013
For Personnel category list title of
position
                                                                                                How is the total amount required
                                                      Relationship to project                                                                      Total
For all other categories list the line                                                                    calculated?
item from the budget

PERSONNEL EXPENSES (Major Line Item):
                                                                                                                                                   $25,000.00 The total Personnel expenses will automatically calculate in Column 4 after the minor line items have been completed.
Susie Nurse                              .5 FTE Title X Coordinator                           Annual Salary of $50,000 x 50%                         $25,000.00 Enter each staff member being funded in Column 1; provide a brief description of the staff member's role in Column 2; provide your
                                                                                                                                                                  calculation method in Column 3; and provide the amount for the minor line item in Column 4. When listing FTE, please include the amount
                                                                                                                                                                  of FTE that will be allocated to this funding source, not your overall family planning program.




CONTRACTUAL SERVICES (Major Line Item):                                                                                                               $500.00 The total Contractual expenses will automatically calculate in Column 4 after the minor line items have been completed.
Nurse Practitioner                       will provide IUD insertions for our clients          contract is for 10 insertions at $50/insertion            $500.00 List every person or company not employed by the agency who will be paid by this funding in Column 1; provide the activity
                                                                                                                                                                or service being provided in Column 2; provide the contractual rate in Column 3; and provide the amount for the minor line
                                                                                                                                                                item in Column 4.


OPERATING EXPENSES (Major Line Item):                                                                                                              $15,685.00 The total Operating expenses will automatically calculate in Column 4 after the minor line items have been completed.
Medical supplies                         gloves, speculums, gowns, medical forms              estimated at $4/client for 50 clients                     $200.00
                                                                                                                                                                List all supplies and activities that will be paid with this funding in Column 1, (include only expenses that are not included in
Mileage                                  NP travels to 3 locations to provide FP services     Estimate 275 miles/month x 12 months x .45/mile         $1,485.00 the administrative rate for your agency); provide a brief description of how they relate to the project in Column 2; provide your
                                                                                                                                                                calcultations for the expense in Column 3; and enter the amount for the minor line item in Column 4.
Advertising - WCPR radio station         radio spots to promote family planning               $100/spot, running 5 x/week for 8 weeks                 $4,000.00
LARC, Tubal ligation and Vasectomy                                                                                                                   $10,000.00




INDIRECT EXPENSES (Title X) or ADMINISTRATIVE COST (CFPI)                                                                                           $3,119.00 The amount for Title X or for CFPI entered in the Minor Line Item will automatically fill this cell in Column 4.
                                                                                              Calculated at 10% of $31,185                            $3,119.00 Title X: Agencies that have a Negotiated Indirect Cost Rate with the CDPHE may use that rate. Agencies without an approved Negotiated
                                                                                              calculated at approved Negotiated Indirect Rate of                  Indirect Cost Rate will have their indirect rate capped at 10% of direct Salary and Wage costs. CFPI: A maximum of 10% administrative
                                                                                              14%                                                                 costs can be applied, after subtracting the amount in the budget for LARC, tubal ligations, Essures, and vasectomies, CFPI Training dollars,
                                                                                                                                                                  and One Time Expenses.

ONE-TIME EXPENSES (Major Line Item):                                                                                                                $2,400.00 The total One-time expenses will automatically calculate in Column 4 after the minor line items have been completed.
2 exam tables                            increase clinic capacity to see additional clients   estimated cost of $1,200/table                          $2,400.00 List each one-time expense in Column 1; provide a description of how it relates to the project in Column 2; provide your
                                                                                                                                                                calculations for the expense in Column 3; and enter the amount for this minor line item in Column 4.


                                                                                                                    Total Project Costs:           $46,704.00 The total cost of the project will automatically populate this cell, but please double check your numbers.
                                             BUDGET NARRATIVE                                                          Instructions: Make sure you use the correct budget narrative form for each budget, as indicated on the worksheet tabs at the bottom.
                                FY12 Federal Title X & State Family Planning Grants                                    NOTE: The gray rows are MAJOR line items; the rest are MINOR line items
           APPLICANT:
      FOR THE PERIOD: June 30, 2012- June 29, 2013
For Personnel category list
title of position
                                                                   How is the total amount required
For all other categories list         Relationship to project                                          Total
                                                                             calculated?
the line item from the
budget
PERSONNEL EXPENSES:
                                                                                                               $0.00




CONTRACTUAL SERVICES:                                                                                          $0.00




OPERATING EXPENSES:                                                                                            $0.00




INDIRECT EXPENSES                                                                                              $0.00



ONE-TIME EXPENSES:                                                                                             $0.00




                                                                                Total Project Costs:           $0.00
                                                   BUDGET NARRATIVE
                                         FY12 CFPI Methods, Training and Sustainability
                 APPLICANT:
             FOR THE PERIOD: July 1, 2012 - June 30, 2013
For Personnel category list title of
position
                                                                           How is the total amount required
                                               Relationship to project                                           Total
For all other categories list the line                                               calculated?
item from the budget

PERSONNEL EXPENSES:                                                                                                      $0.00




CONTRACTUAL SERVICES:                                                                                                    $0.00




OPERATING EXPENSES:                                                                                                      $0.00




ADMINISTRATIVE EXPENSES:                                                                                                 $0.00


ONE-TIME EXPENSES:                                                                                                       $0.00




                                                                                          Total Project Costs:           $0.00

								
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