Revised 01/05/05 REGIONAL NUTRITION NETWORK BUDGET ADJUSTMENT REQUEST INSTRUCTIONS TOP SECTION Fill in the Region, Contractor name, contract number, contract term and budget adjustment effective date. COLUMN 1 -BUDGET CATEGORIES: The budget categories listed here should match the categories in the current approved budget. COLUMN 2 -ORIGINAL APPROVED BUDGET: This column reflects the approved line item amounts as they appear in the approved budget. COLUMN 3 - LINE ITEM BUDGET ADJUSTMENT: This column reflects the amounts increasing or decreasing for each line item. COLUMN 4 - REVISED APPROVED BUDGET: This column should calculate automatically based on the information placed into columns 2 and 3 and will reflect the new approved totals for each line item. These totals will become the new official budget totals once the request is approved by CPNS staff. SIGNATURES: Original signatures, in blue ink, are required for the Project Officer and the Financial Officer.