Region Sample COMPLETED BUDGET AND BUDGET DETAIL BREAKDOWN BY

Region 9 Sample COMPLETED BUDGET SF424A AND BUDGET DETAIL (BREAKDOWN BY OBJECT CLASS CATEGORIES) 1 BUDGET INFORMATION - Non-Construction Programs SECTION A - BUDGET SUMMARY OMB Approval No. 0348-0044 Grant Program Function or Activity (a) 1. PWSS 2. 3. 4. 5. TOTALS Catalog of Federal Domestic Assistance Number (b) 66.432 $ Estimated Unobligated Funds Federal (c) Non-Federal (d) Federal (e) New or Revised Budget Non-Federal (f) Total (g) $ $465,000 $155,000 $620,000 $465,000 SECTION B - BUDGET CATEGORIES $155,000 $620,000 6. OBJECT CLASS CATEGORIES (1) a. Personnel b. Fringe Benefits c. Travel d. Equipment e. Supplies f. Contractual g. Construction h. Other i. Total Direct Charges (sum of 6a - 6h) j. Indirect Charges k. TOTALS (sum of 6i and 6j) Federal $233,243 48,981 15,179 20,000 8,650 60,000 0 8,391 394,444 70,556 465,000 (2) Match $77,750 $16,327 0 32,000 0 0 0 5,404 131,481 23,519 155,000 (3) $ (4) $ Total (5) $ 310,993 65,308 15,179 52,000 8,650 60,000 0 13,795 525,925 94,075 620,000 7. Program Income $ $ $ $ $0 2 SAMPLE SECTION C - NON-FEDERAL RESOURCES (a) Grant Program (b) Applicant (c) State Standard Form 424A (4-88) (d) Other Sources (e) TOTALS 8. PWSS 9. 10. 11. 12. TOTAL (sum of lines 8 and 11) $155,000 $ $ 155,000.00 155,000.00 $ $ 155,000.00 SECTION D - FORECASTED CASH NEEDS 13. Federal (Total for 1st Year) 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter $ 465,000 14. NonFederal 15. TOTAL (sum of lines 13 and 14) $ 155,000 620,000 116,250 38,750 155,000 116,250 38,750 155,000 116,250 38,750 155,000 116,250 38,750 155,000 SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT (a) Grant Program (b) First FUTURE FUNDING PERIODS (Years) (c) Second (d) Third (e) Fourth 16. 17 18. 19. 20. TOTALS (sum of lines 16 - 19) $ $ $ $ $0.00 (Attach additional sheets if Necessary) $ $ $ SECTION F - OTHER BUDGET INFORMATION 21. Direct Charges: $525,925 22. Indirect Charges: $94,075 23. Remarks: Please include anything not fully explained in the budget detail (i.e. Indirect Cost Rate, Base, etc.) INDIRECT COST RATE = 25% 3 OPTIONAL FORMAT SAMPLE BUDGET DETAIL FORMAT The detail for each object class category must be provided. Formats may vary, but all information below should be included in your application. a. PERSONNEL POSITION Lab Assistant 1 Lab Assistant 2 Env. Engineer II Microbiologist IV Env. Health Specialist Chemist III Health Assistant NUMBER 2 1 2 1 1 SALARY $22,500 20,000 38875 44,000 23,976 WORK YEARS 1 1 1 2 0.33 AMOUNT $45,000 20,000 77,750 88,000 7,912 1 1 50,000 22,331 1 1 50,000 22,331 $310,993 a. Personnel Total b. FRINGE BENEFITS BASE (personnel) RATE b. FRINGE BENEFITS TOTAL $310,993 21% $65,308 c. TRAVEL – List trips planned, destination, dates, and the amounts per trip. Please separate local travel and out-of-state travel. TRAVEL EXPENSES OUT-OF-STATE TRAVEL Philadelphia, PA (2 People) AMOUNT $4,437 Las Vegas, NV (1 Person) $1,000 4 Washington, DC (2 People) San Francisco, CA (3 People) LOCAL TRAVEL Explain: $2,400 $3,000 $4,342 _____________________________________________________________________________ -Trips are scheduled to attend the American Water Works Conference, Regional Workshop on New Regulations, Grant Negotiations, and Grant Workshop. Out of State Travel - $10,837 Local Travel - $4,342 Based on an estimate for mileage ($.20/mile), $45/day maximum lodging, and $20/day maximum for meals. Travel total = $15,179 c. TRAVEL TOTAL: $15,179 d. EQUIPMENT: Tangible, non-expendable, personal property having a useful life of more than one year and an acquisition cost of $5,000 or more per unit. Applicant’s definition of equipment may be used provided the definition at least includes all items previously defined above. COST PER UNIT $16,000 1,750 584 1,389 443 7,000 ITEM Recycling Composter Computers Monitors Laser Printers File Cabinets Water Quality Monitor d. EQUIPMENT TOTAL NUMBER 2 4 4 2 2 1 TOTAL $32,000 7,000 2,336 2,778 886 7,000 $52,000 e. SUPPLIES ITEM Office Supplies (post-its, pen, paper) Field Survey Supplies NUMBER Multiple Multiple COST PER UNIT Various Various TOTAL $1,100 2,600 5 Lab Supplies (beakers, pipettes) Software for Computers (MS Office) Printing Supplies for Brochures e. SUPPLIES TOTAL Multiple 4 Multiple Various $387.50 Various 1,200 1,550 $2,200 $8,650 f. CONTRACTUAL [List each planned contract separately, type of service to be procured, proposed procurement method (i.e. small purchase, sealed bids, competitive proposals) and the estimated cost] ITEM Env. Engineer - Consultant Hydrologist GIS Survey Lab Sample Analysis f. CONTRACTUAL TOTAL PROCUREMENT METHOD Competitive Proposals Competitive Proposals Small Purchase Small Purchase TOTAL $24,100 25,900 3,500 6,500 $60,000 g. CONSTRUCTION (N/A) h. OTHER ITEM Repairs – Computers 3,500 Repairs – Vehicle Maintenance Phone – Long Distance (not in Indirect Cost Pool) Rental of Conference Rooms (4 days@$1,050/day) for training Postage Printing for Reports (Distributed at Conference) h. OTHER TOTAL 1,200 4,200 595 1,800 NUMBER COST PER UNIT TOTAL $2,500 $13,795 6 i. TOTAL DIRECT COSTS $525,925 Base= Personnel and Fringe Benefits BASE $376,301 x RATE 25% = $94,075 j. INDIRECT COSTS k. TOTAL PROPOSED COSTS FEDERAL FUNDS REQUESTED RECIPIENT SHARE (MATCH) RECIPIENT SHARE OF TOTAL PROPOSED COSTS FEDERAL SHARE OF TOTAL PROPOSED COSTS $620,000 $465,000 $155,000 25% 75% 7

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