BUDGET FORM � PAGE ONE

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BUDGET FORM – PAGE ONE a. Legal name (5a from Face Sheet): b. Requested Grant Period from: Requested Grant Period Through: c. If this is a revised budget, indicate application/grant number: Section A: Detailed Budget a. Year: 1 2 3 4 b. Budget Detail for the Period From: Through: 1. Salaries and Wages Name/Title of Position No. Method of Cost Computation $ Grant Funds $ Cost Sharing $ Total SUBTOTALS 2. Fringe Benefits Rate % of % of % of SUBTOTALS 3. Consultant Fees Name or Type of Consultant No. of Days Daily Rate of Compensation $ Grant Funds $ Cost Sharing $ Total $ Salary Base $ Grant Funds $Cost Sharing $Total SUBTOTALS OMB Number 3137-0071; expiration date 7/31/2010. Estimated burden for both detailed and summary budget forms: 3 hours. BUDGET FORM – PAGE TWO 4. Travel From/To No. Persons No. Days $ Subsistence costs $Transportation costs $ Grant Funds $ Cost Sharing $ Total SUBTOTALS 5. Supplies and Materials Item Basis/Method of Cost Computation $ Grant Funds $ Cost Sharing $ Total SUBTOTALS 6. Services Item Basis/Method of Cost Computation $ Grant Funds $ Cost Sharing $ Total SUBTOTALS OMB Number 3137-0071; expiration date 7/31/2010. Estimated burden for both detailed and summary budget forms: 3 hours. BUDGET FORM – PAGE THREE 7. Student Support (for Laura Bush 21st Century Librarians program only) Item Basis/Method of Cost Computation $ Grant Funds $ Cost Sharing $ Total SUBTOTALS 8. Other Costs Item Basis/Method of Cost Computation $ Grant Funds $ Cost Sharing $ Total SUBTOTALS 9. Total Direct Costs TOTALS (Add subtotals of items 1 - 8 $ Grant Funds $ Cost Sharing $ Total 10. Indirect Costs Read the instructions about Indirect Costs before completing this section. Check the appropriate box below and provide the information requested: Current indirect cost rate(s) have been negotiated with a federal agency (for item A, indicate the name of the agency and date of agreement expiration; complete item B). Indirect cost proposal has been submitted to a federal agency but not yet negotiated (for item A, indicate the name of the agency and date of proposal; complete item B). Item A: Name of federal agency: Expiration Date: Item B: Rate % of % of % of SUBTOTALS $ Base Proposal Date: $ Grant Funds $Cost Sharing $Total Applicant chooses a rate not to exceed 15% of direct costs (complete item B). 11. Total Project Costs PROJECT COST TOTALS (Direct and Indirect for Budget Period) PROJECT COST TOTALS (Excluding Student Support) $ Grant Funds $ Cost Sharing $ Total OMB Number 3137-0071; expiration date 7/31/2010. Estimated burden for both detailed and summary budget forms: 3 hours.

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