Example of Research Paper Format

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					Commonwealth Health Research Board                                             Updated July 1, 2010
Budget Forms for Step Two - Full Proposal Submissions                          Please add lines as needed.
Fiscal Year 2011/2012                                                          Letter size paper./Landscape format


  Principal Investigator

      Project Title


Personnel Costs                                               Annual Salary      Percentage of
                                            Fringe Benefits                                        CHRB Funds        Matching Funds
        [Name and          Annual Salary                       plus Fringe       Effort on this                                       Total Funds
                                                [.0765]                                             requested           provided
       Position]                                                 Benefits           project
 Principal Investigator
                             $100,000           $7,650           $107,650             25%             $26,913              $0          $26,913
       [example]
    Co-Investigator                                                                                                                       $0
                                                                                                                                          $0
                                                                                                                                          $0
  Subtotal Personnel                                                                                  $26,913              $0          $26,913


  Other Project Costs
  Equipment: specify
                             $10,000                                                                  $10,000              $0          $10,000
       [example]
   Supplies: specify         $15,000                                                                  $25,000              $0          $25,000
                                                                                                                                          $0
     Indirect Costs          $20,431                                                                                    $20,431        $20,431
      Subtotal
 Nonpersonnel/Other          $45,431                                                                  $35,000           $20,431        $55,431
    Project Costs
          Total                                                                                       $61,913           $20,431        $82,344


Please note: These budget forms must be accompanied by a budget rationale that explains the need for each item.
These budget forms must identify all project costs.
Commonwealth Health Research Board                                             Updated July 1, 2010
Budget Forms for Step Two - Full Proposal Submissions                          Please add lines as needed.
Fiscal Year 2012/2013                                                          Letter size paper/Landscape format

  Principal Investigator

      Project Title


Personnel Costs                                               Annual Salary      Percentage of
                                            Fringe Benefits                                        CHRB Funds       Matching Funds
         [Name and         Annual Salary                       plus Fringe       Effort on this                                      Total Funds
                                                [.0765]                                             requested          provided
        Position]                                                Benefits           project
 Principal Investigator
                             $100,000           $7,650           $107,650             25%             $26,913             $0          $26,913
       [example]
    Co-Investigator                                                                                                                      $0
                                                                                                                                         $0
                                                                                                                                         $0

  Subtotal Personnel         $100,000           $7,650           $107,650              $0             $26,913             $0          $26,913


  Other Project Costs
  Equipment: specify
                             $10,000                                                                  $10,000             $0          $10,000
       [example]
   Supplies: specify         $15,000                                                                  $25,000             $0          $25,000

                                                                                                                                         $0

     Indirect Costs          $20,431                                                                                   $20,431        $20,431
      Subtotal
 Nonpersonnel/Other          $45,431                                                                  $35,000          $20,431        $55,431
    Project Costs
          Total              $145,431                                                                 $61,913          $20,431        $82,344


Please note: These budget forms must be accompanied by a budget rationale that explains the need for each item.
These budget forms must identify all project costs.
Commonwealth Health Research Board                                                     Updated July 1, 2010
Budget Forms for Step Two - Full Proposal Submissions                                  Please add lines as needed.
Fiscal Year 2011/2012                                                                  Letter size paper/Portrait format

     Principal
    Investigator
    Project Title



                                                                                       20% flat rate
                                                                     Federally
                                                                                               [if no
                                                                    Negotiated
  Matching Fund                                                                            federally     Amount of
                                     Description                   Indirect Cost                                            Date of Expected Receipt
     Source                                                                               negotiated   Matching Funds
                                                                  Rate
                                                                                         indirect cost
                                                                     [if applicable]
                                                                                       rate agreement]

                      The institution is allowing the Principal
Indirect Costs             Investigator to utilize Indirect
                                                                      43.50%                                  $43,500      July 1, 2011 ~June 30, 2012
         [Example]     Overhead Costs or
                         Facilities & Administrative Costs
                      The institution is allowing the Principal
Indirect Costs             Investigator to utilize Indirect
                                                                                           20.00%             $20,000      July 1, 2011 ~June 30, 2012
         [Example]     Overhead Costs or
                         Facilities & Administrative Costs
Cash
                                 [Name] Endowment                                                             $10,000      July 1, 2011 ~June 30, 2012
    [Example]
Cash
                              Interdepartmental Funds                                                         $5,000       July 1, 2011 ~June 30, 2012
    [Example]



        Total                             $0                                                                  $78,500




    Please Note:

(1) The Grantee Institution must provide a minimum cash match from internal funds in the amount of 33% of the amount of
CHRB funds requested. The sources for that match must be clearly identified in the concept paper submission and full proposal.
 As provided in these guidelines, the grantee institution or organization can use indirect costs as part of or all of their matching
funds. However, matching funds, whether cash or indirect costs, may not be used to support unallowable costs.

(2) The budget forms and rationale must identify the internal source from which the grantee institution will satisfy the CHRB
matching funds requirement (33% of the amount of CHRB funds requested.)

(3) An institution or an organization can use indirect costs as part of or all of their matching funds. The institution or organization
must provide the most recent federally negotiated rate agreement which documents this amount. If the institution or
organization does not have a federally negotiated rate agreement, the CHRB will allow a flat rate of 20% of CHRB requested
amount for indirect costs. For example, an institution has requested $100,000 in CHRB funding. The required minimum match
amounts to $33,000. The CHRB will allow a flat rate 20% of the requested amount to use as part of the match. In this example,
20% allowable for indirect costs would amount to $20,000.

(4) If applicable, an excerpt from the most recent federally negotiated rate agreement or facilities and administrative (F&A) rate
agreement that provide the rate for the period covered by the research proposal to be used as the matching requirement.

(5) When indirect costs are used to satisfy the matching requirements, the Grantee institution must agree to continue to provide
 but waive the recovery of costs associated with the facilities and administrative services from any external funding source.
 The full proposal must include a statement to that effect. It is not appropriate for an institution to indicate the indirect costs will
 be used to pay salaries of individuals working on the project or to purchase supplies as these costs are considered “direct costs”
 and institutions cannot mix the classification of costs between direct and indirect costs.
Commonwealth Health Research Board                                                        Updated July 1, 2010
Budget Forms for Step Two - Full Proposal Submissions                                     Please add lines as needed.
Fiscal Year 2012/2013                                                                     Letter size paper/Portrait format

Principal Investigator

    Project Title


                                                                                          20% flat rate
                                                                        Federally
                                                                                                  [if no
                                                                       Negotiated
  Matching Fund                                                                               federally     Amount of
                                       Description                    Indirect Cost                                            Date of Expected Receipt
     Source                                                                                  negotiated   Matching Funds
                                                                     Rate
                                                                                            indirect cost
                                                                        [if applicable]
                                                                                          rate agreement]

                         The institution is allowing the Principal
Indirect Costs                Investigator to utilize Indirect
                                                                         43.50%                                  $43,500      July 1, 2012~June 30, 2013
         [Example]        Overhead Costs or
                            Facilities & Administrative Costs


                         The institution is allowing the Principal
Indirect Costs                Investigator to utilize Indirect
                                                                                              20.00%             $20,000      July 1, 2012~June 30, 2013
         [Example]        Overhead Costs or
                            Facilities & Administrative Costs

Cash
                                   [Name] Endowment                                                              $10,000      July 1, 2012~June 30, 2013
    [Example]
Cash
                                Interdepartmental Funds                                                          $5,000       July 1, 2012~June 30, 2013
    [Example]


        Total                               $0                                                                   $78,500


    Please Note:

(1) The Grantee Institution must provide a minimum cash match from internal funds in the amount of 33% of the amount of
CHRB funds requested. The sources for that match must be clearly identified in the concept paper submission and full proposal.
 As provided in these guidelines, the grantee institution or organization can use indirect costs as part of or all of their matching
funds. However, matching funds, whether cash or indirect costs, may not be used to support unallowable costs.

(2) The budget forms and rationale must identify the internal source from which the grantee institution will satisfy the CHRB
matching funds requirement (33% of the amount of CHRB funds requested.)

(3) An institution or an organization can use indirect costs as part of or all of their matching funds. The institution or organization
must provide the most recent federally negotiated rate agreement which documents this amount. If the institution or
organization does not have a federally negotiated rate agreement, the CHRB will allow a flat rate of 20% of CHRB requested
amount for indirect costs. For example, an institution has requested $100,000 in CHRB funding. The required minimum match
amounts to $33,000. The CHRB will allow a flat rate 20% of the requested amount to use as part of the match. In this example,
20% allowable for indirect costs would amount to $20,000.

(4) If applicable, an excerpt from the most recent federally negotiated rate agreement or facilities and administrative (F&A) rate
agreement that provide the rate for the period covered by the research proposal to be used as the matching requirement.

(5) When indirect costs are used to satisfy the matching requirements, the Grantee institution must agree to continue to provide
 but waive the recovery of costs associated with the facilities and administrative services from any external funding source.
 The full proposal must include a statement to that effect. It is not appropriate for an institution to indicate the indirect costs will
 be used to pay salaries of individuals working on the project or to purchase supplies as these costs are considered “direct costs”
 and institutions cannot mix the classification of costs between direct and indirect costs.

				
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