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Document Sample
Appendix 2.2
Country
PVO
Date of Submission
Detailed Budget Sample Format (US$) for MYAPs for FY 2007
The following sample detailed budget is intended to show the level of detail expected; not the range of line items typical of a Title II program.
Funding Sources
US $1 = _____ local currency using exchange rate of _______(date)
Unit of Unit Cost % # of Units Total Monetization Section PVO ITSH Other TOTAL
Detailed Line Items Measure Unit Cost Proceeds 202e Cost Share (specify)
Year 1 Year 1 Year 1 Year 1 Year 1 Year 1 Year 1 Year 1 Year 1 Year 1 Year 1
FY 20xx
I. PERSONNEL SALARIES
International Staff
Country Director
MCH Program Officer
Environmental Specialist
International Staff Subtotal
National Staff
Project Administrator
Driver
Program Support
Driver
National Staff Subtotal
TOTAL PERSONNEL SALARIES
II. BENEFITS & FRINGE
International Staff
International Staff Fringe Benefits as a % of Salary
Travel to relocate project manager/family (4)
R & R /family
Housing Allowance
International Staff Subtotal
National Staff
National Staff Fringe Benefits as a % of Salary
National Staff Subtotal
TOTAL BENEFITS & FRINGE
III. TRAVEL & TRANSPORT
Personnel Travel
International Travel
RT - Washington/XXXXX
Local Travel -
Domestic Travel
Airfare
Ground transportation
Total travel
Per diem
Lusaka day trips
Atlanta/Avg. US City
D.C.
En route
Total per diem
Personnel Travel Subtotal
Commodities Transport
Commodities Transport Subtotal
TOTAL TRAVEL & TRANSPORT
IV. EQUIPMENT > $5,000
TOTAL EQUIPMENT > $5,000
V. SUPPLIES & MATERIALS
Programmatic Supplies
FFW tools
Programmatic Supplies Subtotal
Office Supplies
Printing Materials
Copying & duplicating
Telephone, fax, telex
Postage
Office Rent
Office Supplies Subtotal
TOTAL SUPPLIES & MATERIALS
VI. SUBGRANTS
Women's Health and Family Planning Fndn.
Additional subagreements to be determined
TOTAL SUBGRANTS
VII. SUBCONTRACTS
Water and Sanitation Services, Inc.
TOTAL SUBCONTRACTS
VIII. CONSULTANCY
Environmental Specialist
Montioring and Evaluation
TOTAL CONSULTANCY
IX. OTHER
Visas/ Immunizations
Vehicles
DBA Insurance
TOTAL OTHER
TOTAL DIRECT COST
TOTAL INDIRECT COST @ xx NICRA RATE 22.1%
TOTAL COSTS *
* must equal comprehensive budget budget totals for each FY
**Include separate, labeled budget forms for non-emergency and planned or contingency emergency activities.
Appendix 2.2
Country
PVO
Date of Submission
Detailed Budget Sample Format (US$) for MYAPs for FY 2007
The following sample detailed budget is intended to show the level of detail expected; not the range of line items typical of a Title II program.
Funding Sources
US $1 = _____ local currency using exchange rate of _______(date)
Unit of Unit Cost % # of Units Total Monetization Section PVO ITSH Other TOTAL
Detailed Line Items Measure Unit Cost Proceeds 202e Cost Share (specify)
Year 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year 2
FY 20xx
I. PERSONNEL SALARIES
International Staff
Country Director
MCH Program Officer
Environmental Specialist
International Staff Subtotal
National Staff
Project Administrator
Driver
Program Support
Driver
National Staff Subtotal
TOTAL PERSONNEL SALARIES
II. BENEFITS & FRINGE
International Staff
International Staff Fringe Benefits as a % of Salary
Travel to relocate project manager/family (4)
R & R /family
Housing Allowance
International Staff Subtotal
National Staff
National Staff Fringe Benefits as a % of Salary
National Staff Subtotal
TOTAL BENEFITS & FRINGE
III. TRAVEL & TRANSPORT
Personnel Travel
International Travel
RT - Washington/XXXXX
Local Travel -
Domestic Travel
Airfare
Ground transportation
Total travel
Per diem
Lusaka day trips
Atlanta/Avg. US City
D.C.
En route
Total per diem
Personnel Travel Subtotal
Commodities Transport
Commodities Transport Subtotal
TOTAL TRAVEL & TRANSPORT
IV. EQUIPMENT > $5,000
TOTAL EQUIPMENT > $5,000
V. SUPPLIES & MATERIALS
Programmatic Supplies
FFW tools
Programmatic Supplies Subtotal
Office Supplies
Printing Materials
Copying & duplicating
Telephone, fax, telex
Postage
Office Rent
Office Supplies Subtotal
TOTAL SUPPLIES & MATERIALS
VI. SUBGRANTS
Women's Health and Family Planning Fndn.
Additional subagreements to be determined
TOTAL SUBGRANTS
VII. SUBCONTRACTS
Water and Sanitation Services, Inc.
TOTAL SUBCONTRACTS
VIII. CONSULTANCY
Environmental Specialist
Montioring and Evaluation
TOTAL CONSULTANCY
IX. OTHER
Visas/ Immunizations
Vehicles
DBA Insurance
TOTAL OTHER
TOTAL DIRECT COST
TOTAL INDIRECT COST @ xx NICRA RATE 22.1%
TOTAL COSTS *
* must equal comprehensive budget budget totals for each FY
**Include separate, labeled budget forms for non-emergency and planned or contingency emergency activities.
Appendix 2.2
Country
PVO
Date of Submission
Detailed Budget Sample Format (US$) for MYAPs for FY 2007
The following sample detailed budget is intended to show the level of detail expected; not the range of line items typical of a Title II program.
Funding Sources
US $1 = _____ local currency using exchange rate of _______(date)
Unit of Unit Cost % # of Units Total Monetization Section PVO ITSH Other TOTAL
Detailed Line Items Measure Unit Cost Proceeds 202e Cost Share (specify)
Year 3 Year 3 Year 3 Year 3 Year 3 Year 3 Year 3 Year 3 Year 3 Year 3 Year 3
FY 20xx
I. PERSONNEL SALARIES
International Staff
Country Director
MCH Program Officer
Environmental Specialist
International Staff Subtotal
National Staff
Project Administrator
Driver
Program Support
Driver
National Staff Subtotal
TOTAL PERSONNEL SALARIES
II. BENEFITS & FRINGE
International Staff
International Staff Fringe Benefits as a % of Salary
Travel to relocate project manager/family (4)
R & R /family
Housing Allowance
International Staff Subtotal
National Staff
National Staff Fringe Benefits as a % of Salary
National Staff Subtotal
TOTAL BENEFITS & FRINGE
III. TRAVEL & TRANSPORT
Personnel Travel
International Travel
RT - Washington/XXXXX
Local Travel -
Domestic Travel
Airfare
Ground transportation
Total travel
Per diem
Lusaka day trips
Atlanta/Avg. US City
D.C.
En route
Total per diem
Personnel Travel Subtotal
Commodities Transport
Commodities Transport Subtotal
TOTAL TRAVEL & TRANSPORT
IV. EQUIPMENT > $5,000
TOTAL EQUIPMENT > $5,000
V. SUPPLIES & MATERIALS
Programmatic Supplies
FFW tools
Programmatic Supplies Subtotal
Office Supplies
Printing Materials
Copying & duplicating
Telephone, fax, telex
Postage
Office Rent
Office Supplies Subtotal
TOTAL SUPPLIES & MATERIALS
VI. SUBGRANTS
Women's Health and Family Planning Fndn.
Additional subagreements to be determined
TOTAL SUBGRANTS
VII. SUBCONTRACTS
Water and Sanitation Services, Inc.
TOTAL SUBCONTRACTS
VIII. CONSULTANCY
Environmental Specialist
Montioring and Evaluation
TOTAL CONSULTANCY
IX. OTHER
Visas/ Immunizations
Vehicles
DBA Insurance
TOTAL OTHER
TOTAL DIRECT COST
TOTAL INDIRECT COST @ xx NICRA RATE 22.1%
TOTAL COSTS *
* must equal comprehensive budget budget totals for each FY
**Include separate, labeled budget forms for non-emergency and planned or contingency emergency activities.
Appendix 2.2
Country
PVO
Date of Submission
Detailed Budget Sample Format (US$) for MYAPs for FY 2007
The following sample detailed budget is intended to show the level of detail expected; not the range of line items typical of a Title II program.
Funding Sources
US $1 = _____ local currency using exchange rate of _______(date)
Unit of Unit Cost % # of Units Total Monetization Section PVO ITSH Other TOTAL
Detailed Line Items Measure Unit Cost Proceeds 202e Cost Share (specify)
Year 4 Year 4 Year 4 Year 4 Year 4 Year 4 Year 4 Year 4 Year 4 Year 4 Year 4
FY 20xx
I. PERSONNEL SALARIES
International Staff
Country Director
MCH Program Officer
Environmental Specialist
International Staff Subtotal
National Staff
Project Administrator
Driver
Program Support
Driver
National Staff Subtotal
TOTAL PERSONNEL SALARIES
II. BENEFITS & FRINGE
International Staff
International Staff Fringe Benefits as a % of Salary
Travel to relocate project manager/family (4)
R & R /family
Housing Allowance
International Staff Subtotal
National Staff
National Staff Fringe Benefits as a % of Salary
National Staff Subtotal
TOTAL BENEFITS & FRINGE
III. TRAVEL & TRANSPORT
Personnel Travel
International Travel
RT - Washington/XXXXX
Local Travel -
Domestic Travel
Airfare
Ground transportation
Total travel
Per diem
Lusaka day trips
Atlanta/Avg. US City
D.C.
En route
Total per diem
Personnel Travel Subtotal
Commodities Transport
Commodities Transport Subtotal
TOTAL TRAVEL & TRANSPORT
IV. EQUIPMENT > $5,000
TOTAL EQUIPMENT > $5,000
V. SUPPLIES & MATERIALS
Programmatic Supplies
FFW tools
Programmatic Supplies Subtotal
Office Supplies
Printing Materials
Copying & duplicating
Telephone, fax, telex
Postage
Office Rent
Office Supplies Subtotal
TOTAL SUPPLIES & MATERIALS
VI. SUBGRANTS
Women's Health and Family Planning Fndn.
Additional subagreements to be determined
TOTAL SUBGRANTS
VII. SUBCONTRACTS
Water and Sanitation Services, Inc.
TOTAL SUBCONTRACTS
VIII. CONSULTANCY
Environmental Specialist
Montioring and Evaluation
TOTAL CONSULTANCY
IX. OTHER
Visas/ Immunizations
Vehicles
DBA Insurance
TOTAL OTHER
TOTAL DIRECT COST
TOTAL INDIRECT COST @ xx NICRA RATE 22.1%
TOTAL COSTS *
* must equal comprehensive budget budget totals for each FY
**Include separate, labeled budget forms for non-emergency and planned or contingency emergency activities.
Appendix 2.2
Country
PVO
Date of Submission
Detailed Budget Sample Format (US$) for MYAPs for FY 2007
The following sample detailed budget is intended to show the level of detail expected; not the range of line items typical of a Title II program.
Funding Sources
US $1 = _____ local currency using exchange rate of _______(date)
Unit of Unit Cost % # of Units Total Monetization Section PVO ITSH Other TOTAL
Detailed Line Items Measure Unit Cost Proceeds 202e Cost Share (specify)
Year 5 Year 5 Year 5 Year 5 Year 5 Year 5 Year 5 Year 5 Year 5 Year 5 Year 5
FY 20xx
I. PERSONNEL SALARIES
International Staff
Country Director
MCH Program Officer
Environmental Specialist
International Staff Subtotal
National Staff
Project Administrator
Driver
Program Support
Driver
National Staff Subtotal
TOTAL PERSONNEL SALARIES
II. BENEFITS & FRINGE
International Staff
International Staff Fringe Benefits as a % of Salary
Travel to relocate project manager/family (4)
R & R /family
Housing Allowance
International Staff Subtotal
National Staff
National Staff Fringe Benefits as a % of Salary
National Staff Subtotal
TOTAL BENEFITS & FRINGE
III. TRAVEL & TRANSPORT
Personnel Travel
International Travel
RT - Washington/XXXXX
Local Travel -
Domestic Travel
Airfare
Ground transportation
Total travel
Per diem
Lusaka day trips
Atlanta/Avg. US City
D.C.
En route
Total per diem
Personnel Travel Subtotal
Commodities Transport
Commodities Transport Subtotal
TOTAL TRAVEL & TRANSPORT
IV. EQUIPMENT > $5,000
TOTAL EQUIPMENT > $5,000
V. SUPPLIES & MATERIALS
Programmatic Supplies
FFW tools
Programmatic Supplies Subtotal
Office Supplies
Printing Materials
Copying & duplicating
Telephone, fax, telex
Postage
Office Rent
Office Supplies Subtotal
TOTAL SUPPLIES & MATERIALS
VI. SUBGRANTS
Women's Health and Family Planning Fndn.
Additional subagreements to be determined
TOTAL SUBGRANTS
VII. SUBCONTRACTS
Water and Sanitation Services, Inc.
TOTAL SUBCONTRACTS
VIII. CONSULTANCY
Environmental Specialist
Montioring and Evaluation
TOTAL CONSULTANCY
IX. OTHER
Visas/ Immunizations
Vehicles
DBA Insurance
TOTAL OTHER
TOTAL DIRECT COST
TOTAL INDIRECT COST @ xx NICRA RATE 22.1%
TOTAL COSTS *
* must equal comprehensive budget budget totals for each FY
**Include separate, labeled budget forms for non-emergency and planned or contingency emergency activities.
Appendix 2.2
Country
PVO
Date of Submission
Detailed Budget Sample Format (US$) for MYAPs for FY 2007
The following sample detailed budget is intended to show the level of detail expected; not the range of line items typical of a Title II program.
Funding Sources
US $1 = _____ local currency using exchange rate of _______(date)
Unit of Unit Cost % # of Units Total Monetization Section PVO ITSH Other TOTAL
Detailed Line Items Measure Unit Cost Proceeds 202e Cost Share (specify)
LOA LOA LOA LOA LOA LOA LOA LOA LOA LOA LOA
FY 20xx - FY 20xx
I. PERSONNEL SALARIES
International Staff
Country Director
MCH Program Officer
Environmental Specialist
International Staff Subtotal
National Staff
Project Administrator
Driver
Program Support
Driver
National Staff Subtotal
TOTAL PERSONNEL SALARIES
II. BENEFITS & FRINGE
International Staff
International Staff Fringe Benefits as a % of Salary
Travel to relocate project manager/family (4)
R & R /family
Housing Allowance
International Staff Subtotal
National Staff
National Staff Fringe Benefits as a % of Salary
National Staff Subtotal
TOTAL BENEFITS & FRINGE
III. TRAVEL & TRANSPORT
Personnel Travel
International Travel
RT - Washington/XXXXX
Local Travel -
Domestic Travel
Airfare
Ground transportation
Total travel
Per diem
Lusaka day trips
Atlanta/Avg. US City
D.C.
En route
Total per diem
Personnel Travel Subtotal
Commodities Transport
Commodities Transport Subtotal
TOTAL TRAVEL & TRANSPORT
IV. EQUIPMENT > $5,000
TOTAL EQUIPMENT > $5,000
V. SUPPLIES & MATERIALS
Programmatic Supplies
FFW tools
Programmatic Supplies Subtotal
Office Supplies
Printing Materials
Copying & duplicating
Telephone, fax, telex
Postage
Office Rent
Office Supplies Subtotal
TOTAL SUPPLIES & MATERIALS
VI. SUBGRANTS
Women's Health and Family Planning Fndn.
Additional subagreements to be determined
TOTAL SUBGRANTS
VII. SUBCONTRACTS
Water and Sanitation Services, Inc.
TOTAL SUBCONTRACTS
VIII. CONSULTANCY
Environmental Specialist
Montioring and Evaluation
TOTAL CONSULTANCY
IX. OTHER
Visas/ Immunizations
Vehicles
DBA Insurance
TOTAL OTHER
TOTAL DIRECT COST
TOTAL INDIRECT COST @ xx NICRA RATE 22.1%
TOTAL COSTS *
* must equal comprehensive budget budget totals for each FY
**Include separate, labeled budget forms for non-emergency and planned or contingency emergency activities.
Detailed Budget Definitions
% - the percentage of the unit time and cost
# of Units - the number of units that will be purchased
Cost of Unit - the cost of the unit in US dollars
Funding Sources - The type of funding that will pay for line item expenses
ITSH - P.L. 480 funds that cover costs associated with the internal transport, storage, and handling costs of moving
commodities in-country, from port to final destination
Monetization Proceeds - Proceeds generated from monetization that can be utilized to support programmatic objectives
"Other" Funding Sources - funding from outside sources, such as USAID Mission funding, recipient contributions, local
government, etc.
Section 202(e) - P.L. 480 funds for in-country institutional/administrative expenses toward improving the management and
efficiency of Title II programs
Total Unit Cost - the amount of funding necessary to pay the line item expense (the cost per unit x the number of units x
percentage of the unit time and cost)
Unit of Measure - the unit of of time (days, months, years, etc.) or the number of items in a unit (ex: one bulgur seed bag with
5,000 seeds) if not specified in the line item description, if applicable
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