Appendix 2.2
Detailed Budget Sample Format (US$) for DAPs for FY 2005 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. "Other" funding sources may include, USAID Mission funding, recipient contributions, local government, etc. Funding Sources US $1 = _____ local currency using exchange rate of _______(date) Monetization Detailed Line Items FY 20xx SALARIES & FRINGE Country Director (no. days x rate) MCH Program Officer (no. days x rate) Environmental Specialist (no. days x rate) Project Administrator (no. days x rate) Program Support (no. days x rate) Driver (no. days x rate) Total salaries Staff leave @ x % of salary Total salaries & leave Fringe benefits @ x % of salary TOTAL SALARIES & FRINGE DBA INSURANCE CONSULTANTS Environmental Specialist (no. days x rate) Montioring and Evaluation (no. days x rate) Monetization Consultant (no. days x rate) Mid-term Eval. Consultant (no. days x rate) TOTAL CONSULTANTS SUBAGREEMENTS Women's Health and Family Planning Fndn. Additional subagreements to be determined TOTAL SUBAGREEMENTS TRAVEL & PER DIEM International Travel RT - Washington/XXXXX Local Travel Domestic Travel Airfare Ground transportation Total travel Per diem Lusaka (x day trips) Atlanta/Avg. US City D.C. En route Total per diem TOTAL TRAVEL & PER DIEM Expatriate Allowances Travel to relocate project manager/family (4) R & R /family Housing Allowance Temporary lodging Shipping household (max. 9,000 lb.) TOTAL Expatriate Allowances SUBCONTRACTS TOTAL SUBCONTRACTS Subcontract indirect base --> PROCUREMENT 3 computers, printers @ $x each TOTAL PROCUREMENT WORKSHOPS Training Workshops - Local Training Workshops - International TOTAL WORKSHOPS LOCAL OFFICE OPERATING COSTS Office operating costs ($ x /month + 10%+A96) increase for inflation in Yr 2, Yr3) TOTAL OFFICE OPERATING COSTS Supplies Tools (no. @ $ x ea.) Charts ( no. @ $ x ea.) TOTAL Supplies OTHER DIRECT COSTS Vehicles Medex Ins - 2 staff Visas/ Immunizations Printing Materials Copying & duplicating Telephone, fax, telex Postage Supplies & materials Rent TOTAL OTHER DIRECT COSTS TOTAL DIRECT COSTS NICRA base ---> INDIRECT COSTS @ x % TOTAL COSTS * * must equal comprehensive budget budget totals for each FY Proceeds Year 1 Section 202e Year 1 PVO Cost Share Year 1 Year 1 ITSH Other (specify) Year 1 Year 1 TOTAL
Funding Sources US $1 = _____ local currency using exchange rate of _______(date) Monetization Detailed Line Items FY 20xx SALARIES & FRINGE Country Director (no. days x rate) MCH Program Officer (no. days x rate) Environmental Specialist (no. days x rate) Project Administrator (no. days x rate) Program Support (no. days x rate) Driver (no. days x rate) Total salaries Staff leave @ x % of salary Total salaries & leave Fringe benefits @ x % of salary TOTAL SALARIES & FRINGE DBA INSURANCE CONSULTANTS Environmental Specialist (no. days x rate) Montioring and Evaluation (no. days x rate) Monetization Consultant (no. days x rate) Mid-term Eval. Consultant (no. days x rate) TOTAL CONSULTANTS SUBAGREEMENTS Women's Health and Family Planning Fndn. Additional subagreements to be determined TOTAL SUBAGREEMENTS TRAVEL & PER DIEM International Travel RT - Washington/XXXXX Local Travel Domestic Travel Airfare Ground transportation Total travel Per diem Lusaka (x day trips) Atlanta/Avg. US City D.C. En route Total per diem TOTAL TRAVEL & PER DIEM Expatriate Allowances Travel to relocate project manager/family (4) R & R /family Housing Allowance Temporary lodging Shipping household (max. 9,000 lb.) TOTAL Expatriate Allowances SUBCONTRACTS TOTAL SUBCONTRACTS Subcontract indirect base --> PROCUREMENT 3 computers, printers @ $x each TOTAL PROCUREMENT WORKSHOPS Training Workshops - Local Training Workshops - International TOTAL WORKSHOPS LOCAL OFFICE OPERATING COSTS Office operating costs ($ x /month + 10%+A96) increase for inflation in Yr 2, Yr3) TOTAL OFFICE OPERATING COSTS Supplies Tools (no. @ $ x ea.) Charts ( no. @ $ x ea.) TOTAL Supplies OTHER DIRECT COSTS Vehicles Medex Ins - 2 staff Visas/ Immunizations Printing Materials Copying & duplicating Telephone, fax, telex Postage Supplies & materials Rent TOTAL OTHER DIRECT COSTS TOTAL DIRECT COSTS NICRA base ---> INDIRECT COSTS @ x % TOTAL COSTS * Proceeds Year 2 Section 202e Year 2 PVO Cost Share Year 2 Year 2 ITSH Other (specify) Year 2 Year 2 TOTAL
Funding Sources US $1 = _____ local currency using exchange rate of _______(date) Monetization Detailed Line Items FY 20xx SALARIES & FRINGE Country Director (no. days x rate) MCH Program Officer (no. days x rate) Environmental Specialist (no. days x rate) Project Administrator (no. days x rate) Program Support (no. days x rate) Driver (no. days x rate) Total salaries Staff leave @ x % of salary Total salaries & leave Fringe benefits @ x % of salary TOTAL SALARIES & FRINGE DBA INSURANCE CONSULTANTS Environmental Specialist (no. days x rate) Montioring and Evaluation (no. days x rate) Monetization Consultant (no. days x rate) Mid-term Eval. Consultant (no. days x rate) TOTAL CONSULTANTS SUBAGREEMENTS Women's Health and Family Planning Fndn. Additional subagreements to be determined TOTAL SUBAGREEMENTS TRAVEL & PER DIEM International Travel RT - Washington/XXXXX Local Travel Domestic Travel Airfare Ground transportation Total travel Per diem Lusaka (x day trips) Atlanta/Avg. US City D.C. En route Total per diem TOTAL TRAVEL & PER DIEM Expatriate Allowances Travel to relocate project manager/family (4) R & R /family Housing Allowance Temporary lodging Shipping household (max. 9,000 lb.) TOTAL Expatriate Allowances SUBCONTRACTS TOTAL SUBCONTRACTS Subcontract indirect base --> PROCUREMENT 3 computers, printers @ $x each TOTAL PROCUREMENT WORKSHOPS Training Workshops - Local Training Workshops - International TOTAL WORKSHOPS LOCAL OFFICE OPERATING COSTS Office operating costs ($ x /month + 10%+A96) increase for inflation in Yr 2, Yr3) TOTAL OFFICE OPERATING COSTS Supplies Tools (no. @ $ x ea.) Charts ( no. @ $ x ea.) TOTAL Supplies OTHER DIRECT COSTS Vehicles Medex Ins - 2 staff Visas/ Immunizations Printing Materials Copying & duplicating Telephone, fax, telex Postage Supplies & materials Rent TOTAL OTHER DIRECT COSTS TOTAL DIRECT COSTS NICRA base ---> INDIRECT COSTS @ x % TOTAL COSTS * Proceeds Year 3 Section 202e Year 3 PVO Cost Share Year 3 Year 3 ITSH Other (specify) Year 3 Year 3 TOTAL
Funding Sources US $1 = _____ local currency using exchange rate of _______(date) Monetization Detailed Line Items FY 20xx SALARIES & FRINGE Country Director (no. days x rate) MCH Program Officer (no. days x rate) Environmental Specialist (no. days x rate) Project Administrator (no. days x rate) Program Support (no. days x rate) Driver (no. days x rate) Total salaries Staff leave @ x % of salary Total salaries & leave Fringe benefits @ x % of salary TOTAL SALARIES & FRINGE DBA INSURANCE CONSULTANTS Environmental Specialist (no. days x rate) Montioring and Evaluation (no. days x rate) Monetization Consultant (no. days x rate) Mid-term Eval. Consultant (no. days x rate) TOTAL CONSULTANTS SUBAGREEMENTS Women's Health and Family Planning Fndn. Additional subagreements to be determined TOTAL SUBAGREEMENTS TRAVEL & PER DIEM International Travel RT - Washington/XXXXX Local Travel Domestic Travel Airfare Ground transportation Total travel Per diem Lusaka (x day trips) Atlanta/Avg. US City D.C. En route Total per diem TOTAL TRAVEL & PER DIEM Expatriate Allowances Travel to relocate project manager/family (4) R & R /family Housing Allowance Temporary lodging Shipping household (max. 9,000 lb.) TOTAL Expatriate Allowances SUBCONTRACTS TOTAL SUBCONTRACTS Subcontract indirect base --> PROCUREMENT 3 computers, printers @ $x each TOTAL PROCUREMENT WORKSHOPS Training Workshops - Local Training Workshops - International TOTAL WORKSHOPS LOCAL OFFICE OPERATING COSTS Office operating costs ($ x /month + 10%+A96) increase for inflation in Yr 2, Yr3) TOTAL OFFICE OPERATING COSTS Supplies Tools (no. @ $ x ea.) Charts ( no. @ $ x ea.) TOTAL Supplies OTHER DIRECT COSTS Vehicles Medex Ins - 2 staff Visas/ Immunizations Printing Materials Copying & duplicating Telephone, fax, telex Postage Supplies & materials Rent TOTAL OTHER DIRECT COSTS TOTAL DIRECT COSTS NICRA base ---> INDIRECT COSTS @ x % TOTAL COSTS * Proceeds Year 4 Section 202e Year 4 PVO Cost Share Year 4 Year 4 ITSH Other (specify) Year 4 Year 4 TOTAL
Funding Sources US $1 = _____ local currency using exchange rate of _______(date) Monetization Detailed Line Items FY 20xx SALARIES & FRINGE Country Director (no. days x rate) MCH Program Officer (no. days x rate) Environmental Specialist (no. days x rate) Project Administrator (no. days x rate) Program Support (no. days x rate) Driver (no. days x rate) Total salaries Staff leave @ x % of salary Total salaries & leave Fringe benefits @ x % of salary TOTAL SALARIES & FRINGE DBA INSURANCE CONSULTANTS Environmental Specialist (no. days x rate) Montioring and Evaluation (no. days x rate) Monetization Consultant (no. days x rate) Mid-term Eval. Consultant (no. days x rate) TOTAL CONSULTANTS SUBAGREEMENTS Women's Health and Family Planning Fndn. Additional subagreements to be determined TOTAL SUBAGREEMENTS TRAVEL & PER DIEM International Travel RT - Washington/XXXXX Local Travel Domestic Travel Airfare Ground transportation Total travel Per diem Lusaka (x day trips) Atlanta/Avg. US City D.C. En route Total per diem TOTAL TRAVEL & PER DIEM Expatriate Allowances Travel to relocate project manager/family (4) R & R /family Housing Allowance Temporary lodging Shipping household (max. 9,000 lb.) TOTAL Expatriate Allowances SUBCONTRACTS TOTAL SUBCONTRACTS Subcontract indirect base --> PROCUREMENT 3 computers, printers @ $x each TOTAL PROCUREMENT WORKSHOPS Training Workshops - Local Training Workshops - International TOTAL WORKSHOPS LOCAL OFFICE OPERATING COSTS Office operating costs ($ x /month + 10%+A96) increase for inflation in Yr 2, Yr3) TOTAL OFFICE OPERATING COSTS Supplies Tools (no. @ $ x ea.) Charts ( no. @ $ x ea.) TOTAL Supplies OTHER DIRECT COSTS Vehicles Medex Ins - 2 staff Visas/ Immunizations Printing Materials Copying & duplicating Telephone, fax, telex Postage Supplies & materials Rent TOTAL OTHER DIRECT COSTS TOTAL DIRECT COSTS NICRA base ---> INDIRECT COSTS @ x % TOTAL COSTS * Proceeds Year 5 Section 202e Year 5 PVO Cost Share Year 5 Year 5 ITSH Other (specify) Year 5 Year 5 TOTAL
Funding Sources US $1 = _____ local currency using exchange rate of _______(date) Monetization Proceeds Detailed Line Items FY 20xx- FY 20xx SALARIES & FRINGE Country Director (no. days x rate) MCH Program Officer (no. days x rate) Environmental Specialist (no. days x rate) Project Administrator (no. days x rate) Program Support (no. days x rate) Driver (no. days x rate) Total salaries Staff leave @ x % of salary Total salaries & leave Fringe benefits @ x % of salary TOTAL SALARIES & FRINGE DBA INSURANCE CONSULTANTS Environmental Specialist (no. days x rate) Montioring and Evaluation (no. days x rate) Monetization Consultant (no. days x rate) Mid-term Eval. Consultant (no. days x rate) TOTAL CONSULTANTS SUBAGREEMENTS Women's Health and Family Planning Fndn. Additional subagreements to be determined TOTAL SUBAGREEMENTS TRAVEL & PER DIEM International Travel RT - Washington/XXXXX Local Travel Domestic Travel Airfare Ground transportation Total travel Per diem Lusaka (x day trips) Atlanta/Avg. US City D.C. En route Total per diem TOTAL TRAVEL & PER DIEM Expatriate Allowances Travel to relocate project manager/family (4) R & R /family Housing Allowance Temporary lodging Shipping household (max. 9,000 lb.) TOTAL Expatriate Allowances SUBCONTRACTS TOTAL SUBCONTRACTS Subcontract indirect base --> PROCUREMENT 3 computers, printers @ $x each TOTAL PROCUREMENT WORKSHOPS Training Workshops - Local Training Workshops - International TOTAL WORKSHOPS LOCAL OFFICE OPERATING COSTS Office operating costs ($ x /month + 10%+A96) increase for inflation in Yr 2, Yr3) TOTAL OFFICE OPERATING COSTS Supplies Tools (no. @ $ x ea.) Charts ( no. @ $ x ea.) TOTAL Supplies OTHER DIRECT COSTS Vehicles Medex Ins - 2 staff Visas/ Immunizations Printing Materials Copying & duplicating Telephone, fax, telex Postage Supplies & materials Rent TOTAL OTHER DIRECT COSTS TOTAL DIRECT COSTS NICRA base ---> INDIRECT COSTS @ x % TOTAL COSTS * Funds LOA Section 202e LOA PVO Cost Share LOA LOA ITSH Other (specify) LOA LOA TOTAL