3-“HSS-26-077 - AppE–Budget Workbook.docx”.xlsx

XLSX spreadsheet 23 KB Posted

Attached to
Substance Use Disorder Project Support
Solicitation number
HSS-26-077
Issued by
Delaware

About this file

This is a Budget Workbook document prepared by an applicant agency for contract HSS-26-077 under the Delaware Division of Substance Abuse and Mental Health (DSAMH). The workbook is designed to support applications for a Substance Use Disorder Project Support initiative, wherein DSAMH seeks contractors to serve as subject matter experts providing implementation support for opioid-reduction grant programs and projects across Delaware. The budget template includes sections for personnel costs, travel and training, contractual expenses, supplies, equipment, and indirect costs, with corresponding narrative requirements justifying each budget category and any increases from prior contract years.

The workbook contains detailed budget worksheets organized into categories including staff salaries, fringe benefits, travel and mileage (capped at the Delaware state rate of $0.40 per mile), training, contractual costs (rent, utilities, insurance, audit, etc.), supplies (office, program, janitorial, medical), and equipment. All budget line items in the submitted document show zero dollars allocated, indicating this is a blank template awaiting completion. Applicants are required to provide narrative justifications for each budget category where DSAMH funds are allocated, including detailed calculations for fringe benefits and justifications for any cost increases compared to previous contract years. The document also includes sections for tracking other resources and indirect costs to support comprehensive budget planning for the proposed project.

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Text version

Personnel Detail Personnel Detail Worksheet

Applicant Agency
Contract NumberHSS-26-077
Program/Service
Contract Period
Name of Staff (include credentials)Title/PositionFTEAnnual Salary% of Time on ProjectSalary Paid w/Requested FundsSalary Paid w/Other ResouresTotal Contract Salary
DIRECT STAFF:$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
INDIRECT STAFF:$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Totals$0.00$0.00$0.00

Budget Worksheet Budget Worksheet

Applicant Agency0
Contract NumberHSS-26-077
Program/Service0
Contract Period0
Budget ItemsTotalRequested FundsOther ResourcesAdminstration
C-1 Staff Salaries$0.00
C-2 Staff Fringe Benefits$0.00
C-3 Travel/Training (Total)$0.00$0.00$0.00$0.00
Mileage = Rate ($0.40) x Miles$0.00
Training$0.00
Other (specify here)$0.00
C-4 Contractual (Total)$0.00$0.00$0.00$0.00
Rent (include cost per sq. ft.)$0.00
Electricity$0.00
Heat$0.00
Telephone/Internet$0.00
Utilities (Other)$0.00
Printing/Advertising$0.00
Postage$0.00
Insurance$0.00
Repairs$0.00
Audit$0.00
Other (specify here)$0.00
Other (specify here)$0.00
Other (specify here)$0.00
Other (specify here)$0.00
Other (specify here)$0.00
C-5 Supplies$0.00$0.00$0.00$0.00
Office Supplies$0.00
Program Supplies$0.00
Janitorial Supplies$0.00
Building Supplies$0.00
Medical Supplies$0.00
Other (specify here)$0.00
Other (specify here)$0.00
Other (specify here)$0.00
C-6 Equipment/Other Direct Costs (Total)$0.00$0.00$0.00$0.00
Other (specify here)$0.00
Other (specify here)$0.00
Other (specify here)$0.00
C-7 Indirect Costs$0.00
C-8 Total Budget$0.00$0.00$0.00$0.00

Budget Narrative Budget Narrative

Applicant Agency0
Contract NumberHSS-26-077
Program/Service0
Contract Period0
Narrative is REQUIRED for each Category where DSAMH funds have been allocated on the Budget Worksheet.
C-1 Staff Salaries
Amount Requested0

Narrative: Explain how Staff Salaries were determined and justify any increase from the previous contract year (if applicable).

C-2 Staff Fringe Benefits
Amount Requested0

Instructions: Explain how Staff Fringe Benefits were determined and justify any increase from the previous contract year (if applicable). Show the breakdown of any calculated Fringe Benefit Rate.

Fringe Benefit ClassificationAmountPercent
Federal Insurance Contributions Act
Workers compensation
Health Insurance

Total $0.00 0%

Additional Narrative

C-3 Travel/Training
Amount Requested0
Instructions: Explain how the following costs were determined, what is included in the costs and justify any increase from previous contract year (if applicable).
Mileage
Amount Requested0
*Maximum allowable mileage rate is $0.40/mile per the State of Delaware, Budget and Accounting Policy Manual.
Mileage
Rate0.4
Total
Additional Narrative
Training
Amount Requested0

Additional Narrative

Other (specify here)
Amount Requested0

Additional Narrative

C-4 Contractual
Amount Requested0
Instruction: Explain how the following costs were determined, what is included in the costs and justify any increase from previous contract year (if applicable)
Rent (include cost per sq. ft.)
Amount Requested0
Rental LocationSq. Ft. being charged to DSSCCost per Sq. Ft.Total
Monthly Rent
Total Months Charged to Rent
Total Rent
Additional Narrative
Electricity
Amount Requested0
Additional Narrative
Heat
Amount Requested0
Additional Narrative
Telephone/Intern
Amount Requested0
Additional Narrative
Utilities (Other)
Amount Requested0
Additional Narrative
Printing/Advertising
Amount Requested0
Additional Narrative
Postage
Amount Requested0
Additional Narrative
Insurance
Amount Requested0
Additional Narrative
Repairs
Amount Requested0
Additional Narrative
Audit
Amount Requested0
Additional Narrative
Other (specify here)
Amount Requested0
Additional Narrative
Other (specify here)
Amount Requested0
Additional Narrative
Other (specify here)
Amount Requested0
Additional Narrative
Other (specify here)
Amount Requested0
Additional Narrative
Other (specify here)
Amount Requested0
Additional Narrative
C-5 Supplies
Amount Requested0
Instructions: Explain how the following costs were determined, what is included in the costs and justify any increase from previous contract year (if applicable).
Office Supplies
Amount Requested0

Additional Narrative

Program
Amount Requested0

Additional Narrative

Janitorial
Amount Requested0

Additional Narrative

Building
Amount Requested0

Additional Narrative

Medical Supplies
Amount Requested0

Additional Narrative

Other (specify here)
Amount Requested0

Additional Narrative

Other (specify here)
Amount Requested0

Additional Narrative

Other (specify here)
Amount Requested0

Additional Narrative

C-6 Equipment & Other Direct Costs
Amount Requested0
Instructions: Explain how the following costs were determined, what is included in the costs and justify any increase from previous contract year (if applicable).
Other (specify here)
Amount Requested0

Additional Narrative

Other (specify here)
Amount Requested0

Additional Narrative

Other (specify here)
Amount Requested0

Additional Narrative

Column E - Other Resources
Amount Requested0
Instructions: Explain how the following costs were determined, what is included in the costs and justify any increase from previous contract year (if applicable).
Additional Narrative
C-7 Indirect Costs
Amount Requested0
Instructions: Explain how the following costs were determined, what is included in the costs and justify any increase from previous contract year (if applicable).
Additional Narrative

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