5-FY 2026 NOFA Oral Health Budget.xlsx

XLSX spreadsheet 44 KB Posted

Attached to
Oral Health Service (NOFA)
Solicitation number
536314
Issued by
Wayne County, Detroit City, Michigan

About this file

This is a budget detail and justification template for the FY 2026 Notice of Funding Availability (NOFA) Oral Health program, issued by the Detroit Health Department (DHD) on behalf of the City of Detroit Office of Contracting and Procurement (OCP) in Michigan. The template is designed for local health departments and interested organizations to submit detailed budget proposals for oral health service delivery. The budget form accommodates line items for salaries and wages, fringe benefits, travel, supplies and materials, contractual services, and other direct expenses. One example contractual subrecipient identified in the template is My Community Dental Center, which would perform dental assessments throughout the year on eligible children. The budget template includes sections for calculating indirect costs through either indirect cost rate calculations or cost allocation plans, with all cost categories flowing into a total project expenditure amount.

The budget template specifies a target funding amount of $58,333.00, which applicants must match exactly in their total expenditures. The document employs a spreadsheet format with formula-protected shaded cells to prevent data entry errors and automatically calculate subtotals and grand totals. The template requires applicants to provide justification for all proposed expenses, including detailed descriptions of travel purposes (such as mileage to schools, daycare facilities, and training events), supplies and materials to be purchased, and space and communication costs. While the template shows error references indicating incomplete formula linkages, it establishes the framework that qualified Program Administrators must use to propose their oral health service budgets for the notice of funding availability.

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Budget detail

APPLICATION BUDGET DETAIL AND JUSTIFICATION
Local Health Department Name:
View at 100% or Larger.
Use WHOLE DOLLAR Figures.
Add lines as needed; make sure costs on any lines added are added into the total.
SHADED CELLS CONTAIN FORMULAS. DO NOT TYPE IN SHADED CELLS.
AGENCY NAMEBUDGET PERIODDATE PREPARED
From:To:(fill in)
1. SALARIES & WAGES:
POSITION TITLE/Employee namePOSITION DESCRIPTION/JUSTIFICATION (Drag the boundary below the row until the row is the height you want, so that all cell contents will be displayed)TOTAL ANNUAL SALARY# MonthsPercentage of Time RequiredFull Time EquivalentSALARY REQUIRED
0.000$ -
0.000$ -
0.000$ -
0.000$ -
0.000$ -
0.000$ -
0.000$ -
1. TOTAL SALARIES and WAGES:0.0000.000$ - 0
2. FRINGE BENEFITS: (Specify all that are provided)Composite Rate %
(If composite rate is applicable, enter % in cell F21)$ -
$ -
$ -
$ -
2. TOTAL FRINGE BENEFITS:$ - 0
3. TRAVEL: (Describe reasons for travel, list each type of cost anticipated such as i.e. mileage, parking, meals)Amount
Includes cost of mileage to schools, day care, events, etc and training/meetings as well as parking and any meals
3. TOTAL TRAVEL:$ - 0
4. SUPPLIES & MATERIALS: (Describe items to be purchased, including office supplies, postage, printing, etc.)Amount
4. TOTAL SUPPLIES & MATERIALS:$ - 0
5. CONTRACTUAL: (Subcontracts/Subrecipients)
NamePurposeAmount
My Community Dental CenterTo perform dental assessment throughout the year on eligible children
5. TOTAL CONTRACTUAL:$ - 0
6. OTHER EXPENSES: (Specify type of expense and provide justification)Amount
Communication:
Space Cost:
Others (explain):
7. TOTAL OTHER EXPENSES:$ - 0
7. TOTAL DIRECT EXPENDITURES: (Sum of Totals 1-6)$ - 0
8. INDIRECT COSTS (use indirect cost calculation -or- cost allocation plan)
Indirect cost calculation:
Rate #1 Base $x Rate #1:=$ -
Rate #2 Base $x Rate #2:0.00%=$ -

Cost allocation plan $ amount: $ -

8. TOTAL INDIRECT EXPENDITURES:$ - 0
9. TOTAL ALL EXPENDITURES: (Sum of lines 7-8)$ - 0

&A, Page &P of &N

FICA

UNEMPLOY INS

RETIREMENT

HEARING INS

DENTAL INS

FICA

UNEMPLOY INS

RETIREMENT

HOSPITAL INS

LIFE INS

VISION

WORK COMP

OTHER:specify-

Budget summary, dont enter here

APPLICATION BUDGET DETAIL AND JUSTIFICATION

View at 100% or Larger.
Use WHOLE DOLLAR Figures.
Add lines as needed; make sure costs on any lines added are added into the total.
SHADED CELLS CONTAIN FORMULAS. DO NOT TYPE IN SHADED CELLS.
AGENCY NAMEBUDGET PERIODDATE PREPARED
MPCAFrom:To:(fill in)
1. SALARIES & WAGES:
POSITION TITLE/Employee namePOSITION DESCRIPTION/JUSTIFICATION (Drag the boundary below the row until the row is the height you want, so that all cell contents will be displayed)TOTAL ANNUAL SALARY# MonthsPercentage of Time RequiredFull Time EquivalentSALARY REQUIRED
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
ERROR:#REF!ERROR:#REF!
1. TOTAL SALARIES and WAGES:0.000ERROR:#REF!ERROR:#REF!
2. FRINGE BENEFITS: (Specify all that are provided)Composite Rate %
(If composite rate is applicable, enter % in cell F21)ERROR:#REF!
ERROR:#REF!
ERROR:#REF!
ERROR:#REF!
2. TOTAL FRINGE BENEFITS:ERROR:#REF!
3. TRAVEL: (Describe reasons for travel, list each type of cost anticipated such as i.e. mileage, parking, meals)Amount
3. TOTAL TRAVEL:ERROR:#REF!
4. SUPPLIES & MATERIALS: (Describe items to be purchased, including office supplies, postage, printing, etc.)Amount
4. TOTAL SUPPLIES & MATERIALS:ERROR:#REF!
5. CONTRACTUAL: (Subcontracts/Subrecipients)
NamePurposeAmount
5. TOTAL CONTRACTUAL:ERROR:#REF!
6. OTHER EXPENSES: (Specify type of expense and provide justification)Amount
Communication:
Space Cost:
Others (explain):
7. TOTAL OTHER EXPENSES:ERROR:#REF!
7. TOTAL DIRECT EXPENDITURES: (Sum of Totals 1-6)ERROR:#REF!
8. INDIRECT COST CALCULATIONS:
Rate #1 Base $ERROR:#REF!x Rate #1ERROR:#REF!=ERROR:#REF!
Rate #2 Base $-x Rate #20.00%=$ -
9. TOTAL INDIRECT EXPENDITURES:ERROR:#REF!
9. TOTAL ALL EXPENDITURES: (Sum of lines 7-8)ERROR:#REF!
TARGET:$58,333.00
(Total must balance exactly)

&A, Page &P of &N

FICA

UNEMPLOY INS

RETIREMENT

HEARING INS

DENTAL INS

FICA

UNEMPLOY INS

RETIREMENT

HOSPITAL INS

LIFE INS

VISION

WORK COMP

OTHER:specify-

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