6-HSS-26-016 Appendix C BudgetTemplate SUPTRS.xls
XLS spreadsheet 76 KB Posted
- Attached to
- COMPREHENSIVE SUBSTANCE USE PRIMARY PREVENTION SERVICES FOR COMMUNITIES, ADULTS AND YOUTH
- Solicitation number
- HSS-26-016
- Issued by
- Delaware
About this file
This is a budget template file for substance use prevention services for the Delaware Division of Substance Abuse and Mental Health (DSAMH) and Delaware Division of Prevention and Behavioral Health Services (DPBHS), specifically for contract opportunity 6-HSS-26-016 under the SUPTRS (Substance Use Prevention, Treatment, and Recovery Services) program. The template supports comprehensive substance use primary prevention services targeting communities, adults, and youth across Delaware, with the goal of preventing the onset and reducing progression of substance use disorders through evidence-based prevention strategies including education, information dissemination, environmental strategies, community-based activities, and problem identification and referral.
The budget template contains three main worksheets: a Personnel Detail Worksheet for documenting direct and indirect staff positions with their salaries and time allocations; a Budget Worksheet breaking down costs into categories including staff salaries, fringe benefits, travel/training, contractual expenses, supplies, equipment, and indirect costs; and a Budget Narrative requiring detailed explanations and justifications for each budget category. All worksheet fields are currently blank with zero amounts, indicating this is a template for applicants to complete when submitting proposals. The template includes specific formatting requirements such as a maximum allowable mileage rate of $0.40 per mile per Delaware's Budget and Accounting Policy Manual, and requires detailed breakdown of fringe benefits including FICA, workers compensation, health insurance, unemployment compensation, and pension contributions.
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Text version
Personnel Detail Worksheet
| PERSONNEL DETAIL WORKSHEET | |||||||
| Applicant Agency: | |||||||
| Program / Service: | |||||||
| Contract Period: | |||||||
| Salary Paid w/ | Salary Paid w/ | Total Contract Salary | |||||
| Name of Staff | Title/Position | FTE | Annual | % of Time | Requested Funds | Other Resources | |
| (include credentials) | Salary | on Project | |||||
| DIRECT STAFF: | $0.00 | ||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
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| $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 | |||||||
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| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| Totals | 0.00 | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 |
&LBudget Workbook V8&C&F&R&D
Budget Worksheet
| BUDGET WORKSHEET | |||||
| Applicant Agency: | 0 | ||||
| Program / Service: | 0 | ||||
| Contract Period: | 0 | ||||
| Budget Items | TOTAL | Requested Funds | Other Resources | Administration | |
| C-1 | Staff Salaries | $0.00 | $0.00 | $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 | ||||
| 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 | ||||
| Other (specify here) | $0.00 | ||||
| C-5 | Supplies (Total) | $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 | ||||
| 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 |
| *amount charged to contract |
&LBudget Workbook V8&C&F&R&D
Budget Narrative
| BUDGET NARRATIVE | ||||||||
| Applicant Agency: | 0 | |||||||
| Program / Service: | 0 | |||||||
| Contract Period: | 0 | |||||||
| Narrative is REQUIRED for each Category where DSAMH funds have been allocated on the Budget Worksheet. | ||||||||
| C-1 | Staff Salaries | Amount requested | $0.00 | |||||
| Explain how Staff Salaries were determined and justify any increase from the previous contract year (if applicable). | ||||||||
| C-2 | Staff Fringe Benefits | Amount requested | $0.00 | |||||
| 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 Classification | Amount | Percent | ||||||
| Federal Insurance Contributions Act | ||||||||
| Workers compensation | ||||||||
| Health Insurance | ||||||||
| Unemployment Compensation | ||||||||
| Pension | ||||||||
| DE Family Leave | ||||||||
| Other | ||||||||
| Total Fringe Benefits | $0.00 | 0.00% | ||||||
| Staff Fringe Benefits - Additional Narrative | ||||||||
| C-3 | Travel / Training | Amount requested | $0.00 | |||||
| Explain how the following costs were determined, what is included in the costs and justify any | ||||||||
| increase from previous contract year (if applicable). | ||||||||
| Mileage* | ||||||||
| Mileage | Rate | $0.50 | Total Mileage = | $0.00 | ||||
| Amount requested* | $0.00 | |||||||
| *Maximum allowable mileage rate is $0.40/mile per the State of Delaware, Budget and Accounting Policy Manual. | ||||||||
| Training | Amount requested | $0.00 | ||||||
| 0 | Amount requested | $0.00 | ||||||
| C-4 | Contractual | Amount requested | $0.00 | |||||
| Explain how the following costs were determined, what is included in the costs and justify any | ||||||||
| increase from previous contract year. | ||||||||
| Rent (include cost per sq. ft.) | ||||||||
| Rental Location | Sq. Footage being charged to DSSC | Cost Per Sq. Ft. | Total | |||||
| $0.00 | ||||||||
| $0.00 | ||||||||
| $0.00 | ||||||||
| $0.00 | ||||||||
| Monthly Rent | $0.00 | |||||||
| Total Months Charged to Rent: | Total Rent | $0.00 | ||||||
| Rent - Additional Narrative | Amount requested | $0.00 | ||||||
| Electricity | Amount requested | $0.00 | ||||||
| Heat | Amount requested | $0.00 | ||||||
| Telephone/Internet | Amount requested | $0.00 | ||||||
| C-4 | Contractual | (Continued) | ||||||
| Explain how the following costs were determined, what is included in the costs and justify any | ||||||||
| increase from previous contract year (If applicable). | ||||||||
| Utilities (Other) | Amount requested | $0.00 | ||||||
| Printing/Advertising | Amount requested | $0.00 | ||||||
| Postage | Amount requested | $0.00 | ||||||
| Insurance | Amount requested | $0.00 | ||||||
| Repairs | Amount requested | $0.00 | ||||||
| Audit | Amount requested | $0.00 | ||||||
| C-4 | Contractual | (Continued) | ||||||
| Explain how the following costs were determined, what is included in the costs and justify any | ||||||||
| increase from previous contract year. | ||||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| Additional Contractual Narrative | ||||||||
| C-5 | Supplies | Amount requested | $0.00 | |||||
| Explain how the following costs were determined, what is included in the costs and justify any | ||||||||
| increase from previous contract year. | ||||||||
| Office Supplies | Amount requested | $0.00 | ||||||
| Program Supplies | Amount requested | $0.00 | ||||||
| Janitorial Supplies | Amount requested | $0.00 | ||||||
| Building Supplies | Amount requested | $0.00 | ||||||
| Medical Supplies | Amount requested | $0.00 | ||||||
| C-5 | Supplies | (Continued) | ||||||
| Explain how the following costs were determined, what is included in the costs and justify any | ||||||||
| increase from previous contract year. | ||||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| C-6 | Equipment & Other Direct Costs | Amount requested | $0.00 | |||||
| Explain how the following costs were determined, what is included in the costs and justify any | ||||||||
| increase from previous contract year. | ||||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| Other (specify here) | Amount requested | $0.00 | ||||||
| Column E | Other Resources | |||||||
| Explain what the other resources are and how they are allocated to this project. | ||||||||
| Explain OTHER RESOURCES: | Amount identifed | $0.00 | ||||||
| C-7 | Indirect Costs | |||||||
| Explain how the following costs were determined, what is included in the costs and justify any | ||||||||
| increase from previous contract year. | ||||||||
| Explain INDIRECT COST: | Amount requested | $0.00 |
&LBudget Workbook V8&C&F&R&D
File details come from the government source that posted it. Updated .