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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Personnel Detail Worksheet

PERSONNEL DETAIL WORKSHEET
Applicant Agency:
Program / Service:
Contract Period:
Salary Paid w/Salary Paid w/Total Contract Salary
Name of StaffTitle/PositionFTEAnnual% of TimeRequested FundsOther Resources
(include credentials)Salaryon Project
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
Totals0.00$0.000.00%$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 ItemsTOTALRequested FundsOther ResourcesAdministration
C-1Staff Salaries$0.00$0.00$0.00
C-2Staff Fringe Benefits$0.00
C-3Travel/Training (Total)$0.00$0.00$0.00$0.00
Mileage = Rate $0.40 X Miles$0.00
Training$0.00
C-4Contractual (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-5Supplies (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-6Equipment/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-7Indirect Costs$0.00
C-8Total 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-1Staff SalariesAmount requested$0.00
Explain how Staff Salaries were determined and justify any increase from the previous contract year (if applicable).
C-2Staff Fringe BenefitsAmount 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 ClassificationAmountPercent
Federal Insurance Contributions Act
Workers compensation
Health Insurance
Unemployment Compensation
Pension
DE Family Leave
Other
Total Fringe Benefits$0.000.00%
Staff Fringe Benefits - Additional Narrative
C-3Travel / TrainingAmount 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*
MileageRate$0.50Total 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.
TrainingAmount requested$0.00
0Amount requested$0.00
C-4ContractualAmount 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 LocationSq. Footage being charged to DSSCCost 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 NarrativeAmount requested$0.00
ElectricityAmount requested$0.00
HeatAmount requested$0.00
Telephone/InternetAmount requested$0.00
C-4Contractual(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/AdvertisingAmount requested$0.00
PostageAmount requested$0.00
InsuranceAmount requested$0.00
RepairsAmount requested$0.00
AuditAmount requested$0.00
C-4Contractual(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-5SuppliesAmount 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 SuppliesAmount requested$0.00
Program SuppliesAmount requested$0.00
Janitorial SuppliesAmount requested$0.00
Building SuppliesAmount requested$0.00
Medical SuppliesAmount requested$0.00
C-5Supplies(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-6Equipment & Other Direct CostsAmount 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 EOther Resources
Explain what the other resources are and how they are allocated to this project.
Explain OTHER RESOURCES:Amount identifed$0.00
C-7Indirect 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

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