J.17-Budget_Template.xlsx

XLSX spreadsheet 1018 KB Posted

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Strategic TA for Improved Health System Performance and Health Outcomes (STAIP) Activity
Solicitation number
72066919R00008
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Budget Template

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Summary Budget

SUMMARY BUDGET

CONTRACT LINE ITEMYEAR 1YEAR 2YEAR 3YEAR 4TOTAL
Salaries and Wages
Fringe Benefits
Travel, Transportation & PerDiem
Allowances
Other Direct Costs (ODCs)
Training
Equipment
Subcontracts
Total Direct Cost
Indirect Costs
Fixed Fee
TOTAL COST PLUS FIXED FEE

Detail Budget

BUDGET TEMPLATE BY CLIN - Include ONLY those cost line items that are consistent with your technical approach
COST ELEMENTSPERIOD OF PERFORMANCETOTAL
Year 1Year 2Year 3Year 4
A. Salaries and Wages
Daily RateLOE/UnitsCostDaily RateLOE/UnitsCostDaily RateLOE/UnitsCostDaily RateLOE/UnitsCostLOE/UnitsCost
1. Long-Term Technical Assistance (LTTA)DaysDaysDaysDaysDays
LTTA EXPATRIATE/TCNs

Subtotal LTTA Expatriate/TCNs

LTTA LOCAL STAFF

Subtotal LTTA CCNs

TOTAL Long-Term Technical Assistance

2. Short-Term Technical Assistance (STTA)
STTA EXPATRIATE/TCNs
POSITION TITLE
POSITION TITLE
POSITION TITLE
POSITION TITLE
Subtotal STTA - Expatriates/TCNs

STTA LOCAL

POSITION TITLE
POSITION TITLE
POSITION TITLE
POSITION TITLE
POSITION TITLE
POSITION TITLE
Subtotal STTA LOCAL

TOTAL Short-Term Technical Assistance

3. Cooperating Country Nationals (CCN) Administrative Staff

TOTAL CCN Administrative Staff

4. Home Office Support

TOTAL Home Office Support

Total Salaries and Wages
B. Fringe Benefits
RateUnitsCostRateUnitsCostRateUnitsCostRateUnitsCostUnitsCost
Total Fringe Benefits
C. Travel, Transportation & PerDiem
RateUnitsCostRateUnitsCostRateUnitsCostRateUnitsCostUnitsCost
International Travel
Local Travel
Per Diem
Total Travel, Transportation & Per Diem
D. Allowances
RateUnitsCostRateUnitsCostRateUnitsCostRateUnitsCostUnitsCost
Total Allowances
E. Other Direct Costs (ODCs)
RateUnitsCostRateUnitsCostRateUnitsCostRateUnitsCostUnitsCost
Total ODCs
F. Subcontracts & Subgrants
RateUnitsCostRateUnitsCostRateUnitsCostRateUnitsCostUnitsCost
Total Subcontracts & Subgrants
G. Indirect Costs
RateBaseCostRateBaseCostRateBaseCostRateBaseCostBaseCost
Total Indirect Costs
H. Fixed Fee
RateBaseCostRateBaseCostRateBaseCostRateBaseCostBaseCost

Total Fixed Fee

TOTAL

TOTAL COST PLUS FIXED FEE

Fringe Benefits

Travel, Transportation, Perdiem

Allowances

ODC

Training

PERIOD OF PERFORMANCETOTAL
Year 1Year 2Year 3Year 4
TRAINING
Please list the names of each training as per format belowDaily RateLOE/UnitsCostDaily RateLOE/UnitsCostDaily RateLOE/UnitsCostDaily RateLOE/UnitsCostLOE/UnitsCost
DaysDaysDaysDaysDays
1. (Title of Proposed Training)
a. Incounty Travel/Transport
b. Local Transport
c. Beverages
c. Lodging
d. M&IE
e. Supplies / Photocopies
f. Meeting Room
*Detail any other costs not listed above
2. (Title of Proposed Training)
a. Incounty Travel/Transport
b. Local Transport
c. Beverages
c. Lodging
d. M&IE
e. Supplies / Photocopies
f. Meeting Room
*Detail any other costs not listed above

Equipment

PERIOD OF PERFORMANCETOTAL
Year 1Year 2Year 3Year 4
Equipment
Daily RateLOE/UnitsCostDaily RateLOE/UnitsCostDaily RateLOE/UnitsCostDaily RateLOE/UnitsCostLOE/UnitsCost
DaysDaysDaysDaysDays
1. Non-Expendable Equipment (>$5,000 per unit)
List each item
2. Expendable Equipment (<$5,000 per unit)
List each item
3. Supplies (<$500 per unit)
A. Office Furniture
B. IT Supplies
C. Software
D. Other Supplies

Subcontracts

BUDGET - SUMMARY COST SHEET: SUBCONTRACTS DOLLAR COSTS
ITEMSYear 1Year 2Year 3Year 4TOTALEXPLANATION
*LABOR
Direct Long-Term Labor (Expatriate)
Direct Long-Term Labor (Local)
Direct Short-Term Labor (Expatriate)
Direct Short-Term Labor (Local)
Local Staff
Home Office
Allowances
Fringe Benefits
Total Labor
*OVERHEADS
Overhead
G & A
Other Indirect Costs
Total Overheads
*TRAVEL, TRANSPORTATION & PER DIEM
Assignment to Post and Entitlement
International Travel
Local Travel
Per Diem
Transportation of HHE &c
Total Travel, Transportation & Per Diem
*OTHER DIRECT COSTS
Field Office
Communication and Misc Office
Expendable Equipment & Supplies
Conferences/Seminar/Study Tours
Vehicles & Non Expendable Equipment
Housing, Utilities, Security & Personnel Support Costs
Total ODCs
*PROJECT SUPPORT COSTS
Commodities
Training
Other
Total Project Support Costs
*HOME OFFICE COSTS
Communication
Other Costs
Total Home Office Costs
*SUBCONTRACTS
Local subcontracts
International subcontracts
Total Subcontracts
TOTAL ESTIMATED COST
FIXED FEE
TOTAL ESTIMATED COST PLUS FIXED FEE
*Please provide the information requested for each year of the contract including all subawards, the totals and a by line item explanation. All amounts in US $.

Indirect Cost

Fee Schedule

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