The file's text, extracted by GovTribe without its formatting.
Budget Narrative Applicant Name: Type of Service: Please note: Most of this tab is not protected.
Be careful not to delete or overwrite formulas.
| Type of Subaward (Fixed-Fee or Categorical), if known: |
| ADSD Subaward Application | |
PROPOSED BUDGET NARRATIVE
| Personnel Costs | | Fringe Only: | $0.00 | Total: | $0.00 | Expand row heights as necessary to show your entire response. |
| List staff, positions, salaries/rate of pay, fringe rate, percent of direct-service time to be spent on the project and the number of months to calculate the amount requested. | | | | | | |
| A. | Position: Staff Name (if known, otherwise state new position), Title, Position Control Number (PCN) | | | | | |
Kristi Martin: Include all of these items, as they are required per the NV Dept. of Human Services (DHS).
| If your agency does not use PCN numbers, create a numbering system for position identification. PCN numbers are unique to each position and are not tied to duties performed. | | Annual Salary | Fringe Rate | % of Time | Months | Fringe Amount | Amount Requested | | | |
| B. | Provide a breakdown of the type of fringe benefits provided, such as health insurance, Medicare, FICA, worker's compensation, retirement, etc. -AND- Describe position duties as they relate to the funding and program objectives. Expand rows as needed. | | | | | | | | |
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| B. | | | | | | | | | Unhide the additional rows if necessary |
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| Travel | | | | Total: | $0.00 | *Revise this formula as needed to include each trip listed. |
| Identify staff who will travel, the purpose, frequency, and projected costs. Utilize GSA rates for per diem, lodging and mileage (www.gsa.gov) unless the organization's policies specify lower rates for these expenses. Out-of-state travel or non-standard fares require special justification. Any increases or decreases made to GSA.gov rates within the subaward period will be automatically honored during the reimbursement process. Travel claims will be required. | | | | | | |
| Out-of-State Travel | | | | Trip total: | $0.00 | |
| Enter Title of Trip & Destination here, such as "CDC Conference: San Diego, CA" | Cost | # of Trips | # of days | # of Staff | | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 | |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 | |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 | |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 | |
| Ground Transportation: $ per r/trip x # of trips x # of staff | | | | | $0.00 | |
| Mileage: (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 | |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 | |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | | |
| | | | | | Unhide the additional rows if necessary |
| Out-of-State Travel | | | | Trip total: | $0.00 | |
| Enter Title of Trip & Destination here, such as "CDC Conference: San Diego, CA" | Cost | # of Trips | # of days | # of Staff | | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 | |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 | |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 | |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 | |
| Ground Transportation: $ per r/trip x # of trips x # of staff | | | | | $0.00 | |
| Mileage: (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 | |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 | |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | | |
| Out-of-State Travel | | | | Trip total: | $0.00 |
| Enter Title of Trip & Destination here, such as "CDC Conference: San Diego, CA" | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Ground Transportation: $ per r/trip x # of trips x # of staff | | | | | $0.00 |
| Mileage: (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| Out-of-State Travel | | | | Trip total: | $0.00 |
| Enter Title of Trip & Destination here, such as "CDC Conference: San Diego, CA" | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Ground Transportation: $ per r/trip x # of trips x # of staff | | | | | $0.00 |
| Mileage: (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| Out-of-State Travel | | | | Trip total: | $0.00 |
| Enter Title of Trip & Destination here, such as "CDC Conference: San Diego, CA" | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Ground Transportation: $ per r/trip x # of trips x # of staff | | | | | $0.00 |
| Mileage: (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| Out-of-State Travel | | | | Trip total: | $0.00 |
| Enter Title of Trip & Destination here, such as "CDC Conference: San Diego, CA" | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Ground Transportation: $ per r/trip x # of trips x # of staff | | | | | $0.00 |
| Mileage: (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| Out-of-State Travel | | | | Trip total: | $0.00 |
| Enter Title of Trip & Destination here, such as "CDC Conference: San Diego, CA" | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Ground Transportation: $ per r/trip x # of trips x # of staff | | | | | $0.00 |
| Mileage: (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| Out-of-State Travel | | | | Trip total: | $0.00 |
| Enter Title of Trip & Destination here, such as "CDC Conference: San Diego, CA" | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Ground Transportation: $ per r/trip x # of trips x # of staff | | | | | $0.00 |
| Mileage: (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| Out-of-State Travel | | | | Trip total: | $0.00 |
| Enter Title of Trip & Destination here, such as "CDC Conference: San Diego, CA" | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Ground Transportation: $ per r/trip x # of trips x # of staff | | | | | $0.00 |
| Mileage: (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| Out-of-State Travel | | | | Trip total: | $0.00 |
| Enter Title of Trip & Destination here, such as "CDC Conference: San Diego, CA" | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Ground Transportation: $ per r/trip x # of trips x # of staff | | | | | $0.00 |
| Mileage: (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
*If traveling to more than 1 out-of-state destination, unhide the above rows for additional Out-of-State travel sections. If more are needed, copy the section above, insert here, and ensure the formula in cell I59 captures the total cost for each trip.
| In-State Travel | | | | Trip total: | $0.00 | |
| Enter Origin & Destination Here* | Cost | # of Trips | # of days | # of Staff | | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 | |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 | |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 | |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 | |
| Motor Pool:($ car/day + ## miles/day x $ rate per mile) x # trips x # days | | | | | $0.00 | |
| Mileage (see below for general mileage): (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 | |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 | |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | | |
| | | | | | Unhide the additional rows if necessary |
| In-State Travel | | | | Trip total: | $0.00 | |
| Enter Origin & Destination Here* | Cost | # of Trips | # of days | # of Staff | | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 | |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 | |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 | |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 | |
| Motor Pool:($ car/day + ## miles/day x $ rate per mile) x # trips x # days | | | | | $0.00 | |
| Mileage (see below for general mileage): (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 | |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 | |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | | |
| In-State Travel | | | | Trip total: | $0.00 |
| Enter Origin & Destination Here* | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Motor Pool:($ car/day + ## miles/day x $ rate per mile) x # trips x # days | | | | | $0.00 |
| Mileage (see below for general mileage): (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| In-State Travel | | | | Trip total: | $0.00 |
| Enter Origin & Destination Here* | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Motor Pool:($ car/day + ## miles/day x $ rate per mile) x # trips x # days | | | | | $0.00 |
| Mileage (see below for general mileage): (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| In-State Travel | | | | Trip total: | $0.00 |
| Enter Origin & Destination Here* | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Motor Pool:($ car/day + ## miles/day x $ rate per mile) x # trips x # days | | | | | $0.00 |
| Mileage (see below for general mileage): (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| In-State Travel | | | | Trip total: | $0.00 |
| Enter Origin & Destination Here* | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Motor Pool:($ car/day + ## miles/day x $ rate per mile) x # trips x # days | | | | | $0.00 |
| Mileage (see below for general mileage): (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| In-State Travel | | | | Trip total: | $0.00 |
| Enter Origin & Destination Here* | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Motor Pool:($ car/day + ## miles/day x $ rate per mile) x # trips x # days | | | | | $0.00 |
| Mileage (see below for general mileage): (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| In-State Travel | | | | Trip total: | $0.00 |
| Enter Origin & Destination Here* | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Motor Pool:($ car/day + ## miles/day x $ rate per mile) x # trips x # days | | | | | $0.00 |
| Mileage (see below for general mileage): (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| In-State Travel | | | | Trip total: | $0.00 |
| Enter Origin & Destination Here* | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Motor Pool:($ car/day + ## miles/day x $ rate per mile) x # trips x # days | | | | | $0.00 |
| Mileage (see below for general mileage): (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
| In-State Travel | | | | Trip total: | $0.00 |
| Enter Origin & Destination Here* | Cost | # of Trips | # of days | # of Staff | |
| Airfare: cost per trip (origin & designation) x # of trips x # of staff | | | | | $0.00 |
| Baggage fee: $ amount per person x # of trips x # of staff | | | | | $0.00 |
| Per Diem: $ per day per GSA rate for area x # of trips x # of staff | | | | | $0.00 |
| Lodging: $ per day + $ tax = total $ x # of trips x # of nights x # of staff | | | | | $0.00 |
| Motor Pool:($ car/day + ## miles/day x $ rate per mile) x # trips x # days | | | | | $0.00 |
| Mileage (see below for general mileage): (rate per mile x # of miles per r/trip) x # of trips x # of staff | | | | | $0.00 |
| Parking: $ per day x # of trips x # of days x # of staff | | | | | $0.00 |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | | | |
*If traveling to more than 1 in-state destination, unhide the above rows for additional In-State travel sections. If more are needed, copy the section above, insert here, and ensure the formula in cell I59 captures the total cost for each trip.
| General/Other Mileage: Complete the following section for mileage expenses related to general program operation and not specific, planned trips. Enter the total general mileage expense in the Cost column. If more than one staff is traveling, provide a calculation for each staff member's mileage and the reason for travel. Mileage may only be claimed for employees' personal vehicles. | | | |
| General Mileage (rate per mile x # of miles): | Cost | General Mileage Total: | $0.00 |
| Calculation(s) and Reason(s): | | | |
| If requesting funds for other types of travel related to program operations and not specific, planned trips, complete the following section. | | | |
| Include justification for these expenses. | Other Travel Total: | $0.00 | |
| Enter Description(s) Below: | | Amount: | |
| | $0.00 | |
| | $0.00 | Unhide the additional rows if necessary |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| Justification: (Enter below, expand row as needed) Who will be traveling, when and why, tie into program objective(s) or indicate required by funder. | | | |
| Operating | Total: | $0.00 | |
| Include specific facility and vehicle costs associated with the proposed program (not the agency as a whole), such as rent, maintenance expenses, insurance, fuel, as well as utilities such as power, water and communications (phone/internet). Also list tangible and expendable personal property such as office supplies, program supplies, necessary software, postage, computers and related equipment which cost less than $10,000 per unit, etc. Provide a calculation for each line. | | | |
| Enter Description(s) Below: | | Amount: | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | Unhide the additional rows if necessary |
| | $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 | |
| Justification: (Enter below, expand row as needed) Provide narrative to justify purchase of meals, snacks, large expense or unusual budget items. Include details how budget item supports deliverables of the project. | | | |
| Equipment | Total: | $0.00 | |
| List equipment to purchase or lease costing $10,000 or more (per unit), and justify these expenditures. Equipment costing less than $10,000 should be listed under Operating. Justify these items. | | | |
| Enter Description(s) Below: | | Amount: | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | Unhide the additional rows if necessary |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| Contractual | | Total: | $0.00 | *Revise this formula as needed to include all contractors listed. |
| Explain the need and/or purpose for the contractual or consultant service. Identify project workers who are not regular employees of the organization. Include costs of labor, travel, per diem, or other costs. Only include costs for which there is a written agreement or contract. Collaborative projects with multiple partners should expand this category to break out personnel, travel, equipment, etc., for each site. Sub-awards or mini-grants that are a component of a larger project or program may be included here, but require special justification as to the merits of the applicant serving as a "pass-through" entity, and its capacity to do so. Expand rows as needed. | | | | |
| Enter Name of Contractor, Subrecipient here: | | | $0.00 | |
| Method of Selection: | (explain here, i.e. sole source or competitive bid) | | | |
| Period of Performance: | | | | |
| Scope of Work: (Define scope of work. What will be the specific services/tasks that will be completed and specific deliverables. How do deliverables relate to your goals and objectives, how will deliverables achieve your objective(s).) | | | | |
| Sole Source Justification: (Define if sole source method, not needed for competitive bid.) | | | | |
| Method of Accountability: (Define - Describe how the progress and performance of the consultant will be monitored. Identify who is responsible for supervising the consultant's work.) | | | | |
| Other Justification: (Other information that will help justify the use of this contractor.) | | | | |
| Cost Calculation: (Explain costs included in this contractor request.) | | | | |
| | | | Unhide rows for additional Contractor sections if necessary. |
| Enter Name of Contractor, Subrecipient here: | | | $0.00 | |
| Method of Selection: | (explain here, i.e. sole source or competitive bid) | | | |
| Period of Performance: | | | | |
| Scope of Work: (Define scope of work. What will be the specific services/tasks that will be completed and specific deliverables. How do deliverables relate to your goals and objectives, how will deliverables achieve your objective(s).) | | | | |
| Sole Source Justification: (Define if sole source method, not needed for competitive bid.) | | | | |
| Method of Accountability: (Define - Describe how the progress and performance of the consultant will be monitored. Identify who is responsible for supervising the consultant's work.) | | | | |
| Other Justification: (Other information that will help justify the use of this contractor.) | | | | |
| Cost Calculation: (Explain costs included in this contractor request.) | | | | |
| Enter Name of Contractor, Subrecipient here: | | $0.00 |
| Method of Selection: | (explain here, i.e. sole source or competitive bid) | |
| Period of Performance: | | |
| Scope of Work: (Define scope of work. What will be the specific services/tasks that will be completed and specific deliverables. How do deliverables relate to your goals and objectives, how will deliverables achieve your objective(s).) | | |
| Sole Source Justification: (Define if sole source method, not needed for competitive bid.) | | |
| Method of Accountability: (Define - Describe how the progress and performance of the consultant will be monitored. Identify who is responsible for supervising the consultant's work.) | | |
| Other Justification: (Other information that will help justify the use of this contractor.) | | |
| Cost Calculation: (Explain costs included in this contractor request.) | | |
| Enter Name of Contractor, Subrecipient here: | | $0.00 |
| Method of Selection: | (explain here, i.e. sole source or competitive bid) | |
| Period of Performance: | | |
| Scope of Work: (Define scope of work. What will be the specific services/tasks that will be completed and specific deliverables. How do deliverables relate to your goals and objectives, how will deliverables achieve your objective(s).) | | |
| Sole Source Justification: (Define if sole source method, not needed for competitive bid.) | | |
| Method of Accountability: (Define - Describe how the progress and performance of the consultant will be monitored. Identify who is responsible for supervising the consultant's work.) | | |
| Other Justification: (Other information that will help justify the use of this contractor.) | | |
| Cost Calculation: (Explain costs included in this contractor request.) | | |
| Enter Name of Contractor, Subrecipient here: | | $0.00 |
| Method of Selection: | (explain here, i.e. sole source or competitive bid) | |
| Period of Performance: | | |
| Scope of Work: (Define scope of work. What will be the specific services/tasks that will be completed and specific deliverables. How do deliverables relate to your goals and objectives, how will deliverables achieve your objective(s).) | | |
| Sole Source Justification: (Define if sole source method, not needed for competitive bid.) | | |
| Method of Accountability: (Define - Describe how the progress and performance of the consultant will be monitored. Identify who is responsible for supervising the consultant's work.) | | |
| Other Justification: (Other information that will help justify the use of this contractor.) | | |
| Cost Calculation: (Explain costs included in this contractor request.) | | |
| Enter Name of Contractor, Subrecipient here: | | $0.00 |
| Method of Selection: | (explain here, i.e. sole source or competitive bid) | |
| Period of Performance: | | |
| Scope of Work: (Define scope of work. What will be the specific services/tasks that will be completed and specific deliverables. How do deliverables relate to your goals and objectives, how will deliverables achieve your objective(s).) | | |
| Sole Source Justification: (Define if sole source method, not needed for competitive bid.) | | |
| Method of Accountability: (Define - Describe how the progress and performance of the consultant will be monitored. Identify who is responsible for supervising the consultant's work.) | | |
| Other Justification: (Other information that will help justify the use of this contractor.) | | |
| Cost Calculation: (Explain costs included in this contractor request.) | | |
| Enter Name of Contractor, Subrecipient here: | | $0.00 |
| Method of Selection: | (explain here, i.e. sole source or competitive bid) | |
| Period of Performance: | | |
| Scope of Work: (Define scope of work. What will be the specific services/tasks that will be completed and specific deliverables. How do deliverables relate to your goals and objectives, how will deliverables achieve your objective(s).) | | |
| Sole Source Justification: (Define if sole source method, not needed for competitive bid.) | | |
| Method of Accountability: (Define - Describe how the progress and performance of the consultant will be monitored. Identify who is responsible for supervising the consultant's work.) | | |
| Other Justification: (Other information that will help justify the use of this contractor.) | | |
| Cost Calculation: (Explain costs included in this contractor request.) | | |
| Enter Name of Contractor, Subrecipient here: | | $0.00 |
| Method of Selection: | (explain here, i.e. sole source or competitive bid) | |
| Period of Performance: | | |
| Scope of Work: (Define scope of work. What will be the specific services/tasks that will be completed and specific deliverables. How do deliverables relate to your goals and objectives, how will deliverables achieve your objective(s).) | | |
| Sole Source Justification: (Define if sole source method, not needed for competitive bid.) | | |
| Method of Accountability: (Define - Describe how the progress and performance of the consultant will be monitored. Identify who is responsible for supervising the consultant's work.) | | |
| Other Justification: (Other information that will help justify the use of this contractor.) | | |
| Cost Calculation: (Explain costs included in this contractor request.) | | |
| Enter Name of Contractor, Subrecipient here: | | $0.00 |
| Method of Selection: | (explain here, i.e. sole source or competitive bid) | |
| Period of Performance: | | |
| Scope of Work: (Define scope of work. What will be the specific services/tasks that will be completed and specific deliverables. How do deliverables relate to your goals and objectives, how will deliverables achieve your objective(s).) | | |
| Sole Source Justification: (Define if sole source method, not needed for competitive bid.) | | |
| Method of Accountability: (Define - Describe how the progress and performance of the consultant will be monitored. Identify who is responsible for supervising the consultant's work.) | | |
| Other Justification: (Other information that will help justify the use of this contractor.) | | |
| Cost Calculation: (Explain costs included in this contractor request.) | | |
| Enter Name of Contractor, Subrecipient here: | | $0.00 |
| Method of Selection: | (explain here, i.e. sole source or competitive bid) | |
| Period of Performance: | | |
| Scope of Work: (Define scope of work. What will be the specific services/tasks that will be completed and specific deliverables. How do deliverables relate to your goals and objectives, how will deliverables achieve your objective(s).) | | |
| Sole Source Justification: (Define if sole source method, not needed for competitive bid.) | | |
| Method of Accountability: (Define - Describe how the progress and performance of the consultant will be monitored. Identify who is responsible for supervising the consultant's work.) | | |
| Other Justification: (Other information that will help justify the use of this contractor.) | | |
| Cost Calculation: (Explain costs included in this contractor request.) | | |
| *If more Contractor/Consultant sections are needed, copy section above and insert here. | | |
| Other | Total: | $0.00 | |
| Identify and justify other direct expenditures that cannot be identified within another category, such as dues, other insurance, printing and promotional costs, etc. Requested funding must be for this specific proposed program. Include calculations for all items and a description if needed. If cost allocating an expense across multiple programs and sources, provide an explanation and calculation for the portion included here. | | | |
| | $0.00 | |
| | $0.00 | |
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| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | Unhide the additional rows if necessary |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
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| | $0.00 | |
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| | $0.00 | |
| | $0.00 | |
| | $0.00 | |
| Justification: (Enter below, expand row as needed) Provide narrative to justify these expenditures and how each budget item supports the project. | | | |
TOTAL DIRECT PROJECT COSTS $0.00
| Administrative Expenses/Indirect Costs | Total: | $0.00 | *Enter total calculation based on type of federal rate selected. There is no formula in this cell. |
| Administrative expenses and indirect costs are to be used to help cover expenses that are not easily assignable to a specific program or unit within an organization. These costs are associated with depreciation and use allowances, facility operation and maintenance, general administrative expenses such as accounting, payroll, legal and data processing, and any personnel not providing direct services to the project. If requested, the expenses are limited to the maximum rate listed below, depending on the funding source and existence of a Federal Negotiated Indirect Cost Rate Agreement (NICRA) percentage for your agency of the direct project costs requested from ADSD. Once a funding source is assigned to an approved subaward, the allowable rate will apply, and a budget revision may be required if excess expenses are included. Indirect/administrative expenses do not apply to fixed-fee subawards or portions of subawards. Indirect expenses must be applied using the agency's Federal Negotiated Indirect Cost Rate Agreement (NICRA) or Modified Total Direct Costs (MTDC) which excludes equipment, capital expenditures and items such as pass-through funds, and major subcontract(s) over the first $50,000, as applicable. Reference the Grant Instructions and Requirements for additional information on Indirect Costs. | | | |
| Choose ONE type of rate according to funding source and provide calculation or explanations: | | RATE: |
| 1. | Independent Living Grant (ILG)/FHN State Funds and State Funds awarded to the NV System of Higher Education* (non-research): 8% | |
| 2. | Federal/Other State Funding: 15% de minimis (Modified Total Direct Costs - MTDC) | |
| 3. | Federal Negotiated Indirect Cost Rate Agreement (NICRA): Identify approved costs per the NICRA & attach the current agreement to application. In cells below, describe how the total indirect amount was calculated based on the NICRA letter guidance and exceptions. Expand row as needed. | |
| NICRA Calculation: |
| Other Explanations: |
TOTAL BUDGET REQUEST $0.00
| DHHS GIRS: | https://www.dhs.nv.gov/Programs/gmu/links-to-gmu-reports-and-grantee-documents/ |
| Located under Grantee Forms and Other Documents |
*State Memo on Allowable Indirect for the Nevada System of Higher Education (NSHE): 2017-12_Indirect_Cost_Rates_for_Grants_Contracts_NSHE.pdf
ADSD Subaward Application – Budget Template rev 5/10/2023 Page &P of &N https://budget.nv.gov/uploadedFiles/budgetnvgov/content/Governance/Policy_Directives/2017/2017-12_Indirect_Cost_Rates_for_Grants_Contracts_NSHE.pdfhttps://www.dhs.nv.gov/Programs/gmu/links-to-gmu-reports-and-grantee-documents/ Budget Summary
| Applicant Name: | | Type of Service: | |
| ADSD Subaward Application | | Pending |
| PROPOSED BUDGET SUMMARY | | Secured | |
| Enter Info in Orange Cells | | N/A |
| A. FUNDING SOURCES | ADSD | | | | | | | | | |
| Funds | MATCH | [Enter name of Other Funding, if applicable] | [Enter name of Other Funding, if applicable] | [Enter name of Other Funding, if applicable] | [Enter name of Other Funding, if applicable] | [Enter name of Other Funding, if applicable] | TOTAL | | | FALSE | |
| PENDING OR SECURED | Pending | | | | | | | | | |
| ENTER TOTAL FUNDING | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | | Check box if there is no match requirement per the NOFO, or at the direction of ADSD. |
| EXPENSE CATEGORY | | |
| Personnel | $0.00 | $0.00 |
| Travel | $0.00 | $0.00 |
| Operating | $0.00 | $0.00 |
| Equipment | $0.00 | $0.00 |
| Contractual/Consultant | $0.00 | $0.00 |
| Other Expenses | $0.00 | $0.00 |
| Indirect | $0.00 | $0.00 |
TOTAL EXPENSE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
These boxes should equal zero $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
| Total Indirect Cost | $0.00 | Total Program Budget | $0.00 |
| Indirect % of Budget | 0.00% | ADSD Percent of Program Budget | ERROR:#DIV/0! |
B. Comments regarding budget summary, if applicable.
C. Identify specific source(s) of Match, as applicable, and indicate whether each source of match is Secured or Pending.
D. List potential amounts and sources of program income (required); and describe if the project plans to have a sliding fee scale or voluntary contributions.
ADSD Subaward Application – Budget Template rev. 5/10/2023