Appendix C - Cost Submittal Worksheet.xlsx

This is a Cost Submittal Worksheet for the Pennsylvania Department of Human Services, Office of Child Development and Early Learning (OCDEL), Bureau of Early Intervention Services and Family Supports, for the Family Support Programs Request for Application (RFA 25-RFA-13800). The worksheet is designed for applicants to submit detailed budgets and narratives for Evidence Based Home Visiting (EBHV) programs and related enhancements intended to improve family health, increase school readiness, prevent child abuse and neglect, and promote positive parenting across Pennsylvania's 67 counties. Applicants must complete cost submissions for both Year 1 and Year 2 using identical total costs, with all budget categories itemized and justified through detailed narrative explanations for each line item.

The Cost Submittal Worksheet requires applicants to budget for salary and wages with specified staff titles and allocation percentages, benefits calculated as a percentage of salaries, supplies and materials, transportation and travel, purchased services, training including model-specific fees, indirect costs capped at 15 percent of direct costs or the approved federal negotiated indirect cost rate, audit costs, and other operating costs. Enhancement funding is limited to no more than 25 percent of the total amount requested annually, with EBHV Year 1 amounts required to match totals in Appendix J and Enhancement Year 1 amounts matching Appendix P. No maximum or minimum award amount is specified; however, applicants must ensure costs are sufficient but not excessive to complete all described services and activities. All budget figures must calculate to the nearest whole dollar, and applicants must identify which program type each cost category supports when implementing multiple EBHV models or enhancements.