ATTACHMENT D 2025 Opioid Needs Assessment Budget Template.xlsx
XLSX spreadsheet 19 KB Posted
- Attached to
- South Dakota Opioid Needs Assessment
- Solicitation number
- 25RFP13180
- Issued by
- Beadle County, South Dakota
About this file
This file is a budget template spreadsheet (Attachment D) for a 2025 Opioid Needs Assessment. The template is structured to capture detailed financial planning across three main categories: Treatment, Prevention, and Other Strategies. The Treatment category encompasses OUD treatment, intervention services, recovery support, criminal justice-involved persons' needs, and services for pregnant women. The Prevention category covers prescribing practices, misuse prevention, and harm reduction. Other Strategies includes first responders, leadership/coordination, training, and research components.
The budget template requires detailed breakdowns of Personnel (including a mandatory Principal Evaluator position), Benefits, Travel, Supplies, Other Expenses, and Indirect Costs. The template includes automated calculations and requires justifications for each cost category. Organizations must provide specific staffing details, fringe benefit calculations, travel purposes and costs, supply needs, and other expenses. Indirect costs can be calculated using either a 10% de minimis rate or another justified rate based on the organization's structure. The template includes safeguards to ensure budget totals match across different sections and categories.
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Text version
Summary Page Offeror: [insert organization name]
| Summary | Total from Detailed Budget | |
| Personnel | $ - 0 | Do Not Edit These Boxes |
| Benefits | $ - 0 | Only Edit These Boxes |
| Travel | $ - 0 | |
| Supplies | $ - 0 | |
| Other | $ - 0 | |
| Indirect | $ - 0 | |
| Budget Totals | $ - 0 | |
| Estimate Totals | $ - 0 | Fix Estimates to match Budget |
| Budget Estimates by Category and Topic Area (Required) | ||
| $ - 0 | Treatment | |
| A. Treatment for Opioid Use Disorder (OUD) | ||
| B. Connect People Who need Help to The Help They Need (Intervention) | ||
| C. Support People in Treatment and Recovery and Reduce Stigma | ||
| D. Address the Needs of Criminal Justice-Involved Persons | ||
| E. Address the Needs of Women Who Are or May Become Pregnant | ||
| $ - 0 | Prevention | |
| A. Prevent Over-Prescribing and Ensure Proper Prescribing of Opioids | ||
| B. Prevent Misuse of Opioids | ||
| C. Prevention Overdose Deaths and Other Harms (Harm Reduction) | ||
| $ - 0 | Other Strategies | |
| A. First Responders | ||
| B. Leadership, Planning and Coordination | ||
| C. Training | ||
| D. Research |
Detailed Budget Offeror: [insert organization name]
| Budget Category | Budget Totals |
| Personnel | $ - 0 |
| Benefits | $ - 0 |
| Travel | $ - 0 |
| Supplies | $ - 0 |
| Other | $ - 0 |
| Indirect | $ - 0 |
| Total Budget for Topic A | $ - 0 |
| Personnel | Person | Hours or FTE | Hourly Rate or Salary | Total | |
| Project Role | Named personnel must include the Principal Evaluator at minimum. If support personnel are planned but not yet known or hired (e.g., summer intern or graduate assistant) then TBD is acceptable. | Enter whole numbers for hourly. Enter decimal number for FTE. (one full time employee = 1; | |||
| one half time = .5, etc.) | Enter rate of pay for this individual. It will be calculated with the "Hours or FTE" value to generate the total | This total is the product of the "Hours or FTE" x "Hourly Rate or Salary". | |||
| Principal Evaluator | $ - 0 | ||||
| Position 2 | $ - 0 | ||||
| Position 3 | $ - 0 | ||||
| Position 4 | $ - 0 | ||||
| Position 5 | $ - 0 | ||||
| Total Personnel | $ - 0 |
| Please provide a brief description of position and planned work for the position including areas of focus as they relate to this Topic Area. | |||||||
| Principal Evaluator | |||||||
| Position 2 | |||||||
| Position 3 | |||||||
| Position 4 | |||||||
| Position 5 | |||||||
| Benefits | Personnel Cost | Fixed / Lump Sum Fringe Amount | Total Fringe Rate (%) | Calculated Fringe Cost | Total Fringe Benefit Cost | ||
| Instructions | |||||||
| Enter the applicable benefits that would be paid for by this grant. If the "Hourly Rate or Salary" totals include benefits then you will need to explain the benefits breakdown in the "brief descption" portion of the Personnel section | Value auto-filled from Personnel section. | Insert any fixed amount of fringe benefit, pro-rated to FTE or hours budgeted, if applicable. | Insert total fringe benefit rate as applicable. | This total is the product of the "Personnel Cost" x "Total Fringe Rate %". | This total is thesum of "Fixed / Lump Sum Fringe Amount" + "Calculated Fringe Cost". | ||
| Principal Evaluator | $ - 0 | $ - 0 | $ - 0 | ||||
| Position 2 | $ - 0 | $ - 0 | $ - 0 | ||||
| Position 3 | $ - 0 | $ - 0 | $ - 0 | ||||
| Position 4 | $ - 0 | $ - 0 | $ - 0 | ||||
| Position 5 | $ - 0 | $ - 0 | $ - 0 | ||||
| Total Benefits | $ - 0 | ||||||
| [insert fringe beneift cost justification here; if the personnel rates are fully loaded and fringe benefits are not requested separately this section may be left blank and noted as such] | |||||||
| Travel | Purpose of Travel | Cost Element for trip | Applicable Units | Cost per Unit | Element Total | Travel Total | |
| Instructions | |||||||
| Enter the travel required for this project. Multiple trips for the same purpose can be combined in one travel line and must be explained in the description section. | Insert travel destination and purpose. | Include the specific cost element for this trip. Options can include: Hotel, Mileage, Per Diem, etc. | Enter the the number of units that will be applied to this "Cost Element". | Enter the cost per each unit. | This total is the product of the "Applicable Units" X "Cost per Unit". If you choose to manually overwrite this calculated value it must be lower than what is calculated | This total is the summed total for each trip. If you choose to manually overwrite this calculated value it must be lower than or equal to what is calculated. | |
| Travel 1 | $ - 0 | $ - 0 | |||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| Travel 2 | $ - 0 | $ - 0 | |||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| Travel 3 | $ - 0 | $ - 0 | |||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| $ - 0 | |||||||
| Total Travel | $ - 0 | ||||||
| Please provide a description of the planned travel. | |||||||
| Travel 1 | |||||||
| Travel 2 | |||||||
| Travel 3 | |||||||
| Supplies | Item | Cost per Unit | Number of Units | Total | |||
| Instructions: Enter the applicable supplies needed to be directly support the project proposal. If charging an indirect or F&A rate then only supplies that would not be covered by indirect can be included here. | Provide the actual costs of the supply. | Enter the number of units of the listed supply. | This total is the product of the "Cost per Unit" X "Number of Units". | ||||
| Supply 1 | $ - 0 | ||||||
| Supply 2 | $ - 0 | ||||||
| Supply 3 | $ - 0 | ||||||
| Supply 4 | $ - 0 | ||||||
| Supply 5 | $ - 0 | ||||||
| Total Supplies | $ - 0 | ||||||
| [insert Supplies cost justification here] | |||||||
| Other Expenses | Expense Type | Cost per Unit | Number of Units | Total | |||
| Instructions: Enter all other costs needed for the project to this category. Contractors or consultants may be entered here; use the justification area to explain fee structures and any included travel, as applicable. | This total is the product of the "Cost per Unit" x "Number of Units". | ||||||
| Other 1 | $ - 0 | ||||||
| Other 2 | $ - 0 | ||||||
| Other 3 | $ - 0 | ||||||
| Total Supplies | $ - 0 | ||||||
| [insert Other Expenses cost justification here] | |||||||
| Indirect Rate | |||||||
| Instructions |
Enter the applicable Indirect Rate being requested with this application
| Base Budget for Indirect | Enter the allowable base amount in alignment with the rate you are charging. | |
| Indirect Rate | Enter the percent (%). | |
| Calculated Indirect Total | $ - 0 | This total is the product of the "Base Budget" x "Indirect Rate". |
| Please provide an explanation of the base budget for indirect used. A justification of the rate is required unless a 10% de minimis rate is being used. |
Simply enter "De Minimus" in the explanation if the rate is 10%.
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