Combined Funding Source Budget Narrative - Sample.docx
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- Opportunity number
- HHS-2015-ACL-CCASD-MP-0091
- Issued by
-
Department of Health and Human Services
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Combined Source Funding Narrative Sample
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| Combined Funding Source Budget Narrative - Sample.docx | DOCX document | |
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| HHS-2015-ACL-CCASD-MP-0091.pdf |
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Combined Funding Source Budget Narrative/Justification – Sample Format
NOTE : Applicants requesting funding for a multi-year grant program are REQUIRED to provide a detailed Budget Narrative/Justification for EACH potential year of grant funding requested.
| Object Class Category |
| Federal Funds |
HCFAC
Federal Funds
OAA
| Non-Federal Cash |
| Non-Federal In-Kind |
| TOTAL |
| Justification |
| Personnel |
| $23,850 |
| $47,700 |
| $23,554 |
| $0 |
| $95,104 |
| Federal HCFAC |
Project Director (name) = .25 FTE @ $95,401/yr = $23,850 Federal OAA Project Director (name) = .5 FTE @ $95,401/yr = $47,700 Non-Federal Cash Office Manager (name) = .5 FTE @ $47,108/yr = $23,554
Total $95,104
| Fringe Benefits |
| $8,741 |
| $17,482 |
| $8,632 |
| $0 |
| $34,855 |
| Federal HCFAC |
Fringe on Project Director at 36.65% = $8,741
FICA (7.65%)
Health (25%) Dental (2%) Life (1%) Unemployment (1%) Federal OAA Fringe on Project Director at 36.65% = $17,482
FICA (7.65%)
Health (25%) Dental (2%) Life (1%) Unemployment (1%) Non-Federal Cash Fringe on Office Manager at 36.65% = $8,632
FICA (7.65%)
Health (25%) Dental (2%) Life (1%) Unemployment (1%) Office Manager (name) = .5 FTE @ $47,108/yr = $23,554
Total $34,855
| Travel |
| $0 |
| $4,707 |
| $2,940 |
| $0 |
| $7,647 |
| Federal HCFAC |
N/A Federal OAA Local travel: 6 TA site visits for 1 person Mileage: 6RT @ .585 X 700 miles $2,457 Lodging: 15 days @ $110/day $1,650 Per diem: 15 days @ $40/day $600 Total $4,707 Non-Federal Cash Travel to National Conference in (Destination) for 3 people Airfare 1 RT x 3 staff @$500 $1,500 Lodging: 3 days x 3 staff @ $120/day $1,080 Per diem: 3 days x 3 staff @ $40/day $360 Total $2,940
Total $7,647
| Equipment |
| $0 |
| $10,000 |
| $0 |
| $0 |
| $10,000 |
| Federal HCFAC |
N/A Federal OAA Call Center Equipment Installation = $5,000 Phones = $5,000 Total = $10,000 Non-Federal Cash N/A
Total = $10,000
| Supplies |
| $0 |
| $4,000 |
| $5,784 |
| $0 |
| $9,484 |
| Federal HCFAC |
N/A Federal OAA 2 desks @ $1,500 = $3,000 2 chairs @ $300 = $600 2 cabinets @ $200 = $400 Total $4,000 Non-Federal Cash 2 laptop computers = $3,000 Printer cartrides @ $50/month = $300 Consumable supplies (pens, paper, clips, etc…) @ $182/month = $2,184 Total $5,484
Total $9,484
| Contractual |
| $25,000 |
| $30,171 |
| $0 |
| $0 |
| $55,171 |
| (Provide organization name, purpose of contract and estimated dollar amount) |
Federal HCFAC Contract with AAA to provide SMP program services:
SMP Program Coordinator = $11,500 Volunteer Coordinator = $13,500 Total $25,000 Federal OAA Contract with AAA to provide SMP program services:
SMP Program Coordinator = $18,502 Volunteer Coordinator = $11,660 Total $30,171 Non-Federal Cash or In-Kind N/A
Total $ 55,171
If contract details are unknown due to contract yet to be made provide same information listed above and:
A detailed evaluation plan and budget will be submitted by (date), when contract is made.
| Other |
| $0 |
| $5,600 |
| $0 |
| $5,880 |
| $11,480 |
| Federal HCFAC |
N/A Federal OAA 2 consultants @$100/hr for 24.5 hours each = $4,900 Printing 10,000 Brochures @ $.05/each = $500 Local conference registration (name conf.) = $200 Total $5,600 Non-Federal In-Kind 15 Volunteers @ $8/hr for 49 hours = $5,880
Total $11,480
| Indirect Charges |
| $7,007 |
| $20,934 |
| $0 |
| $0 |
| $27,941 |
| Federal HCFAC |
21.5% of salaries and fringe = $7,007 Federal OAA 21.5% of salaries and fringe = $20,934
IDC rate is attached
| TOTAL |
| $64,598 |
| $140,294 |
| $40,910 |
| $5,880 |
| $251,682 |
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