Attachment_4_-_DARPA-BAA-16-24_-_Budget_Template.xlsx

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Targeted Neuroplasticity Training Federal contract opportunity
Solicitation number
DARPA-BAA-16-24
Issued by
Defense Advanced Research Projects Agency

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Attachment_1_-_DARPA-BAA-16-24_-_Proposer_Checklist.pdf PDF

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Cost Proposal Summary

Cost Proposal Summary
Titlelist title of proposal
TAindicate if this is a proposal for TA 1 or TA 2
Primelist prime institution
Prime PIlist prime PI name and email address
Prime Co-PIs/Co-Islist prime Co-PIs and Co-Is
Subslist ALL subcontractor institutions
Sub PIslist subcontractor PIs
Period of Performance - Phase I/Baseinsert period of performance (e.g., 24 months) for Phase I
Period of Performance - Phase II/Option 1insert period of performance (e.g., 24 months) for Phase II
Period of Performance - Total Projectinsert period of performance (e.g., 48 months) for total project
Phase I/Base Total Cost$ - 0
Phase II/Option 1 Total Cost$ - 0
Total Project Cost$ - 0
Total Prime$ - 0
Total Subcontractor$ - 0
Personnel + Benefits$ - 0
Supplies$ - 0
Equipment$ - 0
Subcontractors$ - 0
Patient/Animal Related$ - 0
Sub-Total: Direct Costs$ - 0
Modified Total Direct Costs$ - 0
Sub-Total: Indirect Costs$ - 0

&D, &T File: &F, Sheet: &A &P

Summary by Phase

Organization Name
PI NameCell Color Legend:Data EntryYou can edit any cell (data or formula) as necessary to fit this template to the structure of your specific project.
Summary by PhaseFormula
Phase 1Phase 2All Phases
TA/TaskDescriptive TextTotal CostsTotal CostsTotal Costs%
1Short TA text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
2Short TA text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
3Short TA text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
Travel and ODCs$ - 0$ - 0$ - 0ERROR:#DIV/0!
Total:$ - 0$ - 0$ - 0ERROR:#DIV/0!
Phase 1Phase 2All Phases
SubtaskDescriptive TextTotal CostsTotal CostsTotal Costs%
1.1Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
1.2Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
1.3Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
1.4Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
1.5Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
1.6Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
2.1Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
2.2Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
2.3Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
2.4Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
2.5Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
2.6Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
3.1Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
3.2Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
3.3Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
3.4Short task text identifier$ - 0$ - 0$ - 0ERROR:#DIV/0!
Travel and Admin Costs/ODCs$ - 0$ - 0$ - 0ERROR:#DIV/0!
Total:$ - 0$ - 0$ - 0ERROR:#DIV/0!

&D, &T File: &F, Sheet: &A &P

Summary by Task

Organization Name
PI Name
Summary by Task
All cells are automatically calculated.TA/TaskTA/TaskTA/TaskTravel and
123Admin Costs
Short TA text identifierShort TA text identifierShort TA text identifierTotal
Phase 1
Personnel + Benefits$ - 0$ - 0$ - 0$ - 0
Supplies$ - 0$ - 0$ - 0$ - 0
Equipment$ - 0$ - 0$ - 0$ - 0
Subcontractors$ - 0$ - 0$ - 0$ - 0
Patient/Animal Related$ - 0$ - 0$ - 0$ - 0
Sub-Total: Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0
Modified Total Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0
Sub-Total: Indirect Costs$ - 0$ - 0$ - 0$ - 0$ - 0
Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0
Phase 2
Personnel + Benefits$ - 0$ - 0$ - 0$ - 0
Supplies$ - 0$ - 0$ - 0$ - 0
Equipment$ - 0$ - 0$ - 0$ - 0
Subcontractors$ - 0$ - 0$ - 0$ - 0
Patient/Animal Related$ - 0$ - 0$ - 0$ - 0
Sub-Total: Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0
Modified Total Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0
Sub-Total: Indirect Costs$ - 0$ - 0$ - 0$ - 0$ - 0
Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0
All Phases
Personnel + Benefits$ - 0$ - 0$ - 0$ - 0
Supplies$ - 0$ - 0$ - 0$ - 0
Equipment$ - 0$ - 0$ - 0$ - 0
Subcontractors$ - 0$ - 0$ - 0$ - 0
Patient/Animal Related$ - 0$ - 0$ - 0$ - 0
Sub-Total: Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0
Modified Total Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0
Sub-Total: Indirect Costs$ - 0$ - 0$ - 0$ - 0$ - 0
Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0

&D, &T File: &F, Sheet: &A &P

Phase I

Oraganization NameTA (for TAs 1-3)/Task (for Advanced Studies) 1TA (for TAs 1-3)/Task (for Advanced Studies) 2TA (for TAs 1-3)/Task (for Advanced Studies) 3Travel and Program/Admin Costs (ODCs)
PI NameCell Color Legend:Data Entry
Phase IFormulaTask 1.1TotalTask 1.2TotalTask 1.3TotalTask 1.4TotalTask 1.5TotalTask 1.6TotalTask 1TotalTask 2.1TotalTask 2.2TotalTask 2.3TotalTask 2.4TotalTask 2.5TotalTask 2.6TotalTask 2TotalTask 3.1TotalTask 3.2TotalTask 3.3TotalTask 3.4TotalTask 3TotalTravelODCsTotal
TA/Task 1TA/Task 2
numbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostEffort/ QtyTotalEffort/ QtyTotal
Item NameItem DescriptionProposal Reference (pg #)Effort/ Unit CostUnitEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostCostCostCostcostcost
Summary
Personnel + Benefits0.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Supplies$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Equipment$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Patient/Animal Related$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Subcontractors$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Sub-Total: Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Less Exclusions:
GSR fringe benefits$ - 0$ - 0$ - 0$ - 0$ - 0
Capital Equipment (unit Cost > $5K)$ - 0$ - 0$ - 0$ - 0$ - 0
Subcontracts > $25K$ - 0$ - 0$ - 0$ - 0$ - 0
Sub-Total: Exclusions$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Modified Total Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Sub-Total: Indirect Costs0%negotiated rate$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Personnel
Person's NameTitleVol, pg #$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Person's NameTitleVol, pg #$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Personnel Total0.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Benefits
Person's NameTitleN/A0.00%$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Person's NameTitleN/A0.00%$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Benefits Total$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Supplies***must be broken out individually - see below
Supply namedescriptionN/A$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Supply namedescriptionN/A$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Supplies Total$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Equipment***must provide supporting documentation (e.g., quote)
Equipment namedescriptionVol, pg #$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Equipment namedescriptionVol, pg #$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Equipment Total$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Patient/Animal Related
NamedescriptionN/A$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00
NamedescriptionN/A$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00
Patient Related Total$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Subcontractors
SubcontractNameVol, pg #$ - 0per phase0.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00
SubcontractNameVol, pg #$ - 0per phase0.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00
Subcontractors Total$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

&D, &T File: &F, Sheet: &A &P

Phase II

Oraganization NameTA (for TAs 1-3)/Task (for Advanced Studies) 1TA (for TAs 1-3)/Task (for Advanced Studies) 2TA (for TAs 1-3)/Task (for Advanced Studies) 3Travel and Program/Admin Costs (ODCs)
PI NameCell Color Legend:Data Entry
Phase IIFormulaTask 1.1TotalTask 1.2TotalTask 1.3TotalTask 1.4TotalTask 1.5TotalTask 1.6TotalTask 1TotalTask 2.1TotalTask 2.2TotalTask 2.3TotalTask 2.4TotalTask 2.5TotalTask 2.6TotalTask 2TotalTask 3.1TotalTask 3.2TotalTask 3.3TotalTask 3.4TotalTask 3TotalTravelODCsTotal
TA/Task 1TA/Task 2
numbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostnumbercostEffort/ QtyTotalEffort/ QtyTotal
Item NameItem DescriptionProposal Reference (pg #)Effort/ Unit CostUnitEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostEffort/QtyCostCostCostCostcostcost
Summary
Personnel + Benefits0.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Supplies$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Equipment$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Patient/Animal Related$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Subcontractors$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Sub-Total: Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Less Exclusions:
GSR fringe benefits$ - 0$ - 0$ - 0$ - 0$ - 0
Capital Equipment (unit Cost > $5K)$ - 0$ - 0$ - 0$ - 0$ - 0
Subcontracts > $25K$ - 0$ - 0$ - 0$ - 0$ - 0
Sub-Total: Exclusions$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Modified Total Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Sub-Total: Indirect Costs0%negotiated rate$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Personnel
Person's NameTitleVol, pg #$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Person's NameTitleVol, pg #$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Personnel Total0.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.000$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Benefits
Person's NameTitleN/A0.00%$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Person's NameTitleN/A0.00%$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Benefits Total$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Supplies***must be broken out individually - see below
Supply namedescriptionN/A$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Supply namedescriptionN/A$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Supplies Total$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Equipment***must provide supporting documentation (e.g., quote)
Equipment namedescriptionVol, pg #$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Equipment namedescriptionVol, pg #$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 0
Equipment Total$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Patient/Animal Related
NamedescriptionN/A$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00
NamedescriptionN/A$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00
Patient Related Total$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Subcontractors
SubcontractNameVol, pg #$ - 0per phase0.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00
SubcontractNameVol, pg #$ - 0per phase0.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00$ - 00.00
Subcontractors Total$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

&D, &T File: &F, Sheet: &A &P

Travel

Organization Name
PI Name
Travel Summary
Lodging and Meals & Incidentals Expenses (M&IE) must comply with GSA rates. You can access GSA rates at: www.gsa.gov/perdiem
PhaseTitle of EventFromToJustification

Conference attendance must be justified,

explain how it is in the best interest of the projectNumber of TravelersNumber of DaysAirfareLodging (GSA Rates)
=Rate*NightsM&IE

(GSA Rates)

=Rate*DaysRental CarRegistration FeesOther
(mileage, baggage fees, etc.)Define "other"Cost for one personTotal Cost
$ - 0$ - 0
$ - 0$ - 0
Phase 1 Total$ - 0
$ - 0$ - 0
$ - 0$ - 0
Phase 2 Total$ - 0

&D, &T File: &F, Sheet: &A &P

Program-Admin Costs (ODCs)

Organization Name
PI Name
Program or Administrative costs
for any costs that do not cleanly fit under a task/subtask
DescriptionCost
$ - 0
$ - 0
Phase 1$ - 0
$ - 0
$ - 0
Phase 2$ - 0

&D, &T File: &F, Sheet: &A &P

Expenditures by Month

Organization Name
PI Name
Expenditures by Month
Phase I
Length:18 months
YearJanFebMarAprMayJunJulAugSepOctNovDecTOTAL
2015$ - 0
2016$ - 0
2017$ - 0
Total$ - 0
Phase II
Length:30 months
YearJanFebMarAprMayJunJulAugSepOctNovDecTOTAL
2017$ - 0
2018$ - 0
2019$ - 0
$ - 0

&D, &T File: &F, Sheet: &A &P

Sub - University XYZ Budget

University XYZ - Subcontractor BudgetCell Color Legend:Enter DataPhase 1Phase 2Total
University XYZ POC NameFormula
Item NameItem DescriptionProposal Reference (pg #)Cost Per
or RateUnitEffort/QtyCostEffort/QtyCostEffort/QtyCost
Summary
Personnel + Benefits0.00$ - 00.00$ - 00.00$ - 0
Supplies$ - 0$ - 0$ - 0
Equipment$ - 0$ - 0$ - 0
Travel and ODCs$ - 0$ - 0$ - 0
Sub-Total: Direct Costs$ - 0$ - 0$ - 0
Modified Total Direct Costs$ - 0$ - 0$ - 0
Sub-Total: Indirect Costs0%negotiated rate$ - 0$ - 0$ - 0
Total Costs$ - 0$ - 0$ - 0
Personnel
Person's NameTitleVol, pg #$ - 00.000$ - 00.000$ - 00.000$ - 0
Person's NameTitleVol, pg #$ - 00.000$ - 00.000$ - 00.000$ - 0
Personnel Total0.000$ - 00.000$ - 00.000$ - 0
Benefits
Person's NameTitleN/A0.00%$ - 0$ - 0$ - 0
Person's NameTitleN/A0.00%$ - 0$ - 0$ - 0
Benefits Total$ - 0$ - 0$ - 0
Supplies***must be broken out individually - see below
Supply namedescriptionN/A$ - 00.00$ - 00.00$ - 00.000$ - 0
Supply namedescriptionN/A$ - 00.00$ - 00.00$ - 00.000$ - 0
Supplies Total$ - 0$ - 0$ - 0
Equipment***must provide supporting documentation (e.g., quote)
Equipment namedescriptionVol, pg #$ - 00.00$ - 00.00$ - 00.000$ - 0
Equipment namedescriptionVol, pg #$ - 00.00$ - 00.00$ - 00.000$ - 0
Equipment Total$ - 0$ - 0$ - 0

Travel $ - 0 $ - 0 $ - 0

***If a subcontractor costs more than $500,000 per phase, proposers are encouraged to use the more detailed format for the subcontractor budget breakdown (as seen in the tabs titled Phase I & II)
***Add other fields (e.g., Program-Admin Costs, patient related, etc.) as applicable

&D, &T File: &F, Sheet: &A &P

Sub - University XYZ Travel

University XYZ - Subcontractor Budget
University XYZ POC Name
Travel Summary
Lodging and Meals & Incidentals Expenses (M&IE) must comply with GSA rates. You can access GSA rates at: www.gsa.gov/perdiem
PhaseTitle of EventFromToJustification

Conference attendance must be justified,

explain how it is in the best interest of the projectNumber of TravelersNumber of DaysAirfareLodging (GSA Rates)
=Rate*NightsM&IE

(GSA Rates)

=Rate*DaysRental CarRegistration FeesOther
(mileage, baggage fees, etc.)Define "other"Cost for one personTotal Cost
$ - 0$ - 0
$ - 0$ - 0
Phase 1 Total$ - 0
$ - 0$ - 0
Phase 2 Total$ - 0

&D, &T File: &F, Sheet: &A &P

Animal and Human Use

Organization Name
PI Name
Animal/Human Use Summary
TaskDescriptive TextAnimal Use (Y/N)Human Use (Y/N)
1Short TA text identifier
1.1Short task text identifier
1.2Short task text identifier
1.3Short task text identifier
1.4Short task text identifier
1.5Short task text identifier
1.6Short task text identifier
2Short task text identifier
2.1Short task text identifier
2.2Short task text identifier
2.3Short task text identifier
2.4Short task text identifier
2.5Short task text identifier
2.6Short task text identifier
3Short task text identifier
3.1Short task text identifier
3.2Short task text identifier
3.3Short task text identifier
3.4Short task text identifier

&D, &T File: &F, Sheet: &A &P

Milestones and Deliverables

Milestones and Deliverables
Organization Name
PI Name
PhaseFYPhaseTA/Task/
Subtask #TA/Task/Subtask TitleCost ($)OrganizationDescription/ApproachExit Criteria/MetricsMilestones/Deliverables
(if applicable)Task/Subtask
Start DateTask/Subtask
End DateMilestone Date

(if applicable)

FY13PHASE 11Short task text identifier$ - 0Prime/Sub1-2 sentence description of objective and approachshort text identifiershort text identifierMM/DD/YYMM/DD/YYMM/DD/YY
FY131.1Short subtask text identifier$ - 0Prime1-2 sentence description of objective and approachshort text identifiershort text identifierMM/DD/YYMM/DD/YYMM/DD/YY
1.2Short subtask text identifier$ - 0Prime1-2 sentence description of objective and approachshort text identifiershort text identifierMM/DD/YYMM/DD/YYMM/DD/YY
1.3Short subtask text identifier$ - 0Sub1-2 sentence description of objective and approachshort text identifiershort text identifierMM/DD/YYMM/DD/YYMM/DD/YY
1.4Short subtask text identifier$ - 0Prime1-2 sentence description of objective and approachshort text identifiershort text identifierMM/DD/YYMM/DD/YYMM/DD/YY
1.5Short subtask text identifier$ - 0Prime1-2 sentence description of objective and approachshort text identifiershort text identifierMM/DD/YYMM/DD/YYMM/DD/YY
1.6Short subtask text identifier$ - 0Sub1-2 sentence description of objective and approachshort text identifiershort text identifierMM/DD/YYMM/DD/YYMM/DD/YY
2$ - 0
2.1$ - 0
2.2$ - 0
2.3$ - 0
2.4$ - 0
2.5$ - 0
2.6$ - 0
3$ - 0
3.1$ - 0
3.2$ - 0
3.3$ - 0
3.4$ - 0
Phase 1 Total$ - 0
FY13PHASE 21$ - 0
FY131.1$ - 0
1.2$ - 0
1.3$ - 0
1.4$ - 0
1.5$ - 0
1.6$ - 0
2$ - 0
2.1$ - 0
2.2$ - 0
2.3$ - 0
2.4$ - 0
2.5$ - 0
2.6$ - 0
3$ - 0
3.1$ - 0
3.2$ - 0
3.3$ - 0
3.4$ - 0
Phase 2 Total$ - 0
TCV$ - 0

&D, &T File: &F, Sheet: &A &P

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