Exhibit_3b_-_Agency_Cost_Budget.xlsx

XLSX spreadsheet 230 KB Posted Oct 22, 2026

Attached to: SW0310M COMMUNITY PARAMEDICINE CONSULTING SERVICES
Solicitation number: EV00000993
Issued by: Oklahoma

About this file

Written by GovTribe AI · Oct 23, 2026

This is an approved budget template for grant-funded project costs submitted to state and local government agencies. The template is designed for organizations receiving grants to document and justify all budgeted expenditures across multiple cost categories. The workbook includes detailed line-item entry tabs for personnel (administrative and programmatic), fringe benefits, travel, training, supplies, contractual services, subawards, consultant services, equipment, and other allowable costs. The template requires entries in tan-colored fields while automated calculations populate white-colored cells. Personnel costs must include individual staff members' salaries, hourly rates, allocation percentages, and justifications linking to grant objectives. The budget summary automatically calculates total costs based on all category entries, with all values currently showing $0 pending recipient data completion.

The template enforces strict documentation requirements for cost allocation and justification across administrative and direct programmatic activities. Fringe benefits are calculated using approved methods tied to personnel salary charges and include FICA, retirement, health insurance, and workers' compensation options. Travel, training, and supply costs must demonstrate direct relationship to grant objectives and include detailed breakdowns of purposes, dates, vendors, and allocation bases where costs are shared. The template incorporates an Indirect Cost (IDC) calculation tab that automatically computes overhead charges based on identified direct services and grant administration categories. All entries must align with the approved award amount, and the workbook prevents manual entry of calculated fields to ensure data integrity and prevent cost overruns or documentation discrepancies.

View the file

Other files

File	Type	Posted
Bidder_Instructions.pdf	PDF	Oct 22, 2026
Exhibit_5_-_Expected_Deliverables.pdf	PDF	Oct 22, 2026
Attachment_A_-_Purpose.pdf	PDF	Oct 22, 2026
Exhibit_3a_-_Statewide_Pricing.xlsx	XLSX spreadsheet	Oct 22, 2026
Attachment_G_-_Federal_Terms.docx	DOCX document	Oct 22, 2026
Exhibit_4_-_Business_Reference.docx	DOCX document	Oct 22, 2026
Exhibit_2_-_Technical_Response.pdf	PDF	Oct 22, 2026
Attachment_C_-_Statewide-Terms.docx	DOCX document	Oct 22, 2026
Exhibit_1_-_Executive_Summary.pdf	PDF	Oct 22, 2026
Attachment_B_-_General-Terms.docx	DOCX document	Oct 22, 2026
OMESFormCP076.pdf	PDF	Oct 22, 2026
OMESFormCP004.pdf	PDF	Oct 22, 2026

Show all 12

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Data Validation

Budget Category	Training Type	State Government Agency	IDC 1	Contractual - IDC 1	Sub-award - IDC 1	Consultant - IDC 1	Other - IDC 1
Registration fees	In-Person	Local Government
Training Materials	Virtual Live	Tribal Government
Speaker/Facilitator Fees	On-Demand	Non-Profit Organization
Contractual Training Services	Certification	Institution of Higher Education
Virtual Platform Fees	Internal Training	Hospital/Health System
Certification/Exam Fees		Community Health Center / Clinic
Other Training Costs		Public Health Organization
		Other

Contract Budget

Personnel Admin – Grant Administration	$ - 0
Personnel Direct – Programmatic	$ - 0
Fringe Benefits Admin – Grant Administration	$ - 0
Fringe Benefits Direct – Programmatic	$ - 0
Travel Admin – Grant Administration	$ - 0
Travel Direct – Programmatic	$ - 0
Training	$ - 0
Supplies Admin – Grant Administration	$ - 0
Supplies Direct – Programmatic	$ - 0
Contractual	$ - 0
Subawards	$ - 0
Consultant (Services)	$ - 0
Other	$ - 0
Equipment	$ - 0
IDC	$ - 0
Grant Administration IDC	$ - 0

Total $ - 0

Instructions

Budget Template Instruction Guide

How to COMPLETE the Approved Budget Template

OVERVIEW

This workbook is used to submit your project’s approved budget. Each tab represents a cost category. Enter costs that match your approved award and ensure all entries are necessary, reasonable, and properly documented. Everything in tan must be entered while the columns in white will be automated or automatically calculated.

STEP 1 – Enter Personnel Costs

In the Personnel tabs, list each staff member whose salary will be charged to the grant. Complete all columns including position, salary or hourly rate, months or hours worked, and percent of time on the project. The workbook will calculate the salary charged automatically.

There are two tabs - Admin and Direct Personnel tab.

STEP 2 – Enter Fringe Benefits

In the Fringe tabs, enter fringe benefits tied to the personnel listed in the salary tabs. Use your approved fringe rate or actual fringe costs. Only include fringe for staff charged to this project. The names from the personnel tabs will automate into the fringe tabs.

There are two tabs - Admin and Direct Fringe tab.

STEP 3 – Enter Travel

In the Travel tab, record allowable travel expenses. Provide the purpose of travel, dates, and cost breakdown. Travel must be directly related to project activities.

There are two tabs - Admin and Direct Travel tab.

STEP 4 - Training

In the Training tab, record allowable training expenses. Provide the purpose, dates, and cost breakdown. Training must be directly related to project activities.

STEP 5 – Enter Supplies

Use the Supplies tabs for consumable items such as office supplies or program materials. Do not include equipment or capital purchases here.

There are two tabs - Admin and Direct Supplies tab.

STEP 6 – Enter Contractual Costs

Use the Contractual tab for vendor services. Include the contractor name, scope of work, service dates, and cost.

STEP 7 – Enter Sub-awards

Use the Sub-awards tab for financial assistance provided to subrecipients. Do not list vendors or consultants here.

STEP 8 - Consultant (services)

Use the Consultant tab for professional services. Include the consultant name, scope of work, service dates, and cost.

STEP 9 - Equipment

Use the Equipment tab only for items that meet your organization's equipment definition.

STEP 10 – Enter Other Costs

Use the Other tab for allowable expenses that do not fit other categories, such as postage or printing.

STEP 11 – Review the IDC Tab

The IDC Summary tab automatically calculates indirect costs based on identified direct services and grant administration based on administration categories. Do not manually enter IDC anywhere else in the workbook.

STEP 12 – Final Review Before Submission of Approved Budget

Confirm all required tabs are complete and totals match your approved award summary.

Approved Award Summary

This tab automatically calculates based on the budget category tabs. DO NOT mannualy enter numbers into this tab.
Budget Category	Approved Budget
Personnel Admin – Grant Administration	$ - 0
Personnel Direct – Programmatic	$ - 0
Fringe Benefits Admin – Grant Administration	$ - 0
Fringe Benefits Direct – Programmatic	$ - 0
Travel Admin – Grant Administration	$ - 0
Travel Direct – Programmatic	$ - 0
Training	$ - 0
Supplies Admin – Grant Administration	$ - 0
Supplies Direct – Programmatic	$ - 0
Contractual	$ - 0
Subawards	$ - 0
Consultant (Services)	$ - 0
Other	$ - 0
Equipment	$ - 0
IDC	$ - 0
Grant Administration IDC	$ - 0
Total	$ - 0

Personnel - Salary Admin Personnel / Salary - Line Item Detail Use this tab to record grant-funded personnel costs. Personnel costs must be directly related to grant objectives and reflect the actual level of effort dedicated to grant-supported activities.

	Line Item #	Personnel Name	Position Title	Calculation Type	Annual Salary (base)	Hourly Rate (if Applicable)	Hours per year	Months	% Allocation	Salary Charged (Calculated)
Salary Charged is calculated automatically based on hourly or salaried inputs and the percentage of time allocated to the grant. Do not overwrite this field. Fringe benefits are calculated separately on the Fringe tab using Salary Charged. This column will reflect either annual or hourly depending on the calcuation type selected.	Amount Requested	Justification - Personnel costs must be directly related to grant objectives. Justifications must describe the employee’s role, grant-related duties, and the basis for the percentage of time charged.	Recipient Comments
	1				$ - 0	$ - 0				$ - 0	$ - 0
	2				$ - 0	$ - 0				$ - 0	$ - 0
	3				$ - 0	$ - 0				$ - 0	$ - 0
	4				$ - 0	$ - 0				$ - 0	$ - 0
	5				$ - 0	$ - 0				$ - 0	$ - 0
	6				$ - 0	$ - 0				$ - 0	$ - 0
	7				$ - 0	$ - 0				$ - 0	$ - 0
	8				$ - 0	$ - 0				$ - 0	$ - 0
	9				$ - 0	$ - 0				$ - 0	$ - 0
	10				$ - 0	$ - 0				$ - 0	$ - 0
	11				$ - 0	$ - 0				$ - 0	$ - 0
	12				$ - 0	$ - 0				$ - 0	$ - 0
	13				$ - 0	$ - 0				$ - 0	$ - 0
	14				$ - 0	$ - 0				$ - 0	$ - 0
	15				$ - 0	$ - 0				$ - 0	$ - 0
	16				$ - 0	$ - 0				$ - 0	$ - 0
	17				$ - 0	$ - 0				$ - 0	$ - 0
	18				$ - 0	$ - 0				$ - 0	$ - 0
	19				$ - 0	$ - 0				$ - 0	$ - 0
	20				$ - 0	$ - 0				$ - 0	$ - 0
	21				$ - 0	$ - 0				$ - 0	$ - 0
	22				$ - 0	$ - 0				$ - 0	$ - 0
	23				$ - 0	$ - 0				$ - 0	$ - 0
	24				$ - 0	$ - 0				$ - 0	$ - 0
	25				$ - 0	$ - 0				$ - 0	$ - 0
	26				$ - 0	$ - 0				$ - 0	$ - 0
	27				$ - 0	$ - 0				$ - 0	$ - 0
	28				$ - 0	$ - 0				$ - 0	$ - 0
	29				$ - 0	$ - 0				$ - 0	$ - 0
	30				$ - 0	$ - 0				$ - 0	$ - 0
	31				$ - 0	$ - 0				$ - 0	$ - 0
	32				$ - 0	$ - 0				$ - 0	$ - 0
	33				$ - 0	$ - 0				$ - 0	$ - 0
	34				$ - 0	$ - 0				$ - 0	$ - 0
	35				$ - 0	$ - 0				$ - 0	$ - 0
	36				$ - 0	$ - 0				$ - 0	$ - 0
	37				$ - 0	$ - 0				$ - 0	$ - 0
	38				$ - 0	$ - 0				$ - 0	$ - 0
	39				$ - 0	$ - 0				$ - 0	$ - 0
	40				$ - 0	$ - 0				$ - 0	$ - 0
	41				$ - 0	$ - 0				$ - 0	$ - 0
	42				$ - 0	$ - 0				$ - 0	$ - 0
	43				$ - 0	$ - 0				$ - 0	$ - 0
	44				$ - 0	$ - 0				$ - 0	$ - 0
	45				$ - 0	$ - 0				$ - 0	$ - 0
	46				$ - 0	$ - 0				$ - 0	$ - 0
	47				$ - 0	$ - 0				$ - 0	$ - 0
	48				$ - 0	$ - 0				$ - 0	$ - 0
	49				$ - 0	$ - 0				$ - 0	$ - 0
	50				$ - 0	$ - 0				$ - 0	$ - 0
	51				$ - 0	$ - 0				$ - 0	$ - 0
	52				$ - 0	$ - 0				$ - 0	$ - 0
	53				$ - 0	$ - 0				$ - 0	$ - 0
	54				$ - 0	$ - 0				$ - 0	$ - 0
	55				$ - 0	$ - 0				$ - 0	$ - 0
	56				$ - 0	$ - 0				$ - 0	$ - 0
	57				$ - 0	$ - 0				$ - 0	$ - 0
	58				$ - 0	$ - 0				$ - 0	$ - 0
	59				$ - 0	$ - 0				$ - 0	$ - 0
	60				$ - 0	$ - 0				$ - 0	$ - 0
	61				$ - 0	$ - 0				$ - 0	$ - 0
	62				$ - 0	$ - 0				$ - 0	$ - 0
	63				$ - 0	$ - 0				$ - 0	$ - 0
	64				$ - 0	$ - 0				$ - 0	$ - 0
	65				$ - 0	$ - 0				$ - 0	$ - 0
	66				$ - 0	$ - 0				$ - 0	$ - 0
	67				$ - 0	$ - 0				$ - 0	$ - 0
	68				$ - 0	$ - 0				$ - 0	$ - 0
	69				$ - 0	$ - 0				$ - 0	$ - 0
	70				$ - 0	$ - 0				$ - 0	$ - 0
	71				$ - 0	$ - 0				$ - 0	$ - 0
	72				$ - 0	$ - 0				$ - 0	$ - 0
	73				$ - 0	$ - 0				$ - 0	$ - 0
	74				$ - 0	$ - 0				$ - 0	$ - 0
	75				$ - 0	$ - 0				$ - 0	$ - 0
	76				$ - 0	$ - 0				$ - 0	$ - 0
	77				$ - 0	$ - 0				$ - 0	$ - 0
	78				$ - 0	$ - 0				$ - 0	$ - 0
	79				$ - 0	$ - 0				$ - 0	$ - 0
	80				$ - 0	$ - 0				$ - 0	$ - 0
	81				$ - 0	$ - 0				$ - 0	$ - 0
	82				$ - 0	$ - 0				$ - 0	$ - 0
	83				$ - 0	$ - 0				$ - 0	$ - 0
	84				$ - 0	$ - 0				$ - 0	$ - 0
	85				$ - 0	$ - 0				$ - 0	$ - 0
	86				$ - 0	$ - 0				$ - 0	$ - 0
	87				$ - 0	$ - 0				$ - 0	$ - 0
	88				$ - 0	$ - 0				$ - 0	$ - 0
	89				$ - 0	$ - 0				$ - 0	$ - 0
	90				$ - 0	$ - 0				$ - 0	$ - 0
	91				$ - 0	$ - 0				$ - 0	$ - 0
	92				$ - 0	$ - 0				$ - 0	$ - 0
	93				$ - 0	$ - 0				$ - 0	$ - 0
	94				$ - 0	$ - 0				$ - 0	$ - 0
	95				$ - 0	$ - 0				$ - 0	$ - 0
	96				$ - 0	$ - 0				$ - 0	$ - 0
	97				$ - 0	$ - 0				$ - 0	$ - 0
	98				$ - 0	$ - 0				$ - 0	$ - 0
	99				$ - 0	$ - 0				$ - 0	$ - 0
	100				$ - 0	$ - 0				$ - 0	$ - 0
	101				$ - 0	$ - 0				$ - 0	$ - 0
	102				$ - 0	$ - 0				$ - 0	$ - 0
	103				$ - 0	$ - 0				$ - 0	$ - 0
	104				$ - 0	$ - 0				$ - 0	$ - 0
	105				$ - 0	$ - 0				$ - 0	$ - 0
	106				$ - 0	$ - 0				$ - 0	$ - 0
	107				$ - 0	$ - 0				$ - 0	$ - 0
	108				$ - 0	$ - 0				$ - 0	$ - 0
	109				$ - 0	$ - 0				$ - 0	$ - 0
	110				$ - 0	$ - 0				$ - 0	$ - 0
	111				$ - 0	$ - 0				$ - 0	$ - 0
	112				$ - 0	$ - 0				$ - 0	$ - 0
	113				$ - 0	$ - 0				$ - 0	$ - 0
	114				$ - 0	$ - 0				$ - 0	$ - 0
	115				$ - 0	$ - 0				$ - 0	$ - 0
	116				$ - 0	$ - 0				$ - 0	$ - 0
	117				$ - 0	$ - 0				$ - 0	$ - 0
	118				$ - 0	$ - 0				$ - 0	$ - 0
	119				$ - 0	$ - 0				$ - 0	$ - 0
	120				$ - 0	$ - 0				$ - 0	$ - 0
	121				$ - 0	$ - 0				$ - 0	$ - 0
	122				$ - 0	$ - 0				$ - 0	$ - 0
	123				$ - 0	$ - 0				$ - 0	$ - 0
	124				$ - 0	$ - 0				$ - 0	$ - 0
	125				$ - 0	$ - 0				$ - 0	$ - 0
	126				$ - 0	$ - 0				$ - 0	$ - 0
	127				$ - 0	$ - 0				$ - 0	$ - 0
	128				$ - 0	$ - 0				$ - 0	$ - 0
	129				$ - 0	$ - 0				$ - 0	$ - 0
	130				$ - 0	$ - 0				$ - 0	$ - 0
	131				$ - 0	$ - 0				$ - 0	$ - 0
	132				$ - 0	$ - 0				$ - 0	$ - 0
	133				$ - 0	$ - 0				$ - 0	$ - 0
	134				$ - 0	$ - 0				$ - 0	$ - 0
	135				$ - 0	$ - 0				$ - 0	$ - 0
	136				$ - 0	$ - 0				$ - 0	$ - 0
	137				$ - 0	$ - 0				$ - 0	$ - 0
	138				$ - 0	$ - 0				$ - 0	$ - 0
	139				$ - 0	$ - 0				$ - 0	$ - 0
	140				$ - 0	$ - 0				$ - 0	$ - 0
	141				$ - 0	$ - 0				$ - 0	$ - 0
	142				$ - 0	$ - 0				$ - 0	$ - 0
	143				$ - 0	$ - 0				$ - 0	$ - 0
	144				$ - 0	$ - 0				$ - 0	$ - 0
	145				$ - 0	$ - 0				$ - 0	$ - 0
	146				$ - 0	$ - 0				$ - 0	$ - 0
	147				$ - 0	$ - 0				$ - 0	$ - 0
	148				$ - 0	$ - 0				$ - 0	$ - 0
	149				$ - 0	$ - 0				$ - 0	$ - 0
	150				$ - 0	$ - 0				$ - 0	$ - 0
	151				$ - 0	$ - 0				$ - 0	$ - 0
	152				$ - 0	$ - 0				$ - 0	$ - 0
	153				$ - 0	$ - 0				$ - 0	$ - 0
	154				$ - 0	$ - 0				$ - 0	$ - 0
	155				$ - 0	$ - 0				$ - 0	$ - 0
	156				$ - 0	$ - 0				$ - 0	$ - 0
	157				$ - 0	$ - 0				$ - 0	$ - 0
	158				$ - 0	$ - 0				$ - 0	$ - 0
	159				$ - 0	$ - 0				$ - 0	$ - 0
	160				$ - 0	$ - 0				$ - 0	$ - 0
	161				$ - 0	$ - 0				$ - 0	$ - 0
	162				$ - 0	$ - 0				$ - 0	$ - 0
	163				$ - 0	$ - 0				$ - 0	$ - 0
	164				$ - 0	$ - 0				$ - 0	$ - 0
	165				$ - 0	$ - 0				$ - 0	$ - 0
	166				$ - 0	$ - 0				$ - 0	$ - 0
	167				$ - 0	$ - 0				$ - 0	$ - 0
	168				$ - 0	$ - 0				$ - 0	$ - 0
	169				$ - 0	$ - 0				$ - 0	$ - 0
	170				$ - 0	$ - 0				$ - 0	$ - 0
	171				$ - 0	$ - 0				$ - 0	$ - 0
	172				$ - 0	$ - 0				$ - 0	$ - 0
	173				$ - 0	$ - 0				$ - 0	$ - 0
	174				$ - 0	$ - 0				$ - 0	$ - 0
	175				$ - 0	$ - 0				$ - 0	$ - 0
	176				$ - 0	$ - 0				$ - 0	$ - 0
	177				$ - 0	$ - 0				$ - 0	$ - 0
	178				$ - 0	$ - 0				$ - 0	$ - 0
	179				$ - 0	$ - 0				$ - 0	$ - 0
	180				$ - 0	$ - 0				$ - 0	$ - 0
	181				$ - 0	$ - 0				$ - 0	$ - 0
	182				$ - 0	$ - 0				$ - 0	$ - 0
	183				$ - 0	$ - 0				$ - 0	$ - 0
	184				$ - 0	$ - 0				$ - 0	$ - 0
	185				$ - 0	$ - 0				$ - 0	$ - 0
	186				$ - 0	$ - 0				$ - 0	$ - 0
	187				$ - 0	$ - 0				$ - 0	$ - 0
	188				$ - 0	$ - 0				$ - 0	$ - 0
	189				$ - 0	$ - 0				$ - 0	$ - 0
	190				$ - 0	$ - 0				$ - 0	$ - 0
	191				$ - 0	$ - 0				$ - 0	$ - 0
	192				$ - 0	$ - 0				$ - 0	$ - 0
	193				$ - 0	$ - 0				$ - 0	$ - 0
	194				$ - 0	$ - 0				$ - 0	$ - 0
	195				$ - 0	$ - 0				$ - 0	$ - 0
	196				$ - 0	$ - 0				$ - 0	$ - 0
	197				$ - 0	$ - 0				$ - 0	$ - 0
	198				$ - 0	$ - 0				$ - 0	$ - 0
	199				$ - 0	$ - 0				$ - 0	$ - 0
	200				$ - 0	$ - 0				$ - 0	$ - 0

Personnel - Salary Direct Personnel / Salary - Line Item Detail Use this tab to record grant-funded personnel costs. Personnel costs must be directly related to grant objectives and reflect the actual level of effort dedicated to grant-supported activities.

	Line Item #	Personnel Name	Position Title	Calculation Type	Annual Salary (base)	Hourly Rate (if Applicable)	Hours	Months	% Allocation	Salary Charged (Calculated)
Salary Charged is calculated automatically based on hourly or salaried inputs and the percentage of time allocated to the grant. Do not overwrite this field. Fringe benefits are calculated separately on the Fringe tab using Salary Charged. This column will reflect either annual or hourly depending on the calcuation type selected.	Amount Requested	Justification - Personnel costs must be directly related to grant objectives. Justifications must describe the employee’s role, grant-related duties, and the basis for the percentage of time charged.	Recipient Comments
	1				$ - 0	$ - 0				$ - 0	$ - 0
	2				$ - 0	$ - 0				$ - 0	$ - 0
	3				$ - 0	$ - 0				$ - 0	$ - 0
	4				$ - 0	$ - 0				$ - 0	$ - 0
	5				$ - 0	$ - 0				$ - 0	$ - 0
	6				$ - 0	$ - 0				$ - 0	$ - 0
	7				$ - 0	$ - 0				$ - 0	$ - 0
	8				$ - 0	$ - 0				$ - 0	$ - 0
	9				$ - 0	$ - 0				$ - 0	$ - 0
	10				$ - 0	$ - 0				$ - 0	$ - 0
	11				$ - 0	$ - 0				$ - 0	$ - 0
	12				$ - 0	$ - 0				$ - 0	$ - 0
	13				$ - 0	$ - 0				$ - 0	$ - 0
	14				$ - 0	$ - 0				$ - 0	$ - 0
	15				$ - 0	$ - 0				$ - 0	$ - 0
	16				$ - 0	$ - 0				$ - 0	$ - 0
	17				$ - 0	$ - 0				$ - 0	$ - 0
	18				$ - 0	$ - 0				$ - 0	$ - 0
	19				$ - 0	$ - 0				$ - 0	$ - 0
	20				$ - 0	$ - 0				$ - 0	$ - 0
	21				$ - 0	$ - 0				$ - 0	$ - 0
	22				$ - 0	$ - 0				$ - 0	$ - 0
	23				$ - 0	$ - 0				$ - 0	$ - 0
	24				$ - 0	$ - 0				$ - 0	$ - 0
	25				$ - 0	$ - 0				$ - 0	$ - 0
	26				$ - 0	$ - 0				$ - 0	$ - 0
	27				$ - 0	$ - 0				$ - 0	$ - 0
	28				$ - 0	$ - 0				$ - 0	$ - 0
	29				$ - 0	$ - 0				$ - 0	$ - 0
	30				$ - 0	$ - 0				$ - 0	$ - 0
	31				$ - 0	$ - 0				$ - 0	$ - 0
	32				$ - 0	$ - 0				$ - 0	$ - 0
	33				$ - 0	$ - 0				$ - 0	$ - 0
	34				$ - 0	$ - 0				$ - 0	$ - 0
	35				$ - 0	$ - 0				$ - 0	$ - 0
	36				$ - 0	$ - 0				$ - 0	$ - 0
	37				$ - 0	$ - 0				$ - 0	$ - 0
	38				$ - 0	$ - 0				$ - 0	$ - 0
	39				$ - 0	$ - 0				$ - 0	$ - 0
	40				$ - 0	$ - 0				$ - 0	$ - 0
	41				$ - 0	$ - 0				$ - 0	$ - 0
	42				$ - 0	$ - 0				$ - 0	$ - 0
	43				$ - 0	$ - 0				$ - 0	$ - 0
	44				$ - 0	$ - 0				$ - 0	$ - 0
	45				$ - 0	$ - 0				$ - 0	$ - 0
	46				$ - 0	$ - 0				$ - 0	$ - 0
	47				$ - 0	$ - 0				$ - 0	$ - 0
	48				$ - 0	$ - 0				$ - 0	$ - 0
	49				$ - 0	$ - 0				$ - 0	$ - 0
	50				$ - 0	$ - 0				$ - 0	$ - 0
	51				$ - 0	$ - 0				$ - 0	$ - 0
	52				$ - 0	$ - 0				$ - 0	$ - 0
	53				$ - 0	$ - 0				$ - 0	$ - 0
	54				$ - 0	$ - 0				$ - 0	$ - 0
	55				$ - 0	$ - 0				$ - 0	$ - 0
	56				$ - 0	$ - 0				$ - 0	$ - 0
	57				$ - 0	$ - 0				$ - 0	$ - 0
	58				$ - 0	$ - 0				$ - 0	$ - 0
	59				$ - 0	$ - 0				$ - 0	$ - 0
	60				$ - 0	$ - 0				$ - 0	$ - 0
	61				$ - 0	$ - 0				$ - 0	$ - 0
	62				$ - 0	$ - 0				$ - 0	$ - 0
	63				$ - 0	$ - 0				$ - 0	$ - 0
	64				$ - 0	$ - 0				$ - 0	$ - 0
	65				$ - 0	$ - 0				$ - 0	$ - 0
	66				$ - 0	$ - 0				$ - 0	$ - 0
	67				$ - 0	$ - 0				$ - 0	$ - 0
	68				$ - 0	$ - 0				$ - 0	$ - 0
	69				$ - 0	$ - 0				$ - 0	$ - 0
	70				$ - 0	$ - 0				$ - 0	$ - 0
	71				$ - 0	$ - 0				$ - 0	$ - 0
	72				$ - 0	$ - 0				$ - 0	$ - 0
	73				$ - 0	$ - 0				$ - 0	$ - 0
	74				$ - 0	$ - 0				$ - 0	$ - 0
	75				$ - 0	$ - 0				$ - 0	$ - 0
	76				$ - 0	$ - 0				$ - 0	$ - 0
	77				$ - 0	$ - 0				$ - 0	$ - 0
	78				$ - 0	$ - 0				$ - 0	$ - 0
	79				$ - 0	$ - 0				$ - 0	$ - 0
	80				$ - 0	$ - 0				$ - 0	$ - 0
	81				$ - 0	$ - 0				$ - 0	$ - 0
	82				$ - 0	$ - 0				$ - 0	$ - 0
	83				$ - 0	$ - 0				$ - 0	$ - 0
	84				$ - 0	$ - 0				$ - 0	$ - 0
	85				$ - 0	$ - 0				$ - 0	$ - 0
	86				$ - 0	$ - 0				$ - 0	$ - 0
	87				$ - 0	$ - 0				$ - 0	$ - 0
	88				$ - 0	$ - 0				$ - 0	$ - 0
	89				$ - 0	$ - 0				$ - 0	$ - 0
	90				$ - 0	$ - 0				$ - 0	$ - 0
	91				$ - 0	$ - 0				$ - 0	$ - 0
	92				$ - 0	$ - 0				$ - 0	$ - 0
	93				$ - 0	$ - 0				$ - 0	$ - 0
	94				$ - 0	$ - 0				$ - 0	$ - 0
	95				$ - 0	$ - 0				$ - 0	$ - 0
	96				$ - 0	$ - 0				$ - 0	$ - 0
	97				$ - 0	$ - 0				$ - 0	$ - 0
	98				$ - 0	$ - 0				$ - 0	$ - 0
	99				$ - 0	$ - 0				$ - 0	$ - 0
	100				$ - 0	$ - 0				$ - 0	$ - 0
	101				$ - 0	$ - 0				$ - 0	$ - 0
	102				$ - 0	$ - 0				$ - 0	$ - 0
	103				$ - 0	$ - 0				$ - 0	$ - 0
	104				$ - 0	$ - 0				$ - 0	$ - 0
	105				$ - 0	$ - 0				$ - 0	$ - 0
	106				$ - 0	$ - 0				$ - 0	$ - 0
	107				$ - 0	$ - 0				$ - 0	$ - 0
	108				$ - 0	$ - 0				$ - 0	$ - 0
	109				$ - 0	$ - 0				$ - 0	$ - 0
	110				$ - 0	$ - 0				$ - 0	$ - 0
	111				$ - 0	$ - 0				$ - 0	$ - 0
	112				$ - 0	$ - 0				$ - 0	$ - 0
	113				$ - 0	$ - 0				$ - 0	$ - 0
	114				$ - 0	$ - 0				$ - 0	$ - 0
	115				$ - 0	$ - 0				$ - 0	$ - 0
	116				$ - 0	$ - 0				$ - 0	$ - 0
	117				$ - 0	$ - 0				$ - 0	$ - 0
	118				$ - 0	$ - 0				$ - 0	$ - 0
	119				$ - 0	$ - 0				$ - 0	$ - 0
	120				$ - 0	$ - 0				$ - 0	$ - 0
	121				$ - 0	$ - 0				$ - 0	$ - 0
	122				$ - 0	$ - 0				$ - 0	$ - 0
	123				$ - 0	$ - 0				$ - 0	$ - 0
	124				$ - 0	$ - 0				$ - 0	$ - 0
	125				$ - 0	$ - 0				$ - 0	$ - 0
	126				$ - 0	$ - 0				$ - 0	$ - 0
	127				$ - 0	$ - 0				$ - 0	$ - 0
	128				$ - 0	$ - 0				$ - 0	$ - 0
	129				$ - 0	$ - 0				$ - 0	$ - 0
	130				$ - 0	$ - 0				$ - 0	$ - 0
	131				$ - 0	$ - 0				$ - 0	$ - 0
	132				$ - 0	$ - 0				$ - 0	$ - 0
	133				$ - 0	$ - 0				$ - 0	$ - 0
	134				$ - 0	$ - 0				$ - 0	$ - 0
	135				$ - 0	$ - 0				$ - 0	$ - 0
	136				$ - 0	$ - 0				$ - 0	$ - 0
	137				$ - 0	$ - 0				$ - 0	$ - 0
	138				$ - 0	$ - 0				$ - 0	$ - 0
	139				$ - 0	$ - 0				$ - 0	$ - 0
	140				$ - 0	$ - 0				$ - 0	$ - 0
	141				$ - 0	$ - 0				$ - 0	$ - 0
	142				$ - 0	$ - 0				$ - 0	$ - 0
	143				$ - 0	$ - 0				$ - 0	$ - 0
	144				$ - 0	$ - 0				$ - 0	$ - 0
	145				$ - 0	$ - 0				$ - 0	$ - 0
	146				$ - 0	$ - 0				$ - 0	$ - 0
	147				$ - 0	$ - 0				$ - 0	$ - 0
	148				$ - 0	$ - 0				$ - 0	$ - 0
	149				$ - 0	$ - 0				$ - 0	$ - 0
	150				$ - 0	$ - 0				$ - 0	$ - 0
	151				$ - 0	$ - 0				$ - 0	$ - 0
	152				$ - 0	$ - 0				$ - 0	$ - 0
	153				$ - 0	$ - 0				$ - 0	$ - 0
	154				$ - 0	$ - 0				$ - 0	$ - 0
	155				$ - 0	$ - 0				$ - 0	$ - 0
	156				$ - 0	$ - 0				$ - 0	$ - 0
	157				$ - 0	$ - 0				$ - 0	$ - 0
	158				$ - 0	$ - 0				$ - 0	$ - 0
	159				$ - 0	$ - 0				$ - 0	$ - 0
	160				$ - 0	$ - 0				$ - 0	$ - 0
	161				$ - 0	$ - 0				$ - 0	$ - 0
	162				$ - 0	$ - 0				$ - 0	$ - 0
	163				$ - 0	$ - 0				$ - 0	$ - 0
	164				$ - 0	$ - 0				$ - 0	$ - 0
	165				$ - 0	$ - 0				$ - 0	$ - 0
	166				$ - 0	$ - 0				$ - 0	$ - 0
	167				$ - 0	$ - 0				$ - 0	$ - 0
	168				$ - 0	$ - 0				$ - 0	$ - 0
	169				$ - 0	$ - 0				$ - 0	$ - 0
	170				$ - 0	$ - 0				$ - 0	$ - 0
	171				$ - 0	$ - 0				$ - 0	$ - 0
	172				$ - 0	$ - 0				$ - 0	$ - 0
	173				$ - 0	$ - 0				$ - 0	$ - 0
	174				$ - 0	$ - 0				$ - 0	$ - 0
	175				$ - 0	$ - 0				$ - 0	$ - 0
	176				$ - 0	$ - 0				$ - 0	$ - 0
	177				$ - 0	$ - 0				$ - 0	$ - 0
	178				$ - 0	$ - 0				$ - 0	$ - 0
	179				$ - 0	$ - 0				$ - 0	$ - 0
	180				$ - 0	$ - 0				$ - 0	$ - 0
	181				$ - 0	$ - 0				$ - 0	$ - 0
	182				$ - 0	$ - 0				$ - 0	$ - 0
	183				$ - 0	$ - 0				$ - 0	$ - 0
	184				$ - 0	$ - 0				$ - 0	$ - 0
	185				$ - 0	$ - 0				$ - 0	$ - 0
	186				$ - 0	$ - 0				$ - 0	$ - 0
	187				$ - 0	$ - 0				$ - 0	$ - 0
	188				$ - 0	$ - 0				$ - 0	$ - 0
	189				$ - 0	$ - 0				$ - 0	$ - 0
	190				$ - 0	$ - 0				$ - 0	$ - 0
	191				$ - 0	$ - 0				$ - 0	$ - 0
	192				$ - 0	$ - 0				$ - 0	$ - 0
	193				$ - 0	$ - 0				$ - 0	$ - 0
	194				$ - 0	$ - 0				$ - 0	$ - 0
	195				$ - 0	$ - 0				$ - 0	$ - 0
	196				$ - 0	$ - 0				$ - 0	$ - 0
	197				$ - 0	$ - 0				$ - 0	$ - 0
	198				$ - 0	$ - 0				$ - 0	$ - 0
	199				$ - 0	$ - 0				$ - 0	$ - 0
	200				$ - 0	$ - 0				$ - 0	$ - 0

Fringe Benefits Admin Fringe Benefits - Line Item Detail Use this tab to calculate allowable fringe benefits associated with grant-funded personnel costs. Fringe benefits must be directly related to Salary Charged and calculated using one approved method.

Line Item #	Personnel Name	Position Title	Saraly Charged (Calculated from Personnel)	Fringe Method - Select one fringe calculation method per line item. This will determine how fringe is calculated based on columns F-L.	Fringe Hours	Fringe Hourly Rate ($/hour)	Fringe Rate % (if applicable)	FICA	Retirement	Health Insurance	Workers' Compensation (WC)	Amount Requested - this will be determined by the fringe method and will only calculate the cells between F-L depending on what method is selected.	Justification	Recipient Comments
1	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
2	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
3	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
4	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
5	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
6	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
7	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
8	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
9	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
10	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
11	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
12	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
13	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
14	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
15	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
16	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
17	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
18	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
19	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
20	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
21	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
22	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
23	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
24	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
25	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
26	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
27	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
28	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
29	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
30	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
31	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
32	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
33	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
34	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
35	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
36	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
37	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
38	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
39	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
40	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
41	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
42	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
43	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
44	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
45	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
46	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
47	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
48	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
49	0	0	$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
50			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
51			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
52			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
53			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
54			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
55			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
56			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
57			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
58			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
59			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
60			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
61			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
62			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
63			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
64			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
65			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
66			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
67			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
68			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
69			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
70			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
71			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
72			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
73			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
74			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
75			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
76			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
77			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
78			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
79			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
80			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
81			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
82			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
83			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
84			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
85			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
86			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
87			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
88			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
89			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
90			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
91			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
92			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
93			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
94			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
95			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
96			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
97			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
98			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
99			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
100			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
101			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
102			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
103			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
104			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
105			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
106			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
107			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
108			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
109			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
110			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
111			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
112			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
113			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
114			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
115			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
116			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
117			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
118			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
119			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
120			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
121			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
122			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
123			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
124			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
125			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
126			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
127			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
128			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
129			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
130			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
131			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
132			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
133			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
134			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
135			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
136			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
137			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
138			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
139			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
140			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
141			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
142			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
143			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
144			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
145			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
146			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
147			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
148			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
149			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
150			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
151			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
152			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
153			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
154			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
155			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
156			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
157			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
158			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
159			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
160			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
161			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
162			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
163			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
164			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
165			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
166			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
167			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
168			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
169			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
170			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
171			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
172			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
173			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
174			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
175			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
176			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
177			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
178			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
179			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
180			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
181			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
182			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
183			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
184			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
185			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
186			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
187			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
188			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
189			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
190			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
191			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
192			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
193			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
194			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
195			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
196			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
197			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
198			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
199			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0
200			$ - 0			$ - 0	0%	$0.00	$0.00	$0.00	$0.00	$ - 0

Fringe Benefits Direct Fringe Benefits - Line Item Detail Use this tab to calculate allowable fringe benefits associated with grant-funded personnel costs. Fringe benefits must be directly related to Salary Charged and calculated using one approved method.

Line Item #	Personnel Name	Position Title	Saraly Charged (Calculated from Personnel)	Fringe Method - Select one fringe calculation method per line item. This will determine how fringe is calculated based on columns F-L.	Fringe Hours	Fringe Hourly Rate ($/hour)	Fringe Rate % (if applicable)	FICA	Retirement	Health Insurance	Workers' Compensation (WC)	Amount Requested - this will be determined by the fringe method and will only calculate the cells between F-L depending on what method is selected.	Justification	Recipient Comments
1			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
2			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
3			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
4			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
5			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
6			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
7			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
8			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
9			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
10			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
11			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
12			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
13			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
14			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
15			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
16			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
17			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
18			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
19			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
20			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
21			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
22			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
23			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
24			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
25			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
26			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
27			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
28			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
29			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
30			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
31			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
32			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
33			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
34			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
35			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
36			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
37			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
38			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
39			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
40			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
41			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
42			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
43			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
44			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
45			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
46			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
47			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
48			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
49			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
50			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
51			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
52			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
53			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
54			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
55			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
56			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
57			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
58			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
59			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
60			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
61			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
62			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
63			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
64			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
65			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
66			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
67			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
68			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
69			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
70			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
71			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
72			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
73			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
74			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
75			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
76			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
77			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
78			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
79			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
80			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
81			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
82			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
83			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
84			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
85			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
86			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
87			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
88			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
89			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
90			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
91			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
92			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
93			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
94			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
95			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
96			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
97			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
98			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
99			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
100			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
101			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
102			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
103			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
104			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
105			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
106			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
107			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
108			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
109			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
110			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
111			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
112			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
113			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
114			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
115			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
116			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
117			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
118			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
119			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
120			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
121			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
122			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
123			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
124			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
125			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
126			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
127			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
128			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
129			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
130			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
131			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
132			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
133			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
134			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
135			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
136			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
137			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
138			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
139			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
140			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
141			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
142			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
143			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
144			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
145			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
146			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
147			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
148			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
149			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
150			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
151			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
152			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
153			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
154			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
155			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
156			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
157			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
158			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
159			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
160			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
161			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
162			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
163			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
164			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
165			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
166			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
167			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
168			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
169			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
170			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
171			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
172			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
173			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
174			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
175			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
176			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
177			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
178			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
179			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
180			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
181			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
182			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
183			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
184			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
185			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
186			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
187			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
188			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
189			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
190			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
191			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
192			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
193			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
194			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
195			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
196			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
197			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
198			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
199			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
200			$ - 0			$ - 0	0%	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

Travel - Admin Travel - Line Item Detail Travel costs must be necessary to carry out grant objectives and comply with applicable travel policies. Allowable costs include transportation, lodging, and per diem. Alcohol, entertainment, and personal travel expenses are not allowable. Registration costs and training go in the other category.

Line Item # Purpose of Travel Travel Dates Hotel Airline Per Diem Rental Car Number of Miles Mileage Rate Personal Vehicle Mileage (Calculated)

For personal vehicle use, enter the number of miles traveled. The workbook will calculate mileage cost using the approved mileage rate. Do not enter mileage costs manually.	Ground Transportation (Taxi, Rideshare, Parking, Tolls, Transit)	Other Travel Costs (ie, baggage)	Amount Requested	Cost Breakdown Notes	Justification	Recipient Comments
	1			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	2			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	3			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	4			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	5			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	6			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	7			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	8			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	9			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	10			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	11			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	12			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	13			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	14			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	15			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	16			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	17			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	18			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	19			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	20			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	21			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	22			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	23			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	24			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	25			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	26			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	27			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	28			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	29			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	30			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	31			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	32			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	33			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	34			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	35			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	36			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	37			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	38			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	39			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	40			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	41			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	42			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	43			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	44			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	45			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	46			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	47			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	48			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	49			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	50			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	51			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	52			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	53			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	54			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	55			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	56			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	57			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	58			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	59			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	60			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	61			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	62			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	63			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	64			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	65			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	66			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	67			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	68			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	69			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	70			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	71			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	72			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	73			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	74			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	75			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	76			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	77			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	78			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	79			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	80			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	81			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	82			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	83			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	84			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	85			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	86			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	87			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	88			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	89			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	90			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	91			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	92			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	93			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	94			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	95			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	96			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	97			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	98			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	99			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	100			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	101			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	102			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	103			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	104			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	105			$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Oct 23, 2026.