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ISB
ITEMIZED SERVICE BUDGET
| Agency: |
| Contract Period: |
| Contract No.: |
| Amendment No.: |
| 1. | PERSONNEL | | | Total Cost | DES Cost | Case Management | | | | | Intake | Community Service | | | Check to see if your DES costs are greater than your Total cost |
| | | | | TOTAL | LIHEAP A16 | NAVIGATOR | SSBG | TANF | NHN | TANF | CSBG | | SSBG | *DES Costs cannot be greater than Total Costs* |
| # of | FTE | | Total Salary for the | TOTAL | DES | | | | | | | | Tribal Heating Assistance Program | Transport | Review cells highlighted in red |
| Positions | Level | Position Title | Contract Period | COST | COST | COST | COST | COST | Cost | Cost | Cost | COST | | COST | |
| | | | | $0.00 | | | | | | | | | | - 0 |
| | | | | $0.00 | | | | | | | | | | - 0 |
| | | | | $0.00 | | | | | | | | | | - 0 |
| | | | | $0.00 | | | | | | | | | | - 0 |
| | | | | $0.00 | | | | | | | | | | |
| | | | | $0.00 | | | | | | | | | | - 0 |
| TOTAL PERSONNEL | | | | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | | $0.00 | $0.00 | $0.00 | - 0 |
| 2. | EMPLOYER RELATED EXPENSES | | | | | | | | | | | | | |
| | | TOTAL | TOTAL DES | LIHEAP A16 | NAVIGATOR | SSBG | TANF | NHN | TANF | CSBG | Tribal Heating Assistance | SSBG | |
| | | | | | | | | | | | | Transport | |
| ITEM | BASIS | COST | COST | COST | | COST | Cost | Cost | Cost | COST | | COST | |
| FICA, Unemployment Insurance, Work Comp, Health Benefits, Life Insurance, Retirement, Various Fringe Benefits | | | | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| TOTAL EMPLOYER RELATED EXPENSES | | . | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | | $0.00 | $0.00 | $0.00 | - 0 |
| 3. | PROFESSIONAL AND OUTSIDE SERVICES | | | | | | | | | | | | | |
| | | TOTAL | TOTAL DES | LIHEAP A16 | NAVIGATOR | SSBG | TANF | NHN | TANF | CSBG | Tribal Heating Assistance | SSBG | |
| | | | | | | | | | | | | Transport | |
| ITEM | BASIS | COST | COST | COST | | COST | Cost | Cost | Cost | COST | | COST | |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| TOTAL PROFESSIONAL AND OUTSIDE SERVICES | | | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | | $0.00 | $0.00 | $0.00 | - 0 |
| 4. | TRAVEL | | | | | | | | | | | | | |
| | | TOTAL | TOTAL DES | LIHEAP A16 | NAVIGATOR | SSBG | TANF | NHN | TANF | CSBG | Tribal Heating Assistance | SSBG | |
| | | | | | | | | | | | | Transport | |
| ITEM | BASIS | COST | COST | COST | | COST | Cost | Cost | Cost | COST | | COST | |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| TOTAL TRAVEL | | | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | | $0.00 | $0.00 | $0.00 | - 0 |
| 5. | SPACE | | | | | | | | | | | | | |
| | | TOTAL | TOTAL DES | LIHEAP A16 | NAVIGATOR | SSBG | TANF | NHN | TANF | CSBG | Tribal Heating Assistance | SSBG | |
| | | | | | | | | | | | | Transport | |
| ITEM | BASIS | COST | COST | COST | COST | COST | Cost | Cost | Cost | COST | | COST | |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | |
| TOTAL SPACE | | | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | | $0.00 | $0.00 | $0.00 | - 0 |
| 6. | EQUIPMENT | | | | | | | | | | | | | |
| | | TOTAL | TOTAL DES | LIHEAP A16 | NAVIGATOR | SSBG | TANF | NHN | TANF | CSBG | Tribal Heating Assistance | SSBG | |
| | | | | | | | | | | | | Transport | |
| ITEM | BASIS | COST | COST | COST | COST | COST | Cost | Cost | Cost | COST | | COST | |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| TOTAL EQUIPMENT | | | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | | $0.00 | $0.00 | $0.00 | - 0 |
| 7. | MATERIALS AND SUPPLIES | | | | | | | | | | | | | |
| | | TOTAL | TOTAL DES | LIHEAP A16 | NAVIGATOR | SSBG | TANF | NHN | TANF | CSBG | | SSBG | |
| | | | | | | | | | | | Tribal Heating Assistance | Transport | |
| ITEM | BASIS | COST | COST | COST | COST | COST | Cost | Cost | Cost | COST | | COST | |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| TOTAL MATERIALS AND SUPPLIES | | | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | | $0.00 | $0.00 | $0.00 | - 0 |
| 8. | OPERATING SERVICES | | | | | | | | | | | | | |
| | | TOTAL | TOTAL DES | LIHEAP A16 | NAVIGATOR | SSBG | TANF | NHN | TANF | CSBG | Tribal Heating Assistance | SSBG | |
| | | | | | | | | | | | | Transport | |
| ITEM | BASIS | COST | COST | COST | COST | COST | Cost | Cost | Cost | COST | | COST | |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | |
| TOTAL OPERATING EXPENSES | | | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | | $0.00 | $0.00 | $0.00 | - 0 |
| 9 | INDIRECT COSTS | | | | | | | | | | | | | |
| | | TOTAL | TOTAL DES | LIHEAP A16 | NAVIGATOR | SSBG | TANF | NHN | TANF | CSBG | Tribal Heating Assistance | SSBG | |
| | | | | | | | | | | | | Transport | |
| ITEM | BASIS | COST | COST | COST | COST | COST | Cost | Cost | Cost | COST | | COST | |
| | | | $0.00 | $0.00 | | | | | | | | | - 0 |
| | | | $0.00 | | | | | | | | | | |
| TOTAL INDIRECT COSTS | | | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | | $0.00 | $0.00 | $0.00 | - 0 |
10 SUBTOTAL ADMIN COST $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 - 0
| 11. | VOUCHERS | | | | | | | | | | | | |
| | TOTAL | TOTAL DES | LIHEAP A16 | NAVIGATOR | SSBG | TANF | NHN | TANF | CSBG | Tribal Heating Assistance | SSBG | |
| | | | | | | | | | | | Transport | |
| ITEM | COST | COST | COST | COST | COST | Cost | Cost | Cost | COST | | COST | |
| | | $0.00 | | | | | | | | | | - 0 |
| | | $0.00 | | | | | | | | | | - 0 |
| | | $0.00 | | | | | | | | | | - 0 |
| | | $0.00 | | | | | | | | | | - 0 |
| | | $0.00 | | | | | | | | | | - 0 |
| | | $0.00 | | | | | | | | | | - 0 |
| | | $0.00 | | | | | | | | | | - 0 |
| | | $0.00 | | | | | | | | | | $0.00 |
| | | $0.00 | | | | | | | | | | $0.00 |
| | | $0.00 | | | | | | | | | | - 0 |
| | | $0.00 | | | | | | | | | | - 0 |
| | | $0.00 | | | | | | | | | | - 0 |
| | | $0.00 | | | | | | | | | | - 0 |
| | | $0.00 | | | | | | | | | | - 0 |
| | | $0.00 | | | | | | | | | | - 0 |
| TOTAL VOUCHERS | | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | - 0 |
| 12. | TOTAL SERVICE COST/DES TOTAL COST: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | - 0 |
| | Note: Please ensure your Total Costs are more than or equal to your DES Costs. If the Total Costs light up red, your Total Costs need to be adjusted. See column AD | | | | | | | | | | | |
| REVENUE SOURCES: | | | | | | | | | | | | |
| DES - DAAS | | | $0.00 | | | | | | | | | |
| DES - DAAS - Intake Costs | | | $0.00 | | | | | | | | | |
| DES-CSA | | $0.00 | | | | | | | | | |
| DES-CSBG CARES | | $0.00 | | | | | | | | | |
| TOTAL REVENUE: | | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Note: Please ensure your Total Revenues equal your Total Service Costs. If the Total Revenue items light up red, your budget is not balanced, and the Costs/Revenues need to be adjusted.
Validation
| TANF Admin & Intake - Maximum % | | | | | TANF Calculation - Cheat Sheet | | | |
| Category | % Allowed | % Requested | Over/Under | Waiver (Y/N) | Category | Formula | Total TANF Awarded | MAX Allowed |
| Admin | 15% | ERROR:#DIV/0! | ERROR:#DIV/0! | N | TANF Admin | Total TANF x 15% | | $ - 0 |
| Intake | 15% | ERROR:#DIV/0! | ERROR:#DIV/0! | N | TANF Intake | (Total TANF - TANF Admin) x 15% | $ - 0 | $ - 0 |
| Summary of Costs | | |
| Category | Total | Combined |
| Total Case Management Cost | $0.00 | $0.00 |
| Total Case Management Intake Cost | $0.00 | |
| Total Community Service Cost | $0.00 | |
| Total DES Cost | $0.00 | |
| Total Program Cost | $0.00 | |