FY 26 WIC Infrastructure Grant RFA Grant Application Template (RFA Appendix B).docx

Appendix B: FY 2026 WIC General Infrastructure Grant Application Template We recommend that State agencies use the template provided below for the grant application. State agencies may set up their own format as long as responses to all items are addressed in the order listed in the template.

FY 2026 WIC GENERAL INFRASTRUCTURE GRANT APPLICATION TEMPLATE

SECTION 1: Cover Sheet - Applicant Information. See Section 4 Cover Sheet of the RFA for details.

FY 2026 WIC General Infrastructure Grant Application

ALN#: 10.578

State agency:

If applying as consortium (or other group of State agencies) list all State agencies included.

If applying as an individual State agency, leave blank.

State agency address:

State agency contact person and title:

Email address:

Phone number:

FY 2026 WIC GENERAL INFRASTRUCTURE GRANT APPLICATION TEMPLATE

SECTION 2: Table of Contents. See Section 4 Table of Contents of the RFA for details.

Application Project Summary

Page #

Project Narrative

Page #

Project Activities and Indicators

Page #

Attachments (Please List)

FY 2026 WIC GENERAL INFRASTRUCTURE GRANT APPLICATION TEMPLATE

SECTION 3: Application Project Summary (limit to 250 words or less). See Section 4 Application Project Summary of the RFA for details.

FY 2026 WIC GENERAL INFRASTRUCTURE GRANT APPLICATION TEMPLATE

SECTION 4: Project Narrative. See Section 4 Project Narrative of the RFA for details.

Limit to no more than 10 pages, attachments not included.

FY 2026 WIC GENERAL INFRASTRUCTURE GRANT APPLICATION TEMPLATE

SECTION 5: Activities/Indicators. See Section 4 Activities/Indicators Tracker of the RFA for details.

List the activities that you plan to conduct to accomplish the grant objective. An indicator is defined as a metric that relates to the grant objective/s that you anticipate that you will be able to track during the period of performance of the grant. You may insert more than one indicator per activity if necessary.

(Ex.) 1.3 – Interviews conducted

(Ex.) November 2026

FY 2026 WIC GENERAL INFRASTRUCTURE GRANT APPLICATION TEMPLATE

SECTION 6: Budget Narrative (suggested eight pages, but will depend on project) See Section 4 Application Budget Narrative of the RFA for details. Note that you may need to provide attachments to this template in order for this section to be considered complete. A Budget Narrative checklist is found in Appendix C of the RFA for your use in filling out this section.

A. Personnel – Budget Narrative

Please use the format provided below to list all personnel to be funded by this grant directly by the State agency. You may insert additional rows as needed.

Note: FTE stands for Full-Time Equivalent, which represents what a person would be paid for full-time employment.

A1. [Insert Title Here], at X% FTE, salary $XX,XXX per yr

[Insert job duties and responsibilities here]

A2. [Insert Title Here], at X% FTE, salary $XX,XXX per yr

[Insert job duties and responsibilities here]

Personnel Subtotal

B. Fringe Benefits – Budget Narrative

Provide the Fringe Benefits cost for all personnel listed in Section A. You may insert additional rows as needed. As a reminder, please provide your organization’s fringe benefit rate agreement as an attachment.

State agency Fringe Benefit Rate:________

B1. Personnel A1 Fringe Benefits

[List benefits covered]

B2. Personnel A2 Fringe Benefits

[List benefits covered]

Fringe Benefits Subtotal

C. Contractual– Budget Narrative

Please list all planned contracts here.

C1. [Insert Contract Here]

[provide a justification for why this contract is necessary; what activities contractor will carry out; explain rationale for estimated cost; submit a completed budget, budget narrative, or statement of work with project expenses for each contractor as an attachment if details are available at this time]

C2. [Insert Contract Here]

[provide a justification for why this contract is necessary; what activities contractor will carry out; explain rationale for estimated cost; submit a completed budget, budget narrative, or statement of work with project expenses for each contractor as an attachment if details are available at this time]

Contractual Subtotal

Amount of Contractual Not Subject to Indirect Costs

Are there indirect costs associated with any of the proposed contractual costs? [Yes/No]

If yes, provide the total amount of indirect costs associated with contracts in the space below.

D. Travel– Budget Narrative

Please include all travel to be funded by this grant directly by the State agency (see “budgetnarrative” in Section 4 of the RFA for how to incorporate travel expenses that will be funded through a planned subgrant). Provide justifications for each trip. You may insert additional rows as needed.

D1. [Insert travel expense here]

[include description of expense and justification of why it is necessary]

D2. [Insert travel expense here]

[include description of expense and justification of why it is necessary]

Travel Subtotal

E. Materials and Supplies – Budget Narrative

Materials and Supplies are items with a unit cost of less than $10,000. See Section 2 of the RFA for restrictions. Requests for supplies must be accompanied by a justification for the need for such items. Please only list here the materials and supplies that will be funded by this grant directly by the State agency (see “Budget Narrative” in Section 4 of the RFA for how to incorporate materials/supplies expenses that will be funded through a planned subgrant).

E1. [Insert item here]

[include an itemized list of the supplies requested and prices]

E2. [Insert item here]

[include an itemized list of the supplies requested and prices]

Materials and Supplies Subtotal

F. Equipment – Budget Narrative

Equipment is non-expendable, tangible personal property with a unit cost of $10,000 or more with a useful life of more than one year. See Section 2 of the RFA for restrictions. Requests for equipment must be accompanied by a justification of the need for such items. Estimates, statement of work and quotes are encouraged to be submitted as separate attachments to the narrative to support expenses over $10,000. Please only list here the equipment that will be funded by this grant directly by the State agency (see “budget narrative” in Section 4 of the RFA for how to incorporate equipment expenses that will be funded through a planned subgrant).

F1. [Insert Item Here]

[provide a justification for why this item is justified; explain rationale for estimated cost]

F2. [Insert Item Here]

[provide a justification for why this item is justified; explain rationale for estimated cost]

Equipment Subtotal

G. Other – Budget Narrative

Provide a description for any “other” budget items here. This should include description of any planned sub grants, including any subgrant attachments as necessary. See “budget narrative” in Section 4 of the RFA for how to incorporate expenses that will be funded through a planned subgrant.

G1. [Insert item here]

[provide a justification for why this item is justified; explain rationale for estimated cost]

G2. [Insert item here]

[provide a justification for why this item is justified; explain rationale for estimated cost]

G.3 [Insert Planned Subgrant Here]

[provide a justification for why this subgrant is necessary; what activities subgrantee will carry out; explain rationale for estimated cost; submit a completed budget, budget narrative, or statement of work with project expenses for each subgrantee as an attachment if details are available at this time]

G.3 [Insert Planned Subgrant Here]

[provide a justification for why this subgrant is necessary; what activities subgrantee will carry out; explain rationale for estimated cost; submit a completed budget, budget narrative, or statement of work with project expenses for each subgrantee as an attachment if details are available at this time]

Other Subtotal

H. Totals – Budget Narrative

Total Direct Costs (Section H1): The total direct costs should be the sum of all bolded subtotals listed for Sections A-G. This number represents the total of all costs prior to calculating indirect costs.

Indirect Costs (Section H2): The indirect cost rate should be applied to all appropriate funds as stipulated in your organization’s indirect cost rate agreement. Be sure to reference the terms of your organization’s indirect cost rate agreement prior to calculating indirect costs and include the indirect cost rate agreement as an attachment to your grant application. You must show the calculations for how you calculated the indirect cost amount in your budget narrative. If you require assistance, please contact the grants officer listed in Section 8 of the RFA.

Total Project Cost (Section H3): In Section H3, the value in your federal funds requested should be the sum of the total direct costs (H1) and the total indirect costs (H2). The total cost must be less than or equal to the amount indicated for the State agency in Appendix A: FY 2026 WIC General Infrastructure Maximum Award Amounts for Individual State Agency Applications.

H1. Total Direct Costs

[Leave Blank]

H2. Indirect Costs

[Insert indirect cost rate applied to your budget here as well as the effective and termination dates of your indirect cost rate agreement]

H3. Total Project Cost

Form RFA 01-2026 Appendix C: Budget Narrative Checklist

FOR GRANT APPLICANT USE ONLY. DO NOT RETURN THIS FORM WITH THE APPLICATION.

This checklist will assist you in completing the budget narrative portion of the application. Please review the checklist to ensure the items below are addressed in the budget narrative.

NOTE: The budget and budget narrative, as well as forms SF-424 and SF-424A must be in line with the proposal project description (statement of work) bona fide need. FNA reserves the right to request information not clearly addressed. All funding requests must be in whole dollars.

Personnel

Did you include all key employees paid for by this grant under this heading?

Are employees of the applicant’s organization identified by name and position title?

Did you reflect percentage of time the Project Director will devote to the project in full-time equivalents (FTE)?

Fringe Benefits

Did you include your organization’s fringe benefit amount along with the basis for the computation?

Did you list the type of fringe benefits to be covered with Federal funds?

Travel

Are travel expenses itemized? For example, origination/destination points, number and purpose of trips, number of staff traveling, mode of transportation and cost of each trip.

Are the attendee objectives and travel justifications included in the narrative?

Is the basis for the lodging estimates identified in the budget? For example, include excerpt from travel regulations.

Equipment

Is the need for the equipment justified in the narrative?

Are the types of equipment, unit costs, and the number of items to be purchased listed in the budget?

Is the basis for the cost per item or other basis of computation stated in the budget?

Supplies

Are the types of supplies, unit costs, and the number of items to be purchased reflected in the budget?

Is the basis for the costs per item or other basis of computation stated?

Contractual: (FNA reserves the right to request information on all contractual awards and associated costs after the contract is awarded.)

Has the bona fide need been clearly identified in the project description to justify the cost for a contract expense(s) shown on the budget?

A justification for all Sole-source contracts must be provided in the budget narrative prior to approving this identified cost.

Other

For all line items listed under the “other” heading – List items to be covered along with the methodology on how costs were derived.

Are all subgrantees and associated information listed in accordance with the guidance found in “Application budget narrative” in Section 4 of the RFA?

Indirect Costs

Has the applicant obtained a negotiated indirect cost rate agreement (NICRA) from a Federal agency? If yes, a copy of the most recent and signed negotiated rate agreement must be provided along with the application.

2 CFR 200 allows any non-Federal entity (NFE) that has never received a negotiated indirect cost rate to charge a de Minimis rate of 15% of modified total direct costs (MTDC), which the NFE may use indefinitely as a Federally negotiated rate. Is this included where applicable?

Is the requested funding amount listed in the SF-424, SF-424A, and the budget narrative less than or equal to the amount indicated for your State agency in Appendix A: FY 2026 WIC General Infrastructure Maximum Award Amounts for Individual State Agency Applications

Form RFA 01-2026