ICAP Budget detail worksheet.xlsm
XLSM spreadsheet 41 KB Posted
- Opportunity number
- ICAP-ICAP-24-001
- Issued by
-
Social Security Administration
About this file
This document appears to be a Budget Detail Worksheet for the Interventional Cooperative Agreement Program (ICAP) Round 4 funding opportunity. The worksheet provides a template for detailing personnel, travel, equipment, supplies, contractual, and other costs associated with the grant project. It includes calculations for salaries, fringe benefits, and indirect costs.
The related federal grant opportunity is the Social Security Administration's ICAP funding, which provides cooperative agreements to collaborate with states, foundations, and other organizations to identify, operate, evaluate, and partially fund interventional research. The goal is to increase employment and self-sufficiency of individuals with disabilities, coordinate planning between agencies, assist claimants in underserved communities, and conduct outreach. The program is funded under the Social Security Research and Demonstration grant program (CFDA 96.007) and has a project period of up to 5 years.
Required Budget Spreadsheet
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Other files
| File | Type | Posted |
|---|---|---|
| Risk Assessment Form.docx | DOCX document |
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Text version
Cost Breakouts
| 2024 ICAP Round 4 |
| Budget Detail Worksheet |
| Note: This is the preferred format. You must check the formulas and all calculations. |
Personnel Breakdown
| NAME | Position | Annual Salary | %time | Total Requested |
| Jane Smith | Executive Director (sample) | 100% | - | |
| John Smith | Project Director (sample) | 100% | - | |
| 100% | - | |||
| 100% | - | |||
| 100% | - | |||
| 100% | - | |||
| 100% | - | |||
| 100% | - |
TOTAL SALARIES AND WAGES -
TOTAL FRINGE BENEFITS Enter percentage → 0.00% -
CATEGORICAL BREAKOUTS
| TRAVEL | Unit Cost | #trips/nights | FTE | Totals |
| Travel Event | ||||
| Airfare | - | |||
| Lodging | - | |||
| Parking | - | |||
| Per diem | - | |||
| Meals | - | |||
| Mileage |
Trotter, Linda Contractor: Current Federal Rate is 54.5 cents per mile
| - | |
| Subtotal | - |
| Travel Event | |
| Airfare | - |
| Lodging | - |
| Parking | - |
| Per diem | - |
| Meals | - |
| Mileage |
Trotter, Linda Contractor: Current Federal Rate is 54.5 cents per mile
Trotter, Linda Contractor: Current Federal Rate is 54.5 cents per mile
| - | |
| Subtotal | - |
| TOTAL TRAVEL | - | |||
| EQUIPMENT | Location/description/purpose | Unit Cost | # | |
| Description | ||||
| Description | - | |||
| Description | - |
| TOTAL EQUIPMENT | - | |||
| SUPPLIES | Location/description/purpose | FTE | months | |
| Enter description here | - | |||
| Enter description here | - | |||
| Enter description here | - | |||
| Enter description here | - | |||
| Enter description here | - | |||
| Enter description here | - | |||
| Enter description here | - | |||
| Enter description here | - | |||
| Enter description here | - |
TOTAL SUPPLIES -
| CONTRACTUAL | Purpose | Rate | Freq | |
| Contract/Contractor name | - | |||
| Contract/Contractor name | - | |||
| Contract/Contractor name | - |
TOTAL CONTRACTUAL -
| OTHER | Unit Cost | Unit of Measure | Quantity | |
| Description | - | |||
| Description | - | |||
| Description | - | |||
| Description | - | |||
| Description | - | |||
| Description | - | |||
| Description | - | |||
| Description | - | |||
| Description | - | |||
| Description | - | |||
| Description | - | |||
| Description | - | |||
| Description | - | |||
| Description | - | |||
| Description | - |
TOTAL OTHER -
| SUMMARY | |
| TOTAL SALARIES AND WAGES | - |
| TOTAL FRINGE | - |
| TOTAL TRAVEL | - |
| TOTAL EQUIPMENT | - |
| TOTAL SUPPLIES | - |
| TOTAL CONTRACTUAL | - |
| OTHER | - |
| TOTAL DIRECT COSTS | - |
| INDIRECT COSTS | - |
TOTAL AWARD -
&F &D
Risk Assessment
| PRE-AWARD RISK ASSESSMENT - State - Organization | DATE | YES | NO | N/A |
| Note - you may use this version or the Word version provided. You are not required to complete 2 Risk Assessments | ||||
| 1. If applicant is a non-profit, please provide the following: | ||||
| a. When was organization founded/incorporated (month/day/year)? | ||||
| b. What is fiscal year end (month/day/year)? | ||||
| c. Please provide the names and titles for the Principal Officers? |
d. What is the current number of employees (full-time and part-time)?
| 2. Has an annual audit in accordance with the Single Audit Act and OMB Circular A-133 ever been |
| performed on the organization? If so, what was the last fiscal year that was audited in accordance |
| with the Single Audit Act and OMB Circular A-133? |
| 3. If an OMB Circular A-133 audit was not performed on organization for the last completed fiscal |
| year, did an independent Certified Public Accountant (CPA) examine your financial statements? |
| If so, please submit a copy of their latest report and any management letters issued? If an |
| independent CPA was engaged to perform a review but no report was issued, please provide |
| details and an explanation. |
| 4. Do they currently have any Federal grant awards? If yes, please identify the total dollar amount |
| of the grant, federal agency that awarded the grant, project period fo the grant and the name and |
| contact information for the grant management officer. |
| 5. If they currently have Federal grants has any of them been identified by the Federal Awarding |
| Agency as a High Risk grant? If so, please explain. |
| 6. Is the accounting system in accordance with generally accepted accounting principles? If no, |
| please explain. |
| 7. Is the accounting system currently in full operation? If not, please describe the portions that are |
| (a) in full operation, (b) set-up, but not yet in operation, © anticipated, or (d) nonexistent. |
| 8. Can the accounting system adequately identify and accumulate the receipt and expenditure of |
| funds by federal grant? If no, please explain. |
| 9. Are documents maintained to support expenditures of funds under a federal grant? If no, please |
| explain. |
| 10. Are timekeeping/distribution records maintained for employees that accurately reflect the work |
| performed so his/her effort can be specifically identified to a particular cost objective? If no, |
| please explain. |
| 11. If the organization proposes an indirect cost rate, does the accounting system provide for the |
| segregation of direct costs from indirect costs? If no, please explain. |
| 12. Are internal controls in place to provide reasonable assurance regarding the achievement of |
| objectives in effectiveness and efficiency of operations, reliable financial reporting and compliance |
| with laws, regulations and policies? |
| 13. Do they have written procedures for determining the allowability of costs in accordance with 2 |
| CFR 200's Subpart E-Cost Principles? If no, please explain. |
| 14. If Federal grant/contract funds are commingled with organization funds, can the Federal grant |
| funds and related costs and expenses be readily identified? If no, please explain. |
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