Program_Budget_Form.doc
DOC document 88 KB Posted
- Solicitation number
- BD-26-1078-ORI1A-ORI-130597
- Issued by
- Massachusetts
About this file
This is a Program Budget Form used by the Massachusetts Office for Refugees for cost reimbursement contracting related to the Refugee Employment and Skills Enhancement Training (RESET) Program. The form is designed to capture comprehensive budget information for service providers delivering ESOL/VESOL, employment, employability, and workforce training services to eligible refugees. The budget template accommodates multiple fiscal years and allows for tracking current amendments and new funding allocations, with sections for documenting changes in Full-Time Equivalents (FTE) and associated costs across various budget categories.
The form structure organizes reimbursable costs into five primary categories: Direct Care/Program Support Staff (including salaries, payroll taxes, and fringe benefits); Occupancy costs (facility operations, maintenance, and furnishings); Other Direct Care/Program Support (covering consultants, temporary help, client stipends, subcontracts, training, transportation, supplies, and client wages); Direct Administrative Expenses (program support and administrative allocation); and Agency Administrative Support. The budget includes provisions for contractor board-approved capitalization levels for specific expense categories and requires detailed documentation of non-reimbursable costs on separate attachments when subject to Federal OMB Circular A-122 and Massachusetts 808 CMR 1.00 regulations. For-profit contractors may include commercial fees for informational purposes only, though such fees are not included in Commonwealth reimbursement for cost reimbursement contracts.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment3_Program Outcomes_RESET_RFR.docx | DOCX document | |
| form_commonwealth-terms-and-conditions-for-human-and-social-services~13.pdf | ||
| financial_qualification_form~2.pdf | ||
| RFR_FFY27_RESET_CoverPage.doc | DOC document | |
| form_w-9~10.pdf | ||
| FFY26_RESET_RFR_FINAL.docx | DOCX document | |
| instructions_standard-contract-form~11.pdf | ||
| form_contractor-authorized-signatory-listing-for-contractors~4.pdf | ||
| SDP-FORM-for-POS.xlsx | XLSX spreadsheet | |
| form_standard-contract~1.pdf | ||
| Attachment2_ClientsDemographics_RESET_RFR.docx | DOCX document | |
| form_qualification_instructions~4.pdf | ||
| EFT Form.pdf |
Show all 13
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Text version
FY:
Contractor Name:
Amendment #,if Applicable:
If Federal Funds, CFDA #:
PURCHASE OF SERVICE - ATTACHMENT 3: FISCAL YEAR PROGRAM BUDGET
Program Name:
| Document ID#: |
| MMARS Activity Code: |
| Program Type: |
| UFR Prog. #: |
| Current |
| Amend. Change |
| New |
| FTE |
| Amount |
| FTE |
| Amount |
| FTE |
| Amount |
| COST REIMBURSEMENT ONLY |
Program Component
| Offset |
| Source |
| Reimbursable |
Cost
UFR Title
Direct Care/Program Support Staff/Overtime/
Shift Differential & Relief (Titles 101-141)
SUBTOTAL STAFF
| 150 |
| Payroll Taxes |
| 151 |
| Fringe Benefits |
| T 100 |
| Total Direct Care/Program Staff |
| Title |
| Occupancy |
| 301 |
| Program Facilities |
| * |
| 390 |
| Fac. Oper/Main/Furn |
| T 300 |
| Total Occupancy |
| UFR Title |
| Other Direct |
Care/Program Support
| 201 |
| Direct Care Consultant |
| 202 |
| Temporary Help |
| 203 |
| Clients/Caregivers. Reimb/Stipends |
| 206 |
| Subcontract Dir.Care |
| 204 |
| Staff Training |
| 205 |
| Staff Mileage/Travel |
| 207 |
| Meals |
| 208 |
| Contracted Client Trans. |
| * |
| 208 |
| Vehicle Expenses |
| * |
| 208 |
| Vehicle Depreciation |
| 209 |
| Incid. Health/Med Care |
| 211 |
| Client Per. Allowances |
| 212 |
| Prov. of Material Good |
| 214 |
| Direct Client Wages |
| 214 |
| Other Commercial Prod. & Svs. |
| * |
| 215 |
| Program Supplies/Mat |
| T 200 |
| Total Other Direct Care/Program |
| Title |
| Direct Admin Expenses |
| 216 |
| Program Support |
| * |
| 510 (410 & 390) |
| Other Direct Administrative Expenses |
| T 500 |
| Total Direct Administrative Exp. |
| T |
| SUBTOTAL PROGRAM COSTS |
| * |
| 410 |
| Agency Admin. Support Allocation |
| % $ |
| T |
| PROGRAM TOTAL |
Commercial Fee, if applicable, for for-profit contractors only (for informational purposes only; not to be included in the price paid by the Commonwealth): %___$___: N/A for Cost Reimbursement
A. $ ___________ Subtotal of offsets which are for non-reimbursable costs.
Non-reimbursable costs must be shown in detail on Attachment 5 when the program is subject to the provisions of Federal OMB Circular A-122 and/or 808 CMR 1.00.
* Contractor’s Board approved capitalization level relative to any negotiated expense costs in lines 208, 215, 390 or 410 is $___________ Updated 6/19/07 Sensitivity level - low
File details come from the government source that posted it. Updated .