Program_Budget_Form.doc

DOC document 88 KB Posted

Attached to
Refugee Employment and Skills Enhancement Training (RESET) Program
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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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 .