SF424C_2_0-V2.0 (1).pdf

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Ambassador's Special Self-Help Fund
Opportunity number
DOS-COD-SSHF-FY22-001
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This document is a budget information form for construction programs seeking federal grant funding. It requires applicants to provide cost breakdowns across 12 categories including administrative expenses, land acquisition, relocation costs, engineering fees, construction, equipment, and contingencies. Applicants must identify total costs, unallowable expenses, and allowable costs for each item. They must also specify the requested federal funding share as a percentage of allowable costs determined in consultation with the agency.

The related federal grant opportunity is to provide funding from the Ambassadors' Special Self-Help Fund administered by the U.S. Embassy in Kinshasa, Democratic Republic of the Congo. It falls under the federal grant program numbered 19.220. Applicants should complete the budget form to specify costs for projects seeking support. The document provides the framework for outlining and justifying expenditures eligible for federal reimbursement.

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SF424C

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FY22 SSH Official NOFO.pdf PDF

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SF424C_2_0

win2k D:20061115102127- 05'00' D:20061115102127- 05'00' OMB Number: 4040-0008 Expiration Date: 02/28/2025 BUDGET INFORMATION - Construction Programs NOTE: Certain Federal assistance programs require additional computations to arrive at the Federal share of project costs eligible for participation. If such is the case, you will be notified.

COST CLASSIFICATION

a. Total Cost

FEDERAL FUNDING

b. Costs Not Allowable for Participation

c. Total Allowable Costs (Columns a-b)

1. Administrative and legal expenses

2. Land, structures, rights-of-way, appraisals, etc.

3. Relocation expenses and payments

4. Architectural and engineering fees

5. Other architectural and engineering fees

6. Project inspection fees

7. Site work

8. Demolition and removal

9. Construction

10. Equipment

11. Miscellaneous

12. SUBTOTAL (sum of lines 1-11)

14. SUBTOTAL

15. Project (program) income

17. Federal assistance requested, calculate as follows:

(Consult Federal agency for Federal percentage share.)

Enter the resulting Federal share.

16. TOTAL PROJECT COSTS (subtract #15 from #14)

13. Contingencies Enter eligible costs from line 16c Multiply X

Mandatory:
ViewBurdenStatement:
TextField1:
1. a: Total Cost of Administrative and legal expenses:
1. b: Costs Not Allowable for Participation in Administrative and legal expenses:
1. c: Total Allowable Costs (Columns a-b) of Administrative and legal expenses. This is a calculated field.:
2. a: Total Cost of Land, structures, rights-of-way, appraisals, etc.:
2. b: Costs Not Allowable for Participation in Land, structures, rights-of-way, appraisals, etc.:
2. c: Total Allowable Costs (Columns a-b) of Land, structures, rights-of-way, appraisals, etc. This is a calculated field.:
3. a: Total Cost of Relocation expenses and payments:
3. b: Costs Not Allowable for Participation in Relocation expenses and payments:
3. c: Total Allowable Costs (Columns a-b) of Relocation expenses and payments. This is a calculated field.:
4. a: Total Cost of Architectural and engineering fees:
4. b: Costs Not Allowable for Participation in Architectural and engineering fees:
4. c: Total Allowable Costs (Columns a-b) of Architectural and engineering fees. This is a calculated field.:
5. a: Total Cost of Other architectural and engineering fees:
5. b: Costs Not Allowable for Participation in Other architectural and engineering fees:
5. c: Total Allowable Costs (Columns a-b) of Other architectural and engineering fees. This is a calculated field.:
6. a: Total Cost of Project inspection fees:
6. b: Costs Not Allowable for Participation in Project inspection fees:
6. c: Total Allowable Costs (Columns a-b) of Project inspection fees. This is a calculated field.:
7. a: Total Cost of Site work:
7. b: Costs Not Allowable for Participation in Site work:
7. c: Total Allowable Costs (Columns a-b) of Site work. This is a calculated field.:
8. a: Total Cost of Demolition and removal:
8. b: Costs Not Allowable for Participation in Demolition and removal:
8. c: Total Allowable Costs (Columns a-b) of Demolition and removal. This is a calculated field.:
9. a: Total Cost of Construction:
9. b: Costs Not Allowable for Participation in Construction:
9. c: Total Allowable Costs (Columns a-b) of Construction. This is a calculated field.:
10. a: Total Cost of Equipment:
10. b: Costs Not Allowable for Participation in Equipment:
10. c: Total Allowable Costs (Columns a-b) of Equipment. This is a calculated field.:
11. a: Total Cost of Miscellaneous:
11. b: Costs Not Allowable for Participation in Miscellaneous:
11. c: Total Allowable Costs (Columns a-b) of Miscellaneous. This is a calculated field.:
12. a: Subtotal (sum of lines 1-11) of Total Cost. This is a calculated field.:
12. b: Subtotal (sum of lines 1-11) of Costs Not Allowable for Participation. This is a calculated field.:
12. c: Subtotal (sum of lines 1-11) of Total Allowable Costs (Columns a-b). This is a calculated field.:
13. a: Total Cost of Contingencies:
13. b: Costs Not Allowable for Participation in Contingencies:
13. c: Total Allowable Costs (Columns a-b) of Contingencies. This is a calculated field.:
14. a: Subtotal of Total Cost. This is a calculated field.:
14. b: Subtotal of Costs Not Allowable for Participation. This is a calculated field.:
14. c: Subtotal of Total Allowable Costs (Columns a-b). This is a calculated field.:
15. a: Total Cost of Project (program) income:
15. b: Costs Not Allowable for Participation in Project (program) income:
15. c: Total Allowable Costs (Columns a-b) of Project (program) income. This is a calculated field.:
16. a: Total Project Costs (subtract #15 from #14) of Total Cost. This is a calculated field.:
16. c: Total Project Costs (subtract #15 from #14) of Total Allowable Costs (Columns a-b). This is a calculated field.:
16. b: Total Project Costs (subtract #15 from #14) of Costs Not Allowable for Participation. This is a calculated field.:
Federal percentage share: Consult Federal agency for Federal percentage share:
17. c: Federal Funding Share. This is a calculated field.:
TextField2:
XDPFirstField:

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