SSP Example Applicant Budget (Resource Only).xlsx
XLSX spreadsheet 59 KB Posted
- Attached to
- Fiscal Year 2023 Shelter and Services Program Federal grant opportunity
- Opportunity number
- DHS-23-GPD-141-00-99
- Issued by
- Federal Emergency Management Agency
About this file
SSP Example Applicant Budget (Resource Only)
View the file
Other files for this federal grant opportunity
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|---|---|---|
| FY 2023 SSP Performance Progress Report Template.xlsx | XLSX spreadsheet | |
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| DHS A Number Submission Template tranche 2.xlsx | XLSX spreadsheet | |
| Draft DHS A Number Submission Template.xlsx | XLSX spreadsheet | |
| FY23 SSP Amended NOFO_FINAL.pdf | ||
| FY 2023 NOFO SSP v6_GPD Approved_Triad_RSL_SRL+oga_SRL_508.pdf |
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Tab 3 Budget Worksheet Fiscal Year 2023 (FY23) Shelter and Services Program
Instructions for Preparing the Application Budget Budget Narrative: Please state Budget Narrative information in the Item description fields below. Make sure to include a brief description of how your organization plans to use award funding to meet the goals and objectives of the program for each budget Category ("Activity" as referred to in FEMA GO) and each Line Item ("Cost Item" as referred to in FEMA GO). You should also include in the Item Description field the calculation you used in columns D–G to formulate your costs.
Budget Details: Make sure to clearly state quantities, unit prices, hourly rates, number of hours/days/months and any other descriptors that help account for the Category (Activity), Line Item (Cost Item), and total federal project costs as indicated below. For items that are for subrecipients, please identify the name (may be abbreviated, so long as it is identifiable) of the subrecipient for each line item associated with that subrecipient. (Example: "Subrecipient XYZ - Linen Sheets, QTY 50 per month, Funded for 6 months, subtotal: $3,000.00"). The more information that is included with each proposed line item, the more it will help determine allowable costs that align with the Shelter and Services Program guidelines.
Reminder: SSP makes federal funds available to enable non-federal entities to off-set allowable costs incurred for services associated with noncitizen migrant arrivals in their communities, within the project period, according to program requirements. All costs charged to awards covered by this NOFO must comply with the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 2 C.F.R.
Part 200, unless otherwise indicated in the NOFO, or the terms and conditions of the award.
For more information on FY 2023 SSP program requirements, including allowable costs and funding use restrictions, please click here to find the following:
The Department of Homeland Security (DHS) Notice of Funding Opportunity (NOFO) Fiscal Year 2023 Shelter and Services Program https://www.fema.gov/grants/preparedness/shelter-services-program/
For SSP-specific questions or questions related to this application, please e-mail fema-ssp@fema.dhs.gov.
Shelter
| (FEMA GO Crosswalked to Primary Services: Contractual) |
| Budget Narrative Instructions for Shelter: In the field below, please describe how your organization plans to use the award funding to meet the objectives of the program. |
Sample Budget Narrative Language: We will provide sleeping arrangements for 500 eligible noncitizen migrants, for 6 months, 7 nights a week. To accomplish this we need to purchase 500 beds at a cost of $100 a bed.
Entity uses two congregate shelters.
Shelter A can shelter a maximum of 150 asylum seekers per night. Entity has budgeted allowable primary shelter costs at $13,051/month. This monthly total is based on recent actuals, detailed by line item in the table below.
Shelter B can shelter a maximum of 350 asylum seekers per night. Entity has budgeted allowable primary shelter costs at $136,914/month. This monthly total is based on recent actuals, detailed by line item in the table below.
In addition to the two congregate shelters listed above, Entity will use available non-congregate hotel/motel shelter support. Entity will ensure it complies with the not to exceed (NTE) 5% rate of total funding allocation as stipulated in Notice of Funding Opportunity. Entity will also comply with NTE room rates set by the U.S. General Services Administration (GSA). Because 2024 rates are not yet available, Entity used the NTE GSA 2023 rates to forecast NTE GSA 2024 hotel room rates.
| Total Requested Amount for Shelter | $1,469,860.00 |
| Nights of Lodging in an overnight congregate facility |
Requirements for Overnight Congregate Facility Allowable Costs:
Per diem per noncitizen migrant sheltered in an overnight congregate facility; applicants can request full per diem on the first and last days of any multiday stay (rate cannot exceed $12.50 per noncitizen migrant per day) OR rental costs of real property used for providing services covered under SSP.
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample Overnight in Congregate Facility | $ 10.00 | 2,600 | 100 beds | 26 Weeks | $ 26,000.00 |
| Item Description | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Utilities (electricity, gas, water) | $603 | N/A | Monthly | 4 months | $2,412.00 |
| Maintenance and repairs | $5,681 | N/A | Monthly | 4 months | $22,724.00 |
| Contracted services (laundry, trash pickup, janitorial, pest control) | $6,767 | N/A | Monthly | 4 months | $27,068.00 |
| Monthly base rent cost | $55,408 | N/A | Monthly | 4 months | $221,632.00 |
| Lease of temporary, portable structures (portable restrooms) | $9,795 | N/A | Monthly | 4 months | $39,180.00 |
| Utilities (electricity, gas, water) | $3,371 | N/A | Monthly | 4 months | $13,484.00 |
| Maintenance and repairs | $13,459 | N/A | Monthly | 4 months | $53,836.00 |
| Contracted Services (laundry, trash pickup, janitorial, pest control) | $54,881 | N/A | Monthly | 4 months | $219,524.00 |
| Subtotal Requested Amount for Nights of Lodging in an overnight congregate facility | $599,860.00 |
| Nights of Lodging in a Hotel/motel service |
Requirements for Hotel/Motel Allowable Costs:
Hotel/motel service provided for 45 days per individual or family (hotel/motel service cannot exceed 10% of the total funding requested by the applicant).
Hotel/motel room costs used to provide services should be reasonable based on the rate set by the U.S. General Services Administration (GSA) for the location plus necessary taxes and fees, or to the extent the costs do not exceed charges normally allowed by the applicant in its regular operations.)
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample Overnight in Hotel/Motel Service | $ 32.00 | 1,200 | 100 beds Per week | 12 Weeks | $ 38,400.00 |
| Item Description | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| January 2024 - April 2024 NTE Cost per Room ($145/night) | $145 per night | 50 | 30 days/ month average | 4 months | $870,000.00 |
| Subtotal Requested Amount for Nights of Lodging in a Hotel/motel service | $870,000.00 |
| Other Allowable Lodging Related Activities |
Other allowable lodging related activities/costs include:
• Cots and beds, including pillows
• Temporary structures (e.g., tents)
• Linens (e.g., sheets, towels, wash cloths)
• Overnight shelter utilities (electricity, gas, water) (rate cannot exceed $10 per noncitizen migrant served per day)
• Non-overnight facility utilities (electricity, gas, water) (rate cannot exceed $5 per noncitizen migrant served per day)
• Maintenance and housekeeping (e.g., repair and cleaning supplies, shower maintenance)
• Contracted Services (e.g., security, laundry, trash pickup, cleaning services)
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Pillows | $ 3.95 | 300 | 100 per month | 3 months | $ 1,185.00 |
| Item Description | Per Unit Price/hourly rate | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
Subtotal Requested Amount for Other Allowable Lodging Related Activities
Food
| (FEMA GO Crosswalked to Primary Services: Equipment) |
| Budget Narrative Instructions for Food: In the field below, please describe how your organization plans to use the award funding to meet the objectives of the program. |
| Entity intends to use SSP funds to offset the cost of food items (provided in the form of pre-packed lunches and dinners) and contracted meals (served at multiple locations). | |
| Total Requested Amount for Food | $ 870,040.00 |
| Food Items |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Meals for Non-Citizen Migrants | $ 7.00 | 27,000 | 3 meals per day times 150 people | 180 days | $ 567,000.00 |
| Item Description | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| 4,020 meals provided per month x $5.00 average cost for food purchased X 10 months=201,00 | $5.00 per meal | 4,020 | 402 per month | 10 months | $ 201,000.00 |
| Subtotal Requested Amount for Food Items | $ 201,000.00 |
| Food Banks |
Covers both direct food/meal-supportive purchases for noncitizen migrants recently released by DHS and indirect support of noncitizen migrants recently released by DHS by giving food/meal supportive items to other agencies that provide the direct services. Please indicate "Direct" or "Indirect" in the item description.
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: | 180 days | $ - 0 | |||
| Item Description | Per Unit Price/Cost per Meal | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
| Subtotal Requested Amount for Food Banks |
| Contracted Meals (Rate cannot exceed $15 per meal) |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: XYZ Contractor, providing meals for Non-Citizen Migrants | $ 12.00 | 27,000 | 150 meals per day | 180 days | $ 324,000.00 |
| Contractor Name/Service Description | Per Unit Price/Cost per Meal | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
| Contracted meals at multiple locations (3 meals per individual daily) | $13/meal | 12000 NCM (total) | 3 meals / day | 6 months | $468,000.00 |
| Subtotal Requested Amount for Contracted Meals | $468,000.00 |
| Other Allowable Food Related Items/Costs |
Other allowable Food related activities/costs include:
• Storage containers to separate bulk food purchases.
• Utensils (e.g., plates, forks, knives).
• Cookware (e.g., pots, pans).
• Maintenance and housekeeping (e.g., repair and cleaning supplies).
• Contracted Services (e.g., security, trash pickup, cleaning services).
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Storage containers for Bulk Rice | $ 18.00 | 40,000 | 100 Containers | Single Time Purchase | $ 1,800.00 |
| Item Description | Per Unit Price/hourly rate | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
| Utensils, bags, plates, napkins, hard sided water bottles for each asylum | $4.00 per set | 5026 per month | 5026 per month | 10 months | $ 201,040.00 |
Subtotal Requested Amount for Other Allowable Food Related Items/Costs $ 201,040.00
Transportation
| (FEMA GO Crosswalked to Primary Services: Fringe Benefits) |
| Budget Narrative: Please describe how the funding will be used across the budget line items. Make sure to account for quantities, unit prices, hourly rates, number of hours/days/months and any other descriptors that help account for the overall cost. |
TRANSPORTATION SUBCATEGORY: TRANSPORTATION FROM DHS RELEASE LOCATION TO SHELTER
AND SERVICES PROVIDER LOCATION
Entity procures transportation services to provide transport for asylum seekers. For FEMA-SSP subcategory costs detailed in the three tables below, please note that our vendors use charter buses (up to 56 passengers), converted school buses (up to 47 passengers), mini coaches (up to 37 passengers), or minivans (up to 17 passengers), depending on what pick-up numbers are communicated by DHS agencies to Entity. Please also note that each of the three tables below provide details for three different pick-up routes that fall within the definition of the SSP NOFO transportation subcategory. Entity procures transportation services to provide transport for asylum seekers. For FEMA-SSP NOFO transportation subcategory costs detailed in the table below, note that vendors use charter buses (up to 56 passengers), converted school buses (up to 47 passengers), mini coaches (up to 37 passengers), or minivans (up to 17 passengers), depending on the number of asylum seekers transported. TRANSPORTATION SUBCATEGORY: TRANSPORTATION FROM SERVICE PROVIDER TO TRANSPORTATION HUB Entity provides its public bus transportation service to help transport asylum seekers to Airport each day. The buses pick up asylum seekers at our two congregate shelters as well as hotels. SUBCATEGORY: TRANSPORTATION FROM SERVICE PROVIDER TO TRANSPORTATION HUB Entity procures transportation services to provide transport for asylum seekers. For FEMA-SSP NOFO transportation subcategory costs detailed in the table below, please note the Entity uses a competitively procured taxi service to facilitate transport to transportation hubs including the Airport. TRANSPORTATION SUBCATEGORY: ONWARD TRAVEL The total onward travel budget in the table below is less than the NTE 10% ceiling. Additionally, the airfare cost detailed complies with the NTE 5% threshold.
| Total Requested Amount for Transportation | $2,105,666.36 |
| Transportation from DHS release to shelter and services provider location (including contracted services, vehicle rental, gas, insurance, drivers) incurred for services provided for families and individuals within 45 days of their release by DHS. |
Eligible transportation expenses from DHS facility to shelter include charter bus, taxi, mileage, etc. (mileage rate cannot exceed current GSA federal rate).
Rental/lease of multi passenger vans used only for the purpose of transportation of noncitizen migrants from DHS facility to shelter and service provider location.
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Bus Transport from DHS Facility to Shelter; Unit price per person. | $ 8.00 | 18,000 | 100 People per day | 180 days | $ 144,000.00 |
| Item Name | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Transporation from DHS Release Location to Shelter A | $726.20 | 140 per trip/4,260 per month | 33 trips per month | 4 months | $95,858.40 |
| Transportation from DHS Release Location to Shelter B | $724.12 | 24 per trip/1,440 per month | 60 trips per month | 4 months | $173,788.80 |
| Subtotal Requested Amount for Transportation from DHS release to shelter and services provider location | $269,647.20 |
| Onward destination transportation is defined as transportation from a shelter and services provider to a noncitizen migrant’s final destination/point of contact (cannot exceed 10% of the total funding requested by the applicant). |
Long distance transportation includes air, bus, or train expenses to move families and individuals within 45 days of their release by DHS to another city or state.
Only coach class fares are eligible when providing long distance transportation.
If tickets are purchased for individuals, airfare cannot exceed $700 per ticket.
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Airline ticket to final destinations | $ 450.00 | 72 | 12 per month | 6 months | $ 32,400.00 |
| Item Name | Per Unit Price/Cost per Meal | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
| Onward Travel: from aiport/bus station to final destinations (January-April 2024) | $291.76 (plane ticket) | 355 NCM | 355 NCM per month | 4 months | $414,299.20 |
| Onward Travel: from aiport/bus station to final destinations (January-April 2024) | $200 (bus ticket) | 308 NCM | 308 NCM per month | 4 months | $246,400.00 |
| Transportation from Shelters A and B to Transportation Hubs | $105.25 | 3 per trip/5,259 per month | 1753 trips | 4 months | $738,013.00 |
| Transporation from Shelters A and B to Airport | $174.35 | 36 per trip/6,678 per month | 188 trips | 4 months | $131,111.20 |
| Subtotal Requested Amount for Onward destination transportation | $1,529,823.40 |
| Service provider to service provider transportation is defined as transportation from one shelter and services provider to another to decompress the population at a shelter. This travel must be coordinated between service locations prior to travel, and there needs to be documentation of the coordination (see below under the bullet on Interstate bus chartering for the exact list of documentation). Service provider to service provider transportation also includes transportation from service provider to a transportation hub (e.g., airport, bus station, train station, etc.) |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Bus from shelter to airport | $ 10.00 | 720 | 120 per month | 6 months | $ 7,200.00 |
| Contractor Name | Per Unit Price/Cost per Meal | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
| Transportation from Shelter B to Shelter A | $1,042.17 | 42 per trip/1,848 per month | 42 trips | 4 months | $175,084.56 |
| Transporation from Shelters A and B to Airport | $174.35 | 36 per trip/6,678 per month | 188 trips | 4 months | $131,111.20 |
| Subtotal Requested Amount for Service provider to service provider transportation | $306,195.76 |
| Key Points related to transportation: |
• Transportation used must be the most cost-effective form
• Any form of contracted transportation services must meet the procurement standards in 2 C.F.R. Part 200.
• International transportation is not eligible to provide services for families and individuals within 45 days of their release by DHS, only services provided within the United States are allowed.
• Charter bus and other forms of grouped transportation should operate at a minimum of 75% capacity.
• Rideshare expenses may be included to move families and individuals between recipients even if not to their onward destination.
• If rideshares are purchased for individuals, total mileage cannot exceed 50 miles per ride
• All fares must be coach class on a commercial airline or train; any form of “luxury” transportation is not eligible (e.g., business or first class, limousine services, etc.).
• Parking (e.g., local street, airport).
• Interstate bus chartering is defined as the contracting of transportation, typically a bus, travelling from one state to another state. While this resource has the potential to be used effectively, interstate bus chartering can present severe humanitarian challenges for families and individuals released by DHS if implemented improperly and may result in transport to other states with no information or support, severe medical challenges, or misinformation about available resources at their destination.
o For interstate bus chartering to be considered an eligible expense, applicants must provide documentation of coordination, communication, and affirmative confirmation with a receiving jurisdiction or organization.
o Coordination includes, but is not limited to, a minimum of 48-hour (distance permitting) notice before arrival.
o An identified arrival time and location that is suitable for the receiving jurisdiction.
o A certification that all passengers are noncitizen migrants who have been released by DHS within the preceding 45 days.
o The identification of any critical unmet needs.
• The chartering of aircraft, watercraft, or other vehicle not specifically stated in this guidance is ineligible.
• If an individual within 45 days of their release by DHS presents themselves or is observed to have acute or severe medical issues, those must be addressed before engaging in long-distance travel or the associated charter will be considered ineligible.
Acute Medical Care
| (FEMA GO Crosswalked to Primary Services: Personnel) |
| Budget Narrative: Please describe how the funding will be used across the budget line items. Make sure to account for quantities, unit prices, hourly rates, number of hours/days/months and any other descriptors that help account for the overall cost. |
| On average, 5,000 people at entity's location receive on-site medical care, screening, etc. every month (based on 6 month historical average) | |
| Total Requested Amount for Acute Medical Care | $ 94,713.60 |
| Basic first aid care and supplies (e.g. band-aids) |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample Bandaids | $ 7.95 | 1,040 | 40 per week | 26 Weeks | $ 8,268.00 |
| Item Name | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Bandaging material, topical ointments, adhesive bandaids | $3.00 | 5000 NCM (total) | 500 per month | 10 months | $ 15,000.00 |
| Subtotal Requested Amount for Basic first aid care and supplies (e.g. band-aids) | $ 15,000.00 |
| Health screenings, including for mental health |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Medical Clinic Health Screening | $ 60.00 | 520 | 20 per week | 26 Weeks | $ 62,400.00 |
| Item Name | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
| Wellness screening | $41 / screening | 1000 NCM (total) | 100 per month | 10 months | $ 41,000.00 |
| Subtotal Requested Amount for Health screenings, including for mental health | $ 41,000.00 |
| Medical care for assessment and stabilization for onward travel, including ground-based ambulance transport |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Medical Assessment for onward travel | $ 65.00 | 130 | 10 per week | 13 Weeks | $ 8,450.00 |
| Item Name | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
| Subtotal Requested Amount for Medical care for assessment and stabilization for onward travel, including ground-based ambulance transport |
| Testing and limited care related to quarantining and isolation |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Rapid Test Kits | $ 4.25 | 4,800 | 1200 per month | 4 months | $ 20,400.00 |
| Item Name | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
| Rapid test kits for a multiple of illnesses, including but not limted to flu, malaria, strep throat and COVID-19 | $4.25 | 50,000 NCM (total) | 5,000 per month | 10 months | $ 21,250.00 |
| Subtotal Requested Amount for Medical care for assessment and stabilization for onward travel, including ground-based ambulance transport | $ 21,250.00 |
| Over-The-Counter Medication (e.g., aspirin). |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Over the counter medicine kit (includes acetaminophen, Naproxin and Calcium Carbonate) | $ 3.47 | 2,000 | 500 per month | 4 months | $ 6,940.00 |
| Item Name | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
| Pedialyte, ibuprofen, naproxin, acetaminophen, calcium carbonate (tums) | $41.77 | 5000 NCM (total) | 500 per month | 10 months | $ 11,799.00 |
| Subtotal Requested Amount for Over-The-Counter Medication | $ 11,799.00 |
| Personal Protective Equipment (PPE) for both shelter staff and noncitizen migrants |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Sterile Glove 500 pair pack | $ 6.00 | 16,000 | 2 packs per week | 16 weeks | $ 192.00 |
| Item Name | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
| Gloves for use by all providers when working patients; 1 set per person served | 0.113292 | 50,000 | 5,000 per month | 10 months | $ 5,664.60 |
| Subtotal Requested Amount for Personal Protective Equipment (PPE) for both shelter staff and noncitizen migrants | $ 5,664.60 |
| Limited Durable Medical Equipment (DME) |
Examples of DME include: bariatric cots, wheelchairs, wheelchair ramps, walkers, commodes, toilet seats, IV-Poles, canes, crutches, handheld shower, shower chair, transfer boards, gait belt, gravity feeding set, assistive listening devices, headset, magnifying glass, communication cards, adaptive eating devices, bedside commode, elevated toilet seat, 3-in-one commode, shower mat non-slip, digital infrared thermometer, seated (Bariatric) walker, comfort box, small refrigerator for medications.
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Walker | $ 67.55 | 24 | 24 | Single Time Purchase | $ 1,621.20 |
| Item Name | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
| Wrist braces, walkers, canes | Average 163.87/ item | 40 total NCM | 3 per month | 10 months | $ 4,916.00 |
| Subtotal Requested Amount for Limited Durable Medical Equipment (DME) | $ 4,916.00 |
| Prescription medication for managing acute or chronic care for up to 45 days per individual. |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Bronchial Inhalers | $ 42.00 | 300 | 50 per month | 6 months | $ 12,600.00 |
| Item Name | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
| Diabetic Insulin, Amoxcilillin, Bornchial Inhalers, Zithromaz, Ciprofloxacin, Erythromycin | 41.77 | 520 total NCM | 52 per Month | 10 months | $ 21,720.40 |
| Subtotal Requested Amount for Prescription medication for managing acute or chronic care for up to 45 days per individual. | $ 21,720.40 |
| Lab testing |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Lab panel testing | $ 115.00 | 60 | 10 per month | 6 months | $ 6,900.00 |
| Lab Name | Per Unit Price/Rate | # of Noncitizen Migrants Served | Qty Per day, week or month | # of days, weeks, or months provided for: | Total Cost |
Subtotal Requested Amount for Lab testing
Personal Hygiene Supplies
| (FEMA GO Crosswalked to Primary Services: Supplies) |
| Budget Narrative: Please describe how the funding will be used across the budget line items. Make sure to account for quantities, unit prices, hourly rates, number of hours/days/months and any other descriptors that help account for the overall cost. |
| At the currently utilized congregate shelter, entity furnishes hygiene kits to individuals in need. Kits include a 2 week supply of basic personal hygiene supplies (soap, toothpaste, etc) | |
| Total Requested Amount for Personal Hygiene Supplies | $ 11,078.00 |
| Personal hygiene supplies (hygiene items, toiletries, feminine hygiene products, baby wipes, diapers, etc.) |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Diapers (size 4, 29 pack) | $ 7.27 | 1,600 | 100 per week | 16 weeks | $ 11,632.00 |
| Item Name | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Hygiene kits (includes approx 15 day supply of deodorant, toothpaste/toothbrush, tissues, and other hygiene supplies) | 22.2 cents per kit | 25,000 NCM (total) | 5000 kits per month | 10 months | $ 11,078.00 |
Labor for Primary Services
| (FEMA GO Crosswalked to Primary Services: Travel) |
| Budget Narrative: Please describe how the funding will be used across the budget line items. Make sure to account for quantities, unit prices, hourly rates, number of hours/days/months and any other descriptors that help account for the overall cost. |
| Total Requested Amount for Labor for Primary Services |
| Labor for primary services (inclusive of staff time not at the director/manager level or administrative). |
Personnel necessary to manage cases to provide these services (coordinating initial transportation and onward destination movement).
Training for primary services (e.g., CDL-P training).
Staff time for primary services.
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Intake Staff (5 people @ 40 hours per week) | $ 18.37 | 375,000 | 200 hours per week | 26 weeks | $ 95,524.00 |
| Labor Description | Per Unit Price/Hourly Rate | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
Secondary Services: Renovations or modifications to existing facilities
| (FEMA GO Crosswalked to Secondary Services: Other) |
| Budget Narrative: Please describe how the funding will be used across the budget line items. Make sure to account for quantities, unit prices, hourly rates, number of hours/days/months and any other descriptors that help account for the overall cost. |
| Total Requested Amount for Secondary Services: Renovations or modifications to existing facilities |
| Key Points related to renovations or modifications to existing facilities: |
• Applications that include funding requests for renovations or modifications to existing facilities cannot exceed $250,000 for the entire application budget.
• SSP funding may only be used for those parts of the facility that are directly associated with providing services to noncitizen migrants released from DHS custody.
• Funding can be used for:
o Improvements to expand capacity and services and to address safety concerns. Renovations and modifications to existing facilities cannot change the existing footprint of the facility.
• Repairs to facilities to provide services (e.g., update bathroom/renovate kitchen) to make them safe and sanitary or compliant with local codes.
• Planning costs to support the SSP renovations or modifications to existing facilities are allowable. These planning activities include the following:
o Develop plans, protocols, or procedures for the operation and use related to new capabilities as a result of the renovations or modifications to existing facilities;
o Conduct physical security assessments;
o Analyze design and implementation of protection system (e.g., fire protection and suppression, atmospheric filtration, explosives mitigation) for renovations or modifications to existing facilities.
• Obtaining permits and completing inspections which are necessary for specified improvements.
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Kitchen renovation - Plumb new sink (hourly rate) | $ 65.00 | 450,000 | Quote for 60 hours labor only | Single Time purchase | $ 3,900.00 |
| Renovation/Modification Description | Per Unit Price/Hourly Rate | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
Secondary Services: Clothing
| (FEMA GO Crosswalked to Secondary Services: Other) |
| Budget Narrative: Please describe how the funding will be used across the budget line items. Make sure to account for quantities, unit prices, hourly rates, number of hours/days/months and any other descriptors that help account for the overall cost. |
| Socks, belts, shoe laces and other clothing needs after leaving facility. | |
| Total Requested Amount for Secondary Services: Clothing | $ 3,790.00 |
| Key Points related to Clothing: Covers shirts, pants, outerwear, underwear and bras, socks, shoes/shoelaces, backpacks, belts, etc. |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Size Large, White Adult T-shirts | $ 5.00 | 3,000 | 500 per month | 6 months | $ 15,000.00 |
| Item Description | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Socks, belts, shoe laces and other clothing needs | $ 3.75 | 1000 NCM (total) | 100 people per month | 10 months | $ 3,790.00 |
Secondary Services: Outreach Information
| (FEMA GO Crosswalked to Secondary Services: Other) |
| Budget Narrative: Please describe how the funding will be used across the budget line items. Make sure to account for quantities, unit prices, hourly rates, number of hours/days/months and any other descriptors that help account for the overall cost. |
| Entity shares fliers of service offerings - 3 flyers per individual. | |
| Total Requested Amount for Secondary Services: Outreach Information | $ 7,215.00 |
| Outreach information (e.g. communications development and distribution, contracts, printing services, legal services information). |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Printing Legal Services Information Flyer (Cost per flyer) | $ 0.47 | 30,000 | 5000 per month | 6 months | $ 14,100.00 |
| Item/Service Description | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Printing of permission to serve and to assist, travel information, destination information | 0.0481 | 50000 NCM (total) | 150,000 | 10 months | $ 7,215.00 |
Secondary Services: Translation Services
| (FEMA GO Crosswalked to Secondary Services: Other) |
| Budget Narrative: Please describe how the funding will be used across the budget line items. Make sure to account for quantities, unit prices, hourly rates, number of hours/days/months and any other descriptors that help account for the overall cost. |
| Total Requested Amount for Secondary Services: Translation Services |
| Translation services (e.g. contracts and external support) |
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Translation Services contract (monthly contract fee) | $ 1,500.00 | 20,000 | monthly fee | 6 months | $ 9,000.00 |
| Item/Service Description | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
Secondary Services: Labor for Secondary Services
| (FEMA GO Crosswalked to Secondary Services: Other) |
| Budget Narrative: Please describe how the funding will be utiliized across the budget line items. Make sure to account for quantities, unit prices, hourly rates, number of hours/days/months and any other descriptors that help account for the overall cost. |
| Total Requested Amount for Secondary Services: Labor for Secondary Services |
| Labor for secondary services (inclusive of staff time not at the director/manager level or administrative) |
• Training for secondary services
• Staff time for secondary services
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Staff time for secondary services (hourly rate) | $ 17.22 | 405,000 | 160 hours per week | 26 weeks | $ 71,635.20 |
| Item/Service Description | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
Management and Administration
(FEMA GO Crosswalked to Secondary Services: Other) **Please note Management & Administration is not a secondary service but should be entered into FEMA GO as a secondary service cost.**
Budget Narrative: Please describe how the funding will be used across the budget line items. Make sure to account for quantities, unit prices, hourly rates, number of hours/days/months and any other descriptors that help account for the overall cost.
| The program is requesting M&A costs to cover salaries of 2 SSP-dedicated grant and administration specialists to coordinate SSP activities, ensure award requirements are managed, and handle financial management exclusively for SSP-funded activities for 10 months | |
| Total Requested Amount for Management and Administration | $ 125,000.00 |
| Management & Administration is defined as director/manager level and administrative staff time, contracted or otherwise, to provide services directly or to support needs of families and individuals within 45 days of their release by DHS. These may include services providing grants management, including grant application preparation. These may also include recordkeeping (e.g., IT assistance (contracts and external support) and costs associated with creating a database and/or tracking system to assist with managing SSP funds as well as cybersecurity assessments and enhancements), etc. |
Management & Administration costs are allowable and do not count as a primary or secondary service.
| Sample Item Name | Sample Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| Sample: Grant Manager(hourly rate) | $ 28.97 | 500,000 | 40 hours per week | 52 weeks | $ 60,257.60 |
| Item/Service Description | Per Unit Price | # of Noncitizen Migrants Served | Qty Per day/week/month | # of days/weeks/months provided for: | Total Cost |
| 2 FTE salaries / 10 months | 75000 annual salary | N/A | 2 FTE for 10 months | 10 months | $125,000.00 |
mailto:fema-ssp@FEMA.dhs.gov?subject=SSP%20Application%20Questionshttps://www.fema.gov/grants/preparedness/shelter-services-program/fy-23-nofohttps://www.fema.gov/grants/preparedness/shelter-services-program/
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