Updated-SAN-Budget Narrative Attachment Form.docx
DOCX document 23 KB Posted
- Attached to
- Transforming Clinical Practice Initiative (TCPI), Support and Alignment Network (SAN) Federal grant opportunity
- Opportunity number
- CMS-1L1-15-002
- Issued by
- Department of Health and Human Services
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Budget Narrative Attachment
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| File | Type | Posted |
|---|---|---|
| SAN FOA-12052014.pdf | ||
| Updated-SAN-Budget Narrative Attachment Form.docx | DOCX document |
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SAN Budget Narrative
Refer to Appendix C. Sample Budget and Narrative Justifications of the Transforming Clinical Practice Initiative (TCPI) Support and Alignment Network (SAN) Funding Opportunity Announcement (FOA) for required narrative justifications, budget guidance and detailed cost breakdown instructions for expenditure tables and each corresponding SF424A line item. The budget narrative is single spaced and the type font is 12. The Budget Narrative Attachment Form part of the maximum 40 page limit for the entire application narrative, that also includes the project abstract summary and project narrative.
The following tables are the required format for submitting expenditure plan.
All applicants must submit a Form SF 424A and a Budget Narrative Attachment Form. The budget narrative must include a yearly breakdown of costs for the entire project period. The budget narrative should reflect the organization’s readiness to receive funding, providing complete explanations and justifications for the proposed cooperative agreement activities.
A. Personnel Table 1: FEDERAL REQUEST
| Position |
| Name |
| Annual Salary/Rate |
| Level of Effort |
| Cost |
TOTAL
NARRATIVE JUSTIFICATION:
B. Fringe Benefits Table 2: Federal Request
| Component |
| Rate |
| Wage |
| Cost |
FICA
Workers Compensation
Insurance
TOTAL
C. Travel Table 3: Federal Request
| Purpose of Travel |
| Location |
| Item |
| Rate |
| Cost |
| Mileage= |
| $.056 x |
Airfare
Hotel
Per Diem (meals)
TOTAL
D. Equipment Table 4: Federal Request
| Item(s) |
| Rate |
| Cost |
TOTAL
E. Supplies Table 5: Federal Request
| Item(s) |
| Rate |
| Cost |
TOTAL
F. Contracts Please refer to the SAN Funding Opportunity Announcement (FOA), Appendix C. Sample Budget and Narrative Justifications and Appendix D. Application and Submission Information for guidance on reporting information for contract budgeting, contract approval and consultant hiring.
Table 6: Federal Request Name
Cost
TOTAL
G. Other Table 7: Federal Request
| Item |
| Rate |
| Cost |
TOTAL
H. Total Direct Charges: Sum of Total Direct Costs
I. Indirect Charges: Please attach approved Indirect Cost (IDC) rate and explain calculation.
J. TOTALS: Sum of Total Direct Costs and Indirect Costs for Year 1
K. Program Income Budget Period:
Anticipated Amount:
Sources:
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