OMB Number: 4040-0001
Expiration Date: 06/30/2016
Tracking Number:
Funding Opportunity Number:
. Received Date:
Tracking Number:
Funding Opportunity Number:
. Received Date:
Tracking Number:
Funding Opportunity Number:
. Received Date:
RESEARCH & RELATED BUDGET - Cumulative Budget
Totals ($)
Section A, Senior/Key Person
Section B, Other Personnel
Total Number Other Personnel
Total Salary, Wages and Fringe Benefits (A+B)
Section C, Equipment
Section D, Travel
1. Domestic
2. Foreign
Section E, Participant/Trainee Support Costs
1. Tuition/Fees/Health Insurance
2. Stipends
3. Travel
4. Subsistence
5. Other
6. Number of Participants/Trainees
Section F, Other Direct Costs
1. Materials and Supplies
2. Publication Costs
3. Consultant Services
4. ADP/Computer Services
5. Subawards/Consortium/Contractual Costs
6. Equipment or Facility Rental/User Fees
7. Alterations and Renovations
8. Other 1
9. Other 2
10. Other 3
Section G, Direct Costs
(A thru F)
Section H, Indirect Costs
Section I, Total Direct and Indirect Costs (G + H)
Section J, Fee
RESEARCH & RELATED BUDGET - SECTION A & B, BUDGET PERIOD
ORGANIZATIONAL DUNS*:
Budget Type*:
●
❍
Project
●
❍
Subaward/Consortium
Enter name of Organization:
Start Date*:
End Date*:
Budget Period:
A. Senior/Key Person
#
Prefix
First Name*
Middle Name
Last Name*
Suffix
Project Role*
Base Salary ($)
Calendar Months
Academic Months
Summer Months
Requested Salary ($)*
Fringe Benefits ($)*
Funds Requested ($)*
.
Total Funds Requested for all Senior Key Persons in the attached file
Additional Senior Key Persons:
File Name:
Total Senior/Key Person
Mime Type:
B. Other Personnel
Number of Personnel*
Project Role*
Calendar Months
Academic Months
Summer Months
Requested Salary ($)*
Fringe Benefits*
Funds Requested ($)*
Post Doctoral Associates
Graduate Students
Undergraduate Students
Secretarial/Clerical
Total Number Other Personnel
Total Other Personnel
Total Salary, Wages and Fringe Benefits (A+B)
RESEARCH & RELATED Budget {A-B} (Funds Requested)
RESEARCH & RELATED BUDGET - SECTION C, D, & E, BUDGET PERIOD
ORGANIZATIONAL DUNS*:
Budget Type*:
●
❍
Project
●
❍
Subaward/Consortium
Enter name of Organization:
Start Date*:
End Date*:
Budget Period:
C. Equipment Description
List items and dollar amount for each item exceeding $5,000
Equipment Item
Funds Requested ($)*
.
Total funds requested for all equipment listed in the attached file
Total Equipment
Additional Equipment:
File Name:
Mime Type:
D. Travel
Funds Requested ($)*
1. Domestic Travel Costs ( Incl. Canada, Mexico, and U.S. Possessions)
2. Foreign Travel Costs
Total Travel Cost
E. Participant/Trainee Support Costs
Funds Requested ($)*
1. Tuition/Fees/Health Insurance
2. Stipends
3. Travel
4. Subsistence
5. Other:
Number of Participants/Trainees
Total Participant Trainee Support Costs
RESEARCH & RELATED Budget {C-E} (Funds Requested)
RESEARCH & RELATED BUDGET - SECTIONS F-K, BUDGET PERIOD
ORGANIZATIONAL DUNS*:
Budget Type*:
●
❍
Project
●
❍
Subaward/Consortium
Enter name of Organization:
Start Date*:
End Date*:
Budget Period:
F. Other Direct Costs
Funds Requested ($)*
1. Materials and Supplies
2. Publication Costs
3. Consultant Services
4. ADP/Computer Services
5. Subawards/Consortium/Contractual Costs
6. Equipment or Facility Rental/User Fees
7. Alterations and Renovations
.
Total Other Direct Costs
G. Direct Costs
Funds Requested ($)*
Total Direct Costs (A thru F)
H. Indirect Costs
Indirect Cost Type
Indirect Cost Rate (%)
Indirect Cost Base ($)
Funds Requested ($)*
.
Total Indirect Costs
Cognizant Federal Agency
(Agency Name, POC Name, and POC Phone Number)
I. Total Direct and Indirect Costs
Funds Requested ($)*
Total Direct and Indirect Institutional Costs (G + H)
J. Fee
Funds Requested ($)*
K. Budget Justification*
File Name:
Mime Type:
(Only attach one file.)
RESEARCH & RELATED Budget {F-K} (Funds Requested)
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