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
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
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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