Single person usa budget sample4/6/2024 TOTAL DIRECT CHARGES (Sum of TOTAL Expenses) Repairs and Maintenance - not covered by warranty ($X per month x 12 months) Membership Dues (specify membership organization and cost per each) Staff Recruitment – newspaper and Internet posting Note: Federal funding CANNOT support grant-writing, construction, fundraising, or lobbying costs.) Optometry Services ($X per patient x XXX patients) Housekeeping Services ($X per month x 12 months) Laboratory Services ($X per sample x X,XXX samples) Contracts to perform substantive programmatic work within the proposed scope of project must be attached to Form 8.) Summaries of contracts must be included in Attachment 7. Medical Supplies ($X.XX per visit x X,XXX visits)ĭental Supplies ($X.XX per visit x X,XXX visits) Printing Costs ($X.XX per brochure x 4 brochures x X,000 copies) Office Supplies ($X per month x 12 months) (Include equipment items that cost less than $5,000 each and other supplies) (Include items of moveable equipment that cost $5,000 or more and with a useful life of one year or more.) Provider Training: 2 trainings in QI/QA $X per person x 2 FTEs + 5 hotel nights $X per night x 2 FTEs x 2 trainings Patient travel: $X x X,XXX uninsured visits and enabling service appointments (Include budget details for each staff position as seen in the Personnel Justification sample below) This should be consistent with the services listed in Form 1A: General Information.) (Object class totals should be consistent with those presented in Section B of the SF-424A. PROGRAM INCOME (fees, third party reimbursements, and payments generated from the projected delivery of services) ( Totals should be c onsistent with information presented in the SF-424A and Form 3: Income Analysis) REVENUE See Section 5.1.v of HRSA’s SF-424 Two-Tier Application Guide (PDF - 702 KB). For subsequent years, the budget narrative should highlight changes from Year 1 or clearly indicate there are no substantive changes during the period of performance. Year 1 of the budget narrative should be classified into federal and non-federal resources, and a table of personnel to be paid with federal funds must be provided. This sample line-item budget narrative for the Fiscal Year (FY) 2024 Service Area Competition (SAC) is a broad outline. A detailed budget narrative is required for all items within each category for which funds are requested for each 12-month period (budget year) of the period of performance (1-year period of performance for new applicants and 3-year period of performance for competing continuation and competing supplement applicants).
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