Sample Budget and Justification (match required)

THIS IS AN ILLUSTRATION OF A SAMPLE DETAILED BUDGET AND NARRATIVE.

WITH GUIDANCE FOR COMPLETING SF 424A: SECTION B FOR THE BUDGET
PERIOD.

A. Personnel: Provide employee(s) (including names for each identified position) of

the applicant/recipient organization, including in-kind costs for those positions whose
work is tied to the grant project.

FEDERAL REQUEST

Annual
Position Name Level of Effort Cost
Salary/Rate
(1) Project
John Doe $64,890 10% $6,489
Director
(2) Grant
To be selected $46,276 100% $46,276
Coordinator
(3) Clinical
Jane Doe In-kind cost 20% $0
Director
TOTAL $52,765

JUSTIFICATION: Describe the role and responsibilities of each position.

(1) The Project Director will provide daily oversight of the grant and will be
considered key staff.

(2) The coordinator will coordinate project services and project activities, including
training, communication and information dissemination.

(3) Clinical Director will provide necessary medical direction and guidance to staff
for 540 clients served under this project.

Key staff positions require prior approval after review of credentials of resume
and job description.

The key staff positions identified in Section I-2 Expectations must be included in the
Personnel section and/or the Contractual Section (F). In addition, the Project Director
must be the same as the Project Director named in section 8f of the SF-424.

NON-FEDERAL MATCH

Annual
Position Name Level of Effort Cost
Salary/Rate
(1) Project
John Doe $64,890 7% $4,542
Director

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 Annual
Position Name Level of Effort Cost
Salary/Rate
(2) Prevention
Sarah Smith $26,000 25% $6,500
Specialist
(3) Peer
Ron Jones $23,000 40% $9,200
Helper
(4) Clerical Susan $13.38/hr x 100
$1,338
Support Johnson hr.
TOTAL $21,580

JUSTIFICATION: Describe the role and responsibilities of each position.

(1) The Project Director will provide daily oversight of grant and will be considered
key staff.

(2) The Prevention development specialist will provide staffing support to the
working council.

(3) The peer helper will be responsible for peer recruitment, coordination and
support.

(4) The clerical support will process paperwork, payroll, and expense reports which
is not included in the indirect cost pool.

FEDERAL REQUEST (enter in Section B column 1, line 6a of form SF424A) $52,765

NON-FEDERAL MATCH (enter in Section B column 2, line 6a of form SF424A) 21,580

B. Fringe Benefits: List all components of fringe benefits rate

FEDERAL REQUEST

Component Rate Wage Cost

FICA 7.65% $52,765 $4,037
Workers
2.5% $52,765 $1,319
Compensation
Insurance 10.5% $52,765 $5,540
TOTAL $10,896

NON-FEDERAL MATCH

Component Rate Wage Cost

FICA 7.65% $21,580 $1,651
Workers
2.5% $21,580 $540
Compensation

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 Component Rate Wage Cost
Insurance 10.5% $21,580 $2,266
TOTAL $4,457

JUSTIFICATION: Fringe reflects current rate for agency.

FEDERAL REQUEST (enter in Section B column 1, line 6b of form SF424A) $10,896

NON-FEDERAL MATCH (enter in Section B column 2, line 6b of form SF424A) $4,457

C. Travel: Explain need for all travel other than that required by this application. Local
travel policies prevail.

FEDERAL REQUEST

Purpose of
Location Item Rate Cost
Travel
(1) Grantee Washington, $200/flight x 2
Airfare $400
Conference DC persons
$180/night x 2
Hotel persons x 2 $720
nights
Per Diem $46/day x 2
(meals and persons x 2 $184
incidentals) days
3,000
(2) Local travel Mileage $1,140
[email protected]/mile
TOTAL $2,444

JUSTIFICATION: Describe the purpose of travel and how costs were determined.

(1) Two staff (Project Director and Evaluator) to attend mandatory grantee meeting
in Washington, DC.

(2) Local travel is needed to attend local meetings, project activities, and training
events. Local travel rate is based on organization’s policies/procedures for
privately owned vehicle (POV) reimbursement rate. If policy does not have a rate
use GSA.

NON-FEDERAL MATCH

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 Purpose of
Location Item Rate Cost
Travel
(1) Regional
$150/flight x 2
Training Chicago, IL Airfare $300
persons
Conference
$155/night x 2
Hotel persons x 2 $620
nights
$46/day x 2
Per Diem
persons x 2 $184
(meals)
days
Outreach 350 miles x .
(2) Local Travel Mileage $133
workshops 38/mile
TOTAL $1,237

JUSTIFICATION: Describe the purpose of travel and how costs were determined.

(1) Grantees will provide funding for two members to attend the regional technical
assistance workshop (our closest location is Chicago, IL).

(2) Local travel rate is based on agency’s POV reimbursement rate. If policy does
not have a rate use GSA.

FEDERAL REQUEST (enter in Section B column 1, line 6c of form SF424A) $2,444

NON-FEDERAL MATCH (enter in Section B column 2, line 6c of form SF424A) $1,237

D. Equipment: an article of tangible, nonexpendable, personal property having a

useful life of more than one year and an acquisition cost of $5,000 or more per unit –
federal definition.

FEDERAL REQUEST (enter in Section B column 1 line 6d of form SF424A) $0

NON-FEDERAL MATCH (enter in Section B column 2 line 6d of form SF424A) $0

E. Supplies: materials costing less than $5,000 per unit and often having one-time use

FEDERAL REQUEST

Item(s) Rate Cost

General office supplies $50/mo. x 12 mo. $600
Postage $37/mo. x 8 mo. $296
Laptop Computer $900 $900
Printer $300 $300
Projector $900 $900
Copies 8000 copies x .10/copy $800

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 Item(s) Rate Cost
TOTAL $3,796

JUSTIFICATION: Describe the need and include an adequate justification of how

each cost was estimated.

(1) Office supplies, copies and postage are needed for general operation of the
project.

(2) The laptop computer is needed for both project work and presentations.

(3) The projector is needed for presentations and outreach workshops.

All costs were based on retail values at the time the application was written.

NON-FEDERAL MATCH

Item(s) Rate Cost

General office supplies $50/mo. x 12 mo. $600
Bookcase $75 $75
Digital camera $300 $300
Fax machine $150 $150
Computer $500 $500
Postage $37/mo. x 4 mo $148
TOTAL $1,773

JUSTIFICATION: Describe need and include explanation of how costs were

estimated.

(1) The local television station is donating the bookcase, camera, fax machine, and
computer (items such as these can only be claimed as match once during the grant
cycle and used for the project). The “applying agency” is donating the additional costs
for office supplies and postage.

FEDERAL REQUEST (enter in Section B column 1, line 6e of form SF424A) $3,796

NON-FEDERAL MATCH (enter in Section B column 2, line 6e of form SF424A)$1,773

F. Contract: A contractual arrangement to carry out a portion of the programmatic

effort or for the acquisition of routine goods or services under the grant. Such
arrangements may be in the form of consortium agreements or contracts. A consultant
is an individual retained to provide professional advice or services for a fee. The
applicant/grantee must establish written procurement policies and procedures that are
consistently applied. All procurement transactions shall be conducted in a manner to
provide to the maximum extent practical, open and free competition.

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COSTS FOR CONTRACTS MUST BE BROKEN DOWN IN DETAIL AND NARRATIVE
JUSTIFICATION. IF APPLICABLE, NUMBERS OF CLIENTS SHOULD BE
INCLUDED IN THE COSTS.

FEDERAL REQUEST

Name Service Rate Other Cost

(1) State
Department of $250/individual x
Training 5 days $750
Human 3 staff
Services

(2) Treatment $27/client per

1040 Clients $28,080
Services year

*Travel at 3,124
@ .50 per mile
= $1,562
*Training course
$175
*Supplies @
1FTE @ $27,000
(3) Jane Doe Treatment $47.54 x 12
+ Fringe Benefits
(Case Client months or $570 $46,167
of $6,750 =
Manager) Services *Telephone @
$33,750
$60 x 12
months = $720
*Indirect costs =
$9,390
(negotiated with
contractor)

$40 per hour x

(4) Jane Doe Evaluator 12 month period $9,000
225 hours

Annual salary of
(5) To Be Marketing
$30,000 x 10% $3,000
Announced Coordinator
level of effort
TOTAL $86,997

JUSTIFICATION: Explain the need for each contractual agreement and how they
relate to the overall project.

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 (1) Certified trainers are necessary to carry out the purpose of the statewide
consumer Network by providing recovery and wellness training, preparing
consumer leaders statewide, and educating the public on mental health recovery.

(2) Treatment services for clients to be served based on organizational history of

expenses.

(3) Case manager is vital to client services related to the program and outcomes.

(4) Evaluator is provided by an experienced individual (Ph.D. level) with expertise in

substance abuse, research and evaluation and is knowledgeable about the target
population and will report GPRA data.

(5) Marketing Coordinator will develop a plan to include public education and
outreach efforts to engage clients of the community about grantee activities,
provision of presentations at public meetings and community events to
stakeholders, community civic organizations, churches, agencies, family groups
and schools.

* Represents separate/distinct requested funds by cost category

NON-FEDERAL MATCH (Consultant)

Name Service Rate Other Cost

Outreach $43.00/hr. x 20
Jane Doe meeting hrs./month x 12 $10,320
facilitation months
148 miles/month @
Travel
.38/mile x 12 $675
Expenses
months
TOTAL $11,051

JUSTIFICATION: Explain the need for each agreement and how they relate to the
overall project.

(1) Facilitator volunteering his/her time to facilitate the youth prevention and
outreach sessions outlined in the strategic plan. Hourly rate is based on an
average salary of an outreach facilitator in the geographic area.

(2) Travel is based on average distance between facilitator’s location and the
meeting site. Mileage rate is based on POV reimbursement rate.

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NON-FEDERAL MATCH (Contract)

Entity Product/Service Cost

Student Assistance
(1) West Bank School
Program for 50 students $15,000
District
@ $300 per year
TOTAL $15,000

JUSTIFICATION: Explain the need for each agreement and how they relate to the
overall project.

(1) West Bank School District is donating their contracted services to provide drug
testing, referral and case management for 50 non-school attending youth.
Average cost is $300/person.

FEDERAL REQUEST (enter in Section B column 1, line 6f of form SF424A) $86,997

NON-FEDERAL MATCH (enter in Section B column 2, line 6f of form SF424A) $26,051

G. Construction: NOT ALLOWED – Leave Section B columns 1&2 line 6g on SF424A

blank.

H. Other: expenses not covered in any of the previous budget categories

FEDERAL REQUEST

Item Rate Cost

(1) Rent* $15/sq.ft x 700 sq. feet $10,500
(2) Telephone $100/mo. x 12 mo. $1,200
(3) Client $10/client follow up x 278
$2,780
Incentives clients
.89/brochure X 1500
(4) Brochures $1,335
brochures
TOTAL $15,815

JUSTIFICATION: Break down costs into cost/unit (e.g. cost/square foot, etc.).
Explain the use of each item requested.

(1) Office space is included in the indirect cost rate agreement; however, if other rental
costs for service site(s) are necessary for the project, it may be requested as a direct
charge. The rent is calculated by square footage or FTE and reflects SAMHSA’s fair
share of the space.

*If rent is requested (direct or indirect), provide the name of the owner(s) of the
space/facility. If anyone related to the project owns the building which is less
than an arms-length arrangement, provide cost of ownership/use allowance

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calculations. Additionally, the lease and floor plan (including common areas) is
required for all projects allocating rent costs.

(2) The monthly telephone costs reflect the % of effort for the personnel listed in this
application for the SAMHSA project only.

(3) The $10 incentive is provided to encourage attendance to meet program goals for
278 client follow-ups.

(4) Brochures will be used at various community functions (health fairs and exhibits).

NON-FEDERAL MATCH

Item Rate Cost

(1) Space rental $75/event x 12 events/year $900
(2) Internet
$26/mo. x 12 mo. $312
services
(3) Student surveys $1/survey x 1583 surveys $1,583
.97/brochure x 1500
(4) Brochures $1,455
brochures
TOTAL $4,250

JUSTIFICATION: Breakdown costs into cost/unit: i.e. cost/square foot. Explain

the use of each item requested.

(1) Donated space for the various activities outlined in the scope of work, such as
teen night out, after-school programs, and parent education classes.

(2) The applying agency is donating the internet services for the full-time
coordinator.

(3) The ABC Company is donating the cost of 1,583 for student surveys.

(4) The ABC Company is donating the printing costs for the bi-monthly brochures.

All costs are the value placed on the service at the time of this grant application.

FEDERAL REQUEST (enter in Section B column 1, line 6h of form SF424A) $15,815

NON-FEDERAL MATCH -(enter in Section B column 2, line 6h of form SF424A) $4,250

J. Indirect Charges: indirect costs to be charged to the grant

Indirect cost rate: Indirect costs can only be claimed if your organization has a
negotiated indirect cost rate agreement or cost allocation plan. It is applied only to

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direct costs to the agency as allowed in the agreement or cost allocation plan. For
information on applying for an indirect cost rate agreement go to:
http://www.samhsa.gov then click on grants – Grants Management – Contact
Information – Important Offices at SAMHSA and DHHS - HHS Division of Cost
Allocation – Regional Offices.

Attach a copy of the current fully executed, negotiated agreement indirect cost
rate agreement or cost allocation plan. The applicable indirect cost rate(s)
negotiated by the organization with the cognizant negotiating agency must be
used in computing indirect costs (F&A) for a proposal (2 CFR §200.414). The
amount for indirect costs should be calculated by applying the current negotiated
indirect cost rate(s) to the approved base(s).

FEDERAL REQUEST (enter in Section B column 1, line 6j of form SF424A)

8% of personnel and fringe (.08 x $63,661) $5,093

NON-FEDERAL MATCH (enter in Section B column 2, line 6j of form SF424A)

8% of personnel and fringe(.08 x $26,037) $2,083

==================================================================

TOTAL DIRECT CHARGES:

FEDERAL REQUEST – (enter in Section B column 1 line 6i of form SF424A) $172,713

NON-FEDERAL MATCH -(enter in Section B column 2 line 6i of form SF424A) $59,348

INDIRECT CHARGES:

FEDERAL REQUEST – (enter in Section B column 1 line 6j of form SF424A) $5,093

NON-FEDERAL MATCH –(enter in Section B column 2 line 6j* of form SF424A) $2,083

TOTALS: (sum of 6i and 6j)

FEDERAL REQUEST – (enter in Section B column 1 line 6k of form SF424A) $177,806

NON-FEDERAL MATCH-(enter in Section B column 2 line 6k of form SF424A) $61,431

==================================================================

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UNDER THIS SECTION REFLECT OTHER NON-FEDERAL SOURCES OF FUNDING
BY DOLLAR AMOUNT AND NAME OF FUNDER e.g., Applicant, State, Local,
Other, Program Income, etc. Other support is defined as all funds or resources,
whether Federal, Non-federal or institutional, in direct support of activities
through fellowships, gifts, prizes, In-kind contributions or other Non-federal
means.

Provide the total proposed Project Period Federal & Non-Federal funding as
follows:

Proposed Project Period

a. Start Date: 09/30/2011 b. End Date: 09/29/2016

BUDGET SUMMARY (should include future years and projected total)

Category Federal Non-Federal Year 2 Year 2 Non- Year 3 Year 3 Non- Year 4 Year 4 Year 5 Year 5
Request Match for Federal Federal Federal Federal Federal Non- Federal Non-
For Year 1 Request Match * Request * Match * Request Federal Request Federal
Year 1 * * Match * * Match *
Personnel $52,765 $21,580 $54,348 $1,338 $55,978 $40,000 $57,658 $35,000 $59,387 $43,000
Fringe $10,896 $4,457 $11,223 $275 $11,558 $8,260 $11,906 $7,228 $12,263 $8,880
Travel $2,444 $1,237 $2,444 $2,000 $2,444 $1,500 $2,444 $1,200 $2,444 $2,600
Equipment 0 0 0 0 0 0 0 0 0 0
Supplies $3,796 $1,773 $3,796 $2,000 $3,796 $2,000 $3,796 $2,500 $3,796 $4,500
Contractual $86,997 $26,051 $86,997 $67,000 $86,997 $15,000 $86,997 $10,000 $86,997 $14,500
Other $15,815 $4,250 $13,752 $52,387 $11,629 $5,786 $9,440 $8,976 $7,187 $4,000
Total Direct
$172,713 $59,348 $172,560 $125,000 $172,403 $72,546 $172,241 $64,904 $172,074 $77,480
Charges

Indirect
$5,093 $2,083 $5,246 $129 $5,403 $3,861 $5,565 $3,378 $5,732 $4,150
Charges

Total Project
$177,806 $61,431 $177,806 $125,129 $177,806 $76,407 $177,806 $68,282 $177,806 $81,630
Costs

TOTAL PROJECT COSTS: Sum of Total Direct Costs and Indirect Costs

FEDERAL REQUEST (enter in Section B column 1 line 6k of form SF424A) $889,030

NON-FEDERAL MATCH(enter in Section B column 2 line 6k of form SF424A) $412,879

* FOR REQUESTED FUTURE YEARS:

1. Please justify and explain any changes to the budget that differs from the
reflected amounts reported in the 01 Year Budget Summary.

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2. If a cost of living adjustment (COLA) is included in future years, provide your
organization’s personnel policies and procedures that state all employees within
the organization will receive a COLA.

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