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Applicant Name:
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Applicant Organization
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CATEGORY
(insert additional rows if necessary)		Year 1 HoursYear 2 HoursHourly RateFringe Rate (% labor)Indirect Cost Rate (% labor + fringe)FULLY BURDENED LABOR RATETOTAL ESTIMATED COST
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LABOR:
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$0.00 $0.00
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$0.00 $0.00
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$0.00 $0.00
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$0.00 $0.00
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$0.00 $0.00
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$0.00 $0.00
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$0.00 $0.00
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Notes:$0.00
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TRAVEL:
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Required travel$5,000.00 $5,000.00 $10,000.00
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$0.00
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$0.00
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$0.00
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Subtotal Travel Expense:$10,000.00
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OTHER expenses: (provide justification below)
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$0.00
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$0.00
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$0.00
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Subtotal Other Expense:$0.00
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Total Expense:$10,000.00
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Subtotal Other Expense:
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