Sample International Subcontract Budget

	A	B	C	D	E	F	G	H
1	Sample International subcontract budget						Principal Investigator/Program Director (Last, first, middle):
2	DETAILED BUDGET FOR NEXT BUDGET		FROM		THROUGH		GRANT NUMBER
3	PERIOD - DIRECT COSTS ONLY		12/1/2010			11/30/2011
4	List PERSONNEL (Applicant organization only)
5	Use Cal, Acad, or Summer to Enter Months Devoted to Project
6	Enter Dollar Amounts Requested (omit cents) for Salary Requested and Fringe Benefits
7			Cal. Mnths	Acad. Mnths	Sum. Mnths	SALARY	FRINGE
8	NAME	ROLE ON PROJECT	Cal. Mnths	Acad. Mnths	Sum. Mnths	REQUESTED	BENEFITS	TOTAL
9	003 PERSONNEL SUBTOTAL FROM CONTINUATION PAGE					254,547	37,102	291,649
10								291,649
11	CONSULTANT COSTS		Cal. Months
12	Dr. Doe - Physician Consultant		0.5		1,920
13	Dr. Doe - DXA Consultant		0.5		1,920
14	Dr. Doe - Haematology Consultant		0.1		825
15	Dr. Doe - Medical Microbiology Consultant		0.2		1,238
16	Dr. Doe - Histology & Cytology		0.2		990
17	Dr. Doe - Histology & Cytology		0.2		990
18	Dr. Doe - ISO		0.1		660
19	To be hired - Immunology		1.1		4,224
20								14,176
21	EQUIPMENT (Itemize)
22								0
23	SUPPLIES (Itemize by category)
24	Lab costs		74,064
25	Clinic costs		11,792
26	Project supplies		1,702
27	Pharmaceuticals		1,290
28								88,848
29	TRAVEL
30	Local Project Travel		13,539
31	Non-Local Travel		23,752
32								37,291
33	PATIENT CARE COSTS	INPATIENT						0
34		OUTPATIENT						0
35	ALTERATIONS AND RENOVATIONS (Itemize by category)
36								0
37	OTHER EXPENSES (Itemize by category)
38	Cellphone charges 8 lines @ $30 per line per month		2,880	Maintain - bldg & equipment $500/mo			6,000
39	Telephone charges $100 per month		1,200	Monitoring and Renewal fees for clinic			2,250
40	conference calls
41	Satelite dish
42	Internet & network maintenance $500 per site per month		6,000	Pharm license $700; Health Dpt $350			1,050
43	Maintenance & fuel - generator 200L @ $1.70& $100/month		5,280	Insurance - general			900
44	Staff training		4,200	Printing & photocopying			1,200
45	Community costs		1,969	Rent			20,400
46	Staff recruitment costs		300	Utilities			2,400
47	Shipping laboratory 2 shipments @ $3,000 per shipment		6,000	Ultra sound 10% particpants x $60			1,391
48	Security charges $1,290 per month		15,480	OI Clinic costs 3% particpants x $100			446
49	Contract labour 1 driver; 2 Caretakers		1,446	Admin Common Costs			0
50	clinical trial insurance (per year)		17,000
51
52
53
54
55
56
57	Postage $20 per month		240	Lab Common Costs			0
58	Participant remuneration $10 per visit		36,821	Conference space rental
59	Participant incentives $150 per month		1,800	Travel - domestic or international.
60	Participant Retention Costs Travel, tokens etc..		8,800	Water/sewage/Garbage for the office
61	Bank charges $150 per month		1,800	Registration costs for expats at the Ministry of Labor
62	Vehicles - maintenance $150 per month per vehicle (3 vehicles)		5,400	IRB Processing Fees
63	Vehicle - insurance		2,200
64	Storage costs		1,112
65								138,965
66	SUBTOTAL DIRECT COST FOR NEXT BUDGET PERIOD							$570,929
67	CONSORTIUM/CONTRACTUAL	DIRECT COSTS						0
68	COSTS	FACILITIES & ADMINISTRATIVE COSTS						45,674
69
70	TOTAL DIRECT COSTS FOR NEXT BUDGET PERIOD							$616,604
71	PHS 2590 (Rev. 06/09)			Page ____				Form Page 2
72								8% TDC less equipment
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100