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General Instructions for Completing Budget Forms
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1.Enter the legal name of your local health department in the space provided for "Legal Name of Respondent" on the Budget Summary; doing so will populate all sections.
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2.Complete each tab (Personnel, Travel, etc.) as necessary, the totals of each tab will populate the Budget Summary tab. Please review for accuracy.
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A. PERSONNEL: Identify the project director or principal, if known. For each staff person please provide the following: title, time commitment to the project as a percentage or full time equivalent, annual salary or wage rate. Do not include the cost of consultants. Contractors and Consultants should not be placed under this category.
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B. FRINGE BENEFITS: Cost of employee's fringe benefits are included unless treated as part of a approved indirect cost rate. Provide a breakdown of the amounts and percentages that comprise of fringe benefit costs such as health insurance, retirement insurance, etc.
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C. TRAVEL: Costs of an overnight project related travel by employees. For each trip show the total number of travelers, travel destination, duration of trip, per diem, lodging, and mileage allowance. Please use GSA rate for per diem, lodging, etc. Go to www.gsa.gov. Note: Federal fundings under this part is not available for travel outside the United States without the written approval of the director.
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D. EQUIPMENT: Equipment means nonexpendable, tangible personal property having a useful life of more than one year per unit and a acquisition cost of $5000 or more. For each type of equipment, provide a description of the equipment, the cost per unit, the number of units, and the total cost. Please refer to the Uniform Guidance at 2 CFR 200@ www.ecfr.gov/
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E. SUPPLIES: Costs of all tangible personal property other than that included under the Equipment category. This includes office and other consumable supplies with a per unit cost of less than $5000.
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F. CONTRACTUAL: Costs of all contracts for services and goods except for those that belong to under other categories such as equipment, supplies, etc.
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H. OTHER DIRECT COSTS: Enter the total of all other costs. Such costs, where applicable and appropriate may include but are not limited to consultant costs, local travel, insurance, professional services, audit charges space and equipment rental printing and reproduction, etc.
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I. INDIRECT COSTS: If the respondent has an indirect cost rate approved by Department of Health and Human Services (HHS) or another federal agency. The respondent must enclose a copy of the current approved rate agreement. If the respondent is requesting a rate that is less than what is allowed under the program, the authorized representative must submit a signed acknowledgement for accepting a lower rate that allowed. If the respondent never received an approved negotiated indirect cost rate or awaiting approval of their indirect cost proposal may request the 10 percent de minims. Contractual Costs are not included in the indirect cost calculations.
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J. TOTAL COST: Sum of Direct and Indirect Costs.
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K. PROGRAM INCOME: Enter projected program income. This amount will be automatically deducted from the Total.
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