ABCDEFGHIJKLMNOPQRSTUVWXYZ
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APPLICANT: FOR THE PERIOD: September 1, 2022 - June 30, 2023
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PROJECT:
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Annual SalaryHourly Salary
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To Include Fringe
To Include Fringe
% TimeBudget Request
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 (See below)FTE
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PERSONNEL (Annual Salary):
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$0.000.00%$0.00
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$0.000.00%$0.00
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$0.000.00%$0.00
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PERSONNEL (Hourly Salary): Hourly Salary
X hrs per week
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$0.000.00$0.00
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$0.000.00$0.00
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$0.000.00$0.00
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Total Personal Services$0.00
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OPERATING/OTHER DIRECT COSTS (i.e.: Supplies, Trainings, Equipment)QuantityUnit Cost
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0$0.00$0.00
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0$0.00$0.00
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0$0.00$0.00
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0$0.00$0.00
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0$0.00$0.00
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0$0.00$0.00
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0$0.00$0.00
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0$0.00$0.00
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Total Operating/Other Direct Costs$0.00
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TRAVEL (In-state/Out-state) Mileage and Per Diem per person list reason for travel: Conference, Training, etc.:
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$0.00
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$0.00
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$0.00
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$0.00
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Total Travel$0.00
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CONSULTANT/CONTRACTUAL - List Contractor or Consultant - Forward contract to NCR HCC when executed
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$0.00
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$0.00
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Total Consultant/Contractual$0.00
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Total Direct Costs (Personal Services+Operating+Travel+Contractual)$0.00
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Personnel and Fringe Only/INDIRECT COST: RATE:0.00%$0.00
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Total Direct Costs/INDIRECT COST: RATE:0.00%$0.00
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Total Administrative/Indirect Costs$0.00
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Total Direct and Indirect Costs$0.00
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