HUD 424 CB Grant Application Detailed Budget

Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)

424-CB

Assisted Living Conversion Program (ALCP) and Emergency Capital Repair Program (ECRP)

OMB: 2502-0542

Document [pdf]
Download: pdf | pdf
Grant Application Detailed Budget

U.S. Department of Housing

(Applicant should duplicate this first page as necessary)

and Urban Development

OMB Approval No. 2501-0017 (exp. 03/31/2005)

Functional Categories (Year 1)
Column 1

Column 2

Column 3

Column 4

Column 5

Column 6

Other HUD
Funds

Other
Federal
Share

State Share

Local/Tribal
Share

Name of Project/Activity:
Applicant
Match

HUD Share

a. Personnel (Direct Labor)

$

$

$

$

$

$

Column 7

Column 8

Column 9

Program
Income

Total

Other

$

$

$

0.00

b. Fringe Benefits

0.00

c. Travel

0.00

d. Equipment (Only Items > $5,000 Depreciated Value)

0.00

e. Supplies (Only Items with Depreciated Value < $5,000 )

0.00

f. Contractual

0.00

g. Construction

0.00

1. Administration and legal expenses

0.00

2. Land, structures, rights-of way, appraisals, etc.

0.00

3. Relocation expenses and payments

0.00

4. Architectural and engineering fees

0.00

5. Other architectural and engineering fees

0.00

6. Project inspection fees

0.00

7. Site work

0.00

8. Demolition and removal

0.00

9. Construction

0.00

10. Equipment

0.00

11. Contingencies

0.00

12. Miscellaneous

0.00

0.00

h. Other (Direct Costs)
i. Subtotal of Direct Costs

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

j. Indirect Costs (% Approved Indirect Cost Rate:______%)

0.00

Grand Total (Year 1):
Page 1 of 3

form HUD-424-CB (2/2003)

Grant Application Detailed Budget

U.S. Department of Housing

(Applicant should duplicate this first page as necessary)

and Urban Development

OMB Approval No. 2501-0017 (exp. 03/31/2005)

Functional Categories (Year 2)
Column 1

Column 2

Column 3

Column 4

Column 5

Column 6

Other HUD
Funds

Other
Federal
Share

State Share

Local/Tribal
Share

Name of Project/Activity:
Applicant
Match

HUD Share
a. Personnel (Direct Labor)

$

$

$

$

$

$

Column 7

Column 8

Column 9

Program
Income

Total

Other
$

$

$

0.00

b. Fringe Benefits

0.00

c. Travel

0.00

d. Equipment (Only Items > $5,000 Depreciated Value)

0.00

e. Supplies (Only Items with Depreciated Value < $5,000 )

0.00

f. Contractual

0.00

g. Construction

0.00

1. Administration and legal expenses

0.00

2. Land, structures, rights-of way, appraisals, etc.

0.00

3. Relocation expenses and payments

0.00

4. Architectural and engineering fees

0.00

5. Other architectural and engineering fees

0.00

6. Project inspection fees

0.00

7. Site work

0.00

8. Demolition and removal

0.00

9. Construction

0.00

10. Equipment

0.00

11. Contingencies

0.00

12. Miscellaneous

0.00

h. Other (Direct Costs)
i. Subtotal of Direct Costs

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

j. Indirect Costs (% Approved Indirect Cost Rate:______%)

0.00

Grand Total (Year 2):
Page 2 of 3

form HUD-424-CB (2/2003)

Grant Application Detailed Budget

U.S. Department of Housing

(Applicant should duplicate this first page as necessary)

and Urban Development

OMB Approval No. 2501-0017 (exp. 03/31/2005)

Functional Categories (Year 3)
Column 1

Column 2

Column 3

Column 4

Column 5

Column 6

Other HUD
Funds

Other
Federal
Share

State Share

Local/Tribal
Share

Name of Project/Activity:
Applicant
Match

HUD Share
a. Personnel (Direct Labor)

$

$

$

$

$

$

Column 7

Column 8

Column 9

Program
Income

Total

Other
$

$

$

0.00

b. Fringe Benefits

0.00

c. Travel

0.00

d. Equipment (Only Items > $5,000 Depreciated Value)

0.00

e. Supplies (Only Items with Depreciated Value < $5,000 )

0.00

f. Contractual

0.00

g. Construction

0.00

1. Administration and legal expenses

0.00

2. Land, structures, rights-of way, appraisals, etc.

0.00

3. Relocation expenses and payments

0.00

4. Architectural and engineering fees

0.00

5. Other architectural and engineering fees

0.00

6. Project inspection fees

0.00

7. Site work

0.00

8. Demolition and removal

0.00

9. Construction

0.00

10. Equipment

0.00

11. Contingencies

0.00

12. Miscellaneous

0.00

h. Other (Direct Costs)
i. Subtotal of Direct Costs

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

j. Indirect Costs (% Approved Indirect Cost Rate:______%)

Grand Total (Year 3):

0.00
Page 3 of 3

form HUD-424-CB (2/2003)

Instructions for the HUD Grant Application Detailed Budget Form
Public reporting Burden for this collection of information is estimated to average 3 hours per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not collect this information, and you are not required to complete
this form, unless it displays a currently valid OMB Control Number.

General Instructions
This form is designed so that an application can be made for any of HUD's grant

Line h.--Enter any other direct costs not already addressed above.

programs. Space is provided for 3 separate program years.

Line i.--Calculate the totals of all applicable columns to determine the Subtotal of Direct Costs.

In preparing the budget, adhere to any existing HUD requirements which prescribe how and

Line j.--Indicate the approved Indirect Cost Rate (if any) and calculate the indirect cost in accordance with

whether budgeted amounts should be separately shown for different functions or activities

the terms of your approved indirect cost rate and enter the resulting amount.

within the program. For some programs, HUD may require budgets to be shown

Grand Total (by Year)--Enter the sum of lines i. and j. under column 9 for each year.

separately by function or activity.
Your budget information should show the entire cost of your proposed program of activities
per year. If you are not using funds in any of the line item categories, you should leave the
item blank. Pages may be duplicated to show budget data for individual programs,

For each budget category (personnel, fringe benefits, travel, etc) you should identify the

projects or activities.

amount of funding you plan on using in your grant program. You should complete each

NOTE: Not all budget categories on this form are eligible for funding under all programs.

column as follows:

Please see eligible activities under the specific program for which you are seeking
funding.

Column 1 - Identify the amount of funds that you will need from the HUD grant program for

Budget Categories

Column 2 - Identify any matching funds that you are required to include in your proposed

The budget categories identifies how your program funds will be allocated by type of

program in order to be eligible for assistance.

which you are seeking funding.

use, e.g., funds going for salaries, travel, contracts, etc. Each of these line items should

Column 3 - Identify any other HUD funds that you will be adding to this program either

be broken out under each applicable column.

through your formula or competitive grant programs.

Lines a-f--Show the totals of Lines a to f in each column.

Column 4 - Identify any other Federal funds that you will be adding to this program either

Lines g. Show construction related expenses in the appropriate categories below.

through your formula or competitive grant programs.

Line g.1.--Enter estimated amounts needed to cover administrative expenses. Do not include costs which

Column 5 - Identify any State funds that you will be adding to this program.

are related to the normal functions of government.

Column 6 - Identify any Local or Tribal Government funds that you will be adding to this

Line g.2.--Enter estimated site and right(s)-of-way acquisition costs (this includes purchase, lease,

program.

and/or easements).

Column 7 - Identify any additional funds not previously identified in Columns 1 - 6, that

Line g.3.--Enter estimated costs related to relocation advisory assistance,

you intend to use for your proposed program.

replacement housing, relocation payments to displaced persons and businesses, etc.

Column 8 - Identify any program income that you expect to generate under this program.

Line g.4.--Enter estimated basic engineering fees related to construction

Column 9 -

Add columns 1 - 8 across and place the total in Column 9.

(this includes start-up services and preparation of project performance work plan).
Line g.5.--Enter estimated engineering costs, such as surveys, tests, soil borings, etc.
Line g.6.--Enter estimated engineering inspection costs.
Line g.7.--Enter the estimated site preparation and restoration which are not
included in the basic construction contract.
Line g.8.--Enter the estimated costs related to demolition activities.
Line g.9.--Enter estimated costs of the construction contract.
Line g.10.--Enter estimated cost of office, shop, laboratory, safety equipment,
etc. to be used at the facility, if such costs are not included in the construction contract.
Line g.11.--Enter any estimated contingency costs.
Line g.12.--Enter estimated miscellaneous costs.

Page i

form HUD-424-CB (2/2003)


File Typeapplication/pdf
File TitleHUD-424-CB-2-12-03 draft.xls
AuthorEric C. Gauff
File Modified2003-02-17
File Created2003-02-14

© 2024 OMB.report | Privacy Policy