Form Application form 2 Application form 2 Budget: Detailed and Summary

IMLS Grant Program Application and Post-Award Report Forms

Budget detailed and summary 4-26

Budget form - detailed + summary

OMB: 3137-0071

Document [pdf]
Download: pdf | pdf
Clear Budget Form

budget form - page one

a. Legal Name (5a from Face Sheet): 											
b. Requested Grant Period From: 				

Requested Grant Period Through: 				

c. If this is a revised budget, indicate application/grant number: 							

Section A: Detailed Budget
a. Year:  
1   
2   
3   
4 

b. Budget Detail for the Period From: 				

c. Through: 			

1. Salaries and Wages
Name/Title of Position

No.

Method of Cost Computation

$ Grant Funds

$ Cost Sharing

$ Total
0.00
0.00

0.00
0.00

0.00
0.00

0.00
0.00

0.00

0.00
SUBTOTALS

0.00

0.00

0.00

$ Grant Funds

$ Cost Sharing

% of

$ Total
0.00

% of

0.00

% of

0.00

2. Fringe Benefits
Rate

$ Salary Base

SUBTOTALS

0.00

0.00

0.00

$ Grant Funds

$ Cost Sharing

$ Total
0.00

3. Consultant Fees
Name or Type of Consultant

No. of
days

Daily Rate of Compensation

0.00

0.00
0.00

0.00

0.00
SUBTOTALS

0.00

0.00

0.00

budget form - page two

4. Travel
From/To

No. of
No. of
persons days

$ Subsistence
Costs

$ Transportation
Costs

$ Grant Funds

$ Cost Sharing

$ Total
0.00

0.00

0.00
0.00
0.00

0.00
0.00
0.00

SUBTOTALS

0.00

0.00

0.00

$ Grant Funds

$ Cost Sharing

$ Total

5. Supplies and Materials
Item

Basis/Method of Cost Computation

0.00
0.00

0.00
0.00

0.00
0.00

0.00

0.00
0.00
0.00

SUBTOTALS

0.00

0.00

0.00

6. Services
Item

Basis/Method of Cost Computation

$ Grant Funds

$ Cost Sharing

$ Total
0.00
0.00

0.00
0.00

0.00
0.00

0.00

SUBTOTALS
OMB Number: 3137-0029, Expiration Date: 01/31/2007

0.00

0.00

0.00

budget form - page three

7. Student Support (Laura Bush 21st Century Librarians Program only)
Item

$ Grant Funds

Basis/Method of Cost Computation

$ Cost Sharing

$ Total
0
0

0
SUBTOTALS

0

0

0

$ Grant Funds

$ Cost Sharing

$ Total
0.00

8. Other Costs
Item

Basis/Method of Cost Computation

0.00

0.00

0.00

0.00
0.00
0.00
0.00

SUBTOTALS

9. Total Direct Costs

0.00

0.00

0.00

$ Grant Funds

$ Cost Sharing

$ Total

TOTALS (Add subtotals of items 1 to 8)

10. Indirect Costs
Read the instructions about Indirect Costs before completing this section. Check the appropriate box below and
provide the information requested.



Current indirect cost rate(s) have been negotiated with
a federal agency (for item A, indicate the name of the
agency and date of agreement expiration; complete item B).
Indirect cost proposal has been submitted to a federal
agency but not yet negotiated (for item A, indicate the name
of the agency and date of proposal; complete item B).



Applicant chooses a rate not to exceed 15% of direct
costs (complete item B).

Item A: Name of federal agency: 											
Expiration Date: 				
Rate

Item B:

Proposal Date: 							
$ Base

% of

$ Total
0.00

% of

0.00

% of

0.00
SUBTOTALS

11. Total Project Costs
PROJECT COST TOTALS (Direct and Indirect for Budget Period)
PROJECT COST TOTALS (Excluding Student Support)

$ Grant Funds

$ Cost Sharing

0.00

0.00

0.00

$ Grant Funds
0.00

$ Cost Sharing
0.00

$ Total
0.00

budget form - page four

Section B: Summary Budget
$ IMLS

$ Cost Share

$ TOTAL COSTS

1. Salaries and Wages

0.00

2. Fringe Benefits

0.00

3. Consultant Fees

0.00

4. Travel

0.00

5. Supplies and Materials

0.00

6. Services

0.00

7. Student Support

0.00

8. Other Costs

0.00

TOTAL DIRECT COSTS (1—8)

0.00

0.00

9. Indirect Costs
TOTAL COSTS (Direct and Indirect)

0.00
0.00

0.00

0.00

0.00

Project Funding for the Entire Grant Period
1. Grant Funds Requested from IMLS
2. Cost Sharing:
a. Cash Contribution
b. In-Kind Contribution
c. Other Federal Agencies*
d. TOTAL COST SHARING
3. TOTAL PROJECT FUNDING (1+2d)

0.00

0.00

% of Total Costs Requested from IMLS 0.00%
* If funding has been requested from another federal agency, indicate the agency’s name:
																

OMB Number: 3137-xxxx, Expiration Date: 00/00/0000

55


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File Modified2007-05-02
File Created2007-04-24

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