Program Director/Principal Investigator (Last, First, Middle): |
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DETAILED BUDGET FOR INITIAL BUDGET PERIODDIRECT COSTS ONLY |
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PERSONNEL (Applicant organization only) |
Months Devoted to Project |
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DOLLAR AMOUNT REQUESTED (omit cents) |
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NAME |
ROLE
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Acad. Mnths |
Summer Mnths |
INST.BASE |
SALARY |
FRINGE |
TOTAL |
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Principal |
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CONSULTANT COSTS
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EQUIPMENT (Itemize)
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SUPPLIES (Itemize by category)
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TRAVEL
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PATIENT CARE COSTS |
INPATIENT |
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OUTPATIENT |
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ALTERATIONS AND RENOVATIONS (Itemize by category)
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OTHER EXPENSES (Itemize by category)
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CONSORTIUM/CONTRACTUAL COSTS |
DIRECT COSTS |
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SUBTOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD (Item 7a, Face Page) |
$ |
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CONSORTIUM/CONTRACTUAL COSTS |
FACILITIES AND ADMINISTRATIVE COSTS |
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TOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD |
$ |
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PHS 398 (Rev. 09/07) Page Form Page 4
File Type | application/msword |
File Title | PHS 398, fp4 (Rev. 9/07), Detailed Budget for Initial Budget Period, Form Page 4 |
Subject | DHHS, Public Health Service Grant Application |
Author | Office of Extramural Programs |
Last Modified By | curriem |
File Modified | 2007-09-14 |
File Created | 2007-09-14 |