Form ETA-9093 Budget Information Summary Report

BUDGET INFORMATION SUMMARY REPORT

ETA FORM 9093

WIA Budget Information Summary Title I-D, Section 167 - National Farmworker Jobs Program (NFJP)

U.S. Department of Labor Employment and Training Administration

F

a. Grantee Name and Address	b. Grant Number	OMB Approval No: 1205-0425 Expires: 12/31/2009
	c. Period of Grant From: To:	d. Modification Year___ No. ___

I. Cumulative Quarterly Projections of Expenditures by Cost Categories(Report in Whole Dollars ONLY)
A. Grant Program Function and Activity	B. Cumulative Periods
	1st	2nd	3rd	4th
1. Program Costs
Related Assistance (Emergency Assistance and Supportive Services)
All Other Program Services
2. Administration
3. Total Grant Costs
II. Available Funds in this Grant Year
A. Balance in Previous Year Grant (available funds in 5th quarter)
B. New Obligational Authority
C. Total Available Funds

Remarks

Public Burden Statement

Persons are not required to respond to this collection of information unless it displays a currently valid OMB Control Number. Obligation to reply is required to obtain or retain benefits (PL 105-220, Sec 185(a)). Public reporting burden for this collection is estimated to average 15 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed, and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this collection, including suggestions for reducing this burden, to the U.S. Department of Labor, Migrant and Seasonal Farmworker Program, Room S4209, 200 Constitution Avenue, NW, Washington, DC 20210.

See Reverse Side for Instructions ETA 9093

Revised 2006

Instructions for Completing the NFJP Budget Information Summary (BIS) Report

General Instructions. The BIS is required for each Section 167 grantee's program and is a required part of the annual grant plan. Planned expenditures are arrayed cumulatively by program year quarter.

a. Grantee Name and Address – NO ENTRY REQUIRED

b. Grant Number – NO ENTRY REQUIRED

c. Period of Grant – NO ENTRY REQUIRED

d. Modification - FOR GRANT OFFICER USE ONLY.

Section I - Cumulative Quarterly Projections of Expenditures by Cost Categories - Annual projections for current year allocation of costs by quarter. Planning periods correspond to WIA Program Year quarters; for NFJP, the Program Year is from July 1 through June 30. Please round entries on the BIS to the nearest whole dollar. Entries must be listed for all the items below.

Column (A) Grant Program Function and Activity

Line A.1. Program Costs - Enter, for each quarter, the cumulative projected costs for program activities listed. The entry for Line A.1. for each period is the sum of the entries for Lines A.1.a. and A.1.b. Program costs are described in 20 CFR 669, subpart C.

Line A.1.a. Related Assistance - These are projected costs of related assistance services as described in Section 669.430.

Line A.1.b. All Other Program Services – All program costs that are not Related Assistance services costs.

Line 2. Administration - Enter, for the quarterly periods, the projected expenditures for administrative costs as described in the regulations at §667.220.

Line 3. Total Grant Costs - Enter the projected sum of Lines A.1 and A.2.

Section II. AVAILABLE FUNDS

Line II. A. Balance in Previous Year Grant - For incumbent grantee only, enter the amount of projected unexpended WIA Section 167 funds remaining from the preceding program year’s allocation. The amount listed in this line item is the uncommitted grant funds available for expenditure in the fifth quarter of the previous grant year allocation.

Line II. B. New Obligational Authority - Enter the amount of the grant award for the program year covered by this financial planning document.

Line II. C. Total Available Funds – Enter the projected sum of Line II.A and II.B. This amount must equal Section I Line 3, for the 4^th