3135-0112 Project Budget Form

NEA Application

Project Budget, Page 1 of 2

OMB No. 3135-0112
Expires 11/30/2010

Read the
instructions for
this form before
you start.

Applicant (official IRS name):
INCOME

1.

Amount requested from the Arts Endowment:

$

2.

Total match for this project Be as specific as possible. Asterisk (*) those funds that are committed or secured.
Cash (Refers to the cash donations, grants, and revenues that are expected or received for this
project)

AMOUNT

Total cash a. $
In-kind: Donated space, supplies, volunteer services (These same items also must be listed as direct costs
under “Expenses” below or in Page 2 of the Project Budget form; identify sources)

Total donations b. $
Total match for this project (2a. cash + 2b. donations) $
3.

Total project income (1 + 2)

$

EXPENSES
1.

Direct costs: Salaries and wages
TITLE AND/OR TYPE
OF PERSONNEL

NUMBER OF
PERSONNEL

ANNUAL OR AVERAGE
SALARY RANGE

% OF TIME DEVOTED
TO THIS PROJECT

Total salaries and wages a. $
Fringe benefits

Total fringe benefits b. $
Total salaries, wages, and fringe benefits (a. + b.) $

AMOUNT

OMB No. 3135-0112
Expires 11/30/2010

Read the
instructions for
this form before
you start.

NEA Application

Project Budget, Page 2of 2
Applicant (official IRS name):

EXPENSES, CONTINUED
2.

Direct costs: Travel (Include subsistence)
# OF TRAVELERS

FROM

TO

AMOUNT

Total travel $
3.

Direct costs: Other expenses (Include consultant and artist fees, contractual services, promotion, acquisition
fees, rights, evaluation and assessment fees, access accommodations, telephone, photocopying, postage,
supplies and materials, publication, distribution, translation, transportation of items other than personnel, rental of
space or equipment, and other project-specific costs)
AMOUNT

Total other expenses $
4.

Total direct costs (1. from Project Budget, Page 1 +2.+3.)

5.

Indirect costs (if applicable)
Federal
Agency:

6.

Rate
(.000
0)

$

x Base

Total project costs (4.+5.)
Must equal total project income (3. From Project Budget, Page 1)

= $
$