3135-0112 Revised Project Budget Form

OMB No. 3135-0112
Expires 11/30/10

Revised Project Budget
or

Application number (pre-award changes):

Grant number (post-award changes):

1. Applicant (official IRS name/mailing address):

2. Period of Support Requested
(Use 2-digit numerals, e.g., 01/01/06 for Jan. 1, 2006):
Starting
/
/

Ending
/

/

3. Revised Project Description. If it is necessary to revise your project, clearly describe how the recommended grant and matching
funds would be spent. Give a justification for the change (e.g., reduced amount of funding recommended as conveyed by the
Endowment).

4. Project Budget Summary:
Amount Recommended
(see accompanying memo)
$

Plus “Total match for this project”
+$

Must equal “Total project costs”
=$

5. Authorizing Official (Last, first):

(Check one)

Mr.

Ms.

Title:
Telephone:

(

)

ext.

Fax:

(

)

E-Mail:
Date:

Signature of Authorizing Official: X
6. Project Director (Last, first):

(Check one)

/

/
Mr.

Ms.

Title:
Telephone:

(

)

ext.

Fax:

(

)

E-Mail:

Project Budget
Income
7. 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.)

Total cash a. $
In-kind (these same items also must be listed as direct costs under “Expenses” below.)

Total in-kind b. $
Total match for this project (a. + b.) $

Amount

OMB No. 3135-0112
Expires 11/30/10

Revised Project Budget
Expenses
8.

Direct costs: Salaries and wages (Do not include salaries associated with fund raising.)
Title and/or type of personnel

Number of
personnel

Annual or average salary
range

% of time devoted to
this project

Amount

Total salaries and wages a. $
Total fringe benefits b. $

Fringe benefits

Total salaries, wages, and fringe benefits (a. + b.) $
9.

Direct costs: Travel (Include subsistence.)
# of travelers

From

To

Amount

Total travel $

10.

Direct costs: Other expenses (such as consultant and artist fees, contractual services, telephone, utilities, photocopying,
postage, supplies and materials, publication, distribution, transportation of items other than personnel, rental of space or
equipment, etc.)
Amount

Total other expenses $
11. Total direct costs (8.+9.+10.)

$

12. Indirect costs (if applicable, attach federal rate negotiation agreement):
Federal Agency:
13. Total project costs (11. + 12.)

Rate (%)

x Base

= $
$