4040-0001 R&R Budget (up to 5 years)

OMB Number: 4040-0001
Expiration Date: 06/30/2011

RESEARCH & RELATED BUDGET - Budget Period 1
Enter name of Organization:

ORGANIZATIONAL DUNS:
Budget Type:

Project

Subaward/Consortium

Start Date:

Budget Period: 1

End Date:

A. Senior/Key Person
Months
Prefix

First

Middle

Last

Suffix

Base Salary ($)

Cal.

Acad. Sum.

Requested
Salary ($)

Fringe
Benefits ($)

Funds
Requested ($)

Project Role:

Additional Senior Key Persons:

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Total Funds requested for all Senior
Key Persons in the attached file
Total Senior/Key Person

B. Other Personnel
Number of
Personnel

Months
Project Role

Cal.

Acad.

Sum.

Requested
Salary ($)

Fringe
Benefits ($)

Post Doctoral Associates
Graduate Students
Undergraduate Students
Secretarial/Clerical

Total Number Other Personnel

Total Other Personnel

Total Salary, Wages and Fringe Benefits (A+B)

Funds
Requested ($)

C. Equipment Description
List items and dollar amount for each item exceeding $5,000
Equipment item

Funds Requested ($)

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Additional Equipment:

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Total funds requested for all equipment listed in the attached file
Total Equipment

D. Travel

Funds Requested ($)

1.

Domestic Travel Costs ( Incl. Canada, Mexico and U.S. Possessions)

2.

Foreign Travel Costs
Total Travel Cost

E. Participant/Trainee Support Costs
1.

Tuition/Fees/Health Insurance

2.

Stipends

3.

Travel

4.

Subsistence

5.

Other
Number of Participants/Trainees

Funds Requested ($)

Total Participant/Trainee Support Costs

F. Other Direct Costs

Funds Requested ($)

1. Materials and Supplies
2. Publication Costs
3. Consultant Services
4. ADP/Computer Services
5. Subawards/Consortium/Contractual Costs
6. Equipment or Facility Rental/User Fees
7. Alterations and Renovations
8.
9.
10.
Total Other Direct Costs

G. Direct Costs

Funds Requested ($)

Total Direct Costs (A thru F)
H. Indirect Costs
Indirect Cost Type

Indirect Cost Rate (%)

Indirect Cost Base ($)

Funds Requested ($)

Total Indirect Costs
Cognizant Federal Agency
(Agency Name, POC Name, and
POC Phone Number)

I. Total Direct and Indirect Costs

Funds Requested ($)

Total Direct and Indirect Institutional Costs (G + H)
J. Fee

Funds Requested ($)

K. Budget Justification
(Only attach one file.)

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RESEARCH & RELATED BUDGET - Cumulative Budget
Totals ($)
Section A, Senior/Key Person
Section B, Other Personnel
Total Number Other Personnel
Total Salary, Wages and Fringe Benefits (A+B)
Section C, Equipment
Section D, Travel
1. Domestic
2. Foreign
Section E, Participant/Trainee Support Costs
1. Tuition/Fees/Health Insurance
2. Stipends
3. Travel
4. Subsistence
5. Other
6. Number of Participants/Trainees
Section F, Other Direct Costs
1. Materials and Supplies
2. Publication Costs
3. Consultant Services
4. ADP/Computer Services
5. Subawards/Consortium/Contractual Costs
6. Equipment or Facility Rental/User Fees
7. Alterations and Renovations
8. Other 1
9. Other 2
10. Other 3
Section G, Direct Costs (A thru F)
Section H, Indirect Costs
Section I, Total Direct and Indirect Costs (G + H)
Section J, Fee