4040-0001 R&R Federal/Non-Federal Budget (up to 10 years)

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RESEARCH & RELATED BUDGET (TOTAL FED + NON-FED) - BUDGET PERIOD 1
* ORGANIZATIONAL DUNS:
Project

* Budget Type:

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

Enter name of Organization:
Subaward/Consortium

Budget Period: 1

* Start Date:

* End Date:

A. Senior/Key Person
Prefix

* First Name

Middle Name

* Last Name

Suffix

* Project Role

Base Salary ($)

Cal.
Months

Acad.
Months

Sum.
Months

* Req. Salary ($)

* Fringe Ben. ($)

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Additional Senior Key Persons:

* Total (Sal & FB)
(Fed + Non-Fed)($)

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* Federal ($)

* Non-Federal ($)

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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 * Project Role

Cal.
Acad.
Sum.
Months Months Months

* Req. Salary ($)

* Fringe Ben. ($)

Post Doctoral Associates
Graduate Students
Undergraduate Students
Secretarial/Clerical

Total Number Other Personnel

Total Other Personnel

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

* Total (Sal & FB)
(Fed + Non-Fed) ($)

* Federal ($)

* Non- Federal ($)

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

* Non-Federal ($)

* Total (Fed + Non-Fed) ($)

* Federal ($)

* Non-Federal ($)

* Total (Fed + Non-Fed) ($)

* Federal ($)

* Non-Federal ($)

* Total (Fed + Non-Fed) ($)

* Federal ($)

* Non-Federal ($)

* Total (Fed + Non-Fed) ($)

* Federal ($)

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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
1.

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

2.

Foreign Travel Costs
Total Travel Costs

E. Participant/Trainee Support Costs
1.

Tuition/Fees/Health Insurance

2.

Stipends

3.

Travel

4.

Subsistence

5.

Other
Number of Participants/Trainees

Total Participant/Trainee Support Costs

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.
9.
10.
Total Other Direct Costs

G. Direct Costs

Federal ($)

Non-Federal ($)

Total (Fed + Non-Fed) ($)

* Federal ($)

* Non-Federal ($)

* Total (Fed + Non-Fed) ($)

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

Federal ($)

Non-Federal ($)

Total (Fed + Non-Fed) ($)

J. Fee

Federal ($)

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

Indirect Cost Rate (%) Indirect Cost Base ($)

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

K. * Budget Justification
(Only attach one file.)

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RESEARCH & RELATED BUDGET (TOTAL FED + NON-FED) - Cumulative Budget
Total Federal ($)
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

Total Non-Federal ($)

Totals ($)