3135-0112 Project Budget Form

NEA Application

Project Budget, Page 1 of 2

OMB No. 3135-0112
Expires 11/30/2013

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. $

0

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. $

3.

0

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

0

$

0

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

AMOUNT

0

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

0

NEA Application

Project Budget, Page 2 of 2

OMB No. 3135-0112
Expires 11/30/2013

Read the
instructions for
this form before
you start.

Applicant (official IRS name):

EXPENSES, CONTINUED
2.

Direct costs: Travel (Include subsistence)
# OF TRAVELERS

FROM

TO

AMOUNT

Total travel $
3.

0

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

4.

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

5.

Indirect costs (if applicable)
Federal
Agency:

6.

Rate (.0000)

x Base

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

Total other expenses $

0

$

0

= $

0

$

0