HHS burden for SF-424C Budget Information -- Construction Programs

Status: Original and derived artifacts are available for this document.

Download: pdf

OMB Approval No. 4040-0008
mm/dd/yyyy
Expiration Date 07/30/2010

BUDGET INFORMATION - Construction Programs
NOTE: Certain Federal assistance programs require additional computations to arrive at the Federal share of project costs eligible for participation. If such is the case, you will be notified.

c. Total Allowable Costs
(Columns a-b)

b. Costs Not Allowable
for Participation

a. Total Cost

COST CLASSIFICATION
1.

Administrative and legal expenses

$

$

$

0.00

2.

Land, structures, rights-of-way, appraisals, etc.

$

$

$

0.00

3.

Relocation expenses and payments

$

$

$

0.00

4.

Architectual and engineering fees

$

$

$

0.00

5.

Other architectural and engineering fees

$

$

$

0.00

6.

Project inspection fees

$

$

$

0.00

7.

Site work

$

$

$

0.00

8.

Demolition and removal

$

$

$

0.00

9.

Construction

$

$

$

0.00

10.

Equipment

$

$

$

0.00

11.

Miscellaneous

$

$

$

0.00

12.

SUBTOTAL (sum of lines 1-11)

$

$

0.00

13.

Contingencies

$

$

0.00

14.

SUBTOTAL

$

$

0.00

15.

Project (program) income

$

$

0.00

16.

TOTAL PROJECT COSTS (subtract #15 from #14) $

0.00

$

0.00

%

$

0.00

0.00

$

0.00

$
0.00

$

0.00

$
0.00

$

FEDERAL FUNDING
17. Federal assistance requested, calculate as follows:
(Consult Federal agency for Federal percentage share.)
Enter the resulting Federal share.
Previous Edition Usable

Enter eligible costs from line 16c Multiply X

Authorized for Local Reporoduction

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number.
The valid OMB control number for this information collection is 4040-0008. The time required to complete this information collection is estimated to average 1 hour
per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If
you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human
Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

Standard Form 424C (Rev. 7-97)
Prescribed by OMB Circular A-102