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pdfIMLS BUDGET FORM
a.
Legal name (5a from SF‐424S):
b.
Requested Grant Period From: (MM/DD/YYYY)
c.
If this is a revised budget, indicate application/grant number/date of revision:
Through: (MM/DD/YYYY)
1. Salaries and Wages
Name/Title or Position
Year 1
Grant Funds Cost Share
Year 2
Grant Funds Cost Share
Year 1
Grant Funds Cost Share
Year 2
Grant Funds Cost Share
Year 3
Grant Funds Cost Share
Grant Funds
Total
Cost Share
Grand Total
Subtotal
2. Fringe Benefits
Rate and Base
Year 3
Grant Funds Cost Share
Grant Funds
Total
Cost Share
Grand Total
Subtotal
OMB Control #: 3137-0092, Expiration date: 7/31/2018
IMLS-CLR-F-0030
IMLS BUDGET FORM
a.
Legal name (5a from SF‐424S):
3. Travel
From/To and Purpose
Year 1
Grant Funds Cost Share
Year 2
Grant Funds Cost Share
Year 3
Grant Funds Cost Share
Grant Funds
Total
Cost Share
Grand Total
Year 1
Grant Funds Cost Share
Year 2
Grant Funds Cost Share
Year 3
Grant Funds Cost Share
Grant Funds
Total
Cost Share
Grand Total
Year 1
Grant FundƐ CostShare
Year 2
GrantFundƐ CostShare
Year 3
GrantFundƐ Cost Share
Grant Funds
Total
Cost Share
Grand Total
Subtotal
4. Supplies, Materials, and Equipment
Item
Subtotal
5. Contracts and Subawards
Item
Subaward
Subaward
Subaward
Subaward
Subaward
Subaward
Subaward
Subtotal
OMB Control #: 3137-0092, Expiration date: 7/31/2018
IMLS-CLR-F-0030
IMLS BUDGET FORM
a.
Legal name (5a from SF‐424S):
6. Student Support
Item
Year 1
Grant Funds Cost Share
Year 2
Grant Funds Cost Share
Year 3
Grant Funds Cost Share
Grant Funds
Total
Cost Share
Grand Total
Year 1
Grant Funds Cost Share
Year 2
Grant Funds Cost Share
Year 3
Grant Funds Cost Share
Grant Funds
Total
Cost Share
Grand Total
Year 1
Grant FundƐ Cost Share
Year 2
Grant Funds Cost Share
Year 3
Grant Funds Cost Share
Grant Funds
Total
Cost Share
Grand Total
Subtotal
7. Other Costs
Item
Subtotal
8. Total Direct Costs
Subtotals (Items 1‐7)
OMB Control #: 3137-0092, Expiration date: 7/31/2018
IMLS-CLR-F-0030
IMLS BUDGET FORM
a.
Legal name (5a from SF‐424S):
9. Indirect Costs (Read the instructions about Indirect Costs before completing this section.)
Current indirect cost rate(s) have been negotiated with a federal agency.
Name of Agency:
Indirect cost proposal has been submitted to a federal agency but not yet
finalized
Name of Agency:
Expiration Date:
Proposal Date:
Applicant chooses a rate not to exceed 10% of modified total direct costs, and declares it is eligible for the 10% rate.
Applicant chooses not to include indirect costs.
Rate and Base
Year 1
Grant Funds Cost Share
Year 2
Grant Funds Cost Share
Year 3
Grant Funds Cost Share
Year 1
Grant FundƐ CostShare
Year 2
GrantFundƐ CostShare
Year 3
GrantFundƐ CostShare
Grant Funds
Total
Cost Share
Grand Total
GrantFundƐ
Total
Cost Share
Grand Total
Indirect Costs Subtotal
10. Total Project Costs
Total Direct & Indirect Costs
Total Costs (excluding
student support)
OMB Control #: 3137-0092, Expiration date: 7/31/2018
IMLS-CLR-F-0030
| File Type | application/pdf |
| File Title | Microsoft Word - IMLSBUDGETFORM |
| Author | jmeade |
| File Modified | 2016-06-29 |
| File Created | 2014-06-26 |