Download:
pdf |
pdfSave Data
Help!
OMB Approval No. 2501-0017
Grant Application Detailed Budget Worksheet
Category
1. Personnel (Direct Labor)
Position or Individual
(Exp. 01/31/2008)
Public reporting burden for this collection of information is estimated to average 3 hours 12 minutes
per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. This
agency may not collect this information, and you are not required to complete this form, unless it
displays a currently valid OMB control number. Information collected will provide proposed budget
data for multiple programs. HUD will use this information in the selection of applicants. Response to
this request for information is required in order to receive the benefits to be derived. The information
requested does not lend itself to confidentiality.
Name and Address of Applicant:
Estimated
Hours
Rate per
Hour
Detailed Description of Budget (for full grant period)
Applicant
Other
Other
Match
HUD
Federal
Estimated Cost
HUD Share
Funds
Share
State Share Local/Tribal
Share
Other
Program
Income
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total Direct Labor Cost
0.00
0.00
Applicant
Match
2. Fringe Benefits
Rate (%)
Base
Estimated Cost
HUD Share
0.00
Other
HUD
Funds
0.00
Other
Federal
Share
0.00
0.00
State Share Local/Tribal
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total Fringe Benefits Cost
3. Travel
3a. Transportation - Local Private Vehicle
Mileage
Rate per
Mile
0.00
0.00
Applicant
Match
Estimated Cost
HUD Share
0.00
Other
HUD
Funds
0.00
Other
Federal
Share
0.00
0.00
State Share Local/Tribal
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
0.00
0.00
Subtotal - Trans - Local Private Vehicle
0.00
0.00
1
0.00
0.00
0.00
0.00
0.00
0.00
form HUD-424-CBW (2/2003)
0.00
Grant Application Detailed Budget Worksheet
Detailed Description of Budget
3b. Transportation - Airfare (show destination)
Trips
Fare
Estimated Cost
Applicant
Match
Other
HUD
Funds
Other
Federal
Share
0.00
Applicant
Match
0.00
Other
HUD
Funds
0.00
Applicant
Match
0.00
Other
HUD
Funds
HUD Share
State Share Local/Tribal
Share
Other
Program
Income
0.00
0.00
0.00
Other
State Share Local/Tribal
Federal
Share
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
Other
State Share Local/Tribal
Federal
Share
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
0.00
0.00
Subtotal - Transportation - Airfare
3c. Transportation - Other
0.00
Quantity
Unit Cost
0.00
Estimated Cost
HUD Share
0.00
0.00
0.00
0.00
0.00
0.00
Subtotal - Transportation - Other
3d. Per Diem or Subsistence (indicate location)
0.00
Days
Rate per
Day
0.00
Estimated Cost
HUD Share
0.00
0.00
0.00
0.00
0.00
Subtotal - Per Diem or Subsistence
Total Travel Cost
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Applicant
Match
4. Equipment (Only items over $5,000 Depreciated value) Quantity
Unit Cost
Estimated Cost
HUD Share
Other
HUD
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other
Program
Income
0.00
0.00
0.00
0.00
Total Equipment Cost
0.00
0.00
2
0.00
0.00
0.00
0.00
0.00
0.00
form HUD-424-CBW (2/2003)
0.00
Grant Application Detailed Budget Worksheet
Detailed Description of Budget
5. Supplies and Materials (Items under $5,000 Depreciated Value)
Applicant
Match
5a. Consumable Supplies
Quantity
Unit Cost
Estimated Cost
HUD Share
Other
HUD
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other
Program
Income
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Subtotal - Consumable Supplies
0.00
0.00
Applicant
Match
5b. Non-Consumable Materials
Quantity
Unit Cost
Estimated Cost
HUD Share
0.00
Other
HUD
Funds
0.00
Other
Federal
Share
0.00
0.00
State Share Local/Tribal
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
0.00
0.00
Subtotal - Non-Consumable Materials
Total Supplies and Materials Cost
6. Consultants (Type)
Days
Rate per
Day
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Applicant
Match
Estimated Cost
HUD Share
Other
HUD
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other
Program
Income
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total Consultants Cost
0.00
0.00
Applicant
Match
7. Contracts and Sub-Grantees (List individually)
Quantity
Unit Cost Estimated Cost
HUD Share
0.00
Other
HUD
Funds
0.00
Other
Federal
Share
0.00
0.00
State Share Local/Tribal
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
0.00
Total Subcontracts Cost
0.00
0.00
3
0.00
0.00
0.00
0.00
0.00
0.00
form HUD-424-CBW (2/2003)
0.00
Grant Application Detailed Budget Worksheet
Detailed Description of Budget
8. Construction Costs
Applicant
Match
8a. Administrative and legal expenses
Quantity
Unit Cost
Estimated Cost
HUD Share
Other
HUD
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other
Program
Income
0.00
0.00
0.00
0.00
0.00
0.00
Subtotal - Administrative and legal expenses
8b. Land, structures, rights-of way, appraisal, etc
Quantity
Unit Cost
0.00
Estimated Cost
0.00
0.00
0.00
0.00
0.00
Applicant
Match
Other
HUD
Funds
Other
Federal
Share
0.00
Applicant
Match
0.00
Other
HUD
Funds
0.00
0.00
0.00
Other
State Share Local/Tribal
Federal
Share
Share
HUD Share
State Share Local/Tribal
Share
0.00
0.00
Other
Program
Income
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
0.00
Subtotal - Land, structures, rights-of way, …
8c. Relocation expenses and payments
Quantity
Unit Cost
0.00
Estimated Cost
HUD Share
0.00
0.00
0.00
0.00
0.00
0.00
Subtotal - Relocation expenses and payments
0.00
0.00
Applicant
Match
8d. Architectural and engineering fees
Quantity
Unit Cost
Estimated Cost
HUD Share
0.00
Other
HUD
Funds
0.00
Other
Federal
Share
0.00
0.00
State Share Local/Tribal
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
0.00
0.00
Subtotal - Architectural and engineering fees
0.00
0.00
Applicant
Match
8e. Other architectural and engineering fees
Quantity
Unit Cost
Estimated Cost
HUD Share
0.00
Other
HUD
Funds
0.00
Other
Federal
Share
0.00
0.00
State Share Local/Tribal
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
0.00
Subtotal - Other architectural and engineering fees
0.00
0.00
4
0.00
0.00
0.00
0.00
0.00
0.00
form HUD-424-CBW (2/2003)
0.00
Grant Application Detailed Budget Worksheet
Applicant
Match
8f. Project inspection fees
Quantity
Unit Cost
Estimated Cost
HUD Share
Other
HUD
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other
Program
Income
0.00
0.00
0.00
0.00
0.00
Subtotal - Project inspection fees
0.00
Applicant
Match
8g. Site work
Quantity
Unit Cost
Estimated Cost
HUD Share
0.00
Other
HUD
Funds
0.00
Other
Federal
Share
0.00
0.00
State Share Local/Tribal
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
0.00
Subtotal - Site work
0.00
Applicant
Match
8h. Demolition and removal
Quantity
Unit Cost
Estimated Cost
HUD Share
0.00
Other
HUD
Funds
0.00
Other
Federal
Share
0.00
0.00
State Share Local/Tribal
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
Subtotal - Demolition and removal
0.00
0.00
Applicant
Match
8i. Construction
Quantity
Unit Cost
Estimated Cost
HUD Share
0.00
Other
HUD
Funds
0.00
Other
Federal
Share
0.00
0.00
State Share Local/Tribal
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
Subtotal - Construction
0.00
0.00
Applicant
Match
8j. Equipment
Quantity
Unit Cost
Estimated Cost
HUD Share
0.00
Other
HUD
Funds
0.00
Other
Federal
Share
0.00
0.00
State Share Local/Tribal
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
0.00
Subtotal - Equipment
0.00
0.00
Applicant
Match
8k. Contingencies
Quantity
Unit Cost
Estimated Cost
HUD Share
0.00
Other
HUD
Funds
0.00
Other
Federal
Share
0.00
0.00
State Share Local/Tribal
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
0.00
Subtotal - Contingencies
0.00
0.00
Applicant
Match
8l. Miscellaneous
Quantity
Unit Cost
Estimated Cost
HUD Share
0.00
Other
HUD
Funds
0.00
Other
Federal
Share
0.00
0.00
State Share Local/Tribal
Share
0.00
Other
0.00
Program
Income
0.00
0.00
0.00
Subtotal - Miscellaneous
Total Construction Costs
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5
form HUD-424-CBW (2/2003)
Grant Application Detailed Budget Worksheet
Applicant
Match
9. Other Direct Costs
Quantity
Unit Cost
Estimated Cost
HUD Share
Other
HUD
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other
Program
Income
Item
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total Other Direct Costs
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Subtotal of Direct Costs
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Applicant
Match
10. Indirect Costs
Rate
Base
Estimated Cost
HUD Share
Other
HUD
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other
Program
Income
Type
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total Indirect Costs
Total Estimated Costs
0.00
0.00
6
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
form HUD-424-CBW (2/2003)
Grant Application Detailed Budget Worksheet
Detailed Description of Budget
Estimated Cost
Analysis of Total Estimated Costs
1
2
3
4
5
6
7
8
9
10
Personnel (Direct Labor)
Fringe Benefits
Travel
Equipment
Supplies and Materials
Consultants
Contracts and Sub-Grantees
Construction
Other Direct Costs
Indirect Costs
Total:
Federal Share:
Match (Expressed as a percentage of the Federal Share):
Percent of Total
0.00
0.00%
0.00
0.00
0.00%
0.00
0.00%
0.00
0.00
0.00%
0.00%
0.00
0.00%
0.00
0.00
0.00%
0.00%
0.00
0.00%
0.00
100.00%
0.00
100.00%
0.00
0.00%
0.00%
7
form HUD-424-CBW (2/2003)
| File Type | application/pdf |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |