| Please do not populate any of the grayed out boxes. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Award Budget Summary Table |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Recipient Name: |
<RECIPIENT NAME> |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Cooperative Agreement Number: |
<COOPERATIVE AGREEMENT NUMBER> |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Years: |
20XX-20XX |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
YEAR 1 |
YEAR 2 |
YEAR 3 |
YEAR 4 |
YEAR 5 |
|
|
MM/DD/YY-MM/DD/YY |
MM/DD/YY-MM/DD/YY |
MM/DD/YY-MM/DD/YY |
MM/DD/YY-MM/DD/YY |
MM/DD/YY-MM/DD/YY |
TOTAL |
| Category |
NIST MEP Federal Cost Share |
% |
Non-Federal Cash Cost Share |
Non-Federal In-Kind Cost Share |
% |
Totals |
Additive Program Income |
NIST MEP Federal Cost Share |
% |
Non-Federal Cash Cost Share |
Non-Federal In-Kind Cost Share |
% |
Totals |
Additive Program Income |
NIST MEP Federal Cost Share |
% |
Non-Federal Cash Cost Share |
Non-Federal In-Kind Cost Share |
% |
Totals |
Additive Program Income |
NIST MEP Federal Cost Share |
% |
Non-Federal Cash Cost Share |
Non-Federal In-Kind Cost Share |
% |
Totals |
Additive Program Income |
NIST MEP Federal Cost Share |
% |
Non-Federal Cash Cost Share |
Non-Federal In-Kind Cost Share |
% |
Totals |
Additive Program Income |
|
| REVENUE (Federal and Non-Federal Cost Share) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| NIST MEP Federal Funds (1) |
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
| NIST MEP Supplemental Funds (2) |
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
| Unexpended Federal Funds (From Prior Operating Year) to be used ABOVE base (3) |
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
|
| Unexpended Federal Funds (From Prior Operating Year) to be used TOWARD base (3) |
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
$0 |
|
|
|
|
$0 |
|
|
| Applicant Contribution |
|
|
$0 |
|
|
$0 |
|
|
|
$0 |
|
|
$0 |
|
|
|
$0 |
|
|
$0 |
|
|
|
$0 |
|
|
$0 |
|
|
|
$0 |
|
|
$0 |
|
$0 |
| State/Local Funds |
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
$0 |
| Unexpended Program Income (From Prior Operating Year) (4) |
|
|
$0 |
|
|
$0 |
|
|
|
$0 |
|
|
$0 |
$0 |
|
|
$0 |
|
|
$0 |
$0 |
|
|
$0 |
|
|
$0 |
$0 |
|
|
$0 |
|
|
$0 |
$0 |
|
| Gross Program Income (Projected) |
|
|
$0 |
|
|
$0 |
$0 |
|
|
$0 |
|
|
$0 |
$0 |
|
|
$0 |
|
|
$0 |
$0 |
|
|
$0 |
|
|
$0 |
$0 |
|
|
$0 |
|
|
$0 |
$0 |
$0 |
| Total Other |
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
$0 |
| Interest on Program Income |
|
|
$0 |
|
|
$0 |
|
|
|
$0 |
|
|
$0 |
|
|
|
$0 |
|
|
$0 |
|
|
|
$0 |
|
|
$0 |
|
|
|
$0 |
|
|
$0 |
|
|
| Sub-Recipient Cost Share |
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
| Third Party Contributions |
|
|
|
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
|
$0 |
$0 |
|
$0 |
|
|
| TOTAL REVENUE |
$0 |
#DIV/0! |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
$0 |
| EXPENSES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Personnel |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
| Fringe Benefits |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
| Travel |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
| Equipment |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
| Supplies |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
| Contractual Costs |
$0 |
|
$0 |
|
|
$0 |
$0 |
$0 |
|
$0 |
|
|
$0 |
$0 |
$0 |
|
$0 |
|
|
$0 |
$0 |
$0 |
|
$0 |
|
|
$0 |
$0 |
$0 |
|
$0 |
|
|
$0 |
$0 |
$0 |
| Other Costs |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
| Total Direct Costs |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
| Indirect Costs (10%) |
$0 |
|
$0 |
|
|
$0 |
$0 |
$0 |
|
$0 |
|
|
$0 |
$0 |
$0 |
|
$0 |
|
|
$0 |
$0 |
$0 |
|
$0 |
|
|
$0 |
$0 |
$0 |
|
$0 |
|
|
$0 |
$0 |
$0 |
| TOTAL EXPENSES |
$0 |
#DIV/0! |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
#DIV/0! |
$0 |
$0 |
$0 |
| TOTAL REVENUE – TOTAL EXPENSES (5) |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
$0 |
$0 |
|
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Footnotes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| All amounts in this five-year budget summary table should correspond to the amounts in the Center's single-year, detailed budget tables. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| (1) Per the Federal Funding Opportunity Notice (FFO) or Notice of Federal Funding Opportunity (NOFO) that serve as the basis for the MEP State Awards, the Federal funding amount may be adjusted higher or lower than the center's annual funding amount in a given year. However, the five-year total may not exceed the amount approved for the award period. The amount of Federal Funds requested will be the amount entered into MEIS as the Center's denominator. |
| (2) NIST MEP Supplemental Funds will only be offered via a special announcement from the program. Supplemental Funding is not counted towards the Center's denominator in MEIS. |
| (3) The carryforward of Unexpended Federal Funds (UFF) must be requested annually and may not be projected as being carried forward in out years. |
| (4) The carryforward of Unexpended Program Income (UPI) must be requested annually, but may not be projected as being carried forward in out years. |
| (5) This row should reflect any UFF and/or UPI that will be requested to be carried forward into the next operating year. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|