SF 424 Application for Federal Assistance

Eviction Protection Grant Program

HUD- 424-cbw

NOFO

OMB: 2528-0331

Document [pdf]
Download: pdf | pdf
OMB Approval No. 2501-0017

Grant Application Detailed Budget Worksheet

(Exp. 01/31/2008)

Name and Address of Applicant:

Category
1. Personnel (Direct Labor)
Position or Individual

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

Total Direct Labor Cost

2. Fringe Benefits

Rate (%)

Base

Mileage

Rate per
Mile

Estimated Cost

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

HUD Share

Total Fringe Benefits Cost
3. Travel

3a. Transportation - Local Private Vehicle

Estimated Cost

HUD Share

Subtotal - Trans - Local Private Vehicle
1

form HUD-424-CBW (2/2003)

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

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

HUD Share

Subtotal - Transportation - Airfare

3c. Transportation - Other

Quantity

Unit Cost

Days

Rate per
Day

Estimated Cost

HUD Share

Subtotal - Transportation - Other

3d. Per Diem or Subsistence (indicate location)

Estimated Cost

HUD Share

Subtotal - Per Diem or Subsistence
Total Travel Cost

4. Equipment (Only items over $5,000 Depreciated value)

Quantity

Unit Cost

Estimated Cost

HUD Share

Total Equipment Cost
2

form HUD-424-CBW (2/2003)

Grant Application Detailed Budget Worksheet
Detailed Description of Budget
5. Supplies and Materials (Items under $5,000 Depreciated Value)

5a. Consumable Supplies

Quantity

Unit Cost

Estimated Cost

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

HUD Share

Subtotal - Consumable Supplies

5b. Non-Consumable Materials

Quantity

Unit Cost

Days

Rate per
Day

Estimated Cost

HUD Share

Subtotal - Non-Consumable Materials
Total Supplies and Materials Cost

6. Consultants (Type)

Estimated Cost

HUD Share

Total Consultants Cost

7. Contracts and Sub-Grantees (List individually)

Quantity

Unit Cost Estimated Cost

HUD Share

Total Subcontracts Cost
3

form HUD-424-CBW (2/2003)

Grant Application Detailed Budget Worksheet
Detailed Description of Budget
8. Construction Costs

8a. Administrative and legal expenses

Quantity

Unit Cost

Estimated Cost

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

HUD Share

Subtotal - Administrative and legal expenses

8b. Land, structures, rights-of way, appraisal, etc

Quantity

Unit Cost

Estimated Cost

HUD Share

Subtotal - Land, structures, rights-of way, …

8c. Relocation expenses and payments

Quantity

Unit Cost

Estimated Cost

HUD Share

Subtotal - Relocation expenses and payments

8d. Architectural and engineering fees

Quantity

Unit Cost

Estimated Cost

HUD Share

Subtotal - Architectural and engineering fees

8e. Other architectural and engineering fees

Quantity

Unit Cost

Estimated Cost

HUD Share

Subtotal - Other architectural and engineering fees
4

form HUD-424-CBW (2/2003)

Grant Application Detailed Budget Worksheet
8f. Project inspection fees

Quantity

Unit Cost

Estimated Cost

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

HUD Share

Subtotal - Project inspection fees

8g. Site work

Quantity

Unit Cost

Estimated Cost

HUD Share

Subtotal - Site work

8h. Demolition and removal

Quantity

Unit Cost

Estimated Cost

HUD Share

Subtotal - Demolition and removal

8i. Construction

Quantity

Unit Cost

Estimated Cost

HUD Share

Subtotal - Construction

8j. Equipment

Quantity

Unit Cost

Estimated Cost

HUD Share

Subtotal - Equipment

8k. Contingencies

Quantity

Unit Cost

Estimated Cost

HUD Share

Subtotal - Contingencies

8l. Miscellaneous

Quantity

Unit Cost

Estimated Cost

HUD Share

Subtotal - Miscellaneous
Total Construction Costs
5

form HUD-424-CBW (2/2003)

Grant Application Detailed Budget Worksheet
9. Other Direct Costs

Quantity

Unit Cost

Estimated Cost

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

Applicant
Match

Other
HUD
Funds

Other
Federal
Share

State Share Local/Tribal
Share

Other

Program
Income

HUD Share

Item

Total Other Direct Costs
Subtotal of Direct Costs

10. Indirect Costs

Rate

Base

Estimated Cost

HUD Share

Type

Total Indirect Costs

Total Estimated Costs
6

form HUD-424-CBW (2/2003)

OMB Approval No. 2501-0017

Grant Application Detailed Budget Worksheet

(Exp. 09/30/2020)

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.

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):
7

Percent of Total

form HUD-424-CBW (2/2003)


File Typeapplication/pdf
File TitleHUD- 424-cbw2.xls
AuthorH16013
File Modified2021-06-25
File Created2017-09-14

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