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OMB Control No. 0660-XXX Expiration Date: TBD |
| Middle Mile Grant Program |
| Detailed Budget Template |
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Unit Type |
Unit Cost |
No. of Units |
Total Cost |
Federal Funds Requested |
Cash Match Amount |
In Kind Contribution Value |
Match Type (Cash/In-Kind/Both) |
Match Percentage |
Allowable Total |
Notes/Comments |
| 1. Administrative and Legal Expenses |
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| Total Administrative and Legal Expenses |
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| 2. Land, Structures, Rights-of-Way, Appraisals, etc. |
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| Total Land, Structures, Rights-of Way, Appraisals, etc. |
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| 3. Relocation Expenses and Payments |
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| Total Relocation Expenses and Payments |
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| 4. Architectural and Engineering Fees |
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| Total Architechtural and Engineering Fees |
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| 5. Other Architectural and Engineering Fees |
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| Total Other Architectural and Engineering Fees |
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| 6. Project Inspection Fees |
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| Total Project Inspection Fees |
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| 7. Site Work |
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| Total Site Work |
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| 8. Demolition and Removal |
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| Total Demolition and Removal |
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| 9. Construction |
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| Total Construction |
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| 10. Equipment |
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| Total Equipment |
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| 11. Miscellaneous |
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| Total Miscellaneous |
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| 12. SUBTOTAL |
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| 13. Contingencies |
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| Total Contingencies |
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| 14. SUBTOTAL |
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| 15. Project (program) income |
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| Total Project (program) income |
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| 16. PROJECT TOTAL |
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$0 |
$0 |
$0 |
$0 |
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$0 |
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| Agency Disclosure Notice: This information collection is authorized by [OMB control #0660-XXXX]. Public reporting burden for this collection of information is estimated to average two (2) hours or 120 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. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to U.S. Department of Commerce, (National Telecommunications and Information Administration, 1401 Constitution Ave. NW, Washington, DC 20230). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. |