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SSBCI INVESTING IN AMERICA SBOP APPLICATION
Detailed Budget and Narrative Justification
Applicant xxxxxxxxx
Agreement/Amendment Number or Federal Award
xxxxxxx
Identification Number (FAIN)
Date Submitted xxxxx xx, 2024
SSBCI INVESTING IN AMERICA SBOP APPLICATION
Applicant Information_page 1
Detailed Budget and Narrative Justification
BUDGET SUMMARY
TOTAL PROJECT BUDGET
BUDGET CATEGORY
YEAR 1
Federal Request
YEAR 1
YEAR 2
YEAR 3
YEAR 2
YEAR 3
TOTAL
Non-Federal
Non-Federal
Non-Federal
Federal Request
Federal Request
Federal Request
Matching Funds
Matching Funds
Matching Funds
TOTAL
Non-Federal
Match
TOTAL
PROJECT
BUDGET
A. Personnel
$0
$0
$0
$0
$0
$0
$0
$0
$0
B. Fringe Benefits
$0
$0
$0
$0
$0
$0
$0
$0
$0
C. Travel
$0
$0
$0
$0
$0
$0
$0
$0
$0
D. Equipment
$0
$0
$0
$0
$0
$0
$0
$0
$0
E. Supplies
$0
$0
$0
$0
$0
$0
$0
$0
$0
F. Contractual
$0
$0
$0
$0
$0
$0
$0
$0
$0
G. Other
$0
$0
$0
$0
$0
$0
$0
$0
$0
H. Total Direct Costs (sum of A to G)
$0
$0
$0
$0
$0
$0
$0
$0
$0
I. Indirect Cost
$0
$0
$0
$0
$0
$0
$0
$0
$0
TOTAL PROJECT COSTS (sum of H and I)
$0
$0
$0
$0
$0
$0
$0
$0
$0
SSBCI INVESTING IN AMERICA SBOP APPLICATION
Budget Summary_page 2
Detailed Budget and Narrative Justification
A. Personnel
Line
Item #
1
Position Title/Function
xxxxxx
Number of
Personnel
Annual
Salary/Wage
% Level of
Effort
1.00
$100,000
50.0%
COST
$50,000
2
$0
3
$0
4
$0
5
$0
6
$0
7
$0
8
$0
9
$0
10
$0
11
$0
12
$0
13
$0
14
$0
15
$0
Intentio
Intentionally Blank
nally
Intentionally
Blank
Intentionally
Blank
TOTAL
YEAR 1
Non-Federal
Matching
Funds
YEAR 1
Federal
Request
$50,000
YEAR 2
Non-Federal
Matching
Funds
YEAR 2
Federal
Request
YEAR 3
Non-Federal
Matching
Funds
YEAR 3
Federal
Request
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Personnel Narrative
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SSBCI INVESTING IN AMERICA SBOP APPLICATION
A. Personnel_page 3
Detailed Budget and Narrative Justification
B1. Fringe Components
Our organization’s fringe rate is comprised of:
Intentionally
Fringe Component
Blank
Intentionally
xxxxxx
Blank
Intentionally
Blank
Intentionally
Blank
Intentionally
Blank
Intentionally
Blank
Intentionally
Blank
Intentionally
Blank
Intentionally
Blank
Intentionally
Blank
Intentionally
Blank
Rate (%)
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
TOTAL
Intentionally Blank3
Intentionally Blank
Intentionally Blank
Intentionally Blank
Intentionally Blank
Intentionally Blank
Intentionally Blank
Intentionally Blank
Intentionally Blank
Intentionally Blank
0.00% Intentionally Blank
Fringe Benefits Narrative
xxxxxxx
SSBCI INVESTING IN AMERICA SBOP APPLICATIONB1. Fringe Components_page 4
Detailed Budget and Narrative Justification
B. Fringe Benefits
Line
#
1
Number of
Personnel
Position
xxxxxx
Fringe Benefit Total Fringe
Rate (%)
Base
COST
1
$50,000
0.00%
$0
2
0
0
$0
0.00%
$0
3
0
0
$0
0.00%
$0
4
0
0
$0
0.00%
$0
5
0
0
$0
0.00%
$0
6
0
0
$0
0.00%
$0
7
0
0
$0
0.00%
$0
8
0
0
$0
0.00%
$0
9
0
0
$0
0.00%
$0
10
0
0
$0
0.00%
$0
11
0
0
$0
0.00%
$0
12
0
0
$0
0.00%
$0
13
0
0
$0
0.00%
$0
14
0
0
$0
0.00%
$0
15
0
0
$0
0.00%
$0
Intenti
onally Intentionally Blank
Blank
SSBCI INVESTING IN AMERICA SBOP APPLICATION
Intentionally Blank
Intentionally
Blank
TOTAL
B. Fringe Benefits_page 5
YEAR 1
Non-Federal
Matching
Funds
YEAR 1
Federal
Request
$0
YEAR 2
Non-Federal
Matching
Funds
YEAR 2
Federal
Request
YEAR 3
Non-Federal
Matching
Funds
YEAR 3
Federal
Request
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Detailed Budget and Narrative Justification
C. Travel
Line
Purpose of Travel
Item #
1
xxxx
Number of
Persons
0
YEAR 1
Non-Federal
Matching
Funds
YEAR 1
Federal
Request
COST
YEAR 2
Non-Federal
Matching
Funds
YEAR 2
Federal
Request
YEAR 3
Non-Federal
Matching
Funds
YEAR 3
Federal
Request
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
2
3
4
5
6
7
8
9
10
Intention
Intentionally Blank
ally Blank
Travel Narrative
1
2
3
4
5
6
7
8
9
10
SSBCI INVESTING IN AMERICA SBOP APPLICATION
C. Travel_page 6
Detailed Budget and Narrative Justification
D. Equipment
Line
Item Description
Item #
1
Quantity
Estimated Unit Cost
Percentage
Charged to the
Project (%)
0
$0
0%
xxxxx
COST
$0
2
$0
3
$0
IntentionaIntentionally Blank
Intentionally Bla Intentionally Blank
TOTAL
YEAR 1
Non-Federal
Matching
Funds
YEAR 1
Federal
Request
$0
YEAR 2
Non-Federal
Matching
Funds
YEAR 2
Federal
Request
YEAR 3
Non-Federal
Matching
Funds
YEAR 3
Federal
Request
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Equipment Narrative
1
2
3
SSBCI INVESTING IN AMERICA SBOP APPLICATION
D. Equipment_page 7
Detailed Budget and Narrative Justification
E. Supplies
Line
Item #
Item Description
YEAR 1
YEAR 2
YEAR 1
Non-Federal
YEAR 2
Non-Federal
Federal Request
Matching
Federal Request
Matching Funds
Funds
COST
YEAR 3
Non-Federal
Matching
Funds
YEAR 3
Federal
Request
1
xxxxxxx
$0
$0
$0
$0
$0
$0
$0
2
xxxxxxx
$0
$0
$0
$0
$0
$0
$0
Intention
ally
Intentionally Blank
Blank
$0
$0
$0
$0
$0
$0
$0
3
4
5
6
7
8
9
10
Supplies Narrative
1
2
xxxx
xxxx
3
4
5
6
7
8
9
10
SSBCI INVESTING IN AMERICA SBOP APPLICATION
E. Supplies_page 8
Detailed Budget and Narrative Justification
F. Contractual
Line
Item #
1
Name of Contractor or Subrecipient
xxxxx
Indicate whether
Contractor or
Subrecipient
xxxxxxx
YEAR 1
Non-Federal
Matching
Funds
YEAR 1
Federal
Reques
COST
YEAR 2
Non-Federal
Matching
Funds
YEAR 2
Federal
Request2
YEAR 3
Non-Federal
Matching
Funds
YEAR 3
Federal
Request
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
2
3
4
5
Intentiona
Intentionally Blank
lly Blank
TOTAL
Contractual Narrative
xxxx
1
2
3
4
5
SSBCI INVESTING IN AMERICA SBOP APPLICATION
F. Contractual_page 9
Detailed Budget and Narrative Justification
G. Other
Line
Item #
Description
YEAR 1
Non-Federal
Matching
Funds
YEAR 1
Federal
Request
COST
YEAR 2
Non-Federal
Matching
Funds
YEAR 2
Federal
Request
YEAR 3
Non-Federal
Matching
Funds
YEAR 3
Federal
Request
xxxxx
$0
$0
$0
$0
$0
$0
$0
Intentionall
Intentionally Blank
y Blank
$0
$0
$0
$0
$0
$0
$0
1
2
3
4
5
Other Narrative
xxxx
1
2
3
4
5
SSBCI INVESTING IN AMERICA SBOP APPLICATION
G. Other_page 10
Detailed Budget and Narrative Justification
I. Indirect Cost (IDC)
Line
Item #
1
2
3
4
5
6
7
Budget Category
Indirect Cost
Rate (%)
Distribution Base INDIRECT COST
Personnel
$0
Fringe Benefits
$0
Travel
$0
Equipment
$0
Supplies
$0
Contractual
$0
Other
$0
Intentionall
Intentionally Blank
y Blank
Intentionally Blank
TOTAL
$0
YEAR 1
Non-Federal
Matching
Funds
YEAR 1
Federal
Request
YEAR 2
Non-Federal
Matching
Funds
YEAR 2
Federal
Request
YEAR 3
Non-Federal
Matching
Funds
YEAR 3
Federal
Request
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Indirect Cost Narrative
1
xxxx
SSBCI INVESTING IN AMERICA SBOP APPLICATION
I. Indirect Cost_page 11
Detailed Budget and Narrative Justification
File Type | application/pdf |
File Title | SSBCI SBOP Detailed Budget and Narrative Justification |
Subject | Budget detail Excel workbook for SAMHSA recipients to submit budget information and the narrative or justification |
Author | Treasury SSBCI |
File Modified | 2024-01-11 |
File Created | 2024-01-11 |