10-2020A LMDI Budget and Funding Form

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Overview

NOTICES
Budget & Funding Plan

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Sheet 1: NOTICES

PRIVACY ACT STATEMENT

Authority: To be drafted

Purpose: To be drafted

Routine Uses: To be drafted

Disclosure: To be Drafted

PAPERWORK REDUCTION ACT STATEMENT

We collect this information under the authority of [Insert Authority]. We use this information to [insert the use of the information]. Your response is required to obtain or retain a benefit. We may not collect or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number. OMB has approved this collection of information and assigned Control No. 1024-0XXXX.

ESTIMATED BURDEN STATEMENT

We estimate that it will take you [insert time] to complete this form, including time to review instructions, gather and maintain data, and complete and review the form. You may send comments on the burden estimate or any aspect of this form to the Information Collection Clearance Officer, National Park Service, 12201 Sunrise Valley Drive, Mail Stop 242, Reston, VA 20192. Please do not send your completed form to this address.

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Sheet 2: Budget & Funding Plan

LMDI Local Heritage Grants - Project Budget & Funding Plan
Attention Applicants: Enter data in yellow cells only and round all numerical entries to the nearest $10.
Applicant Organization:
Project Title:
DIRECT COSTS	BUDGET
Personnel (non-federal)	$-	Wages and benefits of those directly assigned to carrying out the project. For existing staff, prorate wages based on time dedicated to the project. Do not include general management oversight or administration. If relying on volunteeers, use the rate published at www.independentsector.org/valuevolunteers
Project Travel	$-	Travel costs specific and necessary to the project, not to exceed rates published at www.gsa.gov/travel.
Equipment & Supplies	$-	Equipment and supplies purchased or leased to implement the project.
Contracted Work	$-	Any services that will be contracted to a third party.
Construction	$-	All construction costs (including in-house work) not included elsewhere.
Other	$-	Any additional costs specific and necessary to the project.
TOTAL DIRECT COSTS	$-
INDIRECT COSTS: De minimis indirect costs are automatically calculated to allow for general office needs, insurance, administration, etc.	$-	In this budget template, allowable indirect costs = 10% of direct costs. If your organization has a different negotiated indirect cost rate approved by the federal government or you plan to include no indirect costs, contact [email protected] before submitting.
TOTAL PROJECT BUDGET	$-
FUNDING SHARE: List the share of cash outlay and the value of donated products or services provided by the applicant and all other non-federal sources.
Applicant Organization	$-
Other Non-Federal Source #2	$-
Other Non-Federal Source #3	$-
All Other Non-Federal Sources not listed above	$-
NON-FEDERAL MATCH	$-	#DIV/0!
LMDI GRANT REQUESTED	$-	#DIV/0!
TOTAL FUNDING FOR PROJECT	$-