NIST MEP Single-Year Budget Workbook

The data included in this workbook is for illustrative purposes only. Users should overwrite existing data before submitting.
OMB Control No. 0693-0032
Expiration Date: 12-31-2024

Center Name:
Year:

X of Y
NIST MEP
Federal Cost
Category
Share Only 1
I: REVENUE (Federal and Non-Federal Cost Share)  
$400,000
NIST MEP Federal Funds2
$0
NIST MEP Supplemental Funds3
Unexpended Federal Funds (From Prior
Operating Year) to be used ABOVE base4
Unexpended Federal Funds (From Prior
Operating Year) to be used TOWARD base5

%

Non-Federal
Cash Cost
Share

$0
$10,000

$4,500

$4,500
$0

$0

$0

$100,000
$47,500

$0

$100,000
$47,500

$176,000
$10,000

$81,000

$176,000
$10,000

$10,000

$31,000

$10,000

$333,500

$50,000
$81,000

$0

Interest on Program Income 9
Sub-Recipient Cost Share 10

[1]

Totals

$10,000

Applicant Contribution
State/Local Funds
Unexpended Program Income (From Prior
Operating Year)7
Gross Program Income (Projected)
Total Other8

(1) Sub-Recipient Agreements (ALL) 13
(2) Rent
(3) Utilities
(4) Office Expenses (telephone & Internet)
(5) Dues/Subscriptions
(6) Audits
(7) Board Expenses
Total Direct Costs
Indirect Costs (13.70%)
TOTAL EXPENSES
TOTAL REVENUE – TOTAL EXPENSES14

%

$414,500

Additive
Program
Income 15

$400,000

6

Third Party Contributions 11
TOTAL REVENUE
II: EXPENSES12
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Total Contractual Costs
(1) IT International
(2) International Training Services
(3) American Sales, Inc.
(4) Jane Doe
Total Other Costs

Non-Federal InKind Cost
Share

50.00%

$100

$0

50.00%

$35,000
$2,500
$0
$5,000
$4,000

$0
$829,000

$200
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$200

$148,500
$30,630
$6,508
$8,199
$6,000
$104,700
$15,000
$8,500
$31,200
$50,000
$60,019
$26,000

$148,500
$30,630
$6,508
$13,000
$23,400
$26,321
$5,000
$0
$21,321
$0
$44,957
$10,000

$34,500
$31,000

$297,000
$61,260
$13,016
$21,199
$29,400
$131,021
$20,000
$8,500
$52,521
$50,000
$104,976
$36,000

$22,001
$5,250
$1,500
$800
$2,468
$2,000
$364,556
$49,944
$414,500
$0

$22,003
$5,250
$1,500
$1,200
$3,004
$2,000
$293,316
$40,184
$333,500
$0

$3,500
$0
$0
$0
$0
$0
$81,000
$0
$81,000
$0

$44,004
$10,500
$3,000
$2,000
$5,472
$4,000
$657,872
$90,128
$829,000
$0

50.00%

$100

50.00%

Reference 15 C.F.R. Part 290.4(c) and 2 C.F.R. Part 200.306 for definition of Cost Share requirements.

[2]

Per the Federal Funding Opportunity Notice (FFO) or Notice of Federal Funding Opportunity (NOFO) that serve as the basis for the MEP State Awards, that amount of
Federal Funds 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.
[3]

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.

[4]
This line should reflect Unexpended Federal funds (UFF) being applied ABOVE the base annual amount.
The Center must include in the budget narrative an explanation for the inability to expend the funds in the previous
operating year and an explanation for how the center plans to expend the funds in the upcoming year.
[5]

This line should reflect UFF being applied TOWARD the base annual amount. The Center must include in the budget
narrative an explanation for the inability to expend the funds in the previous operating year.
[6]

Applicant contributions may consist of cash and in-kind contributions to the MEP project.

[7]

This line should reflect the amount of prior year Unexpended Program Income (UPI) to be carried forward. The narrative within the Revenue Description page should
specify and describe the composition of the total amount.
[8]

The cost categories provided under “Total Other” are examples. Expenses in this category will vary from Center to Center.

[9]

Centers are reminded that per 2 C.F.R. Part 200.305 b "For recipients and subrecipients other than States, payment methods must minimize the time elapsing between
the transfer of funds from the Federal agency or the pass-through entity and the disbursement of funds by the recipient or subrecipient regardless of whether the payment
is made by electronic funds transfer or by other means" and that as such no interest should be collected on Federal Funds.
[10]

This line should reflect the total estimated cash and in-kind cost share provided to the Recipient (Center) from all of its approved Sub-Recipients.

[11]

Third party contributions do not appear as a separate line item on the SF-424 but must be listed separately on this budget for MEP evaluation purposes.

[12]

The expenditure of all Third-Party contributions should be reflected (spread) in the appropriate cost category (e.g. Personnel, Fringe, Travel, etc. in the “Expenses”
section of the budget table and narratives.
[13]
Sub-Recipient Expenses: Recipient (Center) provided funding to the Sub-Recipient. Amounts should correspond to amounts listed in the SRA/TPC table.
Sub-Recipients should include ALL Program Income (PI) earned under the award on this line- not just the income planned to be used in the Operating Year.
All PI generated by the MEP project should be reported. Excess PI will be shown as such in the "Total Revenue - Total Expenses" line of the budget table.
[14]

When UFF and/or UPI appears in the Total Revenue minus Total Expenses row, provide an explanation and request for
carryover within the Revenue Description page under the applicable categories.
[15] This column should reflect Additive Program Income that is not committed and is a cap of the total amount of income that can be generated for this budget.
When using the Additive Program Income approach the MEP Center must explain how the program income will used in the Revenue Page under Section H. Program
Income. REMINDER: Excess program income above the cap amount shown in this budget requires prior approval to be expended.

SAMPLE REVENUE DESCRIPTION
Section I: REVENUE
A.     NEW NIST MEP FUNDS NEW NIST FUNDS:
SAMPLE: For the Operating Year 20XX, the Center requests $_______ in new Federal funds to act as a catalyst for
strengthening American manufacturing – accelerating its ongoing transformation into a more efficient and powerful engine of
innovation driving economic growth and job creation.
B.     SUPPLEMENTAL NIST FUNDS:
SAMPLE: For the Operating Year 20XX, the Center requests $_________ in new Supplemental Federal funds. These one-time
supplemental funds will be used in order to support the initiatives set out in the Center's Operating Outcome Statement
C.     UNEXPENDED FEDERAL FUNDS (UFF) FROM PRIOR OPERATING PERIOD
Per the NIST MEP General Terms and Conditions, Centers must request prior approval to carry forward UFF from the prior
operating period. Centers may do so in this section of the operating plan. No Separate request for UFF carryforward is required.
The request should include:
o An explanation for the inability to expend the funds in the previous operating year
o A plan for the use of the funds above-base (if applicable)
o An updated 5-Year Budget Summary and Subaward Table (if applicable) for the prior year reflecting the previously approved
budget and the actuals should be included as attachments.
Requests for programmatic approval for the use of carryover are considered on a case-by-case basis. For centers entering into
new awards (receiving a new award number), please note that any remaining unexpended Federal funds at the end of a five-year
award period will be de-obligated.
Additional Administrative Requirements:
o If the identified UFF is 10% or more of the Federal funding amount, Centers should submit a full, revised Budget Workbook
for the current year and a revised 5-Year Budget Summary Table.
o If the identified UFF is less than 10% of the Federal funding amount, Centers should submit a revised 5-Year Budget
Summary Table and a justification letter that explains why there is UFF and what it will be used for in the current year.
o In both cases, the 5-Year Budget Summary Table should reflect actual expenditures for the prior year that accounts for the
carryover of UFF

D.     APPLICANT CONTRIBUTION
Describe the sources (cash or in-kind) being contributed by the Center in support of its own operations.

E.     STATE FUNDS
Describe the sources (case or in-kind) being contributed to the project.

F.     LOCAL FUNDS
Describe the sources (cash or in-kind) being contributed to the project.

G.     UNEXPENDED PROGRAM INCOME (UPI) (FROM PRIOR OPERATING YEAR)
Per the NIST MEP General Terms and Conditions, Centers must request prior approval to carry forward UPI from the prior
operating period. Centers may do so in this section of the operating plan. No Separate request for UPI carryforward is required.
The request should include:
o An explanation for the inability to expend the funds in the previous operating year
o A plan for the use of the funds (if applicable)
o An updated 5-Year Budget Summary and Subaward Table (if applicable) for the prior year reflecting the previously approved
budget and the actuals.
Requests for programmatic approval for the use of carryover are considered on a case-by-case basis.
Per the NIST MEP General Terms and Conditions, the NIST Grants Officer generally will only approve the carry forward of 50%
or less of the annual Federal funding amount in UPI with the expectation that the Center will work with its assigned FPM to
ensure that it reinvests unexpended and future program income strategically into the project. Based on the explanation provided
by a Center, the NIST Grants Officer may approve the carry forward of UPI in an amount greater than 50% of a Center’s annual
Federal funding amount, although such approvals will generally be limited to cases where large amounts of UPI were reasonably
unforeseeable by the Center or in other extraordinary circumstances faced by a Center. The NIST Grants Officer will provide the
Recipient with written approval or denial of a request to carry forward UPI.
As a reminder, reporting program income to NIST via the SF-425 is cumulative. Program income earned under prior award
number should be included when submitting this form.
Additional Administrative Requirements:
o If the identified UPI is 10% or more of the total project budget (Federal and Non-federal amounts combined), Centers should
submit a full, revised Budget Workbook for the current year and a revised 5-Year Budget Summary Table.
o If the identified UPI is less than 10% of the of the total project budget (Federal and Non-federal amounts combined), Centers
should submit a revised 5-Year Budget Summary Table and a justification letter that explains why there is UPI and what it will be
used for in the current year.
o In both cases, the 5-Year Budget Summary Table should reflect actual expenditures for the prior year that accounts for the
carryover of UPI
H.    PROGRAM INCOME (PROJECTED)
Centers should provide a basis for the program income estimates included in the Budget Summary Table. The application of
Program Income should be consistent with the NIST MEP General Terms and Conditions. Significant changes in the amount
of program income expected to be generated should be explained here.

I.     OTHER REVENUE

Interest on Program Income – If a Center earns interest on funds directly related to the program, this is considered program
income revenue from the previous year and the amount estimated to be earned during the new operating year. Centers should
list the amount of interest earned on that Program Income here. Centers are reminded that per 2 C.F.R. Part 200.305 b "For
recipients and subrecipients other than States, payment methods must minimize the time elapsing between the transfer of funds
from the Federal agency or the pass-through entity and the disbursement of funds by the recipient or subrecipient regardless of
whether the payment is made by electronic funds transfer or by other means" and that as such no interest should be collected on
Federal Funds.

Subrecipient Cost Share – Subrecipient cost share reflected in the Summary Table should correspond with the SRA/TPC table.
All program income generated by the NIST MEP project should be reported.
Third Party Contributions – All third party in-kind contributions reflected in the Summary Table should correspond with the
SRA/TPC table. See the NIST MEP General Terms and Conditions for documentation requirements.

A.     Personnel: List each position by name of employee and title, including in-kind costs.
In this table, list the personnel of the Center by broad category such as service delivery, management, etc. Note any vacancies in these categories. Show the annual salary and the percentage of
time devoted to the project. Compensation paid for employees must be consistent with that paid for similar work within the Center's organization and similar positions in the industry.
Employees who are considered indirect labor (included in Indirect Cost Rate) should not be included in the breakdown of direct salaries. Neither contract nor subawardee personnel should be
included in this section of the budget; rather, they should be included under the Contractual or “Other” sections of the budget. Also note that time volunteered by Board Members should NOT be
included in this section of the budget; rather, this contribution should be included under the “Other” section of the budget.
As detailed personnel information will no longer be accessible to parties outside of NIST, it is no longer necessary to submit this information under separate cover as requested in
previous years.
Please use an asterisk (*) to indicate whether any of the individuals listed in the table are “Key Personnel.” As a reminder, per the NIST MEP General Terms and Conditions, as amended, additions
or changes of Key Personnel or the absence for more than three months or a 25% reduction in time devoted to the project by the approved Center Director require approval by the Grants Officer
(e.g., Center Directors, Chief Financial Officers, Managers, and Technical Staff whose expertise or experiences affect the basis of the proposal).

Annual Salary/ Rate
$80,435

% of Time
69%

NIST MEP Federal
Cost Share Only
$27,750

Non-Federal
Non-Federal
Cost Share (InCost Share
(Cash)
Kind)
$27,750
$0

Additive Program
Income

Position
(1) Center Director*

Name
Jane Doe

(2) Project Manager*

John Day

$50,500

100%

$25,250

$25,250

$0

$50,500

(3) Project Manager

Joan Kind

$59,000

100%

$29,500

$29,500

$0

$59,000

(4) Project Manager

Fred Page

$61,000

100%

$30,500

$30,500

$0

$61,000

(5) Project Manager

Norman Merge

$51,000

100%

$25,500

$25,500

$0

$51,000

(5) Events Coordinator

June List

$40,000

50%

$10,000

$10,000

$0

$20,000

(6) Office Manager

Ted Jones (TPC #1)

$69,500

100%

$0

$0

$20,000

$20,000

(7) Training Assistant

Sally Smith (TPC #2)

$43,300

100%

$0

$0

$15,000

$15,000

(8) Center Vice President
(included in Indirect Pool)*
TOTAL

Sam Jones

$100,000

100%

$0

$0

$0

$0

$148,500

$148,500

$35,000

$332,000

B.     Fringe Benefits: List all components that make up the fringe benefits rate.

FICA

Component

Rate
7.65%

NIST MEP Federal
Cost Share Only
Wage
$297,000
$11,360

Non-Federal
Non-Federal
Cost Share (InCost Share
Kind)
(Cash)
$11,360
$0

Total
$55,500

$0
$0
$0
$0
$0
$0
$0
$0

$22,720

3.12%

$297,000

$4,633

$4,633

$0

$9,266

Insurance

9.856%

$297,000

$14,637

$14,637

$0

$29,274

$0

$0

$2,500

$2,500

$30,630

$30,630

$2,500

$63,760

TOTAL

$0

Additive Program
Income

Total

Workers Compensation
Non-Federal In-kind Fringe (TPC #1 & 2)*

$0

$0
$0
$0
$0
$0.00

JUSTIFICATION: Include copy of current agreement.
Fringe reflects current rate for agency. *TPC #1 = $1,500 + TPC#2 = $1,000 = $2,500

C.     Travel: List all expected travel for the operating year.
Travel expenses should be in accordance with the organization’s written travel policy. In the absence of an acceptable written travel policy, established rates located at www.gsa.gov shall apply.
Recipients must comply with the Fly America Act for foreign travel.

Purpose of Travel
(1) MEP regional meeting

Destination
Washington, DC

(2) Local travel
(3) MEP Quarterly Meeting

TBD

TOTAL

Item

Airfare
Hotel
Per Diem (meals and
incidentals)
Mileage
Airfare
Hotel
Per Diem (meals and
incidentals)

Computation
$200/flight x 8 staff
$183/night x 8 staff x 3 nights
$71/day x 8 staff x 3 days

NIST MEP
Federal Cost
Share Only
$800
$2,196
$852

535 miles x 5 staff @.55/mile
$200/flight x 4 staff
$183/night x 4 staff x 3 nights
$71/day x 4 staff x 3 days

$736
$400
$1,098
$426

$736
$400
$1,098
$426

$0
$0
$0
$0

$1,472
$800
$2,196
$852

$0
$0
$0
$0

$6,508

$6,508

$0

$13,016

$0

JUSTIFICATION: Describe the purpose of travel and how costs were determined.

Non-Federal
Cost Share
Non-Federal Cost
(Cash)
Share (In-Kind)
$800
$0
$2,196
$0
$852
$0

Total

$1,600
$4,392
$1,704

Additive Program
Income

All costs were based on historical pricing.
(1) Eight staff will attend the MEP regional meeting in Washington, DC. This meeting will focus on service growth and business development.
(2) Local travel is needed to attend local meetings, project activities, and training events. Local travel rate is based on organization’s policies/procedures for privately owned vehicle reimbursement
rate.
(3) Four staff will attend the MEP quarterly meeting in a location that has yet to be determined. This meeting will focus on current center activities and outreach projects.

$0
$0
$0

D.     Equipment: List all planned equipment purchases for the operating year.
As set forth in 2 C.F.R. §200.313 and §200.439, equipment means tangible personal property (including information technology systems) having a useful life of more than one year and a per-unit
acquisition cost which equals or exceeds the lesser of the capitalization level established by the Recipient (or Sub-Recipient) for financial statement purposes, or $5,000. A Center must provide the
methodology used to arrive at the proposed costs (e.g., historical costs, competitive bid, or published price list, etc.). All procurement transactions shall be conducted in accordance with the
requirements set forth in 2 C.F.R. §200.317 - §200.327.

Computation
$5000 x 1
21,199 x 1

Item(s)
(1) Video teleconferencing system (TPC #2)
(2) Copier Machine
TOTAL

JUSTIFICATION: Explain the purpose of each requested expense.
All costs were based on retail values at the time the proposal was written.

NIST MEP Federal
Cost Share Only
$0
$8,199
$8,199

Non-Federal
Cost Share
(Cash)

Non-Federal
Cost Share (InKind)
$0
$5,000
$13,000
$0
$13,000
$5,000

Methodology Used to
Arrive at the Proposed
Costs (e.g., historical
costs, competitive bid,
Additive Program
Total
Income
published price list, etc.)
$5,000
$0
Competitive bid
$21,199
$0
Published Price List
$26,199
$0

(1) System is necessary for allowing two-way video and audio communication and includes face-to-face interaction and data sharing for office and field staff. The Center expects that by incorporating
this system into its communications functions, travel expenses will decrease substantially.
(2) In order to save money by not relying on external providers for medium-sized print jobs, the Center intends to purchase volume copy machines for high volume printing. The Center expects to
save money in overall print costs by making this investment.

E.     Supplies: List all planned supply purchases for the operating year.
As set forth in 2 C.F.R. §200.314 and see also §200.453, supplies are defined as all tangible personal property. For this purpose, a computing device constitutes a supply if the acquisition cost is less
than the lesser of the capitalization level established by the Recipient (or Sub-Recipient) for financial statement purposes or $10,000, regardless of the length of its useful life.

Item(s)

Field staff supplies
Laptop Computer (4 office staff)
Laptop Computer (2 field staff & 2 TPC staff)
Central office supplies
Printers (6 staff)
TOTAL

Computation
$110/month x 12 months x 4 staff
$2000 x 4
$2000 x 4
$110/month x 12 months x 6 staff
$700 x 6

NIST MEP Federal
Cost Share Only
$0
$4,000
$2,000
$0
$0
$6,000

Non-Federal
Non-Federal
Cost Share
Cost Share (InKind)
(Cash)
$5,280
$0
$4,000
$0
$2,000
$4,000
$7,920
$0
$4,200
$0
$23,400
$4,000

JUSTIFICATION: Describe the need and include an adequate justification of how each cost was estimated.

Total

$5,280
$8,000
$8,000
$7,920
$4,200
$33,400

Additive Program
Income
$0
$0
$0
$0
$0
$0

Methodology Used to
Arrive at the Proposed
Costs (e.g., historical
costs, competitive bid,
published price list, etc.)
Historical costs
Competitive bid
Competitive bid
Historical costs
Historical costs

All costs were based on retail values at the time the proposal was written.
(1) Supplies (field and central office) are needed for the general operation of the project activities.
(2) The laptop computers and printers are needed for both project work and presentations at the main office or in the field.
(3) TPC #2 = $2,000 x 2 = $4,000
F.     Contractual: List all contracts planned for the operating year.
A contractual arrangement is defined as an arrangement to carry out a portion of the programmatic effort, the acquisition of routine goods or services, or professional advice or service for a fee. The
applicant/grantee must establish written procurement policies and procedures that are consistently applied. All procurement transactions shall be conducted in a manner to provide to the maximum
extent practical, open and free competition. Per the MEP General Terms and Conditions, no donations can be received from contractors or vendors so there should not be in-kind contributions in this
category. Subrecipient agreements should be reflected in the "Other" table of the budget.

Contractor/Organization Name
(1) IT International
(2) International Training Services
(3) American Sales, Inc.
(4) Jane Doe
TOTAL

Service
IT consultant
Computer program training
Sales Support
Marketing Coordinator

Computation
$52.08/hour x 32 hrs./month x 12
$1,700 x 5 staff/year
$75.03/hr. x 700 hrs./year
10 engagements x $5000/event

NIST MEP
Federal Cost
Share Only
$15,000
$8,500
$31,200
$50,000
$104,700

JUSTIFICATION: Explain the need for each contractual agreement and how it relates to the overall project.

(1) IT International will conduct information technology seminars and conferences and provide training services.
(2) International Training Services will conduct yearly systems training.
(3) American Sales, Inc., will develop sales and product distribution strategies.
(4) Marketing Coordinator will develop outreach strategies, conduct conferences, and provide professional development
G.     Construction: NOT ALLOWED

Non-Federal
Cost Share
Non-Federal Cost
(Cash)
Share (In-Kind)
$5,000
$0
$0
$0
$21,321
$0
$0
$0
$26,321
$0

Total

$20,000
$8,500
$52,521
$50,000
$131,021

Additive Program
Income

$0
$0
$0
$0
$0

H.     Other: List all other direct costs that do not fall into the object cost categories above.
Please note that Per 2 CFR §200.450 Lobbying “(e) Costs of membership in organizations whose primary purpose is lobbying are unallowable.” As such, no costs associated with lobbying or
organizations whose primary function is lobbying are allowable under this award. With regard to rental costs, Recipients need to ensure that if rental costs are being included in the budget, they are in
accordance with 2 CFR §200.465. Rental costs under “sale and lease back” and “less-than-arm’s-length” agreements can only include expenses such as depreciation, maintenance, taxes, and
insurance.”

Item
(1) Sub-Recipient Agreements (ALL)
(2) Rent ($xx.xx/sq. ft.)
(3) Utilities
(4) Office Expenses (telephone, internet, etc.)
(5) Dues/Subscriptions
(6) Audits
(7) Board Expenses
TOTAL

Computation
See SRA/TPC Table
$3,958.66/month x 12 months
$875/month x 12 months
$250/month x 12 months
$166.66/month x 12 months
$5,472/year
4 meeting x $100/year x 10 board members =

JUSTIFICATION: Explain the purpose of each requested expense.

NIST MEP Federal
Cost Share Only
$26,000
$22,001
$5,250
$1,500
$800
$2,468
$2,000
$60,019

Non-Federal
Non-Federal
Cost Share
Cost Share (In(Cash)
Kind)
$10,000
$31,000
$22,003
$3,500
$5,250
$0
$1,500
$0
$1,200
$0
$3,004
$0
$2,000
$0
$44,957
$34,500

Total

$67,000
$47,504
$10,500
$3,000
$2,000
$5,472
$4,000
$139,476

Additive Program
Income
$0
$0
$0
$0
$0
$0
$0
$0

(1) Sub-Recipient Agreements providing outreach and training. Sub-Recipients should include ALL Program Income (PI) earned under the award on this line- not just the income planned to be used
in the Operating Year. All PI generated by the MEP project should be reported. Excess PI will be shown as such in the "Total Revenue - Total Expenses" line of the budget table.
(2) Office space (TPC 1 = $3,500).
(3) The monthly utility expenses.
(4) The monthly telephone and Internet expenses.
(5) Expenses for professional and technical organization subscriptions and dues, excluding costs and membership fees for firms whose primary purpose is lobbying. Costs include membership fees
for the following organizations: Organization A, Organization B, etc.
(6) Required yearly audit expenses that are allocable to the MEP project.
(7) Reimbursement of travel and per diem costs for participation by board members in four meetings per year.

Item

TOTAL DIRECT COSTS

NIST MEP Federal
Cost Share Only

$364,556

Non-Federal
Cost Share
(Cash)

$293,316

Non-Federal
Cost Share (InKind)

$81,000

Total

$738,872

Additive Program
Income

$0

INDIRECT COSTS

IDC Agreement
13.70%
$49,944
$40,184
$0
$90,128
$0
If indirect costs are included in the proposed budget, provide a copy of the approved negotiated agreement if this rate was negotiated with a cognizant Federal audit agency. If the rate was not
established by a cognizant Federal audit agency, provide a statement to this effect. If the Center includes indirect costs in the budget and has not established an indirect cost rate with a cognizant
Federal audit agency, the Center will be required to obtain such a rate in accordance with the Department of Commerce Financial Assistance Standard Terms and Conditions available at:
https://www.commerce.gov/sites/default/files/2024-09/DOC%20Financial%20Assistance%20General%20Terms%20and%20Conditions%20as%20of%2001%20October%202024.pdf
Alternatively, in accordance with 2 C.F.R. § 200.414(f), Centers may elect to charge indirect costs to an MEP award pursuant to a de minimis rate of 15 percent of modified total direct costs (MTDC),
in which case a negotiated indirect cost rate agreement is not required. Centers proposing a 15 percent de minimis rate pursuant to 2 C.F.R. § 200.414(f) should note this election as part of this
section.

Item

TOTAL (DIRECT + INDIRECT)

NIST MEP Federal
Cost Share Only

$414,500

Non-Federal
Cost Share
(Cash)

$333,500

Non-Federal
Cost Share (InKind)

$81,000

Total

$829,000

Additive Program
Income

$0

Enter Recipient Name Here
Period: Current Operating Year
Organization Name1

Agreement
Period

Agreement Type
Center Contact
Staff Responsible Subaward (SRA)
for
or Third Party
Monitoring
Contributions
Agreement
(TPC)

7/1/17 - 6/30/18

Jane Doe

SRA

TOTAL SRAs
(2) Third-Party Contributor #1
7/1/17 - 6/30/18

Jane Doe

TPC

Jane Doe

TPC

(1) Sub-Recipient Agreement #1

(3) Third-Party Contributor #2
7/1/17 - 6/30/18
TOTAL TPCs
TOTAL SRAs and TPCs

1
NIST MEP
Federal Cost
Share Only

2

CASH

Subrecipient/Third Party Contributions2
3
4
Sum of 2 thru 4
Total
Non-Federal
Cost Share
Non-Federal Cost Share

Sum of 1 thru 4
Total
Project
Amount

IN-KIND 4
IN-KIND 3
(Including full- (Including parttime personnel) time personnel)

CASH

$

26,000 $

10,000 $

31,000 $

-

$

41,000 $

67,000

$

26,000 $

10,000 $
$

31,000 $
25,000 $

-

$
$

41,000 $
25,000 $

67,000
25,000

$
$

- $
25,000 $

25,000 $
25,000 $

25,000 $
50,000 $

25,000
50,000

10,000 $

56,000 $

25,000 $

91,000 $

117,000

$

-

$

$

26,000 $

-

NOTES:
1.      Each Subrecipient/Third Party In-Kind Contribution identified in the Table should be shown as a separate line item.
2.      Dollar amounts listed in this table must tie directly to this budget. It should also correspond to the amounts reflected in the itemized budget within the agreement.
3.      Please state the dollar amount proposed/budgeted of in-kind (or the value of property provided in lieu of cash) by the Subrecipient/TPC or the Center (i.e., board contributions).
4.      Please state the dollar amount of third party in-kind contributions of part-time personnel, equipment, software, rental value of centrally located space (office and laboratory) and other related
contributions may be up to a maximum of one-half of the Recipient’s share. Allowable capital expenditures may be applied in the award funding period expended or in subsequent funding periods consistent
with the written accounting procedures of the Recipient. See 2 C.F.R. Section 200.306 for rules governing valuation of contributions of services and property.

JUSTIFICATION:
Centers should use this section to provide a narrative for each SRA/TPC agreement below the $250,000 threshold that identifies the nature of the SRA/TPC contributions
(e.g., office space, partner staff, etc.).
(1)    SRA #1
(2)    TPC #1
(3)    TPC #2