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HomeMy WebLinkAboutbudget informationOMB Approval No. 0348-0044 BUDGET INFORMATION - Non- Construction Programs . .. SECTION .A -.BUDGET SUMMARY .. Grant Program Function or Activity (a) Catalog of Federal Domestic Assistance Number (b) Estimated Unobligated Funds New or Revised Budget Federal (c) Non -Federal (d) Federal (e) Non- Federal (f) Total (g) 1. PADDP (HRS O4-089) 93.259 $ $ $ 299,643.00 $ $ 299,643.00 2 $ $ $ $ $ 0.00 3. $ $ $ $ $ 0.00 4. $ $ $ $ $ 0.00 5. TOTALS 6. Object Class Categories - $ 0.00 SECTIONS $ 0.00 - BUDGET CATEGORIES GRANT PROGRAM, FUNCTION $ 299,643.00 . OR ACTIVITY $ 0.00 $ 299,643.00 Total (5 ) (1) (2) (3) (4) a. Personnel $ 15,025.00 $ 15,025.00 $ 15,025.00 $ 15,025.00 $ 60,100.00 b. Fringe Benefits $ 1,922.00 $ 1,922.00 $ 1,922.00 $ 1,922.00 $ 7,688.00 c. Travel $ 1,500.00 $ $ $ $ 1,500.00 ci. Equipment $ 20,400.00 $ 198,400.00 $ $ $ 218,800.00 e. Supplies $ 11,555.00 $ $ $ $ 11,555.00 f_ Contractual $ $ $ $ $ 0.00 g. Construction $ $ $ $ $ 0.00 h. Other $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 i. Total Direct Charges (sum of 6a -6h) $ 50,402.00 $ 215,347.00 $ 16,947.00 $ 16,947.00 $ 299,643.00 j. Indirect Charges $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 k. TOTALS (sum of 6i and 6.1) $ 50,402.00 $ 215,347.00 $ 16,947.00 $ 16,947.00 $ 299,643.00 7. Program iincome$ $ $ ! $ I $ 0.00 Standard Form 424A (7- 97) Prescribed by OMB Circular A- 102 - . 'SECTION C - (a) Grant Program NON- FEDERAL=RESOURCES (h) Applicant (c) State (d} Other Sources (e) TOTALS 8. $ $ $ $ 0.00 9. $ $ $ 0.00 10. $ $ $ $ 0.00 11. 11111111111 $ $ $ 0.00 12. TOTALS (sum of lines 8 and 11) ._ , :. - -SECTION D - MESM7st $ 0.00 FORECASTED CASH Quarter $ 0.00 NEEDS 2nd Quarter $ 0.00 3rd Quarter $ 0.00 4th Quarter 13. Federal $ 299,643.00 $ 50,402.00 $ 215,347.00 $ 16,947.00 . $ 16,947.00 14. Non- Federal $ 0.00 $EIIIIIIIIIMIIIIMIIII $ 15. TOTAL (sum of fines 13 and 14) - :-SECTION E - BUDGETEST:IMATES-OF (a) Grant Program $ 299,643.00 FEDERAL $ 50,402.00 FUNDSNEEDED $ 215,347.00 $ 16,947.00 FOR BALANCE OF THE PROJECT FUTURE FUNDING PERIODS (Years) $ 16,947.00 (b) First (c) Second 16. PADDP (HRSA 04-089) $ 299,643.00 $ 300,000.00 $ 300,000.00 17. $ $ $ EIMINE 19. $ MEM. $ 20. TOTALS (sum of lines 16-19) .:.SECTION F - OTHER 21. Direct Charges: 299,643.00 $ BUDGET 299,643.00 INFORMATION 22. Indirect Charges: 0 $ 300,000.00 $ 300,000.00 $ 0.00 23. Remarks i 1 SF 424A (Rev. 7- 97) Page 2