Form 424A

OMB Approval No. 4040-0006
Expiration Date 04/30/2008

BUDGET INFORMATION - Non-Construction Programs
SECTION A - BUDGET SUMMARY
Grant Program
Function
or Activity
(a)

Catalog of Federal
Domestic Assistance
Number
(b)

1.

New or Revised Budget

Estimated Unobligated Funds
Federal
( c)

Non-Federal
(d)

Federal
(e)

Non-Federal
(f)

Total
(g)

$

$

$

$

$

$

$

$

$

$

2.
3.
4.
5.

Totals

SECTION B - BUDGET CATEGORIES
6. Object Class Categories

a. Personnel

(1)

(2)

$

$

GRANT PROGRAM, FUNCTION OR ACTIVITY
(3)

$

Total
(5)

(4)

$

$

b. Fringe Benefits
c. Travel
d. Equipment
e. Supplies
f. Contractual
g. Construction
h. Other
i. Total Direct Charges (sum of 6a-6h)

$

j. Indirect Charges

$

k. TOTALS (sum of 6i and 6j)

7. Program Income

$

$

$

$

$

$

$

$

$

$

Authorized for Local Reproduction

Standard Form 424A (Rev. 7- 97)
Prescribed by OMB (Circular A -102)

SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program

(b) Applicant

8.

(c) State

(d) Other Sources

(e) TOTALS

$

$

$

$

$

$

$

$

9.
10.
11.
12. TOTAL (sum of lines 8-11)

SECTION D - FORECASTED CASH NEEDS
Total for 1st Year

13. Federal

$

14. Non-Federal

$

15. TOTAL (sum of lines 13 and 14)

$

1st Quarter

2nd Quarter

3rd Quarter

4th Quarter

$

$

$

$

$

$

$

$

SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
(a) Grant Program

FUTURE FUNDING PERIODS (Years)
(d) Third
(c) Second

(b) First
16.

$

$

$

$

$

$

0.00

(e) Fourth
$

17.
18.
19.
20. TOTAL (sum of lines 16 - 19)

$

SECTION F - OTHER BUDGET INFORMATION
21. Direct Charges:

22. Indirect Charges:

23. Remarks:
Authorized for Local Reproduction

Standard Form 424A (Rev. 7-97) Page 2