Form FEMA Form 112-0-8 FEMA Form 112-0-8 Budget Information - NonConstruction Programs

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY

See reverse for Paperwork
Burden Disclosure Notice

BUDGET INFORMATION-NONCONSTRUCTION PROGRAMS

Page

of

pages

O.M.B. No. 1660-0025
Expires August 31, 2011

1. PROGRAM AGENCY AND ORGANIZATION
ELEMENT TO WHICH REPORT IS SUBMITTED

2. FEDERAL GRANT OR OTHER IDENTIFYING NUMBER
ASSIGNED

3. RECIPIENT ORGANIZATION (Name and complete address, including zip code)

4. EMPLOYER IDENTIFICATION

5. RECIPIENT ACCOUNT NUMBER OR I.D. NO.

6. BUDGET PERIOD
(Month, Day, Year)

7. Mark x in Appropriate Box
New Budget
Revised Budget Enter Grant Number in Box 2 above

Beginning Date

Date of Budget Revision:

Ending Date

9.

10.

(%)

(%)

8. FEDERAL RATE SHARING (%)

(%)

(%)

TOTAL

PROGRAM ACRONYM
CFDA NUMBER
a. Personnel
b. Fringe Benefits
c. Travel
d. Equipment

Object
Class

e. Supplies
f. Contractual
g. Construction
h. Other
i. Total Direct Charges (10a to 10h)
j. Indirect Charges
k. Total (Sum of 10i & 10j)
l. Federal Share
Non-Federal Resources:
m. Applicant

Source

n. State
o. Local
p. Other Sources
q. Total (Sum of 10l to 10p)

Income

r. Program Income
s. Detail on Indirect Cost

Indirect
Cost

Type of Rate (mark "X" in one box)
Rate:

%

11. Signature of Authorizing Official

FEMA Form 112-0-8, MAR 09

Provisional-Final

Predetermined

Total Amount of Indirect Cost:
12. Name and Title (Type or print)

Fixed With Carry Forward
Base:

13. Telephone Number (Area code, Number and Extension)

PREVIOUS EDITION OBSOLETE

Date Report Submitted

Paperwork Burden Disclosure Notice
Public reporting burden for this form is estimated to average 9.7 hours per response. The burden estimate includes the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and submitting this form. You are not required to respond to this collection of
information unless it displays a valid OMB control number. You may send comments regarding the accuracy of the burden estimate and any suggestions for
reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW,
Washington, DC 20472, Paperwork Reduction Act (1660-0025).NOTE: Do not send your completed form to this address.
INSTRUCTIONS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
10a.
10b.
10c.
10d.
10e.
10f.
10g.
10h.
10i.
10j.
10k.
10l.
10m.
10n.
10o.
10p.
10q.
10r.
10s.
11.
12.
13.

Enter FEMA.
Enter grant or cooperative agreement identifier.
Enter the name of the rcipient to receive assistance.
Enter the number assigned to the recipient by the Internal Revenue Service. This number should be the same as the the number reported in item 6 of the
applicant's Application for Federal Assistance, SF 424.
Enter recipient account number or identification number.
Enter the beginning and ending dates for the budget period submitted for approval.
Mark the appropriate box for budget submission and date of budget revision.
Enter Federal rate of sharing percentage.
Enter each program acronym and CFDA number in the horizontal columns. Columns are to be used to report by Program.
Enter the estimated amounts for:
Personnel costs.
Fringe benefits.
Travel.
Equipment to be purchased. Note: Rented or leased equipment amounts are listed in Other, Item (h).
Expendable supplies.
Contractual costs.
Minor construction or renovation costs.
Rent, reproduction, telephone, rented/leased equipment, janitorial and security services, etc.
Enter the sum of items 10a through 10h.
Enter amount for the indirect charges (applicant must include a copy of the approved indirect cost agreement with the application).
Enter the sum of items 10i and 10j.
Federal Share. Enter the Federal share amount.
Non-Federal Resources. Enter the non-Federal amounts in items 10m through 10p that are being contributed by:
The applicant.
The State.
The local government.
Sources other than State or local governments.
Enter the sum of 10l through 10p.
Enter the amount of program income. Report income expected to be generated during the grant period.
Provide the details on type of rate, the rate or rates that are in effect during the funding period, the amount of base the rate is to be applied and the total
amount of indirect costs. If additional space is required to provide an explanation, attach a schedule. Note: Each time a FEMA Form 20-20 is submitted, the
applicant is to attach the most recent negotiated Indirect Cost Agreement.
The individual's signature who has the responsibility for the submission of the budget data.
Type or print the authorizing official's name and title.
Telephone Number. Type or print the authorizing official's telephone number. Date Report Submitted. Enter the date of submission.