Form 424 CB

424-cb.xls

Rural Innovation Fund

Form 424 CB

OMB: 2506-0188

Document [xlsx]
Download: xlsx | pdf

Overview

Sheet1
Sheet4


Sheet 1: Sheet1

Grant Application Detailed Budget


U.S. Department of Housing and Urban Development



OMB Approval No. 2501-0017 (exp. 01/31/2011)








Functional Categories [Year 1:__] [Year 2:__] [Year 3:__] [All Years:__]





Name of Project/Activity:


Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column 8 Column 9




HUD Share Applicant Match Other HUD Funds Other Fed Share State Share Local/Tribal Share Other Program Income Total
a. Personnel (Direct Labor)


$ $ $ $ $ $ $ $ $
b. Fringe Benefits











c. Travel











d. Equipment (only items > $5,000 depreciated value)











e. Supplies (only items w/depreciated Value < $5,000 )











f. Contractual











g. Construction












1. Administration and legal expenses











2. Land, structures, rights-of way, appraisals, etc.











3. Relocation expenses and payments











4. Architectural and engineering fees











5. Other architectural and engineering fees











6. Project inspection fees











7. Site work











8. Demolition and removal











9. Construction











10. Equipment











11. Contingencies










12. Miscellaneous










h. Other (Direct Costs)











i. Subtotal of Direct Costs











j. Indirect Costs (% Approved Indirect Cost Rate:___%)











Grand Total (Year:___):











Grand Total (All Years):












Sheet 2: Sheet4




Instructions for the HUD Grant Application Detailed Budget Form










Public reporting burden for this collection of information is estimated to average 2 hours 36 minutes per response, including the time for reviewing instructions, searching existing data













sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not collect this information, and you are not required to













complete this form, unless it displays a currently valid OMB control number. Information collected will provide proposed budget data for multiple programs. HUD will use this information













in the selection of applicants. Response to this request for information is required in order to receive the benefits to be derived. The information requested does not lend itself to













confidentiality.













General Instructions













This form is designed so that an application can be made for any of HUD's grant programs. Separate sheets





Line h.--Enter any other direct costs not already addressed above.






must be used for each proposed program year and for a summary of all years.





Line i.--Calculate the totals of all applicable columns to determine the Subtotal of Direct Costs.






Check applicable program year or all years box at top of page to indicate which applies.





Line j.--Indicate the approved Indirect Cost Rate (if any) and calculate the indirect cost in accordance with






On the final sheet enter the Grand Total for all years in the applicable box at the





the terms of your approved indirect cost rate and enter the resulting amount.






bottom of the page. In preparing the budget, adhere to any existing HUD requirements which





Grand Total (Year:__)--Enter the sum of lines i. and j. under column 9 for each year, and enter the






prescribe how and whether budgeted amounts should be separately shown for different functions or





applicable year, in the blank, for each sheet completed.






activities within the program. For some programs, HUD may require budgets to be shown separately by





Grand Total (All Years)--Enter the sum of all the, "Grand Total (Year:__)" amounts from each sheet






function or activity. Your budget information should show the entire cost of your proposed program of





completed, under column 9, for all proposed years.






activities per year. If you are not using funds in any of the line item categories, you should leave the item













blank. Pages may be duplicated to show budget data for individual programs, projects or activities.





For each budget category (personnel, fringe benefits, travel, etc) you should identify the amount of funding













you plan on using in your grant program. You should complete each column as follows:






NOTE: Not all budget categories on this form are eligible for funding under all programs.













Please see eligible activities under the specific program for which you are seeking





Column 1 - Identify the amount of funds that you will need from the HUD grant program for






funding.





which you are seeking funding.






Budget Categories





Column 2 - Identify any matching funds that you are required to include in your proposed






The budget categories identifies how your program funds will be allocated by type of





program in order to be eligible for assistance.






use, e.g., funds going for salaries, travel, contracts, etc. Each of these line items should





Column 3 - Identify any other HUD funds that you will be adding to this program either






be broken out under each applicable column.





through your formula or competitive grant programs.






Lines a-f--Show the totals of Lines a to f in each column.





Column 4 - Identify any other Federal funds that you will be adding to this program either






Lines g. Show construction related expenses in the appropriate categories below.





through your formula or competitive grant programs.






Line g.1.--Enter estimated amounts needed to cover administrative expenses. Do not include costs which





Column 5 - Identify any State funds that you will be adding to this program.






are related to the normal functions of government.





Column 6 - Identify any Local or Tribal Government funds that you will be adding to this






Line g.2.--Enter estimated site and right(s)-of-way acquisition costs (this includes purchase, lease,





program.






and/or easements).





Column 7 - Identify any additional funds not previously identified in Columns 1 - 6, that






Line g.3.--Enter estimated costs related to relocation advisory assistance,





you intend to use for your proposed program.






replacement housing, relocation payments to displaced persons and businesses, etc.





Column 8 - Identify any program income that you expect to generate under this program.






Line g.4.--Enter estimated basic engineering fees related to construction





Column 9 - Add columns 1 - 8 across and place the total in Column 9.





(this includes start-up services and preparation of project performance work plan).













Line g.5.--Enter estimated engineering costs, such as surveys, tests, soil borings, etc.













Line g.6.--Enter estimated engineering inspection costs.













Line g.7.--Enter the estimated site preparation and restoration which are not













included in the basic construction contract.













Line g.8.--Enter the estimated costs related to demolition activities.













Line g.9.--Enter estimated costs of the construction contract.













Line g.10.--Enter estimated cost of office, shop, laboratory, safety equipment,













etc. to be used at the facility, if such costs are not included in the construction contract.













Line g.11.--Enter any estimated contingency costs.













Line g.12.--Enter estimated miscellaneous costs.













File Typeapplication/vnd.ms-excel
AuthorEric C. Gauff
Last Modified ByH15148
File Modified2010-07-21
File Created2001-12-11

© 2024 OMB.report | Privacy Policy