424CBW Grant Applicaiotn Detailed Budget Worksheet

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Overview

Sheet1
Sheet2

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Sheet 1: Sheet1

OMB Approval No. 2501-0017

Grant Application Detailed Budget Worksheet

(Exp. 01/31/2008)

Name and Address of Applicant:

Category

Detailed Description of Budget (for full grant period)

1. Personnel (Direct Labor)

Estimated Hours

Rate per Hour

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Position or Individual

Total Direct Labor Cost

2. Fringe Benefits

Rate (%)

Base

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Total Fringe Benefits Cost

3. Travel

3a. Transportation - Local Private Vehicle

Mileage

Rate per Mile

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Trans - Local Private Vehicle

1

form HUD-424-CBW (2/2003)

Grant Application Detailed Budget Worksheet

Detailed Description of Budget

3b. Transportation - Airfare (show destination)

Trips

Fare

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Transportation - Airfare

3c. Transportation - Other

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Transportation - Other

3d. Per Diem or Subsistence (indicate location)

Days

Rate per Day

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Per Diem or Subsistence

Total Travel Cost

4. Equipment (Only items over $5,000 Depreciated value)

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Total Equipment Cost

2

form HUD-424-CBW (2/2003)

Grant Application Detailed Budget Worksheet

Detailed Description of Budget

5. Supplies and Materials (Items under $5,000 Depreciated Value)

5a. Consumable Supplies

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Consumable Supplies

5b. Non-Consumable Materials

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Non-Consumable Materials

Total Supplies and Materials Cost

6. Consultants (Type)

Days

Rate per Day

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Total Consultants Cost

7. Contracts and Sub-Grantees (List individually)

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Total Subcontracts Cost

3

form HUD-424-CBW (2/2003)

Grant Application Detailed Budget Worksheet

Detailed Description of Budget

8. Construction Costs

8a. Administrative and legal expenses

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Administrative and legal expenses

8b. Land, structures, rights-of way, appraisal, etc

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Land, structures, rights-of way, …

8c. Relocation expenses and payments

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Relocation expenses and payments

8d. Architectural and engineering fees

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Architectural and engineering fees

8e. Other architectural and engineering fees

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Other architectural and engineering fees

4

form HUD-424-CBW (2/2003)

Grant Application Detailed Budget Worksheet

8f. Project inspection fees

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Project inspection fees

8g. Site work

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Site work

8h. Demolition and removal

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Demolition and removal

8i. Construction

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Construction

8j. Equipment

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Equipment

8k. Contingencies

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Contingencies

8l. Miscellaneous

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Subtotal - Miscellaneous

Total Construction Costs

5

form HUD-424-CBW (2/2003)

Grant Application Detailed Budget Worksheet

9. Other Direct Costs

Quantity

Unit Cost

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Item

Total Other Direct Costs

Subtotal of Direct Costs

10. Indirect Costs

Rate

Base

Estimated Cost

HUD Share

Applicant Match

Other HUD Funds

Other Federal Share

State Share

Local/Tribal Share

Other

Program Income

Type

Total Indirect Costs

Total Estimated Costs

6

form HUD-424-CBW (2/2003)

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Sheet 2: Sheet2

					OMB Approval No. 2501-0017
Grant Application Detailed Budget Worksheet					(Exp. 01/31/2008)
Public reporting burden for this collection of information is estimated to average 3 hours 12 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.
Detailed Description of Budget
Analysis of Total Estimated Costs				Estimated Cost	Percent of Total
1	Personnel (Direct Labor)
2	Fringe Benefits
3	Travel
4	Equipment
5	Supplies and Materials
6	Consultants
7	Contracts and Sub-Grantees
8	Construction
9	Other Direct Costs
10	Indirect Costs
	Total:
	Federal Share:
	Match (Expressed as a percentage of the Federal Share):
			7
				form HUD-424-CBW (2/2003)