OST Implementation Grant Application - Supplemental Estimate

Safe Streets and Roads for All Grant Program

Implementation Grant Application - Supplemental Estimated Budget

OMB: 2125-0675

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SS4A Implementation Grant Application - Supplemental Estimated Budget



This budget template is provided as an optional resource that may be submitted with an Implementation Grant application. This template is structured based on Table 4 of the FY24 NOFO and is intended to illustrate the appropriate level of detail for project-level budget estimation. Applicants may submit their own alternative budget documents, but should be completed in accordance with the FY24 NOFO.

Federal Funds to Underserved Communities are only required to be reported at the level of (A) Supplemental Action Plan Activities or at the project level for (B) and (C) Activities.

Please note that this form is set up to calculate project costs from any sub-activities and to calculate subtotals and totals. If you add or remove rows to meet your project needs, check that your math is correct before submitting.


Supplemental Estimated Budget

Itemized Estimated Costs of the (A) Supplemental Action Plan Activities

 

Federal Costs

Total Project Costs

Federal Funds to Underserved Communities

Project or Plan #1

$ -

$ -

 

Component

$ -

$ -

 

Component

$ -

$ -

 

Component

$ -

$ -

 

Component

$ -

$ -

 

Project or Plan #2

$ -

$ -

 

Component

$ -

$ -

 

Component

$ -

$ -

 

Subtotal Budget for (A) Supplemental Action Plan Activities

$ -

$ -

$ -

 

 

 

 

Itemized Estimated Costs of the (B) Planning, Design, and Development Activities

 

Federal Costs

Total Project Costs

Federal Funds to Underserved Communities

Planning, Design, and Development Project #1

$ -

$ -

$ -

Component

$ -

$ -

 

Component

$ -

$ -

 

Component

$ -

$ -

 

Component

$ -

$ -

 

Planning, Design, and Development Project #2

$ -

$ -

$ -

Component

$ -

$ -

 

Component

$ -

$ -

 

Subtotal Budget for (B) Conducting Planning, Design, and Development Activities

$ -

$ -

$ -

 

 

 

 

Itemized Estimated Costs of the (C) Proposed Projects and Strategies

 

Federal Costs

Total Project Costs

Federal Funds to Underserved Communities

Implementation Project #1

$ -

$ -

$ -

Component

$ -

$ -

 

Component

$ -

$ -

 

Component

$ -

$ -

 

Component

$ -

$ -

 

Implementation Project #2

$ -

$ -

$ -

Component

$ -

$ -

 

Component

$ -

$ -

 

Subtotal Budget for (C) Carrying Out Projects and Strategies

$ -

$ -

$ -

 

 

 

 

Total Budget for Activities (A), (B), and (C)

$ -

$ -

$ -

Check for Match Requirement (should not >80%)

#DIV/0!

 

 


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorLewis, Jazmyne (FHWA)
File Modified0000-00-00
File Created2024-07-30

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