> ED 524

+--------+----+--------+--------+--------+--------+---+-----+---------+
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|        | NS |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| > Name |    |        |        | Appl   |        |   |     |         |
| > of   |    |        |        | icants |        |   |     |         |
| >      |    |        |        | must   |        |   |     |         |
| Instit |    |        |        | co     |        |   |     |         |
| ution/ |    |        |        | mplete |        |   |     |         |
| Organi |    |        |        | the    |        |   |     |         |
| zation |    |        |        | column |        |   |     |         |
|        |    |        |        | under  |        |   |     |         |
|        |    |        |        | \"P    |        |   |     |         |
|        |    |        |        | roject |        |   |     |         |
|        |    |        |        | Per    |        |   |     |         |
|        |    |        |        | iod.\" |        |   |     |         |
|        |    |        |        | The    |        |   |     |         |
|        |    |        |        | Depa   |        |   |     |         |
|        |    |        |        | rtment |        |   |     |         |
|        |    |        |        | will   |        |   |     |         |
|        |    |        |        | not    |        |   |     |         |
|        |    |        |        | make   |        |   |     |         |
|        |    |        |        | awards |        |   |     |         |
|        |    |        |        | for    |        |   |     |         |
|        |    |        |        | more   |        |   |     |         |
|        |    |        |        | than   |        |   |     |         |
|        |    |        |        | one    |        |   |     |         |
|        |    |        |        | period |        |   |     |         |
|        |    |        |        | of 24  |        |   |     |         |
|        |    |        |        | m      |        |   |     |         |
|        |    |        |        | onths. |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| **     |    |        |        |        |        |   |     |         |
| BUDGET |    |        |        |        |        |   |     |         |
| SUM    |    |        |        |        |        |   |     |         |
| MARY** |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
| **HUR  |    |        |        |        |        |   |     |         |
| RICANE |    |        |        |        |        |   |     |         |
| K      |    |        |        |        |        |   |     |         |
| ATRINA |    |        |        |        |        |   |     |         |
| F      |    |        |        |        |        |   |     |         |
| OREIGN |    |        |        |        |        |   |     |         |
| CON    |    |        |        |        |        |   |     |         |
| TRIBUT |    |        |        |        |        |   |     |         |
| IONS** |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| Budget |    | P      | P      | P      | P      | P |     | Total   |
| Cate   |    | roject | roject | roject | roject | r |     |         |
| gories |    | Period | Year 2 | Year 3 | Year 4 | o |     | \(f\)   |
|        |    |        |        |        |        | j |     |         |
|        |    | (24    | Not    | Not    | Not    | e |     |         |
|        |    | M      | Appl   | Appl   | Appl   | c |     |         |
|        |    | onths) | icable | icable | icable | t |     |         |
|        |    |        |        |        |        | Y |     |         |
|        |    | \(a\)  |        |        |        | e |     |         |
|        |    |        |        |        |        | a |     |         |
|        |    |        |        |        |        | r |     |         |
|        |    |        |        |        |        | 5 |     |         |
|        |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        | N |     |         |
|        |    |        |        |        |        | o |     |         |
|        |    |        |        |        |        | t |     |         |
|        |    |        |        |        |        | A |     |         |
|        |    |        |        |        |        | p |     |         |
|        |    |        |        |        |        | p |     |         |
|        |    |        |        |        |        | l |     |         |
|        |    |        |        |        |        | i |     |         |
|        |    |        |        |        |        | c |     |         |
|        |    |        |        |        |        | a |     |         |
|        |    |        |        |        |        | b |     |         |
|        |    |        |        |        |        | l |     |         |
|        |    |        |        |        |        | e |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| 1\.    |    |        |        |        |        |   |     |         |
| Per    |    |        |        |        |        |   |     |         |
| sonnel |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| 2\.    |    |        |        |        |        |   |     |         |
| Fringe |    |        |        |        |        |   |     |         |
| Be     |    |        |        |        |        |   |     |         |
| nefits |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| 3\.    |    |        |        |        |        |   |     |         |
| Travel |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| 4\.    |    |        |        |        |        |   |     |         |
| Equ    |    |        |        |        |        |   |     |         |
| ipment |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| 5\.    |    |        |        |        |        |   |     |         |
| Su     |    |        |        |        |        |   |     |         |
| pplies |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| 6\.    |    |        |        |        |        |   |     |         |
| Contr  |    |        |        |        |        |   |     |         |
| actual |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| 7\.    |    |        |        |        |        |   |     |         |
| Constr |    |        |        |        |        |   |     |         |
| uction |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| 8\.    |    |        |        |        |        |   |     |         |
| Other  |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| 9\.    |    |        |        |        |        |   |     |         |
| Total  |    |        |        |        |        |   |     |         |
| Direct |    |        |        |        |        |   |     |         |
| Costs  |    |        |        |        |        |   |     |         |
| (lines |    |        |        |        |        |   |     |         |
| 1-8)   |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| 10\.   |    |        |        |        |        |   |     |         |
| In     |    |        |        |        |        |   |     |         |
| direct |    |        |        |        |        |   |     |         |
| C      |    |        |        |        |        |   |     |         |
| osts\* |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| 11\.   |    |        |        |        |        |   |     |         |
| Tr     |    |        |        |        |        |   |     |         |
| aining |    |        |        |        |        |   |     |         |
| St     |    |        |        |        |        |   |     |         |
| ipends |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| 12\.   |    |        |        |        |        |   |     |         |
| Total  |    |        |        |        |        |   |     |         |
| Costs  |    |        |        |        |        |   |     |         |
| (lines |    |        |        |        |        |   |     |         |
| 9-11)  |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+
| >      |    |        |        |        |        |   |     |         |
| **\*In |    |        |        |        |        |   |     |         |
| direct |    |        |        |        |        |   |     |         |
| > Cost |    |        |        |        |        |   |     |         |
| >      |    |        |        |        |        |   |     |         |
|  Infor |    |        |        |        |        |   |     |         |
| mation |    |        |        |        |        |   |     |         |
| > *(To |    |        |        |        |        |   |     |         |
| > Be   |    |        |        |        |        |   |     |         |
| > Com  |    |        |        |        |        |   |     |         |
| pleted |    |        |        |        |        |   |     |         |
| > by   |    |        |        |        |        |   |     |         |
| > Your |    |        |        |        |        |   |     |         |
| > Bu   |    |        |        |        |        |   |     |         |
| siness |    |        |        |        |        |   |     |         |
| >      |    |        |        |        |        |   |     |         |
|  Offic |    |        |        |        |        |   |     |         |
| e*):** |    |        |        |        |        |   |     |         |
| >      |    |        |        |        |        |   |     |         |
| > If   |    |        |        |        |        |   |     |         |
| > you  |    |        |        |        |        |   |     |         |
| > are  |    |        |        |        |        |   |     |         |
| > requ |    |        |        |        |        |   |     |         |
| esting |    |        |        |        |        |   |     |         |
| > r    |    |        |        |        |        |   |     |         |
| eimbur |    |        |        |        |        |   |     |         |
| sement |    |        |        |        |        |   |     |         |
| > for  |    |        |        |        |        |   |     |         |
| > in   |    |        |        |        |        |   |     |         |
| direct |    |        |        |        |        |   |     |         |
| >      |    |        |        |        |        |   |     |         |
|  costs |    |        |        |        |        |   |     |         |
| > on   |    |        |        |        |        |   |     |         |
| > line |    |        |        |        |        |   |     |         |
| > 10,  |    |        |        |        |        |   |     |         |
| >      |    |        |        |        |        |   |     |         |
| please |    |        |        |        |        |   |     |         |
| >      |    |        |        |        |        |   |     |         |
| answer |    |        |        |        |        |   |     |         |
| > the  |    |        |        |        |        |   |     |         |
| > fol  |    |        |        |        |        |   |     |         |
| lowing |    |        |        |        |        |   |     |         |
| > ques |    |        |        |        |        |   |     |         |
| tions: |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
| (1) Do |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
|    you |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
|   have |    |        |        |        |        |   |     |         |
|     an |    |        |        |        |        |   |     |         |
|     In |    |        |        |        |        |   |     |         |
| direct |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
|   Cost |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
|   Rate |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
|    Agr |    |        |        |        |        |   |     |         |
| eement |    |        |        |        |        |   |     |         |
|     ap |    |        |        |        |        |   |     |         |
| proved |    |        |        |        |        |   |     |         |
|     by |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
|    the |    |        |        |        |        |   |     |         |
|     F  |    |        |        |        |        |   |     |         |
| ederal |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
|  gover |    |        |        |        |        |   |     |         |
| nment? |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
|  \_\_\ |    |        |        |        |        |   |     |         |
| _\_Yes |    |        |        |        |        |   |     |         |
|     \_ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
|     No |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
| (2) If |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
|   yes, |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
| please |    |        |        |        |        |   |     |         |
|     p  |    |        |        |        |        |   |     |         |
| rovide |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
|    the |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
|    fol |    |        |        |        |        |   |     |         |
| lowing |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
| inform |    |        |        |        |        |   |     |         |
| ation: |    |        |        |        |        |   |     |         |
|        |    |        |        |        |        |   |     |         |
| >      |    |        |        |        |        |   |     |         |
| Period |    |        |        |        |        |   |     |         |
| > C    |    |        |        |        |        |   |     |         |
| overed |    |        |        |        |        |   |     |         |
| > by   |    |        |        |        |        |   |     |         |
| > the  |    |        |        |        |        |   |     |         |
| > In   |    |        |        |        |        |   |     |         |
| direct |    |        |        |        |        |   |     |         |
| > Cost |    |        |        |        |        |   |     |         |
| > Rate |    |        |        |        |        |   |     |         |
| > Agre |    |        |        |        |        |   |     |         |
| ement: |    |        |        |        |        |   |     |         |
| >      |    |        |        |        |        |   |     |         |
|  From: |    |        |        |        |        |   |     |         |
| > \_   |    |        |        |        |        |   |     |         |
| \_\_/\ |    |        |        |        |        |   |     |         |
| _\_\_/ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| > To:  |    |        |        |        |        |   |     |         |
| > \_   |    |        |        |        |        |   |     |         |
| \_\_/\ |    |        |        |        |        |   |     |         |
| _\_\_/ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| >      |    |        |        |        |        |   |     |         |
| (mm/dd |    |        |        |        |        |   |     |         |
| /yyyy) |    |        |        |        |        |   |     |         |
| >      |    |        |        |        |        |   |     |         |
| > App  |    |        |        |        |        |   |     |         |
| roving |    |        |        |        |        |   |     |         |
| > F    |    |        |        |        |        |   |     |         |
| ederal |    |        |        |        |        |   |     |         |
| > a    |    |        |        |        |        |   |     |         |
| gency: |    |        |        |        |        |   |     |         |
| > \_   |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| > ED   |    |        |        |        |        |   |     |         |
| > \_   |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| >      |    |        |        |        |        |   |     |         |
|  Other |    |        |        |        |        |   |     |         |
| > (    |    |        |        |        |        |   |     |         |
| please |    |        |        |        |        |   |     |         |
| > spe  |    |        |        |        |        |   |     |         |
| cify): |    |        |        |        |        |   |     |         |
| > \_\_ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
| \_\_\_ |    |        |        |        |        |   |     |         |
+--------+----+--------+--------+--------+--------+---+-----+---------+

Archived Information

**Instructions for Hurricane Katrina Foreign Contributions Budgets**

[General Instructions]{.underline}

This form is used to apply to U.S. Department of Education (ED) awards
of Hurricane Katrina Foreign Contributions. Please consult with your
Business Office prior to submitting this form.

[Budget Summary]{.underline}

[Hurricane Katrina Foreign Contributions]{.underline}

All applicants must complete the budget summary and provide a breakdown
by the applicable budget categories shown in lines 1-11.

Lines 1-11, column (a): For the project period for which funding is
requested, show the total amount requested for each applicable budget
category.

Lines 1-11, column (f): Leave blank.

Line 12, column (a): Show the total budget.

Line 12, column (f): Leave blank.

[Indirect Cost Information]{.underline}:

Note: the applicant may not charge indirect costs against any portion of
the award that funds construction by the applicant or a sub recipient or
that are used to pay for tuition, room or board. Applicants that are
State Educational Agencies (SEA) may charge up to 1% of the total award
for administration of the award. Enter that amount on line 10 of the
form.

Applicants other than SEAs may charge indirect costs against those
portions of the award not budgeted for construction or tuition, room or
board and enter that amount on line 10. If you are requesting
reimbursement for any indirect costs, enter that amount on line 10. Your
Business Office must provide the information requested at the bottom of
the form regarding indirect costs: (1): Indicate whether or not your
organization has an Indirect Cost Rate Agreement that was approved by
the Federal government. (2): If you checked "yes" in (1), indicate in
(2) the beginning and ending dates covered by the Indirect Cost Rate
Agreement. In addition, indicate whether ED or another Federal agency
(Other) issued the approved agreement. If you check "Other," specify the
name of the Federal agency that issued the approved agreement.

[Budget Narrative \[Attach separate sheet(s)\]]{.underline}

[Pay attention to applicable program specific instructions,\
if attached.]{.underline}

1.  Provide an itemized budget breakdown and justification for each
    budget category listed in the budget summary. For grant projects
    that will be divided into two or more separately budgeted major
    activities or sub-projects, show for each budget category of the
    project the breakdown of the specific expenses attributable to each
    sub-project or activity.

2.  If applicable to this project, provide the rate and base on which
    fringe benefits are calculated.

3.  If you are not an SEA and are requesting reimbursement for indirect
    costs on line 10, the information in the budget narrative that
    supports the request for indirect

> costs must be completed by your Business Office. You may not use these
> funds to pay for training grants or other direct services to
> beneficiaries.
>
> If you need assistance regarding calculating or recovering indirect
> costs, you may contact (202) 377-3838 for additional

4.  Provide other explanations or comments you deem necessary.

Paperwork Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are
required to respond to a collection of information unless such
collection displays a valid OMB control number. The valid OMB control
number for this information collection is **\_\_\_\_\_\_\_\_\_\_**. The
time required to complete this information collection is estimated to
vary from 13 to 22 hours per response, with an average of 17.5 hours per
response, including the time to review instructions, search existing
data sources, gather the data needed, and complete and review the
information collection. If you have any comments concerning the accuracy
of the time estimate(s) or suggestions for improving this form, please
write to: U.S. Department of Education, Washington, D.C. 20202-4651. If
you have comments or concerns regarding the status of your individual
submission of this form, write directly to (insert program office), U.S.
Department of Education, 400 Maryland Avenue, S.W., Washington, D.C.
20202.