###### Region 9

###### Sample

COMPLETED BUDGET SF424A AND BUDGET DETAIL\
(BREAKDOWN BY OBJECT CLASS CATEGORIES)

+---------+---------+----------+----------+----------+---------+------+
| *       |         |          |          |          |         |      |
| *BUDGET |         |          |          |          |         |      |
| INFORM  |         |          |          |          |         |      |
| ATION - |         |          |          |          |         |      |
| No      |         |          |          |          |         |      |
| n-Const |         |          |          |          |         |      |
| ruction |         |          |          |          |         |      |
| Pro     |         |          |          |          |         |      |
| grams** |         |          |          |          |         |      |
| **OMB   |         |          |          |          |         |      |
| A       |         |          |          |          |         |      |
| pproval |         |          |          |          |         |      |
| No.     |         |          |          |          |         |      |
| 0348    |         |          |          |          |         |      |
| -0044** |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **      |         |          |          |          |         |      |
| SECTION |         |          |          |          |         |      |
| A -     |         |          |          |          |         |      |
| BUDGET  |         |          |          |          |         |      |
| SU      |         |          |          |          |         |      |
| MMARY** |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **Grant | **      | **E      |          | **New or |         |      |
| Pr      | Catalog | stimated |          | Revised  |         |      |
| ogram** | of      | Uno      |          | Budget** |         |      |
|         | Fe      | bligated |          |          |         |      |
| **Fun   | deral** | Funds**  |          |          |         |      |
| ction** |         |          |          |          |         |      |
|         | **D     |          |          |          |         |      |
| **or    | omestic |          |          |          |         |      |
| Act     | Assis   |          |          |          |         |      |
| ivity** | tance** |          |          |          |         |      |
|         |         |          |          |          |         |      |
| **(a)** | **N     |          |          |          |         |      |
|         | umber** |          |          |          |         |      |
|         |         |          |          |          |         |      |
|         | **(b)** |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
|         |         | **F      | **Non-F  | **F      | *       | *    |
|         |         | ederal** | ederal** | ederal** | *Non-Fe | *Tot |
|         |         |          |          |          | deral** | al** |
|         |         | **(c)**  | **(d)**  | **(e)**  |         |      |
|         |         |          |          |          | **(f)** | **(  |
|         |         |          |          |          |         | g)** |
+---------+---------+----------+----------+----------+---------+------+
| **1.    | **6     | **\$**   | **\$**   | **\$4    | **\$15  | *    |
| PWSS**  | 6.432** |          |          | 65,000** | 5,000** | *\$6 |
|         |         |          |          |          |         | 20,0 |
|         |         |          |          |          |         | 00** |
+---------+---------+----------+----------+----------+---------+------+
| 2\.     |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| 3\.     |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| 4\.     |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| 5\.     |         |          |          | **\$4    | **\$15  | *    |
| **T     |         |          |          | 65,000** | 5,000** | *\$6 |
| OTALS** |         |          |          |          |         | 20,0 |
|         |         |          |          |          |         | 00** |
+---------+---------+----------+----------+----------+---------+------+
| **      |         |          |          |          |         |      |
| SECTION |         |          |          |          |         |      |
| B -     |         |          |          |          |         |      |
| BUDGET  |         |          |          |          |         |      |
| CATEG   |         |          |          |          |         |      |
| ORIES** |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **6.    |         | **GRANT  |          |          |         | *    |
| OBJECT  |         | PROGRAM, |          |          |         | *Tot |
| CLASS   |         | FUNCTION |          |          |         | al** |
| CATEG   |         | OR       |          |          |         |      |
| ORIES** |         | AC       |          |          |         | **(  |
|         |         | TIVITY** |          |          |         | 5)** |
+---------+---------+----------+----------+----------+---------+------+
|         |         | **(1)**  | **(2)**  | **(3)**  | **(4)** |      |
|         |         | Federal  | Match    |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **a.    |         | \        | \$77,750 | **\$**   | **\$**  | \$   |
| Pers    |         | $233,243 |          |          |         | 310  |
| onnel** |         |          |          |          |         | ,993 |
+---------+---------+----------+----------+----------+---------+------+
| **b.    |         | 48,981   | \$16,327 |          |         | 65   |
| Fringe  |         |          |          |          |         | ,308 |
| Ben     |         |          |          |          |         |      |
| efits** |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **c.    |         | 15,179   | 0        |          |         | 15   |
| T       |         |          |          |          |         | ,179 |
| ravel** |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **d.    |         | 20,000   | 32,000   |          |         | 52   |
| Equi    |         |          |          |          |         | ,000 |
| pment** |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **e.    |         | 8,650    | 0        |          |         | 8    |
| Sup     |         |          |          |          |         | ,650 |
| plies** |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **f.    |         | 60,000   | 0        |          |         | 60   |
| Contra  |         |          |          |          |         | ,000 |
| ctual** |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **g.    |         | 0        | 0        |          |         | 0    |
| Constru |         |          |          |          |         |      |
| ction** |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **h.    |         | 8,391    | 5,404    |          |         | 13   |
| Other** |         |          |          |          |         | ,795 |
+---------+---------+----------+----------+----------+---------+------+
| **i.    |         | 394,444  | 131,481  |          |         | 525  |
| Total   |         |          |          |          |         | ,925 |
| Direct  |         |          |          |          |         |      |
| Charges |         |          |          |          |         |      |
| (sum of |         |          |          |          |         |      |
| 6a -    |         |          |          |          |         |      |
| 6h)**   |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **j.    |         | 70,556   | 23,519   |          |         | 94   |
| I       |         |          |          |          |         | ,075 |
| ndirect |         |          |          |          |         |      |
| Ch      |         |          |          |          |         |      |
| arges** |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **k.    |         | 465,000  | 155,000  |          |         | **6  |
| TOTALS  |         |          |          |          |         | 20,0 |
| (sum of |         |          |          |          |         | 00** |
| 6i and  |         |          |          |          |         |      |
| 6j)**   |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
|         |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+
| **7.    |         | **\$**   | **\$**   | **\$**   | **\$**  | **\$ |
| Program |         |          |          |          |         | 0**  |
| I       |         |          |          |          |         |      |
| ncome** |         |          |          |          |         |      |
+---------+---------+----------+----------+----------+---------+------+

+-------------------+---------+----------+----------+----------+------+
| **[SAMP           |         |          |          |          |      |
| LE]{.underline}** |         |          |          |          |      |
| SECTION C -       |         |          |          |          |      |
| NON-FEDERAL       |         |          |          |          |      |
| RESOURCES         |         |          |          |          |      |
| Standard Form     |         |          |          |          |      |
| 424A (4-88)       |         |          |          |          |      |
+-------------------+---------+----------+----------+----------+------+
| **(a) Grant       |         | **(b)    | **(c)    | **(d)    | *    |
| Program**         |         | App      | State**  | Other    | *(e) |
|                   |         | licant** |          | S        | TOTA |
|                   |         |          |          | ources** | LS** |
+-------------------+---------+----------+----------+----------+------+
| 8\. PWSS          |         | \        | \$       | \$       | 15   |
|                   |         | $155,000 |          |          | 5,00 |
|                   |         |          |          |          | 0.00 |
+-------------------+---------+----------+----------+----------+------+
| 9\.               |         |          |          |          | 0.00 |
+-------------------+---------+----------+----------+----------+------+
| 10\.              |         |          |          |          | 0.00 |
+-------------------+---------+----------+----------+----------+------+
| 11\.              |         |          |          |          | 0.00 |
+-------------------+---------+----------+----------+----------+------+
| 12\. TOTAL (sum   |         | 15       | \$ 0.00  | \$ 0.00  | 15   |
| of lines 8 and    |         | 5,000.00 |          |          | 5,00 |
| 11)               |         |          |          |          | 0.00 |
+-------------------+---------+----------+----------+----------+------+
| **SECTION D -     |         |          |          |          |      |
| FORECASTED CASH   |         |          |          |          |      |
| NEEDS**           |         |          |          |          |      |
+-------------------+---------+----------+----------+----------+------+
| 13\. Federal      | *       | **1st    | **2nd    | **3rd    | *    |
|                   | *(Total | Q        | Q        | Q        | *4th |
|                   | for 1st | uarter** | uarter** | uarter** | Q    |
|                   | Year)** |          |          |          | uart |
|                   |         |          |          |          | er** |
+-------------------+---------+----------+----------+----------+------+
|                   | \$      | 116,250  | 116,250  | 116,250  | 116  |
|                   | 465,000 |          |          |          | ,250 |
+-------------------+---------+----------+----------+----------+------+
| 14\. NonFederal   | \$      | 38,750   | 38,750   | 38,750   | 38   |
|                   | 155,000 |          |          |          | ,750 |
+-------------------+---------+----------+----------+----------+------+
| 15\. TOTAL (sum   | 620,000 | 155,000  | 155,000  | 155,000  | 155  |
| of lines 13 and   |         |          |          |          | ,000 |
| 14)               |         |          |          |          |      |
+-------------------+---------+----------+----------+----------+------+
| **SECTION E -     |         |          |          |          |      |
| BUDGET ESTIMATES  |         |          |          |          |      |
| OF FEDERAL FUNDS  |         |          |          |          |      |
| NEEDED FOR        |         |          |          |          |      |
| BALANCE OF THE    |         |          |          |          |      |
| PROJECT**         |         |          |          |          |      |
+-------------------+---------+----------+----------+----------+------+
| **(a) Grant       |         | **FUTURE |          |          |      |
| Program**         |         | FUNDING  |          |          |      |
|                   |         | PERIODS  |          |          |      |
|                   |         | (        |          |          |      |
|                   |         | Years)** |          |          |      |
+-------------------+---------+----------+----------+----------+------+
|                   |         | **(b)    | **(c)    | **(d)    | *    |
|                   |         | First**  | Second** | Third**  | *(e) |
|                   |         |          |          |          | Four |
|                   |         |          |          |          | th** |
+-------------------+---------+----------+----------+----------+------+
| 16\.              |         | \$       | \$       | \$       | \$   |
+-------------------+---------+----------+----------+----------+------+
| 17                |         |          |          |          |      |
+-------------------+---------+----------+----------+----------+------+
| 18\.              |         |          |          |          |      |
+-------------------+---------+----------+----------+----------+------+
| 19\.              |         |          |          |          |      |
+-------------------+---------+----------+----------+----------+------+
| 20\. TOTALS (sum  |         | \$0.00   | \$ 0.00  | \$ 0.00  | \$   |
| of lines 16 - 19) |         |          |          |          | 0.00 |
+-------------------+---------+----------+----------+----------+------+
| **SECTION F -     |         |          |          |          |      |
| OTHER BUDGET      |         |          |          |          |      |
| INFORMATION**     |         |          |          |          |      |
|                   |         |          |          |          |      |
| (Attach           |         |          |          |          |      |
| additional sheets |         |          |          |          |      |
| if Necessary)     |         |          |          |          |      |
+-------------------+---------+----------+----------+----------+------+
| 21\. Direct       |         |          | 22\.     |          |      |
| Charges:          |         |          | Indirect |          |      |
| \$525,925         |         |          | Charges: |          |      |
|                   |         |          | \$94,075 |          |      |
+-------------------+---------+----------+----------+----------+------+
| 23\. Remarks:     |         |          |          |          |      |
| *Please include   |         |          |          |          |      |
| anything not      |         |          |          |          |      |
| fully explained   |         |          |          |          |      |
| in the budget     |         |          |          |          |      |
| detail (i.e.      |         |          |          |          |      |
| Indirect Cost     |         |          |          |          |      |
| Rate, Base,       |         |          |          |          |      |
| etc.)*            |         |          |          |          |      |
|                   |         |          |          |          |      |
| **INDIRECT COST   |         |          |          |          |      |
| RATE = 25%**      |         |          |          |          |      |
+-------------------+---------+----------+----------+----------+------+

> **OPTIONAL FORMAT**
>
> SAMPLE BUDGET DETAIL FORMAT
>
> *The detail for each object class category must be provided. Formats
> may vary, but all information below should be included in your
> application.*
>
> a\. PERSONNEL

+------------------------+-------+-------------+---------+------------+
| **POSITION**           | **NUM | **SALARY**  | #       | **AMOUNT** |
|                        | BER** |             | ### WOR |            |
|                        |       |             | K YEARS |            |
+------------------------+-------+-------------+---------+------------+
| Lab Assistant 1        | 2     | \$22,500    | 1       | \$45,000   |
+------------------------+-------+-------------+---------+------------+
| Lab Assistant 2        | 1     | 20,000      | 1       | 20,000     |
+------------------------+-------+-------------+---------+------------+
| Env. Engineer II       | 2     | 38875       | 1       | 77,750     |
+------------------------+-------+-------------+---------+------------+
| Microbiologist IV      | 1     | 44,000      | 2       | 88,000     |
+------------------------+-------+-------------+---------+------------+
| Env. Health Specialist | 1     | 23,976      | 0.33    | 7,912      |
+------------------------+-------+-------------+---------+------------+
| Chemist III            | 1     | 50,000      | 1       | 50,000     |
+------------------------+-------+-------------+---------+------------+
| Health Assistant       | 1     | 22,331      | 1       | 22,331     |
+------------------------+-------+-------------+---------+------------+
| **a. Personnel Total** |       |             |         | \$310,993  |
+------------------------+-------+-------------+---------+------------+

> b\. FRINGE BENEFITS

+-----------------------------------+----------------------------------+
| ##### BASE (personnel)            | \$310,993                        |
+-----------------------------------+----------------------------------+
| ##### RATE                        | 21%                              |
+-----------------------------------+----------------------------------+
| **b. FRINGE BENEFITS TOTAL**      | \$65,308                         |
+-----------------------------------+----------------------------------+

> **c. TRAVEL -- List trips planned, destination, dates, and the amounts
> per trip. Please separate local travel and out-of-state travel.**

+---------------------------------------------+------------------------+
| **TRAVEL EXPENSES**                         | **AMOUNT**             |
+---------------------------------------------+------------------------+
| ##### OUT-OF-STATE TRAVEL                   | \$4,437                |
|                                             |                        |
| Philadelphia, PA (2 People)                 |                        |
+---------------------------------------------+------------------------+
| Las Vegas, NV (1 Person)                    | \$1,000                |
+---------------------------------------------+------------------------+
| Washington, DC (2 People)                   | \$2,400                |
+---------------------------------------------+------------------------+
| San Francisco, CA (3 People)                | \$3,000                |
+---------------------------------------------+------------------------+
| LOCAL TRAVEL                                | \$4,342                |
+---------------------------------------------+------------------------+
| **Explain:                                  |                        |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\                 |                        |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                        |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |                        |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** |                        |
|                                             |                        |
| -Trips are scheduled to attend the American |                        |
| Water Works Conference, Regional Workshop   |                        |
| on New Regulations, Grant Negotiations, and |                        |
| Grant Workshop.                             |                        |
|                                             |                        |
| Out of State Travel - \$10,837              |                        |
|                                             |                        |
| Local Travel - \$4,342                      |                        |
|                                             |                        |
| Based on an estimate for mileage            |                        |
| (\$.20/mile), \$45/day maximum lodging, and |                        |
| \$20/day maximum for meals.                 |                        |
|                                             |                        |
| Travel total = \$15,179                     |                        |
|                                             |                        |
| **c. TRAVEL TOTAL: \$15,179**               |                        |
+---------------------------------------------+------------------------+

> **d. EQUIPMENT**: Tangible, non-expendable, personal property having a
> useful life of more than one year and an acquisition cost of \$5,000
> or more per unit. Applicant's definition of equipment may be used
> provided the definition at least includes all items previously defined
> above.

  ----------------------------- ------------ ----------- -----------------
  **ITEM**                      **NUMBER**   **COST PER  **TOTAL**
                                             UNIT**      

  Recycling Composter           2            \$16,000    \$32,000

  Computers                     4            1,750       7,000

  Monitors                      4            584         2,336

  Laser Printers                2            1,389       2,778

  File Cabinets                 2            443         886

  Water Quality Monitor         1            7,000       7,000

  **d. EQUIPMENT TOTAL**                                 **\$52,000**
  ----------------------------- ------------ ----------- -----------------

> **e. SUPPLIES**

  ----------------------------- ------------ ----------- -----------------
  **ITEM**                      **NUMBER**   **COST PER  **TOTAL**
                                             UNIT**      

  Office Supplies (post-its,    Multiple     Various     \$1,100
  pen, paper)                                            

  Field Survey Supplies         Multiple     Various     2,600

  Lab Supplies (beakers,        Multiple     Various     1,200
  pipettes)                                              

  Software for Computers (MS    4            \$387.50    1,550
  Office)                                                

  Printing Supplies for         Multiple     Various     \$2,200
  Brochures                                              

  **e. SUPPLIES TOTAL**                                  **\$8,650**
  ----------------------------- ------------ ----------- -----------------

> **f. CONTRACTUAL** \[List each planned contract separately, type of
> service to be procured, **proposed procurement method (i.e. small
> purchase, sealed bids, competitive proposals)** and the estimated
> cost\]

  ------------------------------ --------------------- -------------------
  **ITEM**                       **PROCUREMENT         **TOTAL**
                                 METHOD**              

  Env. Engineer - Consultant     Competitive Proposals \$24,100

  Hydrologist                    Competitive Proposals 25,900

  GIS Survey                     Small Purchase        3,500

  Lab Sample Analysis            Small Purchase        6,500

  **f. CONTRACTUAL TOTAL**                             **\$60,000**
  ------------------------------ --------------------- -------------------

> **g. CONSTRUCTION (N/A)**
>
> **h. OTHER**

+-----------------------------+------------+----------+---------------+
| **ITEM**                    | **NUMBER** | **COST   | **TOTAL**     |
|                             |            | PER      |               |
|                             |            | UNIT**   |               |
+-----------------------------+------------+----------+---------------+
| Repairs -- Computers        |            |          | \$2,500       |
+-----------------------------+------------+----------+---------------+
| Repairs -- Vehicle          |            |          | 3,500         |
| Maintenance                 |            |          |               |
+-----------------------------+------------+----------+---------------+
| Phone -- Long Distance      |            |          | 1,200         |
|                             |            |          |               |
| (not in Indirect Cost Pool) |            |          |               |
+-----------------------------+------------+----------+---------------+
| Rental of Conference Rooms  |            |          | 4,200         |
|                             |            |          |               |
| (4 days@\$1,050/day) for    |            |          |               |
| training                    |            |          |               |
+-----------------------------+------------+----------+---------------+
| Postage                     |            |          | 595           |
+-----------------------------+------------+----------+---------------+
| Printing for Reports        |            |          | 1,800         |
| (Distributed at Conference) |            |          |               |
+-----------------------------+------------+----------+---------------+
| **h. OTHER TOTAL**          |            |          | **\$13,795**  |
+-----------------------------+------------+----------+---------------+

+-----------------------------------+----------------------------------+
| **i. TOTAL DIRECT COSTS**         | **\$525,925**                    |
+-----------------------------------+----------------------------------+
| **j. INDIRECT COSTS**             | **Base= Personnel and Fringe     |
|                                   | Benefits**                       |
|                                   |                                  |
|                                   | **BASE \$376,301 x RATE 25% =    |
|                                   | \$94,075**                       |
+-----------------------------------+----------------------------------+
| **k. TOTAL PROPOSED COSTS**       | **\$620,000**                    |
+-----------------------------------+----------------------------------+
| **FEDERAL FUNDS REQUESTED**       | **\$465,000**                    |
+-----------------------------------+----------------------------------+
| **RECIPIENT SHARE (MATCH)**       | **\$155,000**                    |
+-----------------------------------+----------------------------------+
| **RECIPIENT SHARE OF TOTAL        | **25%**                          |
| PROPOSED COSTS**                  |                                  |
+-----------------------------------+----------------------------------+
| **FEDERAL SHARE OF TOTAL PROPOSED | **75%**                          |
| COSTS**                           |                                  |
+-----------------------------------+----------------------------------+