2 SF-424 A (Budget Information – Programs) Form Use SF-424A. Fill out Sections A, B, D and E of the SF-424A. Section C should only be completed if applicable. It is highly recommended that you use the sample budget format in the FOA. Grants.gov 3 HHS Checklist Form Grants.gov 4 Project/Performance Site Location(s) Form The purpose of this form is to collect location information on the site(s) where work funded under this grant announcement will be performed. Grants.gov 5 Project Abstract Summary Your total abstract must not be longer than 35 lines. It should include the project name, population(s) to be served (demographics and clinical characteristics), strategies/interventions, project goals and measurable objectives, including the number of people to be served annually and throughout the lifetime of the project, etc. In the first five lines or less of your abstract, write a summary of your project that can be used, if your project is funded, in publications, reports to Congress, or press releases. Grants.gov 6 Project Narrative Attachment The Project Narrative describes your project. The application must address how your organization will implement and meet the goals and objectives of the program. You must attach the Project Narrative file (Adobe PDF format only) inside the Project Narrative Attachment Form. Grants.gov 7 Budget Justification and Narrative Attachment You must include a detailed Budget Narrative in addition to the Budget Form SF-424A. In preparing the budget, adhere to any existing federal grantor agency guidelines which prescribe how and whether budgeted amounts should be separately shown for different functions or activities within the program. The budget Grants.gov Construction
Name (1) Service (2) Rate (3) Other Cost (4) (1) State Department of Human Services Training $250/individual x 3 staff 5 days $ 750 (2) Treatment Services 1040 Clients $27/client per year $28,080 (3) John Smith (Case Manager) Treatment Client Services 1FTE @ $27,000 + Fringe Benefits of $6,750 = $33,750 *Travel at 3,126 @ .50 per mile = $1,563 *Training course $175 *Supplies @ $47.54 x 12 months or $570 *Telephone @ $60 x 12 months = $720 *Indirect costs = $9,390 (negotiated with contractor) $46,168 (4) Jane Smith Evaluator $40 per hour x 225 hours 12 month period $9,000 (5) To Be Announced Marketing Coordinator Annual salary of $30,000 x 10% level of effort $3,000 FEDERAL REQUEST – (enter in Section B column 1, line 6f of-424A) $86,998 *Represents separate/distinct requested funds by cost category FEDERAL REQUEST – Sample Justification for Contracts Certified trainers are necessary to carry out the purpose of the statewide Consumer Network by providing recovery and wellness training, preparing consumer leaders statewide, and educating the public on mental health recovery. Client treatment services to be provided are based on organizational history of expenses. The Case Manager is vital to providing client services related to the program and leading to successful outcomes.
(sum 6a-6h) j. Indirect Charges $6,841 $5,6,841 k. TOTALS (sum of 6i and 6j) $184,303 $184,303 7. Program Income Standard Form 424A SECTION C – NON-FEDERAL RESOURCES (a) Grant Program (b) Applicant (c) State (d) Other Sources (e) TOTALS 8. Title of FOA 9. 10. 11. 12. TOTAL (sum of lines 8-11) $ $ $ $ SECTION D – FORECASTED CASH NEEDS 13. Federal Totals for 1st Year $184,303 1st Quarter $46,075 2nd Quarter $46,076 3rd Quarter $46.076 4th Quarter $46,076 14. Non-Federal 15.TOTAL (sum of lines 13 and 14) $184,303 $46,075 $46,076 $46,076 $46,076 SECTION E – BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT FUTURE FUNDING PERIODS