Fillable Grant Application Detailed Budget Worksheet (Northern Border Regional Commission)

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Grant Application Detailed Budget Worksheet (Northern Border Regional Commission)

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OMB Approval No. 2501-0017
Grant Application Detailed Budget Worksheet
(Exp. 01/31/2008)
Name and Address of Applicant:
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. NBRC 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.
Category
Detailed Description of Budget (for full grant period)
1. Personnel (Direct Labor)
Estimated
Hours
Rate per
Hour
Estimated Cost NBRCShare
Applicant
Match
Other
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 NBRC Share
Applicant
Match
Other
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 NBRC Share
Applicant
Match
Other
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other Program
Income
Subtotal - Trans - Local Private Vehicle
1
form HUD-424-CBW (2/2003)
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Grant Application Detailed Budget Worksheet
Detailed Description of Budget
3b. Transportation - Airfare (show destination) Trips Fare Estimated Cost NBRC Share
Applicant
Match
Other
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other Program
Income
Subtotal - Transportation - Airfare
3c. Transportation - Other Quantity Unit Cost
Estimated Cost NBRC Share
Applicant
Match
Other
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 NBRC Share
Applicant
Match
Other
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 NBRC Share
Applicant
Match
Other
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other Program
Income
Total Equipment Cost
2
form HUD-424-CBW (2/2003)
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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 NBRC Share
Applicant
Match
Other
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other Program
Income
Subtotal - Consumable Supplies
5b. Non-Consumable Materials Quantity Unit Cost
Estimated Cost NBRC Share
Applicant
Match
Other
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 NBRC Share
Applicant
Match
Other
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 NBRC Share
Applicant
Match
Other
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other Program
Income
Total Subcontracts Cost
3
form HUD-424-CBW (2/2003)
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Grant Application Detailed Budget Worksheet
Detailed Description of Budget
8. Construction Costs
8a. Administrative and legal expenses Quantity Unit Cost
Estimated Cost NBRC Share
Applicant
Match
Other
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 NBRC Share
Applicant
Match
Other
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 NBRCShare
Applicant
Match
Other
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 NBRC Share
Applicant
Match
Other
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 NBRC Share
Applicant
Match
Other
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)
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Grant Application Detailed Budget Worksheet
8f. Project inspection fees Quantity Unit Cost Estimated Cost NBRC Share
Applicant
Match
Other
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other Program
Income
Subtotal - Project inspection fees
8g. Site work Quantity Unit Cost
Estimated Cost NBRC Share
Applicant
Match
Other
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other Program
Income
Subtotal - Site work
8h. Demolition and removal Quantity Unit Cost
Estimated Cost NBRC Share
Applicant
Match
Other
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other Program
Income
Subtotal - Demolition and removal
8i. Construction Quantity Unit Cost
Estimated Cost NBRC Share
Applicant
Match
Other
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other Program
Income
Subtotal - Construction
8j. Equipment Quantity Unit Cost
Estimated Cost NBRC Share
Applicant
Match
Other
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other Program
Income
Subtotal - Equipment
8k. Contingencies Quantity Unit Cost
Estimated Cost NBRC Share
Applicant
Match
Other
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other Program
Income
Subtotal - Contingencies
8l. Miscellaneous Quantity Unit Cost
Estimated Cost NBRC Share
Applicant
Match
Other
Funds
Other
Federal
Share
State Share Local/Tribal
Share
Other Program
Income
Subtotal - Miscellaneous
Total Construction Costs
5
form HUD-424-CBW (2/2003)
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Grant Application Detailed Budget Worksheet
9. Other Direct Costs Quantity Unit Cost Estimated Cost NBRC Share
Applicant
Match
Other
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 NBRC Share
Applicant
Match
Other
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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Grant Application Detailed Budget Worksheet
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:
Northern Border Regional Commission Share:
Applicant Match:
7
form HUD-424-CBW (2/2003)
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100.00%
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100.00%
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Grant Application Detailed Budget Worksheet (Northern Border Regional Commission)

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Completed 8 May 2021

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