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Form Budget Form 1 Budget Form 1 Budget Form
ICR 201707-3137-003 · OMB 3137-0092 · Object 75507201.
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IMLS BUDGET FORM a. Legal name (5a from SF‐424S): b. Requested Grant Period From: (MM/DD/YYYY) c. If this is a revised budget, indicate application/grant number/date of revision: Through: (MM/DD/YYYY) 1. Salaries and Wages Name/Title or Position Year 1 Grant Funds Cost Share Year 2 Grant Funds Cost Share Year 1 Grant Funds Cost Share Year 2 Grant Funds Cost Share Year 3 Grant Funds Cost Share Grant Funds Total Cost Share Grand Total Subtotal 2. Fringe Benefits Rate and Base Year 3 Grant Funds Cost Share Grant Funds Total Cost Share Grand Total Subtotal OMB Control #: 3137-0092, Expiration date: 7/31/2018 IMLS-CLR-F-0030 IMLS BUDGET FORM a. Legal name (5a from SF‐424S): 3. Travel From/To and Purpose Year 1 Grant Funds Cost Share Year 2 Grant Funds Cost Share Year 3 Grant Funds Cost Share Grant Funds Total Cost Share Grand Total Year 1 Grant Funds Cost Share Year 2 Grant Funds Cost Share Year 3 Grant Funds Cost Share Grant Funds Total Cost Share Grand Total Year 1 Grant FundƐ CostShare Year 2 GrantFundƐ CostShare Year 3 GrantFundƐ Cost Share Grant Funds Total Cost Share Grand Total Subtotal 4. Supplies, Materials, and Equipment Item Subtotal 5. Contracts and Subawards Item Subaward Subaward Subaward Subaward Subaward Subaward Subaward Subtotal OMB Control #: 3137-0092, Expiration date: 7/31/2018 IMLS-CLR-F-0030 IMLS BUDGET FORM a. Legal name (5a from SF‐424S): 6. Student Support Item Year 1 Grant Funds Cost Share Year 2 Grant Funds Cost Share Year 3 Grant Funds Cost Share Grant Funds Total Cost Share Grand Total Year 1 Grant Funds Cost Share Year 2 Grant Funds Cost Share Year 3 Grant Funds Cost Share Grant Funds Total Cost Share Grand Total Year 1 Grant FundƐ Cost Share Year 2 Grant Funds Cost Share Year 3 Grant Funds Cost Share Grant Funds Total Cost Share Grand Total Subtotal 7. Other Costs Item Subtotal 8. Total Direct Costs Subtotals (Items 1‐7) OMB Control #: 3137-0092, Expiration date: 7/31/2018 IMLS-CLR-F-0030 IMLS BUDGET FORM a. Legal name (5a from SF‐424S): 9. Indirect Costs (Read the instructions about Indirect Costs before completing this section.) Current indirect cost rate(s) have been negotiated with a federal agency. Name of Agency: Indirect cost proposal has been submitted to a federal agency but not yet finalized Name of Agency: Expiration Date: Proposal Date: Applicant chooses a rate not to exceed 10% of modified total direct costs, and declares it is eligible for the 10% rate. Applicant chooses not to include indirect costs. Rate and Base Year 1 Grant Funds Cost Share Year 2 Grant Funds Cost Share Year 3 Grant Funds Cost Share Year 1 Grant FundƐ CostShare Year 2 GrantFundƐ CostShare Year 3 GrantFundƐ CostShare Grant Funds Total Cost Share Grand Total GrantFundƐ Total Cost Share Grand Total Indirect Costs Subtotal 10. Total Project Costs Total Direct & Indirect Costs Total Costs (excluding student support) OMB Control #: 3137-0092, Expiration date: 7/31/2018 IMLS-CLR-F-0030
| File Type | application/pdf |
| File Title | Microsoft Word - IMLSBUDGETFORM |
| Author | jmeade |
| File Modified | 2016-06-29 |
| File Created | 2014-06-26 |