PCARI Form No. 3c.3: Budget Justification

Budget and Justification (Sample only) THIS IS AN ILLUSTRATION OF A SAMPLE DETAILED BUDGET AND NARRATIVE JUSTIFICATION. USE USD FOR CA COMPONENT AND PHP FOR PHILIPPINE COMPONENT OF THE PROPOSED BUDGET. PREPARE SEPARATE BUDGET JUSIFICATION FOR CA AND PH COMPONENTS. A. Personnel: List employee(s) (including names for each identified position) of the applicant/recipient organization, including in-kind costs for those positions whose work is tied to the grant project. Position (1) Project Director (2) Grant Coordinator (3) Clinical Director

Name John Doe To be selected Jane Doe

Annual Salary/Rate $64,890

Level of Effort

Cost for YR 1

Cost for YR 2

10%

$6,489

$6,489

$46,276

100%

$46,276

$46,276

In-kind cost

20% TOTAL

0 $52,765

0 $52,765

JUSTIFICATION: Describe the role and responsibilities of each position. (1) The Project Director will provide daily oversight of the grant and will be considered key staff. (2) The coordinator will coordinate project services and project activities, including training, communication and information dissemination. (3) Clinical Director will provide necessary medical direction and guidance to staff for 540 clients served under this project. Key staff positions require prior approval after review of credentials of resume and job description.

B. Fringe Benefits (For CA Side only): List all components that make up the fringe benefits rate

Component FICA Workers Compensation Insurance

Rate 7.65% 2.5%

Wage for YR 1 $52,765 $52,765

10.5%

$52,765 TOTAL

Cost YR 1 $4,037 $1,319 $5,540 $10,896

Wage for YR 1 $52,765 $52,765

Cost YR 1 $4,037 $1,319

$52,765 TOTAL

$5,540 $10,896

JUSTIFICATION: Fringe reflects current rate for agency.

C. Travel (for Philippines side only): Explain need for all travel other than that required by this application. Relevant Philippine government policies for travel shall prevail. Travel costs for CA personnel are limited to research visits to Philippine collaborating institutions and field work in the Philippines. Such travel costs intended for CA personnel for the aforementioned purposes should be included in the PH budget. Travel of CA personnel for attendance and participation in conferences (US domestic or outside of the Philippines) cannot be supported. Purpose of Travel (1) Research workshop

Location UP Diliman, Quezon City, Philippines

Item

Rate

Airfare

$1,200/flight x 2 persons

Cost $2,400

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PCARI Form No. 3c.3: Budget Justification

Purpose of Travel

Location

Item

Rate

Cost

Hotel

$120/night x 2 persons x 4 nights

$960

Per Diem (meals and incidentals)

$46/day x 2 persons x 2 days

$184

TOTAL

$2,444

JUSTIFICATION: Describe the purpose of travel and how costs were determined, e.g. (1) Two members of research team (PI and postdoctoral researcher) to participate in research workshop organized by Philippine collaborator and discuss latest progress milestones.

D. Equipment (for Philippines-side only): Item(s)

Cost/unit No. of units

YR 1 Sub-Total for YR 1

No. of units

YR 2 Sub-Total for YR 2

TOTAL JUSTIFICATION: Describe the need or purpose of the equipment (e.g. how each unit will be used).

E. Supplies and Materials: Note: Laptop computers and other supplies costing above PhP10,000.00 (approx. USD200) per unit are considered equipment under Philippine audit rules and therefore cannot be included in the US budget. They may be included in the Philippine budget. Item(s)

Cost/unit

YR 1 No. of units Sub-Total for YR 1

YR 2 No. of units Sub-Total for YR 1

TOTAL JUSTIFICATION: Describe the need and include an adequate description of how each cost was estimated.

F. Professional Services: These include costs of services such as legal, auditing, consultancy, environment/sanitary, general, janitorial, security, and other professional services. A contractual arrangement may be entered into to engage the services of service providers to carry out a portion of the programmatic

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PCARI Form No. 3c.3: Budget Justification

effort or for the acquisition of routine goods or services under the grant. Such arrangements may be in the form of consortium agreements or contracts. A consultant is an individual retained to provide professional advice or services for a fee. The applicant/grantee must establish written procurement policies and procedures that are consistently applied. All procurement transactions shall be conducted in a manner to provide to the maximum extent practical, open and free competition. COSTS FOR CONTRACTS MUST BE BROKEN DOWN IN DETAIL AND NARRATIVE JUSTIFICATION. IF APPLICABLE, NUMBERS OF CLIENTS SHOULD BE INCLUDED IN THE COSTS. Name (1) State Department of Human Services (2) Treatment Services

Service

Rate

Other

Training

$250/individual x 3 staff

5 days

1040 Clients

$27/client per year

(3) Jane Doe (Case Manager)

Treatment Client Services

(4) Jane Doe (5) To Be Announced

Evaluator Marketing Coordinator

1FTE @ $27,000 + Fringe Benefits of $6,750 = $33,750

$40 per hour x 225 hours Annual salary of $30,000 x 10% level of effort

Cost For YR 1

Cost For YR 2

$750

$28,080 *Travel at 3,124 @ .50 per mile = $1,562 *Training course $175 *Supplies @ $47.54 x 12 months or $570 *Telephone @ $60 x 12 months = $720 *Indirect costs = $9,390 (negotiated with contractor) 12 month period

$46,167

$9,000 $3,000

TOTAL

$86,997

JUSTIFICATION: Explain the need for each contractual agreement and how they relate to the overall project. (1) 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. (2) Treatment services for clients to be served based on organizational history of expenses. (3) Case manager is vital to client services related to the program and outcomes. (4) Evaluator is provided by an experienced individual (Ph.D. level) with expertise in substance abuse, research and evaluation and is knowledgeable about the target population and will report GPRA data. (5) Marketing Coordinator will develop a plan to include public education and outreach efforts to engage clients of the community about grantee activities, provision of presentations at public meetings and community events to stakeholders, community civic organizations, churches, agencies, family groups and schools. *Represents separate/distinct requested funds by cost category

G. Construction: NOT ALLOWED

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PCARI Form No. 3c.3: Budget Justification

H. Other: expenses not covered in any of the previous budget categories

Item(s)

Particulars

Cost for YR 1

Cost for YR 2

Communication Expenses 

Telephone

Estimated monthly expense

Repairs and Maintenance of Facilities Transportation and Delivery Expenses  Courier Utilities Expenses 

Electricity

Training and Scholarship Expenses  Membership Dues and Contributions to Organizations  Advertising Expenses  Rent Expenses  Representation Expenses  Subscription Expenses  Survey Expenses  Taxes, Insurance Premiums and Other Fees  Other Maintenance and Operating Expenses JUSTIFICATION: Break down costs into cost/unit (e.g. cost/square foot). Explain the use of each item requested. (1) For CA Side, office space is included in the indirect cost rate agreement; however, if other rental costs for service site(s) are necessary for the project, it may be requested as a direct charge. The rent is calculated by square footage or FTE and reflects SAMHSA’s fair share of the space. *If rent is requested (direct or indirect), provide the name of the owner(s) of the space/facility. If anyone related to the project owns the building which is less than an arms length arrangement, provide cost of ownership/use allowance calculations. Additionally, the lease and floor plan (including common areas) is required for all projects allocating rent costs.

Indirect Cost Rate:

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PCARI Form No. 3c.3: Budget Justification

For PCARI-funded projects, indirect cost rate is capped at 20% of direct cost. SUMMARY: BUDGET ITEM

Budget Requirement YR 1 YR 2

I. PERSONNEL SERVICES 1

Personnel Salary (For CA Side: Salary + Fringe Benefit)

2

Honoraria Sub-Total for PS

II. MOOE 1

Travel Expenses

2

Supplies and Materials

3

Communication Expenses

4

Repairs and Maintenance of Facilities

5

Transportation and Delivery Expenses

6

Utilities Expenses

7

Training and Scholarship Expenses

8

Membership Dues and Contributions to Organizations

9

Advertising Expenses

10

Rent Expenses

11

Representation Expenses

12

Subscription Expenses

13

Survey Expenses

14

Professional Services

15

Taxes, Insurance Premiums and Other Fees

16

Other Maintenance and Operating Expenses Sub-Total for MOOE

III. Indirect Cost Indirect for PS Indirect for MOOE Sub-Total Indirect Cost IV. Equipment Outlay TOTAL PROPOSED BUDGET

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