Sample Intervention Budget

,

Budget Preparation Worksheet Sample Project Budget

Organization: ___________________________ Grant Period: (from_________ to _________) Budget Period: (from________ to ________)

Project Year(s): _________________________

Missouri Department of Health and Senior Services

I

Community Health Improvement Resources Capacity

I. Personnel Total i. Position

Principal Investigator Project Staff

Project Staff 2 (as needed) Administrative Staff Administrative Staff 2 (as needed) Other Staff 1

Other Staff 2 (as needed)

Base Salary % of Effort Project Salary Fringe % Fringe Amount (Project Salary + Fringe Amount)

Fringe Benefits (_____ %) Total Personnel Expenses: _________________

II. Other Direct Costs i. General Office Supplies/Materials

Office Operations Equipment

ii. Intervention Materials Incentives/Promotions Surveys Other intervention materials

iii. Meeting and Intervention Activity Space iv. Transportation/Travel

Personnel Travel Expenses Intervention Participants Travel Expenses

v. Other

Total Direct Costs: _________________ III. Purchased Services

i. Consultants ii. Contracts iii. Technical Assistance

Total Purchased Services: ________________ TOTAL DIRECT COSTS: ________________

IV. Indirect Costs (% X Total Direct Costs)

V. Grand Total Missouri Department of Health and Senior Services

1. Organization:
2. Grant Period from:
3. to:
4. Budget Period from:
5. to_2:
6. Project Years:
7. i Position:
8. Base SalaryPrincipal Investigator:
9. of EffortPrincipal Investigator:
10. Project SalaryPrincipal Investigator:
11. Fringe Principal Investigator:
12. Fringe AmountPrincipal Investigator:
13. Project Salary Fringe AmountPrincipal Investigator:
14. Base SalaryProject Staff:
15. of EffortProject Staff:
16. Project SalaryProject Staff:
17. Fringe Project Staff:
18. Fringe AmountProject Staff:
19. Project Salary Fringe AmountProject Staff:
20. Base SalaryProject Staff 2 as needed:
21. of EffortProject Staff 2 as needed:
22. Project SalaryProject Staff 2 as needed:
23. Fringe Project Staff 2 as needed:
24. Fringe AmountProject Staff 2 as needed:
25. Project Salary Fringe AmountProject Staff 2 as needed:
26. Base SalaryAdministrative Staff:
27. of EffortAdministrative Staff:
28. Project SalaryAdministrative Staff:
29. Fringe Administrative Staff:
30. Fringe AmountAdministrative Staff:
31. Project Salary Fringe AmountAdministrative Staff:
32. Base SalaryAdministrative Staff 2 as needed:
33. of EffortAdministrative Staff 2 as needed:
34. Project SalaryAdministrative Staff 2 as needed:
35. Fringe Administrative Staff 2 as needed:
36. Fringe AmountAdministrative Staff 2 as needed:
37. Project Salary Fringe AmountAdministrative Staff 2 as needed:
38. Base SalaryOther Staff 1:
39. of EffortOther Staff 1:
40. Project SalaryOther Staff 1:
41. Fringe Other Staff 1:
42. Fringe AmountOther Staff 1:
43. Project Salary Fringe AmountOther Staff 1:
44. Base SalaryOther Staff 2 as needed:
45. of EffortOther Staff 2 as needed:
46. Project SalaryOther Staff 2 as needed:
47. Fringe Other Staff 2 as needed:
48. Fringe AmountOther Staff 2 as needed:
49. Project Salary Fringe AmountOther Staff 2 as needed:
50. undefined:
51. Fringe Benefits:
52. II Other Direct Costs:
53. i General Office SuppliesMaterials:
54. Office Operations:
55. Equipment:
56. ii Intervention Materials:
57. IncentivesPromotions:
58. Surveys:
59. Other intervention materials:
60. iii Meeting and Intervention Activity Space:
61. iv TransportationTravel:
62. Personnel Travel Expenses:
63. Intervention Participants Travel Expenses:
64. v Other:
65. III Purchased Services:
66. i Consultants:
67. ii Contracts:
68. iii Technical Assistance:
69. IV Indirect Costs X Total Direct Costs:
70. undefined_2:
71. Organization_2:
72. Grant Period from_2:
73. to_3:
74. Budget Period from_2:
75. to_4:
76. Project Years_2:
77. i Position_2:
78. Base SalaryPrincipal Investigator_2:
79. of EffortPrincipal Investigator:
80. Project SalaryPrincipal Investigator_2:
81. Fringe Principal Investigator_2:
82. Fringe AmountPrincipal Investigator_2:
83. Project Salary Fringe AmountPrincipal Investigator_2:
84. Base SalaryProject Staff_2:
85. of EffortProject Staff:
86. Project SalaryProject Staff_2:
87. Fringe Project Staff_2:
88. Fringe AmountProject Staff_2:
89. Project Salary Fringe AmountProject Staff_2:
90. Base SalaryProject Staff 2 as needed_2:
91. of EffortProject Staff 2 as needed:
92. Project SalaryProject Staff 2 as needed_2:
93. Fringe Project Staff 2 as needed_2:
94. Fringe AmountProject Staff 2 as needed_2:
95. Project Salary Fringe AmountProject Staff 2 as needed_2:
96. Base SalaryAdministrative Staff_2:
97. of EffortAdministrative Staff:
98. Project SalaryAdministrative Staff_2:
99. Fringe Administrative Staff_2:
100. Fringe AmountAdministrative Staff_2:
101. Project Salary Fringe AmountAdministrative Staff_2:
102. Base SalaryAdministrative Staff 2 as needed_2:
103. of EffortAdministrative Staff 2 as needed:
104. Project SalaryAdministrative Staff 2 as needed_2:
105. Fringe Administrative Staff 2 as needed_2:
106. Fringe AmountAdministrative Staff 2 as needed_2:
107. Project Salary Fringe AmountAdministrative Staff 2 as needed_2:
108. Base SalaryOther Staff 1_2:
109. of EffortOther Staff 1:
110. Project SalaryOther Staff 1_2:
111. Fringe Other Staff 1_2:
112. Fringe AmountOther Staff 1_2:
113. Project Salary Fringe AmountOther Staff 1_2:
114. Base SalaryOther Staff 2 as needed_2:
115. of EffortOther Staff 2 as needed:
116. Project SalaryOther Staff 2 as needed_2:
117. Fringe Other Staff 2 as needed_2:
118. Fringe AmountOther Staff 2 as needed_2:
119. Project Salary Fringe AmountOther Staff 2 as needed_2:
120. undefined_3:
121. Fringe Benefits_2:
122. Total Personnel Expenses:
123. II Other Direct Costs_2:
124. i General Office SuppliesMaterials_2:
125. Office Operations_2:
126. Equipment_2:
127. ii Intervention Materials_2:
128. IncentivesPromotions_2:
129. Surveys_2:
130. Other intervention materials_2:
131. iii Meeting and Intervention Activity Space_2:
132. iv TransportationTravel_2:
133. Personnel Travel Expenses_2:
134. Intervention Participants Travel Expenses_2:
135. v Other_2:
136. Total Direct Costs:
137. III Purchased Services_2:
138. i Consultants_2:
139. ii Contracts_2:
140. iii Technical Assistance_2:
141. IV Indirect Costs X Total Direct Costs_2:
142. undefined_4: