Phs 398 Modular Budget Template
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1PHS 398 Modular Budget
OMB Number: 0925-0001
Expiration Date: 10/31/2018
Budget Period:
Start Date:
End Date:
Funds Requested ($)
A. Direct Costs
Direct Cost less Consortium Indirect (F&A)
0.00
Consortium Indirect (F&A)
Total Direct Costs
B. Indirect (F&A) Costs
Indirect (F&A)
Indirect (F&A)
Indirect (F&A) Type
Rate (%)
Funds Requested ($)
Base ($)
Cognizant Agency (Agency Name, POC Name and Phone Number)
Total Indirect (F&A) Costs
Indirect (F&A) Rate Agreement Date
C. Total Direct and Indirect (F&A) Costs (A + B)
Funds Requested ($)
Cumulative Budget Information
1. Total Costs, Entire Project Period
Section A, Total Direct Cost less Consortium Indirect (F&A) for Entire Project Period $
Section A, Total Consortium Indirect (F&A) for Entire Project Period
$
Section A, Total Direct Costs for Entire Project Period
$
Section B, Total Indirect (F&A) Costs for Entire Project Period
$
Section C, Total Direct and Indirect (F&A) Costs (A+B) for Entire Project Period
$
2. Budget Justifications
Personnel Justification
?
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Consortium Justification
?
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Additional Narrative Justification
?
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Parent category: Medical