Summary Budget Form For State Council General Support Grants - National Endowment For The Humanities

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OMB No. 3136-0134

07/31/18

SUMMARY BUDGET FORM FOR

STATE COUNCIL GENERAL SUPPORT GRANTS

For each budget category shown below, please list the total anticipated expenditure of NEH outright funds,

NEH federal matching funds, and cash cost sharing (including the gifts that will be certified to NEH for

matching). Do not include 1) other NEH grant funds, 2) third party in-kind contributions, or 3) carry-over

funds from a prior funding period on this budget form. For regrants only, please itemize the amount budgeted

for each of the three funding types.

If you do not use the budget categories below in your organizational budget, you may cross out these categories

and replace them with the ones your council uses, or you may redo this form. However, the regrant

expenditures must be itemized as shown below and the Executive Director must sign the summary budget.

General Management ......................................................................... $

Program Services ............................................................................... $

Fund Raising .. ................................................................................... $

Public Meetings ................................................................................. $

Council-Conducted Projects .............................................................. $

0.00

Regrants:

(Total of A, B, & C below) ........................................ $

A) NEH Outright Funds ................... $

B) NEH Federal Matching Funds.....$

C) Cash Cost Sharing ...................... $

Other (please itemize): ....................................................................... $

0.00

TOTAL COSTS

................................................................................ $

The Total Costs amount may not be less than the sum of the outright and federal matching funds offered

plus the gifts that will be certified to NEH to release the federal matching funds.

Council name

Grant ID number

Signature of Executive Director

Date

THIS SUMMARY BUDGET SHOULD BE COMPLETED, SIGNED, SCANNED, AND SUBMITTED VIA

EGMS.

Paperwork Burden: NEH estimates the average time to complete this form is 2 hours. This estimate includes the time for reviewing the instructions for this form, gathering the necessary data and entering the data on the

form. Please send any comments regarding this estimated completion time or any other aspect of the form, including suggestions for reducing completion time, to the Director, Office of Publications and Public Affairs,

National Endowment for the Humanities, Washington, D.C. 20506; and to the Office of Management and Budget, Paperwork Reduction Project (3136-0134), Washington, DC 20503. According to the Paperwork Reduction

Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number.