Detailed Budget Worksheet & Cost Review Form - Indian General Assistance Program Page 6

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- Include items here which do not fit in the other specific budget categories. Give a brief description of the
OTHER
expense and how you arrived at the estimate. *Grantees who own their building are not entitled to reimbursement
for rent; however, they may directly charge for utilities and maintenance costs using a cost allocation plan. If an
expense is being shared with other programs, please provide the cost share formula. This amount will be entered
on Standard Form 424A, Section B, Line 6.h.
Cost Per Item
How Many Items
Item Description
How Did You Arrive at Cost?
Amount
or Month
or Months?
Building Lease/Rent *
Explanation of Cost Sharing Formula
Explanation of Cost Sharing Formula
or Cost Allocation
Explanation of Cost Sharing Formula
or Cost Allocation
Explanation of Cost Sharing Formula
or Cost Allocation
Explanation of Cost Sharing Formula
or Cost Allocation
Explanation of Cost Sharing Formula
or Cost Allocation
Explanation of Cost Sharing Formula
or Cost Allocation
Explanation of Cost Sharing Formula
or Cost Allocation
Explanation of Cost Sharing Formula
or Cost Allocation
Explanation of Cost Sharing Formula
or Cost Allocation
Explanation of Cost Sharing Formula
or Cost Allocation
OTHER TOTAL:
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