Form 13979 - Vita Grant Program Interim / Year End Budget Report - 2009 Page 3

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Instructions – Column (A) – VITA
Instructions – Column (B) – Matching
Grant Expenditures
Funds Expenditures
If you expend less than $500,000 a year in total Federal
If you expend less than $500,000 a year in total Federal
awards, no audit requirements are applicable. If you expend
awards, no audit requirements are applicable. If you expend
$500,000 or more a year in Federal awards, you must
$500,000 or more a year in Federal awards, you must
provide IRS with a copy of your Single Audit Report. You
provide IRS with a copy of your Single Audit Report. You
must arrange for an audit by an independent auditor in
must arrange for an audit by an independent auditor in
accordance with the Government Auditing Standards
accordance with the Government Auditing Standards
developed by the comptroller General of the United States.
developed by the comptroller General of the United States.
Line 8
Enter the actual cost for the development and publication of
Line 8
Enter the actual cost for the development and publication
publicity materials (i.e., public service announcements,
of publicity materials (i.e., public service announcements,
posters, brochures, postage). Only include those costs
posters, brochures, postage). Costs only include those
directly associated with the publicity of the VITA program.
directly associated with the publicity of the VITA program.
If in-kind contributions are included, provide a brief
explanation on a separate sheet.
Line 9
The value of volunteer service (not to exceed 25% of total
Line 9
N/A
in-kind value of volunteer services) furnished by professional
and technical personnel, skilled and unskilled labor may be
counted as matching funds if the services are an integral
and necessary part of the program.
The rate for volunteer services shall be determined
consistent with the principals stated in the OMB Circular
A-110, “Uniform Administrative Requirements for Grants and
Agreements with Institutions of Higher Education,
Hospitals, and Other Non-Profit Organizations”.
Services provided by students to satisfy an academic
requirement do not qualify as matching funds.
Line 10
Enter the actual cost for Volunteer Recognition Items.
Line 10
Enter the actual cost for Volunteer Recognition items.
You may use grant funds to purchase items to recognize
If in-kind contributions are included, provide a brief
volunteers for their contribution to the VITA Program.
explanation on a separate sheet.
Recognition items should not exceed $5.00 per volunteer.
Line 11
Enter the actual cost for Interpreter Services for hearing-
Enter the actual cost for Interpreter Services for hearing-
Line 11
impaired or non-English speaking taxpayers.
impaired or non-English speaking taxpayers.
If in-kind contributions are included, provide a brief
explanation on a separate sheet.
Line 12
Enter actual expenses for fair market rental value of space
Line 12
Enter actual expenses for rent, utilities, insurance and
that is not routinely available for public use free of charge,
custodial services associated with the operation of a VITA
utilities, insurance and custodial services associated with the
Program. You may include rental expenses directly related
operation of a VITA Program. You may include rental
to conducting Training.
expenses directly related to conducting Training.
Enter the actual fair market rental value of office space (not
to exceed 25% of total in-kind value of donated space)
provided for a volunteer site location. Provide a brief
explanation on a separate sheet for this in-kind contribution.
Line 13
Total Administrative Expenses (ADD Lines 5 - 12). This
Line 13
Total Administrative Expenses (ADD Lines 5 - 12).
figure may not be more than 25% of the figure on Line 21.
Line 14
Enter actual expenses for computer hardware and printers.
Line 14
Enter the actual expenses or cash value for computer
This would include expenses associated with the purchase of
hardware and printers for e-file return preparation at a VITA
computer and/or printer equipment in accordance with the
site.
cost principles outlined in OMB Circular A-122.
The value of donated equipment shall not exceed the fair
market value of equipment of the same age and condition at
the time of donation.
The value of loaned equipment shall not exceed its fair
market rental value.
If in-kind contributions are included, provide a brief
explanation on a separate sheet.
Line 15
Enter actual expense for software including encryption and
Line 15
Enter actual expense for software including tax preparation,
computer upgrades (memory and operating systems).
encryption and computer upgrades (memory and operating
DO NOT include as a separate expense if this software was
systems).
manufacturer installed prior to purchase.
DO NOT include as a separate expense if this software
DO NOT include cost of purchasing tax preparation software.
was manufacturer installed prior to purchase.
The value of donated software should equal the current
purchase price.
If in-kind contributions are included, provide a brief
explanation on a separate sheet.
13979
Catalog Number 51538T
Form
(Rev. 6-2008)
Page 3

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