Form 13979 - Vita Grant Program Interim / Year End Budget Report - 2009 Page 4
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4Instructions – Column (A) – VITA
Instructions – Column (B) – Matching
Grant Expenditures
Funds Expenditures
•
•
Line 16
Enter actual expenses for internet connectivity and for
Enter actual expenses for internet connectivity and for
Line 16
network cards.
network cards.
•
•
DO NOT include this as a separate expense if connectivity
DO NOT include this as a separate expense if
is included in space rental fees or if the network card was
connectivity is included in space rental fees or if the
manufacturer installed software prior to purchase.
network card was manufacturer installed software prior
to purchase.
•
If in-kind contributions are included, provide a brief
explanation on a separate sheet.
•
•
Line 17
Enter actual contract labor costs, salary costs and/or hourly
Line 17
Enter actual contract labor costs, salary costs and/or
wages and benefits for individuals performing Information
hourly wages and benefits for individuals performing
Technology (IT) Support services for the VITA program.
Information Technology (IT) Support direct services for
•
In cases where an employee or contractor works on more
the VITA program.
•
than one program only include the portion of the contract
DO NOT include indirect salaries for the grant recipient.
•
labor, salaries, wages and benefits which are directly related
When an employer other than the recipient furnishes the
to the VITA program and have been incurred due to the
services of an employee to the VITA program, these
VITA program.
services shall be valued at the employee’s regular rate of
pay (plus benefits but excluding overhead costs) provided
these services are in the same skill for which the employee
is normally paid.
•
In cases where an employee or contractor works on more
than one program only include the portion of the contract
labor, salaries, wages and benefits which are directly related
to the VITA program and have been incurred due to the
VITA program.
•
If in-kind contributions are included, provide a brief
explanation on a separate sheet.
•
•
Enter the actual cost of installing phone lines used for e-file
Line 18
Line 18
Enter the actual cost of installing phone lines used for e-file
and scheduling appointments.
and scheduling appointments.
•
DO NOT include costs for installation of a “toll-free,” “watts,”
or “800” number for providing tax assistance.
•
•
Line 19
Line 19
Enter the actual cost of e-file supplies including diskettes,
Enter the actual cost of e-file supplies including diskettes,
paper, printer cartridges, toner, cable locks, CDs, jump
paper, printer cartridges, toner, cable locks, CDs, jump
drives, paper and any other supplies directly attributable to
drives, paper and any other supplies directly attributable to
e-file expenses.
e-file expenses.
•
Value assessed to donated supplies shall be reasonable
and shall not exceed the fair market value of the property at
the time of the donation.
•
If in-kind contributions are included, provide a brief
explanation on a separate sheet.
•
•
Line 20
Total Technology Expenses (ADD Lines 13 - 19)
Line 20
Total Technology Expenses (ADD Lines 13 - 19)
•
•
Line 21
Total Actual Program Cost (ADD Lines 4, 13 & 20)
Line 21
Total Actual Program Cost (ADD Lines 4, 13 & 20)
•
•
Line 22
Enter the total amount of federal grant award withdrawn
Line 22
N/A
through the Payment Management System.
•
•
Line 23
Subtract Line 21 from Line 22 to provide the unexpended
Line 23
N/A
balance of your federal grant.
NOTE: For an explanation on what Federal funds may not be
NOTE: For an explanation on what Qualified Matching funds may
used for, see Publication 4671, VITA Grant Program Overview
not include, see Publication 4671, VITA Grant Program Overview
and Application Package.
and Application Package.
13979
Catalog Number 51538T
Form
(Rev. 6-2008)
Page 4
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