Research Proposal Abstract Form Page 9
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9RESEARCH PROPOSAL ABSTRACT FORM
Ohio Department of Mental Health
DMH-RES-617
BUDGET ITEMIZATION (Submit one for each fiscal year or part of fiscal year.)
Project Title
Fiscal Year
Date From
Date To
PERSONNEL
REQUESTED AMOUNTS
(omit cents)
Name
Title
% of
Salary
Fringe
Allocated From
Requested from
Time*
Benefits
Other Sources
ODMH
P.I.
Personnel Total:
CONSULTANT COSTS (list type)
Consultant Total:
PARTICIPANT COSTS (itemize)
Participant Total:
EQUIPMENT (itemize)
Equipment Total:
SUPPLIES (itemize)
Supplies Total:
OTHER COSTS
In-state Travel
Out-of-state Travel
Other Expenses (itemize)
Other Total:
TOTAL DIRECT COST
TOTAL INDIRECT COST
Allowable: 15% of Personnel Costs for Regular Grants; 10% of Total Direct Costs for Small Grants
TOTAL DIRECT AND INDIRECT COST
* 40 hours=100%
REV. 3/96
Page 9/9
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