PROGRAM BUDGET JUSTIFICATION MOA #: _________________ Personnel Costs Information Job Description Estimated Amount of CSBG Other Funds Total Funds Salary/Wage Hrs. or Mos. Funds Budgeted: Budgeted Or Position Title: Cost Per Position: Per Position: Budgeted: Per Position: (If Applicable) Fringe Benefit Breakdown by CSBG Funds Other Funds Total Funds Budgeted For Budgeted: Budgeted: % Of Wage or Fixed Amount: Fringe Benefits: Non-Personnel Costs Information Description of Non-Personnel Line Items CSBG Funds Other Funds Total Funds Budgeted: Budgeted: Budgeted Per & Basis for Valuation: Line Item: Travel: Costs (Rent/Lease): Consumable Supplies: Equipment Lease/Purchase: Consultant Services: Contract Services: Subcontractors: Other Costs (Not included above):
PROGRAM BUDGET JUSTIFICATION MOA #: _________________ Personnel Costs Information Job Description Or Position Title: Estimated Salary/Wage Cost Per Position: Amount of Hrs. or Mos. Per Position: CSBG Funds Budgeted: Other Funds Budgeted: (If Applicable) Total Funds Budgeted Per Position: Fringe Benefit Breakdown by % Of Wage or Fixed Amount: CSBG Funds Budgeted: Other Funds Budgeted: Total Funds Budgeted For Fringe Benefits: Non-Personnel Costs Information Description of Non-Personnel Line Items & Basis for Valuation: CSBG Funds Budgeted: Other Funds Budgeted: Total Funds Budgeted Per Line Item: Travel: Costs (Rent/Lease): Consumable Supplies: Equipment Lease/Purchase: Consultant Services: Contract Services: Subcontractors: Other Costs (Not included above):