FOA a. Personnel $52,765 $52,765 b. Fringe $15,644 $15,644 Benefits c. Travel $2,444 $2,444 $0 $0 d. Equipment e. Supplies $3,796 $3,796 f. Contractual $86,998 $86,998 g. Construction $0 $0 h. Other $15,815 $15,815 i. Total Direct $177,462 $177,462 Charges (sum 6a-6h) j. Indirect Charges $6,841 $5,6,841 k. TOTALS (sum of 6i and 6j) $184,303 $184,303 7. Program Income Standard Form 424A SECTION C NON-FEDERAL RESOURCES – (a) Grant Program (b) (c) (d) (e) Applicant State Other TOTALS Sources 8. Title of FOA 9. 10.
FOA a. Personnel $52,765 $52,765 b. Fringe Benefits $15,644 $15,644 c. Travel $2,444 $2,444 d. Equipment $0 $0 e. Supplies $3,796 $3,796 f. Contractual $86,998 $86,998 g. Construction $0 $0 h. Other $15,815 $15,815 i. Total Direct Charges (sum 6a-6h) $177,462 $177,462 j. Indirect Charges $6,841 $5,6,841 k. TOTALS (sum of 6i and 6j) $184,303 $184,303 7. Program Income Standard Form 424A SECTION C – NON-FEDERAL RESOURCES (a) Grant Program (b) Applicant (c) State (d) Other Sources (e) TOTALS 8. Title of FOA 9. 10.
revised-ccbhc-final-5-24-18.docx