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Standard Form 424 (R&R) - HRSA

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RESEARCH & RELATED BUDGET - SECTION F-K, BUDGET PERIOD 1<br />

Next Period<br />

* ORGANIZATIONAL DUNS:<br />

* Budget Type: Project<br />

Subaward/Consortium<br />

Enter name of Organization:<br />

Reset Entries<br />

* Start Date: * End Date:<br />

Budget Period: 1<br />

(If the Reset Entries button is pressed, please navigate to previous year to enable the submission of the<br />

F. Other Direct Costs<br />

Funds Requested ($)<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

6.<br />

7.<br />

8.<br />

9.<br />

10.<br />

Materials and Supplies<br />

Publication Costs<br />

Consultant Services<br />

ADP/Computer Services<br />

Subawards/Consortium/Contractual Costs<br />

Equipment or Facility Rental/User Fees<br />

Alterations and Renovations<br />

Total Other Direct Costs<br />

G. Direct Costs<br />

Total Direct Costs (A thru F)<br />

Funds Requested ($)<br />

H. Indirect Costs<br />

Indirect Cost Type<br />

Indirect Cost<br />

Rate (%)<br />

Indirect Cost<br />

Base ($)<br />

* Funds Requested ($)<br />

1.<br />

2.<br />

3.<br />

4.<br />

Cognizant Federal Agency<br />

(Agency Name, POC Name, and POC Phone Number)<br />

Total Indirect Costs<br />

0.00<br />

I. Total Direct and Indirect Costs<br />

Total Direct and Indirect Institutional Costs (G + H)<br />

Funds Requested ($)<br />

0.00<br />

J. Fee<br />

Funds Requested ($)<br />

K. * Budget Justification<br />

(Only attach one file.)<br />

Add Attachment Delete Attachment View Attachment<br />

RESEARCH & RELATED Budget {F-K} (Funds Requested)<br />

OMB Number: 4040-0001<br />

Expiration Date: 04/30/2008

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