Standard Form 424 (R&R) - HRSA

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RESEARCH AND RELATED BUDGET SECTION C, D, E, SECTION E: Participant/Trainee Support Costs Field Name Tuition/Fees/Health Insurance Stipends Travel Subsistence Other Number of Participants Trainee Costs Instructions Enter the total amount of funds requested for participant /trainee tuition, fees, and /or health insurance. (if applicable) Enter the total amount of funds requested for participant /trainee stipends. Enter the total funds requested for participant/trainee travel associated with this project (if applicable) Enter the total funds requested for participant/trainee subsistence (if applicable) Describe and enter the total funds requested for any other participant/trainee costs/institutional allowances, scholarships etc. Please identify these in the space provided. Enter the total number of proposed participants/trainees (those receiving stipends, scholarships, etc.) Enter the total costs associated with the above categories (i.e. participants/trainees- items 1-5). If applying electronically this total will be calculated for you. 14
RESEARCH AND RELATED BUDGET - SECTION F-K Budget Period Field Name Organizational DUNS Budget Type Enter Name of Organization Start Date End Date Budget Period Instructions Enter the DUNS or DUNS +4 number of your organization. For Project applicants and those applying electronically, this field is pre-populated from the R&R SF<strong>424</strong> Cover Page. Check the appropriate block. Check Project if the budget requested is for the primary applicant organization. Check Subaward/consortium organizations (if applicable). Separate budgets are usually required only for Subaward Budgets and are not allowed by <strong>HRSA</strong> unless legislatively authorized or requested in the program application guidance. Use the R&R Subaward Budget Attachment and attach as a separate file on the R&R Budget Attachment(s) form. Enter the name of your organization Enter the requested Start Date of the Budget Period Enter the requested/proposed End Date of the Budget Period (these should cover 1 full year/12 months) Identify the specific budget period (1 for first year of the grant, 2 for second year of the grant, 3 for third etc. ) SECTION F. Other Direct Cost Field Name Instructions 1. Materials and Supplies Enter the total funds requested for materials and supplies. In the budget justification attachment please itemize all categories for which costs exceed $1,000. Categories less than $1,000 do not have to be itemized. 2. Publication Costs Enter the total publication funds requested. The budget may request funds for the cost of documenting, preparing, publishing or otherwise disseminating the findings of this project to others. In the budget justification include supporting information. 3. Consultant Services Enter the total funds requested for consultant services. In the budget justification identify each consultant, the services to be performed, travel related to this project and the total estimated costs. 4. ADP/Computer Services Enter total funds requested for ADP/computer services. In the budget justification include the established computer service rates at the proposed organization (if applicable) 15
Page 1 and 2: complete the fillable SF-424 R&R. T
Page 3 and 4: SF 424 (R&R) APPLICATION FOR FEDERA
Page 5 and 6: PHS-5161-1 (7/00) PART D: A private
Page 7 and 8: RESEARCH & RELATED Project/Performa
Page 9 and 10: RESEARCH & RELATED BUDGET - SECTION
Page 11 and 12: RESEARCH & RELATED BUDGET - Cumulat
Page 13 and 14: OMB Approval No. 0348-0040 ASSURANC
Page 15 and 16: RESEARCH & RELATED Other Project In
Page 17 and 18: Instructions for the SF424 R&R (Res
Page 19 and 20: project ( ex. states, counties, cit
Page 21 and 22: Project Director/Principle Investig
Page 23 and 24: Phone Number Fax Number Email addre
Page 25 and 26: INSTRUCTIONS FOR R&R BUDGET Section
Page 27 and 28: ($) Funds Requested ($) Total Numbe
Page 29: SECTION D. Travel Field Name Domest
Page 33 and 34: ($) Funds Requested Cognizant Feder
Page 35 and 36: Direct Costs category. 9. Other 2 T
Page 37 and 38: 4.b. If yes, please explain 4c. If

Standard Form 424 (R&R) - HRSA

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