Sample Grant Application - NIAID - National Institutes of Health

Principal Investigator/Program Director (Last, first, middle): Dow, Steven, W
2.
3.
4.
Budget Period: 1
A. Direct Costs
B. Indirect Costs
Indirect Cost Type
1. Modified Total Direct Costs (MTDC)
PHS 398 Modular Budget, Periods 1 and 2
Start Date: 08/01/2010 End Date: 07/31/2011
Cognizant Agency (Agency Name, POC Name and Phone Number) DHHS, Wallace Chan,
OMB Number: 0925-0001
* Funds Requested ($)
* Direct Cost less Consortium F&A 125,000.00
Consortium F&A
* Total Direct Costs 125,000.00
Indirect Cost
Rate (%)
47
Indirect Cost
Base ($)
118,536.00
* Funds Requested ($)
55,712.00
Indirect Cost Rate Agreement Date 06/26/2009 Total Indirect Costs 55,712.00
C. Total Direct and Indirect Costs (A + B)
1.
2.
3.
4.
Budget Period: 2
A. Direct Costs
B. Indirect Costs
Indirect Cost Type
Modified Total Direct Costs (MTDC)
Start Date: 08/01/2011 End Date: 07/31/2012
Cognizant Agency (Agency Name, POC Name and Phone Number) DHHS, Wallace Chan,
Indirect Cost Rate Agreement Date 06/26/2009
Funds Requested ($)
180,712.00
* Funds Requested ($)
* Direct Cost less Consortium F&A 150,000.00
Indirect Cost
Rate (%)
47
Consortium F&A
* Total Direct Costs
Indirect Cost
Base ($)
143,536.00
Total Indirect Costs
150,000.00
* Funds Requested ($)
67,462.00
67,462.00
C. Total Direct and Indirect Costs (A + B) Funds Requested ($) 217,462.00
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Modular Budget Page 25
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