Tracking Number:
Funding Opportunity Number:
. Received Date:
OMB Number: 0925-0001
Expiration Date: 03/31/2020
PHS 398 TRAINING BUDGET, Period
Organizational DUNS:
Budget Type:
●
❍
Project
●
❍
Subaward/Consortium
Organization Name:
Start Date:
End Date:
A. Stipends, Tuition/Fees
Number of Trainees
Full
Time
Short
Term
Stipends
Requested ($)
Tuition/Fees
Requested ($)
Undergraduate:
Number Per Stipend Level:
First-Year/Soph.
Junior/Senior
Predoctoral:
Single Degree
Dual Degree
Total Predoctoral
Postdoctoral:
Number Per Stipend Level:
0
1
2
3
4
5
6
7
Non-degree Seeking
Degree
Seeking
Total
Postdoctoral
Other:
Totals
Total Stipends + Tuition/Fees Requested
B. Other Direct Costs
Funds Requested ($)
Trainee Travel
Training Related Expenses
Total Direct Costs from R&R Budget Form (if applicable)
Consortium Training Costs (if applicable)
Total Other Direct Costs Requested
C. Total Direct Costs Requested (A + B)
D. Indirect (F&A) Costs
Indirect (F&A) Type
Indirect (F&A)
Rate (%)
Indirect (F&A)
Base ($)
Funds Requested ($)
1.
2.
Total Indirect (F&A) Costs Requested
E. Total Direct and Indirect (F&A) Costs Requested (C + D)
F. Budget Justification
PHS 398 TRAINING BUDGET, Cumulative Budget
A. Stipends, Tuition/Fees
Stipends
Requested ($)
Tuition/Fees
Requested ($)
Undergraduate:
Predoctoral:
Single Degree
Dual Degree
Total Predoctoral
Postdoctoral:
Non-Degree Seeking
Degree Seeking
Total Postdoctoral
Other:
Totals
Total Stipends + Tuition/Fees Requested
B. Other Direct Costs
Funds Requested ($)
Trainee Travel
Training Related Expenses
Total Direct Costs from R&R Budget Form (if applicable)
Consortium Training Costs (if applicable)
Total Other Direct Costs Requested
C. Total Direct Costs Requested (A + B)
D. Total Indirect (F&A) Costs Requested
E. Total Direct and Indirect (F&A) Costs Requested (C + D)
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