PHS 398 Initial Budget Period Form Page – Proposed Information Content for Electronic Submission

DETAILED BUDGET FOR INITIAL BUDGET PERIOD FROM THROUGH DIRECT COSTS ONLY

PERSONNEL (Applicant organization only) % DOLLAR AMOUNT REQUESTED (omit cents) ROLE ON TYPE EFFORT INST. SALARY FRINGE NAME PROJECT APPT. ON BASE REQUESTED BENEFITS TOTAL (months) PROJ. SALARY Two streamlining optionsPrincipal will be considered: Investigator

Annual: Percent of effort and salary per person. Modular concept: Report percent of effort only per category (lump sum).

NIH to perform analysis to

determine use of % effort values, preference for proposed streamlining, or other option. SUBTOTALS CONSULTANT COSTS

EQUIPMENT (Itemize)

Possibly combine equipment and supplies. The need to collect this SUPPLIES (Itemize by category) information begs the question of the value of itemizing these budget categories. Who uses the detail and how? One possibility is only itemizing costs that affect F&A cost base. NIH to perform analysis to determine use TRAVEL of information, preference for proposed streamlining, or other option. PATIENT CARE COSTS INPATIENT OUTPATIENT ALTERATIONS AND RENOVATIONS (Itemize by category)

OTHER EXPENSES (Itemize by category)

SUBTOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD $ CONSORTIUM/CONTRACTUAL DIRECT COSTS COSTS FACILITIES AND ADMINISTRATIVE COSTS

TOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD (Item 7a, Face Page) $ SBIR/STTR Only: FEE REQUESTED

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