Attachment 6 Table A Operating Budget and Funding Request

ATTACHMENT 6

 

                                                            Applicant: _______________________________________        

      TABLE A

HHS – LGBT Individuals, Families and Communities

OPERATING BUDGET AND FUNDING REQUEST

PERIOD:  March 1, 2008 – February 28, 2009 

	Total Expense	Amount Requested From NYS	Other Source	Specify Other Source
Sub-Total Personal Services (Total Line Only from Table A-1):				See Table A-1
Sub-Total Nonpersonal Services (Total Line Only from Table A-2):				See Table A-2
GRAND TOTAL

 
 
 

      Applicant: ____________________________________________        

      TABLE A-1

HHS – LGBT Individuals, Families and Communities

OPERATING BUDGET AND FUNDING REQUEST

PERIOD:  March 1, 2008 – February 28, 2009 

PERSONAL SERVICES

Title	Annual Salary	% FTE	# of Mos.	Total Expense	Amount Requested from NYS	Other Source	Specify Other Source
(List Personnel Budgeted)
Subtotal Personal Services
Fringe Benefits _____%
Total Personal Services

 
 
 
 

                                                            Applicant: ____________________________________________   

      TABLE A-2

HHS – LGBT Individuals, Families and Communities

OPERATING BUDGET AND FUNDING REQUEST

PERIOD:  March 1, 2008 – February 28, 2009 

NONPERSONAL SERVICES

	Total Expense	Amount Requested From NYS	Other Source	Specify Other Source
(List Budgeted Expenses)
Subtotal Nonpersonal Services

 

 

FORM 1

BUDGET NARRATIVE/JUSTIFICATION ATTACHMENT

PERSONAL SERVICES

HHS – LGBT Individuals, Families and Communities 

Applicant: _________________________________________________________   

Period:             March 1, 2008 – February 28, 2009 

PERSONAL SERVICES

Title	Incumbent	Description

Page _____ of _____ 

FORM 2

BUDGET NARRATIVE/JUSTIFICATION ATTACHMENT

FRINGE BENEFITS

HHS – LGBT Individuals, Families and Communities 

Applicant: _________________________________________________________   

Period:            March 1, 2008 – February 28, 2009 
 

FRINGE BENEFITS

Component	Rate
TOTAL FRINGE BENEFIT RATE*

*This amount must equal the percentage used in budget calculations.  If positions have different fringe benefit rates, use an average for all positions.

 

 

FORM 3

BUDGET NARRATIVE/JUSTIFICATION ATTACHMENT

NONPERSONAL SERVICES

HHS – LGBT Individuals, Families and Communities 

Applicant: _________________________________________________________   

Period:            March 1, 2008 – February 28, 2009 

NONPERSONAL SERVICES

Item	Cost	Description

 

                                                      Page _____ of _____