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<br />PART III
<br />(continued)
<br />
<br />Section C. Sourc:e of Non.Federal ,... :!Sources
<br />
<br />Line 8.11 - Enter amounts of non-Federal resout..:es that
<br />will be used On the grant. If in-kind contributions are in.
<br />cluded, provide a brief explanation c, a separate sheet. (See
<br />Attachment F. Office of Management and Budget Circular
<br />No. A.I 02.)
<br />Column (al - Enter the program titles identical to Col.
<br />umn (a). Section A. A breakdown by function or activity is
<br />not neces~i:ry.
<br />
<br />Column (bl - Enter the amour.[ of cash and in.kind con-
<br />tributions to be I"""dde by the applicant as shown in Seclion
<br />A. (See also Att....."Olent F, Office af Manag...ment and Bud-
<br />get Circular No. A-102.)
<br />
<br />Column lei - Enter the State contributivn if the appli-
<br />cant is not a State or State agency. Applicants which are a
<br />State or State agencies should leave this column blank.
<br />
<br />Column (d) - Enter the amount of cash and in-kind con-
<br />tributions to be made from all other sources.
<br />
<br />Column (el - Enter totals of Columns (b), {cl, and (d).
<br />
<br />Line 12 - Enter the to',l for ei\ch of Columns (b)-(e). The
<br />amount in Column (e) should be equal to the amount on
<br />line 5, Column (fI, Section A.
<br />
<br />Section D. Forecasted Cash Needs
<br />
<br />Line 13 - Enter the amount of cash needed by quarter
<br />from the grantor agency during me first year.
<br />
<br />line 14 - Enter the amount of cash from all other sources
<br />nceded by quarter during the first year.
<br />
<br />Line 15 - Enter the totals of amounts on Lines 13 and 14.
<br />
<br />Section E. Budget Estimates of Federal Funds Needed for
<br />Balance of the Project
<br />
<br />lines 16.19 - Enter in Column (OIl the same grant program
<br />titles shown in Column (a), Section A. A breakdown by
<br />function or activity is not necessary. For new applications
<br />and continuing grant applications, enter in the proper col-
<br />umns amounts of Federal funds which will be needed to
<br />complete the program or project over the succeeding fund-
<br />ing periods (usually in years). This Section need not be
<br />completed for amendments, changes, or supplements to
<br />funds for the current year of existing grants.
<br />
<br />If more than fOur lines are needed to list the program titles
<br />submit additional schedules as necessary.
<br />
<br />line 20 - Enter the total for each of the Columns (b)-(e).
<br />When additional schedules are prepared for this Section,
<br />annotate accordingly and show the overall totals on this
<br />line.
<br />
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<br />Section F - Other Budget InformatiO:1.
<br />
<br />Line 21 - Use this space to .. :Jlain al'T'l')unts for individual
<br />direct object cost categories t:);.)t may appear to be out of
<br />the ordinary or to explain the details as required by the
<br />Federal grantor agency.
<br />
<br />Line 22 - Enter the type of indirect rate (provisional, pre.
<br />determined, final or fixed) that will be in effect during the
<br />funding period, the estimated amount of the base to which
<br />the rate is applied, and the total indirect expense.
<br />
<br />Line 2) - Provide any other explanations required herein
<br />or any other comments deemed necessary.
<br />
<br />PI\RTIV
<br />PROGRAM NARRATIVE
<br />
<br />Prepare the program narrative statement in accordance with
<br />the following instructions for all new grant programs. Re-
<br />quests for continuation or refunding and changes on an
<br />approved project should respond to item 5b only Requests
<br />for supplemental assistance should respond to question 5c
<br />only.
<br />
<br />1. OBJECTIVES ANO NEEO FOR THIS ASSISTANCE.
<br />
<br />Pinpoint any relevant physical, economic, social, financial,
<br />institutional, or other problems requiring a solution. Dem-
<br />onstrate the need for assistance and state the principal and
<br />subordinate objectives of the project. Supporting documen-
<br />tation. or other testimonies from concerned interests other
<br />than the applicant may rn; used. Any relevant data based on
<br />planning studies should be included or footnoted. '
<br />
<br />2. RESULTS OR BENEFITS EXPECTED.
<br />Identity results and benefits to be derived. For example,
<br />when applying for a grant to establish a neighborhood
<br />health center provide a description of who will occupy the
<br />facility, how the facility will be used. and how the facility
<br />will benefit the general public.
<br />
<br />3. APPROACH.
<br />
<br />a. Outline a plan of action pertaining to the scope and
<br />detail of how the proposed work will be accom-
<br />plished for each grant program, function or activity,
<br />provided in the budget. Cite factors which might ac.
<br />celerate or d~celerate the work and your reason for
<br />taking this approach as opposed to others. Describe
<br />any unusual features of the project such as design or
<br />technological innovations, - reductions in cost or time,
<br />or extraordinary social and community involvement.
<br />
<br />b. Provide for each grant program, function or activity,
<br />quantitative monthly or quarterly projections of the
<br />
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<br />accomplishments to be achieved in such terms as the
<br />number of jobs credted; the number of people ser",.v;
<br />and the number of patients treated. When accc"n:
<br />pfishments cannot be quantified by activity or fl''l(,-
<br />tion, Pst them in chronological order to show the
<br />schedul~ of acc.::mplishments and their target dates
<br />
<br />c. Identify the kinds of data to be collected and main.'
<br />tained and discuss the criteria to h~ used to evaluate
<br />the results and successes of the project. Explain the
<br />methodology that will be used to determine if the
<br />needs identified and discussed are being met and it"
<br />the results and benefits identified in item 2 are being
<br />achieved.
<br />
<br />d. List organizations, cooperators, consultants, or other
<br />key individuals who will work on the proje~t alano
<br />with a short description of the nature of their effort
<br />or contribution.
<br />
<br />4, GEOGRAPHIC LOCATION.
<br />Give a precise location of the project or area to be served
<br />by the proposed project. Maps or other graphic aids may be
<br />attached.
<br />5, IF APPLICABLE, PROVIDE THE FOLLOWING IN.
<br />FORMATION,
<br />
<br />a. For research or demonstration assistance requests.
<br />present a biographical sketch of the plogram director
<br />with the following information; name, address, phone
<br />number, background, and other quality ing experience
<br />for the project. Also, list the name, training and back-
<br />ground for other key personnel engaged in the
<br />project.
<br />
<br />b. Discuss accomplishments to date and list in chrono-
<br />logical order a schedule of accomplishments, progress
<br />or milestones anticipated with the new funding reo
<br />quest. If there have been significant changes in thl-l
<br />project objectives, location approach, or time delays,
<br />explain and justify. For other requests for changes or
<br />amendments, explain the reason for the changelsl. If
<br />the scope or objectives have changed or an extension
<br />of time is necessary, explain the circumstances and
<br />justify. If the total budget has been ~xceeded. or if
<br />individ~al budget items have changed more than t' e
<br />prescribed limits contained in Attachrnent K to 0'
<br />fice of Management and Budget Circular No. A'102,
<br />explain and justify the change and its effect on the
<br />project.
<br />
<br />c. For supplemental assistance request~, explain the rea-
<br />son for the request and justify th" need for additional
<br />funding.
<br />
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