ATTACHMENT II - DVOP SF 424A Example (Baseline, Front) State: State Name

SECTION A - BUDGET SUMMARY

Grant Number: Grant Number

BUDGET INFORMATION - Non-Construction Programs

OMB Approval No. 0348-0

Grant Program Function or Activity (a)

Catalog of Federal Domestic Assistance Number (b)

Estimated Unobligated Funds Federal (c) Non-Federal (d) Federal (e)

New or Revised Budget Non-Federal (f)

1. DVOP Activities 2. Special Initiatives

17.8

$985,258

5. Totals

SECTION B - BUDGET CATEGORIES

$985,258

GRANT PROGRAM, FUNCTION OR ACTIVITY

6. Object Class Categories
(1) DVOP Activities (2) Special Initiatives

a. Personnel b. Fringe Benefits c. Travel d. Equipment e. Supplies f. Contractual g. Construction h. Other i. Total Direct Charges (sum of 6a-6h) j. Indirect Charges k. TOTALS (sum of 6i and 6j) 7. Program Income
Previous Edition Usable

$256,354 $145,876 $952 $985 $965

$509,654 $914,786 $70,472 $985,258 $0 $0 $0 $0

Authorized for Local Reproduction

Standard Form 424A (Rev. 7-9

Prescribed by OMB Circular A-1

ATTACHMENT II - DVOP SF 424A Example (Baseline, Front)

OMB Approval No. 0348-0044

vised Budget Rounded Total (g)

$985,000 $0

$985,000

Total (5)

$256,354 $145,876 $952 $985 $965 $0 $0 $509,654 $914,786 $70,472 $985,258

Standard Form 424A (Rev. 7-97) Prescribed by OMB Circular A-102

ATTACHMENT II - DVOP SF 424A Example (Baseline, Front)

ATTACHMENT II - DVOP SF 424A Example (Baseline, Back) State: State Name Grant Number: Grant Number
SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program (b) Applicant (c) State (d) Other Sources (e) TOTALS

8. 9. 10.

11.
12. TOTAL (sum of lines 8-11)

SECTION D - FORECASTED CASH NEEDS
Total for Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter

13. Federal (DVOP)

$246,320
14. Non-Federal
15. TOTAL (rounded to nearest thousand)

$247,420

$247,852

$244,425

$985,000

$246,000

$247,000

$248,000

$244,000

SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FUTURE FUNDING PERIODS (Quarters) (a) Grant Program (b) First (c) Second (d) Third (e) Fourth (f) (g) Total

SECTION F - OTHER BUDGET INFORMATION

21. Direct Charges: 23. Remarks

22. Indirect Charges Authorized for Local Reproduction
Standard Form 424A (Rev. 7-97) Page 2

ATTACHMENT II - DVOP SF 424A Example (Modification, Front) State: State Name
SECTION A - BUDGET SUMMARY

Grant Number: Grant Number

BUDGET INFORMATION - Non-Construction Programs

OMB Approval No. 0348-0

Grant Program Function or Activity (a)

Catalog of Federal Domestic Assistance Number (b)

Estimated Unobligated Funds Federal (c) Non-Federal (d) Federal (e)

New or Revised Budget Non-Federal (f)

1. DVOP Activities 2. Special Initiatives

17.8

$1,074,026

5. Totals

SECTION B - BUDGET CATEGORIES

$1,074,026

GRANT PROGRAM, FUNCTION OR ACTIVITY

6. Object Class Categories
(1) DVOP Activities (2) Special Initiatives

a. Personnel b. Fringe Benefits c. Travel d. Equipment e. Supplies f. Contractual g. Construction h. Other i. Total Direct Charges (sum of 6a-6h) j. Indirect Charges k. TOTALS (sum of 6i and 6j) 7. Program Income
Previous Edition Usable

$423,687 $323,852 $2,823 $1,125 $1,131

$231,521 $984,139 $89,887 $1,074,026 $0 $0 $0 $0

Authorized for Local Reproduction

Standard Form 424A (Rev. 7-9

Prescribed by OMB Circular A-1

Modifies the approved Plan (Baseline) to add $89,000 to DVOP activities, allocated in the third and fouth quarters.

ATTACHMENT II - DVOP SF 424A Example (Modification, Front)

OMB Approval No. 0348-0044

vised Budget Rounded Total (g)

$1,074,000 $0

$1,074,000

Total (5)

$423,687 $323,852 $2,823 $1,125 $1,131 $0 $0 $231,521 $984,139 $89,887 $1,074,026

Standard Form 424A (Rev. 7-97) Prescribed by OMB Circular A-102

Modifies the approved Plan (Baseline) to add $89,000 to DVOP activities, allocated in the third and fouth quarters.

ATTACHMENT II - DVOP SF 424A Example (Modification, Front)

Modifies the approved Plan (Baseline) to add $89,000 to DVOP activities, allocated in the third and fouth quarters.

ATTACHMENT II - DVOP SF 424A Example (Modification, Back) State: State Name Grant Number: Grant Number
SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program (b) Applicant (c) State (d) Other Sources (e) TOTALS

8. 9. 10.

11.
12. TOTAL (sum of lines 8-11)

SECTION D - FORECASTED CASH NEEDS
Total for Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter

13. Federal (DVOP) 14. Non-Federal
15. TOTAL (rounded to nearest thousand)

$985,000

$246,000

$247,000

$248,000

$244,000

SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FUTURE FUNDING PERIODS (Quarters) (a) Grant Program (b) First (c) Second (d) Third (e) Fourth (f) (g) Total

16. DVOP Activities 17. Special Initiatives 18. 19.
20. TOTAL (lines 15-19)

$0

$0

$29,000

$60,000

$89,000 $0 $0 $0

$246,000

$247,000

$277,000

$304,000

$0

$1,074,000

SECTION F - OTHER BUDGET INFORMATION

21. Direct Charges: 23. Remarks

22. Indirect Charges Authorized for Local Reproduction
Standard Form 424A (Rev. 7-97) Page 2

Modifies the approved plan by adding $89,000 to DVOP Activities, allocated in the third and fourth quarters.