Fillable Printable Project Budget Form - NEA Application
Fillable Printable Project Budget Form - NEA Application
Project Budget Form - NEA Application
NEA Application
Project Budget, Page 1 of 2
Read the
instructions for
this form before
you start.
OMB No. 3135-0112
Expires 11/30/2013
Applicant (official IRS name):
INCOME
1. Amount requested from the Arts Endowment: $
2. Total match for this project Be as specific as possible. Asterisk (*) those funds that are committed or secured.
Cash (Refers to the cash donations, grants, and revenues that are expected or received for this
project)
AMOUNT
Total cash a. $
In-kind: Donated space, supplies, volunteer services (These same items also must be listed as direct costs
under “Expenses” below or in Page 2 of the Project Budget form; identify sources)
Total donations b. $
Total match for this project (2a. cash + 2b. donations) $
3. Total project in come (1 + 2) $
EXPENSES
1. Direct costs: Salaries and wages
TITLE AND/OR TYPE
OF PERSONNEL
NUMBER OF
PERSONNEL
ANNUAL OR AVERAGE
SALARY RANGE
% OF TIME DEVOTED
TO THIS PROJECT
AMOUNT
Total salaries and wages a. $
Fringe benefits
Total fringe benefits b. $
Total salaries, wages, and fringe benefits (a. + b.) $
NEA Application
Project Budget, Page 2 of 2
Read the
instructions for
this form before
you start.
OMB No. 3135-0112
Expires 11/30/2013
Applicant (official IRS name):
EXPENSES, CONTINUED
2. Direct costs: Travel (Include subsistence)
# OF TRAVELERS FROM TO AMOUNT
Total travel $
3. Direct costs: Other expenses (Include consultant and artist fees, contractual services, promotion, acquisition fees,
rights, evaluation and assessment fees, access accommodations, telephone, photocopying, postage, supplies and
materials, publication, distribution, translation, transportation of items other than personnel, rental of space or
equipment, and other project-specific costs)
AMOUNT
Total ot her expenses $
4. Total d irect costs (1. from Project Budget, Page 1 +2.+3.) $
5. Indirect costs (if applicable)
Federal
Agency:
Rate (.0000)
x Base
= $
6. Total p roject costs (4.+5.) $
Must equal total project income (3. From Project Budget, Page 1)
