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Program Director/Principal Investigator
(Last, First, Middle):

 
DETAILED BUDGET FOR INITIAL BUDGET PERIOD
DIRECT COSTS ONLY
FROM THROUGH
PERSONNEL
(Applicant Organization Only)
Months Devoted to Project INST. BASE SALARY DOLLAR AMOUNT REQUESTED (Omit Cents)
NAME ROLE ON PROJECT Cal. Months Acad. Months Summer Months
SALARY REQUESTED
FRINGE BENEFITS
TOTAL
PROJECT 1 Principal Investigator        
181,525
56,783
238,308
PROJECT 2          
95,317
38,917
134,234
PROJECT 3          
138,074
39,884
177,958
PROJECT 4          
106,455
28,903
135,358
PROJECT 5          
75,867
21,056
96,923
CORE A (ADMIN)          
58,264
8,016
66,280
CORE B (CLINICAL)          
54,365
7,908
62,273
SUBTOTALS
709,867
201.467
911,334
CONSULTANT COSTS
Core A: 5,500 Core B: 6,400
8,900
EQUIPMENT (Itemize)
Proj 3: 27,000 Proj 5: 9,100 Core B: 6,400
42,500

SUPPLIES (Itemize by category)
Proj 1: 46,200
Proj 2: 47,800
Proj 3: 16,700
Proj 4: 28,980
Proj 5: 18,400
Core A: $7,000
Core B: 21,000

186,160
TRAVEL
1trip per project at 2,200 each
11,000
PATIENT CARE COSTS INPATIENT  
OUTPATIENT Proj 3: 5,000 Proj 5: 10,600
15,600
ALTERATIONS AND RENOVATIONS (Itemize by Category)  
OTHER EXPENSES (Itemize by Category)
Proj 2: $22,300 Proj 3: $19,200 Core A:$8.847 Core B: $10,850
61,197
CONSORTIUM/CONTRACTUAL COSTS DIRECT COSTS
263,309
SUBTOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD (Item 7a, Face Page)
$    1,500,000
CONSORTIUM/CONTRACTUAL COSTS FACILITIES AND ADMINISTRATIVE COSTS
167,998
TOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD $

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