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  5. FY 2024 HCCN NCC Sample Budget Narrative and Personnel Justification Table

FY 2024 HCCN NCC Sample Budget Narrative and Personnel Justification Table

Budget Narrative Overview

The fiscal year (FY) 2024 Health Center Controlled Networks (HCCNs) Non-Competing Continuation (NCC) progress report requires you to submit a Budget Narrative for the upcoming 12-month budget period (August 1, 2024 to July 31, 2025).

Your budget narrative should clearly explain the amount requested for each line item in Section B of the SF-424A Budget Information Form, and include detailed calculations explaining how each expense was derived (e.g., cost per unit). A personnel justification table is required and provides an explanation for all personnel costs, including any costs that have been adjusted to conform to federal limits.

This sample provides an outline to be used as a reference, and should be revised as needed to meet the needs of your proposed project. 

See the Budget Narrative section in the FY 2024 HCCN NCC progress report instructions available on the HCCN TA webpage for detailed guidance on how to complete the budget narrative and personnel justification table.
 

Sample Budget Narrative Excerpt

Personnel

Include budget details for each staff position listed in your personnel justification table.

Budget Line Item FY 2024 Budget Period Amount Requested (8/1/2024-7/31/2025)
J. Smith, Chief Executive Officer, 0.10 FTE $XXX,XXX
R. Doe, HCCN Program Lead, 1.00 FTE $XX,XXX
J. Jones, Data Program Analyst, 0.25 FTE $XX,XXX
H. Black, Program Coordinator, 1.00 FTE $XX,XXX
TOTAL PERSONNEL $XXX,XXX

Fringe Benefits

List the components of the fringe benefit rates. Fringe benefits must be directly proportional to the portion of personnel costs.

Budget Line Item FY 2024 Budget Period Amount Requested (8/1/2024-7/31/2025)
FICA @ X%

$X,XXX

Health Insurance Coverage @ X%

$X,XXX

Retirement Plan @ X%

$X,XXX

Unemployment Tax Insurance @ X%

$X,XXX

Disability & Group Life @ X%

$X,XXX

Tuition Reimbursement

$X,XXX

TOTAL FRINGE

$X,XXX

Travel

List expenses associated with travel for staff to attend or lead HCCN-related meetings, trainings, or workshops.

Budget Line Item FY 2024 Budget Period Amount Requested (8/1/2024-7/31/2025)
One day/one night trip for H. Black to lead a workshop on Y, at X destination: Airfare @ $XXX + Per Diem @ $XX/day + Ground Transportation @ $XX/day + Lodging @ $XX/day

$X,XXX

Two day/one night trip for J. Jones to attend conference, at A destination: Airfare @ $XXX + Lodging @ $XXX/day + Per Diem @ $XX/day + Ground Transportation @ $XX/day + Conference registration fees 

$X,XXX

One day trip for J. Smith to provide TA to a local health center in B destination: XXX miles @ $0.XX per mile + $X for parking

$X,XXX

TOTAL TRAVEL

$X,XXX

Equipment

Include equipment (i.e., tangible/movable personal property) that cost $5,000 or more per unit and with a useful life of one year or more.

Budget Line Item FY 2023 Budget Period Amount Requested (8/1/2024-7/30/2025)
One printer and fax combo @ $X,XXX needed for materials distribution

$X,XXX

TOTAL EQUIPMENT

$X,XXX

Supplies

Include equipment that cost less than $5,000 each per unit and other supplies.

Budget Line Item FY 2024 Budget Period Amount Requested (8/1/2024-7/31/2025)
Office Supplies: ($XX per month x 12 months)

$XXX

Educational Supplies: Six Adobe Professional software licenses at $XX each $X,XXX
TOTAL SUPPLIES

$X,XXX

Contractual

Budget Line Item FY 2024 Budget Period Amount Requested (8/1/2024-7/31/2025)
Technical setup of four interactive training webinars @ $XX/hour, remote (no travel)

$X,XXX

Two consultants on telehealth implementation to provide telehealth recommendation road map for health centers: 160 hours, @ $150/hour, remote (no travel) $X,XXX
TOTAL CONTRACTUAL

$XX,XXX

Other

Budget Line Item FY 2024 Budget Period Amount Requested (8/1/2024-7/31/2025)
Printing Service: $X per brochure x 2,500 copies

$XX

Utilities: $XXX/month x 12 months $XXX
TOTAL OTHER

$X,XXX

Total Costs

Total Costs FY 2024 Budget Period Amount Requested (8/1/2024-7/31/2025)
TOTAL DIRECT CHARGES (Sum of TOTAL Expenses tables above [e.g., Personnel, Fringe Benefits, Travel, Equipment, Supplies, Contractual, and Other])

$XX,XXX

TOTAL INDIRECT CHARGES (X.XX% Indirect Rate)

Note: Approved indirect cost rate is included under Attachment 9: Other Relevant Documents.

$X,XXX
TOTAL COSTS

$XX,XXX

Sample Personnel Justification Table Excerpt

The information included in the table must be provided for all personnel (direct or contractual) supported by federal funds as part of the HCCN project. Federal funds may not be used to pay the salary of an individual at a rate in excess of Federal Executive Level II of the Federal Executive Pay scale, which may change annually ($221,900 effective January 2024). This amount reflects an individual’s base salary, not including fringe benefits or any income that an individual may be permitted to earn outside of the duties to your organization. Further details are included in the FY 2024 HCCN NCC progress report instructions available on the HCCN technical assistance (TA) webpage.

Staff Name Position Title FTE Full Time Annual Base Salary Adjusted Annual Salary Federal Amount Requested Change from Year 2 to Year 3
J. Smith Chief Executive Officer 0.1 $235,000 $221,900 $22,190 Decreased FTE to 0.1 and increased salary by $X,XXX, resulting in a Federal Amount Requested increase by $XX,XXX
R. Doe HCCN Program Lead 1.00 $125,000 No adjustment needed $125,000 New hire and expanded position salary range 
J. Jones Quality Improvement Team Lead 0.25 $60,000 No adjustment needed $15,000 New hire and expanded position salary range
H. Black Program Coordinator 1.00 $58,000 No adjustment needed $58,000 No change
TBD Contractors N/A     $XX,XXX No change
TBD Consultants N/A     $XX,XXX New consultant
TOTAL   $XXX,XXX   $XXX,XXX  
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