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FY 2023 HCCN NCC Sample Budget Narrative and Personnel Justification Table

Budget Narrative Overview

The fiscal year (FY) 2023 Health Center Controlled Networks (HCCNs) Non-Competing Continuation (NCC) progress report requires you to submit a Budget Narrative.

The Budget Narrative should clearly explain the amount requested for each line item in Section B of the SF-424A Budget Information form. Budget information must be provided for the upcoming 12-month budget period (August 1, 2023 to July 31, 2024). Include detailed calculations explaining how each line-item expense was derived (e.g., cost per unit).

The sample line-item Budget Narrative shown provides an outline for reference only and should be revised as needed to meet the needs of your proposed project. The sample 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. See the Budget Narrative Instructions section in the FY 2023 HCCN NCC progress report instructions available on the HCCN technical assistance (TA) webpage for detailed guidance on how to complete the Budget Narrative.

Sample Budget Narrative Excerpt

Personnel

Include budget details for each staff position as listed in this Personnel Justification sample.

Budget Line Item

FY 2023 Budget Period Amount Requested (8/1/2023-7/31/2024)

J. Smith, Chief Executive Officer, 0.50 FTE

$XXX,XXX

T. Doe Program Lead, 1.00 FTE

$XX,XXX

D. Jones, Data Program Analyst, 0.25 FTE

$XX,XXX

C. Pepper, Workforce Lead, 1.00 FTE

$XX,XXX

TOTAL PERSONNEL

$XXX,XXX

Fringe Benefits

Fringe benefits must be directly proportional to the portion of personnel costs.

Budget Line Item

FY 2023 Budget Period Amount Requested (8/1/2023-7/31/2024)

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 2023 Budget Period Amount Requested (8/1/2023-7/31/2024)

One day/one night trip for C. Pepper to lead a workshop on Y, at X destination: Airfare @ $XXX + Per Diem @ $XX/day + Ground Transportation @ $XX/day + Lodging @ $XX/day = Trip Total

$X,XXX

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

$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 = Trip total

$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 (8/1/2023-7/30/2024)

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 2023 Budget Period Amount Requested (8/1/2023-7/30/2024)

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 2023 Budget Period Amount Requested (8/1/2023-7/30/2024)

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 2023 Budget Period Amount Requested (8/1/2023-7/30/2024)

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 2023 Budget Period Amount Requested (8/1/2023-7/30/2024)

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 ($212,100 effective January 2023). This amount reflects an individual’s base salary, not including fringe benefits and any income that an individual may be permitted to earn outside of the duties to your organization. Further details are included in the FY 2023 HCCN NCC progress report instructions available on the HCCN technical assistance (TA) webpage.

Staff Name

Position Title

FTE

Full Time Base Salary

Adjusted Annual Salary

Federal Amount Requested

Change from Year 1 to Year 2

J. Smith

Chief Executive Officer

0.5

$215,000

$212,100

$106,050

Increased FTE by 0.1 and increased salary by $X,XXX, resulting in a Federal Amount Requested increase by $XX,XXX

R. Doe

Program Lead

1.00

$75,950

No adjustment needed

$75,950

No Change

J. Jones

Quality Improvement Team Lead

0.25

$60,000

No adjustment needed

$16,250

New Hire, increase salary range

H. Black

Program Coordinator

.50

$58,000

No adjustment needed

$58,000

No change

TBD

Contractor

N/A

   

$XX,XXX

No change

TBD

Consultant

N/A

   

$XX,XXX

New contractor

TOTAL

 

$XXX,XXX

 

$XXX,XXX

 
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