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SBSE Sample Budget Narrative

This sample line-item budget narrative is provided as a broad outline for the fiscal year 2023 competitive School-Based Service Expansion (SBSE)) funding opportunity. A detailed budget narrative is required for all items within each category for which funds are requested for each 12-month period (budget year) of the two-year period of performance. Clearly explain and justify each cost. The budget narrative should be classified into federal and non-federal resources, and a table of personnel to be paid with federal funds must be provided. See Section 5.1 of HRSA’s SF-424 Two-Tier Application Guide (PDF - 701 KB) and section IV.2.iv in the SBSE Notice of Funding Opportunity for detailed guidance on completing your budget narrative and personnel justification table.

Revenue

 (Consistent with information presented in the SF-424A: Budget Information Form)

REVENUE Year 1: Federal Request Year 1: Non-Federal Resources Year 2: Federal Request Year 2: Non-Federal Resources
SBSE Funding Request
(up to $350,000 per year if proposing a new school-based service site, or up to $250,000 per year if proposing expansion of services at existing site(s) only)
       
Applicant Organization        
State Funds        
Other Support        
Program Income 
(fees, third party reimbursements, and payments generated from the projected delivery of services)
       
TOTAL REVENUE        

Expenses

 (Object class totals should be consistent with those presented in Section B of the SF-424A: Budget Information Form) 

PERSONNEL
(Include budget details for each staff position as seen in the Personnel Justification sample)
Year 1: Federal Request Year 1: Non-Federal Resources Year 2: Federal Request Year 2: Non-Federal Resources
Administration        
Medical        
Mental Health Services        
Substance Use Disorder Services        
Dental        
Vision Services        
Enabling        
TOTAL PERSONNEL         
FRINGE BENEFITS
(Fringe benefits should be proportional to allocated personnel costs)
Year 1: Federal Request Year 1: Non-Federal Resources Year 2: Federal Request Year 2: Non-Federal Resources
FICA @ X.XX%        
Medical @ X%        
Retirement @ X%        
Dental @ X%        
Unemployment & Workers Compensation @ X%        
Disability @ X%        
TOTAL FRINGE @ X%        
TRAVEL
(Include details for local and long-distance travel)
Year 1: Federal Request Year 1: Non-Federal Resources Year 2: Federal Request Year 2: Non-Federal Resources
Pediatric Mental Health Conference 

  • 1 staff: Nurse Practitioner  
  • Total cost of $X,XXX includes the following costs per person:
    • Conference fees @ $XXX
    • Lodging @ $XX
    • Per diem @XX
       
Local travel for Community Health Worker to travel to the schools where our proposed school-based service sites are located to provide health education and promote school-based services

  • $XX.XX mileage rate @ XX miles for X trips
       
TOTAL TRAVEL         
EQUIPMENT
(Provide the total cost for moveable equipment costing $5,000 or more each. Year 1 funding request for minor A/R and equipment combined may not exceed $150,000.)
Year 1: Federal Request Year 1: Non-Federal Resources Year 2: Federal Request Year 2: Non-Federal Resources
TOTAL EQUIPMENT
(see Equipment List for details)
       
SUPPLIES
(Include equipment items that cost less than $5,000 each and other supplies)
Year 1: Federal Request Year 1: Non-Federal Resources Year 2: Federal Request Year 2: Non-Federal Resources
Tablets for providers to connect with EHR system (4 tablets @ $XXX each)        
Office Supplies ($X per month x 12 months)        
Medical Supplies ($X.XX per visit x X,XXX visits)        
TOTAL SUPPLIES        
CONTRACTUAL
(Include detailed justification)
Year 1: Federal Request Year 1: Non-Federal Resources Year 2: Federal Request Year 2: Non-Federal Resources
Psychiatrist Services (contracted at 0.20 FTE)        
Mental health first aid training for school-based personnel (30 hours @ $XX per hour)        
Laboratory Services ($X per sample x X,XXX samples)        
TOTAL CONTRACTUAL         
CONSTRUCTION
(Minor Alteration and Renovation)
(Provide the total cost for each minor A/R project. Include line-item costs in the A/R Project Budget Justification. Year 1 funding request for minor A/R and equipment combined may not exceed $150,000.) 
Year 1: Federal Request Year 1: Non-Federal Resources Year 2: Federal Request Year 2: Non-Federal Resources
TOTAL CONSTRUCTION 
(see Minor A/R Budget Justification for details)
       
OTHER
(Include detailed justification)
Year 1: Federal Request Year 1: Non-Federal Resources Year 2: Federal Request Year 2: Non-Federal Resources
EHR provider licenses for new staff (4 @ $XX each)        
Staff Recruitment – newspaper and Internet posting        
Gas for mobile unit to travel to # schools in the XYZ school district        
TOTAL OTHER         
TOTAL DIRECT CHARGES (Sum of TOTAL Expenses)        
INDIRECT CHARGES
(Include approved indirect cost rate agreement as an attachment or explain de minimis rate)
Year 1: Federal Request Year 1: Non-Federal Resources Year 2: Federal Request Year 2: Non-Federal Resources
X% indirect cost rate         
TOTALS (Total of TOTAL DIRECT CHARGES and INDIRECT CHARGES)        

Federal Personnel Justification Sample

Provide personnel costs for all direct hire staff and contractors to be supported by SBSE funding. Funds may not be used to pay an individual at a rate in excess of Federal Executive Level II of the Federal Executive Pay scale (PDF - 3 KB) ($212,100 as of January 2023).

Name Position Title Base Salary Adjusted Annual Salary* % of FTE to Support SBSE Project      Federal Amount Requested
R. Lee Nurse Practitioner $95,000 No adjustment needed 100 $95,000
A. White Psychiatrist (contracted) $245,000 $212,100 20 $42,420
S. Brown Medical Assistant $45,000 No adjustment needed 50 $22,500
T. Ruiz Social Worker $55,000 No adjustment needed 50 $27,500
TOTAL         $187,420

*Use this column only when the salary is over the limitation of $212,100.

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