SAMHSA Detailed Budget and Narrative Justification …

1 SAMHSA Detailed Budget and Narrative Justification Feb 4, 2022. Applicant/Recipient Application/Award Number Substance Abuse and Mental Health Organization Inc. TI12345-01. Project Title: Treatment of Substance Abuse and Mental Illnesses in our Community y Start Date End Date Budget Year nl Budget Period: 09/30/2022 09/29/2023 1. O. es For Multi-Year Funded (MYF) awards only os Check the box to select the Incremental Period rp COST SHARING AND MATCHING. Pu Matching Required: YES NO. n tio Match Ratio stated in the NOFO: tra The matching funds must not be less than $ 15 for each $ 85 of federal funds provided.

2 S A. Personnel llu rI. fo Calculation Key Check NON- Line % Level FEDERAL. is Position if Item Position Name Hourly # of Annual Personnel FEDERAL. # per the Hourly Rate Hours Staff Salary of Effort Cost REQUEST. NOFO Rate (LOE) MATCH. n ow 1 Project Director Alice Doe 1 $64,890 $11,031 $11,031. Vacant, to be hired Sh 2 Program Coodinator within 60 days of 1 $46,276 $46,276 $46,276. anticipated award date 3 Prevention Specialist Sarah Smith 1 $26,000 $6,500 $0 $6,500. a Peer Recovery Support at 4. Specialist Ron Jones 1 $23,000 $9,200 $0 $9,200. -D. 5 Outreach Assistant Susan Johnson $ 100 1 $1,338 $0 $1,338.

3 TOTAL $74,345 $57,307 $17,038. et dg Line Item Personnel Narrative : #. Bu Project Director Alice Doe Key Personnel Salary $64,890 # of Staff 1 LOE Personnel Cost $11,031. 1. The Project Director will provide daily oversight of the project. This position is responsible for overseeing the implementation e of the project activities, internal and external coordination, developing materials, and conducting meetings. pl Vacant, to be hired Program Coodinator Salary $46,276 # of Staff 1 LOE Personnel Cost $46,276. within 60 days of m 2. The Program Coordinator will coordinate project services and activities, including training, communication, and information dissemination.

4 Sa Prevention Specialist Sarah Smith Salary $26,000 # of Staff 1 LOE Personnel Cost $6,500. 3. The Prevention Specialist will be responsible for conducting educational/training programs. Our organization will fund all of the Prevention Specialist's personnel cost. Peer Recovery Support Ron Jones Salary $23,000 # of Staff 1 LOE Personnel Cost $9,200. Specialist 4. The Peer Recovery Support Staff will be responsible for peer recruitment, coordination, and support. Our organization will fund all of the Peer Recovery Support Staff's personnel cost. Page 1 of 19 Release date: 01/2022.

5 SAMHSA Detailed Budget and Narrative Justification Feb 4, 2022. Line Item Personnel Narrative : #. Outreach Assistant Susan Johnson Hourly Rate $ # of Staff 1 Hours 100 Personnel Cost $1,338. 5. The Outreach Assistant will ensure clients are contacted, referred to the services provider for treatment, and follow up done. Our organization will fund all of the Outreach Assistant's personnel cost. y nl O. B. Fringe Benefits es os Our organization's fringe benefits consist of the components shown below: rp Fringe Component Rate (%). Pu Retirement FICA n tio Health Insurance tra Unemployment Insurance Total Fringe Rate s llu Fringe Benefits Cost rI.

6 Calculation NON- Line Total Fixed / Lump Fringe FEDERAL. fo Item Position Name Personnel FEDERAL. #. Cost Fringe Sum Fringe Benefits REQUEST. Rate (%) (if any) Cost MATCH. is 1 Project Director Alice Doe $11,031 $2,940 $2,940. n Vacant, to be hired ow 2 Program Coodinator within 60 days of $46,276 $12,333 $12,333. anticipated award date Sh 3 Prevention Specialist Sarah Smith $6,500 $1,732 $0 $1,732. Peer Recovery Support 4 Ron Jones $9,200 $2,452 $0 $2,452. a Specialist at 5 Outreach Assistant Susan Johnson $1,338 $357 $0 $357. -D. TOTAL $19,814 $15,273 $4,541.

7 Et Fringe Benefits Narrative : dg There are no differences in the Total Fringe Rate for the staff proposed. No Fixed/Lump Sum Fringe is requested. Our organization will cover all of the fringe benefit costs for the Prevention Specialist, Peer Recovery Support Staff, and Outreach Bu Assistant. e C. Travel pl m Calculation NON- FEDERAL. Sa Trip Cost / Quantity Number Purpose Destination Travel FEDERAL. # Item Rate per Basis per of Cost REQUEST. Item Person Persons MATCH. Substance Abuse Chicago, IL to Hotel/Lodging $ Night 2 $1,032. Treatment Washington, DC. National Per Diems (M&IE only) $ Day 2 $316.

8 1 Conference $1,748. Airfare $ Round Trip 2 $400. Page 2 of 19 Release date: 01/2022. SAMHSA Detailed Budget and Narrative Justification Feb 4, 2022. Calculation NON- Trip Cost / Quantity Number FEDERAL. Purpose Destination Travel FEDERAL. # Item Rate per Basis per of Cost REQUEST. Item Person Persons MATCH. Local Travel various Local Travel (POV Mileage) $ Mile 1, 2 $1,155. y 2 $1,155. nl O. Regional Training Indianapolis, IN Hotel/Lodging $ Night 2 $508. Workshop on es Evidence-based Per Diems (M&IE only) $ Day 2 $276. 3 Approaches to $0 $1,104. os Treatment Airfare $ Round Trip 2 $320.

9 Rp Pu TOTAL $4,007 $2,903 $1,104. n Trip Travel Narrative : tio #. Substance Abuse Treatment Chicago, IL to Washington, DC Travel Cost $1,748. National tra 1. Two staff (Project Director and Program Coordinator) will attend the annual National Conference on Substance Abuse Treatment scheduled to be held in Washington, , from June 14-15, 2023. s llu Local Travel various Travel Cost $1,155. 2. Local travel is needed for staff to attend local meetings and training events, and conduct project activities in the geographic rI. catchment area. Privately-owned vehicle (POV) mileage reimbursement rate is based on the organization's policies.

10 Fo Regional Training Workshop on Evidence-based Approaches to Indianapolis, IN Travel Cost $1,104. Treatment 3. Our organization will provide the funding for two project staff to attend the annual Regional Training Workshop on Evidence- is based Treatment Approaches scheduled for August 2023 (the closest location is Indianapolis, IN). n ow D. Equipment Sh Check Calculation NON- Line if Item Purchase or Percent FEDERAL. Item Item Equipment FEDERAL. # is a Quantity Rental/Lease Charged to the REQUEST. Cost MATCH. a Vehicle Cost Project at 1 N/A $0 $0. -D. TOTAL $0 $0.