Department of Health and Human Services Public Health Service, Grant Application

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Principal Investigator/Program Director (Last, first, middle):

Raabe. Otto G.

BUDGET FOR ENTIRE PROPOSED PROJECT PERIOD
DIRECT COSTS ONLY
INITIAL BUDGET ADDITIONAL YEARS OF SUPPORT REQUESTED
BUDGET CATEGORY PERIOD
TOTALS (from page 4) 2nd 3rd 4th 5th
PERSONNEL: Salary and fringe
benefits 63'780 66,969 707317
Applicant organization only
CONSULTANT COSTS
EQUIPMENT
SUPPLIES 10,560 11,088 11,642
TRAVEL
PATIENT
INPATIENT
CARE
COSTS OUTPATIENT
ALTERATIONS AND
RENOVATIONS
OTHER EXPENSES
SUBTOTAL DIRECT COSTS
CONSORTIUM/ -
CONTRACTUAL COSTS -
TOTAL DIRECT COSTS 74,340 78,057 81,959
INDIRECT COSTS* 14,050 15,924 16,720
GRAND TOTAL 88,390 93,981 98,679
TOTAL DIRECT COSTS FOR ENTIRE PROPOSED PROJECT PERIOD (Item 8a$-----------> $ 281,050
JUSTIFICATION (Use continuation pages if necessary):
From Budget for Initial Period: Describe the specific functions of the personnel, collaborators, and consultants and identify
individuals with appointments that are less than full time for a specific period of the year, including VA appointments.
For all Years: Explain and justify purchase of major equipment, unusual supplies requests, patient care costs, alterations and
renovations, tuition remission, and donor/volunteer costs.
From Budget for Entire Period: Identify with an asterisk (*) on this page and justify any significant increase or decrease in any
category over the initial budget period. Describe any change in effort of personnel.
For Competing Continuation Applications: Justify any significant increases or decreases in any category over the current level of
support.

*Indirect Costs rates

94
95
96.189.204.204

PHS 398 (Rev. 9/91) (Form Page 5)Page.L
Number pages consecutively at the bottom throughout the application. Do not use suffixes such as 3a, 3b.

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