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10-31-83

FEDERAL ASSISTANCE BUDGET INFORMATION FORM

FORM EMC 110001

FOAM APPROVED
OMI NO 1800 0177

nog momci umuron Meteo

Inom. Mens Tate DE_5_01N0RA1234

Piles Energy Awareness Training Program (P.E.A.I.P. ACE Utility Company

o nogo. Mom Sim One

4/01/81

Done
Utopia, Illinois

3/31/82

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Figure 11-8
Example Federal Assistance Budget Information Form

(Non-Construction)

Column 1g) should be the wm of the amounts o cot umng let and 19.

for supplement grans ma changes to enting grants do not use Columns ici ang lo) Enter m Column lel the amount of the increase or decrease of fodera funds and meer in Column if the amount of increme or oncron. of non federdi tunas in Column igi emer the new total budgeted amount i federal and non-fodorolt mich ncludes the tous prenous authorized budgeted mounts otus or mus, us appropriate the amounts shown a Columna (m) and in the mountis) in Column ig) mould nor equal the wum of me amounts m Column to end in) una 5 - Show the toren for all columns uned. Section I Budget Coregorias

In the column neooings 111 through (4), enter the meters of the womo programs, functions, and activities nown on unes 14 Column 1al. Section A. When aodniona mons were prepared for Section A, provide wmile column neod. ngs on each shoe for each program, function of activity. fill in the 10131 requirements for tunas (born foora and non-foderni DV OOIECT Claus coregories Lines son - Show he estimatec amount for sech direct

COS Duoga 100rect class, conegory for noch column with program, tunction or activity

heading Line B Show the toisis of unes bo to oth in noch

column. Ling & - Show me amount of morect con. Agter to

FMC 741 Une bote Emor me torst of amounts on Lines bi mno G.

1

10-31-83

FEDERAL ASSISTANCE BUDGET INFORMATION FORM

INSTRUCTIONS

hem 1

Enter the Federal Grom or agreement whention
Sumber for the current won as it 100wars m me

Oha awto it known
hrem 2 Ente in broyrar Aroma oficial title as a powers

in the award nem 3. Enter name and address of the agency or office

respons die ' coordination and admirerrnion of

iro Dogram Project mem

Enter the oticul ment ante.

item 5. Enter the official completion done as of the laten

Omicia modifichion.

for all applications to now gromes and com
muation grants the rotal amount o con
um 151. une fotk should be the same as the
total amount shown on Section A. Column
(o). Lung 5 for supplemental grants and
changes to grants. the total amount of the
increase or decrease as mown in Columns
1114 Bine 6t. Anould be the same as the
sum of me amounts o Section A. Coturning
lal and if on line 5. When nodione morts
were d'ODIO. ine last two sentence rooi

oniy to ine torst dage with summary totaus.
Uno 7 - Enter me estimated amount of mcome. if

anv. erpected to be generated from this
Dvorect. Do not add or subtract this amount
from the total project amount. Show under
the program normive enement the nature
and source of income The estimated amount
of program income may be considered by
me Aogram Manager in determning ine
total amount of the grant

Section A. Buogor Summary
unes 14 Columns ia and IDI,

FOI IDD'Calons pertaining to a sungle Frogral grant program Fede's Domestic Assistance Catalog numbers and 31 reduiring a functional or activity break down enter on line i under Column is the chaing program title and the cata.og number in Column (bi

Foi asglications Donaining to i ungie program regum inç Duage: amounts bv multinue functions of CTTIS. enie the name of each oCTIVITY of function on each imam Column la and meer ine containg number in Column (bl. so! IDD'ications Denaining to muhidie programs were none or the 'ograms require i brookdown by function or activity enter the chalog program trtie on each lonem Column is and the respective corralog number on each ima in Column it!

for anonications perenning to muminio programs where one or more d'ograms roouire a break down by function or activity prepare a secuno sheet for osch program regun ng ine dreakdown Additional shors should be used when one Form does not provide soeurto sonce for ai brook. Jown of data required Momever when more than one sheet is used in first page should provide the summer totais Dv programs Lines i 4 Columns ic) through lg).

for new soplications, loove Columns icl mo idi blank. for each une entry on Columns is) and 101, enter in Cotmns e .. and ig! the appropriate amounts of funds needed to SUDDOR the proNCT

for continuing grani program socions, submn these forms Detore the end of each funding voor if re Qu'ed ov program Manage Enter in Columns ici and la the estimated amounts of funds which will remain unoDigoreo a the end of the grani fundmg prod only if the award impructions provide for this. Otherwise nove mane Columns Diana. Enter in Columng lei and in the amount of lungs neeced for the upcoming period the amountis) in

THIS REPORT SACOVIAED ACCORDANCE WITW USC TANO

USC in SO TAL UML TO ACORT MAY MESULT CONTRACT
TIMITATIO. OR INALTIESAS OVIDED IY TAW

SEI DOI CA 1001 ION PROVISIONS COCINING
CONFIDENTIALITOS INFORMATION

Figure 11-8 (Continued)
Federal Assistance Budget Information Form (Reverse Side)

(Non-Construction)

10-31-83

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10-31-83

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Figure 11-9 (Continued)
Federal Assistance Budget Information Form (Reverse Side)

(Construction)

10-31-83

11-21

FEDERAL ASSISTANCE BUDGET INFORMATION FORM

ICONSTRUCTIONI

SECTION C - EXCLUSIONS

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Land Development Relocation Expenses Relocation Doments

SECTION D - PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE

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c. Agoroon

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TOTAL - Gomes

a Om Show

Sun

hongan to

acondon

Licudos ram Caringana maneno

1

85,000 95,000 150,000

20,000 17,500

Tocou

330,000

.

97,500

1,249,500

975,000 274,500

1,249,500

350,000 350,000

0. O

con Om Shr

350,000 11.599,500

"OTAL

SECTION E

REMARKS

INSTRUCTIONS

Section C - Excluson

une 20 mg - bent no lie tou com a column 111 which

no sort of me promoci con dui no not worect to Rocers per
icroonon because of program legiustion or foderas grantor
pener instuctions The tour amount on Line o moud apro
with the amoum shown on line 17 of Section B. Show in
Column (2 mono prorect costs that are SUDrect to Federal der.
trapation but are not mingidio lor inclusion in the amoum usoo
ro comouro conmgency amounts w provided in the hooww
grantor agency nauctor
Section 0 Proposed Mochoo at Financing Non-Fotora

Line 27 n - Show the total of Lines 27 ag. This amoum muer
aquel the amoum shown in Section B. Lino 21
Lino a . - show the mourn mere will be convertured by
Sorro or stero agmor, only if the modiconto non o Scano ai
state agency. it more is a non-cson conmoution, expien und
the contribuoon will consent of under Section & - Romerts
une 28 b - Show the amoum that will be contributed from
other sourcn. If meron noncsen cormouron. ouciem wner
this contribution uni consent or under Section E - Hemerks
Line 28 c - show the total of Linee 220 and 200. This onoun
must be the same ae no anoun shown in Section B. Lone 24.
Line 28 - Enter the total of Line 27h and Line 28c.
Section E - Other Remarks
Mako my romerus buriment to the prorect and prondo a
other information Tour Du The moncnon o the granto
agency. Anach odations noots, il necomery.

Line 27 ag - Show the source of the gremos's share. In coon

not immediaten, avaladie spocity in actione compiered to dato and thoss actions iomaining to make cash avasole under Section E - Romans incrosto iso the period of time that wall Do rowed she ruecution of the prime ngromen to obten the hands if there is a non-coen contribution, explan what the contribution wall consum of.

Figure 11-9 (Continued)
Federal Assistance Budget Information Form

(Construction)

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