Appendix A: INSTRUCTIONS FOR COMPLETING FORM FPD 208 (BUDGET FORMS) PAGE 1: APPROVED BUDGET 1. Program Report Code (PRC) 2. Program 3. LEA/Grantee Name 4. LEA Code/Non-LEA Unit Number 5. Project Number 110 ESEA Title IV-B. Enter name here. Enter three-digit code assigned to LEA or non-LEA. Eight digits: _ _ _ _ _ _ _ _ (FY PRC LEA#) 6. Project Approval Date 7. Approved Budget Amount 8. Project Period For State Agency Use Only. The total of your PLANNING ALLOTMENT. Enter the fiscal year Beginning Date and Ending Date of the project. 9. Account Classification 10. Account Code Enter Account Description. Enter the PRC - See Number 1 above. Enter the appropriate Account Codes to be budgeted. Example Line Item: 3-5200-110-121 11. Approved Budget Enter the budget for each Account Code on the form. 12. Signatures for LEA’s Superintendent An original signature and the date are required. or Finance Officer: PAGE 2: APPROVED BUDGET (Continuation page to be used if necessary. See items 9-11 above). PAGE 3: SUMMARY OF BUDGETED POSITIONS 1. Account Code Enter the eleven digit budget code as outlined in the Uniform Chart of Accounts (Ex. 3-5200-060-121) 2. Number of Positions 3. Position Description: Number of personnel to be employed. The most recent DPI Uniform Chart of Accounts description. 4. Percent Assigned To Project Of the total employee time, the percent of time each employee works in the 21st CCLC project. For example: 1 director position at 50%; 12 teacher positions at 25%; 5. Number of Months Assigned To Project Numbers of months positions are assigned to the project. For example: 12 tutor positions for 10 months, 1 director position for 12 months 6. Budgeted Dollars The estimated yearly salary and benefits for the identified position. Budgeted dollars should take into consideration the total number of positions, percent employed, the months assigned, and administrative cap of 12%. FPD 208 (R 5/01) DEPARTMENT OF PUBLIC INSTRUCTION 301 N. WILMINGTON STREET RALEIGH, NORTH CAROLINA 27601-2825 INITIAL AWARD AMOUNT PROGRAM REPORT CODE # LEA Name 110 LEA Number Project Number 09-050-XXX Fiscal Year Budget Amount PROJECT PERIOD: Beginning: Ending: PROGRAM : ACCOUNT CLASSIFICATION WITH DESCRIPTION OF EXPENDITURES ESEA Title IV-B 3-XXXX-050-XXX ACCOUNT CODE APPROVED BUDGET (i.e., Professional Development – Parent Ed training) Total Grant Funds Signature of LEA Superintendent/Finance Officer/Administrator Date STATE USE ONLY (SIGN FOR APPROVAL ONLY) Program Administrator Date FPD 208 (R 5/01) ACCOUNT CLASSIFICATION WITH DESCRIPTION OF EXPENDITURES (I.e. Professional Development – Parent Ed training) Total Grant Funds 3-XXXX-050-XXX ACCOUNT CODE APPROVED BUDGET FPD 208 (R 5/01) SUMMARY OF BUDGETED POSITIONS Account Code Number of Positions Position Description Percent Assigned To Project Number of Months Assigned To Project *PAR Forms are required for employees who are paid from more than one funding source. **Certification Statements are required for employees paid 100% from grant funding. Dollars