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Institution '2. Investigator '3. Date^ ^ ^ $m@7' '4. Type of Submission #'Proposal [ ] Revision [ ]F' 5. Institution/Principal Investigator (if different from 1 & 2) ' Proposal/Grant Number:*' Institution Identifying Number: ^  '6. Proposal Type '7. Continuation of GrantG ' GO[ ] AR[ ] DD[ ]  ' Number  '8. Proposal Title ^  ^ '9. Budget Items$^(UP TO A 12 MONTH PERIOD ONLY) ^Apply^Total Loaded'A. Salaries and wages 'Cycle:2' Period From:  ' To:^Applicable^Project Costs' 1. Senior Personnel^ Monthly(or) x' No. of x^ Percent =^Amount Charged ^IDC Rate(s)' (Including Loaded6' Principal Investigator, Co-Investigators ^Hourly Rate ^Months 'of Time^to Project' Fringe Benefits)/' 1(d) - 2(e): Show number in [ ] ' a.#H." ' b.#H." ' c.#H."1' d. [ ] Others (List on Separate Page)#H."4' 2. Other Personnel: show numbers in [ ]+' a. [ ] Post Doctoral Associates#H."$' b. [ ] Graduate Students#H.")' c. [ ] Undergraduate Students#H."'' d. [ ] Secreterial/Clerical#H."=' e. Other--Specify (use separate sheet if necessary)#H."' ' ' #' Total Salaries and Wages' b" b6!'B. Fringe Benefits (if charged as a direct cost) !^Rate !^Base !^Totals!' Add to the D"' If more than one rate is used, list each rate separately.""""""^NA"'Appropriate######' Salaries Above$$$$$%'C. Travel Destinations%^Transportation%^Lodging &%' Number of&' Foreign &^Costs &^Subs. &^Days &^Totals '' 1.'''#'''''H!''' (' 2.(((#(((((H!((()' Domestic *' 1.***#*****H!*** +' 2.+++#+++++H!+++-' TOTAL TRAVEL-?,'P-?,'P-?,'P-?,'P-H!---.'D. Supplies and Materials&.'Basis/Method of Cost Computation .^Totals /' 1.//H!/// 0' 2.00H!000 1' 3.11H!1114' 4' BUDGET FORMS4'CONTINUED 4"GF-97-26'Institution6'Investigator6'Proposal/Grant Number8'E. Computer Services8^Monthly Rate8^ No. of Mos. 8^Totals8^Apply IDC8^Total Loaded 9^Rate(s)9^Project Costs :' 1.::::::H!::: ;' 2.;;;;;;H!;;;'<'F. Publication Costs/Page Charges<^No. of Pages <^ $/Page <^Totals =' 1.======H!===>'G. Equipment >^Totals>" >"  ?' 1.??^NA?? @' 2.@@^NA@@3A'H. Co-I Awards (awarded directly by STScI)  A^Totals B' 1.BB^NABB C' 2.CCC'D'I. Other (including subcontracts) D^TotalsD^ D'  E' 1.E' EEH!EEE F' 2.FFH!FFFG'J. Indirect CostsG^IDC RateG^X Base = G^TotalG^ G' HH' Date of Negotiation Agreement with Federal Agency (Attach copy):H]H"$P',P/1P:;P=EFPHHHI' Agency :IIII^NAI^NAJ' Agreement Date:J^ J' JJJK' 10. Total Project CostsK"#$'()*+,/01:;=?@BCEFHIJKP$'()*+,/01:;=?@BCEF2L' 11. A. Approved Funding For Previous CyclesL-M' B. Total Costs For Later Cycles MN' ;N' C. Total Program Costs (Sum of 10 + 11A + 11B)NKMPO' 12. Preparatory GrantiP' (If a preparatory grant will be necessary, please indicate the amount of funds required.)PQ' 13. Cost-SharingQ' R' WR' (Please list any cost that will be funded by sources other than STScI.)qS' 14. A. List on a separate sheet all non US. scientists who will be working on the project (if applicable).VT' Note: STScI funds may NOT be used to support foreign investigators.oU' B. Please check the box to certify that only US. scientists will be provided grant funds. [ ]cV' 15. A. List on a separate sheet all Federal Employees working on the project (if applicable)W' xW' B. Please check the box to certify that the cost associated with the work of the Federal Employee(s) is notAX' available through their Federal Agency. [ ]Y' 16. List on a separate sheet a summary of current and pending research support of the senior personnel (from all sources) rZ' Please include the funding source, amount awarded, project period, and project title for each award.[' 17. Authorizing Official\' ]^ 0^' Signature!^^Name (Please Type or Print)^'  ^^Date`^ .a^ Titlea' a^ b^ b^  b'Addressb^ d' ( ) e' Telephone e^Ext.f' -W_ SWISSDUTCHDUTCHDUTCHDUTCHXSYMSWISSXSYM    Of4!*I"WFM3FM3 PropertyWK3WK3 Property  DY W6Y 2YW%Y !YCMHdrDY