STTR 2015 Form C Template - NASA SBIR & STTR … · 2018-03-29 · contribution to the project must...

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STTR 2016-II - Budget Form C Direct Labor Overhead ODCs Subcontractors/ Consultants Research Institution G&A Profit/ Cost Sharing Audit info Review Proposal # : Direct Labor Please read the instructions (opens in new window) carefully before proceeding. If you used the browser's BACK button to come to this page, please reload/refresh now. Labor Costs and Information: Enter the labor description and cost for each person who will be working on the proposed research effort. Please not that each employee's contribution to the project must be identified in the technical proposal. Do not include labor costs for employees who are not directly contributing to the project. Costs for these should be included in the Overhead or G&A sections of this proposed budget. Please detail the labor used for each year of the proposed research effort separately below. Year 1 Category: Select Category Description: Education: Select Education Years of Experience: Hours: Rate ($): Fringe Rate (%) (if applicable) : Total($) (hours x rate x fringe rate): Category: Select Category Description: Education: Select Education Years of Experience: Hours: Rate ($): Fringe Rate (%) (if applicable) : Total($) (hours x rate x fringe rate): Add More Direct Labor Costs Year 2 Category: Select Category Description: Education: Select Education Years of Experience: Hours: Rate ($): Fringe Rate (%) (if applicable) : Total($) (hours x rate x fringe rate): Category: Select Category Description: Education: Select Education Years of Experience: Hours: Rate ($): Fringe Rate (%) (if applicable) : Total($) (hours x rate x fringe rate): Add More Direct Labor Costs Fully loaded rates include the cost of the benefits given to employees, not just their base pay rate. Rates Fully Loaded? Are the labor rates detailed above fully loaded? Yes No If yes, explain any costs that apply? (Maximum character limit 200) 200 characters remaining. Labor charges that do not compare favorably to state averages at http://www.bls.gov require additional documentation supporting the proposed salary(ies). Additional Comments Provide additional information and cost support data related to the nature of the direct labor detailed above. (Maximum character limit 200) 200 characters remaining. Upload any necessary labor rate documentation here. Upload Save and Continue

Transcript of STTR 2015 Form C Template - NASA SBIR & STTR … · 2018-03-29 · contribution to the project must...

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Direct Labor

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Labor Costs and Information Enter the labor description and cost for each person who will be working on the proposed research effort Please not that each employees contribution to the project must be identified in the technical proposal Do not include labor costs for employees who are not directly contributing to the project Costs for these should be included in the Overhead or GampA sections of this proposed budget

Please detail the labor used for each year of the proposed research effort separately below Year 1

Category Select Category Description

Education Select Education Years of Experience

Hours Rate ($) Fringe Rate () (if applicable)

Total($) (hours x rate x fringe rate)

Category Select Category Description

Education Select Education Years of Experience

Hours Rate ($) Fringe Rate () (if applicable)

Total($) (hours x rate x fringe rate)

Add More Direct Labor Costs

Year 2

Category Select Category Description

Education Select Education Years of Experience

Hours Rate ($) Fringe Rate () (if applicable)

Total($) (hours x rate x fringe rate)

Category Select Category Description

Education Select Education Years of Experience

Hours Rate ($) Fringe Rate () (if applicable)

Total($) (hours x rate x fringe rate)

Add More Direct Labor Costs

Fully loaded rates include the cost of the benefits given to employees not just their base pay rate Rates Fully Loaded

Are the labor rates detailed above fully loaded Yes No

If yes explain any costs that apply (Maximum character limit 200)

200 characters remaining

Labor charges that do not compare favorably to state averages at httpwwwblsgov require additional documentation supporting the proposed salary(ies) Additional Comments

Provide additional information and cost support data related to the nature of the direct labor detailed above (Maximum character limit 200)

200 characters remaining

Upload any necessary labor rate documentation here Upload

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Overhead

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Specify current rate and base Use current rate(s) negotiated with the cognizant federal negotiating agency if available OR provide a number for total estimated overhead costs to execute the project

Overhead RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Specify the sources of your companys overhead costs below

Overhead Cost Sources

Add More Overhead Cost Source

Possible Overhead Cost Sources

bull Insurance bull Sick Paybull Vacation

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ODCs

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

NOTE The maximum file size permitted for Supporting Documents Upload is 2MB

Materials

If applicable list the materials planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing Materials

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract

Select Competitively Sourced Select Consumable Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract

Select Competitively Sourced Select Consumable Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Add More Materials

Supplies

If applicable list the supplies planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing Supplies

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract Select Competitively Sourced Select Consumable Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract Select Competitively Sourced Select Consumable Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Add More Supplies

Equipment

If applicable list the equipment planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing equipment

Description Vendor

Quantity

Exclusive for this Contract

Total Cost ($)

Competitively Sourced

Year

Supporting Documents Upload

Supporting Comments (Maximum character limit 4000)

Select

Select Select

Upload

4000 characters remaining

Description Vendor

Total Cost Year Quantity ($)

Exclusive for

Select

this Contract

Select Competitively Sourced Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Add More Equipment

Other

If applicable list any additional ODCs planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing additional ODCs

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract

Select Competitively Sourced Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Description Vendor

Total Cost Year Quantity ($)

Exclusive for

Select

this Contract

Select Competitively Sourced Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Travel

If applicable list the travel planned for this proposal here If there is more than one trip planned click on the button to add travel

NOTE The Total Costs for each category should be the cumulative cost for all the People for the number of Days traveled

Add More Other

Location From Total Airfare Costs ($)

Location To Total Car Rental Costs ($)

Number of People Total Per Diem Costs ($)

Number of Days Total Other Costs ($)

Year Select Total Cost ($)

Purpose of Trip

Source of Estimates

ExplanationJustification (Maximum character limit 4000)

Select

Add More Travel

Explanation of ODCs If available provide any additional information below on the Other Direct Costs listed above including the basis used for estimating the costs

Explanation of ODCs (Maximum character limit 4000)

4000 characters remaining

Technical Assistance

Refer to Section 17 of the SBIRSTTR 2015 solicitation for information on what services qualify as Commercialization Technical Assistance

Are you requesting Commercialization Technical Assistance Yes No

If Yes provide Vendor Name contact information proposed cost detailed explanation of services to be provided and upload a vendor quote

Vendor Information

Name POC First Name

Address POC Last Name

City POC Phone - -

State Select POC Email

Zip - DUNS + 4 - What is DUNS (9-digit Data Universal Number System a 4-digit suffix is also required if owned by a parent concern)

Proposed Cost ($) (not to exceed $500000)

Save and Continue

4000 characters remaining

Location From Total Airfare Costs ($)

Location To Total Car Rental Costs ($)

Number of Total Per Diem Costs ($) People

Number of Days Total Other Costs ($)

Year Total Cost ($)

Purpose of Trip

Source of Estimates

ExplanationJustification (Maximum character limit 4000)

4000 characters remaining

Detailed explanation of services to be provided (Maximum character limit 4000)

Upload

4000 characters remaining

Supporting Documents UploadUpload a vendor quote Note Max upload size 2MB

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

NOTE The maximum file size permitted for Supporting Documents Upload is 2MB

SubcontractorConsultant Information Below is a list of the subcontractorsconsultants for this proposal For each subcontractorconsultant you are requested to provide their name and a summary of their proposed budget for this project

SubcontractorConsultant Total Cost ($) Detailed Budget Provided Action

Update

Remove

Add New SubcontractorConsultant Continue

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now SubcontractorConsultant Information Provide the name of the subcontractorconsultant and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the subcontractorconsultant in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost SubcontractorConsultant Information

SubcontractorConsultant

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for this subcontractorconsultant Yes No

If no please provide the Total Cost ($)

If no do you provide the authority to the Government to contact this Point of Contact Yes NA

If yes please provide a detailed subcontractorconsultant budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant Yes

No

No

Detailed SubcontractorConsultant Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs Category Description Vendor Cost ($) Remove

Select Category

Select Category

Select Category

Add More Other Direct Costs

Upload a letter of commitment from the subcontractorconsultant here If you do not have a letter provide an explanation in the text box below SubcontractorConsultant Letter of Commitment

Upload the letter of commitment here

Provide an explanation here of any contact you have had with the subcontractorconsultant as to their availability to perform the proposed work (Maximum character limit 4000)

Upload

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Research Institution

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Research Institution Information Provide the name of the Research Institution and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the Research Institution in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost and Principal Investigator name if heshe is from the Research institution Research Institution Information

Research Institution

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for the Research Institution Yes No

If no please provide the Total Cost and Principal Investigator Name (If the PI is from Research Institution)

If no do you provide the authority to the Government to contact this Point of Contact Yes No NA

If yes please provide a detailed Research Institution budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for the Research Institution Yes No

Detailed Research Institution Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs

Category Description Vendor Cost ($) Remove

Select Category

Select Category

Add More Other Direct Costs

Select Category

Upload the Allocation of Rights Agreement from the Research Institution here Allocation of Rights Agreement

Upload the Allocation of Rights Agreement Upload

Save and Continue

Letter of Support

Upload the Supporting Documenataion Upload

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal GampA

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now General and Administrative Costs Enter rate or total cost for the General and Administrative expenses for this proposal Specify current rate and base Use current rate (s) negotiated with the cognizant federal negotiating agency if available OR provide a number for total estimated GampA Costs to execute the project Below specify the different cost sources from which your companys General and Administrative costs are calculated Please detail the labor used for each year of the proposed research effort separately below

GampA RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Specify the sources of your companys GampA costs below

GampA Cost Sources Possible GampA Cost Sources

bull Rent bull Utilities bull Management

Add More GampA Cost Source

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ProfitCost Sharing

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

See Sections 48 (opens in new window) Profit to be added to total budget shared costs to be subtracted from total budget as applicable For Cost Sharing please enter rate or cost as a negative number

Profit RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Audit Info

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Milestone Plan

Provide the proposed quarterly milestone plan The milestone plan shall be in accordance with your work plan outlining the work to be accomplished each quarter and the cost proposed associated with each of the quarterly milestones The cost breakdown shall be similar to Form C for each of the proposed quarterly milestones (ie each milestone should include the labor supplies travel profit associated with those tasks to be accomplished that quarter) The proposed cost associated with each quarterly milestone must be realistic for the work to be accomplished but is not required to be equally distributed across each quarter

Upload your Milestone Plan here Upload Provide the list of any additional deliverables you are proposing to submit in addition to the mandatory deliverables Such deliverables would include prototype deliverables If not proposing additional deliverables then this section can be left blank Proposed Deliverables Deliverable Quantity Milestone Remove

Add More Lines

Federal Facilities Laboratories or Equipment If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8) Please note that this section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment Federal facilities laboratories or equipment (Maximum character limit 4000)

4000 characters remaining

Upload necessary documentation here

Signed statement of availability from Government agency Upload

Letter of justification for use of Federal facilities laboratories or equipment Upload

Audit Information If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

The rates listed in the negotiated rate agreement were used to prepare the budget summary Other rates were used to prepare the budget summary My firms accounting system has not been audited

If the listed rates are not being used to prepare the budget summary please provide an explanation (Maximum character limit 4000)

4000 characters remaining

Save and Continue

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Overhead

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Specify current rate and base Use current rate(s) negotiated with the cognizant federal negotiating agency if available OR provide a number for total estimated overhead costs to execute the project

Overhead RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Specify the sources of your companys overhead costs below

Overhead Cost Sources

Add More Overhead Cost Source

Possible Overhead Cost Sources

bull Insurance bull Sick Paybull Vacation

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ODCs

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

NOTE The maximum file size permitted for Supporting Documents Upload is 2MB

Materials

If applicable list the materials planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing Materials

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract

Select Competitively Sourced Select Consumable Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract

Select Competitively Sourced Select Consumable Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Add More Materials

Supplies

If applicable list the supplies planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing Supplies

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract Select Competitively Sourced Select Consumable Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract Select Competitively Sourced Select Consumable Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Add More Supplies

Equipment

If applicable list the equipment planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing equipment

Description Vendor

Quantity

Exclusive for this Contract

Total Cost ($)

Competitively Sourced

Year

Supporting Documents Upload

Supporting Comments (Maximum character limit 4000)

Select

Select Select

Upload

4000 characters remaining

Description Vendor

Total Cost Year Quantity ($)

Exclusive for

Select

this Contract

Select Competitively Sourced Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Add More Equipment

Other

If applicable list any additional ODCs planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing additional ODCs

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract

Select Competitively Sourced Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Description Vendor

Total Cost Year Quantity ($)

Exclusive for

Select

this Contract

Select Competitively Sourced Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Travel

If applicable list the travel planned for this proposal here If there is more than one trip planned click on the button to add travel

NOTE The Total Costs for each category should be the cumulative cost for all the People for the number of Days traveled

Add More Other

Location From Total Airfare Costs ($)

Location To Total Car Rental Costs ($)

Number of People Total Per Diem Costs ($)

Number of Days Total Other Costs ($)

Year Select Total Cost ($)

Purpose of Trip

Source of Estimates

ExplanationJustification (Maximum character limit 4000)

Select

Add More Travel

Explanation of ODCs If available provide any additional information below on the Other Direct Costs listed above including the basis used for estimating the costs

Explanation of ODCs (Maximum character limit 4000)

4000 characters remaining

Technical Assistance

Refer to Section 17 of the SBIRSTTR 2015 solicitation for information on what services qualify as Commercialization Technical Assistance

Are you requesting Commercialization Technical Assistance Yes No

If Yes provide Vendor Name contact information proposed cost detailed explanation of services to be provided and upload a vendor quote

Vendor Information

Name POC First Name

Address POC Last Name

City POC Phone - -

State Select POC Email

Zip - DUNS + 4 - What is DUNS (9-digit Data Universal Number System a 4-digit suffix is also required if owned by a parent concern)

Proposed Cost ($) (not to exceed $500000)

Save and Continue

4000 characters remaining

Location From Total Airfare Costs ($)

Location To Total Car Rental Costs ($)

Number of Total Per Diem Costs ($) People

Number of Days Total Other Costs ($)

Year Total Cost ($)

Purpose of Trip

Source of Estimates

ExplanationJustification (Maximum character limit 4000)

4000 characters remaining

Detailed explanation of services to be provided (Maximum character limit 4000)

Upload

4000 characters remaining

Supporting Documents UploadUpload a vendor quote Note Max upload size 2MB

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

NOTE The maximum file size permitted for Supporting Documents Upload is 2MB

SubcontractorConsultant Information Below is a list of the subcontractorsconsultants for this proposal For each subcontractorconsultant you are requested to provide their name and a summary of their proposed budget for this project

SubcontractorConsultant Total Cost ($) Detailed Budget Provided Action

Update

Remove

Add New SubcontractorConsultant Continue

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now SubcontractorConsultant Information Provide the name of the subcontractorconsultant and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the subcontractorconsultant in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost SubcontractorConsultant Information

SubcontractorConsultant

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for this subcontractorconsultant Yes No

If no please provide the Total Cost ($)

If no do you provide the authority to the Government to contact this Point of Contact Yes NA

If yes please provide a detailed subcontractorconsultant budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant Yes

No

No

Detailed SubcontractorConsultant Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs Category Description Vendor Cost ($) Remove

Select Category

Select Category

Select Category

Add More Other Direct Costs

Upload a letter of commitment from the subcontractorconsultant here If you do not have a letter provide an explanation in the text box below SubcontractorConsultant Letter of Commitment

Upload the letter of commitment here

Provide an explanation here of any contact you have had with the subcontractorconsultant as to their availability to perform the proposed work (Maximum character limit 4000)

Upload

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Research Institution

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Research Institution Information Provide the name of the Research Institution and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the Research Institution in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost and Principal Investigator name if heshe is from the Research institution Research Institution Information

Research Institution

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for the Research Institution Yes No

If no please provide the Total Cost and Principal Investigator Name (If the PI is from Research Institution)

If no do you provide the authority to the Government to contact this Point of Contact Yes No NA

If yes please provide a detailed Research Institution budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for the Research Institution Yes No

Detailed Research Institution Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs

Category Description Vendor Cost ($) Remove

Select Category

Select Category

Add More Other Direct Costs

Select Category

Upload the Allocation of Rights Agreement from the Research Institution here Allocation of Rights Agreement

Upload the Allocation of Rights Agreement Upload

Save and Continue

Letter of Support

Upload the Supporting Documenataion Upload

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal GampA

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now General and Administrative Costs Enter rate or total cost for the General and Administrative expenses for this proposal Specify current rate and base Use current rate (s) negotiated with the cognizant federal negotiating agency if available OR provide a number for total estimated GampA Costs to execute the project Below specify the different cost sources from which your companys General and Administrative costs are calculated Please detail the labor used for each year of the proposed research effort separately below

GampA RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Specify the sources of your companys GampA costs below

GampA Cost Sources Possible GampA Cost Sources

bull Rent bull Utilities bull Management

Add More GampA Cost Source

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ProfitCost Sharing

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

See Sections 48 (opens in new window) Profit to be added to total budget shared costs to be subtracted from total budget as applicable For Cost Sharing please enter rate or cost as a negative number

Profit RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Audit Info

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Milestone Plan

Provide the proposed quarterly milestone plan The milestone plan shall be in accordance with your work plan outlining the work to be accomplished each quarter and the cost proposed associated with each of the quarterly milestones The cost breakdown shall be similar to Form C for each of the proposed quarterly milestones (ie each milestone should include the labor supplies travel profit associated with those tasks to be accomplished that quarter) The proposed cost associated with each quarterly milestone must be realistic for the work to be accomplished but is not required to be equally distributed across each quarter

Upload your Milestone Plan here Upload Provide the list of any additional deliverables you are proposing to submit in addition to the mandatory deliverables Such deliverables would include prototype deliverables If not proposing additional deliverables then this section can be left blank Proposed Deliverables Deliverable Quantity Milestone Remove

Add More Lines

Federal Facilities Laboratories or Equipment If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8) Please note that this section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment Federal facilities laboratories or equipment (Maximum character limit 4000)

4000 characters remaining

Upload necessary documentation here

Signed statement of availability from Government agency Upload

Letter of justification for use of Federal facilities laboratories or equipment Upload

Audit Information If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

The rates listed in the negotiated rate agreement were used to prepare the budget summary Other rates were used to prepare the budget summary My firms accounting system has not been audited

If the listed rates are not being used to prepare the budget summary please provide an explanation (Maximum character limit 4000)

4000 characters remaining

Save and Continue

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ODCs

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

NOTE The maximum file size permitted for Supporting Documents Upload is 2MB

Materials

If applicable list the materials planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing Materials

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract

Select Competitively Sourced Select Consumable Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract

Select Competitively Sourced Select Consumable Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Add More Materials

Supplies

If applicable list the supplies planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing Supplies

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract Select Competitively Sourced Select Consumable Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract Select Competitively Sourced Select Consumable Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Add More Supplies

Equipment

If applicable list the equipment planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing equipment

Description Vendor

Quantity

Exclusive for this Contract

Total Cost ($)

Competitively Sourced

Year

Supporting Documents Upload

Supporting Comments (Maximum character limit 4000)

Select

Select Select

Upload

4000 characters remaining

Description Vendor

Total Cost Year Quantity ($)

Exclusive for

Select

this Contract

Select Competitively Sourced Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Add More Equipment

Other

If applicable list any additional ODCs planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing additional ODCs

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract

Select Competitively Sourced Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Description Vendor

Total Cost Year Quantity ($)

Exclusive for

Select

this Contract

Select Competitively Sourced Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Travel

If applicable list the travel planned for this proposal here If there is more than one trip planned click on the button to add travel

NOTE The Total Costs for each category should be the cumulative cost for all the People for the number of Days traveled

Add More Other

Location From Total Airfare Costs ($)

Location To Total Car Rental Costs ($)

Number of People Total Per Diem Costs ($)

Number of Days Total Other Costs ($)

Year Select Total Cost ($)

Purpose of Trip

Source of Estimates

ExplanationJustification (Maximum character limit 4000)

Select

Add More Travel

Explanation of ODCs If available provide any additional information below on the Other Direct Costs listed above including the basis used for estimating the costs

Explanation of ODCs (Maximum character limit 4000)

4000 characters remaining

Technical Assistance

Refer to Section 17 of the SBIRSTTR 2015 solicitation for information on what services qualify as Commercialization Technical Assistance

Are you requesting Commercialization Technical Assistance Yes No

If Yes provide Vendor Name contact information proposed cost detailed explanation of services to be provided and upload a vendor quote

Vendor Information

Name POC First Name

Address POC Last Name

City POC Phone - -

State Select POC Email

Zip - DUNS + 4 - What is DUNS (9-digit Data Universal Number System a 4-digit suffix is also required if owned by a parent concern)

Proposed Cost ($) (not to exceed $500000)

Save and Continue

4000 characters remaining

Location From Total Airfare Costs ($)

Location To Total Car Rental Costs ($)

Number of Total Per Diem Costs ($) People

Number of Days Total Other Costs ($)

Year Total Cost ($)

Purpose of Trip

Source of Estimates

ExplanationJustification (Maximum character limit 4000)

4000 characters remaining

Detailed explanation of services to be provided (Maximum character limit 4000)

Upload

4000 characters remaining

Supporting Documents UploadUpload a vendor quote Note Max upload size 2MB

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

NOTE The maximum file size permitted for Supporting Documents Upload is 2MB

SubcontractorConsultant Information Below is a list of the subcontractorsconsultants for this proposal For each subcontractorconsultant you are requested to provide their name and a summary of their proposed budget for this project

SubcontractorConsultant Total Cost ($) Detailed Budget Provided Action

Update

Remove

Add New SubcontractorConsultant Continue

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now SubcontractorConsultant Information Provide the name of the subcontractorconsultant and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the subcontractorconsultant in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost SubcontractorConsultant Information

SubcontractorConsultant

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for this subcontractorconsultant Yes No

If no please provide the Total Cost ($)

If no do you provide the authority to the Government to contact this Point of Contact Yes NA

If yes please provide a detailed subcontractorconsultant budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant Yes

No

No

Detailed SubcontractorConsultant Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs Category Description Vendor Cost ($) Remove

Select Category

Select Category

Select Category

Add More Other Direct Costs

Upload a letter of commitment from the subcontractorconsultant here If you do not have a letter provide an explanation in the text box below SubcontractorConsultant Letter of Commitment

Upload the letter of commitment here

Provide an explanation here of any contact you have had with the subcontractorconsultant as to their availability to perform the proposed work (Maximum character limit 4000)

Upload

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Research Institution

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Research Institution Information Provide the name of the Research Institution and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the Research Institution in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost and Principal Investigator name if heshe is from the Research institution Research Institution Information

Research Institution

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for the Research Institution Yes No

If no please provide the Total Cost and Principal Investigator Name (If the PI is from Research Institution)

If no do you provide the authority to the Government to contact this Point of Contact Yes No NA

If yes please provide a detailed Research Institution budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for the Research Institution Yes No

Detailed Research Institution Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs

Category Description Vendor Cost ($) Remove

Select Category

Select Category

Add More Other Direct Costs

Select Category

Upload the Allocation of Rights Agreement from the Research Institution here Allocation of Rights Agreement

Upload the Allocation of Rights Agreement Upload

Save and Continue

Letter of Support

Upload the Supporting Documenataion Upload

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal GampA

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now General and Administrative Costs Enter rate or total cost for the General and Administrative expenses for this proposal Specify current rate and base Use current rate (s) negotiated with the cognizant federal negotiating agency if available OR provide a number for total estimated GampA Costs to execute the project Below specify the different cost sources from which your companys General and Administrative costs are calculated Please detail the labor used for each year of the proposed research effort separately below

GampA RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Specify the sources of your companys GampA costs below

GampA Cost Sources Possible GampA Cost Sources

bull Rent bull Utilities bull Management

Add More GampA Cost Source

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ProfitCost Sharing

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

See Sections 48 (opens in new window) Profit to be added to total budget shared costs to be subtracted from total budget as applicable For Cost Sharing please enter rate or cost as a negative number

Profit RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Audit Info

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Milestone Plan

Provide the proposed quarterly milestone plan The milestone plan shall be in accordance with your work plan outlining the work to be accomplished each quarter and the cost proposed associated with each of the quarterly milestones The cost breakdown shall be similar to Form C for each of the proposed quarterly milestones (ie each milestone should include the labor supplies travel profit associated with those tasks to be accomplished that quarter) The proposed cost associated with each quarterly milestone must be realistic for the work to be accomplished but is not required to be equally distributed across each quarter

Upload your Milestone Plan here Upload Provide the list of any additional deliverables you are proposing to submit in addition to the mandatory deliverables Such deliverables would include prototype deliverables If not proposing additional deliverables then this section can be left blank Proposed Deliverables Deliverable Quantity Milestone Remove

Add More Lines

Federal Facilities Laboratories or Equipment If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8) Please note that this section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment Federal facilities laboratories or equipment (Maximum character limit 4000)

4000 characters remaining

Upload necessary documentation here

Signed statement of availability from Government agency Upload

Letter of justification for use of Federal facilities laboratories or equipment Upload

Audit Information If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

The rates listed in the negotiated rate agreement were used to prepare the budget summary Other rates were used to prepare the budget summary My firms accounting system has not been audited

If the listed rates are not being used to prepare the budget summary please provide an explanation (Maximum character limit 4000)

4000 characters remaining

Save and Continue

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

Quantity

Exclusive for this Contract

Total Cost ($)

Competitively Sourced

Year

Supporting Documents Upload

Supporting Comments (Maximum character limit 4000)

Select

Select Select

Upload

4000 characters remaining

Description Vendor

Total Cost Year Quantity ($)

Exclusive for

Select

this Contract

Select Competitively Sourced Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Add More Equipment

Other

If applicable list any additional ODCs planned for this proposal here Note that either Supporting Comments or Supporting Documents Upload must be included when listing additional ODCs

Description Vendor

Quantity Total Cost ($) Year Select

Exclusive for this Contract

Select Competitively Sourced Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Description Vendor

Total Cost Year Quantity ($)

Exclusive for

Select

this Contract

Select Competitively Sourced Select

Supporting Documents Upload Upload

Supporting Comments (Maximum character limit 4000)

4000 characters remaining

Travel

If applicable list the travel planned for this proposal here If there is more than one trip planned click on the button to add travel

NOTE The Total Costs for each category should be the cumulative cost for all the People for the number of Days traveled

Add More Other

Location From Total Airfare Costs ($)

Location To Total Car Rental Costs ($)

Number of People Total Per Diem Costs ($)

Number of Days Total Other Costs ($)

Year Select Total Cost ($)

Purpose of Trip

Source of Estimates

ExplanationJustification (Maximum character limit 4000)

Select

Add More Travel

Explanation of ODCs If available provide any additional information below on the Other Direct Costs listed above including the basis used for estimating the costs

Explanation of ODCs (Maximum character limit 4000)

4000 characters remaining

Technical Assistance

Refer to Section 17 of the SBIRSTTR 2015 solicitation for information on what services qualify as Commercialization Technical Assistance

Are you requesting Commercialization Technical Assistance Yes No

If Yes provide Vendor Name contact information proposed cost detailed explanation of services to be provided and upload a vendor quote

Vendor Information

Name POC First Name

Address POC Last Name

City POC Phone - -

State Select POC Email

Zip - DUNS + 4 - What is DUNS (9-digit Data Universal Number System a 4-digit suffix is also required if owned by a parent concern)

Proposed Cost ($) (not to exceed $500000)

Save and Continue

4000 characters remaining

Location From Total Airfare Costs ($)

Location To Total Car Rental Costs ($)

Number of Total Per Diem Costs ($) People

Number of Days Total Other Costs ($)

Year Total Cost ($)

Purpose of Trip

Source of Estimates

ExplanationJustification (Maximum character limit 4000)

4000 characters remaining

Detailed explanation of services to be provided (Maximum character limit 4000)

Upload

4000 characters remaining

Supporting Documents UploadUpload a vendor quote Note Max upload size 2MB

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

NOTE The maximum file size permitted for Supporting Documents Upload is 2MB

SubcontractorConsultant Information Below is a list of the subcontractorsconsultants for this proposal For each subcontractorconsultant you are requested to provide their name and a summary of their proposed budget for this project

SubcontractorConsultant Total Cost ($) Detailed Budget Provided Action

Update

Remove

Add New SubcontractorConsultant Continue

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now SubcontractorConsultant Information Provide the name of the subcontractorconsultant and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the subcontractorconsultant in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost SubcontractorConsultant Information

SubcontractorConsultant

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for this subcontractorconsultant Yes No

If no please provide the Total Cost ($)

If no do you provide the authority to the Government to contact this Point of Contact Yes NA

If yes please provide a detailed subcontractorconsultant budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant Yes

No

No

Detailed SubcontractorConsultant Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs Category Description Vendor Cost ($) Remove

Select Category

Select Category

Select Category

Add More Other Direct Costs

Upload a letter of commitment from the subcontractorconsultant here If you do not have a letter provide an explanation in the text box below SubcontractorConsultant Letter of Commitment

Upload the letter of commitment here

Provide an explanation here of any contact you have had with the subcontractorconsultant as to their availability to perform the proposed work (Maximum character limit 4000)

Upload

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Research Institution

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Research Institution Information Provide the name of the Research Institution and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the Research Institution in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost and Principal Investigator name if heshe is from the Research institution Research Institution Information

Research Institution

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for the Research Institution Yes No

If no please provide the Total Cost and Principal Investigator Name (If the PI is from Research Institution)

If no do you provide the authority to the Government to contact this Point of Contact Yes No NA

If yes please provide a detailed Research Institution budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for the Research Institution Yes No

Detailed Research Institution Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs

Category Description Vendor Cost ($) Remove

Select Category

Select Category

Add More Other Direct Costs

Select Category

Upload the Allocation of Rights Agreement from the Research Institution here Allocation of Rights Agreement

Upload the Allocation of Rights Agreement Upload

Save and Continue

Letter of Support

Upload the Supporting Documenataion Upload

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal GampA

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now General and Administrative Costs Enter rate or total cost for the General and Administrative expenses for this proposal Specify current rate and base Use current rate (s) negotiated with the cognizant federal negotiating agency if available OR provide a number for total estimated GampA Costs to execute the project Below specify the different cost sources from which your companys General and Administrative costs are calculated Please detail the labor used for each year of the proposed research effort separately below

GampA RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Specify the sources of your companys GampA costs below

GampA Cost Sources Possible GampA Cost Sources

bull Rent bull Utilities bull Management

Add More GampA Cost Source

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ProfitCost Sharing

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

See Sections 48 (opens in new window) Profit to be added to total budget shared costs to be subtracted from total budget as applicable For Cost Sharing please enter rate or cost as a negative number

Profit RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Audit Info

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Milestone Plan

Provide the proposed quarterly milestone plan The milestone plan shall be in accordance with your work plan outlining the work to be accomplished each quarter and the cost proposed associated with each of the quarterly milestones The cost breakdown shall be similar to Form C for each of the proposed quarterly milestones (ie each milestone should include the labor supplies travel profit associated with those tasks to be accomplished that quarter) The proposed cost associated with each quarterly milestone must be realistic for the work to be accomplished but is not required to be equally distributed across each quarter

Upload your Milestone Plan here Upload Provide the list of any additional deliverables you are proposing to submit in addition to the mandatory deliverables Such deliverables would include prototype deliverables If not proposing additional deliverables then this section can be left blank Proposed Deliverables Deliverable Quantity Milestone Remove

Add More Lines

Federal Facilities Laboratories or Equipment If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8) Please note that this section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment Federal facilities laboratories or equipment (Maximum character limit 4000)

4000 characters remaining

Upload necessary documentation here

Signed statement of availability from Government agency Upload

Letter of justification for use of Federal facilities laboratories or equipment Upload

Audit Information If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

The rates listed in the negotiated rate agreement were used to prepare the budget summary Other rates were used to prepare the budget summary My firms accounting system has not been audited

If the listed rates are not being used to prepare the budget summary please provide an explanation (Maximum character limit 4000)

4000 characters remaining

Save and Continue

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

ExplanationJustification (Maximum character limit 4000)

Select

Add More Travel

Explanation of ODCs If available provide any additional information below on the Other Direct Costs listed above including the basis used for estimating the costs

Explanation of ODCs (Maximum character limit 4000)

4000 characters remaining

Technical Assistance

Refer to Section 17 of the SBIRSTTR 2015 solicitation for information on what services qualify as Commercialization Technical Assistance

Are you requesting Commercialization Technical Assistance Yes No

If Yes provide Vendor Name contact information proposed cost detailed explanation of services to be provided and upload a vendor quote

Vendor Information

Name POC First Name

Address POC Last Name

City POC Phone - -

State Select POC Email

Zip - DUNS + 4 - What is DUNS (9-digit Data Universal Number System a 4-digit suffix is also required if owned by a parent concern)

Proposed Cost ($) (not to exceed $500000)

Save and Continue

4000 characters remaining

Location From Total Airfare Costs ($)

Location To Total Car Rental Costs ($)

Number of Total Per Diem Costs ($) People

Number of Days Total Other Costs ($)

Year Total Cost ($)

Purpose of Trip

Source of Estimates

ExplanationJustification (Maximum character limit 4000)

4000 characters remaining

Detailed explanation of services to be provided (Maximum character limit 4000)

Upload

4000 characters remaining

Supporting Documents UploadUpload a vendor quote Note Max upload size 2MB

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

NOTE The maximum file size permitted for Supporting Documents Upload is 2MB

SubcontractorConsultant Information Below is a list of the subcontractorsconsultants for this proposal For each subcontractorconsultant you are requested to provide their name and a summary of their proposed budget for this project

SubcontractorConsultant Total Cost ($) Detailed Budget Provided Action

Update

Remove

Add New SubcontractorConsultant Continue

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now SubcontractorConsultant Information Provide the name of the subcontractorconsultant and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the subcontractorconsultant in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost SubcontractorConsultant Information

SubcontractorConsultant

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for this subcontractorconsultant Yes No

If no please provide the Total Cost ($)

If no do you provide the authority to the Government to contact this Point of Contact Yes NA

If yes please provide a detailed subcontractorconsultant budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant Yes

No

No

Detailed SubcontractorConsultant Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs Category Description Vendor Cost ($) Remove

Select Category

Select Category

Select Category

Add More Other Direct Costs

Upload a letter of commitment from the subcontractorconsultant here If you do not have a letter provide an explanation in the text box below SubcontractorConsultant Letter of Commitment

Upload the letter of commitment here

Provide an explanation here of any contact you have had with the subcontractorconsultant as to their availability to perform the proposed work (Maximum character limit 4000)

Upload

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Research Institution

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Research Institution Information Provide the name of the Research Institution and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the Research Institution in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost and Principal Investigator name if heshe is from the Research institution Research Institution Information

Research Institution

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for the Research Institution Yes No

If no please provide the Total Cost and Principal Investigator Name (If the PI is from Research Institution)

If no do you provide the authority to the Government to contact this Point of Contact Yes No NA

If yes please provide a detailed Research Institution budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for the Research Institution Yes No

Detailed Research Institution Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs

Category Description Vendor Cost ($) Remove

Select Category

Select Category

Add More Other Direct Costs

Select Category

Upload the Allocation of Rights Agreement from the Research Institution here Allocation of Rights Agreement

Upload the Allocation of Rights Agreement Upload

Save and Continue

Letter of Support

Upload the Supporting Documenataion Upload

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal GampA

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now General and Administrative Costs Enter rate or total cost for the General and Administrative expenses for this proposal Specify current rate and base Use current rate (s) negotiated with the cognizant federal negotiating agency if available OR provide a number for total estimated GampA Costs to execute the project Below specify the different cost sources from which your companys General and Administrative costs are calculated Please detail the labor used for each year of the proposed research effort separately below

GampA RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Specify the sources of your companys GampA costs below

GampA Cost Sources Possible GampA Cost Sources

bull Rent bull Utilities bull Management

Add More GampA Cost Source

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ProfitCost Sharing

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

See Sections 48 (opens in new window) Profit to be added to total budget shared costs to be subtracted from total budget as applicable For Cost Sharing please enter rate or cost as a negative number

Profit RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Audit Info

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Milestone Plan

Provide the proposed quarterly milestone plan The milestone plan shall be in accordance with your work plan outlining the work to be accomplished each quarter and the cost proposed associated with each of the quarterly milestones The cost breakdown shall be similar to Form C for each of the proposed quarterly milestones (ie each milestone should include the labor supplies travel profit associated with those tasks to be accomplished that quarter) The proposed cost associated with each quarterly milestone must be realistic for the work to be accomplished but is not required to be equally distributed across each quarter

Upload your Milestone Plan here Upload Provide the list of any additional deliverables you are proposing to submit in addition to the mandatory deliverables Such deliverables would include prototype deliverables If not proposing additional deliverables then this section can be left blank Proposed Deliverables Deliverable Quantity Milestone Remove

Add More Lines

Federal Facilities Laboratories or Equipment If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8) Please note that this section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment Federal facilities laboratories or equipment (Maximum character limit 4000)

4000 characters remaining

Upload necessary documentation here

Signed statement of availability from Government agency Upload

Letter of justification for use of Federal facilities laboratories or equipment Upload

Audit Information If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

The rates listed in the negotiated rate agreement were used to prepare the budget summary Other rates were used to prepare the budget summary My firms accounting system has not been audited

If the listed rates are not being used to prepare the budget summary please provide an explanation (Maximum character limit 4000)

4000 characters remaining

Save and Continue

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

NOTE The maximum file size permitted for Supporting Documents Upload is 2MB

SubcontractorConsultant Information Below is a list of the subcontractorsconsultants for this proposal For each subcontractorconsultant you are requested to provide their name and a summary of their proposed budget for this project

SubcontractorConsultant Total Cost ($) Detailed Budget Provided Action

Update

Remove

Add New SubcontractorConsultant Continue

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now SubcontractorConsultant Information Provide the name of the subcontractorconsultant and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the subcontractorconsultant in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost SubcontractorConsultant Information

SubcontractorConsultant

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for this subcontractorconsultant Yes No

If no please provide the Total Cost ($)

If no do you provide the authority to the Government to contact this Point of Contact Yes NA

If yes please provide a detailed subcontractorconsultant budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant Yes

No

No

Detailed SubcontractorConsultant Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs Category Description Vendor Cost ($) Remove

Select Category

Select Category

Select Category

Add More Other Direct Costs

Upload a letter of commitment from the subcontractorconsultant here If you do not have a letter provide an explanation in the text box below SubcontractorConsultant Letter of Commitment

Upload the letter of commitment here

Provide an explanation here of any contact you have had with the subcontractorconsultant as to their availability to perform the proposed work (Maximum character limit 4000)

Upload

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Research Institution

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Research Institution Information Provide the name of the Research Institution and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the Research Institution in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost and Principal Investigator name if heshe is from the Research institution Research Institution Information

Research Institution

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for the Research Institution Yes No

If no please provide the Total Cost and Principal Investigator Name (If the PI is from Research Institution)

If no do you provide the authority to the Government to contact this Point of Contact Yes No NA

If yes please provide a detailed Research Institution budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for the Research Institution Yes No

Detailed Research Institution Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs

Category Description Vendor Cost ($) Remove

Select Category

Select Category

Add More Other Direct Costs

Select Category

Upload the Allocation of Rights Agreement from the Research Institution here Allocation of Rights Agreement

Upload the Allocation of Rights Agreement Upload

Save and Continue

Letter of Support

Upload the Supporting Documenataion Upload

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal GampA

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now General and Administrative Costs Enter rate or total cost for the General and Administrative expenses for this proposal Specify current rate and base Use current rate (s) negotiated with the cognizant federal negotiating agency if available OR provide a number for total estimated GampA Costs to execute the project Below specify the different cost sources from which your companys General and Administrative costs are calculated Please detail the labor used for each year of the proposed research effort separately below

GampA RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Specify the sources of your companys GampA costs below

GampA Cost Sources Possible GampA Cost Sources

bull Rent bull Utilities bull Management

Add More GampA Cost Source

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ProfitCost Sharing

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

See Sections 48 (opens in new window) Profit to be added to total budget shared costs to be subtracted from total budget as applicable For Cost Sharing please enter rate or cost as a negative number

Profit RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Audit Info

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Milestone Plan

Provide the proposed quarterly milestone plan The milestone plan shall be in accordance with your work plan outlining the work to be accomplished each quarter and the cost proposed associated with each of the quarterly milestones The cost breakdown shall be similar to Form C for each of the proposed quarterly milestones (ie each milestone should include the labor supplies travel profit associated with those tasks to be accomplished that quarter) The proposed cost associated with each quarterly milestone must be realistic for the work to be accomplished but is not required to be equally distributed across each quarter

Upload your Milestone Plan here Upload Provide the list of any additional deliverables you are proposing to submit in addition to the mandatory deliverables Such deliverables would include prototype deliverables If not proposing additional deliverables then this section can be left blank Proposed Deliverables Deliverable Quantity Milestone Remove

Add More Lines

Federal Facilities Laboratories or Equipment If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8) Please note that this section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment Federal facilities laboratories or equipment (Maximum character limit 4000)

4000 characters remaining

Upload necessary documentation here

Signed statement of availability from Government agency Upload

Letter of justification for use of Federal facilities laboratories or equipment Upload

Audit Information If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

The rates listed in the negotiated rate agreement were used to prepare the budget summary Other rates were used to prepare the budget summary My firms accounting system has not been audited

If the listed rates are not being used to prepare the budget summary please provide an explanation (Maximum character limit 4000)

4000 characters remaining

Save and Continue

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal SubcontractorsConsultants

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now SubcontractorConsultant Information Provide the name of the subcontractorconsultant and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the subcontractorconsultant in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost SubcontractorConsultant Information

SubcontractorConsultant

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for this subcontractorconsultant Yes No

If no please provide the Total Cost ($)

If no do you provide the authority to the Government to contact this Point of Contact Yes NA

If yes please provide a detailed subcontractorconsultant budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant Yes

No

No

Detailed SubcontractorConsultant Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs Category Description Vendor Cost ($) Remove

Select Category

Select Category

Select Category

Add More Other Direct Costs

Upload a letter of commitment from the subcontractorconsultant here If you do not have a letter provide an explanation in the text box below SubcontractorConsultant Letter of Commitment

Upload the letter of commitment here

Provide an explanation here of any contact you have had with the subcontractorconsultant as to their availability to perform the proposed work (Maximum character limit 4000)

Upload

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Research Institution

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Research Institution Information Provide the name of the Research Institution and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the Research Institution in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost and Principal Investigator name if heshe is from the Research institution Research Institution Information

Research Institution

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for the Research Institution Yes No

If no please provide the Total Cost and Principal Investigator Name (If the PI is from Research Institution)

If no do you provide the authority to the Government to contact this Point of Contact Yes No NA

If yes please provide a detailed Research Institution budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for the Research Institution Yes No

Detailed Research Institution Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs

Category Description Vendor Cost ($) Remove

Select Category

Select Category

Add More Other Direct Costs

Select Category

Upload the Allocation of Rights Agreement from the Research Institution here Allocation of Rights Agreement

Upload the Allocation of Rights Agreement Upload

Save and Continue

Letter of Support

Upload the Supporting Documenataion Upload

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal GampA

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now General and Administrative Costs Enter rate or total cost for the General and Administrative expenses for this proposal Specify current rate and base Use current rate (s) negotiated with the cognizant federal negotiating agency if available OR provide a number for total estimated GampA Costs to execute the project Below specify the different cost sources from which your companys General and Administrative costs are calculated Please detail the labor used for each year of the proposed research effort separately below

GampA RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Specify the sources of your companys GampA costs below

GampA Cost Sources Possible GampA Cost Sources

bull Rent bull Utilities bull Management

Add More GampA Cost Source

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ProfitCost Sharing

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

See Sections 48 (opens in new window) Profit to be added to total budget shared costs to be subtracted from total budget as applicable For Cost Sharing please enter rate or cost as a negative number

Profit RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Audit Info

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Milestone Plan

Provide the proposed quarterly milestone plan The milestone plan shall be in accordance with your work plan outlining the work to be accomplished each quarter and the cost proposed associated with each of the quarterly milestones The cost breakdown shall be similar to Form C for each of the proposed quarterly milestones (ie each milestone should include the labor supplies travel profit associated with those tasks to be accomplished that quarter) The proposed cost associated with each quarterly milestone must be realistic for the work to be accomplished but is not required to be equally distributed across each quarter

Upload your Milestone Plan here Upload Provide the list of any additional deliverables you are proposing to submit in addition to the mandatory deliverables Such deliverables would include prototype deliverables If not proposing additional deliverables then this section can be left blank Proposed Deliverables Deliverable Quantity Milestone Remove

Add More Lines

Federal Facilities Laboratories or Equipment If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8) Please note that this section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment Federal facilities laboratories or equipment (Maximum character limit 4000)

4000 characters remaining

Upload necessary documentation here

Signed statement of availability from Government agency Upload

Letter of justification for use of Federal facilities laboratories or equipment Upload

Audit Information If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

The rates listed in the negotiated rate agreement were used to prepare the budget summary Other rates were used to prepare the budget summary My firms accounting system has not been audited

If the listed rates are not being used to prepare the budget summary please provide an explanation (Maximum character limit 4000)

4000 characters remaining

Save and Continue

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Research Institution

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Research Institution Information Provide the name of the Research Institution and a budget contact that the NASA Procurement Office can contact for budget information Indicate if you are able to provide detailed budget information for the Research Institution in this proposal and if so please provide that information on this page If you are unable to provide detailed budget information enter the total cost and Principal Investigator name if heshe is from the Research institution Research Institution Information

Research Institution

Budget Contact First Name Budget Contact Title

Budget Contact Middle Initial Budget Contact Phone ( ) -

Budget Contact Last Name Budget Contact Email

Are you able to provide detailed budget information for the Research Institution Yes No

If no please provide the Total Cost and Principal Investigator Name (If the PI is from Research Institution)

If no do you provide the authority to the Government to contact this Point of Contact Yes No NA

If yes please provide a detailed Research Institution budget using the forms below and the Total Cost will be calculated automatically

Should the GampA rate for this proposals budget include the cost for the Research Institution Yes No

Detailed Research Institution Budget

Direct Labor Category Description Hours Rate ($) Total($) (hours x rate) Remove

Select Category

Select Category

Select Category

Add More Direct Labor

Additional Costs Type Amount($) Explanation

Overhead

4000 characters remaining

GampA

4000 characters remaining

Profit

4000 characters remaining Other Direct Costs

Category Description Vendor Cost ($) Remove

Select Category

Select Category

Add More Other Direct Costs

Select Category

Upload the Allocation of Rights Agreement from the Research Institution here Allocation of Rights Agreement

Upload the Allocation of Rights Agreement Upload

Save and Continue

Letter of Support

Upload the Supporting Documenataion Upload

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal GampA

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now General and Administrative Costs Enter rate or total cost for the General and Administrative expenses for this proposal Specify current rate and base Use current rate (s) negotiated with the cognizant federal negotiating agency if available OR provide a number for total estimated GampA Costs to execute the project Below specify the different cost sources from which your companys General and Administrative costs are calculated Please detail the labor used for each year of the proposed research effort separately below

GampA RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Specify the sources of your companys GampA costs below

GampA Cost Sources Possible GampA Cost Sources

bull Rent bull Utilities bull Management

Add More GampA Cost Source

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ProfitCost Sharing

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

See Sections 48 (opens in new window) Profit to be added to total budget shared costs to be subtracted from total budget as applicable For Cost Sharing please enter rate or cost as a negative number

Profit RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Audit Info

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Milestone Plan

Provide the proposed quarterly milestone plan The milestone plan shall be in accordance with your work plan outlining the work to be accomplished each quarter and the cost proposed associated with each of the quarterly milestones The cost breakdown shall be similar to Form C for each of the proposed quarterly milestones (ie each milestone should include the labor supplies travel profit associated with those tasks to be accomplished that quarter) The proposed cost associated with each quarterly milestone must be realistic for the work to be accomplished but is not required to be equally distributed across each quarter

Upload your Milestone Plan here Upload Provide the list of any additional deliverables you are proposing to submit in addition to the mandatory deliverables Such deliverables would include prototype deliverables If not proposing additional deliverables then this section can be left blank Proposed Deliverables Deliverable Quantity Milestone Remove

Add More Lines

Federal Facilities Laboratories or Equipment If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8) Please note that this section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment Federal facilities laboratories or equipment (Maximum character limit 4000)

4000 characters remaining

Upload necessary documentation here

Signed statement of availability from Government agency Upload

Letter of justification for use of Federal facilities laboratories or equipment Upload

Audit Information If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

The rates listed in the negotiated rate agreement were used to prepare the budget summary Other rates were used to prepare the budget summary My firms accounting system has not been audited

If the listed rates are not being used to prepare the budget summary please provide an explanation (Maximum character limit 4000)

4000 characters remaining

Save and Continue

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

Category Description Vendor Cost ($) Remove

Select Category

Select Category

Add More Other Direct Costs

Select Category

Upload the Allocation of Rights Agreement from the Research Institution here Allocation of Rights Agreement

Upload the Allocation of Rights Agreement Upload

Save and Continue

Letter of Support

Upload the Supporting Documenataion Upload

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal GampA

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now General and Administrative Costs Enter rate or total cost for the General and Administrative expenses for this proposal Specify current rate and base Use current rate (s) negotiated with the cognizant federal negotiating agency if available OR provide a number for total estimated GampA Costs to execute the project Below specify the different cost sources from which your companys General and Administrative costs are calculated Please detail the labor used for each year of the proposed research effort separately below

GampA RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Specify the sources of your companys GampA costs below

GampA Cost Sources Possible GampA Cost Sources

bull Rent bull Utilities bull Management

Add More GampA Cost Source

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ProfitCost Sharing

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

See Sections 48 (opens in new window) Profit to be added to total budget shared costs to be subtracted from total budget as applicable For Cost Sharing please enter rate or cost as a negative number

Profit RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Audit Info

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Milestone Plan

Provide the proposed quarterly milestone plan The milestone plan shall be in accordance with your work plan outlining the work to be accomplished each quarter and the cost proposed associated with each of the quarterly milestones The cost breakdown shall be similar to Form C for each of the proposed quarterly milestones (ie each milestone should include the labor supplies travel profit associated with those tasks to be accomplished that quarter) The proposed cost associated with each quarterly milestone must be realistic for the work to be accomplished but is not required to be equally distributed across each quarter

Upload your Milestone Plan here Upload Provide the list of any additional deliverables you are proposing to submit in addition to the mandatory deliverables Such deliverables would include prototype deliverables If not proposing additional deliverables then this section can be left blank Proposed Deliverables Deliverable Quantity Milestone Remove

Add More Lines

Federal Facilities Laboratories or Equipment If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8) Please note that this section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment Federal facilities laboratories or equipment (Maximum character limit 4000)

4000 characters remaining

Upload necessary documentation here

Signed statement of availability from Government agency Upload

Letter of justification for use of Federal facilities laboratories or equipment Upload

Audit Information If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

The rates listed in the negotiated rate agreement were used to prepare the budget summary Other rates were used to prepare the budget summary My firms accounting system has not been audited

If the listed rates are not being used to prepare the budget summary please provide an explanation (Maximum character limit 4000)

4000 characters remaining

Save and Continue

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

STTR 2016-II - Budget Form C

Direct Subcontractors Research Profit Overhead ODCs GampA Audit info Review Labor Consultants Institution Cost Sharing

Proposal GampA

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now General and Administrative Costs Enter rate or total cost for the General and Administrative expenses for this proposal Specify current rate and base Use current rate (s) negotiated with the cognizant federal negotiating agency if available OR provide a number for total estimated GampA Costs to execute the project Below specify the different cost sources from which your companys General and Administrative costs are calculated Please detail the labor used for each year of the proposed research effort separately below

GampA RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Specify the sources of your companys GampA costs below

GampA Cost Sources Possible GampA Cost Sources

bull Rent bull Utilities bull Management

Add More GampA Cost Source

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ProfitCost Sharing

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

See Sections 48 (opens in new window) Profit to be added to total budget shared costs to be subtracted from total budget as applicable For Cost Sharing please enter rate or cost as a negative number

Profit RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Audit Info

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Milestone Plan

Provide the proposed quarterly milestone plan The milestone plan shall be in accordance with your work plan outlining the work to be accomplished each quarter and the cost proposed associated with each of the quarterly milestones The cost breakdown shall be similar to Form C for each of the proposed quarterly milestones (ie each milestone should include the labor supplies travel profit associated with those tasks to be accomplished that quarter) The proposed cost associated with each quarterly milestone must be realistic for the work to be accomplished but is not required to be equally distributed across each quarter

Upload your Milestone Plan here Upload Provide the list of any additional deliverables you are proposing to submit in addition to the mandatory deliverables Such deliverables would include prototype deliverables If not proposing additional deliverables then this section can be left blank Proposed Deliverables Deliverable Quantity Milestone Remove

Add More Lines

Federal Facilities Laboratories or Equipment If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8) Please note that this section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment Federal facilities laboratories or equipment (Maximum character limit 4000)

4000 characters remaining

Upload necessary documentation here

Signed statement of availability from Government agency Upload

Letter of justification for use of Federal facilities laboratories or equipment Upload

Audit Information If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

The rates listed in the negotiated rate agreement were used to prepare the budget summary Other rates were used to prepare the budget summary My firms accounting system has not been audited

If the listed rates are not being used to prepare the budget summary please provide an explanation (Maximum character limit 4000)

4000 characters remaining

Save and Continue

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal ProfitCost Sharing

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now

See Sections 48 (opens in new window) Profit to be added to total budget shared costs to be subtracted from total budget as applicable For Cost Sharing please enter rate or cost as a negative number

Profit RateCost

Rate() -OR- Cost($)

Comments (Maximum character limit 4000)

4000 characters remaining

Save and Continue

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Audit Info

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Milestone Plan

Provide the proposed quarterly milestone plan The milestone plan shall be in accordance with your work plan outlining the work to be accomplished each quarter and the cost proposed associated with each of the quarterly milestones The cost breakdown shall be similar to Form C for each of the proposed quarterly milestones (ie each milestone should include the labor supplies travel profit associated with those tasks to be accomplished that quarter) The proposed cost associated with each quarterly milestone must be realistic for the work to be accomplished but is not required to be equally distributed across each quarter

Upload your Milestone Plan here Upload Provide the list of any additional deliverables you are proposing to submit in addition to the mandatory deliverables Such deliverables would include prototype deliverables If not proposing additional deliverables then this section can be left blank Proposed Deliverables Deliverable Quantity Milestone Remove

Add More Lines

Federal Facilities Laboratories or Equipment If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8) Please note that this section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment Federal facilities laboratories or equipment (Maximum character limit 4000)

4000 characters remaining

Upload necessary documentation here

Signed statement of availability from Government agency Upload

Letter of justification for use of Federal facilities laboratories or equipment Upload

Audit Information If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

The rates listed in the negotiated rate agreement were used to prepare the budget summary Other rates were used to prepare the budget summary My firms accounting system has not been audited

If the listed rates are not being used to prepare the budget summary please provide an explanation (Maximum character limit 4000)

4000 characters remaining

Save and Continue

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Audit Info

Please read the instructions (opens in new window) carefully before proceeding If you used the browsers BACK button to come to this page please reloadrefresh now Milestone Plan

Provide the proposed quarterly milestone plan The milestone plan shall be in accordance with your work plan outlining the work to be accomplished each quarter and the cost proposed associated with each of the quarterly milestones The cost breakdown shall be similar to Form C for each of the proposed quarterly milestones (ie each milestone should include the labor supplies travel profit associated with those tasks to be accomplished that quarter) The proposed cost associated with each quarterly milestone must be realistic for the work to be accomplished but is not required to be equally distributed across each quarter

Upload your Milestone Plan here Upload Provide the list of any additional deliverables you are proposing to submit in addition to the mandatory deliverables Such deliverables would include prototype deliverables If not proposing additional deliverables then this section can be left blank Proposed Deliverables Deliverable Quantity Milestone Remove

Add More Lines

Federal Facilities Laboratories or Equipment If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8) Please note that this section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment Federal facilities laboratories or equipment (Maximum character limit 4000)

4000 characters remaining

Upload necessary documentation here

Signed statement of availability from Government agency Upload

Letter of justification for use of Federal facilities laboratories or equipment Upload

Audit Information If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

The rates listed in the negotiated rate agreement were used to prepare the budget summary Other rates were used to prepare the budget summary My firms accounting system has not been audited

If the listed rates are not being used to prepare the budget summary please provide an explanation (Maximum character limit 4000)

4000 characters remaining

Save and Continue

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

Materials

Supplies

Equipment

Other

Travel

Explanation of ODCs

Technical Assistance Are you requesting Commercialization Technical Assistance

SubcontractorsConsultants Subcontractor 1 (cost included in GampA rate)

STTR 2016-II - Budget Form C

Direct Labor Overhead ODCs Subcontractors

Consultants Research Institution GampA Profit

Cost Sharing Audit info Review

Proposal Review

Proposal Number

(1) DIRECT LABOR

Year1

Category Description Education Yrs Experience Hours Rate Fringe

Rate Cost

Year2

Category Description Education Yrs Experience Hours Rate Fringe Rate Cost

Are the labor rates detailed above fully loaded ( )Yes()No If yes explain any costs that apply Comments Provide additional information and cost support data related to the nature of the direct labor detailed above Comments Document uploaded for labor rate documentation No document uploaded

(1) TOTAL DIRECT LABOR

(2) OVERHEAD COST

Rate Cost Comments Sources of costs for Overhead

(2) OVERHEAD COST (3) OTHER DIRECT COSTS (ODCs)

(3) TOTAL OTHER DIRECT COSTS

(4)=(1)+(2)+(3) (4) SUBTOTAL

(5) GENERAL amp ADMINISTRATIVE (GampA) COSTS

Rate Cost Comments Sources of costs for GampA

(5) GampA COSTS

(6)=(4)+(5) (6) TOTAL COSTS

(7) ADD PROFIT or SUBTRACT COST SHARING Rate Cost Comments

(7) PROFITCOST SHARING

(8)=(6)+(7)

(8) AMOUNT REQUESTED

MILESTONE PLAN No document uploaded

PHASE 2 DELIVERABLES Upon selection SBCs will be required to submit mandatory deliverables such as progress reports final report and New

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation

Technology report as per their contract Samples of all required contract deliverables are available in the NASA SBIRSTTR Firms Library via the NASA SBIR homepage (httpsbirnasagov) If your firm is proposing any additional deliverables list them below

Project Delivery Deliverable Quantity Milestone

Overhead

NOTE This section MUST be completed if you certified in Form A that you will require the use of SubcontractorsConsultants Leave this section BLANK if you DO NOT require the use of SubcontractorsConsultants

GampA Profit

Other Direct Costs

Category Description Vendor Cost

Cost forSubcontractor 1

SubcontractorConsultant Letter of Commitment Explanation of any contact with the subcontractorconsultant as to their availability to perform the proposed work Comments

FEDERAL FACILITIES LABORATORIES OR EQUIPMENT If you require the use of a Federal facility laboratory or equipment identify it below as well as in part 8 of your technical proposal and upload a signed statement of availability from the Government agency In addition a letter of justification should be uploaded (See certification j on Form A and section 324 part 8)

NOTE This section SHALL be completed if you certified in Form A that you will require the use of Federal facilities Leave this section BLANK if you DO NOT require the use of Federal facilities laboratories or equipment

Signed statement of availability from Government agency No document uploaded Letter of justification for use of Federal facilities laboratories or equipment No document uploaded AUDIT INFORMATION

If your firms accounting system has been audited (see the Audit Information section linked on the left menu) are the rates from that audit agreement used for this proposal

If the listed rates are not being used to prepare the budget summary please provide an explanation

SUBCONTRACTORSCONSULTANTS

Subcontractor 1 Are you able to provide detailed budget information for this subcontractorconsultant ()Yes()No If not provide the total cost for the subcontractorconsultant below and contact information for someone who can provide cost information for the subcontractorconsultant If yes this will be calculated automatically If not do you provide the authority to the Government to contact this Point of Contact ()Yes ()No Budget Contact Name Title Phone Email Should the GampA rate for this proposals budget include the cost for this subcontractorconsultant ()Yes ()No Direct Labor

Category Description Hours Rate Cost

Additional Costs

Category Cost Explanation