PRINCIPAL INVESTIGATOR (LAST, FIRST, MIDDLE):

BUDGET JUSTIFICATION

Justify the costs for the prime applicant and each subcontracted organization for the entire Research Project Budget and Peer-Review Budget for each budget category. Provide sufficient detail to explain the basis for costs, the reason why the costs are necessary to the project, and the reason for major cost variances. Include information about budgeting for engagement, including financial compensation of patient and stakeholder partners, costs of patient and other stakeholder expenses, project staff, engagement event and/or meeting costs, and incorporating partner feedback. Note that some projects employ or assign an individual who is responsible for coordinating or managing all project-related patient and stakeholder engagement. This person should be listed as a Full-time Equivalent (FTE) under personnel, consultant, or subcontractor costs.

Explain the basis for travel costs and describe how the travel is related to the proposed research and necessary for achieving programmatic objectives. In addition, describe the specific role and tasks each research team member will perform and the impact on the Project Plan. Provide a clear distinction between those who should be Key Personnel and those who should be Other Personnel. Finally, specify any other sources of funding to support the proposed research project.

Use additional pages as needed. Upload the completed template to PCORI Online as a single PDF. Refer to the PCORI Application Guidelines, available in the PCORI Funding Center, for additional guidance.

Institution Name (Prime Applicant):

Personnel Costs:

Note: A verification of fringe benefit rate policy for the prime organization must be included with this template. See Application Guidelines for details.

Consultant Costs:

Note: A letter of support verifying the work to be performed and the negotiated rate for each consultant must be included with other letters of support. See Application Guidelines for details.

Supply Costs:

Travel Costs:

·  Scientific:

·  Programmatic:

·  Engagement:

Other Expenses:

Equipment Costs:

Note: Up to three quotes (as applicable) for equipment should be included with this template. See Application Guidelines for details.

Subcontractor Costs:

Other Sources of Funding:

Specify any other sources of funding that are anticipated to support the proposed research project.

SOURCE / TIME PERIOD / TOTAL AMOUNT


Institution Name (Subcontracted Organization):

Personnel Costs:

Consultant Costs:

Note: A letter of support verifying the work to be performed and the negotiated rate for each consultant must be included with other letters of support. See Application Guidelines for details.

Supply Costs:

Travel Costs:

·  Scientific:

·  Programmatic:

·  Engagement:

Other Expenses:

Equipment Costs:

Note: Up to three quotes (as applicable) for equipment should be included with this template. See Application Guidelines for details.

Subcontractor Costs:

Other Sources of Funding:

Specify any other sources of funding that are anticipated to support the proposed research project.

SOURCE / TIME PERIOD / TOTAL AMOUNT

1

PCORI Cycle 3 2017 Budget Template