SF424A-V1.0 WITH SIGNATURE PAGE.PDF

SECTION A - BUDGET SUMMARY
$
BUDGET INFORMATION - Non-Construction Programs
OMB Number: 4040-0006
Expiration Date: 02/28/2025
Grant Program 
Function or 
Activity
(a)
Catalog of Federal 
Domestic Assistance 
Number
(b)
Estimated Unobligated Funds
New or Revised Budget
Federal
(c)
Non-Federal
(d)
Federal
(e)
Non-Federal
(f)
Total
(g)
5.
Totals
4.
3.
2.
1.
$
$
$
$
$
$
$
$
$
Standard Form 424A (Rev. 7- 97)
Prescribed by OMB (Circular A -102) Page 1
740,895.00
740,895.00
740,895.00
740,895.00

SECTION B - BUDGET CATEGORIES
7. Program Income
d. Equipment
e. Supplies
f. Contractual
g. Construction
h. Other
j. Indirect Charges
k. TOTALS (sum of 6i and 6j)
i. Total Direct Charges (sum of 6a-6h)
(1)
Authorized for Local Reproduction
Prescribed by OMB (Circular A -102)  Page 1A
Standard Form 424A (Rev. 7- 97)
GRANT PROGRAM, FUNCTION OR ACTIVITY
(2)
(3)
(4)
(5)
Total
6. Object Class Categories
a. Personnel
b. Fringe Benefits
c. Travel
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
517,735.00
59,660.00
27,500.00
7,000.00
129,000.00
517,735.00
59,660.00
27,500.00
7,000.00
129,000.00
740,895.00
740,895.00

SECTION D - FORECASTED CASH NEEDS
14. Non-Federal
SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program
(b) Applicant
(d) Other Sources
(c) State
(e)TOTALS
$
$
$
$
$
$
$
$
$
$
8.
9.
10.
11.
12. TOTAL (sum of lines 8-11)
15. TOTAL (sum of lines 13 and 14)
13. Federal
Total for 1st Year
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
$
$
$
$
$
$
$
$
$
FUTURE FUNDING PERIODS     (YEARS)
SECTION F - OTHER BUDGET INFORMATION
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
Authorized for Local Reproduction
$
$
$
$
$
$
16.
17.
18.
19.
20. TOTAL (sum of lines 16 - 19)
21. Direct Charges:
22. Indirect Charges:
23. Remarks:
(a) Grant Program
(b)First
(c) Second
(d) Third
(e) Fourth
$
$
Standard Form 424A (Rev. 7- 97)
Prescribed by OMB (Circular A -102)  Page 2
HIDTA ISC
17,983.00
17,983.00
17,983.00
17,982.00
167,241.00
167,241.00
167,241.00
167,241.00
17,983.00
17,983.00
17,892.00
17,893.00
668,964.00
668,964.00

HIDTA CY24 Application SF424A
Maricopa County 
____________________________________________
Clint Hickman 
Date 
Chairman 
Board of Supervisors 
ATTEST: 
_____________________________________________ 
 Juanita Garza                                 Date 
 Clerk of the Board of Supervisors 
APPROVED AS TO FORM 
This ____ day of ____________________, 20__ 
By: ___________________________________ 
 Deputy Maricopa County Attorney