IIC Intern Budget Submission

Host Agency / Sponsor*

BLM, NPS, USDAFS, etc.

Host Agency Location*

Name of Park, Forest, Field Office, etc. (i.e. BRCA - Bryce Canyon)

Award / Agreement Number or Project Title*

Copy from Monthly Update Form. Your Indirect Cost Rate should also be listed on the Monthly Update.

Indirect Cost Rate*

17.5% - Total Direct Costs45.0% - Total Salary, Wages & BenefitsYOUTH AGREEMENT - Cost Shared Personnel Costs - 83.16% / 16.84%Calculate Intern Budget Only - Does NOT include overhead - IDC costsOther

Enter SUU Approved IDC Percentage Rate Noted Above*

Mentor Name*

First NameLast Name

Mentor Email*

example@example.com

Mentor Phone Number*

Area CodePhone Number

Intern Physical Worksite Location*

SUU and the State of Utah will cover vehicle insurance costs for all interns physically working WITHIN Utah.

Is the Intern Physical Worksite Located in Utah*

YesNo

Does the intern qualify as a SUU student? (Y/N)*

Enrolled for six (6) or more credit hours during the Fall and Spring semesters of the academic year. If hired during the Summer, intern must be admitted and enrolled for the preceding Spring semester, current Summer semester, and/or upcoming Fall semester.

Start Date (To view a calendar, click on the rectangle to the right of the date field)*

Must be the 1st or 16th of a month to conform to SUU hiring dates.

Intern Name*

First NameLast Name

Internship Title / Description*

Acivity Code or Unit Assignment for Designated Line Funding*

Type N/A if intern does not need to be specifically assigned to a designated line of funding listed iin the award.

Additional Details or Instructions

Assign to specific funding source, position, etc.

Hourly Wage*

Current Federal Contractor Rate = $17.75/hr

Hours Per Week *

Cannot exceed 40 hrs/week

Number of Requested Weeks *

Cannot exceed 24 weeks if intern will be working 40 hrs/week

Bonus, if applicable

Maximum allowance of $500 per internship

Public Land Stewardship Certificate Course Fee

Automatically enrolls intern into the SUU course making them eligible to receive university credit / certificate.

DENV23 Program Fees

Paid to SUU

Is the DENV23 GIS internship at an IMR Park?

YesNo

Non IMR Training Fees

Current Expense (Do NOT include PLS Certificate or Out of State Payroll Processing Fees)

PPE, uniforms, supplies, etc.

Is VEHICLE INSURANCE needed to cover this intern driving? (Y/N)

Some sponsor awards (DOI) include lanaguage requiring additional insurance coverage when interns drive federal vehicles. See specific award documents to determine. Intern will need to complete DEFENSIVE DRIVING.

Number of Vehicles to Cover

Can enter partial numbers for calculation purposes, i.e. Enter .5 for a vehicle shared by two interns.

Number of Months to Cover

Current vehicile insurance costs are anticipated at $352/mo per vehicle

Calculated Vehicle Insurance Budget

Intern Travel Budget

NOT FOR RELOCATION COSTS -- $50/day per diem (75% per diem for First/Last Day of Travel), $32/day camping, transportation, lodging, etc. SUU reimburses $0.50/mile for personal vehicle use.

***Please enter your Available Intern BUDGET****

An amount needs to be entered to calculate an internship END DATE.

Calculated Intern Budget based on Data Input

Difference Between Calculated Budget and Available Intern Budget entered above.

Calculator

Requested End Date

This is the ending date requested by the mentor.

ESTIMATED End Date Based on Budget

This is the CALCULATED ENDING DATE based on the dollar amount budgeted.

Youth Agreement Projected End Date Based on Available Budget

This is the CALCULATED ENDING DATE based on combined sponsor and COST SHARED funding.

Request Duration

Calculation - Request Duration

Youth Agreement Duration

Calculation - Youth Agreement - Based on Budget

Projected Duration

Calculation - Projected Duration - Based on Budget

ZERO

Benefit % - SUU Student - In State

Benefit % - SUU Student - Out of State

Benefit % - Non-SUU Student - In State

Benefit % - Non-SUU Student - Out of State

Intern Wage Calculation (Includes Bonus Amount)

Benefit Calculation

Out of State - Additional Benefits

Total Personnel Costs

Sponsor Portion - Cost Shared Intern Personnel Costs

IIC Portion - Cost Shared Intern Personnel Costs

Out of State - Processing Fees

Calculated CURRENT EXPENSES

Calculated Total Direct Costs

Calculated IDC

Projected Number of Hours to be Worked by Intern (Based on Data Input)

Gross Hourly Rate

Error Message:

The budget amount is INSUFFICIENT and cannot be submitted.

Please make necessary adjustments BEFORE submitting.