Policy and Management Guidelines	Cooperative Extension Service Faculty Salary Funding Incentive Plan (FSFI) Approval Form To be submitted with the grant or contract proposal	FINANCE-311 10/11/2006
Proposal Title:
Funding Agency:
Proposal Amount:	Date Submitted:
Personnel to be covered under provisions of the Plan
Name	Total Salary Paid	% of current	Tentative Dates of
By this Grant/	Salary	Coverage
Contract
1.
2.
3.
4.
Includes faculty salaries in budget	Yes No
Facilities & Administrative (F & A/indirects) rates used:
19% of Total Federal (23.456% of total direct)
29% of Modified Total Direct
Other (Specify and attach justification)
Submitted:
Principal Investigator	Date
Approved:
Department/Unit Head; Section Leader; Staff Chair	Date
Approved:
Grants and Contract Manager	Date
Approved:
Grants Officer	Date
Approved:
Assistant Director – ANR/CED/4-H/FCS or District Director	Date
Approved:
Associate Director – Programs (if District/County Program)	Date
Approved:
Associate Vice President for Agriculture - Extension	Date
Signed Copies of this form and the Internal Grant Approval Form (FINANCE-312) should be included in all internal copies of the grant application/grant when distributed.
Once all approvals have been signed, you should keep a copy for your records, and the original FINANCE-311 form should be retained by the Grants and Contract Manager in Financial Services for payment at the end of the year.
For Financial Services Use Only:
Fund #:	Description: