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9-B <br />Excess Local <br />Ask LINE /ITEM JUSTIFICATION <br />Total Cost <br />Federal <br />Non- - Federal <br />S222ort <br />B. Fringe Benefits <br />Please complete the attached work- <br />sheets for each person who is <br />charged to your grant and who is <br />eligible for fringe benefits. If <br />a person is part -time and not <br />eligible, please list the position <br />and indicate they are not eligible. <br />Please list below your agency <br />fringe benefits rates and then <br />complete the worksheets. <br />Agency Fringe Benefits <br />FICA 7.65 % <br />Unemployment <br />Retirement i <br />Health Insurance 7 <br />Llfe Insurance <br />Workmen's Compensation <br />Total Percentage of <br />Fringe Benefits % <br />FICA 7 7.55 X Total Applicable <br />Wages 23.800 = <br />Unemployment 7 X Tutal <br />Applicable Wages = <br />Retirement % X Total <br />Applicable Wages = <br />Health Insurance 7 X Total <br />Applicable Wages = <br />( +Dental) <br />Life Insurance % X Total <br />Applicable Wages X <br />Workmen's.Compensation i X <br />Total Applicable Wages = <br />RSVP Assistant Director <br />TOTAL FRINGE BENEFITS <br />$4,500 <br />1 7 <br />9-B <br />