Proposal Submission for DSS Please complete the following form and click “submit” below. Requestor * Requestor Email * Emails to cc: Additional P.I.'s Proposal Title (long) * This title can be updated later if it changes. Proposal Title (short) Sponsor Name * The institute who is directly giving us the funding. This may not be the prime sponsor. Sponsor Contact Sponsor Email Sponsor Phone Proposal Due Date Announcement # (RFP) Start Date End Date Type of Proposal * Competing Education New Pre-Proposal REU Resubmission Subcontract This proposal is a subcontract or the sponsor is a clinical research organization Prime Sponsor IRB or IACUC * Yes No Will your project be subject to approval from the IRB or IACUC? Budget Numbers P.I. Effort per year Additional P.I. Effort per year Each PI/coPIs FARS & RPT percentage * As a percentage of the budget As a ratio Other Other detail Post-Doc Enter salary and time on project in months. Grad Students Enter number of students. Grad student summer effort Full time summer Part time summer No summer Other Other detail Undergrad Students Enter number of students and time on project in months. Additional Details Equipment ($5,000+) Materials (specific supplies) Travel Domestic Travel Yes No Will there be any domestic travel by you or key personnel as part of this project? Domestic Travel Explanation If known: number of travelers, trips per year, amount per year, etc. Foreign Travel Yes No Will there be any foreign travel by you or key personnel as part of this project? Foreign Travel Detail If known: number of travelers, trips per year, amount per year, etc. Consultant (if applicable) Consultant's Name NSF definition: Professional and consultant services are services rendered by persons who are members of a particular profession or possess a special skill, and who are not officers or employees of the proposing organization. Consultant Details Note: Anticipated services must be justified and information furnished on each individual’s expertise, primary organizational affiliation, normal daily compensation rate, and number of days of expected service. Consultants’ travel costs, including subsistence, may be included. Sub-Contracts (if applicable) A formal technical and cost proposal is required for each subcontractor. Will this award have sub-contracts on it? Yes No Institutions and PIs Please list the institutions and PI/co-PIs at these institutions. Clinical Trial Yes No Will the sub-contract be handling any clinical trials on this award? International Project Yes No Will any part of these sub-contracts be conducted in another country? Non-U.S. Institute/Citizens Explanation Please explain. Other information (as applicable) Off-Campus Yes No Will any portion of this project be conducted at an off-campus location (a location not owned or rented by the University of Utah)? Explain Please indicate where and for how long this project will be conducted at an off-campus location. F&A Reduction/Waiver Yes No Will a waiver or reduction in the negotiated F&A rate for this project be requested? If yes, then a follow-up email will be sent to you for additional information and the eProposal will be sent to sOSP for review and then to the VP for Research approval.Note: This question can be marked "No" if the sponsoring agency is a private foundation or non-profit entity that has a published rate that limits the F&A allowed for their awards. In this case, no waiver is required. Sponsor Equipment Yes No Will this project involve the use of sponsor equipment or consultants, require university cost-sharing, generate income, or include the extended absence of key personnel? Intellectual Property Issues Yes No Have you discussed any issues with the sponsor - or signed any agreements - related to confidentiality, publications, ownership, data, patents, licenses, or intellectual property? Additional U Resources Yes No Will your project require additional university resources for its performance? Clinical Trial Yes No Is this proposal a clinical trial? International Project Yes No Will any part of your project be conducted in, involve travel to, involve personnel from, or be sponsored by a company from another country? Non-U.S. Citizens Yes No Will any non-U.S. citizen or non-U.S. permanent resident (e.g. faculty, staff, students, post-doc trainees) assist or be involved with this project in any way? Non-U.S. Citizens Explanation Please explain. Additional Information Comments Please include any relevant information for your proposal that isn't already covered in the above questions, or provide more thorough explanations if necessary.