Granting Agency: Date:
Principal Investigator(s):
SUU Account Name: Account Number
1. Amount of Indirect Costs to be waived:
A. Indirect costs negotiated with cognizant federal agency:
(41% x salary/wages and benefits) = $
B. Amount of indirect costs allowed by the granting agency for
This proposal:
( %x ) = $
C. Amount of indirect charges to be waived by SUU = $
2. Faculty Review Committee approval not required: (circle proper action)
A. Cooperative Agreement
B. Indirect Costs restricted or disallowed by funding agency (attach supporting documentation)
C. Gift or grant under $10,000 to support graduate student and/or supplement existing projects
funded through SUU funds
D. NO salary or Wages requested
E. Fellowship, traineeship, scholarship as defined in Sec A.3 of OMB Circular A-21
3. Voluntary waiver of indirect costs recommended
by:
Principal Investigator Department Chair
4. Review Committee approval necessary:
(Do not complete item 4 and sub paragraphs below if item 2 above is applicable.)
A. Reasons for waiver of Indirect costs other than those indicated in Item 2.
B. Is the University required to perform a service or report as a result of the award?
C. Does the grant provide support for undergraduate of graduate students?
D. Is the University _____ or Funding Agency _____ the primary beneficiary of the proposed
program, or ______ is the program mutually funded? (check one)
5. Review Committee: Please Initial
Approval: Disapproval:
6. Authorized signature(s)
NOTE
Date:
Date:
Further Comments:
SOUTHERN UTAH UNIVERSITY
Development/Academic Grants Office
JUSTIFICATION FOR WAIVER OR ADJUSTMENT OF
INDIRECT COSTS TO BE COLLECTED BY SUU FROM AWARDING AGENCIES
NOTE: One of these signatures must be the President, the Vice President of Administrative & Financial Services or the Purchasing Manager
