OFFICE OF SPONSORED PROGRAMS
NO-COST EXTENSION REQUEST FORM
While sponsors expect Principal Investigators (PI) to complete projects and deliverables, inclusive of final reports by the stipulated end date,
occasionally additional time is needed. A no
-cost extension gives the PI time to complete the scope and objectives of the project without additional
funds being provided by the sponsor. Although requests may not be made for the sole purpose of spending remaining funds, you may expend
remaining funds during the no-cost extension period.
AWARD INFORMATION
Award Title
Sponsor Name
Sponsor Award #
MBL Cost Center #
Current End Date
Requested End Date
PI Name
PI Email
PI Current Effort %
PI NCE
Period
Effort %
Calculated Effort % change (+ or -)
(Prior approval may be required )
Will the level of effort for other Senior/Key Personnel change in the no-cost extension period? If yes, please provide the
details of the change in the Explanation/Justification box below.
Explanation/Justification for the No-Cost Extension Request: Please include revised budget and, if applicable, details of changes in effort per
the terms and conditions of the award. Use additional sheet(s) as necessary.
SUBAWARDS/SUBRECIPIENTS
Are there any subawards on this award?
YES
NO
If yes, please list awards below and indicate whether or not they should be
extended (use additional sheet(s) as necessary).
Legal Name of Subrecipient Subaward Purchase Order No. Extend the subcontract?
YES until
YES until
YES until
YES
until
COMPLIANCE INFORMATION/CERTIFICATION
Human Subjects?
YES
NO
Protocol #:
Approval Date:
Animal Subjects?
YES
NO
Protocol #:
Approval Date:
CERTIFICATIONS AND APPROVALS
Signature of the Principal Investigator below assures that all information included here is true and accurate to the best of their knowledge and
commits the investigator to take financial responsibility for the proposed action, including any associated cost share.
Signature of the Research/Education Administrator below indicates concurrence with the investigator’s certification above.
Principal Investigator
Research/Education Administrator
Date
Date
v2.12.18lh
FOR OSP use only: Approval OSP Signature/Date________________________________________
Yes
No
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