PI Name: ______________________________________ Phone Number: _______________
Department: ____________________________________ FOAP: _______________________
Sponsor: _______________________________________ Grant #: ______________________
Project Period: __________________________________ Current FY: ___________________
Nature of Request
Please respond to all questions thoroughly. This must be approved and signed by the Principal Investigator and
Division Head/Dean prior to sending over to ORSP.
1. No-Cost Extension through _____________________.
a. Briefly describe the progress to date and the impact on the project if an extension is not
granted. Please also include the activities that will be carried out during the extended period.
b. Estimate of funds remaining for the extended period: _____________________________.
2. Unobligated Carryover* from account # _______________ to account # _______________.
a. Explain why funds are remaining in the prior budget period and describe the use of funds in
the next budget period.
3. Pre-award Costs*
a. Explain why pre-award costs are necessary to the conduct of the project.
b. FOAP to cover costs if grant is not received/cost not allowed: ________________.
c. Number of days requested (no more than 90): _____________________________.
d. If you are requesting pre-award costs, you must fill out the budget allocation table below: