Fillable Proposal Review & Approval (PRA) ORSP Use Only (University of Denver)

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Proposal Review & Approval (PRA) ORSP Use Only (University of Denver)

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Proposal Review & Approval (PRA)
ORSP Use Only
Note: Completed PRA, detailed Budget,
and Proposal guidelines must be submitted
to ORSP at least 5 BUSINESS DAYS before
Agency Deadline.
Proposal No. S0000______
Administrator __
________
Submission Information
Agency Deadline (Date/Time) Deadline Type
Proposal Type Submission Method
Is there a Proposal or Application limit per institution?
Yes
☐
No
☐
If Yes, how many?
Type Agency/Sponsor Name
(If subagreement proposal, list the lead institution.)
Prime Agency/Sponsor Name Type
(If subagreement proposal, list the organization from where the funds originate.)
Funding Opportunity No./Website Link
Proposal Title
Principal Investigator (PI) Information
Name Banner ID
Department Email Phone
Co-PI Information
1. Co-PI Name
Banner ID
Department Email Phone
2. Co-PI Name Banner ID
Department
Email
Phone
3. Co-PI Name
Banner ID
Department
Email
Phone
Project & Budget Information
Project Start Date Project End Date
Project/Activity Type Full Facilities & Administration (F&A) Rate
Does the sponsor have an F&A rate cap lower than the Full F&A rate?
Yes
☐
No
☐
What is the capped rate? Have you submitted an F&A Waiver Request?
Yes ☐ No ☐
Waiver Request rate, if different than Full F&A rate or sponsor cap. Waiver Rate: ________
If applicable, include off-campus rate qualifications:
BUDGET (Submit the detailed Budget in Excel & Justification with the PRA Form)
Estimated Total Budget DU Cost Share or Matching
Yes
☐
No
☐
If Yes, you
must
complete and submit ORSP Cost-Sharing Commitment Form.
Select Type:
Mandatory ☐ Voluntary ☐
Amount?
If Fringe expenses are NOT allowed by the Sponsor, please provide a FOAP.
--
--
--
--
--
0.00%
0.00%
SUBAGREEMENTS
Are subrecipients/subcontractors included on this proposal?
Yes
☐
No
☐
Foreign?
Yes ☐ No ☐
Institution No. 1 Name
Budget
PI Name
PI Email
Admin Name
Admin Email
Institution No. 2 Name
Budget
PI Name
PI Email
Admin Name
Admin Email
Institution No. 3 Name
Budget
PI Name
PI Email
Admin Name
Admin Email
Institution No. 4 Name
Budget
PI Name
PI Email
Admin Name
Admin Email
For each Subagreement please attach:
1) Subrecipient Commitment Form 2) Detailed Budget and Justification 3) Letter of Intent
CONSULTANTS
Are consultants included on this proposal?
A consultant cannot be an employee of the University.
Yes
☐
No
☐
Foreign?
Yes
☐
No
☐
Consultant Name
Budget
Consultant Name Budget
Consultant Name Budget
Other Budget Information
Are GRA’s Requested?
Yes ☐ No ☐
How Many?
Are overload payments requested?
Yes
☐
No
☐
If yes, include a list of individuals, departments and total amounts.
Financial Conflict of Interest (COI)
Do you have a current Conflict of Interest (COI) disclosure submitted in Qualtrics?
Disclosure is required, minimally, on an annual basis. This proposal cannot be submitted
until all investigator(s) and key personnel have a current Disclosure on file. Information on
how to file the annual Disclosure online is available on the ORSP website.
Yes
☐
No
☐
Do any personnel working on this project (PI, Co-PI or other staff) have a relationship
with and/or a financial interest in the Agency, Sponsor, Vendor, Subrecipient(s) or
Consultant(s) in this proposal?
Yes ☐ No ☐
Have you disclosed any external Professional Activities for the current calendar year
to your Department?
Yes ☐ No ☐
Training Requirements
For NSF and NIH proposals, the following training courses are required for all personnel, including
students:
• Responsible Conduct of Research (RCR)
• Conflict of Interest (COI)
These training modules must be completed online through the
Collaborative Institutional Training
Initiative (CITI) Program. Once these courses are successfully completed they are valid for four years.
Human Subjects
Is this a systematic research study that includes human participants, specimens
and/or data with the intention to generalize the resulting information?
Yes
☐
No
☐
If yes, what is the status of the IRB protocol approval?
Pending Approval ☐ Approved ☐
If Approved, please provide : IRBNet ID No. Approval Date
Principal Investigator (PI) listed on the Project in IRBNet
For NIH Proposals Only, if Yes to Human Subjects:
Is the Project Exempt from Federal regulations?
Yes
☐
No
☐
Exemption Number:
The IRB must review and approve all projects involving human subjects research prior to the start of project activities. IRB
approval is required prior to the release of award funds. IRB will make the final determination on whether projects involve
human subjects research and any exemptions. Information available online on the Research Integrity & Education website
.
Vertebrate Animals
Does this project involve non-human vertebrate animals, including animal
manipulations, generation of custom antibodies, or field observation?
Yes
☐
No
☐
If yes, what is the status of the IACUC protocol approval?
Pending Approval ☐ Approved ☐
If Approved, please provide : IRBNet ID No. Approval Date
Biohazardous Materials
Does this project involve the use of biological or hazardous materials, recombinant
DNA tissue, bodily fluids or human infectious diseases, biological agents or toxins?
Yes
☐
No
☐
If yes, what is the status of the IBC protocol approval?
Pending Approval ☐ Approved ☐
If Approved, please provide : IRBNet ID No. Approval Date
Technology Transfer
Intellectual Property (IP) includes inventions, works of authorship (including software and code), data sets, mask
works, tangible research property, tangible materials and other proprietary and confidential information.
For information on IP or technology transfer, visit the Technology Transfer Office website
.
Does this project involve the transfer of research materials (MTA) or data (DTUA)
from another organization to the university or from the university to another
organization?
Yes
☐
No
☐
Does your proposal include proprietary or privileged information that should be
protected from public use or disclosure?
Yes ☐ No ☐
Do you have a non-disclosure agreement (NDA) associated with this subject matter or
sponsor?
Yes ☐ No ☐
Do you anticipate developing software or other code as a deliverable (an item that
you will deliver to the sponsor) for this project or delivering any software or code for
this project that is a modification of previously developed software or code?
Yes ☐ No ☐
Publication Restrictions & Export Control
Does the project or sponsor restrict dissemination or publication of scientific
or technical data?
Yes
☐
No
☐
Does the hardware, software or technology related to or resulting from this project
have a military end-use?
Yes ☐ No ☐
Does this project have a foreign sponsor (government, business, or non-profit)?
Yes
☐
No
☐
Will foreign nationals (i.e. non-U.S. citizens) be working or collaborating on this
project (including graduate students)?
Yes ☐ No ☐
Do you anticipate any international travel for field research, testing, or collaboration
specifically for this project? This does NOT include open academic conferences.
Yes ☐ No ☐
Do you anticipate any international shipments (including but not limited to:
component testing and repair, hand-carrying instruments or computing devices for
field research) specifically for this project?
Yes ☐ No ☐
Are there restrictions on participants (e.g. require a clearance, restriction on foreign
national participation)?
Yes ☐ No ☐
Does the project involve travel, transactions, or collaborations with Office of
Foreign Assets Control (OFAC) restricted countries? (Cuba, Iran, North Korea, Sudan,
Syria)
Yes ☐ No ☐
A “Yes” response to any of these questions will require a documented export control
review. Your ORSP Project Administrator will assist you.
For more information, please visit the ORSP Export Control website.
Certifications & Approvals
My signature below confirms my review of the proposal.
I hereby certify that the above statements are complete and accurate representations of the
project being proposed.
I understand that any false, fictitious, or fraudulent statements or claims may be case for
criminal, civil, or administrative penalties against me.
I agree to accept responsibility for the scientific conduct of the project and to provide the
required progress reports in a timely manner if a grant is awarded as a result of this application.
Principal Investigator _________________________________________
Date _____________
Co-PI ______________________________________ Department ______________
Date _____________
Co-PI ______________________________________ Department ______________
Date _____________
Co-PI ______________________________________ Department ______________
Date _____________
Department Approval
I approve support for this project. (Department Chair/Director/Dean)
Designee _____________________________
Title ___________________________
Date _____________
Designee _____________________________
Title ___________________________
Date _____________
ORSP Approval
The proposal has received full university review and approval.
Director of Sponsored Programs ____________________________________________
Date _____________
Executive Director - Research Administration _________________________________
Date _____________
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Project Summary/Abstract
Limit length to 30 lines or less of text
Include the project’s broad, long-term objectives and specific aims
Include a description of the research design and methods for achieving the stated goals
Do NOT include proprietary or confidential information
Write in plain language
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Proposal Review & Approval (PRA) ORSP Use Only (University of Denver)

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Completed 29 August 2020

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