Research Proposal Request Step 1 of 3 33% Name(Required) First Last Email(Required) General InformationType of Submission(Required)NewResubmissionRenewalSupplementProposal Title(Required) Short Title Sponsor(Required) Lead Site Sponsor Submission Deadline(Required) MM slash DD slash YYYY Proposed Begin Date(Required) MM slash DD slash YYYY Proposed End Date(Required) MM slash DD slash YYYY RFA/FOA Title(Required) RFA/FOA URL(Required) Keywords(Required) PI Effort Required(Required) Are you the PI submitting this proposal request?(Required) Yes No Name(Required) First Last UFID(Required) Department(Required) Will the budget include support for graduate students?(Required) Yes No Is tuition included in the budget?(Required) Yes No How will tuition be covered?(Required)Please explain why grad student support is not included in the budget:(Required)Does the proposed project involve any items that require either institutional approval or commitment?(Required) Yes No Will you require institutional approval or commitment for space (renovation, alteration, or addition)?(Required) Yes No Will you require institutional approval or commitment to purchase or install major equipment?(Required) Yes No Will you require institutional approval or commitment for other resources required but not requested (e.g. graduate student tuition, computing services)?(Required) Yes No Will the proposed project generate Program Income (revenue)?(Required) Yes No Please explain(Required)Is proprietary/privileged information included in the proposal/application?(Required) Yes No Please explain:(Required) Personnel InformationUF PersonnelWill the proposal include any UF personnel other than the PI?(Required) Yes No Individual(Required)Full NameProject Role% of Effort Add RemoveWould you like to add any additional UF personnel? Yes No IndividualFull NameProject Role% of Effort Add RemoveKey Personnel? Yes New Collaboration? Yes Select “Yes” if this is the first time you are submitting a proposal with this individual as MPI or Co-I.IndividualFull NameProject Role% of Effort Add RemoveKey Personnel? Yes New Collaboration? Yes Select “Yes” if this is the first time you are submitting a proposal with this individual as MPI or Co-I.IndividualFull NameProject Role% of Effort Add RemoveKey Personnel? Yes New Collaboration? Yes Select “Yes” if this is the first time you are submitting a proposal with this individual as MPI or Co-I.IndividualFull NameProject Role% of Effort Add RemoveKey Personnel? Yes New Collaboration? Yes Select “Yes” if this is the first time you are submitting a proposal with this individual as MPI or Co-I.IndividualFull NameProject Role% of Effort Add RemoveKey Personnel? Yes New Collaboration? Yes Select “Yes” if this is the first time you are submitting a proposal with this individual as MPI or Co-I.Non-UF PersonnelWill the proposal include a subaward, consultant or collaborator from another organization?(Required) Yes No Individual(Required)Full NameProject Role% of Effort Add RemoveKey Personnel? Yes New Collaboration? Yes Select ‘Yes’ if this is the first time you are submitting a proposal with this individual as MPI or Co-I.List(Required)OrganizationEmail Address Add RemoveWould you like to add additional people? Yes No Individual(Required)Full NameProject Role% of Effort Add RemoveKey Personnel? Yes New Collaborator? Yes Select ‘Yes’ if this is the first time you are submitting a proposal with this individual as MPI or Co-I.List(Required)OrganizationEmail Add RemoveIndividualFull NameProject Role% of Effort Add RemoveKey Personnel? Yes New Collaborator? Yes Select ‘Yes’ if this is the first time you are submitting a proposal with this individual as MPI or Co-I.ListOrganizationEmail Add RemoveIndividualFull NameProject Role% of Effort Add RemoveKey Personnel? Yes New Collaborator? Yes Select ‘Yes’ if this is the first time you are submitting a proposal with this individual as MPI or Co-I.ListOrganizationEmail Add RemoveIndividualFull NameProject Role% of Effort Add RemoveKey Personnel? Yes New Collaborator? Yes Select ‘Yes’ if this is the first time you are submitting a proposal with this individual as MPI or Co-I.ListOrganizationEmail Add RemoveIndividualFull NameProject Role% of Effort Add RemoveKey Personnel? Yes New Collaborator? Yes Select ‘Yes’ if this is the first time you are submitting a proposal with this individual as MPI or Co-I.ListOrganizationEmail Add Remove General Compliance InformationWill the proposed project involve HUMAN SUBJECTS, including human data or tissue, or collection of data through surveys?(Required) Yes No Yes, but through approved Vendors (ATCC, DSMZ, or dbGaP) Will you use only de-identified* data or tissue?(Required) Yes No * De-identified is either (a) anonymous or (b) coded with a confidentiality agreementWill the proposed project involve human embryonic stem cells?(Required) Yes No What is the IRB status?(Required)Please select…ApprovedPendingExemptNot Yet AppliedIs this work an NIH-defined clinical trial or prospective observational clinical research?(Required) Yes No Is the University of Florida an enrolling-only site under this scope of work?(Required) Yes No Will the proposed project involve Live Vertebrae Animals?(Required) Yes No Are vertebrae animals euthanized?(Required) Yes No Is method consistent with AVMA guidelines?(Required) Yes No What is the IACUC review status?(Required)Please select…ApprovedPendingNot Yet AppliedGlobal ComplianceConduct project-related travel (you or anyone working on this project) to a location outside the US for more than 2 weeks in any one visit – or more than 1 month over a 12-month period?(Required) Yes No List Travel(Required)CountryBegin DateEnd DatePurpose of Travel Add RemoveEstablish any relationships with foreign entities, individuals or consultants, or have any of the work executed by a foreign entity, individual or consultant?(Required) Yes No List Foreign Entities(Required)Individual Full NameEntityCountryApprox. BudgetDescription Add RemovePay non-UF personnel salaries, wages or any other compensation (including goods) for any work performed or engagement in activities outside the US?(Required) Yes No This includes field workers, research assistants, government representatives, participant payments, translators, drivers or any other laborers.List Non-UF Salary Payment(Required)Individual Full NameEntityCountryApprox. BudgetDescription Add RemoveTransfer, ship, or pack in personal luggage for transfer out of the US any data, items, supplies, equipment or materials purchased by UF OR sponsored project funds?(Required) Yes No List Export Controls(Required)Item or Type of ItemCountry Add RemoveInteract with an individual from, ship to, import from, or travel to any of the following countries: China (including Hong Kong), Sudan, Iran, Syria, North Korea, Cuba, Crimea region of Ukraine, Venezuela?(Required) Yes No List Individuals from Restricted Countries(Required)Individual Full NameEntityCountryApprox. BudgetDescription Add RemoveOther Compliance QuestionsDoes this project have an actual or potential impact – positive or negative – on the environment?(Required) Yes No Please explain:(Required)If this project has an actual or potential impact on the environment, has an exemption been authorized or an environmental assessment (EA) or environmental impact statement (EIS) been performed? Yes No Please explain:(Required)Is the research performance site designated, or eligible to be designated, as a historic place?(Required) Yes No Please explain:(Required)
