PFA Targeted Application Checklist (2015 Cycle 3)

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Cycle 3 2015 Funding Cycle
Targeted Funding Announcement
PCORI Application Checklist
Published October 12, 2015
This checklist applies to the Cycle 3 2015 Funding Cycle for the following PCORI Funding
Announcements: Management Strategies for Treatment-Resistant Depression, New Oral AntiCoagulants (NOACs) in the Extended Treatment of Venous Thromboembolic Disease,
Treatment of Multiple Sclerosis, and Clinical Strategies for Managing and Reducing Long-Term
Opioid Use for Chronic Pain. Funding announcements, templates, and other resources are
available at pcori.org/apply. The Cycle 3 2015 Funding Cycle closes February 16, 2016 at 5:00
p.m. (ET).
Letter of Intent
□
Submission Method
Length/Limit
Letter of Intent

PI and Contact
Information
Enter into PCORI Online System
N/A

LOI Template
Save file as “PI LastName_(last 5 digits of
Request ID)_LOI.pdf” and upload
4 pages
Application
□
PI and Contact Information
□
Project Information
Submission Method
Length/Limit
Entered previously as part of the LOI;
review and modify if needed
N/A

Technical Abstract
Enter into PCORI Online System
6,000 characters/spaces

Public Abstract
Enter into PCORI Online System
3,000 characters/spaces

Project Narratives
Enter into PCORI Online System
Refer to PCORI Online
□
Key Personnel
Enter into PCORI Online System
As needed
□
Milestones/Deliverables
Template
Save file as “Milestones_PI LastName.pdf”
and upload
3 pages
□
Research Plan Template
Save file as “ResearchPlan_PI
LastName.pdf” and upload as a single file
As noted below
□

Research Strategy
20 pages

Dissemination and Implementation Potential
2 pages

Replication and Reproducibility of Research and Data Sharing
2 pages

Protection of Human Subjects
5 pages

Consortium Contractual Arrangements
10 pages

References Cited
10 pages

Appendix (optional)
10 pages
People and Places Template
Save as “PeoplePlaces_PI LastName.pdf”
and upload
PCORI Funding Announcement Cycle 3 2015: Targeted Application Checklist
As noted below
□
□

Professional Profile/Biosketch
5 pages per individual

Patient/Stakeholder Partner Biosketch
5 pages per individual

Project/Performance Site(s) and Resources
15 pages
Budget Template
Combine and save as “Budget_PI
LastName.pdf” and upload

Detailed Budget for Each Project Year (prime and subcontractors)

Budget Summary for Entire Project (prime and subcontractors)

Budget Justification (prime and subcontractors)

Federally Negotiated or Independently Audited Indirect Cost Rate
Letter (prime)

Fringe Benefit Rate Policy Verification Document (prime )
Letters of Support

Letters of Support Table

Letters of Support
Save as “Letters_PI LastName.pdf” and
upload as a single file
PCORI Funding Announcement Cycle 3 2015: Targeted Application Checklist
As needed
As needed
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