Electronic Proposal Routing S heet Info Electronic Proposal Routing Sheet Info UAccess Research requires the following information in order to electronically route grant/contract proposals. Please provide the answers to the questions below and send the completed form to the business center along with the budget, budget justification & summary. Thank you DEADLINE DATE: U of A PI: U of A Co-­‐PI(s): NAME SPONSOR: Start Date: % Credit End Date: Keywords: Project Title: Submission Method: (grants.gov, Fastlane, direct email to sponsor…) Web link to Announcement: Bldg # and Room # where project will be conducted by all U of A collaborators: *NSF Science Code: *Click on the following link: http://rgw.arizona.edu/sites/researchgateway/files/nsf_science_code_export_0.pdf And provide the appropriate NSF Science code for your project in the box above. This information is required by the University regardless of the source of funding for your pro posal. Proposal Routing Sheet Questions Does the proposed research include any of the following? 1. Collaborative Research YES NO If yes, who is the lead? 2. Subawards YES NO If yes, please have the subrecipient fill out the form (http://rgw.arizona.edu/sites/researchgateway/files/ua_subrecipient_commitment_form_4.pdf) and return with routing documents. 3. Collaboration with foreign nations If yes, specify country name(s) 1 o f 2 YES NO Electronic Proposal Routing S heet Info 4. Hazardous Chemical no project activity allowed without approval of protocol and/or registration and training. 5. Human Subjects NO Special Review tab. 6. Radiation NO YES no project activity allowed without approval of protocol and/or registration and training. 7. Responsible Conduct of Research (RCR) Training 8. Native American Affairs YES If yes, list tribe(s): YES NO NO 9. Will you be working on a U.S. military base abroad? YES NO 10. Does your research involve any of the following countries: Cuba, Iran, Syria, Libya, North Korea, or Sudan? YES NO 11. Have all inventions or patents been previously reported? YES N/A NO Answer "N/A" if there are no patents. Answer "Yes" if all patents have been reported. Answer "No" if there are patents that have not been reported. 12. Is Proprietary or Privileged Information included in the Application? NO YES Date required: if answer = Yes Explanation required: if answer = Yes 13. Does this project have an actual or potential impact on the environment? If yes, please explain in comments. NO YES Date required: if answer = Yes Explanation required: if answer = Yes 14. 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? If yes, please explain in comments. YES 15. Are Historical Sites Affected? YES NO NO Date required: if answer = Yes Explanation required: if answer = Yes NO no project activity allowed without approval of protocol and/or registration and training. If yes, please complete the YES YES 16. Does this Project involve International Cooperative activities? Explanation required: if answer = Yes 2 o f 2 YES NO