Document 10439969

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 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
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