Document 11829547

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ALABAMA AGRICULTURAL AND MECHANICAL UNIVERSITY
OFFICE OF RESEARCH, PLANNING AND SPONSORED PROGRAMS
PROPOSAL REVIEW AND CERTIFICATION FORM
AGENCY
DEADLINE:
Electronic
Submission?
Hard Copy
Submission?
Date:
March 1, 2011
Time:
No
Yes Grants.Gov
Date Submitted
to OSP:
FastLane
No
Is there any
cost share?
*Faculty
Status
Yes
Number of
Copies:
Name
Dept.
School
AAMU Proposal #:
3/1/11 8:00 am
No
Other
(Specify):
Yes
In-kind
Cash Match
% of Release
Time
(If Applicable)
No. of Classes
Release Time
Requested
If yes please see page 2
(Cost Share Section)
Faculty
Appt. 9/12
Month/
Salary
U.S.
Citizen:
Yes/No
PI:
CoPI:
CoPI:
CoPI:
* 1-Tenured
2-Tenure Track
Agency Name:
3-Non-Tenured Track
4-Other
CFDA
No.
Solicitation No.
Agency Program
Title:
Proposal Title:
Mailing Address:
City:
State:
Zip:
(For Hardcopy
Submission)
Project Start Date:
Research
Type of
Project:
(Check one)
Student Support
Training
Facilities/Equip:
Service
Construction
Project End
Date:
Grant
Type of
Award:
(Check one)
Classification
(Check one)
Agreement
Contract
New
Renewal
Continuation
Project Requirements (Check all that apply):
Addtl. Personnel
Conference or
Public Presentation
Student Support
Animal Welfare
Release Time
Human Subjects
Addtl. Space or
Biohazard Review
Renovation
Other
Supplement
Abstract (Project Abstract not to exceed 250 words):
Form AAMU-OSP-001
Page 1 of 2
9-30-2010
ALABAMA AGRICULTURAL AND MECHANICAL UNIVERSITY
OFFICE OF RESEARCH, PLANNING AND SPONSORED PROGRAMS
PROPOSAL REVIEW AND CERTIFICATION FORM
Budget
CATEGORIES
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
Salaries
(Excludes students)
Fringe Benefits
TOTAL
CASH
MATCH
IN-KIND
MATCH
$0.00
$0.00
Student Salary
$0.00
Travel
Equipment
Supplies
$0.00
$0.00
$0.00
Other Cost
Participant Costs
Total Direct Cost
IDC Amount
IDC Rate (
%)
$0.00
$0.00
$0.00
Please review HHS
approved IDC Rates for
AAMU. Any deviations from
the University approved rate
must be explicitly stated in
the solicitation. Requests
for waivers or reductions
must be approved by the VP
for IRPSP.
Total Project Cost:
$0.00
$0.00
$0.00
$0.00
$0.00
MATCH TOTAL:
$0.00 $
$0.00
Cost Share Information
Cost Share Amt
Account Allocated from
Account Description
Authorized by
$
1. Principal Investigator
Date
4. Vice President IRPSP
Date
2. Department Chair
Date
5. VP Academic Affairs/Provost
Date
3. Dean/Research Director
Date
6. President
Date
UNIVERSITY ENDORSEMENTS: The attached proposal has been examined by the officials whose signatures appear below. The principal academic
review of the proposal IS the responsibility of the Program/Center and School. The signature indicates that the signee is familiar with the proposal and
except as noted and initialed in the remark section, are satisfied with and responsible for all commitments in the proposal as they relate to their areas
(e.g., space, personnel, financial, etc.).The Research or program proposed is in keeping with Alabama A&M University's educational objectives, and is
within the established role and scope of this institution. It is in full compliance with the University's Rules and Regulations as defined in the faculty/staff
handbook. This proposal is developed per the guidelines established by the funding agency in addition to the OMB Circulars.
Form AAMU-OSP-001
Page 2 of 2
9-30-2010
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