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