Clinical & Translational Science Center Email A Weill Cornell Medical College Multi-Institutional Consortium with: Weill Cornell Medical College Weill Cornell Graduate School of Medical Sciences / New York Presbyterian Hospital / Cornell University, Ithaca / Cornell University Cooperative Extension, New York City / Memorial SloanKettering Cancer Center / Hospital for Special Surgery / Hunter College of the City University of New York / Hunter School of Nursing / Hunter School of Public Health / Hunter Center for the Study of Gene Structure and Function / Animal Medical Center and Cornell College of Veterinary Medicine 1300 York Ave, Box 149, New York, NY 10065 · Tel: 646-962-8302 · Fax: 646-962-0534 · www.med.cornell.edu/ctsc BUDGET MODIFICATION REQUEST FORM The CTSC awardee must submit this Budget Modification Request Form to the CTSC Research Financial Manager via e-mail to CTSC_Finances@med.cornell.edu if the awardee proposes any budget modifications to the originally approved budget. Budget modification requests requesting a modification greater than 25% will not be considered. The awardee must receive approval from the CTSC Research Financial Manager prior to incurring such costs. Budget modification requests will only be accepted up to 45 days from the award period end date. A. General Information Principal Investigator Project Title B. Modification Justification. Briefly justify the proposed budget changes. Indicate whether these changes affect the specific aims of the project. If a category is reduced, explain how the project goals can still be met. C. Requested Budget Modification(s). Complete the columns below as follows: 1. For the Current Budget show the original approved CTSC portion of the budget and all prior approved modifications. 2. For the Amount Modified show the proposed modification(s). For each budget line item indicate the negative or positive amount. 3. For the Revised Budget show the proposed budget incorporating any and all changes. Category Current Budget + OR - Amount Modified 1. Personnel 2. Travel 3. Supplies 4. Other Expenses 5. Consultant Services TOTAL DIRECT COSTS For CTSC use only PI Signature: Approved by: Revised Budget