APPLICATION FOR 2014
Pilot Projects Utilizing the Center for Biomedical and Interventional Technology (CBIT)
The order of your application should be as follows:
Candidate’s NIH-formatted biosketch
Project Abstract
Specific Aims
Unmet Clinical Need and Market
Proposed Technical Solution and Background/Preliminary Data
Research and Development Plan – How will you execute on the specific aims?
Proposed Product Pathway – What proposed product will result from this work?
What is the regulatory path? How will a doctor and hospital approach value analysis
for the product?
Commercialization – how will this award substantially enhance strength of an
application for SBIR, STTR, or similar external funding?
Description of the interdisciplinary nature of the project, the structure of the team,
and plans for collaboration
Selected references
Resources and environment
Other Support
Detailed Budget
Budget Justification
Page Limit
Up to 4 pages
Up to ½ page
Up to ½ page
Up to 1 page
Up to 4 pages
Up to 4 pages
Up to 2 pages
Up to 1 page
Up to 2 pages
As needed
Up to 1 page
As needed
As needed
As needed
Candidates MUST use the application and budget templates.
Pilot Projects Utilizing the Center for Biomedical and Interventional Technology (CBIT) deadlines:
Pre-application: December 12, 2014
Earliest anticipated start date for pre-application: January 1, 2015
Full application: June 19th, 2015
Earliest anticipated start date: July 31st, 2015
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Insert Candidate’s NIH-formatted Biosketch:
Templates and samples can be found at:
http://grants.nih.gov/grants/funding/phs398/biosketch.doc
http://grants.nih.gov/grants/funding/phs398/biosketchsample.doc
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Research Plan
Project Abstract (Limited to ½ page of text):
Specific Aims (Limited to ½ page of text):
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Unmet Clinical Need and Market (Limited to 1 page including text and graphics):
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Proposed Technical Solution and Background/Preliminary Data (Limited to 4 pages including
text and graphics):
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Research and Development Plan– How will you execute on the Specific Aims? (Limited to 4 pages
including text and graphics):
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Proposed Product Pathway – What proposed product will result from this work? What is the
regulatory path? How will a doctor and hospital approach value analysis for the product? (Limited to 2
pages including text and graphics.)
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Commercialization – how will this award substantially enhance strength of an application for SBIR,
STTR, or similar external funding? (Limited to 1 page including text and graphics.)
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Description of the interdisciplinary nature of the project, the structure of the team, and plans for
collaboration. (Limited to 2 pages including text and graphics.)
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Selected references. As needed
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Resources and environment. (Limited to 1 page including text and graphics.)
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Other Support
This section should include a full description of other support, including all current and pending
sources of funds with amounts and dates for each for all sources (external and internal, including any
start-up funds). The team leader and other faculty participants should list their other research support,
highlighting any support that is available for the proposed project.
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Detailed budget
Detailed budget and justification in template word file. A budget section should be included with a
justification of why the funds are necessary and how they will be used to promote innovative new
science and secure applications for extramural funding.
See RFA for funding limits.
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Program Director/Principal Investigator (Last, First, Middle):
FROM
DETAILED BUDGET FOR INITIAL BUDGET PERIOD
DIRECT COSTS ONLY
THROUGH
List PERSONNEL (Applicant organization only)
Use Cal, Acad, or Summer to Enter Months Devoted to Project
Enter Dollar Amounts Requested (omit cents) for Salary Requested and Fringe Benefits
NAME
ROLE ON
PROJECT
Cal.
Mnths
Acad.
Mnths
Summer
Mnths
INST.BASE
SALARY
SALARY
REQUESTED
FRINGE
BENEFITS
TOTAL
PD/PI
SUBTOTALS
CONSULTANT COSTS
EQUIPMENT (Itemize)
SUPPLIES (Itemize by category)
TRAVEL
INPATIENT CARE COSTS
OUTPATIENT CARE COSTS
ALTERATIONS AND RENOVATIONS (Itemize by category)
OTHER EXPENSES (Itemize by category)
CONSORTIUM/CONTRACTUAL COSTS
DIRECT COSTS
TOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD
PHS 398 (Rev. 6/09)
$
Page
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Form Page 4
Program Director/Principal Investigator (Last, First, Middle):
FROM
DETAILED BUDGET FOR INITIAL BUDGET PERIOD
DIRECT COSTS ONLY
THROUGH
List PERSONNEL (Applicant organization only)
Use Cal, Acad, or Summer to Enter Months Devoted to Project
Enter Dollar Amounts Requested (omit cents) for Salary Requested and Fringe Benefits
NAME
ROLE ON
PROJECT
Cal.
Mnths
Acad.
Mnths
Summer
Mnths
INST.BASE
SALARY
SALARY
REQUESTED
FRINGE
BENEFITS
TOTAL
PD/PI
SUBTOTALS
CONSULTANT COSTS
EQUIPMENT (Itemize)
SUPPLIES (Itemize by category)
TRAVEL
INPATIENT CARE COSTS
OUTPATIENT CARE COSTS
ALTERATIONS AND RENOVATIONS (Itemize by category)
OTHER EXPENSES (Itemize by category)
CONSORTIUM/CONTRACTUAL COSTS
DIRECT COSTS
TOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD
PHS 398 (Rev. 6/09)
$
Page
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Form Page 4
Budget Justification
A detailed budget justification is required for all costs. Please use additional pages if needed.
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