Sponsored Projects Approval Form To be used for both grant and contract applications Sponsored Program Proposals may not be submitted to Sponsor without prior written approval of the University President, the University CFO and the UARSC Executive Director or their designees (Fee-for-service Contracts do not require signature on Line K). SECTION 1: To be completed by PI/PD Project Title PI/PD Name Phone/Ext. Submission Deadline Federal Pass-Through? If Yes, Agency: Funding Agency Sponsor’s Program Title Email Project Period College/Dept./Center No Yes From To SECTION 2: To be completed by UARSC Cost Share Project Costs Sponsor Budget (full project period) Unfunded IDC Attach signed: Pre-Award Request for Cost Share Approval Form Total – Year 1 Total – All Years Direct Costs Indirect Cost (IDC) Rate: (On-Campus 49%; Off-Campus 28%) Total Project Costs SECTION 3: To be completed by PI/PD CHECKLIST: For each of the following questions answered “yes,” please obtain signature(s): A. B. C. Will additional space be required for the proposed project or will available space require alteration? (Requires 10-days for review.) Will radiation, controlled drugs, diving, chemicals or biologicals be involved? E. Will this research involve human subjects with or without risk? If yes: Not yet submitted to IRB Submitted to IRB, pending review Will animals as experimental subjects be involved? If yes: Not yet submitted to IACUC Submitted to IACUC, pending review Will security classifications, publications restrictions, or patents be involved? F. Will IITS equipment and/or support over $1,000 be required? G. Are resources, including personnel, required from the Kellogg Library to accomplish this project? Will faculty overload be involved? (Ref. CSU/CFA Agreement, Section 36.4) D. H. I. J. Will there be workshops, off-campus instruction, summer session courses, or similar activities involving Office of Extended Learning? Will international activities be involved? K. Is this proposal to a nongovernmental organization? L. I have read the Conflict of Interest on Grants and Contracts Policy and signed the disclosure statement (http://www.csusm.edu/uarsc/policies.html) Appropriate administrative signature: No Yes No Yes No Yes AVPR/ VPFAS: No Yes Chair, IACUC: No Yes No Yes No Yes No Yes No Yes No Yes No Yes Yes AVPR / VPFAS: Yes Co-PI: Director, RM&S: Chair, IRB: Dean, IITS: Dean, Library: Assoc. VP, Faculty Affairs: Dean, Extended Learning: Executive Director, Global Education: Vice President, University Advancement: PI/PD: Please obtain the following signatures IN THE ORDER LISTED: (Notice: To all personnel responsible for preparation of proposals and applications for Sponsored Projects; if awarded, the Recipient of the Contract or Grant shall be UARSC or University and not an individual, department, or other constituent unit.) 1. 4. Principal Investigator/Project Director Date Dept. Chair Date Dean/ Vice President Student Affairs Date 2. Associate Vice President for Research Date Vice President Finance & Administrative Services Date UARSC Executive Director Date 5. 3. 6. (Revised 07/25/13) UARSC Assigned Proposal No.