A&I-BD-NAFR STATE OF WYOMING
(Rev 02/24/09)
AMERICAN RECOVERY AND REINVESTMENT ACT (ARRA)
NEW/ADJUSTED FUNDS REQUEST
No application for new federal or other privately/publicly supported programs and or grants, or for material changes to existing
programs or grants, can be submitted without the expressed consent of the Governor or his designee.
067 – UNIVERSITY OF WYOMING
Please complete shaded areas and attach a one-page abstract/summary.
Dorothy Yates
Phone: 307-766-5320
1. AGENCY CONTACT:
Phone:
1a. Principal Investigator/
Project Director
2. APPLICATION DEADLINE:
3. GRANTING AGENCY:
4. PROJECT TITLE:
5. CFDA #
6. AMOUNT REQUESTED:
7. Strategic Plan:
GOAL: UW-Research
8. What program is supported?
UW- Research
9. Personnel impact? (new hires
resulting from the funding)
10. Long range general fund
Impact?
11. Cost-share or Match?
Yes:
No:
Yes:
No:
Yes:
No:
12. Indirect costs included?
Yes:
No:
13. Governor Certification (state
review) Required?
14. COMMENTS:
Yes:
No:
OBJECTIVE: Scholarly advancement,
sustained economic health, and enhanced
learning environment.
If yes, # of full-time & part-time.
FT ____ PT ____
If yes, explain in comments and/or
attach documentation.
If yes (please also indicate % of
total project costs):
Amount:
Source:
Cash:
In-kind:
If no, attach written documentation
for exclusion.
If yes, attach documentation.
To be completed by Research Office:
In my opinion, this request for federal resources meets the criteria established in the Governor’s policy statement for
accepting federal program funding and is consistent with the university’s strategic plan.
Approved: ______
Not Approved: ______
________________________________________________________
Designated University Official
Date
____________
NAFR #