SPONSORED PROGRAMS INTERNAL APPROVAL FORM
Complete, seek signatures, and return this form with attachments to Sponsored Programs prior to a
proposal submission. Submit a separate form for each funding source to which you are applying. Please
type all responses.
1. Proposal Title
2. Principal Investigator and Department/ Program affiliation. Include email and phone number.
3. Co-PI and Department/ Program affiliation. Include email and phone number.
Attach a separate list if there are multiple Co-PI’s. Please note: Co-PIs must be Otterbein employees to
share the return on indirect recovery.
4. Other Collaborators (Departments, Programs or Institutional). If collaborators are not associated with
Otterbein, please include contact information.
5. Proposal Due Date ________________________________ Electronic_______Hard Copy____________
6. Project Start Date _________________________________End Date____________________________
7. Funding Agency Name, Contact, Address, Phone, Email
8. Funding Agency Type
____Federal
CFDA #______________
____State
____Local
____Foundation
____Corporation
____Other
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SPONSORED PROGRAMS INTERNAL APPROVAL FORM
9. Project Abstract (250 words or less, should be suitable for press release)
PROPOSAL BUDGET AND UNIVERSITY’S FINANCIAL COMMITMENT
10. Amount Requested $_______________________________Budget attached?
Yes
No
11. Does the budget include indirect costs?____________________ If yes, at what rate?_______________
OSP draws indirect costs only one or two times per year based on actual grant expenditures. Otterbein
policy distributes indirect costs to the General Fund, Academic Affairs, the PI’s primary department,
Student Research Fund, Cost Share Fund, and Student Leadership Fund (Student Affairs grants only).
12. Will indirect cost recovery be shared with more than one department? If so, which departments?
13. Does this project include Cost Share (also called match)?___________
Cost Share is (choose one) __________required by the funder __________voluntary
 Amount of cost share $___________________________
 Internal Source (provide Banner index, if applicable) ___________________________
 Internal cost share approval (initials of person responsible for budget approval) ___________
 External Source (attach letter of verification) ___________________________
 Does the project include a soft (in-kind) match? (e.g. personnel, supplies, equipment, facility use,
etc.) If yes, what is the cash value? ___________
All grants claiming cost share MUST document the cost share and provide documentation for the final report.
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SPONSORED PROGRAMS INTERNAL APPROVAL FORM
14. Does this proposal contain subawards / subcontracts?_______ If there are multiple subawards please
attach a separate list.
Subaward Institution/Individual___________________________________________
Subaward PI/Contact___________________________________________________
15. Does this proposal require course release(s)? __________
ETHICS AND COMPLIANCE
16. Plagiarism: I hereby acknowledge this proposal or any sections within the proposal is not plagiarized.
The source is cited for information taken from other’s research and copied text is identified via
quotation marks or indentation, including Otterbein institutional descriptions. Unless the source is
cited, I have obtained the written consent from the original author(s) to use the text. Yes No
17. Does this project involve research with human subjects? Yes_________No_________
 If yes, please attach mandatory IRB Approval Letter and protocol number
 IRB is Pending Yes_________No_________
18. Does this project involve research with animal subjects? Yes________No________
If yes, please attach mandatory Approval Letter and protocol number
 If yes, please attach mandatory IACUC Approval Letter and protocol number
 IACUC is Pending Yes_________No_________
19. Responsible Conduct of Research (RCR). Does your project include compensation for undergraduate or
graduate students?
See Otterbein’s policy for RCR. Students may need training before they can be paid for their work on a
research project.
20. Financial Conflict of Interest (FCOI). Have you read and do you agree to abide by Otterbein's policy on
Ethics (106) found in the Human Resources Manual ? Yes_____ No_____
If you answered Yes above, please indicate whether or not you have a conflict of interest:
___ No, I do not have a financial conflict of interest
___ Yes, a financial conflict of interest exists
___ I am unsure if a conflict of interest exists
21. Federal Funding Accountability and Transparency Act (FFATA). Will any vendors be paid $25,000 or
more for work pertaining to this project?
Yes________No________
22. Time & Effort (T&E). Professional overload and course releases during the academic year impact the
time & effort reporting for the sum total of an employee’s effort. Are you requesting changes in time
& effort for any Otterbein employee? Yes________No________Please explain:
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SPONSORED PROGRAMS INTERNAL APPROVAL FORM
INSTITUTIONAL ACKNOWLEDGEMENTS (REQUIRED FOR FEDERAL REPORTING)
23. Are you currently delinquent on any Federal debt, debarred or suspended from receiving Federal
assistance?
Yes________No________
24. Describe new course or curriculum changes to be developed as part of the project.
SIGNATURES OBTAINED BY PRINCIPAL INVESTIGATOR
Signatures below indicate approval for submitting this proposal for consideration and use of university
resources.
________________________________________________________
Date______________
Principal Investigator Signature attests acceptance of academic and administrative responsibilities.
_________________________________________________________ Date______________
Co-PI
Signature attests acceptance of academic and administrative responsibilities.
_________________________________________________________ Date______________
Department Chair
Signature authorizes use of department resources as described in items 11,12,13,15,
and 22.
SIGNATURES OBTAINED BY OFFICE OF SPONSORED PROGRAMS
I approve submission of the proposal under the conditions stated.
OSP Director/Date
_________________________________________________________ Date______________
Provost/Vice President for Academic Affairs
_________________________________________________________
President
Date______________
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