Research Costing Form for URMS Please note project code number here – 1. The Project Project title: Investigator Name: Type (please indicate): Research Project / Student Governance / Travel Grant / Research Studentship Start date: End date: Is this this proposal to renew an existing project? Yes / No Sponsor’s Submission Date: dd/mm/yyyy Confidentiality: do you need to protect your research ideas/Proposal? Yes / No Collaboration: will the project involve working with other organisations? Yes / No Is ‘matched funding’ required from the University? If so, how much (%total cost)? Yes / No Is there any ‘matched funding’ provided by collaborators? Yes / No 2. Workspace/DoH Will the project require: High cost security or safety protection? Yes / No Disposal of hazardous, electrical, electronic, radioactive sealed sources or clinical waste (such as sharps, body fluids, tissues, etc.)? Yes / No The storage and/or use of generation of any hazardous materials, or generate an increase in noise, temperature or vibration levels? Yes / No Additional space, infrastructure (including electricity or water supplies), or modifications to existing space? Yes / No Advice regarding the questions above may be sought from the University’s Facilities Management Directorate. Yes / No Will this project involve significant computing resources (e.g. hardware other than regular PCs, or access to facilities, infrastructure, advice or services from CICS)? Yes / No Conflict of interest: Is there any potential material interest which may, or appear to, impair the independence/objectivity of staff? Yes / No Controversy: may any aspect be seen as controversial in the public domain? Yes – IMP trial Is this a clinical trial? (Not only investigational medicinal Yes – other product trials). No University of Sheffield Is the DoH Research Governance Framework applicable and, Other organisation if so, who is the research governance sponsor? Not Applicable Will the project employ research staff who will conduct research in the NHS which can have an impact on patient care, but who do not already have substantive NHS or honorary clinical contracts? (If yes, £250 per person will be included on the costing). Is this a social care research project that will identify participants through Sheffield City Council’s social care services? Notes (please use this space for any notes to wish to include): Yes / No Yes / No 3. Sponsors and Collaborators for this Project Full name: Programme Name: Relationship (please indicate): Sponsor /Sponsor – Primary / Collaborator /Collaborator - Lead % of project to Sponsor: Sponsor is a UoS Spin Out: Yes / No Knowledge Transfer: Yes / No Collaborator Contact details Note: 1. A detailed breakdown of collaborator fEC will be needed for your application form. 2. You should send a copy of the agreed collaborator costs to the Research Office at research.eds@sheffield.ac.uk Full Economic Costs: Expected Price (GBP): 4. Investigators Investigator’s Name: Value (%) – must equal 100%: Primary Investigator: 5. Project Costs Existing employees Name Staff type: Investigator – DI Non-Investigator – DI Investigator – DA Exception Staff Excluded from Cost Pool Technician – DA Staff start date on project Staff End date on project Annual hours % involvement/ Grade & Grade point New appointment Department Staff type: Investigator – DI Non-Investigator – DI Investigator – DA Exception Staff Excluded from Cost Pool Technician – DA Staff start date on project Staff End date on project % involvement/ Annual hours Pay Scale Type Grade & Grade point Personnel Area/ Sub-area Non-staff costs DI: Year 1 £ Travel & Subsist £ *Equipment £ Consumables £ Animal costs £ Pathways to Impact £ External Consult £ Recruitment £ Special Services £ Exceptional items DA: £ Major facilities £ Animal costs £ Other Except’s £ Equip. >50K (old) £ Travel £ Other £ Student Fees *Please describe what this cost is for – for each Year 1 – Year 2 – Year 3 – Year 4 – Year 5 – Year 2 £ £ £ £ £ £ £ £ £ Year 3 £ £ £ £ £ £ £ £ £ Year 4 £ £ £ £ £ £ £ £ £ Year 5 £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ year. £ £ £ £ £ £ £ £ £ £ £ £