Letter of Intent to Establish a Sponsored Billing Agreement Title of Application: _______________________ _____________________________________ Sponsor/FOA: VUMC (Prime Institution) Principal Investigator: _______________ __________________ VU (Cooperating Institution) VU Faculty/Staff/Student: ___________ _____________________ Costs requested by Cooperating Institution Proposed Effective Date: ___________________________ First Budget Year _____________ Project Period: _______________ Direct Costs: _____________ Direct Costs: _______________ F & A Costs: No F&A Charges F & A Costs: No F&A Charges Total: _______________ Total: _____________ At both VUMC and Vanderbilt University, appropriate program and administrative personnel are aware of the sponsor’s guidelines and policies and are prepared to establish the requested Billing Agreement. Billing Agreements are established for VU Faculty, students, or staff performing work on VUMC awards/projects at VUMC site/locations. No F&A charges will apply. The amounts shown above appear in the application. . Vanderbilt University Medical Center Vanderbilt University Signature of Authorized Official Signature of Authorized Official Name & Title of Authorized Official Name & Title of Authorized Official Date Date (Prime) (Cooperating)