Cycle 3 2015 Funding Cycle Targeted Funding Announcement PCORI Application Checklist Published October 12, 2015 This checklist applies to the Cycle 3 2015 Funding Cycle for the following PCORI Funding Announcements: Management Strategies for Treatment-Resistant Depression, New Oral AntiCoagulants (NOACs) in the Extended Treatment of Venous Thromboembolic Disease, Treatment of Multiple Sclerosis, and Clinical Strategies for Managing and Reducing Long-Term Opioid Use for Chronic Pain. Funding announcements, templates, and other resources are available at pcori.org/apply. The Cycle 3 2015 Funding Cycle closes February 16, 2016 at 5:00 p.m. (ET). Letter of Intent □ Submission Method Length/Limit Letter of Intent PI and Contact Information Enter into PCORI Online System N/A LOI Template Save file as “PI LastName_(last 5 digits of Request ID)_LOI.pdf” and upload 4 pages Application □ PI and Contact Information □ Project Information Submission Method Length/Limit Entered previously as part of the LOI; review and modify if needed N/A Technical Abstract Enter into PCORI Online System 6,000 characters/spaces Public Abstract Enter into PCORI Online System 3,000 characters/spaces Project Narratives Enter into PCORI Online System Refer to PCORI Online □ Key Personnel Enter into PCORI Online System As needed □ Milestones/Deliverables Template Save file as “Milestones_PI LastName.pdf” and upload 3 pages □ Research Plan Template Save file as “ResearchPlan_PI LastName.pdf” and upload as a single file As noted below □ Research Strategy 20 pages Dissemination and Implementation Potential 2 pages Replication and Reproducibility of Research and Data Sharing 2 pages Protection of Human Subjects 5 pages Consortium Contractual Arrangements 10 pages References Cited 10 pages Appendix (optional) 10 pages People and Places Template Save as “PeoplePlaces_PI LastName.pdf” and upload PCORI Funding Announcement Cycle 3 2015: Targeted Application Checklist As noted below □ □ Professional Profile/Biosketch 5 pages per individual Patient/Stakeholder Partner Biosketch 5 pages per individual Project/Performance Site(s) and Resources 15 pages Budget Template Combine and save as “Budget_PI LastName.pdf” and upload Detailed Budget for Each Project Year (prime and subcontractors) Budget Summary for Entire Project (prime and subcontractors) Budget Justification (prime and subcontractors) Federally Negotiated or Independently Audited Indirect Cost Rate Letter (prime) Fringe Benefit Rate Policy Verification Document (prime ) Letters of Support Letters of Support Table Letters of Support Save as “Letters_PI LastName.pdf” and upload as a single file PCORI Funding Announcement Cycle 3 2015: Targeted Application Checklist As needed As needed