Office of Sponsored Programs, Stony Brook University
631-632-9949 phone 631-632-6963 fax
Warning: This form does not apply to new, renewal, resubmission and supplemental proposals, NIH training grants and change in Principal Investigator. Please send completed form to osp@stonybrook.edu.
Check all that apply:
Budget Revision for incoming and/or established award.
2. Faculty, Investigators and/or Key Personnel change , (change of PI requires full Coeus application). a. Have new faculty or key personnel been added to the project since the last reporting period or original proposal?
Yes No (If Yes, submit signed COI form to your OSP representative and fcoi@stonybrook.edu). b. Has faculty effort increased or decreased from last reporting period or original proposal?
Yes No (If yes, please complete Revised Effort on page 2). c. Have salary offset funds been changed since the last reporting period or from the amount originally budgeted?
Yes No
3. Carry forward request. Submit supporting documentation as required by sponsor to your OSP representative.
4. Non-competing continuation or annual progress report. Submit budget and supporting documentation to your OSP representative. If PHS funded, submit signed COI form to your OSP representative and fcoi@stonybrook.edu.
Has the distribution of credit changed from the original proposal?
Yes No (If yes, please complete Credit Split on page 2).
Note: If more than one department is involved in this project, distribution of credit for proposal/award should be indicated. This is provided to make changes to any distribution noted in the original application or the last report period. Otherwise, OSP will assume the same distribution applies.
Has the cost-sharing level increased or decreased from the last reporting period or original proposal?
Yes No Not Applicable (If yes, complete Revised Effort on page 2).
Faculty Effort
Other:
Human Subjects
Approval #: Start Date: End Date:
Radioactive Materials Approval #: Start Date: End Date:
Ionizing Radiation, lasers, etc.
Animal Subjects Approval #: Start Date: End Date:
Recombinant DNA Approval #: Start Date: End Date:
1/30/2015

Revised Effort:
Name and Department
Current Effort
Proposed Revision
*
% Reimbursed
(offset to IFR)
PM %
AY CY
IFR Acct #
Or
SOM Offset**
PM %
AY CY
IFR Acct #
Or
SOM Offset**
% Not Reimbursed
(cost-shared)
PM %
AY CY
PM %
AY CY
% Direct Salary from
Grant
PM PM PM
Or
% % %
AY SUM CY
PM PM PM
Or
% % %
AY SUM CY
Current Effort
Proposed Revision
Current Effort
Proposed Revision
PM %
AY CY
IFR Acct #
Or
SOM Offset**
PM %
AY CY
IFR Acct #
Or
SOM Offset**
PM %
AY CY
IFR Acct #
Or
SOM Offset**
PM %
AY CY
IFR Acct #
Or
SOM Offset**
PM %
AY CY
PM %
AY CY
PM %
AY CY
PM %
AY CY
* Applies to SUNY employees only PM = Person Months AY = Academic Year
** SOM Clinical Research Offset Agreement
Credit Split:
PI Name
CY = Calendar Year
Department/Unit
For any changes in faculty effort, cost share and/or credit split, please obtain appropriate Chair and Dean endorsements.
Principal Investigator
Co-Investigator (when 2a applies)
Chair/Director (if required)
Chair/Director (if required)
Dean (if required)
Dean (if required)
PM PM PM
Or
% % %
AY SUM CY
PM PM PM
Or
% % %
AY SUM CY
PM PM PM
Or
% % %
AY SUM CY
PM PM PM
Or
% % %
AY SUM CY
% Credit
Must Total 100%
Total 100%
1/30/2015