Research

Notice of Intent to Apply

NOTICE OF INTENT TO APPLY FOR EXTRAMURAL FUNDING



* = Required Fields

Principal Investigator*
Division*
Type of Proposal*
For continuations and renewals only: Current Lawson activity #
Type of activity*
Funding agency name (NHLBI, CDC, American Heart Association, HRSA, Merck, Cystic Fibrosis Foundation, etc.)* 
Funding Agency Submission Deadline*  
Will UMMC be the lead institution?*
Prime Institution (use only if UMMC is not the prime institution)
Prime PI (Prinicipal Investigator at the prime institution)
When are documents due to the prime institution? (use only if UMMC is not the prime institution) 
Proposal Title (or working title if not final)* 
Proposal nickname or short name
Type of program (R01, R34, U54, industry sponsored clinical trial, etc.)* 
Solicitation number or website (PA-16-160, https://AHA/ResearchPrograms/Cardiovascular-Medicine.org, etc.)
Project Start Date*  
Project End Date*  
Project Location*
What is the indirect cost rate used for this proposal? (Does the funding agency use a different rate than UMMC's federally negotiated indirect rate?)* 
Is any cost share required?*
Will UMMC require subcontractors?*
Will any project activities involve:*






 
Have you submitted your project to IRB?*
PI UMMC Email Address*
PI Division Chair*
Contact or Study Coordinator (person to whom questions about the proposal should be addressed)*