NIH Prior Approval Request for Grants and Cooperative Agreements
The following form is to be used in accordance with NIH Notice OD-00-009,
Process for E-Mail Submissions of Prior Approvals for
NIH Grants and Cooperative Agreements
,
dated January 6, 2000
and
NIH Notice OD-00-037,
Process for E-Mail Submission of No-cost Extension Notification,
dated May 19, 2000


NOTE: all fields required.

This Action Request is being completed by:

Principal Investigator
  Departmental Contact

Complete Grant Number: (e.g., 5 R01 AG12345-02)

Contact Information

Principal Investigator: Departmental Contact:
First Name: Full Name:
Last Name: E-Mail:
Title: Extension:

Department Name:

Telephone:

as 555) 555-5555

Fax:

as 555) 555-5555

E-Mail:

 

Budget Period Affected:
From to
(Please enter dates in the format "mm/dd/yyyy")

REQUESTED ACTION:

All requested actions must include a scientific justification. Most actions require additional information to be submitted.

Change in PI or Other Key Personnel
Additional information to be submitted includes:

  • Change in effort level

  • Updated other support

  • Biographical sketch information

Significant Reduction in Effort
Additional information to be submitted includes:

  • Role of personnel involved
  • Describe change in effort level
  • Describe duration of change
  • Indicate what rebudgeting may occur

Establish a consortium or transfer substantive programmatic work to a third party
(NOTE: Not required for awards under FDP or expanded authorities unless action represents a change in scope.)

Additional information required:

  • Statement of intent to establish inter-institutional agreement
  • Status of appropriate assurances for consortium entity
  • Effect on budget
  • Any changes in scope
  • Assurance that request will not change existing total cost commitment for current and future budget periods.

No-cost Time Extensions

First Time Requests:
Requests for first time no-cost time extensions under FDP or expanded authorities must be submitted within sufficient time for OCGA to notify the NIH awarding office of the extension 10 DAYS PRIOR to the expiration date of the project period.

Additional Requests:
Extensions beyond the first no-cost time extension of a competitive segment are highly unusual and only approved with strong justification.
For additional no-cost time extensions requested for awards under FDP or expanded authorities, the following information must be provided:

  • Scientific justification including progress to date
  • Length of extension requested
  • Amount of and reason for unobligated balance
  • Plan for use of funds during extension period. (Include categorical budget detail, in text format, of requested direct and F&A costs.)

Carryover Requests
(NOTE: Unless restricted on the terms of the award, this action is generally allowable under FDP or expanded authorities.)
Additional information required:

  • Amount of funds requested for carryover
  • If amount is 25% of current budget period's total cost, include explanation of why funds were not used
  • Plan for use of carryover funds, (Include categorical budget detail, in text format, of requested direct and F&A costs)

Significant Rebudgeting Requests
(NOTE: Under FDP or expanded authority awards, this action is necessary only when rebudgeting represents a change in scope. SNAP awards are required to include this action as part of the noncompeting award process. THIS ACTION DOES NOT APPLY TO AWARDS ISSUED FROM MODULAR GRANT APPLICATIONS.)
Additional information required:

  • Amount of funds to be rebudgeted
  • Which budget categories funds will be moved from and to
  • Implications on F&A costs
  • Indicate whether there will be a change in scope
  • Assurance that request will not change existing total cost commitment for current and future budget periods

Select Requested Action (Choose one. Additional actions must be submitted separately. If the needed action is not listed, select "Other" and describe in full the reason for the request):


Scientific Justification (Scientific Justification must be in plain text. Justification can be "Cut and Paste". No attachments):

 

Upon completion of action request:

Select OCGA Grant Analyst to review Action Request, then click "Submit"

Clear Action Request form
to submit at a later time


If you have questions regarding NIH Prior Approval requests,
please contact your C&G Assistant or Grant Analyst.


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