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Page 1 University of the District of Columbia (University of the District of Columbia)

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University of the District of Columbia
Office of Sponsored Programs Proposal Routing Form
Page 1
Proposal No. Document Type Agency Type
Proposal Purpose Proposal Status CFDA No.
Sponsoring Agency Sponsor's Deadline
Project Title
Principal Investigator(s)
Total project cost requested $
Yr.1$
Indirect Cost: $
On Campus Rate = 48% Off Campus Rate = 26%
Other Rate: %
If other rate, please explain
No cost share/matching required
Cost share/Matching required
In-Kind:$ Cash:$
If cost share/matching is required, please complete the COST SHARE/MATCHING AUTHORIZATION FORM and provide a copy
or website URL of the sponsor's guideline for cost sharing
Principal Investigator/Project Director's Statement
Yes No
1. Does the Proposal Involve Human Subject? If Yes, attach IRB Approval or Explain
2. Does the Proposal Involve DNA Techniques, Radioactive or hazardous materials or infectious agents, hazardous chemical waste? if
yes, send copy of abstract to the University Wide Safety Committee
3. Is adequate space already assigned for the proposed program? if no, submit explanation to the Chairperson/Dean
4. Does the project provide for new academic degree program and or new courses?
5. Has faculty signed a University patent agreement? If no or uncertain, contact the Director of OSP
6. Is any proposed personnel presently debarred, suspended or proposed for debarment by any federal agency? If yes, proposal should
contain explanation for each such person
7. Will project require as a condition of acceptance that the University absorb the services should project fund be reduced or terminated?
If yes, please explain so that approval may be obtained in advance
8. Is there any out year commitment required or expected?
9. Is this a Public Health Services (PHS) Grant? If yes, attach "FCOI FORM"
Yr.2$ Yr.3:$ Yr.4$ Yr.5$
Department School/Division Phone
Email
Consultant/Sub-Award/Subcontract Amount on the proposal
Proposed Start
Date
Proposed End
Date
To prevent a delay in processing, all items requiring a routing form (proposals, agreements, contracts, MOUs, etc.) must be submitted to OSP first.
Print Form
Select One
University of the District of Columbia
Office of Sponsored Programs Proposal Routing Form Page 2
1. Explanation
of Items from
page 1. Add
continuation
page if needed
2. Faculty release time: Provide the names and departments of any faculty members for whom release time is requested. Indicate the
amount of release time per academic year. List the amount of funds requested in this grant for release (salary and benefits) for the first year
and the total grant.
Faculty Member's Name Department
Release/Yr.
$ Requested for
Release Salary Yr.1
$ Requested for
Release Benefits Yr.1
$ Requested for
Release Salary Total
$ Requested for Release
Benefits Total
Check here If more than five faculty are involved and include a continuation page.
2a. As Department Chair/Dean, I approve the proposed release time and agree to support any committed release not funded through
the grant, using resources of my department/school/college (Continued on page 3).
Department Chairperson Signature Date
Title Name Signature Date
Principal Investigator
Chair/Department Head
Dean
Chief CCDC Officer
Director of Sponsored
Programs
Procurement Director
General Counsel
Chief Financial Officer
VP Human Resources
Chief Academic Officer
Statement of the Department Head and Dean or VP. This proposal is consistent with the educational and research objectives of the Department
and University. I endorse its submission, and agree: (1). To abide by the approved budget as it relates to faculty and staff personnel. (2). That cost
sharing, if proposed, is reasonable and appropriate for this program and available in my budget. (3). That adequate space will be made available for
the proposed program.
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University of the District of Columbia
Office of Sponsored Programs Proposal Routing Form Page 3
School/College Dean Signature Date
3. Complete this section, if personnel in-kind or cash matching is requested:
Is matching required by the sponsor?
Yes No
If yes, how much is required How much cash is required
From what budget(s) will the match be provided?
Name of approving person responsible for the budget
Signature
How much In-Kind is requested (Value Description)
Availability of match has been verified.
OCFO
Date:
5. If Yes to question 8, please describe out
year commitment and plan to fulfill it.
Proposals must arrive at the Office of Sponsored Programs a minimum of ten (10) days prior to the desired submission date.
4. Human Resources requirements:
4b.What is the scope of work to be provided:
Yes
4a. Did you attach a detailed description of the staffing needs? Please provide details (e.g., position title and
proposed salary) in the scope of work.
No
If the PI requires the development of or a change in their staffing plan, answer 4a-b. Otherwise, enter N/A in 4b.
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Completed 24 July 2020

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