BSA Proposal Intake Form

Project Type*

Please indicate the type of project this grant will fund.

Research

Training/Fellowship

Service

Faculty Sponsor*

Applicants please enter the name of your BSA faculty sponsor. The faculty sponsor's RA will assist you in your proposal submission process.

Principal Investigator NetID*

Please enter the Northwestern NetID of the Contact PI. For fellowship applicants, enter your own NetID.

Research Administrator*

Which RA do you work with? If unsure, please select 'unlisted'.

Select

Check this box if this is a Multiple Principal Investigators (MPI) proposal.

MPI Proposal

Additional PI Names*

List the names of the additional PIs on your proposal that are in addition to the contact PI, including their department (or institution name if external).

What is the prior proposal ID #?

Each federal proposal is assigned a Federal Identifier number or Grants.gov Tracking ID. If you do not have the prior proposal's ID, please give details of submission date range or details for the RA to locate (e.g., October 2023 R01 submission).

Sponsor/Agency*

If the sponsor is not listed in the drop down list, please select "other/not listed" and type in the sponsor name. If this is an incoming subaward, please select the funding agency (e.g., NIH, NSF, etc.) as there will be a follow-up question asking or the prime organization/institution that will be submitting the proposal.

Select or enter value

Subawarding Organization*

Who will be granting the subaward to Northwestern?

Grant program website or program announcement #*

Please provide the name of the grant you are applying for, the website, or the NIH program anncouncement number.

Anticipated Start Date

Please enter the anticipated start date of the grant, if funded. If unknown, you can leave this blank and your RA will work with you to determine it.

Number of Budget Years*

How many years of funding will be requested? (Please specify if unconventional timeline or performance period)

Compliance

The following questions ensure the proper set-up within CERES and enables your RA to plan ahead for compliance related issues prior to submission to ensure timely submission. These questions are required even for resubmission in the event there were changes to the research strategy.

Research Category*

If you selected research, please indicate which type. For reference: HERD Survey Definitions

Basic

Applied

Developmental

HERD Survey Code*

Please indicate how we should categorize the proposed project. If you'd like more information for why this information is collected and what the HERD survey is, you can find information at HERD Survey Overview.

(A.01-2016) Computer and Information Sciences

(B.02-2016) Bioengineering and Biomedical Engineering

(D.02-2016) Biological and Biomedical Sciences

(D.03-2016) Health Sciences

(D.05-2016) Other Life Sciences

(F.03-2016) Materials Science

(F.05-2016) Other Physical Sciences

Other/Need to talk with RA

Off Campus Research*

Is any portion of this research performed directly by Northwestern investigators occurring OFF campus?

Unsure at this time

Yes

Compliance Review*

Does this project involve any of the following?

Foreign Activities*

Does this project involve any of the following?

International Travel (e.g., presenting data, conference attendance, investigator meetings, etc.)

Performance site in a non-US location (e.g., gathering data, subject enrollment, etc.)

Foreign subawardee or other collaborator (funded or unfunded)

Involvement of Foreign National working in the US

Financial or in-kind support from a foreign entity

Involves a heavily sanctioned country

None of the above

Please explain the foreign activities planned on this project to assist your RA in determining the required compliance components.*

Sponsor Requirements

Does the sponsor's documentation contain any of the following terms?

Participation of foreign persons/non-US citizens on this project is prohibited or restricted.

An investigator may not publish research results without sponsor’s explicit approval, except for the sponsor’s right to review and exclude their proprietary data from publication.

Otherwise, restricts participation in research or access to the research results.

None of the above.

Export Controls*

Does the sponsor’s scope of work or other documentation define the project as export controlled, or refer to:

Export Administration Regulations (EAR) controlled

International Traffic in Arms Regulations (ITAR) controlled

Controlled Unclassified Information (CUI)

Other controlled language (e.g., NASA IT control clause)

None of the above.

IRB*

Does this project involve?

Human Subjects Research

Laboratory Animals

None of the above.

Tech Transfer*

Does this project involve any of the following?

Inventions or patents related to this project were disclosed to Technology Transfer/INVO by project personnel

Research requires use of compounds or materials from other universities or companies

Related prior invention or patent was federally funded

Research is part of any current or former collaboration with private foundations

Research is part of any current or past industry collaboration

Other grants have been used for the research proposed

None of the above.

Is this project considered fundamental research?*

Fundamental research is any basic or applied research in science and engineering, whose results are ordinarily published and shared broadly within the scientific community. To qualify as Fundamental Research, the research must be conducted free of any publication restrictions and without any access restrictions.

If you state "yes", you affirm this project is conducting fundamental research.

Yes

Researcher

Project Overview

Compliance