ONR Proposal Initiation Form (PIF)

ONR Proposal Initiation Form (PIF)

***TIP: If you're submitting this for an RPPR/progress report, skip to the short version of the form.

PI Information

Contact PI Last Name*

Contact PI First Name*

Contact PI Email*

Preferred PI phone number

Please provide your cell phone number, this will only be used to communicate with you for urgent matters during your proposal submission process.

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Office phone number

Phone

Cell phone number

Phone

Select your track*

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Have you informed the Associate Dean for Academic Operations?

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Funding Agency Information

Funding/Sponsor Agency*

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NIH Funding Detail*

Preferred Agency Assignment

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Other Funding Agency Detail*

Sponsor Type*

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RFA Link

Provide link to funding announcement

What is the Notice Number and/or Funding Opportunity Number?

(Ex. NOT-HL-23-110 or PA-20-185)?

What is the grant mechanism?*

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Grant Mechanism Detail*

Submission Deadline*

Please note that Pre-Award Administrator assignments will be based on this date.

Targeted Submission Deadline Date

For Example, if PI will be traveling during Sponsor Submission deadline and needs to submit sooner.

*Please keep in mind RAD will make every effort to accommodate Targeted Deadline that are prior to the Sponsor Deadline.*

Submission Type*

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Submission Type Description*

Proposal Type*

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Resubmission Grant Number*

Mentor Name*

Is this submission an Internal or External Submission?*

External is funding from outside of Emory.

Internal is funding comes from Emory

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Project Information

Project Title*

Duration of Project

Duration of Project in Months / Years*

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Anticipated Start Date

Is Emory the prime recipient?*

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Prime Institution*

Contact Name for Prime Institution*

Contact Email Address for Prime Institution*

Is this a Multi-PI submission?*

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Multi-PI Name*

Multi-PI Institution*

Multi-PI Email Address*

Will this proposal have any subcontract(s) or consultant(s)?*

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Name of Administrative Contact for Subcontract(s)/Consultant(s)

Are there any Key Personnel/Co-Investigator(s) in this submission?*

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List all Key Personnel/Co-Investigator(s) Name(s) and Departments(s)*

For All Key Personnel and Co-Investigator(s)

Inside Emory: List Name(s) and Department(s)

Outside of Emory: List Names, identify as "External", and provide name of institution

Email Address of Administrative Contact for Subcontract(s)/Consultant(s)

Is there an alternate contact for this proposal submission?*

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Alternate Contact Name*

Alternate Contact Email*

Alternate Contact Phone

Who will be the primary contact?*

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Additional Project Information

Are there human subjects involved?*

Human subject involvement can include in-person (actual humans), specimens (any biologics), or Human Subjects/Personal Health Information (PHI) data.

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Is this study a clinical trial?*

Go to https://grants.nih.gov/ct-decision/index.htm

to determine if your study is a clinical trial.

(Please note studies involving clinical trials are sometimes associated with fees charged by the OCR. Please speak with your SON RAD pre-award manager about these fees).

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Are there animals involved?*

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Is this proposal AIDS/HIV related?*

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Is there any foreign activity?*

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ONR Administration and Services Information

Please check the services that you need from ONR*

Select all that apply

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Please select a statistical support option

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What other ONR service(s) do you need to complete your proposal?

Will your proposal require services from the Project NeLL team?*

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Will you be collecting any common data elements?

(E.g. one or more of the 120+ standardized instruments in the SON Data Repository)

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Is there a training component to the project for healthcare professionals? If yes, please check the services that you will need from Emory Nursing Experience if this is awarded

(Check all that apply)

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Does your project involve any of the following?

(Check all that apply)

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Is this proposal omics related (metabolomics / lipidomics, microbiome, genomics, proteomics, transcriptomics)?*

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Will this project be recruiting through social media?*

(e.g., Facebook, Twitter)

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Do you anticipate using the ONR research space on the plaza level?*

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List 3-5 keywords related to the proposal submission.*

May we receive your permission to utilize your grant proposal as a reference example for future grant submissions?*

(Please be assured that any personal salary information will not be disclosed)

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I will notify ONR within 3 business days of the funding decision of this application to help assure accurate records for principal investigator/project director.*

To confirm, please type your name.

Please add any additional information

For Example: Is this your first time submitting an R01?

Do you have any attachments?*

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Attachment(s)*

Please provide initial draft budget justification or a rough budget outline of the following: names of coinvestigators, expected effort, draft sample size/costs, lab costs if applicable, etc.

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