MSM Intent to Submit Form (effective 08/12/2024, until amended)

MSM Intent to Submit Form (effective 08/12/2024, until amended)

The grant application submission process requires the participation primarily of the department, the Office of Sponsored Programs (OSP) and the Grants Management Office (GMO). At times, it could involve other departments of the institution.

All applications, including consortium arrangements, submitted for extramural funding, regardless of the mechanism of submission or the sponsoring agency, should be VALIDATED by GMO and REVIEWED, APPROVED and SUBMITTED by OSP.

The "Intent to Submit" form is the first step in this process. It's purpose is to:

Gather preliminary information about an upcoming proposal submission
Inform the appropriate persons that you are applying for a grant either as MSM being the prime submitter or as being the sub-recipient with another entity.
Alert OSP and GMO of the pending submission for workload balance.
Capture pertinent information for data analysis (research areas, types of proposals and sponsors, etc.)

Peer-Review is required if:

This submission is for an R01 or equivalent application and this is your first time submitting.
You were not successful over the past two years with a proposal submission.
This is a limited submission: a funding opportunity where the sponsor restricts the number of applications/proposals that an institution may submit.

Once you click "Submit" a copy of the Intent to Submit Form will be routed to the following persons/units as appropriate:

If the agency type is Private - Office of Institutional Advancement: sfisher@msm.edu, mthomas@msm.edu and jrosenberg@msm.edu
Chief Scientific Officer: gtosini@msm.edu
Office of Research and Development: ord@msm.edu
Office of Sponsored Programs: osra@msm.edu
Grants Management Office: gmo@msm.edu
Clinical Trials Office: clinicaltrialsoffice@msm.edu
Institutional Review Board: irb@msm.edu
IACUC Committee: iacuc@msm.edu
Export Compliance: jmulcahey@msm.edu
Your Department Chair
Your Department Director of Finance & Business Operations (DFBO)

PLEASE NOTE: If you decide not to pursue an application after submitting the Intent to Submit form, email the same parties listed above, and inform them all of your decision.

*ATTENTION* Form will expand as questions are answered!

SECTION A: MSM Principal Investigator

MSM PI Full Name:*

required format: FirstName LastName

MSM PI's Job Title:*

MSM PI's E-mail:*

MSM PI Phone Number:*

Phone

MSM PI's Unit:*

Select

PI's Chair/Center/Institute Director(Name, Email):*

If this award will be housed/managed in a Center/Institute for Research, please select the corresponding director.

Select

MSM PI's DFBO (Name, Email):*

Who is your Director of Finance and Business Operations or AVP?

Select

MSM Personnel Information

Is this a Multi-PI application?*

Some sponsors use this term to designate equal responsibility. Please have the lead PI listed at the top the form.

Select

Co-PI (Name, Phone, Email):*

Co-PI's Chair/Center/Institute Director:*

Select

Co-PI's DFBO:*

Select

Other MSM Investigators?*

Are there any other MSM investigators included on this application?

Select

Number of Additional MSM Investigators*

smallest number possible is 1. If there are 0 additional investigators, please answer "No" to "Other MSM Investigators?". If there are 3 or more additional investigators, please use the "Add'l Co-Is" field.

Co-Investigator #1 (Name, Phone, Email):*

Co-Investigator #1's Chair (Name, Email):*

Co-Investigator #1's DFBO (Name, Email):*

Co-Investigator #2 (Name, Phone, Email):*

Co-Investigator #2's Chair (Name, Email):*

Co-Investigator #2's DFBO (Name, Email):*

Add'l Co-I's (New Line for Each Co-I):*

Other Personnel? (Full Names and Roles):*

e.g. Students, Post-doc Fellows, Research Scholars/Assistants, Research Coordinators/Directors/Managers; enter "N/A" if not applicable.

SECTION B: Program Announcement Information

Function Category:*

Select

Are you submitting an R01 for the first time?*

If yes, a peer-review is required. Submit proposals for pre-reviews using the InfoReady Platform (msm.infoready4.com).

Select

Has a submission been successful in the past 2 yrs*

If you have not had success in the past 2 years, a peer-review is required. Submit proposals for pre-reviews using the InfoReady Platform (msm.infoready4.com).

Select

Are You Submitting A Limited Submission?*

If yes, a peer-review is required. Submit proposals for pre-reviews using the InfoReady Platform (msm.infoready4.com).

Select

Provide A Description Of The Limited Submission:*

Application Type:*

Select

Sponsor Type:*

If "Private" the form will be routed to the Office of Institutional Advancement.

Select

If Sponsor Type Is "Other", Please Specify:*

Sponsor Name:*

Who disperses funds to MSM?

Solicitation/Funding Opportunity Link:*

Funding Opportunity Announcement Name:*

Funding Opportunity Announcement #:*

Are You Registered In The Sponsor's Portal?:*

Select

Project's Expected Start Date:*

Project's Expected End Date:*

Sponsor's Submission Deadline:*

External Collaborations

Is MSM The Lead?:*

If MSM is the Lead, then the Lead PI is an MSM Employee. If MSM is not the lead, go back to "Sponsor Type" and select "Federal Flow-Thru".

Select

If Yes, Will A Sub-Recipient Be Included?*

Select

Lead Research Administrator Information?*

Please include the full name and contact information (email address, phone number) for this individual.

Sub-Recipient Institution Name (MSM Is Lead):*

If there is no sub-recipient please go back to "If Yes, Will A Sub-Recipient Be Included?" and select "No".

Sub-Recipient Research Administrator Information?*

If there is no sub-recipient please go back to "If Yes, Will A Sub-Recipient Be Included?" and select "No".

Sub-Recipient Due Date?*

This is the date that your complete packet needs to be submitted to the Lead institution.

Number of external PIs/Co-Is:*

Enter a number from 0 to 4. If there are more than 4, please include the additional external investigators' information in the section for description of your project.

External PI / Co-I #1 (Name & E-mail):*

External PI / Co-I #2 (Name & E-mail):*

External PI / Co-I #3 (Name & E-mail):*

External PI / Co-I #4 (Name & E-mail):*

SECTION C: Proposal Information

Project Title (Enter The Full Title):*

Focus:*

Select

Provide A Brief Summary Of The Proposed Project:*

SECTION D: Financial Conflict of Interest (FCOI)

Have You Completed Conflict of Interest Training?*

FCOI Training Link; If you have FCOI questions related to your research, contact jmulcahy@msm.edu.

Select

Have You Completed The FCOI Disclosure Form?*

FCOI Disclosure Form Link; If you have a technical question regarding the disclosure form or obtaining your training certificate, please contact Mr. Ware from the Compliance department at compliance@msm.edu.

Select

SECTION E: Other Compliance and Resource Requirements

Are You Requesting Additional Space?*

If so, complete the Space Request form and upload the completed document as an attachment to this form.

Select

Are You Requesting Renovations To MSM Facilities?*

If so, complete the Space Request form and upload the completed document as an attachment to this form.

Select

Human Subjects Involved?*

If "Yes", this form will be routed to irb@msm.edu.

Select

Is This A Clinical Trial?*

If "Yes", this form will be routed to clinicaltrialsoffice@msm.edu.

Link to NIH Decision Tool: "Does Your Human Subjects Study Meet the NIH Definition of a Clinical Trial?"

Select

Provide A Brief Synopsis Below:*

IRB Review Status:*

Select

IRB Approval Date:*

Are Vertebrate Animals Involved?*

Select

IACUC Review Status:*

Select

IACUC Approval Date:*

IACUC Protocol #(s):*

enter "N/A" if unknown/unsure.

Environmental Health & Radiation Safety Involved?*

If "Yes", this form will be routed to cbynum@msm.edu.

Select

Select Agent Research (CDC Approval) Involved?*

If "Yes", this form will be routed to cbynum@msm.edu.

Select

Collaboration With The VA/Use Of Facilities/Data?*

Select

Will there be Non-MSM Individuals On Campus?*

Select

Export Compliance Questions

Are Foreign Nationals Involved?*

If "Yes", this form will be routed to jmulcahy@msm.edu.

Select

Shipping, Transferring, Etc. To A Foreign Person?*

If "Yes", this form will be routed to jmulcahy@msm.edu.

Select

If Yes, Please List The Items And Detail How?*

Foreign Activities Question

Any Other Foreign Activities (Check Applicable):*

If any of the activities are checked, this form will be routed to jmulcahy@msm.edu.

Select

Attachments

Optional Attachments (Please Describe)?:

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