Checklist Proposal Processing Form

Social Ecology Business-Research Services RPP-6

3/22/11

REQUEST FOR PROPOSAL PROCESSINGDate Submitted:

Formmust be complete to be accepted for processing; submit at least 4 weeks prior to the due date (review/approvals require 5 days).

1. PRINCIPAL INVESTIGATOR: Name Dept Phone: e-mail:

2. TYPE OF APPLICATION: check one (double click on box to check) and submit form as directed

forGrant Applications that areNew, Renewal, Resubmission , or Competing Supplement (that don’t include subcontracts to other institutions), submit this form to Business-Research staff by Department Affiliation:

CLS Dept - Eric Johnson x41711

PPD Dept - Nina Obiedo x48678

PSB Dept - Susan Garcia x45591

for non-competing applications or progress reports: by Dept Affiliation or assigned Post Award Financial Analyst

for Applications that include subcontracts to other institutions, applications that will result in a Contract or Clinical Trial, or applications for Federal Center Grants (if UCI is lead): All Depts - Susan Garcia x45591

for Grant Applicationson behalf of Centers based in Social Ecology: By Department Affiliation

3. AGENCY NAME(entity receiving the proposal) and/or Prime Sponsor(agency funding project):

4. FUNDING OPPORTUNITY ANNOUNCEMENT #s (i.e. FOA, RFP, PA, NSF directorate)or URL:

5. APPLICATION DUE DATE:

Will UCI be a subcontract/subaward in another institution’s lead application? Yes No

(Note: UCI subcontract proposal must be sent to the lead institution at least 1-2 weeks before agency due date).

6. TITLE OF PROPOSAL:

7. PROJECT PERIOD (anticipated dates of project):Start Date:mm/dd/yyyyEnd Date:mm/dd/yyyy

8. DESCRIPTION OF WORK: Attachor write a brief description of the proposed work/project.

9. PRINCIPAL INVESTIGATOR: Indicate salary requested - % of Effort in AY and/or days/wks/mos in summer each year

Academic year ____%Summer period ______days/wks/mos Will any effort by the PI be costshared?

10. Co-INVESTIGATORS(UCI), ACADEMIC APPOINTEES OR STAFF POSITIONS: Do not include students or consultants.

NOTE: Staff job titles of Survey Worker, Lab Assistant, and Staff Research Associate may require budgeting of severance pay in last year of project equal to one week of pay per each full year worked; please discuss with Bus-Research analyst assisting with submission.

NameEmailHome DeptAY Effort or Summer SalaryRole/Title in Project

11. APPLICATIONS CONTAINING SUBCONTRACT/SUBAWARDS: When portion of the programmatic work of project is to be carried out by another organization outside of the university. List subcontracts/subawards to be made to other institutions: (official subcontract proposals from these institutions must be received 2 weeks before agency due date).

InstitutionName of Subcontract PIEmail/Ph (target amount of subcontract/subaward if known)

TO COMPLETE THE REQUEST, PLEASE CONTINUE FILLING PAGES 23 OR ATTACH THE SE BUDGET TEMPLATE found here:

For inquiries or special situations, please contact Susan Garcia or the analyst assigned to your department.

12. UCI STUDENTS

GRADUATE STUDENTS:(show summer and acad year effort on separate lines)

NameEmailResident/Non-ResidentLevel (GSR-II, GSR-III, GSR-IV)SummerAcad Yr % Effort

Fees/Tuition: automatically budgeted for GSRs working at 25% effort or more.

For non-resident students: Advanced to Candidacy? Yes No other

UNDERGRADUATE STUDENTS: (show summer and acad year effort on separate lines)

NameEmailSummer/Acad Yr Effort Hrly rate/# of hrs

13. CONSULTANTS: hired for professional advice or services. May not be an existing UC employee; may not direct UC employees.

Specify area of expertise. A written estimate from consultant detailing daily rate of pay, number of days of service and cost of travel if applicable will have to be obtained.

Name of Consultant Email/Ph______affiliated organization (if applicable)______Estimated $$/day/#of days___

14. EQUIPMENT: (university definition is nonexpendable, tangible personal property having a useful life of more than one year and an acquisition cost of $5,000 or more per unit). Only project-specific equipment may be purchased. Computers and printers are considered general purpose and may be purchased only under special circumstance or condition.

Item purposePurpose Estimated $$ Vendor Quote/catalog available?

15. TRAVEL

Attendance at Conference/Scientific Meetings or Required Agency Meetings

indicate foreign or domestic, destination, number of days/nights, number of travelers, (provide cost estimates if available).

Project Mileage

indicate purpose, destination, # roundtrip miles or trips per person

16. SUPPLIES: Supplies and materials are consumable items such as animals, lab supplies, glassware, chemicals, reagents, etc. used in the course of conducting the project’s scope of work; list items below in categories listing prices if available (historical, vendor quote, catalog price, etc).

1.4.

2.5.

3.6.

17. OTHER COSTS: Include allowable costs only such as human subject fees/payments, survey costs, web survey services, information dissemination costs, publication/page costs, project specific repairs/maintenance agreements, lease costs (if applicable), etc

1.4.

2.5.

3.6.

NOTE: Expenses such as copy costs, fax, long-distance telephone calls, postage, etc are considered items covered by F&A costs and may be included only if the project is considered Major or if a Special Circumstance or Condition exists(see Charging Guidelines). Please discuss with Business-Research Services personnel.

18. PERFORMANCE SITE(s): please indicate if any of the PI/UCI portion of the work will be performed off-site and where (do not include subaward/subcontract locations):

Human Research Performed at other institutions:

Offsite Research and Sponsored Activities Policy:

TARGET GRANT BUDGET AMOUNT:

OTHER/COMMENTS:

SOCIAL ECOLOGY CHARGING GUIDELINES – have you reviewed the guidelines YES NO

Is this submission considered a Major Project YES

Special Circumstance/Condition Exists YES UNCERTAIN

Discuss selections in detail with the Business-Research Services staff person processing your proposal.

Upon receipt of this completed form, PI will be contacted with a timeline for completion of the proposal or a request for additional information.