The code block below illustrates how one might use # and // as comments in your logic and calculations.

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Required format:

sANsrTLQSz4SZVEG6UejJNbY2wraCzJmTpVyFbmEHrGErjdyoavsQeBFzfwdaGcvXxwjdYfbgGxGpCBHws

IADRC Intent to Submit Funding Proposal

Submission of this form will generate your first meeting with a pre-award coordinator to begin the submission process. Complete this form if you have ANY effort (contributed and non-contributed) on a project. This form should be submitted even if another school is initiating the submission.

Topic or Title of Project

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Will this request require submission of an Awaiting Receipt of Application (ARA)* due to a request over the $500,000 limit of direct costs in any year?

If unknown or not determined at this time, select, 'yes'. This may be edited in future.

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Yes

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*Acceptance for Review of Applications (ARA) - Applications requesting $500,000 or more in direct costs in any year need to obtain approval before submission. Investigators need to contact their Program Officer at least eight weeks prior to the planned submission date. Please see NIA procedures for applications requesting $5 00,000 or more in direct costs. Review: https://www.nia.nih.gov/research/grants-funding/funding-policies-and-pay-lines

Do you have a Data Management Sharing (DMS) Plan for this submission?

On January 25, 2023, NIH's new Final NIH Policy for Data Management and Sharing took effect. The policy requires NIH-funded researchers to submit a plan prior to award that outlines how scientific data from their research will be managed and shared.

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Yes

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Have you spoken with the respective IADRC Core Leader(s) and/or IADRC Director, Dr. Saykin, about this request?

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Yes

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Briefly provide an overview of effort and roles discussed and approved for proposal.

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First Name of PI

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Last Name of PI

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PI Email:

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What is your department affiliation(s)?

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Is the PI outside of the Dept. of Radiology and Imaging Sciences at IU School of Medicine?

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Yes

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Provide: Name of PI, Routing Department, and contact information for grant support

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Application Due Date:

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M-D-Y

Will this proposal have a consultant and/or subcontract external to IU on proposed project budget?

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Yes

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Planned Funding Period START Date

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M-D-Y

Planned Funding Period END Date

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M-D-Y

Funding Agency/Unit

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Internal - Indiana University

External

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Funding Agency Name

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Funding Mechanism (R21, R01, etc)

RFA# and Title OR web link with proposal guidelines

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Requestor Email:

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Requestor First Name:

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Requestor Last Name:

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