Sample Grant Application - NIAID - National Institutes of Health

APPLICATION FOR FEDERAL ASSISTANCE
SF 424 (R&R)
1. * TYPE OF SUBMISSION
Pre-application Application Changed/Corrected Application
2. DATE SUBMITTED
02/11/2010
* Legal Name: Colorado State University
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Applicant Identifier
3. DATE RECEIVED BY STATE State Application Identifier
4. a. Federal Identifier
b. Agency Routing Identifier
5. APPLICANT INFORMATION * Organizational DUNS:
Department: Division:
* Street1: 601 S. Howes Street
Street2:
* City: Fort Collins County / Parish:
* State: CO: Colorado Province:
* Country: USA: UNITED STATES * ZIP / Postal Code: 80523-2002
Person to be contacted on matters involving this application
Prefix: * First Name: Christine Middle Name:
* Last Name: Getzelman
* Phone Number: Fax Number:
Email:
6. * EMPLOYER IDENTIFICATION (EIN) or (TIN):
7. * TYPE OF APPLICANT: H: Public/State Controlled Institution of Higher Education
Other (Specify):
Small Business Organization Type Women Owned
8. * TYPE OF APPLICATION:
New Resubmission
Renewal Continuation Revision
Suffix:
Socially and Economically Disadvantaged
If Revision, mark appropriate box(es).
A. Increase Award B. Decrease Award C. Increase Duration
E. Other (specify):
* Is this application being submitted to other agencies? Yes No What other Agencies?
9. * NAME OF FEDERAL AGENCY:
National Institutes of Health
11. * DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
Mechanisms of Enteric Burkholderia psuedomallei infection
12. PROPOSED PROJECT:
* Start Date * Ending Date
08/01/2010 07/31/2012
10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:
TITLE:
* 13. CONGRESSIONAL DISTRICT OF APPLICANT
CO-004
14. PROJECT DIRECTOR/PRINCIPAL INVESTIGATOR CONTACT INFORMATION
Prefix: Dr. * First Name: Steven Middle Name: W
* Last Name: Dow
Suffix:
Position/Title: Professor
* Organization Name: Colorado State University
Department: Clinical Sciences
Division: CVMBS
* Street1: 1678 Campus Delivery
Street2:
* City: Fort Collins County / Parish:
* State: CO: Colorado Province:
* Country: USA: UNITED STATES * ZIP / Postal Code: 80523-1678
* Phone Number: Fax Number:
* Email:
OMB Number: 4040-0001
Expiration Date: 06/30/2011
D. Decrease Duration
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