Sample Grant Application - NIAID - National Institutes of Health

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Principal Investigator/Program Director (Last, first, middle): Dow, Steven, W Project/Performance Site Primary Location Organization Name: Colorado State University DUNS Number: * Street1: 300 W. Drake Road Street2: Project/Performance Site Location(s) * City: Fort Collins County: * State: CO: Colorado Province: * Country: USA: UNITED STATES * ZIP / Postal Code: 80523-1678 Project/Performance Site Location 1 Organization Name: DUNS Number: * Street1: Street2: * City: County: * State: Province: * Country: USA: UNITED STATES OMB Number: 4040-0010 Expiration Date: 08/31/2011 I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization. * Project/ Performance Site Congressional District: CO-004 I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization. * ZIP / Postal Code: * Project/ Performance Site Congressional District: Additional Location(s) Add Attachment Delete Attachment View Attachment �� Performance Sites Page 4 ��
Principal Investigator/Program Director (Last, first, middle): Dow, Steven, W IRB Approval Date: Human Subject Assurance Number: 2. * Are Vertebrate Animals Used? 2.a. If YES to Vertebrate Animals Is the IACUC review Pending? IACUC Approval Date: Animal Welfare Assurance Number 4.c. If this project has an actual or potential impact on the environment, has an exemption been authorized or an environmental assessment (EA) or environmental impact statement (EIS) been performed? 4.d. If yes, please explain: Yes No 5. * Is the research performance site designated, or eligible to be designated, as a historic place? 5.a. If yes, please explain: Yes No 6. * Does this project involve activities outside of the United States or partnerships with international collaborators? 6.a. If yes, identify countries: 6.b. Optional Explanation: 7. * Project Summary/Abstract 8. * Project Narrative 11. Equipment 1238-2.10 MAJOR EQUIPMENT.pdf 12. Other Attachments RESEARCH & RELATED Other Project Information 1. * Are Human Subjects Involved? Yes No 1.a If YES to Human Subjects Is the Project Exempt from Federal regulations? Yes No If yes, check appropriate exemption number. 1 2 3 4 5 6 If no, is the IRB review Pending? Yes No 9. Bibliography & References Cited 10. Facilities & Other Resources Yes No Yes No 3. * Is proprietary/privileged information included in the application? Yes No 4.a. * Does this project have an actual or potential impact on the environment? 4.b. If yes, please explain: Yes No �� 1234-Abstract.pdf Add Attachment 1235-Relevance statement.pdf 1236-Literature cited.pdf 1237-2.10 FACILITIES.pdf Add Attachments Delete Attachments Add Attachment Add Attachment View Attachments Delete Attachment Add Attachment Add Attachment Delete Attachment Delete Attachment Other Information Page 5 Yes No View Attachment Delete Attachment Delete Attachment View Attachment View Attachment View Attachment View Attachment ��
Page 1 and 2: Sample Grant Application Introducti
Page 3 and 4: APPLICATION FOR FEDERAL ASSISTANCE
Page 5: Principal Investigator/Program Dire
Page 9 and 10: Principal Investigator/Program Dire

Sample Grant Application - NIAID - National Institutes of Health

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