Get documents about "ROUTING AND APPROVALS FOR COMPLETED PROPOSAL
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GEORGIA INSTITUTE OF TECHNOLOGY FOR OSP USE ONLY
SPONSORED PROGRAMS/RESEARCH PROPOSAL AUTHORIZATION ROUTING FORM FOR OSP USE ONLY:
DEPT./LAB PROPOSAL TRACKING NUMBER
INVESTIGATOR DATA
PROJECT DIRECTOR/PRINCIPAL INVESTIGATOR (DR./MR./MRS./MISS/MS.) PHONE CAMPUS ADDRESS & M AIL CODE
E-MAIL FAX
LABORATORY, CENTER, COLLEGE OR SCHOOL ORG. ID (REQUIRED)
CO-PD/PI (S)
ADMINISTRATIVE COORDINATOR, IF OTHER THAN PD/PI PHONE CAMPUS ADDRESS & M AIL CODE
E-MAIL FAX
PROPOSAL DATA
PROPOSAL TITLE
PROPOSAL/AWARD CLASSIFICATION:
NEW REVISED BUDGET FOR ___________________
CONTINUATION/RENEWAL OF ___________________ OTHER REVISION OF ___________________
SUPPLEMENT TO ___________________
IF THIS IS A CONTINUATION OR RENEWAL, DOES THIS PROPOSAL CONTAIN AN ANNUAL OR INTERIM REPORT REQUIRED BY THE EXISTING AGREEMENT? Yes No
REQUEST FOR PROPOSAL/APPLICATION (RFP, RFA) NUMBER _____________________
TYPE OF AWARD (CONTRACT TYPE): COST SHARING
COST REIMBRUSEMENT NO FEE (DEFAULT - RESIDENT INSTRUCTION) YES NO
COST REIMBURSEMENT WITH A FEE (DEFAULT - GTRI) IS COST SHARING PROPOSED? (ATTACH APPROVAL FORM)
TIME & MATERIALS CONTRACT (MEMO REQUIRED) IS COST SHARING CONTRACTUALLY REQUIRED BY THE SPONSOR?
FIXED PRICE CONTRACT (MEMO REQUIRED – RESIDENT INSTRUCTION)
TOTAL $ PROPOSED ESTIMATED START DATE DUE DATE & TIME PERFORMANCE PERIOD
MONTHS:_____ OR DAYS: ______
KEY W ORDS (AT LEAST ONE REQUIRED) :
SPONSOR DATA
SPONSORING ORGANIZATION NAME (FUNDING ORGANIZATION OR THE SPONSOR’S TECHNICAL CONTACT
SUBAWARD IS FROM)
PHONE EMAIL
MAILING ADDRESS OF SPONSORING ORGANIZATION ADMINISTRATIVE CONTACT
PHONE EMAIL
NAME OF SPONSORING GOVERNMENT ORGANIZATION (PRIME), IF APPLICABLE SOURCE OF FUNDS, IF DIFFERENT FROM SPONSORING ORGANIZATION OR PRIME
PRIME CONTRACT NUMBER: CONTRACT NUMBER FOR SOURCE OF FUNDS:
CHECK PREFERRED MAILING METHOD. COURIER (HAND DELIVERY) ADDRESS
ELECTRONIC – EMAIL OR FAX IF APPLICABLE:_______________________
EXPRESS COURIER
FIRST CLASS CERTIFIED U.S. EXPRESS MAIL
SHIPPING ACCOUNT TO BE CHARGED:
SPECIAL REVIEW CHECKLIST
The proposal submitted involves the following:
Yes No
Human Subject Research IRB protocol Number: __________________ Expiration Date: _____________
Vertebrate Animals IACUC protocol Number: ________________ Expiration Date: _____________
Recombinant DNA IBC protocol Number: __________________ Expiration Date: _____________
Applicants may request a deferral to submit a funding proposal without an approved protocol as required by GT policy. Requests must be made
in writing to your Contracting Officer who will obtain institutional approval for such action.
NOTE: No awards will be accepted without an approved GT protocol in place.
Select Agents See list at www.cdc.gov/od/sap/docs/salist.pdf More info: www.cdc.gov/od/sap/
Biological Agents: Check all that apply: Infectious or Pathogenic agent(s) Human tissues or bodily fluid(s) Other Bio materials
Physical Agents: Check all that apply: Chemicals Sharps Laser Radiation Thermal agent(s)
Materials Transfer Agreement (MTA)
Professional Education Program (if yes, please route form to DLPE)
Subaward(s) are proposed
Teaming Agreement
Research may result in an export of information or material to another country (ITAR/EAR)
Involves the use of specific results IP from previous research – explain in comments section.
Non-Disclosure Agreement (NDA) is required or in process
OSP Routing form – Page 1 of 3 Revision: March 2010
ROUTING AND APPROVALS FOR COMPLETED PROPOSAL
REQUIRED RESPONSIBILITIES I certify that the information on this form is accurate and complete as of this date. I
1. Principal Preparation of technical data agree to accept responsibility for scientific and technical conduct of this project and
Investigator/Project and budget. for provisions of required technical reports if a grant or contract is awarded as a result
Director and Co-Principal Obtain all required approvals. of this application. If an award is made as a result of this proposal, I will administer it
Investigator or Co- in accordance with the policies of the sponsor and of Georgia Tech as applicable.
Investigator (if applicable)
I certify that I have read and understand the Institute's conflict of interest policy. To the
best of my knowledge, all required financial disclosures were made; and I will comply
with any conditions or restrictions imposed by the Institute to manage, reduce, or
eliminate conflicts of interest.
PD/PI Signature Date
Co-Investigator 1 Signature Date
Co-Investigator 2 Signature Date
REQUIRED RESPONSIBILITIES
2. Lab/School/Center Approval of Technical and Budgetary Department/Lead unit
Director* Content, Personnel, Equipment, and Signature Date
Space; review of this Proposal Routing
Form. Other department/unit Co-1
Signature Date
Other department/unit Co-2
Signature Date
SITUATIONAL RESPONSIBILITIES
3. Dean/Director, GTRI Approval of Personnel Assignments, Technical and Budgetary Content, Equipment and Space; and Special Considerations listed
Director, below.
Other*
Check all that apply:
_____ Foreign Sponsor
_____ Cost Sharing/GO-Funds
_____ Other Sponsored Activities
_____ Organizational COI Clause**
_____ Other (specify in Comments) Dean/Director Signature Date_________
SITUATIONAL RESPONSIBILITIES
4. Associate Vice Provost Approval of special considerations such as IRB/IACUC/IBBB waivers to submit application prior to Institutional Compliance
for Research Approval
Signature Date_________
REQUIRED RESPONSIBILITIES
5. Office of Sponsored General review for compliance with sponsor's requirements, GIT/GTRC/GTARC policies and obligations, budget/contractual
Programs (OSP) requirements. Provide transmittal letter and contract terms; arrange for reproduction, mailing, and internal distribution; maintain
official file.
EXPORT REVIEW
Y N
____ ____ Foreign Sponsor
____ ____ Publication Restriction
____ ____ Foreign National Restriction
____ ____ Non Disclosure Agreement
____ ____ Fundamental Research Exclusion (FRE)
Signature Date_________
SITUATIONAL RESPONSIBILITIES
6. Vice Provost for Required if requesting Cost Sharing from the VPR’s office.
Research Signature Date_________
* Steps 2 and 3 must be approved by all administrators responsible for personnel, equipment, and space involved.
** For GTRI, organizational Conflict of Interest (COI) clauses require GTRI Business Development Office (BDO) review and approval.
COMMENTS:
The RCR Project Plan to Georgia Tech’s Proposal Routing Sheet
In accordance with the Georgia Tech Responsible Conduct of Research (RCR) Policy, the RCR Project Plan must be submitted at the
same time the proposal is being submitted which indicates the instruction method beyond CITI that will be used for students
appointed to the project. This form will become part of the project file in the Office of Sponsored Programs. This policy is intended
to comply with the requirements of the National Science Foundation’s (NSF) implementation of the requirements of Section 7009 of
the America Creating Opportunities to Meaningfully Promote Excellence in Technology, Education, and Science Act (42 U.S.C.
1862o–1) found in the NSF Award and Administration Guide, Chapter IV, and National Institutes of Health (NIH) requirements found
in NOT-OD-10-019*.
By way of completing this addendum, the PI acknowledges the requirement for RCR training which is accomplished through a
combination of Institute-wide on-line training that every covered student receives plus one or more of the in-person methods
described below. Compliance with the requirements for providing instruction in Responsible Conduct of Research is a responsibility
of the Principal Investigator. Documentation of the in-person RCR training (part 2) is the responsibility of the PI unless a formal
tracking system is already in place (i.e., Banner).
CITI Training:
1. Students and trainees shall complete the RCR modules in CITI during the first semester in which they are appointed to NSF
or NIH-funded projects. Students and trainees will be required to earn an acceptable score on the exam given as part of
this instruction. Documentation will be provided to Georgia Tech by CITI and records will be maintained by the e-
Commerce and Training Office in the Office of Sponsored Programs (OSP). Training must be completed within 90 days of
appointment to a covered NSF or NIH-funded project or by the end of the semester, whichever is later; and
In-Person Training:
2. At the discretion of the School and Principal Investigator, students and trainees shall, either:
a. Participate in a class, seminar, or other interactive program developed by the School that address ethical issues
relevant to the discipline as well as broader issues of research integrity; or
b. Participate in regularly scheduled laboratory meetings or discussions that address ethical issues relevant to the
discipline as well as broader issues of research integrity; or
c. Successfully completes the Research Methods Course required by the School for all majors (provided that course
includes at least eight hours of instruction in ethical issues relevant to the discipline as well as broader issues of
research integrity); or
d. Successfully completes the Research Ethics Course offered by the Ivan Allen College; or
e. Participates in the Research Ethics Webinar offered two times per semester by OSP’s e-Commerce Office.
Please provide details of the RCR training (part 2) that will be provided to students supported by this award.
