Sample Exploratory Research Proposal - Excel by cdh13120

VIEWS: 451 PAGES: 3

More Info
									     1             2                       3                   4                                          5                     6                        7             8            9             10                        11                       12        13                     14                       15

                  Form
  Element     Name/Form          Data                                                                                                                                                          Maximum      List Values                        Min. # of     Max # of                                                                               Order                                                                                                                                  Error Tip
   Count          Page        Element #                                      Field Label                         Field Description                  Data Type      Required?     Minimum      Occurrences     (Optional, use if Data Type is     Char         Chars      Business Rules                  Linked Element     XML Schema Field      Sequence       Group Name                                                                                                                (optional
 (requried)    (required)     (required)                 Field Name                             (Required)              (Required)                  (Required)     (Required)   Occurrences    (Optional)                 LIST)                (Optional)   (Required)                 (Optional)           (optional)       Name (optional)      (required)      (required)                          Help Hint Text                             Accessibility Text (optional)                 )
     1        NIH Cover                                                                                                                                                                                                                            0                     Prepopulated, and read-
              Page                                                                                                                                                                                                                                                       only.                                                                                                                                                             Prefix: Pre-populated from the SF 424
                                                                                                                                                                                                                                                                                                        SF424(R&R)-15-1   globLib:PrefixName
              Supplement/P   NIH Cover                                      Prefix:                                                                                                                                                                                                                                                                                                Pre-populated from the SF 424 (R&R). The prefix         (R&R). The prefix (e.g., Mr., Mrs., Rev.)
              age 1          Page-1-1          PD/PIPrefixName                                                PD/PI Name Prefix                         AN             N            0              1                                                           10                                                                                       1.01 PDPIName              (e.g., Mr., Mrs., Rev.) for the name of the PD/PI.      for the name of the PD/PI.
     2        NIH Cover                                                                                                                                                                                                                              1                   Prepopulated, and read-
              Page                                                                                                                                                                                                                                                       only.                                                                                                                                                             First Name: Pre-populated from the SF 424
                                                                                                                                                                                                                                                                                                        SF424(R&R)-15-2   globLib:FirstName
              Supplement/P   NIH Cover                                                                                                                                                                                                                                                                                                                                             Pre-populated from the SF 424 (R&R). The first          (R&R). The first (given) name of the
              age 1          Page-1-2          PD/PIFirstName               First Name:                       PD/PI First Name                          AN             Y            1              1                                                           35                                                                                       1.02 PDPIName              (given) name of the PD/PI. This field is required.      PD/PI. This field is required.
     3        NIH Cover                                                                                                                                                                                                                              0                   Prepopulated, and read-
              Page                                                                                                                                                                                                                                                       only.
                                                                                                                                                                                                                                                                                                        SF424(R&R)-15-3   globLib:MiddleName
              Supplement/P   NIH Cover                                                                                                                                                                                                                                                                                                                                             Pre-populated from the SF 424 (R&R). The middle         Middle Name: Pre-populated from the SF
              age 1          Page-1-3          PD/PIMiddleName              Middle Name:                      PD/PI Middle Name                         AN             N            0              1                                                           25                                                                                       1.03 PDPIName              name of the PD/PI.                                      424 (R&R). The middle name of the PD/PI.
     4        NIH Cover                                                                                                                                                                                                                              1                   Prepopulated, and read-
              Page                                                                                                                                                                                                                                                       only.                                                                                                                                                             Last Name: Pre-populated from the SF 424
                                                                                                                                                                                                                                                                                                        SF424(R&R)-15-4   globLib:LastName
              Supplement/P   NIH Cover                                                                                                                                                                                                                                                                                                                                             Pre-populated from the SF 424 (R&R). The last           (R&R). The last (family) name of the
              age 1          Page-1-4          PD/PILastName                Last Name:                        PD/PI Last Name                           AN             Y            1              1                                                           60                                                                                       1.04 PDPIName              (family) name of the PD/PI. This field is required.     PD/PI. This field is required.
     5        NIH Cover                                                                                                                                                                                                                              0                   Prepopulated, and read-
              Page                                                                                                                                                                                                                                                       only.                                                                                                                                                             Suffix: Pre-populated from the SF 424
                                                                                                                                                                                                                                                                                                        SF424(R&R)-15-5   globLib:SuffixName
              Supplement/P   NIH Cover                                                                                                                                                                                                                                                                                                                                             Pre-populated from the SF 424 (R&R). The suffix         (R&R). The suffix (e.g., Jr, Sr, PhD) for the
              age 1          Page-1-5          PD/PISuffixName              Suffix:                           PD/PI Name Suffix                         AN             N            0              1                                                           10                                                                                       1.05 PDPIName              (e.g., Jr, Sr, PhD) for the name of the PD/PI.          name of the PD/PI.
     6                                                                                                                                                                                                                                                                   Highlight in standard yellow                                                                              Check “Yes” in the “New Investigator” box only if       New Investigator: Check “Yes” in the “New
                                                                                                                                                                                                                                                                         to indicate mandatory                                                                                     the principal investigator has not previously served    Investigator” box only if the principal
                                                                                                                                                                                                                                                                         element.                                                                                                  as such on any PHS-supported research project           investigator has not previously served as
                                                                                                                                                                                                                                                                                                                                                                                   other than a small grant (R03), an Academic             such on any PHS-supported research
                                                                                                                                                                                                                                                                                                                                                                                   Research Enhancement Award (R15), an                    project other than a small grant (R03), an
                                                                                                                                                                                                                                                                                                                                                                                   exploratory/developmental grant (R21), or               Academic Research Enhancement Award
                                                                                                                                                                                                                                                                                                                                                                                   mentored career development awards for persons at       (R15), an exploratory/developmental grant
                                                                                                                                                                                                                                                                                                                                                                                   the beginning of their research career (K01, K08,       (R21), or mentored career development
                                                                                                                                                                                                                                                                                                                                                                                   K22, and K23, K25). If the principal                    awards for persons at the beginning of their
                                                                                                                                                                                                                                                                                                                                                                                   investigator/ program director is not a new             research career (K01, K08, K22, and K23,
                                                                                                                                                                                                                                                                                                                                                                                   investigator, check “No.” Current or past               K25). If the principal investigator/
                                                                                                                                                                                                                                                                                                                                                                                   recipients of Independent Scientist and other non-      program director is not a new
                                                                                                                                                                                                                                                                                                                                                                                   mentored career awards (K02, K05, K24, and K26)         investigator, check “No.” Current or
                                                                                                                                                                                                                                                                                                                                                                                   are not considered new investigators.                   past recipients of Independent Scientist
                                                                                                                                                                                                                                                                                                                                                                                                                                           and other non-mentored career awards
                                                                                                                                                                                                                                                                                                                                                                                                                                           (K02, K05, K24, and K26) are not
              NIH Cover                                                                                                                                                                                                                                                                                                                                                                                                                    considered new investigators.
              Page
              Supplement/P   NIH Cover                                                                        Label for the New Investigator
              age 1          Page-1-6          NewInvestigatorIndicator     New Investigator                  element                                  Label
     7                                                                                                                                                                                                                                                                                                                                                                             Check “Yes” in the “New Investigator” box only if       New Investigator: Check “Yes” in the “New
                                                                                                                                                                                                                                                                                                                                                                                   the principal investigator has not previously served    Investigator” box only if the principal
                                                                                                                                                                                                                                                                                                                                                                                   as such on any PHS-supported research project           investigator has not previously served as
                                                                                                                                                                                                                                                                                                                                                                                   other than a small grant (R03), an Academic             such on any PHS-supported research
                                                                                                                                                                                                                                                                                                                                                                                   Research Enhancement Award (R15), an                    project other than a small grant (R03), an
                                                                                                                                                                                                                                                                                                                                                                                   exploratory/developmental grant (R21), or               Academic Research Enhancement Award
                                                                                                                                                                                                                                                                                                                                                                                   mentored career development awards for persons at       (R15), an exploratory/developmental grant
                                                                                                                                                                                                                                                                                                                                                                                   the beginning of their research career (K01, K08,       (R21), or mentored career development
                                                                                                                                                                                                                                                                                                                                                                                   K22, and K23, K25). If the principal                    awards for persons at the beginning of their
                                                                                                                                                                                                                                                                                                                                                                                   investigator/ program director is not a new             research career (K01, K08, K22, and K23,
                                                                                                                                                                                                                                                                                                                                                                                   investigator, check “No.” Current or past               K25). If the principal investigator/
                                                                                                                                                                                                                                                                                                                                                                                   recipients of Independent Scientist and other non-      program director is not a new
                                                                                                                                                                                                                                                                                                                                                                                   mentored career awards (K02, K05, K24, and K26)         investigator, check “No.” Current or
                                                                                                                                                                                                                                                                                                                                                                                   are not considered new investigators.                   past recipients of Independent Scientist
                                                                                                                                                                                                                                                                                                                                                                                                                                           and other non-mentored career awards
                                                                                                                                                                                                                                                                                                                                                                                                                                           (K02, K05, K24, and K26) are not
              NIH Cover                                                                                                                                                                                                                                                                                                                                                                                                                    considered new investigators.
              Page                                                                                                                                      Y/N                                                                                                              Implement as a radio
              Supplement/P   NIH Cover                                                                        Indicates whether this is a new                                                                                                                            button with Yes and No
              age 1          Page-1-7          NewInvestigatorIndicator     New Investigator                  investigator to the NIH.              Radio Button       Y            1              1                                                 2          3        options.                       N/A               globLib:YesNoDataType         1.06 PDPI
     8                                                                                                                                                                                                                                                                                                                                                                             Indicate up to three academic and professional          Degrees: Indicate up to three academic
                                                                                                                                                                                                                                                                         Form shows three data                                                                                     degrees or other credentials, such as licenses (e.g.,   and professional degrees or other
                                                                                                                                                                                                                                                                         entry boxes. Only the first                                                                               R.N.).                                                  credentials, such as licenses (e.g., R.N.).
                                                                                                                                                                                                                                                                         one should be enabled,
              NIH Cover                                                                                                                                                                                                                                                  initially. The second one
              Page                                                                                                                                                                                                                                                       enabled after first box is
              Supplement/P   NIH Cover                                                                                                                                                                                                                                   filled in. Third one enabled
              age 1          Page-1-8          Degrees                      Degrees                           PI/PD Degrees                             AN             N            0              3                                                 0         10        after second box filled in.    N/A               Degrees                       1.07 PDPI
     9                                                                                                                                                                                                                                                                                                                                                                             Check “Yes” or “No” to indicate whether the project     Clinical Trial: Check “Yes” or “No” to
                                                                                                                                                                                                                                                                                                                                                                                   is a clinical trial. A clinical trial is defined as a   indicate whether the project is a clinical
                                                                                                                                                                                                                                                                                                                                                                                   prospective biomedical or behavioral research study     trial. A clinical trial is defined as a
              NIH Cover                                                                                       Indicates whether the human                                                                                                                                                                                                                                          of human subjects that is designed to answer            prospective biomedical or behavioral
              Page                                                                                            subject research can be classified        Y/N                                                                                                                                                                                                                        specific questions about biomedical or behavioral       research study of human subjects that is
              Supplement/P   NIH Cover                                                                        as a Phase-I, Phase-II, or Phase-                                                                                                                                                                                                                                    interventions (drugs, treatments, devices, or new       designed to answer specific questions about
              age 1          Page-2-1          ClinicalTrialIndicator       Clinical Trial?                   III clinical trial.                   Radio Button       N            0              1                                                 0          3                                                         globLib:YesNoDataType         2.01 ClinicalTrial         ways of using known drugs, treatments, or devices).     biomedical or behavioral interventions
    10                                                                                                                                                                                                                                                                                                                                                                             Check “Yes” or “No” to indicate whether the project     (drugs, treatments, devices, or new ways
                                                                                                                                                                                                                                                                                                                                                                                                                                           Agency-Defined Phase III Clinical Trial:
                                                                                                                                                                                                                                                                                                                                                                                   is an Agency-Defined Phase III clinical trial. An       Check “Yes” or “No” to indicate whether the
                                                                                                                                                                                                                                                                                                                                                                                   Agency-Defined Phase III Clinical Trial is a broadly    project is an Agency-Defined Phase III
                                                                                                                                                                                                                                                                                                                                                                                   based prospective Phase III clinical investigation,     clinical trial. An Agency-Defined Phase III
                                                                                                                                                                                                                                                                                                                                                                                   usually involving several hundred or more human         Clinical Trial is a broadly based prospective
                                                                                                                                                                                                                                                                                                                                                                                   subjects, for the purpose of either evaluating an       Phase III clinical investigation, usually
                                                                                                                                                                                                                                                                                                                                                                                   experimental intervention in comparison with a          involving several hundred or more human
                                                                                                                                                                                                                                                                                                                                                                                   standard or control intervention or of comparing two    subjects, for the purpose of either
                                                                                                                                                                                                                                                                                                                                                                                   or more existing treatments. Often the aim of such      evaluating an experimental intervention in
                                                                                                                                                                                                                                                                                                                                                                                   investigation is to provide evidence leading to a       comparison with a standard or control
                                                                                                                                                                                                                                                                                                                                                                                   scientific basis for consideration of a change in       intervention or of comparing two or more
                                                                                                                                                                                                                                                                                                                                                                                   health policy or standard of care. The definition       existing treatments. Often the aim of such
                                                                                                                                                                                                                                                                                                                                                                                   includes pharmacologic, non-pharmacologic, and          investigation is to provide evidence leading
              NIH Cover                                                                                       Indicates whether the proposed                                                                                                                             Enabled and required if the
                                                                                                                                                                                                                                                                                                                                                                                   behavioral interventions given for disease              to a scientific basis for consideration of a
              Page                                                                                            clinical trial can be classified as       Y/N                                                                                                              answer to "Clinical Trial?"
                                                                                                                                                                                                                                                                                                                                                                                   prevention, prophylaxis, diagnosis, or therapy.         change in health policy or standard of care.
              Supplement/P   NIH Cover                                        Agency-Defined Phase III        an PHS398-Defined Phase III                                                                                                                                (ClinicalTrialIndicator) is
                                                                                                                                                                                                                                                                                                                                                                                   Community trials and other population-based             The definition includes pharmacologic, non-
              age 1          Page-2-2          PhaseIIIClinicalTrialIndicator Clinical Trial?                 clinical trial.                       Radio Button       N            0              1                                                 0          3        "Yes". Disabled otherwise.                       globLib:YesNoDataType         2.02 ClinicalTrial
                                                                                                                                                                                                                                                                                                                                                                                   intervention trials are also included.                  pharmacologic, and behavioral
    11
              NIH Cover                                                                                                                                                                                                                                                                                                                                                                                                                    Contact Prefix: Pre-populated from the SF
              Page                                                                                            Name prefix of the person to                                                                                                                                                              SF424(R&R)-5-12   globLib:PrefixName                   ContactName         Pre-populated from the SF 424 (R&R). The prefix         424 (R&R). The prefix (e.g., Mr., Mrs.,
              Supplement/P   NIH Cover                                      Applicant Organization Contact:   contact on matters related to                                                                                                                              Prepopulated, and read-                                                                                   (e.g., Mr., Mrs., Rev.) for the person to contact on    Rev.) for the person to contact on matters
              age 1          Page-3-1          ContactPrefix                Prefix                            this application                          AN             N            0              1                                                 0         10        only.                                                                          3.01                       matters related to this application.                    related to this application.
    12
              NIH Cover                                                                                                                                                                                                                                                                                                                                                                                                                    Contact First Name: Pre-populated from the
              Page                                                                                            First name of the person to                                                                                                                                                               SF424(R&R)-5-13   globLib:FirstName                    ContactName         Pre-populated from the SF 424 (R&R). The first          SF 424 (R&R). The first (given) name of
              Supplement/P   NIH Cover                                      Applicant Organization Contact:   contact on matters related to                                                                                                                              Prepopulated, and read-                                                                                   (given) name of the person to contact on matters        the person to contact on matters related to
              age 1          Page-3-2          ContactFirstName             First Name                        this application                          AN             Y            1              1                                                 1         35        only.                                                                          3.02                       related to this application. This field is required.    this application. This field is required.
    13        NIH Cover                                                                                                                                                                                                                                                                                                                                                                                                                    Contact Middle Name: Pre-populated from
              Page                                                                                            Middle name of the person to                                                                                                                                                                                                                                         Pre-populated from the SF 424 (R&R). The middle         the SF 424 (R&R). The middle name of the
                                                                                                                                                                                                                                                                                                        SF424(R&R)-5-14   globLib:MiddleName                   ContactName
              Supplement/P   NIH Cover                                      Applicant Organization Contact:   contact on matters related to                                                                                                                              Prepopulated, and read-                                                                                   name of the person to contact on matters related         person to contact on matters related to
              age 1          Page-3-3          ContactMiddleName            Middle Name                       this application                          AN             N            0              1                                                 0         25        only.                                                                          3.03                       to this application.                                    this application.
    14
              NIH Cover                                                                                                                                                                                                                                                                                                                                                                                                                    Contact Last Name: Pre-populated from the
              Page                                                                                            Last name of the person to                                                                                                                                                                SF424(R&R)-5-15   globLib:LastName                     ContactName         Pre-populated from the SF 424 (R&R). The last           SF 424 (R&R). The last (family) name of
              Supplement/P   NIH Cover                                      Applicant Organization Contact:   contact on matters related to                                                                                                                              Prepopulated, and read-                                                                                   (family) name of the person to contact on matters       the person to contact on matters related to
              age 1          Page-3-4          ContactLastName              Last Name                         this application                          AN             Y            1              1                                                 1         60        only.                                                                          3.04                       related to this application. This field is required.    this application. This field is required.
    15
              NIH Cover                                                                                                                                                                                                                                                                                                                                                                                                                    Contact Suffix: Pre-populated from the SF
              Page                                                                                            Name suffix of the person to                                                                                                                                                              SF424(R&R)-5-16   globLib:SuffixName                   ContactName         Pre-populated from the SF 424 (R&R). The suffix         424 (R&R). The suffix (e.g., Jr, Sr, Phd)
              Supplement/P   NIH Cover                                      Applicant Organization Contact:   contact on matters related to                                                                                                                              Prepopulated, and read-                                                                                   (e.g., Jr, Sr, Phd) for the name of the person to       for the name of the person to contact on
              age 1          Page-3-5          ContactSuffixName            Suffix                            this application                          AN             N            0              1                                                 0         10        only.                                                                          3.05                       contact on matters related to this application.         matters related to this application.
    16
                                                                                                                                                                                                                                                                                                                                                                                                                                           Contact Phone Number: Pre-populated from
              NIH Cover                                                                                                                                                                                                                                                                                                                                                                                                                    the SF 424 (R&R). The daytime phone
                                                                                                                                                                                                                                                                                                        SF424(R&R)-5-17   globLib:Phone                        ContactPersonInfo
              Page                                                                                            Telephone number of the person                                                                                                                                                                                                                                       Pre-populated from the SF 424 (R&R). The daytime        number for the person to contact on
              Supplement/P   NIH Cover                                      Applicant Organization Contact:   to contact on matters related to                                                                                                                           Prepopulated, and read-                                                                                   phone number for the person to contact on matters       matters related to this application. This
              age 1          Page-3-6          ContactPhoneNumber           Phone Number                      this application                          AN             Y            1              1                                                 1         25        only.                                                                          3.06                       related to this application. This field is required.    field is required.
    17        NIH Cover                                                                                                                                                                                                                                                                                                                                                                                                                    Contact Fax Number: Pre-populated from
              Page                                                                                            Fax number of the person to                                                                                                                                                               SF424(R&R)-5-18   globLib:Fax                          ContactPersonInfo   Pre-populated from the SF 424 (R&R). The fax            the SF 424 (R&R). The fax number for the
              Supplement/P   NIH Cover                                      Applicant Organization Contact:   contact on matters related to                                                                                                                              Prepopulated, and read-                                                                                   number for the person to contact on matters related     person to contact on matters related to this
              age 1          Page-3-7          ContactFaxNumber             Fax Number                        this application                          AN             N            0              1                                                 0         25        only.                                                                          3.07                       to this application.                                    application.




433b6e20-6099-41cd-aa8d-75b9d27b846a.xls                                                                                                                                                                                                       1-3                                                                                                                                                                                                                                         7/22/2010
                 Form
  Element     Name/Form          Data                                                                                                                                               Maximum      List Values                        Min. # of     Max # of                                                                                  Order                                                                                                                                  Error Tip
   Count          Page        Element #                            Field Label                          Field Description                Data Type      Required?     Minimum      Occurrences     (Optional, use if Data Type is     Char         Chars      Business Rules                     Linked Element     XML Schema Field      Sequence       Group Name                                                                                                                (optional
 (requried)    (required)     (required)           Field Name                          (Required)              (Required)                (Required)     (Required)   Occurrences    (Optional)                 LIST)                (Optional)   (Required)               (Optional)                (optional)       Name (optional)      (required)      (required)                          Help Hint Text                               Accessibility Text (optional)               )
     18       NIH Cover                                                                                                                                                                                                                                                                                                                                                                                                             Contact Email: Pre-populated from the SF
              Page                                                                                   Email address of the person to                                                                                                                                                                                                                                        Pre-populated from the SF 424 (R&R). The e-mail          424 (R&R). The e-mail address for the
                                                                                                                                                                                                                                                                                                SF424(R&R)-5-19   globLib:Email                        ContactPersonInfo
              Supplement/P   NIH Cover                             Applicant Organization Contact:   contact on matters related to                                                                                                                            Prepopulated, and read-                                                                                      address for the person to contact on matters related     person to contact on matters related to this
              age 1          Page-3-8      ContactEmail            Email                             this application                        AN             N            0              1                                                 0         60        only.                                                                             3.08                       to this application.                                     application.
    19
              NIH Cover
              Page                                                 Applicant Organization            Position title of the person to                                                                                                                                                                              globLib:Title                        ContactPersonInfo   Enter the title of the the person to contact on          Contact Title: Enter the title of the the
              Supplement/P   NIH Cover                             Contact:                          contact on matters related to                                                                                                                                                                                                                                         matters related to this application. This field is       person to contact on matters related to this
              age 1          Page-3-9      ContactTitle            Title                             this application                        AN             Y            1              1                                                 1         45                                                                                          3.09                       required.                                                application. This field is required.
    20
              NIH Cover                                                                                                                                                                                                                                                                                                                                                                                                             Contact Street1: Enter first line of the
              Page                                                 Applicant Organization            Line 1 of street address. for the                                                                                                                                                                            globLib:Street1                      ContactPersonInfo   Enter first line of the street address for the person    street address for the person to contact on
              Supplement/P   NIH Cover                             Contact:                          person to contact on matters                                                                                                                                                                                                                                          to contact on matters related to this application in     matters related to this application in the
              age 1          Page-3-10     ContactStreet1          Street 1                          related to this application.            AN             Y            1              1                                                 1         55                                                                                           3.1                       the “Street1” field. This field is required.             “Street1” field. This field is required.
    21
              NIH Cover                                                                                                                                                                                                                                                                                                                                                    Enter second line of the street address for the          Contact Street2: Enter second line of the
              Page                                                 Applicant Organization            Line 2 of street address. for the                                                                                                                                                                            globLib:Street2                      ContactPersonInfo   person to contact on matters related to this             street address for the person to contact on
              Supplement/P   NIH Cover                             Contact:                          person to contact on matters                                                                                                                                                                                                                                          application in the “Street2” field. This field is        matters related to this application in the
              age 1          Page-3-11     ContactStreet2          Street 1                          related to this application.            AN             N            0              1                                                 0         55                                                                                          3.11                       optional.                                                “Street2” field. This field is optional.
    22        NIH Cover                                                                              City portion of the mailing
              Page                                                 Applicant Organization            address, for the person to                                                                                                                                                                                                                                            Enter the City for address for the person to contact     Contact City: Enter the City for address for
                                                                                                                                                                                                                                                                                                                  globLib:City                         ContactPersonInfo
              Supplement/P   NIH Cover                             Contact:                          contact on matters related to                                                                                                                                                                                                                                         on matters related to this application. This field is    the person to contact on matters related to
              age 1          Page-3-12     ContactCity             City                              this application.                       AN             Y            1              1                                                 1         35                                                                                          3.12                       required.                                                this application. This field is required.
    23        NIH Cover
              Page                                                                                   County portion of the contact                                                                                                                                                                                globLib:County                       ContactPersonInfo                                                            Contact County: Enter the County for
              Supplement/P   NIH Cover                             Applicant Organization Contact:   information, on matters related                                                                                                                                                                                                                                       Enter the County for address for the person to           address for the person to contact on
              age 1          Page-3-13     ContactCounty           County                            to this application                     AN             N            0              1                                                 0         30                                                                                          3.13                       contact on matters related to this application.          matters related to this application.
    24




                                                                                                                                                                                                                                                              Combo box
                                                                                                                                                                                                                                                                                                                  globLib:State Code                   ContactPersonInfo
              NIH Cover                                                                              State portion of the mailing                                                                                                                             Required if the Country is
              Page                                                 Applicant Organization            address, for the person to                                                                                                                               US, and in that case the                                                                                                                                              Contact State: Enter the State for address
              Supplement/P   NIH Cover                             Contact:                          contact on matters related to                                                                                                                            value MUST validate                                                                                          Enter the State for address for the person to            for the person to contact on matters related
              age 1          Page-3-14     ContactState            State                             this application.                      LIST            N            0              1        All Valid US State Codes                 0         30        against the LOV.                                                                  3.14                       contact on matters related to this application.          to this application.
    25



              NIH Cover                                                                              Zip code portion of the mailing                                                                                                                                                                              globLib:Zip Code                     ContactPersonInfo
              Page                                                                                   address, for the person to                                                                                                                               Required for US Only                                                                                                                                                  Contact Zip Code: Enter the Postal Code
              Supplement/P   NIH Cover                             Applicant Organization Contact:   contact on matters related to                                                                                                                                                                                                                                         Enter the Postal Code (e.g., ZIP code) of the person     (e.g., ZIP code) of the person to contact on
              age 1          Page-3-15     ContactZipCode          Zip Code                          this application.                       AN             N            0              1                                                 0         30                                                                                          3.15                       to contact on matters related to this application.       matters related to this application.
    26

              NIH Cover                                                                              Country portion of the mailing
                                                                                                                                                                                                                                                                                                                  globLib:Country                      ContactPersonInfo
              Page                                                                                   address, for the person to                                                                                                                               Select box.                                                                                                  Select the country for the person to contact on          Contact Country: Select the country for the
              Supplement/P   NIH Cover                             Applicant Organization Contact:   contact on matters related to                                                               ISO 3166 Country Codes. US is                                                                                                                                             matters related to this application. This field is       person to contact on matters related to this
              age 1          Page-3-16     ContactCountry          Country                           this application.                      LIST            Y            1              1        default.                                 1          3                                                                                          3.16                       required.                                                application. This field is required.
    27                                                                                                                                                                                                                                                        Highlight in standard yellow
                                                                                                                                                                                                                                                              to indicate mandatory
              NIH Cover                                                                                                                                                                                                                                       element.
              Page                                                 Does the proposed project
              Supplement/P   NIH Cover                             involve human embryonic stem      Label for theStemCellIndicator
              age 2          Page-4-1      StemCellIndicator       cells?                            element                                Label
    28                                                                                                                                                                                                                                                                                                                                                                                                                              Stem Cell Indicator: If the proposed project
                                                                                                                                                                                                                                                                                                                                                                           If the proposed project does not involve human           does not involve human embryonic stem
                                                                                                                                                                                                                                                                                                                                                                           embryonic stem cells, check No.                          cells, check No.
              NIH Cover
              Page                                                 Does the proposed project         Indicates whether the research          Y/N                                                                                                                                                                                                                           If the proposed project involves human embryonic         If the proposed project involves human
              Supplement/P   NIH Cover                             involve human embryonic stem      proposal involves the use of                                                                                                                                                                                                                                          stem cells, check Yes and complete the section           embryonic stem cells, check Yes and
              age 2          Page-4-1      StemCellIndicator       cells?                            human embryonic stem cells          Radio Button       Y            1              1                                                 2          3                                                            globLib:YesNoDataType         4.01 StemCells             below.                                                   complete the section below.
    29
                                                                                                                                                                                                                                                              Check box. If checked then
                                                                                                                                                                                                                                                              the answer is "Y", else
                                                                                                                                                                                                                                                              answer is "N".

                                                                                                                                                                                                                                                              Enabled only when answer
                                                                                                                                                                                                                                                              to "Does project involve
                                                                                                                                                                                                                                                              stem cells?" (row #32
                                                                                                                                                                                                                                                              above) is "Y". Otherwise
                                                                                                                                                                                                                                                              this checkbox is disabled.

                                                                                                     Indicates that a list of specific                                                                                                                        Also automatically un-
              NIH Cover                                                                              cell line(s) cannot be provided                                                                                                                          checked and disabled if one
              Page                                                 Specific Stem Cell Line cannot    yet, and provides assurance that        Y/N                                                                                                              or more specific stem cell                                                                                                                                            Stem Cell List Indicator: If a specific line
              Supplement/P   NIH Cover                             be referenced at this time. One   one frm the PHS398 registry will                                                                                                                         lines are listed for row #34,                                                                                If a specific line cannot be referenced at the time of   cannot be referenced at the time of
              age 2          Page-4-2      StemCellListIndicator   from the registry will be used.   be used.                             Checkbox          N            0              1                                                 0          3        below.                                              globLib:YesNoDataType         4.02 StemCells             application submission, check this box.                  application submission, check this box.
    30
                                                                                                                                                                                                                                                              Enabled only when answer
                                                                                                                                                                                                                                                              to "Does project involve
                                                                                                                                                                                                                                                              stem cells?" (row #32
                                                                                                                                                                                                                                                              above) is "Y". Otherwise
                                                                                                                                                                                                                                                              this (repeating) data
                                                                                                                                                                                                                                                              element is disabled.

              NIH Cover                                                                                                                                                                                                                                       Also automatically disabled                                                                                                                                           Cell Line(s): List in this section the
              Page                                                                                                                                                                                                                                            if the "specific stem cell line                                                                              List in this section the registration number of the      registration number of the specific cell
              Supplement/P   NIH Cover                                                               List of human embryonic stem                                                                                                                             cannot be referenced" (row                                                                                   specific cell line(s) from the NIH Human Embryonic       line(s) from the NIHS Human Embryonic
              age 2          Page-4-3      CellLines               Cell Line(s)                      cell line(s) that will be used.         AN             N            0             20                                                 0          4        #33 above) is checked.                              CellLines                     4.03 StemCells             Stem Cell Registry.                                      Stem Cell Registry.




433b6e20-6099-41cd-aa8d-75b9d27b846a.xls                                                                                                                                                                                            2-3                                                                                                                                                                                                                                            7/22/2010
    1            2                      3                    4                     5                      6           7                              8                        9            10            11           12                    13                      14
  Row #       Block #     Field Label                       Pre-      Pre-population Source   Field Description   Data Type        List Values                            Required?     Maximum       Min. # of    Max # of    Business Rules            Comments
(Required)   (Required)                     (Required)   populated            (Optional)             (Required)   (Required)       (Optional, use if Data Type is LIST)   (Required)   Occurrences   Characters   Characters                (Optional)              (Optional)
                                                         (Required)                                                                                                                     (Optional)   (Optional)   (Required)




                                                                                                                               3

								
To top