School of Medicine Proposal Approval Request Form

Please respond to all questions and upload Sponsored Programs Office (SPO) datasheet, abstract, budget, and additionaldocuments (as required). Once approved by the School of Medicine, you will receive a signed copy of your data sheet within 1-2working days via email.

NOTE: The department is responsible for submitting the proposal in its entirety (including the signed data sheet) to SPO atleast 5 business days before the sponsor deadline.

For questions about this form or the approval request process, contact School of Medicine Sponsored Programs atsomor@ucdavis.edu.

Principal Investigator* must provide value

Proposal Title* must provide value

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PI email* must provide value Contact email for the Principal Investigator

Administering Department* must provide value Department responsible for administering project

PI Home DepartmentIf different from Administering department

Are there Co-PI's to be recorded? Yes No

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Department Contact* must provide value Administrative contact - Last name first

Department Contact Email* must provide value

Administrative contact email

Department Contact Phone* must provide value Administrative contact phone number

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Administrative contact phone number

Sponsor* must provide value Agency/Organization directly giving funding to UC Davis

Prime Sponsor when Flow Thru (UCD is part of anotherorganization's proposal to a funding entity) Original source of funding if applicable

Where is the research being conducted?* must provide value In which building will the majority of the work be done?

Project Start Date* must provide value

M-D-Y

Number of Budget Periods* must provide value

Project End Date* must provide value

M-D-Y

Indirect Cost Rate* must provide value Provide a whole number WITHOUT the percent (%) sign

Indirect Cost Base* must provide value

Modified Total Direct Cost (MTDC) Total Direct Cost (TDC) Total Cost (TC) Waiver

resetChoose the indirect cost base applied to the rate

Proposed First Budget Period Total CostThe Total Costs for the first budget period (Direct + Indirectcosts)

Total Direct Costs - All Budget PeriodsThe Total Direct Costs for all budget periods

Total Indirect Costs - All Budget PeriodsThe Total Indirect Costs for all budget periods

Total Cost - All Budget Periods

Agency/Sponsor Call Number* must provide value RFP, RFA, or other funding source number and is linked to a

specific call title as well

Agency/Sponsor Call Title* must provide value This may be linked to a call number

Today

Today

What type of submission is this?* must provide value

Initial Resubmission (not previously funded) Renewal

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What type of proposal is this submission?* must provide value

Prime (UCD applying directly to funding entity) Flow thru (UCD is part of another organization's

proposal to a funding entity) Supplemental (Additional funding under an existing

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Does the PI need an exception to policy in order to bePrinicipal Investigator on this project?

Yes No

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Upload final, complete, and approved SponsoredPrograms datasheet* must provide value Must be signed by PI and Administering Department Chair

Upload the budget* must provide value

Upload a summary or abstract of the proposal as a pdfif applicable

Additional Notes for SoM Office of Research

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