Coeus Proposal Form

COEUS PROPOSAL FORM

CERTIFIABLE EFFORT OF FACULTY AND STAFF – USE PAGE 2 FOR ADDITIONAL PERSONNEL
NAME AND DEPARTMENT / *% REIMBURSED OFFSET / % NOT REIMBURSED
(COST-SHARED) / % DIRECT SALARY FROM GRANTS
PM Or %
AY CY
IFR Account #
Or
SOM Offset** / PM Or %
AY CY / PM PM PM
Or
% % %
AY Summer CY
PM Or %
AY CY
IFR Account #
Or
SOM Offset** / PM Or %
AY CY / PM PM PM
Or
% % %
AY Summer CY

*Applies to SUNY employees only **SOM Clinical Research Offset Agreement

PM = Person Months AY = Academic Year CY = Calendar Year

The information above must match that which is in the Investigators/Key Persons Page in Coeus.

LOCATION AND F&A RATE

LOCATION OF THE PROJECT: Indicate the specific location(s) where the project (excluding subcontracts) will be performed and quantify the % of time (in 25% increments) at each location.

LOCATION / % of Time
CAUTION - Be specific on the SBU location as the following facilities are considered to be off campus: BNL, Cancer Center, CRC, Flax Pond Lab, Tech Park, University Hospital, Veterans Home.

THE F&A RATE RESULTS FROM: a current campus rate published sponsor policy

COST SHARING OR MATCHING FUNDS

List below any commitments. Chair/Dean approval of this proposal signifies authorization of the commitment. If your commitment is from other than your Chair or Dean, upload your Letter of Commitment into the “Institutional Attachments” section of “Upload Attachments” in COEUS.

$ COMMITTED / DESCRIPTION OF COMMITMENT
BUDGET INFORMATION FOR NIH MODULAR GRANT APPLICATION

This information is for internal use of OSP only. Be sure to include the detailed justification as required by NIH. Please provide a cost breakdown for the items below that are included in your budget.

ITEM / YEAR 1 / YEAR 2 / YEAR 3 / YEAR 4 / YEAR 5
Equipment (>$5K – provide detailed
list & dollar value)
In/Out Patient Care - provide detail
Consortium/Contractual Costs
Formal Arrangement for Rental
Of Outside Facilities
Alterations and Renovations
Tuition and Fees (when applicable)
Participant support – provide detail
CERTIFIABLE EFFORT OF FACULTY AND STAFF
NAME AND DEPARTMENT / *% REIMBURSED OFFSET / % NOT REIMBURSED
(COST-SHARED) / % DIRECT SALARY FROM GRANTS
PM Or %
AY CY
IFR Account #
Or
SOM Offset** / PM Or %
AY CY / PM PM PM
Or
% % %
AY Summer CY
PM Or %
AY CY
IFR Account #
Or
SOM Offset** / PM Or %
AY CY / PM PM PM
Or
% % %
AY Summer CY
PM Or %
AY CY
IFR Account #
Or
SOM Offset** / PM Or %
AY CY / PM PM PM
Or
% % %
AY Summer CY
PM Or %
AY CY
IFR Account #
Or
SOM Offset** / PM Or %
AY CY / PM PM PM
Or
% % %
AY Summer CY
PM Or %
AY CY
IFR Account #
Or
SOM Offset** / PM Or %
AY CY / PM PM PM
Or
% % %
AY Summer CY
PM Or %
AY CY
IFR Account #
Or
SOM Offset** / PM Or %
AY CY / PM PM PM
Or
% % %
AY Summer CY
PM Or %
AY CY
IFR Account #
Or
SOM Offset** / PM Or %
AY CY / PM PM PM
Or
% % %
AY Summer CY

*Applies to SUNY employees only **SOM Clinical Research Offset Agreement

PM = Person Months AY = Academic Year CY = Calendar Year

The information above must match that which is in the Investigators/Key Persons Page in Coeus.

Office of Sponsored Programs Revision 9: December 14, 2012