11/7/0311/12/03
Today's DateApplication Deadline FRS Acct No.
Fitzsimmons, Kevin / 626-3322 /
Administering Department Name / Administering Dept. # / AdministeringFax #
SWES ERLAB / 2421 / 573-0852
Departmental Contact (Last name, first name) / UA Phone# / E-mail Address
Bell, Kathy / 626-3322 /
TITLE OF PROPOSAL Aquaculture TIES Arizona-Tamaulipas, Mexico
(100 Character limit)
SPONSOR (Funding Agency) ALO / US AID
Total amount requested: / $ 278,091
(Direct plus F & A costs.) / Proposed Start Date: / 7/1/04
Proposed End Date: / 6/30/07
Select one: /
Select one:
New / Research / Clinical TrialCompeting Renewal (NIH) / Instruction / Research Training
/ Continuation of or Supplement to Account
Revision / Public Service
/ Other
F & A Rate % F & A Base MTDC TDC OTHER
On Pre-Approved Waiver List
Waiver requested / On Campus
Off Campus
Where will the project be conducted?Bldg Room Other various
Will additional space requirements or space renovation be required? Yes No
If yes, please send completed space request form to Space Management.
Will this project generate program income? Yes No
Will there be fabrication of equipment on this project? Yes No
Will there be Cost-Sharing/Matching Funds involved? Yes No Source: Indirects, private sector
Universidad de Tamaulipas
Copies Required: when routing a proposal, one copy of the cover page, abstract, checklist (for DHHS only),
budget, and budget justification must be submitted with the Proposal Routing Sheet.
Rev 01/17/19
Will there be involvement with the following:Will there be involvement with the following: If yes, signature required:
Yes No Animal Subjects†Yes No American Indian Affairs
Yes No Cancer Related Research
Yes No Foreign Nation (list nation in title)Yes No Cancer Center Facilities
Yes No Gen Biohazards/Hazardous Waste
Yes No Good Laboratory Practices†Yes No Recombinant DNA/Microbial Pathogen
Yes No Human Subjects†
Yes No Radiation†
† no project activity allowed without approval of protocol
(Last Name, First Name) / Distribution of Creditfor Award / Distribution of
F & A Revenue / Approvals
Principal Investigator and Co-Investigators / % Effort / EIN / Dept. Number /
Percent
Award Credit
/ Dept. Number /Percent to be
Allocated
/ P. I. / Co-investigator Signature(cannot be delegated) / Dept. Head Signature / Dean Signature
Fitzsimmons, Kevin / 10 / 024008813 / 2421 / 100 / 0 / 0
Total 100% 100%
If Award Credit and/or F & A Cost columns are left blank the Principal Investigator and department noted on first line will be credited at 100%.
Sponsored Projects Services Approval
Date