Proposal Request

Upon Submission of this form, your answers will be sent to ceatresearch@okstate.edu. Direct any questions to this email

Date of Request Date of Request / MM / DD YYYY
Sponsor
Flow through from a Second Agency (Name)
Date Due/ Sponsor Deadline Date Due/ Sponsor Deadline / MM / DD YYYY
RFP # or Link to Solicitation
Title of Proposal
Project Start Date Project Start Date / MM / DD YYYY
Project End Date Project End Date / MM / DD YYYY
Proposal Type
Activity Type
Broad Topic Area-These options represent areas identified as major themes in the university's strategic plan, Tier 1 areas, and federal-related priority areas.
PI Name
PI Email
PI Department
Co-PI(s)
Co-PI(s) Department(s)
Cost Share Involved?

Cost Share Involved? Yes No
Subcontractors or External Entities (Name)
Where will the proposed work be conducted? *On-campus is defined as any OSU-owned facilities
Off-campus location (if applicable)
On-campus location/Room #
Does this research involve Human Subjects that requires OSU's IRB oversight?

Does this research involve Human Subjects that requires OSU's IRB oversight? Yes No
If "Yes": Has your team submitted an application for IRB approval?

If "Yes": Has your team submitted an application for IRB approval? Yes No
If "Yes": Please list the IRB protocol #(s) associated with this research and expiration date.
If "No": Please indicate your reason for not submitting an IRB application.

If "No": Please indicate your reason for not submitting an IRB application. Not required at proposal submission Submission is pending
Does this research involve Animal Subjects?

Does this research involve Animal Subjects? Yes No
If "Yes": Has your team submitted an application for IACUC approval?

If "Yes": Has your team submitted an application for IACUC approval? Yes No
If "Yes": Please list the IACUC protocol #(s) associated with this research and expiration date.
If "No": Please indicate your reason for not submitting an IRB application.

If "No": Please indicate your reason for not submitting an IRB application. Not required at proposal submission Submission is pending
Does this research involve Potential Biological Hazards/Recombinant DNA or Synthetic Materials?

Does this research involve Potential Biological Hazards/Recombinant DNA or Synthetic Materials? Yes No
Will this research be within the scope of DURC-PEPP - based on the biological agent/toxin and the experiment?

Will this research be within the scope of DURC-PEPP - based on the biological agent/toxin and the experiment? Yes No
Does this research involve Radioactive materials?

Does this research involve Radioactive materials? Yes No
Does this research involve X-Ray Devices?

Does this research involve X-Ray Devices? Yes No
Does this research involve lasers?

Does this research involve lasers? Yes No
Does proposal include CLASSIFIED Information

Does proposal include CLASSIFIED Information Yes No
Does proposal include Controlled Unclassified Information (CUI)?

Does proposal include Controlled Unclassified Information (CUI)? Yes No
Is the sponsor a foreign government, person, or entity? If this is a subcontract to OSU, please answer 'yes' if any tier sponsor (e.g., original funding source, prime sponsor, or pass-through entity) is a foreign government, person or entity.

Is the sponsor a foreign government, person, or entity? If this is a subcontract to OSU, please answer 'yes' if any tier sponsor (e.g., original funding source, prime sponsor, or pass-through entity) is a foreign government, person or entity. Yes No
Does the proposal involve any planned subawards, subrecipients, or collaborators that are a foreign government, person or entity?

Does the proposal involve any planned subawards, subrecipients, or collaborators that are a foreign government, person or entity? Yes No
Does the funding opportunity contain a foreign national restriction such as: Prohibiting foreign nationals or individuals from any specific country from participating in the project; Restricting the performance of the project to US citizens or US persons; Requirement for OSU to seek sponsor's prior approval for foreign nationals prior to their participation in the project; Requirement for OSU to identify foreign nationals participating in the project; or Prohibiting export of technology, information, or tiem(s)?

Does the funding opportunity contain a foreign national restriction such as: Prohibiting foreign nationals or individuals from any specific country from participating in the project; Restricting the performance of the project to US citizens or US persons; Requirement for OSU to seek sponsor's prior approval for foreign nationals prior to their participation in the project; Requirement for OSU to identify foreign nationals participating in the project; or Prohibiting export of technology, information, or tiem(s)? Yes No
Do any research personnel who will take part in the project participate in a foreign talent recruitment program (FTRP)?

Do any research personnel who will take part in the project participate in a foreign talent recruitment program (FTRP)? Yes No
Will any significant portion of this project occur outside the United States?

Will any significant portion of this project occur outside the United States? Yes No
If "Yes": Which country(ies)?
Will the project involve carrying, sending, transmitting, or transporting any equipment, data, or material related to this project to persons or entities outside the US? (examples include: GPS, biologicals, diagnostic kits, reagents).

Will the project involve carrying, sending, transmitting, or transporting any equipment, data, or material related to this project to persons or entities outside the US? (examples include: GPS, biologicals, diagnostic kits, reagents). Yes No
If "Yes": List the equipment, data, or material here. Please be specific.
Will the project utilize or result in equipment, technology, materials or software specifically designed, modified, or adapted (even slightly) for an actual or potential military use or that may involve national security?

Will the project utilize or result in equipment, technology, materials or software specifically designed, modified, or adapted (even slightly) for an actual or potential military use or that may involve national security? Yes No
Will the project involve travel outside the U.S.?

Will the project involve travel outside the U.S.? Yes No
Does the funding opportunity include any limitations on publication such as: The results of the research will be owned by the sponsor or an entity other than OSU; The sponsor or an entity other than OSU must provide advance review or approval of publications or presentations of the research results; The final decision as to what may be published belongs to the sponsor or an entity other than OSU; or A confidentiality clause prohibits OSU from publication or presentation of the research results.

Does the funding opportunity include any limitations on publication such as: The results of the research will be owned by the sponsor or an entity other than OSU; The sponsor or an entity other than OSU must provide advance review or approval of publications or presentations of the research results; The final decision as to what may be published belongs to the sponsor or an entity other than OSU; or A confidentiality clause prohibits OSU from publication or presentation of the research results. Yes No
Does the proposal include information designated by the government as CLASSIFIED?

Does the proposal include information designated by the government as CLASSIFIED? Yes No
Does the proposal include information designated by the government as Controlled Unclassified Information (CUI) or Covered Defense Information (CDI)?

Does the proposal include information designated by the government as Controlled Unclassified Information (CUI) or Covered Defense Information (CDI)? Yes No
Have all members of the research team submitted necessary updates to their Conflict of Interest DISCLOSURES - as required by the sponsor and the university - before this proposal submission and at least annually?

Have all members of the research team submitted necessary updates to their Conflict of Interest DISCLOSURES - as required by the sponsor and the university - before this proposal submission and at least annually? Yes No
If NO: Please indicate which research team members need to submit an up-to date COI disclosure.
Have you previously submitted an innovation disclosure to OSU's Office of Technology Commercialization related to this research?

Have you previously submitted an innovation disclosure to OSU's Office of Technology Commercialization related to this research? Yes No
Do you anticipate this research will result in an innovation disclosure and/or have a commercial application?

Do you anticipate this research will result in an innovation disclosure and/or have a commercial application? Yes No
Will this research utilize any OSU patents or any OSU pending patent applications?

Will this research utilize any OSU patents or any OSU pending patent applications? Yes No
Will this research use any material transfer agreements from a third party?

Will this research use any material transfer agreements from a third party? Yes No
Will this research use any material, patented or otherwise, which is owned by OSU and licensed to a commercial entity?

Will this research use any material, patented or otherwise, which is owned by OSU and licensed to a commercial entity? Yes No
Project Classification - Select one
Notes:
If you do not receive a response to your request within two (2) business days, please email ceatresearch@okstate.edu