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
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
On-Campus Building / 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
Does this research involve Animal Subjects?

Does this research involve Animal Subjects? Yes No
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
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
Will the project involve sending, transporting, transmitting, or carrying any material or equipment related to this project outside the U.S.?
(examples include: GPS, biologicals, diagnostic kits, reagents)

Will the project involve sending, transporting, transmitting, or carrying any material or equipment related to this project outside the U.S.?
(examples include: GPS, biologicals, diagnostic kits, reagents) Yes No
What items do you plan to ship or transport out of the U.S.? (Please be
specific)
To which countries are you shipping/transporting?
Will the project involve travel outside the U.S.?

Will the project involve travel outside the U.S.? Yes No
Earliest Date of Travel (if known)
To which countries are you traveling?
Will any foreign nationals work on the project?

Will any foreign nationals work on the project? Yes Possibly No
In the performance of this project, is there a requirement for handling export-controlled
(EAR/ITAR) information or materials?

In the performance of this project, is there a requirement for handling export-controlled
(EAR/ITAR) information or materials? Yes No
Will the project result in the export of information, material or equipment, software, or technology outside to another country?

Will the project result in the export of information, material or equipment, software, or technology outside to another country? Yes No
Will the project result in the export of 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 result in the export of 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 possibly
Will you be restricted from publication, require a nondisclosure
agreement (NDA), or, receive, use or create any
proprietary technical data?

Will you be restricted from publication, require a nondisclosure
agreement (NDA), or, receive, use or create any
proprietary technical data? Yes No
Do any research personnel participate in a
foreign government talent program?

Do any research personnel participate in a
foreign government talent program? Yes No
Will any significant scientific element of the
project occur outside the U.S.?

Will any significant scientific element of the
project occur outside the U.S.? Yes No
Describe activities that will occur outside the U.S.
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 the institution and licensed to a commercial entity?

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