1-00

Project Director / Principal Investigator (PD/PI)

Key Personnel

Principal Investigator (NIH: PI/Contact)

Person data (First name; Last name) of the selected Principal Investigator is published.

02-01

Clinical Trial

Questionnaire

Q ID 2

Check "yes" or "no" to indicate whether the project is a clinical trial.

02-04

Agency-Defined Phase III Clinical Trial?

Questionnaire

ID 3

Check "yes" or "no" to indicate whether the project includes an agency-defined phase III clinical trial.  See Application Guide for the specific definition.

03-00

Disclosure Permission Statement

Questionnaire

Q ID 121

If this application does not result in an award, is the Government permitted to disclose the title of your proposed project, and the name, address, telephone number and e-mail address of the official signing for the applicant organization, to organizations that may be interested in contacting you for further information (e.g., possible collaborations, investment)?

Select "yes" or "no" to indicate whether disclosure permission is granted.

4

Program Income

Budget:

Project Income

Enter Income and Description for each project period where income is expected.

If the application is funded, the Notice of Grant Award will provide specific instructions regarding the use of such income.

Refer to the panel level help for full instructions on entering Project Income.

Note: this form supports 5 entries detailing Project Income by project period.

Human Embryonic Stem Cells

Questionnaire

Q ID 5

Does the proposed project involve human embryonic stem cells?

A Yes response will present additional questions.

Can a Specific Stem Cell line(s) be referenced?

Questionnaire

Q ID 6

Can a specific stem cell line be referenced at this time? If stem cells will be used, but a specific line cannot be referenced at the time of application submission, include a statement in your narratives that one from the registry will be used.

List the specific stem cell line(s)

Questionnaire

Q ID 7

List the registration number of the specific cell line(s) from the stem cell registry found at: http://stemcells.nih.gov/registry/index.asp

Refer to the NIH Registry website http://grants.nih.gov/stem_cells/registry/current.htmThe maximum allowed length of each registration number is four digits (4). List up to 20 registration numbers of the cell lines in the provided fields. The cell lines MUST match the active, valid cell lines to avoid submission errors at NIH eCommons.

  The 2.0 form supports listing 200 stem cell lines, but this questionnaire/question (id7) is limited to 20 responses (consistent with prior form versions). The ability to support 200 responses will be included in a future release.

6

Is this a Renewal application

Questionnaire

Q ID 118

Select Yes or No. If Yes, additional questions will be presented.

6a

Inventions and Patents

(reporting information required for Renewal applications)

Questionnaire

Q ID 119

Check "No" if no inventions were conceived or reduced to practice during the course of work under this project. 

Check "Yes" if any inventions were conceived or reduced to practice during the previous period of support

6b

If "Yes" (inventions were conceived or reduced to practice)

Questionnaire

Q ID 120

Answer Yes or No as to whether this information has been reported previously to the PHS or to the applicant organization official responsible for patent matters.

7

Change of Investigator

Questionnaire

Q ID 114

Does this application reflect a change in principal investigator/program director from that indicated on a previous application? Select Yes or No.

If Yes, Select the PI

Questionnaire

Q ID 115

Search the Address Book to find the Investigator.

Change of Institution

Questionnaire

Q ID 116

Has the grantee institution changed with this application?

If Yes, select the Institution

Questionnaire

Q ID 117

Search the Rolodex and select the former Institution (the Organization from rolodex record will be used).