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[Pilot Project Title]
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Project Begin Date:07/01/23
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Project End Date:06/30/24
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PI Contact Information:
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Name
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Email
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Co-PI Contact Information:Co-I Contact Information:
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NameName
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EmailEmail
For reference: Fringe Benefit rates (FY23)
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Staff28.7%
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Dept. Finance ManagerPTA Task Manager InfoPost Docs25.1%
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DFM NamePTA Task Mgr NameGraduate RA/TA5.9%
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DFM EmailPTA Task Mgr EmailContingent6.9%
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PTA Task Mgr SUNet ID
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Dept Org Code
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A. SENIOR/KEY PERSONNELTOTAL
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NameProject RoleAnnual Base Salary# of Cal or AY Months% effort Requested Salary Fringe Benefits Funds Requested
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[Example] PI, Co-PI, Co-I
Note: Salaries are capped at the NIH salary cap of $192,300.		= % effort x 12 mos (CY) or
= % effort x 9 mos (AY)		% = % effort x base salary = Requested Salary x Fringe Rate (%) = Salary + Fringe
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NamePI0.00 - - -
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NameCo-PI0.00 - - -
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NameCo-I0.00 - - -
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 - - -
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SENIOR/KEY PERSONNEL SUBTOTAL
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B. OTHER PERSONNEL
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NameProject RoleAnnual Base SalaryCal Months% effort Requested Salary Fringe Benefits Funds Requested
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[Example] Research Assistant, Coordinator, Biostatistician, Postdoc, etc.= % effort x 12 mos (CY) or
= % effort x 9 mos (AY)		% = % effort x base salary = Requested Salary x Fringe Rate (%) = Salary + Fringe
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0.00 - - -
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0.00 - - -
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OTHER PERSONNEL SUBTOTAL
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TOTAL SALARIES, WAGES & FRINGE BENEFITS
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C. TRAVELDescriptionCost per unit# of units
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[domestic trip 1] -
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[domestic trip 2] -
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TRAVEL SUBTOTAL -
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D. PARTICIPANT/TRAINEE SUPPORT COSTS
DescriptionCost per unit# of units
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[tuition] -
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[other:] -
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PARTICPANT/TRAINEE SUPPORT SUBTOTAL
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E. OTHER DIRECT COSTSDescriptionCost per unit# of units
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Professional Services [54201][Definition] Allowable consulting services, other than legal or accounting, paid to individuals and to outside organizations for professional services. Services provided are of an intellectual nature and include identification of problems, analysis of such problems and recommendation of solutions. -
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Publication Costs [54501][Definition] Cost of printing (include plate-making, press-work, binding, and the end products produced by such processes), distribution, promotion, mailing and general handling except where separate recording is desired. Includes page charges in professional journals. -
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Postage and Shipping [55301][Definition] Transportation of goods and materials such as cartage, drayage and freight services. May include fees such as packaging and wrapping. Can include UPS, Fed Ex charges, etc. if the nature of the transaction is for shipping. -
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Software Licenses [55401][Definition] On-premises computer software packages purchased from vendors where the acquisition cost is less than $1 million (including development and implementation). -
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[other:] -
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[other:] -
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[other:] -
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[other:] -
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OTHER DIRECT COSTS SUBTOTAL
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F. TOTALS
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TOTAL DIRECT COSTS -
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TOTAL REQUESTED -
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