ORSPA Forms Page

Office of Research and

Sponsored Programs Administration

FORMS and Tools

Funding Opportunities

Routing and Submitting Grant Proposals and Contracts

Post-Award Management

FAQs / Terminology

TABLE OF CONTENTS

Internal Routing & Request Forms

Budget Development Tools

Supporting Documents

Federal Forms and Tools

Compliance

Internal Routing and Request Forms
Internal Routing Form (must be submitted with all grant proposals and contracts - see the FAQ page for more info)
PI Change Request Form
No-Cost Extension Request Form
Cost Waiver/Reduction Request Form
Pre-Award Account Number Request
Subaward Request
NIH Modular Budget Information Form
NIH ETSU Application Certification Form
Re-budgeting Prior Approval Sheet

Budget Development Tools
Grant Proposal Budget Spreadsheet Template and Instructions: Budget Worksheet FY13
DHHS Indirect Cost Rate Agreement for ETSU effective 7/1/2011 - 2014
Person/Months Conversion Chart

Supporting Documents
W-9 Request Form - (to receive payment from the University, use this form to give us your Tax ID number)
W-9 Form - (to make payment to the University with our Tax ID number) please contact us for the current version of this form
RUI Eligibility Certification Letter for NSF please contact us for the current version of this form
Intent to Establish A Consortium Agreement
Significant Financial Interest Disclosure Form - Conflict of Interest (mandatory for all federally-funded investigators) Significant Financial Interest Disclosure Attachment (submit one attachment for each entity)
State Audit Reports: TBR Audit Report for ETSU http://www.comptroller.tn.gov/repository/SA/cu12080.pdf State of Tennessee Single Audit Report: http://www.comptroller.tn.gov/repository/SA/2012_TN_Single_Audit.pdf
ETSU Federal Tax Exempt Status Letter
ETSU State of TN Certificate of Exemption
Assurance of Compliance with Title VI of Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title IX of the Education Amendments of 1972, and the Age discrimination Act of 1975 (Form HHS-690)
Institutional Information (DUNS Number, etc.)

Federal Forms and Tools
Download Adobe Reader, etc. (see also our updated Adobe information page)
NIH Parent Announcements (for Unsolicited and Investigator-initiated applications)
Sample NIH Applications with Handwritten Instructions (Note: these samples are for your information only and are not to be used for submission purposes)
NSF Grant Proposal Guide, effective January 2013

Compliance

Biosafety: http://www.etsu.edu/research/biosafety.htm

IRB Forms: http://www.etsu.edu/irb/formsdoc.html

UCAC Forms: http://www.etsu.edu/ucac/protocolforms.aspx
DLAR Forms: http://www.etsu.edu/com/dlar/forms.aspx

Radiation Safety: http://www.etsu.edu/ospa/rso/

You are visitor number since July 3, 2007.

Free counter supplied by

ETSU Office of Research and Sponsored Programs

405 Ross Hall · P.O. Box 70565 · Johnson City, TN 37614

ph: (423)439-6000 · fax: (423)439-6050

research@etsu.edu

Quick Links:

NIH eRA Commons

ETSU Institutional Information
(DUNS number, etc.)

Follow us on Twitter