Checklist Form - Transfer A Grant Into Partners printable pdf download

– T

HECKLIST

RANSFER A

RANT

NTO

ARTNERS

This is a list of the materials that are generally required to transfer a grant into a Partners hospital. It is specific

to NIH, however other sponsors have similar requirements (but different forms). Please include the website

address for the sponsor’s guidelines (RFA, etc) if the transfer is not a standard NIH research grant

Partners Internal Forms

All are found on the Partners Research Intranet

Partners Research Proposal Coversheet (.pdf)

signed by PI and Chief

Conflicts of Interest Form (.pdf)

signed by PI, Key Personnel and other individuals who will influence the

project

Cost share request

form, if applicable – cost sharing commitments are discouraged unless specifically

mandated by the sponsor as a condition of the award; for details, see

Cost Sharing Policy

Budget Template

(use current version)

□

Certification of IRB/IACUC approved protocol, if applicable, from relinquishing institution

An application to transfer the remainder of the project period of the original award to Partners Includes:

Copy of Relinquishing Statement submitted to NIH by the relinquishing institution.

PHS398

Face Page (type “Change of Grantee Institution” at top)

PHS398 Summary, Relevance, Project/Performance Sites, Senior/Key Personnel, Other Significant

Contributors, and Human Embryonic Stem Cells forms as applicable

PHS398 budget pages 4&5--current and future years, including subaward information as applicable

Awards resulting from modular applications should include narrative budget information, including total

direct and F&A costs for the current budget period and, if future budget periods, information about the

number of modules and the basis for computing F&A costs for all future years

Updated biographical sketches for the PI and existing key personnel as well as full NIH biosketches for any

proposed new key personnel

Statement indicating whether the overall research plans/aims have changed from the original submission,

and, if so, providing updated information

Updated Other Support page(s) for PI and key personnel

□

PHS398 Resources page

□

PHS398 Checklist page (prior institution’s F&A rate ok for first budget period, with full F&A in out-years)

Detailed list of equipment purchased with grant funds that will be transferred to us.

□

If the transferring grant contains a subagreement, include the following:

Letter of Intent and Scope of Work, signed by the collaborator’s institutional official

Budget/Budget Justification

Biosketch/CV for Key Personnel and Other Significant Contributors

Resources Page if required for the project

Checklist indicating F&A rate (if not included on the budget page)

Checklist Form - Transfer A Grant Into Partners

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