Fillable Pre-Award Spending Request Form printable pdf download

PRE-AWARD SPENDING REQUEST FORM

(Preaward spending not allowed on a Federal Contract)

This Pre-award Spending Request Form must be completed and submitted to the Office of Sponsored Programs.

Principal Investigator Name: ____________________________Employee I.D. #: ______________

Department Name: ___________________________________Department Code: _________________

Proposal Title: _______________________________________________________________________

___________________________________________________________________________________

Sponsor

: _____________________________________________________

(Who we are getting the money from.)

Prime Sponsor

:________________________________________

(Who the Sponsor above is getting the money from.)

Type of Funding:

Federal

Federal Passthrough

Other___________________________

If Federal or Federal Passthrough provide: Award Number: ______________________ CFDA#: _______

If Award number is unknown, provide Solicitation # _____________________ (RFP, RFA, BAA, PA)

Major Project Status:

Yes

Period of Performance: ________________ to _________________

Amount of Funding: $__________________ Direct $________________ Indirect $_____________

Signed Routing Form and Pre-award package:

are attached; or,

have been submitted

Department understands OSP must have a signed Routing Form and application before the PeopleSoft Project can be established.

BackStop Class/Unrestricted Project Number: _______________________

Requestor: ____________________________ Phone No. ________________________

By approving this request for pre‐award spending, the requester and department acknowledge the risks involved with

incurring expenditures prior to receipt of the fully executed award documentation and agree to move all expenditures to an

appropriate Class or Project if the setup information requires the award be re‐established, if the pre‐award costs are

disallowed by the sponsor, or if the award is not fully executed.

The administrator also certifies that the principal investigator and any member of the research team responsible for the design,

conduct or reporting of project or study data has completed their conflicts of interest training and disclosure in accordance with

the provisions of 42 CFR Part 50 Subpart F, 42 CFR Part 94 and The University of Texas System policy, UTS 175, The University of

Texas Medical Branch at Galveston, policy (IHOP 11.1.2).

Approved by: ___________________________________________

Vice Chair of Administration/Business Leader

Version June 28, 2012

Pre-Award Spending Request Form