University of Virginia Health System

Application Information Form

Click Here for :

F&A rate agreement   

Current NIH Salary Cap ($191,300)

INTERNAL ROUTING FORMS

•  Proposal Approval Sheet/ Goldenrod (.doc)
• eSnap Goldenrod
• SP23 form
• Oracle Supplement form - PDF
• Sole Source Justification
• Check Deposit Form
• UVA R&D Application
• Time Release Form 
• Training Grant Time Release Form
• Consortium/Contractual Agreement  (e.g., NIH subcontracts)
• Equipment Inventory Change request form P-1
• Tuition Remission
• NIH Closeout Instructions

Checklists:

• Proposals
• NIH Consortiums 

PHS APPLICATION /ADMINISTRATION FORMS

• **Use this version 398 Face Page (UVA)   (pdf)
• 398 Face Page (UVA) (doc)
• **Use this version 2590 Face Page(UVA) (pdf)
• 2590 Face Page (UVA) (doc)
• PHS 398    NIH link 
• PHS 2590   NIH link
• 3 Questions PHS2590
• NIHChecklist page phs398
• NIH Checklist page phs2590
• PHS 3734  - Relinquishing Statement
• HHS Form 568  - Final Invention Statement

 (also see SOM, Information on Grants.gov)

NOTE: The NIH is currently transitioning to using the SF424 suite of forms. The NIH forms referenced above will no longer be used after  (tentatively)6/2008.

NRSA/RESEARCH TRAINING & FELLOWSHIPS:

• Stipend Level
• Research Training Grants & Fellowships  NIH link
• PHS 2271 - Statement of Appointment
• PHS 6031 - NRSA  Payback Agreement Form
• PHS 6031-1 - NRSA Annual Payback Activities Certification Form
• PHS 416-5 - NRSA Research Fellowship Activation Notice
• PHS 416-7 - NRSA Research Fellowship Termination Notice
• PHS 416-1 (NRSA)
• PHS 416-9 (NRSA Continuation)