Intent to Submit a Grant

This form notifies the department head and other key faculty/staff of your intent to submit a grant for a particular due date. It asks for preliminary information about your project's budget needs and your plans to use research services for the proposal's development. Please complete this form as early as possible (it can be withdrawn if you decide not to submit the grant), but no later than the following mandatory DFMCH deadlines:

Type of Proposal:	Intent to Submit Form Is Due:
External Proposal (processed by SPA)	40 working days (8 weeks) before the funder's deadline
Internal Proposal (not processed by SPA, such as MMF or AHC seed grant)	30 working days (6 weeks) before the funder's deadline
Rapid Response Proposal (funder has a deadline shorter than 6-8 weeks)	Immediately. It may still be possible to submit. The department head, research director, finance director and PI, via a conference call, will determine whether a proposal of competitive quality can be completed in the time allowed.¹ Call the research director (612-625-0931) to set up the conference call.

¹The decision to submit will be guided by several criteria including: complexity of the application, how well developed the research idea and written proposal already is, whether this is one-time solicitation or recurring funding program, current workload of finance and research services staff (and availability of backup support), experience of the PI in preparing grants, and the competitiveness of the grant program.

Items with an asterisk (*) are required fields.

1.	Name of Principal Investigator*

2.	Working title of proposal*

3.	Type of proposal*
	New
	Revision
	Other (specify)
4.	Name of funding agency*
	NIH (specify which institute)
	CDC
	AHC
	MMF
	U of M Graduate School
	Other (specify)
5a.	Funding agency deadline*

5b.	Deadline type*
	Postmark
	Receipt
	Target (Check this box if the funding agency accepts proposals at any time during the year.)
6.	Program announcement number and Web site*

7.	Will the proposed project use Fairview Services?*
	Yes
	No
	Don't know at this time
8.	Will the proposed project be on or off campus?*
	On campus
	Off campus
	Don't know at this time
9a.	Do you anticipate using any DFMCH research services (e.g., assistance with study design, analysis plans, power calculations, peer review, editing, literature retrieval) to develop the proposal?*
	Yes
	No, I will not be using the research program services for the development of this proposal, except for the services of the grants accountant.
	NOTE: "Priority access" to research services is granted to faculty investigators who have an initial consult with the Research Program grants team, prepare a timeline for the proposal's development, and engage in internal "mock" peer review of proposal drafts. Faculty who decline these steps have access to research services on an "as available" basis.
9b.	If you anticipate using research services ("yes" to 9a), please list dates and times you are available to meet with the research program grants team, either in person or via conference call. This meeting is used to introduce your idea to the grants team and get early feedback, allocate research resources for the proposal's development, and plan a timeline for completion, including peer review.
	Dates and times (next 1-3 weeks) I am available to meet with the grants team:

10a.	Internal "mock" peer review of proposal drafts is recommended for all proposals. Do you anticipate having an internal peer review of your proposal?*
	Yes
	No
10b.	If "Yes":
	Indicate the approximate week you would like to schedule the first internal peer review of your proposal draft:
	and
	Indicate the approximate week you would like to schedule the second internal peer review of a more advanced proposal draft (time permitting):

11.	U of M co-PI(s) and co-investigator(s) on the project (if known; fill in name and department):

12.	Will the proposal require subcontracts?* (All proposals with co-investigators or consultants outside the U of M require a subcontract.)
	Yes
	No
	Don't know at this time
	If "Yes," name of co-investigators and consultants from other institutions (if known; fill in name and institution):

13.	Other anticipated personnel on project, such as project coordinator or research assistant (if known; fill in as much information as possible):

14a.	Please indicate how you can be reached by DFMCH faculty/staff working with you on this proposal.*
	E-mail
	Telephone
	Pager
14b.	What is the best way to reach you when a quick response from you is needed?
	E-mail
	Telephone
	Pager
15.	Comments or questions:

16.	The form is automatically sent to the department head, research directors, and finance team. In addition, please select the program director who should receive this information:
	John McCabe, MD
	Jeremy Springer, MD
	Mark Bixby, MD
	Jennifer Welsh, MD
	Joseph Blonski, MD
	William Roberts, MD, MS
	Jim Van Vooren, MD
	Eli Coleman, PhD
	Other (specify)

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