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Who?

Stage

Text

Dependency

All Investigators

Proposal/Award

I am not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal Department or agency.

Has Federal or State Sponsor

All Investigators

Proposal/Award

My Financial Disclosure on COINS does contain a disclosure of this Significant Financial Interest as it relates to the proposed research.

Has COINS Number Populated

All Investigators

Proposal/Award

NOTE: The below assurance statement is valid for IAF's created prior to 9/15/2021.

The sponsor will have the opportunity to own any patents resulting from this project.  If the sponsor elects ownership, you may have an ongoing obligation to support the patent prosecution.  Please note that you will not benefit financially from the commercialization of your research results. Penn State will retain the right to practice the intellectual property for noncommercial research and educational purposes.


NOTE: The below assurance statement replaced the prior statement for IAF's created after 9/15/2021.

The sponsor may request up front commercial license rights to any IP resulting from this project. If the sponsor elects these rights, I may have an ongoing obligation to help Penn State support the filing and prosecution of any applicable patent applications (including by reviewing draft patent applications and responses and by signing official documents). Additionally, I understand that it is likely that I will not benefit financially from the commercialization of such IP licensed under these terms. Penn State will retain the right to practice the intellectual property for noncommercial research and educational purposes.

Investigator PSU IP Check

All Investigators

Proposal/Award

All sponsors have been made aware of this duplicate proposal.  In the event this proposal is funded, I will withdraw all duplicate proposals.

Investigator Proposal Pending w/Another Sponsor

All InvestigatorsProposal/AwardI have disclosed in the proposal, as may be required, all research activity performed within and outside of Penn State (paid and unpaid), including foreign affiliations and/or support from other universities and governments (e.g. talent programs). (If you are unsure whether all disclosure requirements have been met, please contact fa-osp@psu.edu).

All Compliance Approvers

Proposal/Award

I certify that all compliance issues within my authority to approve have been resolved to the best of my knowledge.

 Compliance approval is required

Data Entry Approver

Award

My data entry is complete.


Data Entry Approver

Award

I approve this award to begin Workflow.


AOR

Proposal/Award

I certify that the information provided herein is complete and accurate to the best of my knowledge and that I’m aware that any false, fictitious, or fraudulent statements may subject me to criminal, civil, or administrative penalties.


AOR

Proposal/Award

I certify that the information provided herein is complete and accurate to the best of my knowledge and that I’m aware that any false, fictitious, or fraudulent statements may subject me to criminal, civil, or administrative penalties.


AOR

Proposal/Award

I certify that the information provided herein is complete and accurate to the best of my knowledge and that I’m aware that any false, fictitious, or fraudulent statements may subject me to criminal, civil, or administrative penalties.


AOR

Proposal/Award

I have not and will not lobby any government agency on behalf of this award.

Has Federal or State Sponsor

AOR

Award

I approve this award for submission to OSP

Is UP

AOR

Award

I approve this award for submission to ORA

Is Hershey

AOR

Award

I certify that this award is in compliance with sponsor guidelines and institutional policy.


AOR

Proposal

I approve this proposal to begin Workflow.


AOR

Award

I approve this award to begin Workflow.


AOR

Proposal

I approve this proposal for submission to OSP

Is UP

AOR

Proposal

I approve this proposal for submission to ORA

Is Hershey

AOR

Proposal

I certify that this proposal is in compliance with sponsor guidelines and institutional policy.


College Dean

Proposal/Award

I certify that the information provided herein is accurate to the best of my knowledge.


Co-PI

Proposal/Award

I certify that the information provided herein is complete and accurate to the best of my knowledge and that I’m aware that any false, fictitious, or fraudulent statements may subject me to criminal, civil, or administrative penalties.


Department Head

Proposal/Award

I certify that the information provided herein is accurate to the best of my knowledge.


Department Head

Proposal/Award

I have reviewed and approve the proposed budget, equipment, and space commitments.


Other Approver

Proposal/Award

I certify that the information provided herein is accurate to the best of my knowledge.


Other Approver

Proposal/Award

I certify that the information provided herein is accurate to the best of my knowledge.


Other Approver

Award

I concur with acceptance of this award.


Other Approver

Award

I concur with acceptance of this award.


Other Approver

Proposal

I concur with submission of this proposal.


Other Approver

Proposal

I concur with submission of this proposal.


PI

Proposal/Award

I certify that the information provided herein is complete and accurate to the best of my knowledge and that I’m aware that any false, fictitious, or fraudulent statements may subject me to criminal, civil, or administrative penalties.


PI

Proposal/Award

If awarded, I will administer the project in accordance with the requirements of the award as well as all applicable Penn State policies and procedures. Further, I will accept responsibility for the scientific and technical conduct of the project including the submission of any required progress or technical reports.


PI

Proposal/Award

I am familiar with the requirements of the Procurement Integrity Act (41 USC 423) and will report any violations to the Office of Sponsored Programs.

Has Federal or State Sponsor and Contract > $100K

PI

Proposal/Award

I have not and will not lobby any government agency on behalf of this award.

Has Federal or State Sponsor

PI

Proposal/Award

I will comply with Penn State Policy RP03 (http://guru.psu.edu/policies/RP03.html), The Use of Human Participants in Research

Has Human Participants

PI

Proposal/Award

I am aware that if this proposal is awarded, funds cannot be transmitted to Penn State until the IACUC has reviewed and approved all of the animal use procedures described in your proposal.

Has Vertebrate Animals

PI

Proposal/Award

I will comply with Penn State Policy SY23 (http://guru.psu.edu/policies/SY23.html), Occupational Health and Safety Program for Animal Care Personnel

Has Vertebrate Animals

PI

Proposal/Award

I will comply with Penn State Policy RP04 (https://policy.psu.edu/policies/rp04), Care and Use of Vertebrate Animals

Has Vertebrate Animals

PI

Proposal/Award

I will comply with Penn State Policy RP11 (https://policy.psu.edu/policies/rp11), Use of Regulated Biohazardous Materials in Research and Instruction

Has Biological Materials

PI

Proposal/Award

I will comply with Penn State Policy SY14 (http://guru.psu.edu/policies/SY14.html), Use of Radioactive Materials

Has Lazers or Radioactive Materials

PI

Proposal/Award

I will comply with Penn State Policy SY15</a> (http://guru.psu.edu/policies/SY15.html), Radiation-Producing Instruments

Has Radioactive Materials

PI

Proposal/Award

I will comply with Penn State Policy SY17</a> (https://guru.psu.edu/policies/SY17.html), Lasers

Has Lazers

PI

Proposal/Award

I have completed the Unit Specific portion of the Laboratory and Research Safety Plan to address those hazards and ensure a safe workplace and the plan has been read and signed by all employees and students working in my research areas.

Has Hazardous Materials

PI

Award

I have included all of the procedures that will be performed with/on human participants, which are described in my grant in my submission to the IRB

Has Human Participants

Research Dean

Proposal/Award

I certify that the information provided herein is accurate to the best of my knowledge.


VPR

Proposal/Award

I certify that the information provided herein is accurate to the best of my knowledge.


All Approvers

Proposal/Award

For Compliance Approvers: I certify that all compliance issues within my authority to approve have been resolved to the best of my knowledge. I am aware that Advanced Funds will be/have been requested during award processing and that any approval required regarding use of advanced funds is at the discretion of the College and, as outlined more fully below, all responsibility for the risks associated with the use of advanced funds also lies with the College.
For PI, Department and College Approvers: I certify that: (1) I am aware that Advanced Funds will be requested during award processing; and (2) I understand and acknowledge that any and all financial and legal risks and/or liabilities which may result from starting work on the project prior to final award execution will be the responsibility of the requesting College, Department, and/or Unit. It is the responsibility of the requesting College, Department, and/or Unit to ensure no advanced funds are used for regulated research without first receiving the required compliance approval.

Advanced Funds Requested