PrintUCLA Federal Demonstration Project Action Form
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1. Principal Investigator_______________________________ |
2. Department____________________________ |
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3. Agency Name & Grant No.__________________________ |
4. UCLA FAU 4 -__________________________ |
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5. Budget period affected (dates)________________________ |
To_____________________________________ |
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6. Action(s) requested: |
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No cost time extension (up to 12 months) |
[ ] Change in Scope |
| [ ] | Foreign travel (specify dates of travel and destination in item 7 below |
[ ] Change in principal investigator |
| [ ] | Expenditure for single item greater than $25,000 (equipment, subcontracting, fabrication, etc.). |
[ ] Subcontract |
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[ ] Other |
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| [ ] | Relatedness between FDP awards (in Item 7 below, identify principal investigator, funding agency, grant number and account/fund of other project(s) for which relatedness is sought). |
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Note: To obtain approval to spend funds for project-related work for up to 90 days before the start date of the grant, submit "Request for Authorization to Spend Funds Prior to Award of an Award" (UCLA form E-RAS) |
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7. Justification (include the scientific rationale for the action and, where appropriate, a breakdown of the costs involved and an explanation of why the funds are available):
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8. Approvals |
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This action is consistent with the project as approved by the funding agency.
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This action is consistent with funding agency, FDP, and University policies
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FOR OCGA USE ONLY:
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FUNDING AGENCY APPROVAL IS REQUIRED [ ] This action is approved. It is understood that the action will not increase the cost of the project to the funding agency.
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