<p> CENTRAL STATE UNIVERSITY OFFICE OF SPONSORED PROGRAMS & RESEARCH JENKINS HALL, ROOM 100 TELEPHONE 376-6269</p><p>DATE: ______</p><p>TO: Chair of Appropriate Department Dean of Appropriate Department Vice President for Academic Affairs Executive Vice President & Chief Financial Officer Director, Office of Sponsored Programs and Research</p><p>FROM: ______Name of Prospective Principal Investigator/Program Director ______Name of OSP&R Coordinator/Phone Number</p><p>RE: Notice of Intent and Request for Approval to Submit a Proposal for Funding to an External Agency - OSP&R TRACKER NUMBER: ______</p><p>KEY PROCUREMENT INFORMATION Sponsoring Agency/Agency Contact Person & Phone Number ______</p><p>Program Title ______</p><p>Summary of Program Objectives and Deliverables ______</p><p>I am developing or participating in the development of a solicited/un-solicited proposal to be submitted to ______by ______. Agency Date/Time </p><p>If the proposal is funded, the ______department will be obligated to:______</p><p>The benefits to the Department, the College of ______, and the University if this proposal is funded include:______</p><p>Proposal Due Date: ______</p><p>Estimated Total Funding for Program: $______</p><p>Required CSU Matching (Describe Whether Cash or In-Kind) ______</p><p>Other Matching Funds and Sources ______</p><p>Indirect Cost Rate and Dollar Estimate: $______OSP&R – Tracker Form B Page 1 of 2 August 2001 Departments Planning to Participate in the Program ______</p><p>Please contact either of the authors of this memo by telephone if you need additional information. </p><p>Please indicate your recommendation with regard to the development of this proposal by checking the appropriate line below and providing any comments you might have. You are requested to respond within forty-eight hours or receipt of this document in order to ensure that the proposal development schedule is met. If a response is not received within forty-eight hours, the proposal development process will continue and you will be kept informed of progress.</p><p>RECOMMENDATION (Check One)</p><p>______Proceed With Proposal Development ______Do Not Proceed With This Proposal</p><p>COMMENTS ______</p><p>Signatures/Dates: ______Chair of Appropriate Department Dean of Appropriate Department ______Vice President for Academic Affairs Executive Vice President & Chief Financial Officer</p><p>Please return the completed form as soon as possible to the OSP&R Coordinator, Jenkins Hall, Room 100.</p><p>OSP&R – Tracker Form B Page 2 of 2 August 2001</p>