<p> Slippery Rock University</p><p>Office of Grants, Research and Sponsored Programs</p><p>INFORMATION SHEET</p><p>Face Page Information: Assurance/Compliance Information:</p><p>Legal Name & Address of Applicant Organization: Human Subjects Assurance No: IRB00003982 Animal Welfare Assurance No: None Slippery Rock University of Pennsylvania Debarment & Suspension: No 1 Morrow Way Lobbying: No Slippery Rock, PA 16057-1326 Delinquent Federal Debt: No Handicapped Individuals: Filed Type of Organization: Public/State Drug Free Workplace: Yes Organizational Component Code: 20 Misconduct in Science: Filed 6-17-04 Type of Applicant: H (Public College Civil Rights: Filed 6-17-04 or University) Sex Discrimination: Filed 6-17-04 Entity Identification Number (EIN): 25-1513539 Age Discrimination: Filed 6-17-04 DUNS No: 074955113 Executive Order 12372: No Congressional District: PA-003 (Pennsylvania does not participate) PA Senate District: 21st National Incident Management PA Assembly (Legislative District): 10th System (NIMS) Yes IRB Federal Wide Assurance: FWA00006788 FICE CODE: #003327 (Federal Interagency Committee on Education) Budget Considerations: SAP Vendor Code: #178106 ORI #: PA-0101100 Checks should be made payable to: Slippery Rock University of Pennsylvania Administrative Official to be Notified: Checks should be mailed to: Nancy L. Cruikshank Accounting Services Director, Grants, Research and Sponsored 103 Old Main Programs Slippery Rock, PA 16057-1326 008 Old Main Phone: (724) 738-4831 Travel: see travel policy webpage for current rates Fax: (724) 738-4857 E-mail: [email protected] Indirect Cost Rate: 46% of modified total direct cost (MTDC) DHHS Indirect Rate Agreement Official Signing for Organization: Dated July 23, 2013</p><p>Cheryl J. Norton President 300 Old Main Phone: (724) 738-2000 Fax: (724) 738-2169 E-mail: [email protected]</p><p>Contacts: IRB Chairman: Ann Romanczyk, Ph.D. Hazardous Health and Safety Office (Human Subjects) 008 Patterson Hall Substances: (724) 738-2017 (724) 738-4846 [email protected] Institutional Research: Carrie Birckbichler (Statistical Information) 208 Old Main IACUC Chairman: Simon Beeching, Ph.D. (724) 738-2150 (Animal Subjects) 308L Vincent Science Hall [email protected] (724) 738-2479 [email protected] Accounts Payable: Kristine Hoffman (Travel) 002 Old Main Budget Information: Dennis Buffington</p><p>Revised-July 2016 103 Old Main (724) 738-2246 (724) 738-2233 [email protected] [email protected]</p><p>Revised-July 2016</p>