3 Cdaf

Research and Research Training Grant Applications and Related Forms

9-07_cdafp3

398 Forms and Instructions (Paper)

OMB: 0925-0001

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CDA TOC Substitute Page

Candidate (Last, first, middle):

     

Use this Table of Contents for Research Career Development Awards. Include candidate’s name on each page.

RESEARCH CAREER DEVELOPMENT AWARD TABLE OF CONTENTS (Substitute Page)


Page Numbers


Letters of Reference* (attach unopened references to the Face Page)



Basic Administrative Data




Face Page (Form Page 1)


1

Description, Project/Performance Sites, Senior/Key Personnel, Other Significant Contributors, and Human Embryonic Stem Cells (Form Page 2)


2

Table of Contents (this CDA Substitute Form Page 3) ………………………………………………………………………………………


     

Budget for Entire Proposed Period of Support (Form Page 5)


     

Biographical Sketches (Candidate, Mentor[s],* Key Personnel and Other Significant Contributors*
—Biographical Sketch Format page) (Not to exceed four pages)


     

Other Support Pages (for mentor(s)only)


     

Resources (Resources Format page) .....................................


     




Career Development Plan

Introduction to Revised Application (Not to exceed three pages)



The Candidate




C andidate’s Background


     

Career Goals and Objectives: Scientific Biography .............................……… (Items included in 25 page limit)


     

Career Development/Training Activities during Award Period


     

Training in the Responsible Conduct of Research …………………………………………………………………………………..


     

Statements by Mentor, Co-Mentor(s),* Consultant(s),* and Contributor(s)*


     

Environment and Institutional Commitment to Candidate



Description of Institutional Environment


     

Institutional Commitment to Candidate’s Research Career Development.


     

Research Plan



1. Introduction to Resubmission Application* (Not to exceed 3 pages)


     

2 . Specific Aims


     

3. Background and Significance ……………………………………………………. (Items 2-5 included in 25 page limit)


     

4. Preliminary Studies/Progress Report


     

5 . Research Design and Methods


     

6. Inclusion Enrollment Report (Renewal or Revision Applications only)


     

7. Bibliography and References Cited/Progress Report Publication List


     

8. Protection of Human Subjects


     

9. Inclusion of Women and Minorities.


     

10. Targeted/Planned Enrollment Table.


     

11. Inclusion of Children


     

12. Vertebrate Animals


     

13. Select Agents


     

14. Multiple PD/PI Leadership Plan (Not applicable. Do not include.)



15. Consortium/Contractual Arrangements*


     

16. Letters of Support/Consultants


     

17. Resource Sharing Plan(s)


     

Checklist ………………………………………………………………….................................................................................................


     

Appendix (Five identical CDs.) Check if Appendix is included



Note: Font and margin requirements must conform to limits provided in the Specific Instructions.

*Include these items only when applicable.

CITIZENSHIP

U.S. citizen or
non-citizen national

Permanent resident of U.S. (If a permanent resident of the U.S., a notarized statement must be provided by the time of award.)

Non-citizen with temporary visa
(Applicable for only the K99 program)

PHS 398 (Rev. 09/07) Page     CDA Substitute Form Page 3

File Typeapplication/msword
File TitlePHS 398 (Rev. 9/07), CDA Substitute Form Page 3
SubjectDHHS, Public Health Service Grant Application
AuthorOffice of Extramural Programs
Last Modified Bycurriem
File Modified2007-09-14
File Created2007-09-14

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