Letter of Intent (LOI) Form

Letter of Intent –
*Project Director (PD):

Last Name

First Name

Collaborating Investigators:

Last Name

First Name

OMB Control No. 0524-0039
Expires:

Title

Title

Department

Department

Institution

Institution

E-Mail

E-Mail

Program Area Name :
Program Area Priorities (Check one program area priority):
Science Categories (Check all that apply):
*Fields outlined in red are required.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0503-0021. The time
required to complete this information collection is estimated to average 2 hours per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Letter of Intent –
*Title
*Rationale

*Hypothesis
or
Goals
*Objectives

*Approach

*Impacts or Outcomes

*Fields outlined in red are required.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless
it displays a valid OMB control number. The valid OMB control number for this information collection is 0503-0021. The time required to complete this information
collection is estimated to average 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the collection of information.