77 Ill. Adm. Code 995.100
Application for Grant
Section 995.100 Application for Grant
a) The
Department shall provide written application instructions and forms to
potential applicants.
b) The
Department will request a letter of intent from prospective applicants
approximately one month before applications are due. A letter of intent is not
binding on the prospective applicant. A letter of intent shall include the
descriptive title of the proposed research; the name, address and telephone
number of the principal investigator; the names of other key personnel; the
names of participating institutions; and, if applicable, the type of grant for
which the application is being submitted.
c) All applications shall
include the following:
1) The
name, address and telephone, FAX and teletypewriter (TTY) numbers, if
available, of the institution applying for the grant.
2) The
principal investigator's name, address and telephone, FAX and TTY numbers, if
available.
3) The
curriculum vitae of the principal investigator or principal investigators.
4) A
one-page nontechnical abstract that describes the significance of the applicant's
project for stem cell research.
5) The
applicant's TIN or the Governmental Unit Code assigned by the Illinois
Comptroller.
6) The
signature of the principal investigator and agency official authorized to
certify the application.
7) An
approximate timetable for project expenditures and completion.
8) Background
data and information justifying the project.
9) A
detailed budget for the project period, documenting sufficient resources to
carry out the project. The budget shall be by line item category and shall
provide sufficient detail to justify the use of grant funds to support project
activities. The applicant shall indicate the total cost of conducting the
project; the anticipated funding request for each year of the project period;
the source of other funds in hand supporting the research project; other grants
or funds awarded, denied or pending; and the amount of support requested from
the Department.
10) A
Statement of Assurances, signed by a responsible official, indicating
compliance with applicable State and federal requirements.
11) A
statement of the type of grant being requested (see Section 995.60(a)).
12) A
statement of the research question or hypothesis or a description of
interventions or model programs on which the research will be based.
13) A
prioritized listing of measurable objectives for the project period.
14) Proposed
activities for experiments, scientific rationale and relevant reference to
existing works.
15) The
evaluation methods to be used to measure progress in achieving objectives and a
plan for monitoring the overall project.
16) A
sample informed consent document (with patient identifier information removed)
and a description of the informed consent process that meets the criteria for
informed consent set forth in this Part (see Section 995.90(e)).
17) The
written guidelines under which the research will proceed and documentation of
approval from the IRB, and, if the grant activities require, from the ESCRO
committee and IACUC.