Tracking Number: Funding Opportunity Number: . Received Date: OMB Number: 4040-0001 Expiration Date: 06/30/2016 RESEARCH & RELATED Other Project Information   1. Are Human Subjects Involved?* Y: Yes Yes N: No No 1.a. If YES to Human Subjects   Is the Project Exempt from Federal regulations? Y: Yes Yes N: No No   If YES, check appropriate exemption number: ✔ 1 ✔ 2 ✔ 3 ✔ 4 ✔ 5 ✔ 6   If NO, is the IRB review Pending? Y: Yes Yes N: No No   IRB Approval Date:   Human Subject Assurance Number 2. Are Vertebrate Animals Used?* Y: Yes Yes N: No No 2.a. If YES to Vertebrate Animals Is the IACUC review Pending? Y: Yes Yes N: No No IACUC Approval Date: Animal Welfare Assurance Number 3. Is proprietary/privileged information included in the application?* Y: Yes Yes N: No No 4.a. Does this project have an actual or potential impact - positive or negative - on the environment?* Y: Yes Yes N: No No 4.b. If yes, please explain: 4.c. If this project has an actual or potential impact on the environment, has an exemption been authorized or an environmental assessment (EA) or environmental impact statement (EIS) been performed? Y: Yes Yes N: No No 4.d. If yes, please explain: 5. Is the research performance site designated, or eligible to be designated, as a historic place?* Y: Yes Yes N: No No 5.a. If yes, please explain: 6. Does this project involve activities outside the United States or partnership with international collaborators?* Y: Yes Yes N: No No 6.a. If yes, identify countries: 6.b. Optional Explanation: 9px solid black hidden hidden hidden hidden 100% 100% 0.2in 15pt 2.0in 15pt 15pt 2.0in bold   bold   Filename Mime Type: > 7. Project Summary/Abstract* 8. Project Narrative* 9. Bibliography & References Cited 10. Facilities & Other Resources 11. Equipment 9px solid black hidden hidden hidden hidden 100% 100% 0.2in 2.0in 2.0in bold 12. bold Other Attachments Georgia Mime Type: - - ● ❍ black solid 1px black solid 1px black solid 1px 9px 100% white solid 1px white solid 1px 100% 0.2in 2.0in 2.0in bold 15pt 2pt white solid 1px white solid 1px 15pt bold white solid 1px white solid 1px 15pt white solid 1px white solid 1px Georgia white solid 1px white solid 1px Mime Type: