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Summary: University of Virginia -- Office of Sponsored Programs
Preliminary Account Request and Grant/Contract Change Request Form
4/14/06 SP23-R
Principal Investigator: Org: Award ID: Project ID:
Sponsor: Preparation Date:
Project Title:
SECTION A Changes only
I. Sponsor Approval Requested For:
Scope or Objective of Change Establish Relatedness No Cost Extension
Change or Absence of Principal Investigator Foreign Travel Other
Rebudgeting (Attaching a budget is required for all requests in this section)
II. Institutional Approval Requested For:
No Cost Extension to (date) Pre Award Costs Other
SECTION B Explanation/Justification (Briefly cite scientific, technical or administrative reason[s] for this request.)
SECTION C AT RISK Awards/Projects ONLY
New Award / New Project: (Oracle Supplemental Information Required)
New Supplement Renewal/Continuation - PTAO:
Same Award / New Project:
New Supplement Renewal/Continuation - PTAO:
Same Award / Same Project:
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