ࡱ> U cbjbjnn baa O> > ...BBB8zB)jD )))))))$B+-5)].!^5))###RR.)#)## "#0Z"T<^#()0)#.U .#..#P#5)5)!).> B :  GENERAL INFORMATION  FORMTEXT       FORMTEXT      PI NameSponsor Name  FORMTEXT       FORMTEXT      Grant Account # (the grant to be modified)Grant Name DETAILS OF MODIFICATION REQUEST (Please note all budget lines that require additional funds by using positive numbers in the adjustment column and the lines that should be reduced in order to cover the additional funds necessary elsewhere by using negative numbers. Supplementary budget requests (for a sum total of additional funds) should use the normal Proposal Summary and Approval Form institutional approval process.) Budget LineRequested $ Adjustment +/- FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      NET ADJUSTMENT (should equal $0) FORMTEXT  =SUM(B2:B13) 0$0.00 What percentage of your total grant award budget does this change represent?  FORMTEXT 0.00% (Example: Requesting to move $5,000 of funds in total on a $10,000 grant award represents a 50% change in budget.) RATIONALE / JUSTIFICATION FOR REQUEST (Funders require a stated reason for the modification on record whether the modification itself requires prior sponsor approval or not. You must disclose if this change represents a) a change in the scope of the work, b) an establishment of relatedness to other projects, c) contractual arrangements not specifically approved by the granting agency, d) rearrangement or alteration of college facilities, e) a change in the level of effort or change in PI, f ) a rebudgeting of funds originally earmarked for participant or trainee support, g) a rebudgeting specifically prohibited by the grant's special conditions, h) a rebudgeting leading to activities not related to the grant scope of work, i ) purchase of equipment, not originally budgeted in excess of $5,000.)  FORMTEXT       CERTIFICATIONS (when complete, please return printed/signed copy to OSP offices) I auth,.02FHJTVXZn³~gN:~&h:gNh`5>*䴳ϴ1`>*䴳ϴԱ,`>*䴳ϴ`>*䴳ϴ&`>*䴳ϴ#?*CJOJQJU^JaJh`>*CJOJQJ^JaJ#hH?h55CJOJQJ^JaJh`CJOJQJ^JaJ h:gNh`CJOJQJ^JaJ#h:gNh`5CJOJQJ^JaJ&h:gNh`5>*CJOJQJ^JaJ1jh`>*CJOJQJU^JaJmHnHu&jh`>*CJOJQJU^JaJ,jth`>*CJOJQJU^JaJ ri $Ifgd` $If]gd:gN}kdk$$Ifl0h, t0644 layt`  V X l p r ռըvgXF7h66CJOJQJ^JaJ#hLh"?\6CJOJQJ^JaJh"?\5CJOJQJ^JaJho3\5CJOJQJ^JaJ#hH?hKo5CJOJQJ^JaJh`CJOJQJ^JaJ#h:gNh`5CJOJQJ^JaJ&h:gNh`5>*CJOJQJ^JaJ1jh`>*CJOJQJU^JaJmHnHu&jh`>*CJOJQJU^JaJ,jbh`>*CJOJQJU^JaJ  X n tk $Ifgd` $If]gd:gN}kd$$Ifl0h,0* t0(644 laytK1Jn p r a b n tojSS$$& #$/Ifa$b$gd"?\gdgdKo &dPgdKo}kdY$$Ifl0h,0* t0(644 laytK1J  H _ ` b m n   $ Ͻ|gO>| hpvh"?\CJOJQJ^JaJ.jh"?\CJOJQJU^JaJmHnHu)jh"?\CJOJQJU^JaJh"?\CJOJQJ^JaJ#jh"?\CJOJQJU^JaJ#hpvh"?\5CJOJQJ^JaJh"?\5CJOJQJ^JaJ#hH?h G5CJOJQJ^JaJ#hLh"?\6CJOJQJ^JaJh66CJOJQJ^JaJh"?\6CJOJQJ^JaJ  6 \EE$$& #$/Ifa$b$gd"?\kd$$Ifl0(l  D    t 6 0644 lae4pytb:$ & ( 2 4 6 8 : N P R \ ^ ` b v x z د؏zد؏eد؏Pد؏)jh"?\CJOJQJU^JaJ)jh"?\CJOJQJU^JaJ)jh"?\CJOJQJU^JaJh"?\CJOJQJ^JaJ#hpvh"?\5CJOJQJ^JaJ hpvh"?\CJOJQJ^JaJ.jh"?\CJOJQJU^JaJmHnHu#jh"?\CJOJQJU^JaJ)jSh"?\CJOJQJU^JaJ6 8 ` v__$$& #$/Ifa$b$gd"?\kd$$Ifl0(l D   t 6 0644 lae4ytb: \EE$$& #$/Ifa$b$gd"?\kd$$Ifl0(l D   t 6 0644 lae4pytb:       ( * , . 0 D F H R T V د؏zد؏eد؏Pد)jg h"?\CJOJQJU^JaJ)j h"?\CJOJQJU^JaJ)jt h"?\CJOJQJU^JaJh"?\CJOJQJ^JaJ#hpvh"?\5CJOJQJ^JaJ hpvh"?\CJOJQJ^JaJ.jh"?\CJOJQJU^JaJmHnHu#jh"?\CJOJQJU^JaJ)j h"?\CJOJQJU^JaJ  , v__$$& #$/Ifa$b$gd"?\kd $$Ifl0(l D   t 6 0644 lae4ytb:, . V ~ \EE$$& #$/Ifa$b$gd"?\kdr $$Ifl0(l D   t 6 0644 lae4pytb:V X l n p z | ~ ٔt_G6t hpvh"?\CJOJQJ^JaJ.jh"?\CJOJQJU^JaJmHnHu)j3h"?\CJOJQJU^JaJh"?\CJOJQJ^JaJ#jh"?\CJOJQJU^JaJ#hpvh"?\5CJOJQJ^JaJ4jh"?\h"?\CJOJQJU^JaJmHnHu/j h"?\h"?\CJOJQJU^JaJ h"?\h"?\CJOJQJ^JaJ)jh"?\h"?\CJOJQJU^JaJ~ v__$$& #$/Ifa$b$gd"?\kde $$Ifl0(l D   t 6 0644 lae4ytb:  "$&:<>HJLNbد؏zد؏eد؏Pد؏)jh"?\CJOJQJU^JaJ)jh"?\CJOJQJU^JaJ)j&h"?\CJOJQJU^JaJh"?\CJOJQJ^JaJ#hpvh"?\5CJOJQJ^JaJ hpvh"?\CJOJQJ^JaJ.jh"?\CJOJQJU^JaJmHnHu#jh"?\CJOJQJU^JaJ)jh"?\CJOJQJU^JaJ "\EE$$& #$/Ifa$b$gd"?\kd1$$Ifl0(l D   t 6 0644 lae4pytb:"$Ltv__$$& #$/Ifa$b$gd"?\kd$$$Ifl0(l D   t 6 0644 lae4ytb:bdfprtvxد؏zد؏eد؏P؏؏)jh"?\CJOJQJU^JaJ)jOh"?\CJOJQJU^JaJ)jh"?\CJOJQJU^JaJh"?\CJOJQJ^JaJ#hpvh"?\5CJOJQJ^JaJ hpvh"?\CJOJQJ^JaJ.jh"?\CJOJQJU^JaJmHnHu#jh"?\CJOJQJU^JaJ)j\h"?\CJOJQJU^JaJtv\EE$$& #$/Ifa$b$gd"?\kd$$Ifl0(l D   t 6 0644 lae4pytb:v__$$& #$/Ifa$b$gd"?\kd$$Ifl0(l D   t 6 0644 lae4ytb: 024>@BDXZ\fhjlnززzزezSEhb:CJOJQJ^JaJ#jhb:CJOJQJU^JaJ)jh"?\CJOJQJU^JaJ hpvh"?\CJOJQJ^JaJ)jh"?\CJOJQJU^JaJ#hpvh"?\5CJOJQJ^JaJh"?\CJOJQJ^JaJ.jh"?\CJOJQJU^JaJmHnHu#jh"?\CJOJQJU^JaJ)jh"?\CJOJQJU^JaJBj\EE$$& #$/Ifa$b$gd"?\kd$$Ifl0(l D    t 6 0644 lae4pytb:jl\EE$$& #$/Ifa$b$gdb:kd$$Ifl0(l D    t 6 0644 lae4pytb:  ززز|m[G8G8Gh+5CJOJQJ^JaJ&jh+5CJOJQJU^JaJ#hpvh"?\5CJOJQJ^JaJh"?\5CJOJQJ^JaJhy5CJOJQJ^JaJ#hpvhb:5CJOJQJ^JaJ)jhb:CJOJQJU^JaJhb:CJOJQJ^JaJ.jhb:CJOJQJU^JaJmHnHu#jhb:CJOJQJU^JaJ)jhb:CJOJQJU^JaJ&\EE$$& #$/Ifa$b$gd"?\kd$$Ifl0(l D    t 6 0644 lae4pytb:$%'(7׮o[D[[2#hpvhy5CJOJQJ^JaJ,j<hy5CJOJQJU^JaJ&jhy5CJOJQJU^JaJ#hyhy6CJOJQJ^JaJhy5CJOJQJ^JaJh"?\5CJOJQJ^JaJho3\5CJOJQJ^JaJ#hpvh"?\5CJOJQJ^JaJ,jh+5CJOJQJU^JaJ&jh+5CJOJQJU^JaJ(h5CJOJQJ^JaJmHnHu&'()*+,-./0123vqqqqqqqqqqqqgdykd`$$Ifl0(l  D    t 6 0644 lae4ytb: 34567Ckd$$Ifl    0(lD t 6 0    644 lae4yty$$& #$/Ifa$b$gd$$& #$/Ifa$b$gdygdyprQlkd$$Ifl h(~' t0~'644 laytC $If]gd:gNgdgdy$&dPa$gdy &dPgd &dPgdy 6789lmw̺xixZxK*䴳ϴT>*䴳ϴ&T>*䴳ϴ#?T5Cϴ5Cϴ#?5Cϴ#󳢾6CϴC6Cϴy6Cϴ#yy6Cϴ5&y6CϴT6Cϴ󳢾6Cϴy5Cϴ󳢾5Cϴ#?D<5CJOJQJ^JaJ#hH?h5CJOJQJ^JaJ1jhT5CJOJQJU^JaJmHnHu#h:gNh1T5CJOJQJ^JaJ#h:gNh1T>*CJOJQJ^JaJ&jhT>*CJOJQJU^JaJ1jhT>*CJOJQJU^JaJmHnHubbbbbbbbbbbbbbb cNcOccgdTgdL$a$gdL$a$gdLgd$a$gdTgdD< &dPgdT`` `2```````jakabbbpp^^L; hH?hCJOJQJ^JaJ#hTh5CJOJQJ^JaJ#hThT5CJOJQJ^JaJhyP5CJOJQJ^JaJhT5CJOJQJ^JaJh 5CJOJQJ^JaJUhJM5CJOJQJ^JaJ#hH?hD<5CJOJQJ^JaJ#hLhD<6CJOJQJ^JaJhT6CJOJQJ^JaJhL6CJOJQJ^JaJh 6CJOJQJ^JaJorize OSP (via submission of this request form) to contact the sponsor on my behalf for this grant award modification should prior approval be required. OSP may require my assistance in submitting a formal request to the sponsor. By signing below, I certify (1) that the information submitted within the application is true, complete and accurate to the best of my knowledge; (2) that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties; and (3) that I agree to accept responsibility for the scientific conduct of the project and to provide the required progress reports.     Print this document duplex (two-sided, on one page) if possible. BUDGET MODIFICATION REQUEST FORM Form revision: 9/18/2017 Submit: Must be submitted and approved prior to any modification. ________________________________________________________________________________________ PI Signature Date bbbbbbbbbbbbbbbbbbbccccc c c cMcNcOcc᭛|n|nn|n\#hH?hyCJOJQJ\^JaJhyCJOJQJ^JaJh CJOJQJ^JaJ hkhyCJOJQJ^JaJ#h6lhy5CJ OJQJ^JaJ hy5CJOJQJ^JaJhy#hLhy6CJOJQJ^JaJhy6CJOJQJ^JaJhAhH?hACJaJjhH?hACJUaJcccccccc̻ hH?hCJOJQJ^JaJhAhH?hyCJaJ&hH?hy5CJOJQJ\^JaJ hy5CJOJQJ\^JaJcccccgdgdT:&P1h/R :pb:/ =!"#$% nq3NT~yPNG  IHDRw+gAMA7tEXtSoftwareAdobe ImageReadyqe<IDATx}y̮śV۠+$$-ᗓq_R:?(?9Uq ׉$_*T];/簲@/鞗~$ٞ_4>0_ق<b=GSYZ\'{ow5Lq[vj8yE NN]ڬ[[yٰaϓs0<Ey̯W;޸򴲡P7]_km?rkZY? +K`uOmU4MU^5v>>Zג"8RVCt)TT@O m ,w HŢ1ׇ7Cprеb¯H\u`uwAPN"P\: :$5+JS*-M~d2'Vh9؈nkхUYJ+dԮ޵J3YWrtG0!2$8UZpԠE9 *$|P(JIT"*9P$x[:6AT ^YBbz]s^SgcV3'AC ?R9 m(LRJV\3ΉAK;~2FtI +ULRI < 'ZR$*@ܘlq`f:@g>oRʋMa; iBَ9sUeNPd[̭{ f0BxM^AfCx( ΩZ%"HQ;(1VIB 'RFpWjFX7c:n6:J\NH u]3]DOHp$9w*DFh'5r FL:80]8 SD *ÔDK0?-@>K ,>zgXfX=^Q 0ANd%(Qzmt̹Mpۭ1U{n D)(gB"r [ho ֢lz-<µ%pjB2y[PelpZʨe+jmuCo HRQڪ SD,TT[ d| "T2qZʸRLso*K |hɰT!'ڦ'ks5]\CC > WJD3uNw F`֭uT8m] {xZ*`n0oae |c}Js@Qhovh.!a+T }}AAS2@'03HW RS'7 A2er'FOAΆ`h +Ja~ v o qir3t~1%*ڝ +NkPS6T," ':ZQ*Si;8& }_{*sV9qn3ip7N/Jtg2'kʶS!ˇ -r[Z`cgbn\.YX fiWjjֆ;x0ZѠ r 'jus_ Iܺ ڪN(7x@[Lt&q> WeԔj <%G<Ա,iµJέƤAR?l*]/vlBAhȣpΉpb¸<;;H4C]Yf=܌pq=(mTc]lr%`} C\ >;{3R1eTwB#fčJ}*t80 U ֐T6j+'<";HNۊ#a[ zV߬s#+k7:+ κ̈lm7Zy A2#7WZim)ze#=h' v|5cMwXПA c],=E 9W58ӎN 6-?:ΓmzО焉u@lNdHrN截\7OG⾯̅{jT”cQsRKS(`.9zdUMVE8bS礜 9wt7Rz}%2̨99 35)2cOA|C\(&O7 5LMcZîj\U!pG3PUQ7jleSѢ&駤m*/ KHG@Nt X_vA"jNyAgޙDQotGV2΅NK6H0-W= #^h:`ښ WM>7 w ;8A+LkኣDTĐ"{P!֐݆!pVg(PaNFN@'f+I{""(NIGE5 0M;$Bd^Vclf( n ٪]@8LCWFɾ,Zy5v k[ V( "C Ė%CB* w$xJ1D^Ė:H/ZfG_kmvk 5Yjqe6:3Tcؙ$uOD9yz0͘qj);âP(J%kM?!ߨA{3=qa.Jmζm<@,;}),IhAeRB_X4k9̊#G\ffi*E 39Y3 "$^LCUm2^O-BZKFӳ RIK=ЅUtr-brKY[a .;u8JFB@N jd̫¸0sl6٤[)erM_k :]4 =so`ׇ4 '}uz&a8}|.coAsfw{.eut$` Lv? 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