Other Support (CPOS) intake form (admin worksheet)

Use this to collect info before building CPOS in SciENcv.

Person / document context

  • Individual name:
  • Department/unit:
  • eRA Commons username:
  • ORCID iD:
  • Document date (MM/DD/YYYY):

A. For each CURRENT or PENDING proposal / active project

  • Project title:
  • Sponsor/funder:
  • Role on project:
  • Status (current or pending):
  • Start date (YYYY-MM-DD):
  • End date (YYYY-MM-DD):
  • Total award amount (include indirect costs where required):
  • Effort by year (person-months):
  • Overall objectives summary:
  • Overlap statement (use None when there is no overlap):
  • Award number (if available):
  • Primary place of performance:

B. For each IN-KIND contribution

  • In-kind contribution description:
  • Source/provider:
  • Estimated dollar value:
  • Start date (YYYY-MM-DD):
  • End date (YYYY-MM-DD, if known):
  • Associated commitment of individual’s time (person-months):
  • Why reportable under NIH criteria:

C. Foreign appointments / employment / supporting documentation

  • Any foreign appointment or employment? (Y/N)
  • If yes, organization / country / title:
  • Paid or unpaid:
  • Start/end dates:
  • Time commitment:
  • Contract specific to that foreign appointment/employment available? (Y/N)
  • If not in English, translation needed? (Y/N)
  • If this is reported in CPOS, separate supporting-document attachment prepared for the relevant eRA module? (Y/N)
  • Note if this is a personal service contract or fellow employment contract that may not require supporting documentation:

D. Exclusions check (so you don’t over-report)

  • Broadly available institutional core facilities/shared equipment excluded? (Y/N)
  • Training awards excluded? (Y/N)
  • Prizes/gifts excluded? (Y/N)
  • Personal/non-research details excluded? (Y/N)

E. Final admin QC

  • Status values only current or pending for proposal/active project entries
  • Separate entries prepared for each proposal/active project and each reportable in-kind contribution
  • Dollar values and dates use consistent formatting
  • Overlap statements present (None when appropriate)