Funding Support Form

UMGCCC is required by NCI to report ALL funding support obtained by its members. Please fill out and submit this form for each grant you received in 2024. If you have any questions, contact Sally Michaels at smichaels@som.umaryland.edu.

PI Last Name

PI First Name

PI Middle Initial

Full Project Title

Full Award #

Is this award a subcontract you received from another institution?

Yes

Project Start Date

Project End Date

Is this an MPI award?

Yes

If MPI, list ALL other PI names and their Institution

Other PI Full Name	Name of their Institution	Operations
Other PI Full Name	Name of their Institution

more items

Annual Direct Cost Received

Annual Indirect Cost Received

Is this a no-cost extension?

Yes

If yes, what is the balance remaining to be spent?

If you were to assign a percentage to this award that is clear cancer-related work, what would it be?

Is there an outgoing subcontract on this award where you sent funds to another institution?

Yes

If yes, what is the PI name at the subsite?

What institution were the funds sent to?

What total annual amount (direct costs and indirect costs) did you send to the subcontractor?

If you have an administrative contact, please enter their name and contact info in the box.