Summer Mnths Mnths Mnths NAME ROLE ON PROJECT SALARY REQUESTED GRANT NUMBER FRINGE BENEFITS TOTALS PD/PI SUBTOTALS CONSULTANT COSTS EQUIPMENT (Itemize) SUPPLIES (Itemize by category) TRAVEL INPATIENT CARE COSTS OUTPATIENT CARE COSTS ALTERATIONS AND RENOVATIONS (Itemize by category) OTHER EXPENSES (Itemize by category) SUBTOTAL DIRECT COSTS FOR NEXT BUDGET PERIOD CONSORTIUM/CONTRACTUAL COSTS DIRECT COSTS CONSORTIUM/CONTRACTUAL COSTS FACILITIES AND ADMINISTRATIVE COSTS TOTAL DIRECT COSTS FOR NEXT BUDGET PERIOD (Item 8a, Face Page) PHS 2590 (Rev.. Use the following abbreviated categories for describing Role on Project: • • • • • • • • • • • • • PD/PI Co-Investigator Faculty Postdoctoral (scholar, fellow, or other postdoctoral position) Technician Staff Scientist (doctoral level) Statistician Graduate Student (research assistant) Non-student Research Assistant Undergraduate Student High School Student Consultant Other (please specify) If personnel are supported by a Reentry or Diversity Supplement please indicate such after the Role on Project, using the following abbreviations: RS - Reentry Supplement DS - Diversity Supplement.. TOTAL TRAINEE APPOINTMENTS REPORT: Number of Trainees Appointed by Ethnicity and Race Ethnic Category Females Males Sex/Gender Unknown or Not Reported Total Hispanic or Latino Not Hispanic or Latino Unknown (individuals not reporting ethnicity) Ethnic Category: Total of All Trainees Racial Categories American Indian/Alaska Native Asian Native Hawaiian or Other Pacific Islander Black or African American White More Than One Race Unknown or Not Reported Racial Categories: Total of All Trainees PART B..
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