FY23_MHSR_LOI Template.pdf

PDF 158 KB Posted

Attached to
Military Health System Research Federal grant opportunity
Opportunity number
23-DHA-MHSR
Issued by
Defense Health Agency

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LOI Template

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File Type Posted
Full Proposal Extension.pdf PDF
FY23_MHSR_NOFO_FAQs_Amend3.pdf PDF
FY23_MHSR_NOFO_FAQs_Amend2.pdf PDF
FY23_MHSR_NOFO.pdf PDF
FY23_MHSR_NOFO_FAQs_Amend1.pdf PDF
FY23 Certifications and Representations.pdf PDF
FY23_ MHSR_NOFO_FAQs.pdf PDF

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Text version

PI last name & first name initial FY23 LOI LOI Short Title

LETTER OF INTENT (LOI) TEMPLATE

Principal Investigator (PI) and Facilities Information

Collaborators and Key Personnel Describe the role of the PI, co-PIs (if applicable), key personnel, sub-awards (if applicable), and consultants (if applicable) in the research team, including the expertise each brings to the proposed project. Explain how the team’s expertise is appropriate and complementary for achieving the research goals. Also, briefly provide information on the primary facility where the research is expected to be performed.

Collaborator Name:

Click here to enter text.

Collaborator Organization:

Click here to enter text.

Email: Click here to enter text. Role: Click here to enter text.

PI Name (last, first, middle initial):

Click here to enter text.

Organization:

Click here to enter text.

DoD Affiliation:

DHA ☐

Services ☐ Not applicable ☐

Organization Address:

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PI Contact Information:

Email: Click here to enter text.

Phone: Click here to enter text.

Location of Work (if different from above):

Click here to enter text.

Organizational Resource Manager (Comptroller or equivalent Business Official):

Click here to enter text.

Contracting Organization (if different from above):

Click here to enter text.

Authorized Organizational Representative

(AOR):

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Alternate Submitter (if applicable):

Click here to enter text.

Succession Plan for military PI in the event of a Permanent Change of Station (PCS):

Not applicable ☐ Click here to enter text.

page number cjiang Cross-Out

FY23 LOI LOI Short Title PI last name & first name initial

Collaborator Name:

Click here to enter text.

Collaborator Organization:

Click here to enter text.

Email: Click here to enter text. Role: Click here to enter text.

Collaborator Name:

Click here to enter text.

Collaborator Organization:

Click here to enter text.

Email: Click here to enter text. Role: Click here to enter text.

Collaborator Name:

Click here to enter text.

Collaborator Organization:

Click here to enter text.

Email: Click here to enter text. Role: Click here to enter text.

Collaborator Name:

Click here to enter text.

Collaborator Organization:

Click here to enter text.

Email: Click here to enter text. Role: Click here to enter text.

Page number

FY23 LOI LOI Short Title PI last name & first name initial

Background/Rationale: Click here to enter text.

Hypothesis: Click here to enter text.

Specific Aims: Click here to enter text.

Objectives: Click here to enter text.

Theoretical Rationale, Scientific Methods, and Design: Click here to enter text.

Military Relevance and Impact: Click here to enter text.

Timeline and Estimated Total Budget: Click here to enter text.

LETTER OF INTENT NARRATIVE

Please refer to the NOFO for detailed narrative requirements and instructions on what to include in each of the following sections. Please limit total narrative response to 5 pages with page numbers.

MHSR Priority Topic Area(s): Click here to enter text.

Alignment with FY 23 Clinical Priority Areas:

Click here to enter text.

Research Plan:

DHA-19-HSR Questions and Responses
Attachment 1 _LOI Template

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