OGCA#:__________					  Unit:________________________

PI:____________________________		Org OU:________________________

Co-I(s):_______________________		 PI OU:________________________


Sponsor:_________________________________________________________________

Agency:__________________________________________________________________

Title:___________________________________________________________________


TRANSACTION:











			PROPOSED					    AWARDED

  Direct Costs*  $ ________				 Direct Costs*  $ _______

Indirect Costs   $ ________			     Indirect Costs   $ _______

TOTAL COSTS      $ ________			     TOTAL COSTS      $ _______

Budget Period:__/__/__ - __/__/__		     Budget Period: __/__/__ - __/__/_ 								     *(include $______ in __subcontracts)
____________________________________________________________________________________


							     OGCA Project#   ______

__ Federal
__ Mass.					Approved for
__ Local Govt.			  	Processing________________________Date:______
__ Foundations								(OGCA)
__ Health Agencies
__ Industry					Action Approved___________________Date:______
__ Inst., Soc., & Assoc.				           (Controller)
__ Coll. & Univ.
__ Other

								Account#:__-________
Research _____ Instruction _____ Other_____	Activity
Grant	   _____ Contract_____ Coop-Agree____	    code ____________