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Core Analytical Laboratory

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University at Buffalo, the State University of New York School of Pharmacy and Pharmaceutical Sciences

PRELIMINARY PROPOSAL FORM

PRC PROJECT REQUEST

SECTION I - Principal Investigator

First Name*

Last Name*

E-mail Address*

Phone*

PRC Username (optional)

SECTION II - PROJECT INFORMATION

Project Title*

Project Description*
Briefly describe your project's focus and objectives in a few sentences (5-10). This will be visible to the public on the website

Is IRB Approval needed?*
Review important information before submitting proposals
Yes No

SECTION III - FUNDING

Is this project already funded?* Yes No (UB Sponsored Projects Service)	Award Date: Application Date:
Sources:* : American Society of Health Systems Pharmacy Industry may need to be updated by diane fisher (date) NIH UB Other:

SECTION IV - Research Administration (You must select at least one item)

N/A Approval Forms Biosketches Budgets Clinical Trials Confidentiality Disclosure Agreements HIPAA IRB Material Transfer Agreements Other Support pages PHS 398 Grant Applications Research Grant Applications (non NIH) SFS 424 Grant Applications Subcontracts Tuition Budget Forms

SECTION V - Core Analytical Lab (You must select at least one item)

N/A Assay development* Assay validation* Coordinate supply orders External study management** Lab processing charts Literature searches for methodologies Manuscripts NYS DOH assay submissions (or other)* Preparation of shipping materials Preparation of study-related materials Reports* Sample analyses (assays)* Sample management (receipt, storage, inventory, and tracking) Sample shipments Standard operating procedures* Qualifiying Standards*
N/A DOH GCLP GLP NYS
_**Liaison activity/coordination with outside investigators, sponsors, institutions, nursing and clinic staff, etc.

SECTION VI - Pharmacometrics (You must select at least one item)

N/A Data Analysis Data Interpretation Literature Review Manuscripts Reports Study Design

SECTION VII - Pharmacogenomics (You must select at least one item)

N/A Data Analysis Data Interpretation Lab Training Literature Review Manuscripts Reports Sample Process Sample Storage Study Design

SECTION VIII - Information Technology (You must select at least one item)

Database*
Web Programming Data Cleaning Queries Data Entry N/A

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