Sponsored Projects Office Request Forms

Instructions:

PLEASE READ the following instructions before continuing on.

Researchers who need an authorized Signing Official’s signature on MTA(s) associated with Addgene plasmid orders and dbGaP Data Access Requests may use these forms to notify the Sponsored Projects Office that review and signature are needed. The SO’s signature is managed through the Addgene portal and eRA Commons, respectively.

Please note: All other requests for review and execution of unfunded agreements, such as confidentiality agreements, data use/transfer agreements, and material transfer agreements, must be submitted through Kuali Research. This dbGaP form should be used when requesting data only.

All fields in this form, aside from Additional Comments, are required. Incomplete forms will result in delayed reviews.

Please select a form: (required) dbGaP Addgene

dbGaP Information:

NIH/NCBI dbGaP Data Access Requests:

The National Institutes of Health’s National Center for Biotechnology Information (NIH NCBI) advances science and health by providing access to biomedical and genomic information. UCSD researchers who wish to receive data from the dbGaP database are required to submit a Data Access Request through eRA Commons, and the Request must be approved by an authorized SPO Signing Official there. After you have completed your application through the eRA Commons, please complete and submit this internal form so that the SPO Signing Official can review and approve the request. Be sure to include the NCBI dbGaP project # below. You will need to complete this internal form every time a Signing Official signature is needed, which can happen at 3 timepoints:

New
Renewal
Close-out

Please note: this form should only be used if you are requesting data from the dbGaP database and you do not need to submit a separate KR PD record.
If you are seeking to deposit data into dbGaP and need a Signing Official’s signature on a NIH Genomic Data Sharing (GDS) certification, please follow additional instructions at this link: https://blink.ucsd.edu/research/sra/preparing-proposals/agreement-types/unfunded-agreements/index.html#Data-Use/-Data-Transfer-Agreeme

Your eRA Commons application requires you to list an IT Director:

IT Director for Health Science departments: Kenneth Wottge (wottge@ucsd.edu) or
IT Director for General Campus departments: Arlene Yetnikoff (ayetnikoff@ucsd.edu)

Addgene Information:

Addgene Plasmid MTA Requests:

The Addgene repository facilitates access to useful research materials and information by distributing plasmids on behalf of labs around the world. UCSD researchers who wish to purchase Addgene materials should first place an order through Addgene’s portal. Addgene will separately notify our office via an automated email to request that UCSD signs a MTA. After you have completed your order, please complete and submit this internal form so that the SPO Signing Official can review and sign the MTA in Addgene’s portal. Be sure to include your order # and plasmid names so that the SPO Signing Official can locate the correct order. You will need to complete this internal form with each new order. Please note: this form should only be used if you are purchasing plasmids from Addgene. If you are depositing plasmids, please contact the Office of Innovation and Commercialization.

Please provide a brief summary of your request: (required)

Ex. Addgene: Addgene / PI Name / Addgene Order Number
Ex. dbGaP: dbGaP / PI Name / dbGaP Project ID# / Request Type

Labels

Sponsor Name

Sponsor Code

Foreign Sponsor

Sponsor Country Code

Award Type

PI Name

The UCSD PI responsible for this project and this transfer. This individual is called “Approved User” in dbGaP’s portal (if applicable).

PI Email

Department

Point of Contact Name

Point of Contact Email

Does your request include a biological material that contains a prohibited pathogen, toxin or select agent?

See the ECCN 1C351 list to make this determination: https://blink.ucsd.edu/sponsor/exportcontrol/Export-Restricted-Biologicals.pdf If you answer yes to this question, please also contact Export Control at export@ucsd.edu

Addgene Order Number

Please enter the 6-digit Addgene order number (not the catalog number)

Material/Plasmid Name(s)

Identify the specific name of the material/plasmid. Please include a list of all plasmids on this order (this will ensure that all appropriate MTA(s) are completed.

Will the material be combined or used with other material obtained under a previous agreement?

If Yes, please explain

Request Type

Project Close-out I, PI, confirm that the dataset(s) I received have been destroyed per the terms of use.

dbGaP Project ID #

This is the identifier from dbGaP’s portal

dbGaP Project Name

Please paste the same project name that you put into dbGaP’s portal.

Project Description/Statement of Work

Provide a concise scientific description (SOW) of your use of the dataset(s). If this is a Project Close-out request, put “Project Close-out.”

Additional Comments/Notes

*Captcha has been added to this form as a precaution against spam, as we have received spam submissions recently. Thank you for your understanding!