Institutional Data for Completing Agency Forms
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Applicant Institution name and address
Authorizing Official
Fiscal Officer
Payment Address
Director of Contract and Grant Administration
IRS or Entity Number
DUNS Number
Facilities and Administration (Indirect Cost) Agreement
IU Rates
CAGE Code
FICE Code
Congressional District
NIH Institutional Profile Number
NSF Organization Code
Human Subjects Federal Wide Assurance Numbers
Animal Welfare Assurance Number
Institutional Assurances and Filing Dates

Applicant Institution

    Indiana University
    620 Union Drive, Room 518
    Indianapolis, IN 46202-5167

    Phone: (317) 278-3473
    Fax: (317) 274-5932
    E-Mail:
    spon2@iupui.edu

Authorizing Official

    John W. Talbott
    Interim Assistant Vice President for Research Administration
    Contact information is the same as for Applicant Institution above

Fiscal Officer

    Jean Mercer
    Director, Grants Services
    Office of Research Administration
    Contact information is the same as for Applicant Institution above

Payment Address

    Indiana University
    Financial Management Services
    P.O. Box 66057
    Indianapolis, IN 46266-6057

Director of Contract and Grants

James P. Becker
Poplars 426
400 East 7th Street
Bloomington, Indiana 47405
812-855-6538 office
812-855-7494 fax
cgadmin@indiana.edu

IRS or Entity Number

    35-6001673
    For NIH and some other applications: 1-356001673-A1

DUNS Number

Please contact Office of Research Administration, srsinfo@iupui.edu or 278-3473.

Facilities and Administration (Indirect Cost) Agreement

    Department of Health and Human Services - DHHS
    (Agreement date May 14, 2004)

IU Rates

CAGE Codes

    All proposals except NIH proposals
    4E748
    NIH Proposals
    434D9

FICE Code (Federal Interagency Committee on Education)

    008002

Congressional District

    IUPUI
    7th

NIH Institutional Profile Number

    IUPUI
    577806

NSF Organization Code

    IUPUI (Non School of Medicine)
    0018101000
    IUPUI (School of Medicine)

    0018101010

Human Subjects in Research - Federal Wide Assurance Numbers (FWA)

    Indiana University
    FWA 00003544
    Clarian Health Partners
    FWA00003566
    Health and Hospital Corporation of Marion County (includes Wishard Memorial Hospital)
    FWA00003543
    IU Medical Group
    FWA00002719
    LaRue D. Carter Memorial Hospital
    FWA00003556
    Regenstrief Institute, Inc.
    FWA00003345
    Richard L. Roudebush VA
    FWA00001506

Animal Welfare Assurance Number

    Bloomington (includes Medical Sciences)
    A4094-01
    IUPUI School of Dentistry
    A4093-01
    IUPUI School of Medicine (Indianapolis only)
    A4091-01
    IUPUI School of Medicine - Evansville Center for Medical Education
    A4279-01
    IUPUI School of Medicine - Northwest Center. for Medical Education
    A4280-01
    IUPUI School of Medicine - South Bend Center for Medical Education
    A4281-01
    IUPUI School of Science
    A4092-01

Institutional Assurances and Filing Dates

    Assurance of Compliance with DHEW (DHHS) Regulations under Title VI of the Civil Rights Act of 1964
    January 6, 1965
    Assurance of Compliance with the PHS Act, Sections 799A and 845, Discrimination on the Basis of Sex Prohibited
    May 13, 1972
    Assurance of Compliance with DHEW (DHHS) Title IX of the Education Amendments of 1972
    June 30, 1976
    DHEW (DHHS) Equal Opportunity for the Handicapped: Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973, as amended
    December 14, 1977
    Assurance of Compliance with the Department of Health and Human Services Regulation Under the Age Discrimination Act of 1975
    April 3, 1992

Office of Research Administration
Last Update: July 10, 2008
http://www.researchadmin.iu.edu
Copyright © 2002-2003 The Trustees of Indiana University