------------------------------------------------------ --------- -------
  **ROUTING AND TRANSMITTAL SLIP DATE:**                           

  TO:                                                    Initial   Date

  **1** \[originating office\]                                     

  **2** \[ARC Clearance\]                                          

  **3** \[NCI Ethics Office\]                                      

  **4** RETURN TO: AO Name, Building/Room Number                   

  **5** \[originating office\]                                     
  ------------------------------------------------------ --------- -------

+---+---------------------------+---+-----------------------------------+
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+---+---------------------------+---+-----------------------------------+
|   | **Should it be 348 or     |   | **Is [form]{.underline} complete? |
|   | 520? See: *Reviewing      |   | 348 & 520: *Did the requestor     |
|   | activities involving      |   | respond to the questions?* *Are   |
|   | professional              |   | all signatures and dates          |
|   | competence***             |   | present?***                       |
+---+---------------------------+---+-----------------------------------+
|   | **348 & 520: Grants?**    |   | **Are [attachments]{.underline}   |
|   |                           |   | complete?**                       |
|   |                           |   |                                   |
|   |                           |   | **348: see *Helpful Hints***      |
|   |                           |   |                                   |
|   |                           |   | **520: see *HHS Documentation     |
|   |                           |   | Requirements***                   |
+---+---------------------------+---+-----------------------------------+
|   | **348 & 520: Contracts?** |   |                                   |
|   |                           |   |                                   |
|   | **(including purchase     |   |                                   |
|   | orders)**                 |   |                                   |
+---+---------------------------+---+-----------------------------------+
|   | **348 & 520:              |   | **348: Is there a \"No Federal    |
|   | CRADAS/MTA-CRADAs?**      |   | Funds\" Statement? Or has the     |
|   |                           |   | Certification Checklist been      |
|   | **348 & 520: Other DHHS   |   | Annotated at #1?**                |
|   | supported activity?**     |   |                                   |
+---+---------------------------+---+-----------------------------------+
|   | **348: Active 520\'s?**   |   | **348 & 520: Is there a [late     |
|   |                           |   | memo]{.underline} if document     |
|   | **520: New, Continuing,   |   | does not meet the                 |
|   | or Renewal?**             |   | [2-week]{.underline} deadline? Is |
|   |                           |   | it reasonable?**                  |
+---+---------------------------+---+-----------------------------------+
|   | **348 & 520: Clinical     |   | **Is [complete]{.underline}       |
|   | Trial Agreements or       |   | distribution clearly stated on    |
|   | Clinical Trials?**        |   | the route slip?**                 |
|   |                           |   |                                   |
|   |                           |   | **Can you tell to whom the        |
|   |                           |   | package should be returned?**     |
+---+---------------------------+---+-----------------------------------+
|   | **348 & 520: original     |   | **348/520: Original to designated |
|   | signature and date of     |   | Ethics Office:**                  |
|   | signature.**              |   |                                   |
|   |                           |   | **31/3A18, Bethesda**             |
|   |                           |   |                                   |
|   |                           |   | **EPS/638, Rockville**            |
|   |                           |   |                                   |
|   |                           |   | **372/11, NCI-Frederick**         |
+---+---------------------------+---+-----------------------------------+
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+---+---------------------------+---+-----------------------------------+

+-------------------+-------------------+------------------------------+
| **Assemble 348    | **Assemble 520    | **Employee:**                |
| Package as        | Package as        |                              |
| follows:**        | follows:**        |                              |
|                   |                   |                              |
|  **Route Slip**  |  **Route Slip**  |                              |
|                   |                   |                              |
|  **Completed 348 |  **Completed 520 |                              |
| Front & Back**    | Front & Back**    |                              |
|                   |                   |                              |
| **\[Multiple     | **\[Supervisory  |                              |
| Sponsor           | Initials\]**      |                              |
| Breakdown\]**     |                   |                              |
|                   |  **Notice and    |                              |
|  **\[Late        | Excerpts**        |                              |
| Memo\]**          |                   |                              |
|                   |  **Supplemental  |                              |
|  **Letter of     | Information       |                              |
| invitation**      | Sheet**           |                              |
|                   |                   |                              |
| **No Federal     |  **\[NIH         |                              |
| Funds**           | 2657\]**          |                              |
|                   |                   |                              |
|                  |  **\[Late        |                              |
| **\[Just          | Memo\]**          |                              |
| ification-Spousal |                   |                              |
| Travel\]**        |  **\[Letter of   |                              |
|                   | invitation\]**    |                              |
|  **Travel        |                   |                              |
| Order**           |  **\[Additional  |                              |
|                   | documents-legal** |                              |
|  **\[Subject of  |                   |                              |
| Human             | **agreements,     |                              |
| Research\]**      | consulting        |                              |
|                   | agreements with   |                              |
|                  | NIH addendum      |                              |
| **\[Notification  | paragraph,        |                              |
| of                | etc.\]**          |                              |
| International**   |                   |                              |
|                   | ** Recusal**     |                              |
| **Travel\]**      |                   |                              |
+-------------------+-------------------+------------------------------+
|                   |                   | **348 - Travel Order         |
|                   |                   | Number:**                    |
+-------------------+-------------------+------------------------------+
|                   |                   | **348/520 - Date of          |
|                   |                   | Travel/Activity:**           |
+-------------------+-------------------+------------------------------+
|                   |                   | **348 - Destination/520 -    |
|                   |                   | Organization:**              |
+-------------------+-------------------+------------------------------+

**Comments:**

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  **From:**                                  **Bldg/Rm**   **Ext.**

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