VA Form 10-1436: Project Data Sheet Guide & Download

VA Form 10-1436: Project Data Sheet Guide & Download – VA Form 10-1436 is a key document for researchers conducting studies at Veterans Affairs (VA) medical facilities. It supports the VA’s commitment to advancing healthcare through structured research tracking and reporting.

What Is VA Form 10-1436?

VA Form 10-1436, titled Research and Development Information System—Project Data Sheet, collects essential project information for the VA’s Research and Development Information System (RDIS). It tracks research involving VA facilities, resources, employees, or patients.

This form, revised in June 1989, remains in use for initial project submissions and annual progress reports. It ensures all VA-supported or VA-conducted research is properly documented, reviewed, and monitored for scientific merit, ethics, and compliance.

Download the official VA Form 10-1436 here: Download VA Form 10-1436 PDF

Purpose of the VA Project Data Sheet

The primary purpose of VA Form 10-1436 is to feed data into the RDIS, which maintains records on all VA research projects across medical centers. It captures details like:

  • Principal investigator information
  • Project title and funding sources
  • Use of human or animal subjects
  • Research focus areas (e.g., Agent Orange studies)
  • Keywords (MeSH terms)
  • Project abstract

This data helps the VA oversee its robust research program, which spans basic science, clinical trials, health services, and rehabilitation research aimed at improving Veterans’ health.

An initial Project Data Sheet must be submitted within 15 days of project initiation, with annual progress reports required thereafter.

Who Needs to Complete VA Form 10-1436?

  • VA-appointed Principal Investigators (PIs) or designated VA investigators for projects using VA resources.
  • Researchers involved in studies funded by VA, NIH, other federal agencies, academic institutions, or private sources.
  • Projects requiring Research and Development (R&D) Committee approval at VA facilities.

Note: The PI must have a VA appointment. For projects without a VA-appointed PI but using VA resources, a responsible VA investigator is listed.

If the PI has not previously submitted an Investigator Data Sheet (VA Form 10-5368), it must accompany this form.

How to Complete VA Form 10-1436: Step-by-Step Instructions?

Follow the official instructions on the form. Key sections include:

  1. Location and Investigator Details — Enter facility info, PI name, degree, and status (awardee or responsible VA investigator).
  2. Project Number and Title — Assign a 4-digit project number; keep title under 142 characters.
  3. Co-Principal Investigators — List up to 2 (one designated as primary).
  4. Funding and Administration Codes — Use specific codes for VA, NIH, other federal, academic, private, etc. (detailed on the form’s back).
  5. Project Uses — Indicate human subjects, animal subjects, radioisotopes, biohazards, etc.
  6. Research Focus and Keywords — Mark relevant areas and provide MeSH terms.
  7. Abstract — Limited to 500 words, organized under: (a) objective, (b) research plan, (c) methodology, (d) findings/results to date.

Submit the completed form to your local VA Research Office or R&D Committee as part of the approval process.

Role in VA Research Approval Process

VA Form 10-1436 is part of the broader R&D Committee (R&DC) review. All VA research requires R&DC approval (in addition to IRB, IACUC, etc.) before initiation. The Associate Chief of Staff for Research & Development (ACOS/R&D) provides final written authorization.

This ensures ethical standards, scientific validity, and protection of Veterans participating in research.

Why VA Research Matters for Veterans and Americans?

VA research has contributed to breakthroughs in PTSD treatment, prosthetics, cancer care, and more for over 100 years. The RDIS and forms like 10-1436 help track and maximize the impact of these efforts.

Tips for Researchers Submitting VA Form 10-1436

  • Use MeSH terms from the National Library of Medicine for keywords.
  • Keep projects distinct; avoid generic titles covering multiple funding sources.
  • Coordinate with your local VA Research Service for guidance on R&D policies.
  • Retain copies and ensure compliance with annual reporting.

For the most current policies, visit the official VA Office of Research & Development website or contact your facility’s Research Office.

Official Download Link: VA Form 10-1436 PDF

This guide is for informational purposes. Always refer to official VA sources and consult your local research office for specific requirements. VA research continues to drive innovations that benefit Veterans nationwide.