With the exception of grant programs that have an effort requirement, or where terms and conditions prohibit such reductions, the National Institutes of Health will not require prior approval for the reduction in effort for Senior/Key Personnel named in the Notice of Award (NoA) during a no-cost extension. However, recipients are reminded that for active NIH awards, the Project Director/Principal Investigator and other Senior/Key Personnel named in the NoA must devote a measurable level of effort.
For additional information see section 8.1 of the NIH Grants Policy Statement (Revised November 2016).