requirements specified in the exhibit, approval is required whether or not the change has a budgetary impact. For the prior approval Written approval by an authorized HHS official, e.g., a designated IC GMO, evidencing prior consent before a recipient undertakes certain activities or incurs specific costs (see Administrative Requirements-Changes in Project and Budget-Prior Approval Requirements). requirements are summarized in Exhibit 7, which is provided for guidance only. NIH prior approval Written approval by an authorized HHS official, e.g., a designated IC GMO, evidencing prior consent before a recipient undertakes certain activities or incurs specific costs (see Administrative Requirements-Changes in Project and Budget-Prior Approval Requirements). This section describes the activities and/or expenditures that require NIH prior approval Written approval by an authorized HHS official, e.g., a designated IC GMO, evidencing prior consent before a recipient undertakes certain activities or incurs specific costs (see Administrative Requirements-Changes in Project and Budget-Prior Approval Requirements). Prior approval requirements, A&R, capital expenditures, additional no-cost extension or extension greater than 12 months or late notification of initial no-cost extensions, alterations and renovations, capital expenditures, carryover of unobligated balances, change in scope, change in status, including absence of PD/PI and other senior/key personnel named in the NoA, change of recipient organization, change in recipient organizational status, deviation from award terms and conditions (including restrictions in the NoA), foreign component added to a grant to a domestic or foreign organization, provide subawards based on fixed amounts, need for additional NIH funding without extension of budget and project period, need for additional NIH funding with extension of the final budget period of project period, pre-award costs, rebudgeting of funds from trainee costs, rebudgeting of funds between construction and non-construction work, and retention of research grant funds when a career development award is issued 8.1.2 Prior Approval Requirements