It depends on the prime award. If the award is from NIH, we must get permission when adding a foreign subrecipient. Where NIH is the sponsor, we must also get approval for adding any new Fixed Price subagreement, or modifying a Cost Reimbursable Subagreement to a Fixed Price. Other prime awards may or may not require approval. Your Subawards Team member will review the prime award and work with you to make this determination.