Appendix B_Cover Sheet Template.pdf

FY22 CWMD Nuclear Forensics Research Awards Notice of Funding Opportunity Proposal Cover Sheet

Proposal ID:

NFRA-XXXX-YYYY-2-T0#-

0##

Funding Opportunity Number:

DHS-22-DN-130-NFRA-001

Proposed Amount: Proposed Duration (in months):

Project Title:

Primary Organization Information Organization Name and Address:

Organization Name Street Number and Name City, State Zip Code

Organization Postal Name and Address:

Organization Name Street Number and Name City, State Zip Code

UEI: TIN/EIN:

Principle Investigator (PI)/Project Leader Information

PI Full Name and Address:

PI Phone (include area code):

PI Fax (include area code):

PI E-mail:

Co-PI, Organization: Co-PI, Organization:

Co-PI, Organization: Co-PI, Organization:

Collaborative Effort? Yes/No

Subcontractor? Yes/No.

If yes, list organization and lead technical contact name for each collaborator and subcontractor:

Executive Summary (less than 2500 characters w/ spaces) Provide a brief summary of your concept’s anticipated performance relative to the research topic goals and current state-of-the-art solutions, and why, if the research is successful, it could have a strategic impact on the CWMD mission to counter attempts by terrorists or other threat actors to carry out an attack against the United States or its interests using a weapon of mass destruction. Describe what is unique about this proposed technology, how it fits within the topic area, and how it would, if successfully realized, have a significant impact on the CWMD mission objectives to detect and prevent the illicit entry, transport, assembly, or potential use of unauthorized chemical, biological, radiological, or nuclear (CBRN) materials, devices or agents within the United States and otherwise help protect against an attack using such materials, devices, or agents. Provide a concise description of the scientific, technical, and/or engineering approach you propose to pursue and address in this effort. Describe the key aspects, core concepts or components and/or developmental capability proposed and relevant details about how such will function or perform.

This summary should contain enough information to fully capture the program concept/intent and should completely describe the overall program without relying on other sections of the proposal.

AUTHORIZATION

Preliminary Proposal Submission Date: Authorized Representative Name and Signature:

Project Information

Number of Graduate Students:

Number of Undergraduate Students:

Number of Postdoctoral Researchers:

Number of High School Students:

Total Number of Research Personnel:

Will the PI request the involvement of any foreign nationals in this project? Yes/No.

If Yes, please list number of persons and country/countries of citizenship.