Attachment 1 Privacy Act Statement.pdf
PDF 107 KB Posted
- Attached to
- Fiscal Year (FY) 2025 Directors' Research Initiative (DRI) Federal grant opportunity
- Opportunity number
- NOFOAFRLAFOSR20250001
About this file
This is a Privacy Act Statement template for the Air Force Research Laboratory's FY2025 Director's Research Initiative (DRI) grant opportunity requiring signatures from covered individuals and institutional representatives. The statement outlines the legal authorities, purpose, and routine uses of information collected during the grant application process under NOFO AFRLAFOSR20250001.
The associated grant opportunity focuses on "Energy for Agility" research topics across four specific areas (not detailed in the file) administered by the Air Force Research Laboratory under the Air Force Defense Research Sciences Program (CFDA 12.800). The initiative aims to fund discovery science related to future Air and Space Forces energy requirements, including power generation optimization, mobile energy storage, radiation protection, and the convergence of biosciences with unconventional energy concepts. Key areas of interest include multi-material manufacturing, functional material simulation, campaign-level modeling, artificial intelligence, and advanced platform design. The document provides a template for applicants to acknowledge consent by including fields for proposal title, covered individual information, institutional representative details, and dates.
Attachment 1 Privacy Act Statement
View the file
Other files for this federal grant opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 2 Security Program Questionnaire.pdf | ||
| NOFOAFRLAFOSR20250001 Amendment 2.pdf | ||
| NOFOAFRLAFOSR20250001 Amendment 3.pdf | ||
| DRI NOFO FINAL.pdf | ||
| NOFOAFRLAFOSR20250001 Amendment 1.pdf |
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Text version
Privacy Act Statement Air Force Research Laboratory
Authority: Government Paperwork Elimination Act (Pub. L. 105-277, 44 U.S.C. 3504); Executive Order 12372, Intergovernmental review of Federal Programs (47 FR 30959); 42 U.S. Code § 6605 – Disclosure of funding sources in applications for Federal research and development awards; Public Law 117-167, CHIPS and Science Act; Public Law 116-92, National Defense Authorization Act for Fiscal Year 2020;
Public Law 116-283, National Defense Authorization Act for Fiscal Year 2021; 5 U.S.C. 9101, Access to Criminal History for National Security and Other Purposes 5 CFR §1320.8, Agency collection of information Responsibility; 18 U.S.C. § 1001, False Statements, Concealment; E.O. 13478, Amendments to Executive Order 9397 Related to Federal Use of social Security Numbers; NSPM-33, National Security Presidential Memorandum 33 on National Security for United States Research and Development; DoD-D 5240.01, DoD Intelligence Activities; DoDI 5200.02, Department of Defense Personnel Security Program; DODI 5205.87 Mitigating Risks Related to Foreign Ownership, Control, or Influence for Covered DOD Contractors and Subcontractors; Air Force Research Laboratory Instruction 61-113, Science and Technology Protection for the Air Force Research Laboratory;
Purpose: The information collected may be used in processing, investigating, and maintaining records relevant to Federal Grants, Cooperative Agreements, Contracts, Other Transaction Agreements or other research related agreements awarded by the Department of the Air Force. Records in these systems will be used to ensure Department of the Air Force sponsored and/or awarded federal grants, cooperative agreements, contracts, Other Transaction Agreements and/or benefits are awarded to responsible parties, entities, and individuals.
Routine Uses: To contractors, grantees, experts, consultants, students, and others performing or working on a contract, grant, cooperative agreement, other transaction or other assignment for the Federal Government when necessary to accomplish an agency function.
To the appropriate Federal, State, local, territorial, tribal, foreign, or international law enforcement authority or other appropriate entity where a record, either alone or in conjunction with other information, indicates a violation or potential violation of law, whether criminal, civil, or regulatory in nature.
DoD Blanket Routine Use (http://dpcld.defense.gov/privacy)
Effect of not providing information: Providing information to the Department of the Air Force is voluntary. However, 42 U.S. Code § 6605, which imposes certain disclosure requirements in connection with Federal research and development awards, provides various enforcement mechanisms for non-compliance to include civil or criminal remedies. One such mechanism, which the Department of the Air Force intends to pursue here, is rejection of such applications.
Proposal Title: ____________________________
Acknowledgment of consent:
Covered individual (Signature): ______________________________ Date: ___________
Covered individual (Name print): ______________________________
Institution’s Authorized Representative (Signature): _______________________ Date: ___________
Institution’s Authorized Representative (Name print): ______________________________
Institution Name: _______________________________ http://dpcld.defense.gov/privacy
| Proposal Title: |
| Covered individual Name print: |
| Institutions Authorized Representative Name print: |
| Institution Name: |
| Date: |
| Date2: |
File details come from the government source that posted it. Updated .