Attachment 6_PerformanceSite_4_0-V4.0.pdf

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BROAD AGENCY ANNOUNCEMENT (BAA) for Extramural Biomedical and Human Performance Research and Development Department of Defense
Opportunity number
HT9425-23-S-SOC1
Issued by

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This document contains an attachment template for project/performance site location information related to a Broad Agency Announcement from the Department of the Army Medical Command for extramural biomedical and human performance research and development opportunities. The template requests organization name, Unique Entity Identifier, street address, city, county, state, country, ZIP/postal code, and congressional district for the primary project/performance site location and any additional locations. The associated federal grant opportunity is solicitation number HT9425-23-S-SOC1 and falls under the federal grant program for Military Medical Research and Development with number 12.420. Applicants are requested to provide location information for where grant-funded work will be performed.

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Project/Performance Site Location(s) OMB Number: 4040-0010

Expiration Date: 11/30/2025

Project/Performance Site Primary Location I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization.

Organization Name:

UEI:

* Street1:

Street2:

* City: County:

* State:

Province:

* Country: USA: UNITED STATES

* ZIP / Postal Code: * Project/ Performance Site Congressional District:

Project/Performance Site Location 1 I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization.

Organization Name:

UEI:

* Street1:

Street2:

* City: County:

* State:

Province:

* Country: USA: UNITED STATES

* ZIP / Postal Code: * Project/ Performance Site Congressional District:

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