CF_Other_Support_Sample.docx
DOCX document 41 KB Posted
- Solicitation number
- HR001126S0010
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| HR001126S0010-Amendment-01.pdf | ||
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| A1_-_DICE_Abstract_Template.docx | DOCX document | |
| DICE_CUIG_APR_2026_v1.0.pdf | ||
| Associate_Contractor_Agreement.docx | DOCX document | |
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| CF_Biographical_Sketch.pdf | ||
| P2_-_DICE_Volume_II_Template.docx | DOCX document | |
| HR001126S0010.pdf | ||
| CF_Other_Support.pdf | ||
| P4_-_DARPA_Standard_Cost_Proposal_Spreadsheet.xlsx | XLSX spreadsheet | |
| P1_-_DICE_Volume_I_Template.docx | DOCX document |
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Text version
CF Current and Pending (Other) Support Senior/Key Personnel Identifying Information Name (Last, First, Middle, Suffix):
Persistent Identifier (PID):
Position Title:
Organization and Location Name:
Location (City, State/Province, Country):
Proposals and Active Projects (Most Recent to Oldest) Add or delete as necessary Title:
Status of Support:
Project Award Number: (if available)
Source of Support:
Primary Place of Performance:
| Project Start Date: |
| Month, Year |
| Project End Date: |
| Month, Year |
| Total Anticipated Award Amount: |
| $ |
Person-Month(s) Per Year:
Overall Objectives:
Potential Overlap:
Title:
Status of Support:
Project Award Number: (if available)
Source of Support:
Primary Place of Performance:
| Project Start Date: |
| Month, Year |
| Project End Date: |
| Month, Year |
| Total Anticipated Award Amount: |
| $ |
Person-Month(s) Per Year:
Overall Objectives:
Potential Overlap:
Title:
Status of Support:
Project Award Number: (if available)
Source of Support:
Primary Place of Performance:
| Project Start Date: |
| Month, Year |
| Project End Date: |
| Month, Year |
| Total Anticipated Award Amount: |
| $ |
Person-Month(s) Per Year:
Overall Objectives:
Potential Overlap:
In-Kind Contributions (Most Recent to Oldest) Add or delete as necessary Status of Support:
| Date of In-Kind Contribution: |
| Month, Year |
Source of Support:
Summary of In-Kind Contribution:
Person-Month(s) Per Year:
| US Dollar Value of In-Kind Contribution: |
| $ |
Overall Objectives:
Potential Overlap:
Status of Support:
| Date of In-Kind Contribution: |
| Month, Year |
Source of Support:
Summary of In-Kind Contribution:
Person-Month(s) Per Year:
| US Dollar Value of In-Kind Contribution: |
| $ |
Overall Objectives:
Potential Overlap:
Status of Support:
| Date of In-Kind Contribution: |
| Month, Year |
Source of Support:
Summary of In-Kind Contribution:
Person-Month(s) Per Year:
| US Dollar Value of In-Kind Contribution: |
| $ |
Overall Objectives:
Potential Overlap:
Certification I certify that the information provided is current, accurate, and complete. This includes but it not limited to information related to domestic and foreign appointments and positions.
I also certify that, at the time of submission, I am not a party to a malign foreign talent recruitment program.
Misrepresentations and/or omissions may be subject to prosecution and liability pursuant to, but not limited to, 18 U.S.C. § 287, 1001, 1031 and 31 U.S.C. § 3729-3733 and 3802.
| Signature |
| Date |
Privacy Act and Burden Statement The information requested on this form is solicited under the authority of the National Science Foundation Act of 1950, as amended. The information on this form will be used in connection with the selection of qualified proposals. The information requested may be disclosed to qualified reviewers and staff assistants as part of the proposal review process; to proposers institutions/grantees to provide or obtain data regarding the proposal review process, award decisions, or the administration of awards; to government contractors, experts, volunteers and researchers and educators as necessary to complete assigned work; to other government agencies or other entities needing information regarding Proposers or nominees as part of a joint application review process, or in order to coordinate programs or policy; and to another Federal agency, court of party in a court or Federal administrative proceeding if the government is a party. Information about Principal Investigators may be added to the Reviewer file and used to select potential candidates to serve as peer reviewers or advisory committee members. See Systems of Records, NSF-50, “Principal Investigator/Proposal File and Associated Records,” 79 Federal Register 76398 (December 22, 2014), and NSF-51, “Reviewer/Proposal File and Associated Records,” 79 Federal Register 76398 (December 22, 2014). Submission of the information is voluntary. Failure to provide full and complete information, however, may reduce the possibility of receiving an award. Comment by Montgomery, Dawn: Why does this reference an NSF System of Records?
An agency may not conduct or sponsor, and a person is not required to respond to, an information collection unless it displays a valid OMB control number. The OMB control number for this collection is 3145-0279. Public reporting burden for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions. Send comments regarding the burden estimate and any other aspect of this collection of information, including suggestions for reducing this burden, to:
Reports Clearance Officer Policy Office, Division of Institution and Award Support Office of Budget, Finance, and Award Management National Science Foundation Alexandria, VA 22314
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