RESEARCH and RELATED PERSONAL DATA.pdf

PDF 127 KB Posted Jun 4, 2018

Attached to: Armament Technology Broad Agency Announcement Federal contract opportunity
Solicitation number: FA8651-17-S-0003
Issued by: Department of the Air Force Materiel Command Research Laboratory

About this file

Written by GovTribe AI · Dec 28, 2023

This document contains a federal personal data collection form and information about an Armament Technology Broad Agency Announcement opportunity. The personal data form collects voluntary demographic information from principal investigators and project directors for federal statistical monitoring purposes. It requests data such as name, gender, race, ethnicity and disability status.

The Broad Agency Announcement from the Department of the Air Force Materiel Command Research Laboratory solicits proposals for armament technology research and development. It seeks innovative science and technology solutions to improve air and missile systems capabilities. Interested parties should respond by the dates set forth in Attachment 1 of solicitation number FA8651-17-S-0003. Proposals will be reviewed on a rolling basis and successful awardees will be selected for cost-plus-fixed-fee or cost-sharing contracts for a five-year period of performance.

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RESEARCH and RELATED PERSONAL DATA Form

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Other files for this federal contract opportunity

Other files attached to Armament Technology Broad Agency Announcement, newest first.
File	Type	Posted
FA8651-17-S-0003 UPDATED 10 MAR 2021 FINAL.pdf	PDF	Mar 30, 2021
FA8651-17-S-0003 UPDATED 12 March 2020.pdf	PDF	Mar 12, 2020
FA8651-17-S-0003_UPDATED_March_2019.pdf	PDF	Mar 12, 2019
RESEARCH and RELATED Senior Key Person Profile	PDF	Jun 4, 2018
FA8651-17-S-0003 UPDATED 1 JUNE 2018.pdf	PDF	Jun 4, 2018
FA8651-17-S-0003_UPDATED_13_MARCH_2018.pdf	PDF	Mar 13, 2018
FA8651-17-S-0003_13_March_2017.docx	DOCX document	Mar 13, 2017

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OMB Number: 4040-0001 Expiration Date: 10/31/2019

RESEARCH & RELATED PERSONAL DATA

Project Director/Principal Investigator and Co-Project Director(s)/Co-Principal Investigator(s)

The Federal Government has a continuing commitment to monitor the operation of its review and award processes to identify and address any inequities based on gender, race, ethnicity, or disability of its proposed PDs/PIs and co-PDs/PIs. To gather information needed for this important task, the applicant should submit the requested information for each identified PD/PI and co-PDs/PIs with each proposal. Submission of the requested information is voluntary and is not a precondition of award. However, information not submitted will seriously undermine the statistical validity, and therefore the usefulness, of information received from others. Any individual not wishing to submit some or all the information should check the box provided for this purpose. Upon receipt of the application, this form will be separated from the application. This form will not be duplicated, and it will not be a part of the review process. Data will be confidential.

Prefix: * First Name: Middle Name:

* Last Name: Suffix:

Gender:

Race (check all that apply):

American Indian or Alaska Native

Black or African American

Native Hawaiian or Other Pacific Islander

Do Not Wish to Provide

White

Asian

Ethnicity: Disability Status (check all that apply):

Visual

Other

Mobility/Orthopedic Impairment

None

Hearing

Do Not Wish to Provide

Citizenship:

R and R Personal Data mhughes D:20061211100028- 05'00' D:20061211100028- 05'00' Mandatory OMB Number: 4040-0001 Expiration Date: 10/31/2019

RESEARCH & RELATED PERSONAL DATA

Project Director/Principal Investigator and Co-Project Director(s)/Co-Principal Investigator(s) The Federal Government has a continuing commitment to monitor the operation of its review and award processes to identify and address any inequities based on gender, race, ethnicity, or disability of its proposed PDs/PIs and co-PDs/PIs. To gather information needed for this important task, the applicant should submit the requested information for each identified PD/PI and co-PDs/PIs with each proposal. Submission of the requested information is voluntary and is not a precondition of award. However, information not submitted will seriously undermine the statistical validity, and therefore the usefulness, of information received from others. Any individual not wishing to submit some or all the information should check the box provided for this purpose. Upon receipt of the application, this form will be separated from the application. This form will not be duplicated, and it will not be a part of the review process. Data will be confidential.

For Testing Only - Fill Name Fields Prefix:

* First Name:

Middle Name:

* Last Name:

Suffix:

Gender:

Race (check all that apply):

American Indian or Alaska Native Black or African American Native Hawaiian or Other Pacific Islander Do Not Wish to Provide White Asian Ethnicity:

Disability Status (check all that apply):

Visual Other Mobility/Orthopedic Impairment None Hearing Do Not Wish to Provide Citizenship:

Next Person Next Person: Click this button to advance to the next person's record.

Mandatory Prefix:

* First Name:

Middle Name:

* Last Name:

Suffix:

Gender:

Male Female Do Not Wish to Provide Gender: Select one.

Race (check all that apply):

American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Do Not Wish to Provide Ethnicity:

Disability Status (check all that apply):

Hearing Visual Mobility/Orthopedic Impairment Other None Do Not Wish to Provide Citizenship:

Delete Entry Delete Entry: Delete the currently displayed person's record.

Previous Person Previous Person: Click for previous person's record.

Next Person Next Person: Click this button to advance to the next person's record.

RESEARCH & RELATED PERSONAL DATA

recordno:

Prefix: Enter the prefix (e.g., Mr., Mrs., Rev.) for the name of the PD/PI. Pre-populated from SF 424 R&R.:

First Name: Enter the first (given) name of the PD/PI. This field is required. Pre-populated from SF 424 R&R.:

Middle Name: Enter the middle name of the PD/PI. Pre-populated from SF 424 R&R.:

Last Name: Enter the last (family) name of the PD/PI. This field is required. Pre-populated from SF-424 R&R.:

Suffix: Enter the suffix (e.g., Jr, Sr, PhD) for the name of the PD/PI. Pre-populated from SF 424 R&R.:

Gender: Select one.:

Race (check all that apply) - American Indian or Alaska Native:

Choose one or more.

American Indian or Alaska Native: A person having origins in any of the original peoples of North, Central, or South America, and who maintains tribal affiliation or community attachment.

Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, The Philippine Islands, Thailand, and Vietnam. (Note, individuals from the Philippine Islands have been recorded as Pacific Islanders in previous data collection strategies.)

Black or African American: A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White: A person having origins in any of the original peoples of Europe, the Middle East or North Africa.:

Race (check all that apply) - Asian:

Choose one or more.

American Indian or Alaska Native: A person having origins in any of the original peoples of North, Central, or South America, and who maintains tribal affiliation or community attachment.

Black or African American: A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White: A person having origins in any of the original peoples of Europe, the Middle East or North Africa.:

Race (check all that apply) - Black or African American:

Choose one or more.

American Indian or Alaska Native: A person having origins in any of the original peoples of North, Central, or South America, and who maintains tribal affiliation or community attachment.

Black or African American: A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White: A person having origins in any of the original peoples of Europe, the Middle East or North Africa.:

Race (check all that apply) - Native Hawaiian or Other Pacific Islander:

Choose one or more.

American Indian or Alaska Native: A person having origins in any of the original peoples of North, Central, or South America, and who maintains tribal affiliation or community attachment.

Black or African American: A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White: A person having origins in any of the original peoples of Europe, the Middle East or North Africa.:

Race (check all that apply) - White:

Choose one or more.

American Indian or Alaska Native: A person having origins in any of the original peoples of North, Central, or South America, and who maintains tribal affiliation or community attachment.

Black or African American: A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White: A person having origins in any of the original peoples of Europe, the Middle East or North Africa.:

Race (check all that apply) - Do Not Wish to Provide:

Choose one or more.

American Indian or Alaska Native: A person having origins in any of the original peoples of North, Central, or South America, and who maintains tribal affiliation or community attachment.

Black or African American: A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White: A person having origins in any of the original peoples of Europe, the Middle East or North Africa.:

Race:

Ethnicity: Choose one.

Hispanic or Latino: A person of Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race.:

DisabilityStatus:

Disability Status (check all that apply) - None: Select one or more.:

Disability Status (check all that apply) - Other: Select one or more.:

Disability Status (check all that apply) - Mobility/Orthopedic Impairment: Select one or more.:

Disability Status (check all that apply) - Visual: Select one or more.:

Disability Status (check all that apply) - Hearing: Select one or more.:

Disability Status (check all that apply) - Do Not Wish to Provide: Select one or more.:

Citizenship: Select one.:

Prefix: Enter the prefix (e.g., Mr., Mrs., Rev.) for the name of the PD/PI.:

First Name: Enter the first (given) name of the PD/PI. This field is required. :

Middle Name: Enter the middle name of the PD/PI. :

Last Name: Enter the last (family) name of the PD/PI. This field is required. :

Suffix: Enter the suffix (e.g., Jr, Sr, PhD) for the name of the PD/PI.:

DataEntered:

LastField:

File details come from the government source that posted it. Updated Dec 27, 2023.