4.__Attachment_4_-_RESEARCH_and_RELATED_PERSONAL_DATA.pdf

PDF 127 KB Posted Oct 31, 2019

Attached to: Air Superiority Technology Broad Agency Annoucement
Solicitation number: FA8651-20-S-0008
Issued by: Department of the Air Force Materiel Command Research Laboratory

About this file

Written by GovTribe AI · Dec 31, 2023

This document includes an attachment related to a federal research grant opportunity and the opportunity itself. The attachment is a template for collecting personal data on principal investigators and co-investigators applying for federal research grants. It requests optional demographic information to monitor the federal grant review process for equity.

The related opportunity is a Broad Agency Announcement from the Air Force Research Laboratory Munitions directorate seeking proposals for Air Superiority Technology. Proposals are due under Solicitation FA8651-20-S-0008. General operations security procedures and export control regulations will apply. International Traffic in Arms Regulations and Public Law 98-94 control export.

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Attachment 4 - Research and Related Personal Data

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Air Superiority Technology BAA_Amendment 29 Sep 2023.docx	DOCX document	Sep 29, 2023
Air Superiority Technology BAA_5 Oct 2022.docx	DOCX document	Oct 5, 2022
SF 424.pdf	PDF	Oct 5, 2022
SECURITY PROGRAM QUESTIONNAIRE.docx	DOCX document	Oct 5, 2022
Air Superiority Technology BAA_21 Mar 2022.docx	DOCX document	Mar 21, 2022
FA8651-20-S-0008 Updated 1 Dec 2021.pdf	PDF	Dec 2, 2021
Amendment 01_Attachment 3_RR_KeyPersonExpanded_2_0-V2.0.pdf	PDF	Aug 28, 2020
Amendment 01_ Attachment 4_ RR_PersonalData_1_2-V1.2.pdf	PDF	Aug 28, 2020
Amendment 02_Air Superiority Technology BAA.pdf	PDF	Aug 28, 2020
5.__Attachment_3_-_RESEARCH_and_RELATED_Senior_Key_Person_Profile_(Expanded).pdf	PDF	Oct 31, 2019
3.__Attachment_2_-_FA8651-20-S-0008_Tech_Eval_(White_Paper_Proposal).pdf	PDF	Oct 31, 2019
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2.__Attachment_1_-_FA8651-20-S-0008_Tech_Eval_(White_Paper_Evaluation).pdf	PDF	Oct 31, 2019

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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 31, 2023.