Key Contacts - Mandatory for Applicant AOR and Subapplicant.pdf

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Attached to
CONSORTIUM FOR NUCLEAR FORENSICS
Opportunity number
DE-FOA-0003567
Issued by

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The "Key Contacts - Mandatory for Applicant AOR and Subapplicant" is a federal form template (OMB Number 4040-0010, expiration date November 30, 2025) used for submitting contact information in grant applications. The form requires applicants to designate mandatory key contacts including an Authorized Organizational Representative (AOR) and subapplicants, with additional optional contacts permitted. Required fields include the applicant organization name, contact prefix, first name, last name, street address, city, state, country, zip/postal code, telephone number, and email address. The form also collects optional information such as middle name, suffix, title, organizational affiliation, county, province, and fax number. Each contact entry requires specification of the individual's project role, such as project manager or fiscal contact.

This template applies to the Consortium for Nuclear Forensics cooperative agreement opportunity funded by the Department of Energy National Nuclear Security Administration under the Defense Nuclear Nonproliferation Research program (CFDA 81.113). The form serves as a standard administrative requirement for all applicant organizations seeking to submit proposals under this federal grant opportunity, which supports basic research in nuclear forensics and related disciplines at universities in partnership with DOE National Laboratories.

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Key Contacts - Mandatory for Applicant AOR and Subapplicant

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Key Contacts D:20061102110942- 05'00' D:20061102111030- 05'00' OMB Number: 4040-0010 Expiration Date: 11/30/2025

* Applicant Organization Name:

Key Contacts Form Prefix:

* First Name:

Middle Name:

* Last Name:

Suffix:

Title:

Organizational Affiliation:

* Street1:

Street2:

* City:

County:

* State:

Province:

* Country:

* Zip / Postal Code:

* Telephone Number:

Fax:

* Email:

Enter the individual's role on the project (e.g., project manager, fiscal contact).

Enter the individual's role on the project (for example, project manager, fiscal contact).

Mandatory:
XDPFirstField:
CloseForm:
GotoPreviousPage:
GotoNextPage:
PrintButton:
AboutButton:
btnExport:
Organization Name: Enter the legal name of the applicant that will undertake the assistance activity. This field is required.:
DataEntered_2:
Contact Project Role: Enter the project role of the contact person (e.g., project manager, fiscal contact).

Additional contacts are optional.:

Prefix: Select the Prefix from the provided list or enter a new Prefix not provided on the list.:

First Name: Enter the First Name. This field is required.:
Middle Name: Enter the Middle Name.:
Last Name: Enter the Last Name. This field is required.:
Suffix: Select the Suffix from the provided list or

enter a new Suffix not provided on the list.:

Title: Enter the position title.:
Organization Affiliation: Enter the Organizational Affiliation of

the person to contact on matters related to this application.:

Street1: Enter the first line of the Street Address. This field is required.:
Street2: Enter the second line of the Street Address.:
City: Enter the City. This field is required.:
County: Enter the County.:
Country: Select the Country from the provided list.

This field is required.:

Province: Enter the Province.:
State: Select the state, US possession or military code from the provided list.

This field is required if Country is the United States.:

Zip / Postal Code: Enter the Postal Code (e.g., ZIP code).

This field is required if Country is the United States.:

Phone Number: Enter the daytime Telephone Number. This field is required.:
Fax: Enter the Fax Number.:
Email: Enter a valid Email Address. This field is required.:
recordno:
DeleteEntry:
PrevPage:
NextPage:
isBlank:
LastField:

File details come from the government source that posted it. Updated .