NFRA Appendix B Cover Sheet (Fillable).pdf

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Attached to
Nuclear Forensics Research Award
Opportunity number
DHS-17-DN-130-NFRA-001
Issued by

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Fillable Cover Sheet

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DNDO COVERSHEET TEMPLATE

DNDO Nuclear Forensics Research Award Cover Sheet

Proposal ID: NOFO ID: Technical Mission Area:

Proposed Duration (months):

Anticipated Start Date:

Project Title:

Primary Organization Information

Organization Name and Address:

Organization Postal Name and Address:

DUNS + 4: TIN/EIN:

Principal Investigator (PI)/Project Leader Information

PI Full Name and Address:

PI Phone: PI Fax:

PI E-mail:

National Laboratory Co-PI Full Name and Address:

Graduate Student Name and Concentration:

Project Information

Primary Address of Project Effort:

Does the project support another technical mission area? If so, which area:

Has this proposal been submitted to other US Government Agencies or their components? (If yes, list the name(s) of the agency or component and topic number)

Agency: Topic Number:

Proposal ID:
NOFO ID:
Technical Mission Area:
Proposed Duration months:
Anticipated Start Date:
Project Title:
Organization Name and Address:
Organization Postal Name and Address:
DUNS 4:
TINEIN:
PI Full Name and Address:
PI Phone:
PI Fax:
PI Email:
National Laboratory CoPI Full Name and Address:
Graduate Student Name and Concentration:
Primary Address of Project Effort:
Agency:
Topic Number:
Area:
Does the project support another technical mission area:
Other Agencies:

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