oppUSDA-NIFA-SBIR-006428-cfda10.212.pdf

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Research & Related Budget

Information Analysis, Inc.

D:20061211100028- 05'00'

D:20061211100028- 05'00'

Budget Type:

Enter name of Organization:

Start Date:

End Date:

ORGANIZATIONAL DUNS:

Budget Type is required.

Budget Type is required.

OMB Number: 4040-0001

Expiration Date: 10/31/2019

A. Senior/Key Person

Prefix

First

Middle

Last

Suffix

Base Salary ($)

Months

Cal.

Acad.

Sum.

Requested

Salary ($)

Fringe

Benefits ($)

Funds

Requested ($)

Project Role:

Additional Senior Key Persons:

Total Funds requested for all Senior Key Persons in the attached file

Total Senior/Key Person

B. Other Personnel

Number of

Personnel

Project Role

Funds

Requested ($)

Fringe

Benefits ($)

Requested

Salary ($)

Sum.

Acad.

Cal.

Months

Post Doctoral Associates

Graduate Students

Undergraduate Students

Secretarial/Clerical

Total Number Other Personnel

Total Other Personnel

Total Salary, Wages and Fringe Benefits (A+B)

C. Equipment Description

List items and dollar amount for each item exceeding $5,000

Equipment item

Funds Requested ($)

Total funds requested for all equipment listed in the attached file

Total Equipment

Additional Equipment:

D. Travel

Domestic Travel Costs ( Incl. Canada, Mexico and U.S. Possessions)

1.

Foreign Travel Costs

2.

Total Travel Cost

Funds Requested ($)

E. Participant/Trainee Support Costs

Tuition/Fees/Health Insurance

1.

Stipends

2.

Travel

3.

Subsistence

4.

Other

5.

Funds Requested ($)

Number of Participants/Trainees

Total Participant/Trainee Support Costs

F. Other Direct Costs

Funds Requested ($)

1.

Materials and Supplies

2.

Publication Costs

3.

Consultant Services

4.

ADP/Computer Services

5.

Subawards/Consortium/Contractual Costs

6.

Equipment or Facility Rental/User Fees

7.

Alterations and Renovations

8.

9.

10.

Total Other Direct Costs

G. Direct Costs

Funds Requested ($)

Total Direct Costs (A thru F)

H. Indirect Costs

Indirect Cost Type

Indirect Cost Rate (%)

Indirect Cost Base ($)

Funds Requested ($)

Total Indirect Costs

Cognizant Federal Agency

(Agency Name, POC Name, and POC Phone Number)

I. Total Direct and Indirect Costs

Funds Requested ($)

Total Direct and Indirect Institutional Costs (G + H)

J. Fee

Funds Requested ($)

K. Total Costs and Fee

Funds Requested ($)

Total Costs and Fee (I + J)

L. Budget Justification

(Only attach one file.)

RESEARCH & RELATED BUDGET - Cumulative Budget

Totals ($)

Section A, Senior/Key Person

Section C, Equipment

Section D, Travel

Domestic

Section E, Participant/Trainee Support Costs

Foreign

Tuition/Fees/Health Insurance

Stipends

Travel

Subsistence

Other

Number of Participants/Trainees

1.

2.

3.

4.

5.

6.

1.

2.

Section F, Other Direct Costs

Materials and Supplies

1.

Publication Costs

2.

Consultant Services

3.

ADP/Computer Services

4.

Subawards/Consortium/Contractual Costs

5.

Equipment or Facility Rental/User Fees

6.

Alterations and Renovations

7.

8.

9.

10.

Total Number Other Personnel

Total Salary, Wages and Fringe Benefits (A+B)

Other 1

Other 2

Other 3

Section B, Other Personnel

Section J, Fee

Section I, Total Direct and Indirect Costs (G + H)

Section H, Indirect Costs

Section G, Direct Costs (A thru F)

Section K, Total Costs and Fee (I + J)

Budget Type is required.

Mandatory:

XDPFirstField:

cbSubaward:

ORGANIZATIONAL DUNS: This is the DUNS or DUNS+4 number of the applicant organization. For the project applicant, this field is prepopulated from the R&R SF424 Cover Page. For subaward applicants, this field is a required enterable field.:

Budget Type - Project, Subaward/Consortium: Check the appropriate block.

Project: The budget requested for the primary applicant organization.:

Budget Type - Project, Subaward/Consortium: Check the appropriate block.

Subaward/Consortium: The budget requested for subawardee/consortium organization(s). Note, separate budgets are required only for subawardee/consortium organizations that perform a substantive portion of the project.

If creating Subaward Budget, use the R&R Subaward Budget Attachment and attach as a separate file on the R&R Budget Attachment(s) form. :

Organization: Pre-populated from the R&R SF424. Enter name of the organization.:

Budget Period Start Date: Enter the requested/proposed start date of each budget period. This field is required.:

Budget Period End Date: Enter the requested/proposed end date of each budget period. This field is required.:

Delete Entry:

Check Form for Errors Button: Click here to check form for errors.:

Save Button: Click here to save the form.:

budgetPeriod1:

budgetperiod2:

no1:

no2:

hiddenNo:

Delete Period: Click here to delete this budget year.:

Next Period: Click here to view the next year.:

Previous Period: Click here to view the previous year.:

Delete Entry:

Prefix: Enter the prefix (e.g., Mr., Mrs., Rev.) for the name of each Senior/Key Person.:

First Name: Enter the first name of the Senior/Key Person. :

Middle Name: Enter the middle name of the Senior/Key Person.:

Last Name: Enter the last (family) name of the Senior/Key Person. :

Suffix: Enter the suffix (e.g., Jr, Sr, PhD) for the name of the Senior/Key Person.:

Base Salary (Senior/Key Person): Enter the annual compensation paid by the employer for each senior/key personnel. This includes all activities such as research, teaching, patient care, or other. You may choose to leave this column blank. :

Calendar Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Academic Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Summer Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Requested Salary (Other Personnel): Regardless of the number of months being devoted to the project, indicate only the amount of salary/wages being requested for each project role.:

Fringe Benefits (Other Personnel):

Enter applicable fringe benefits, if any, for this project role category.:

Indirect Costs Funds Requested: Enter funds requested for each indirect cost type.:

DataEntered:

Additional Project Role Description:

List any additional project role(s) in the blank(s) provided, e.g., Engineer, IT Professionals, etc.:

Next:

Budget Justification: Use the budget justification to provide the additional information requested in each budget category identified above and any other information the applicant wishes to submit to support the budget request. The following budget categories must be justified, where applicable: equipment, travel, participant/trainee support and other direct cost categories. Only one file may be attached. This field is required.:

Budget Justification - Add Attachment: Click this button to add an attachment. Use the budget justification to provide the additional information requested in each budget category identified above and any other information the applicant wishes to submit to support the budget request. The following budget categories must be justified, where applicable: equipment, travel, participant/trainee support and other direct cost categories. Only one file may be attached. This field is required.:

Budget Justification - Delete Attachment: Click here to delete this attachment.:

Budget Justification - View Attachment: Click here to view this attachment.:

Total Funds requested for all Senior Key Persons in the attached file: Enter the total funds requested for all additional senior/key persons. This is required information.:

Total Senior/Key Person: Total funds requested for all Senior Key Persons.:

FileName:

MimeType:

href:

hashAlgorithm:

HashValue_data:

Number of Personnel Post Doctoral Associates: For each project role category identify the number of personnel proposed. :

Calendar Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Academic Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Summer Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Requested Salary (Other Personnel): Regardless of the number of months being devoted to the project, indicate only the amount of salary/wages being requested for each project role.:

Fringe Benefits (Other Personnel):

Enter applicable fringe benefits, if any, for this project role category.:

Funds Requested (Other Personnel): Enter requested salary/wages & fringe benefits for each project role.:

b_1:

Calendar Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Academic Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Summer Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Requested Salary (Other Personnel): Regardless of the number of months being devoted to the project, indicate only the amount of salary/wages being requested for each project role.:

Fringe Benefits (Other Personnel):

Enter applicable fringe benefits, if any, for this project role category.:

Funds Requested (Other Personnel): Enter requested salary/wages & fringe benefits for each project role.:

Number of Personnel Graduate Students:

For each project role category identify the number of personnel proposed. :

b_2:

Calendar Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Academic Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Summer Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Requested Salary (Other Personnel): Regardless of the number of months being devoted to the project, indicate only the amount of salary/wages being requested for each project role.:

Fringe Benefits (Other Personnel):

Enter applicable fringe benefits, if any, for this project role category.:

Funds Requested (Other Personnel): Enter requested salary/wages & fringe benefits for each project role.:

Number of Personnel Undergraduate Students:

For each project role category identify the number of personnel proposed. :

b_3:

Calendar Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Academic Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Summer Months (Other Personnel): Identify the number of months devoted to the project in the applicable box for each project role category; i.e., calendar, academic, summer.:

Requested Salary (Other Personnel): Regardless of the number of months being devoted to the project, indicate only the amount of salary/wages being requested for each project role.:

Fringe Benefits (Other Personnel):

Enter applicable fringe benefits, if any, for this project role category.:

Funds Requested (Other Personnel): Enter requested salary/wages & fringe benefits for each project role.:

Number of Personnel Secretarial/Clerical: Enter the number of personnel proposed for this project role category. In most circumstances, the salaries of administrative or clerical staff at educational institutions and nonprofit organizations are included as part of indirect costs. Examples, however, of situations where direct charging of administrative or clerical staff salaries may be appropriate may be found at: http://www.whitehouse.gov/omb/circulars/a021/a21_2004.html#exc. The circumstances for requiring direct charging of these services must be clearly described in the budget justification.:

b_4:

Number of Personnel ADDITIONAL PROJECT ROLE(S):

For each project role category identify the number of personnel proposed. :

Total Number Other Personnel: This total will auto-calculate. Total Number of Personnel.:

Total Other Personnel: Total Funds requested for all Other Personnel.:

Total Salary, Wages, & Fringe Benefits (A & B): Total Funds requested for all Senior Key Persons and all Other Personnel.:

Equipment Item: Equipment is defined as an item of property that has an acquisition cost of $5,000 or more (unless the organization has established lower levels) and an expected service life of more than one year. List each item of equipment separately and justify each in the budget justification section. Allowable items ordinarily will be limited to research equipment and apparatus not already available for the conduct of the work. General-purpose equipment, such as a personal computer, is not eligible for support unless primarily or exclusively used in the actual conduct of scientific research.:

Total Equipment: Total Funds requested for all equipment.:

Total funds requested for all equipment listed in the attached file: Total funds requested for all equipment listed in the attached file. Dollar amount for item should exceed $5000.:

Domestic Travel Costs: Identify the total funds requested for domestic travel. Domestic travel includes Canada, Mexico and US Possessions. In the budget justification section, include purpose, destination, dates of travel (if known) and number of individuals for each trip. If the dates of travel are not known, specify estimated length of trip (e.g., 3 days).:

Foreign Travel Costs: Identify the total funds requested for foreign travel. Foreign travel includes any travel outside of North America and/or US Possessions. In the budget justification section, include purpose, destination, dates of travel (if known) and number of individuals for each trip. If the dates of travel are not known, specify estimated length of trip (e.g., 3 days).:

Total Travel Cost: Total Funds requested for all travel.:

Participant/Trainee Tuition/Fees/Health Insurance: List total funds requested for Participant/Trainee Tuition/Fees/Health Insurance.:

Participant/Trainee Stipends: List total funds requested for Participant/Trainee Stipends.:

Participant/Trainee Travel: List total funds requested for Participant/Trainee Travel.:

Participant/Trainee Subsistence: List total funds requested for Participant/Trainee Subsistence.:

Other Participant/Trainee Costs (Specify): Describe any other participant trainee funds requested.:

Other Participant/Trainee Costs: List total funds requested for any other Participant/Trainee costs described.:

Number of Participants/Trainees: List total number of proposed participant/trainees, value cannot be greater than 9999.:

Total Participant/Trainee Costs:

Total funds requested for all trainee costs. This field is required if any data has been entered in section E.:

1. Materials and Supplies: List total funds requested for materials & supplies. In the budget justification, indicate general categories such as glassware, chemicals, animal costs, including an amount for each category. Categories less than $1,000 are not required to be itemized.:

2. Publication Costs: List the total publication funds requested. The proposal budget may request funds for the costs of documenting, preparing, publishing or otherwise making available to others the findings and products of the work conducted under the award. In the budget justification include supporting information.:

3. Consultant Services: List the total costs for all consultant services. In the budget justification, identify each consultant, the services he/she will perform, total number of days, travel costs, and total estimated costs. :

4. ADP/Computer Services: List total funds requested for ADP/Computer Services. The cost of computer services, including computer-based retrieval of scientific, technical and education information may be requested. In the budget justification, include the established computer service rates at the proposing organization if applicable. :

5. Subawards/Consortium/Contractual Costs: List total funds requested for 1) all subaward/consortium organization(s) proposed for the project and 2) any other contractual costs proposed for the project.:

6. Equipment or Facility Rental/User Fees: List total funds requested for Equipment or Facility Rental/User Fees. In the budget justification, identify each rental user fee and justify.:

7. Alterations and Renovations: List total funds requested for Alterations & Renovations. In the budget justification, itemize, by category and justify the costs of alterations and renovations including repairs, painting, removal or installation of partitions, shielding, or air conditioning. Where applicable, provide the square footage and costs. :

"Other" (Specify): Add text to describe any "other" Direct Costs not requested above. Use the budget justification to further itemize and justify.:

"Other" Funds Requested: List total funds requested for items 8-10 "Other.":

"Other" (Specify): Add text to describe any "other" Direct Costs not requested above. Use the budget justification to further itemize and justify.:

"Other" Funds Requested: List total funds requested for items 8-10 "Other.":

"Other" (Specify): Add text to describe any "other" Direct Costs not requested above. Use the budget justification to further itemize and justify.:

"Other" Funds Requested: List total funds requested for items 8-10 "Other.":

Total Other Direct Costs: Total Funds requested for all other direct costs.:

Total Direct Costs (A -F): Total Funds requested for all direct costs.:

Indirect Cost Type: Indicate the type of base; e.g., Salary & Wages, Modified Total Direct Costs, Other (explain). Also indicate if Off-site. If more than one rate/base is involved, use separate lines for each. If you do not have a current indirect rate(s) approved by a Federal agency, indicate "None--will negotiate" and include information for a proposed rate. Use the budget justification if additional space is needed.:

Indirect Cost Rate (%): Indicate the most recent Indirect Cost rate(s) (also known as Facilities & Administrative Costs [F&A]) established with the cognizant Federal office, or in the case of for-profit organizations, the rate(s) established with the appropriate agency. If you have a cognizant/ oversight agency and are selected for an award, you must submit your indirect rate proposal to that office for approval. If you do not have a cognizant/oversight agency, contact the awarding agency.:

Indirect Cost Base ($): Enter the amount of the base for each indirect cost type.:

Indirect Costs: Total Funds requested for indirect costs.:

Cognizant Agency (Agency Name, POC Name and Phone Number): Enter the name of the cognizant Federal Agency, name & phone number of the individual responsible for negotiating your rate. If no cognizant agency is known, enter "None".:

Total Direct and Indirect Costs (G & H): Total Funds requested for direct and indirect costs.:

Fee: Generally, a fee is not allowed on a grant or cooperative agreement. Do not include a fee in your budget, unless the program announcement specifically allows the inclusion of a "fee" (e.g., SBIR/STTR). If a fee is allowable, enter the requested fee.:

Total Costs and Fee (I + J): Total Funds requested for direct and indirect costs plus fee. :

Next Period: Click here to view the next year.:

Add Period: Click here to add another budget period.:

AboutButton:

Section A, Senior/Key Person: Cumulative Total Funds requested for all Senior Key Persons.:

Section B, Other Personnel: Cumulative Total Funds requested for all Other Personnel.:

Total Number Other Personnel: The cumulative total number of other Personnel.:

Total Salary, Wages, & Fringe Benefits(A & B): Cumulative Total Funds requested for all Senior Key Persons and all Other Personnel.:

Section C, Equipment: Cumulative Total Funds requested for all equipment.:

Section D, Travel: Cumulative Total Funds requested for all travel.:

Domestic Travel Costs: The cumulative total funds requested for domestic travel.:

Foreign Travel Costs: The cumulative total funds requested for foreign travel.:

Section E, Participant/Trainee Support Costs: The cumulative total funds requested for all trainee costs.:

Participant/Trainee Tuition/Fees/Health Insurance: The cumulative total funds requested for Participant/Trainee Tuition/Fees/Health Insurance.:

Participant/Trainee Stipends: The cumulative total funds requested for Participant/Trainee Stipends.:

Participant/Trainee Travel: The cumulative total funds requested for Participant/Trainee Travel.:

Participant/Trainee Subsistence: The cumulative total funds requested for Participant/Trainee Subsistence.:

Other Participant/Trainee Costs: The cumulative total funds requested for any other Participant/Trainee costs described.:

Number of Participants/Trainees: The cumulative total number of proposed participant/trainees, value cannot be greater than 9999.:

Section F, Other Direct Costs: The cumulative total funds requested for all other direct costs.:

Materials and Supplies: The cumulative total funds requested for materials & supplies.:

Publication Costs: The cumulative total publication funds requested.:

Consultant Services: The cumulative total costs for all consultant services.:

ADP/Computer Services: The cumulative total funds requested for ADP/Computer Services.:

Subaward/Consortium/Contractual Costs: The cumulative total funds requested for 1) all subaward/consortium organization(s) proposed for the project and 2) any other contractual costs proposed for the project.:

Equipment or Facility Rental/User Fees: The cumulative total funds requested for Equipment or Facility Rental/Use Fees.:

Alterations and Renovations: The cumulative total funds requested for Alterations & Renovations.:

Other1: The cumulative total funds requested in line 8 or the first Other Direct Cost Category.:

Other2: The cumulative total funds requested in line 9 or the second Other Direct Cost Category.:

Other3: The cumulative total funds requested in line 10 or the third Other Direct Cost Category.:

Section G, Total Direct Costs (A -F): The cumulative total funds requested for all direct costs.:

Section H, Total Indirect Costs: Cumulative Total Funds requested for indirect costs.:

Section I, Total Direct and Indirect Institutional Costs (G - H): The cumulative total funds requested for direct and indirect costs.:

Section J, Fee: The cumulative total funds requested for fees.:

Section K, Total Costs and Fee (I + J): The cumulative total funds requested for direct and indirect costs plus fee.:

LastField:

Submission D:20061219143208- 05'00' D:20061219143305- 05'00' Grant Application Package Grants.gov Grant Application Package Grants.gov CFDA Number:

Opportunity Title:

Offering Agency:

Agency Contact:

Opportunity Open Date:

Opportunity Close Date:

CFDA Description:

Opportunity Number:

Competition ID:

Application Filing Name:

Select Forms to Complete Mandatory Optional Instructions About the Application Package.

· This application package is used to apply for the specific Federal funding opportunity referenced in this application package. Please verify that you have downloaded and completed the application package for the correct funding opportunity announcement.

· This application can be completed in its entirety offline using Adobe Reader.

· You can save your application at any time by clicking the "Save" button at the top of your screen.

Using the Application Package.

· The application package is a compilation of forms, such as the SF-424, budget forms, attachment forms, and narratives.

· It is recommended that the SF-424 cover page be the first form completed for the application package. Some data entered on the SF-424 cover page will pre-populate data fields in other subsequent forms in the application package.

· Forms identified as Mandatory are required to be filled out to successfully submit your grant application at a minimum. Optional Forms are used to provide additional support for this application or may be required for specific types of grant activity. Reference the application package instructions for more information regarding Optional Forms.

· Select the check box next to the form's name to add the form to the application package. To navigate to the form in the application package, click on the underlined form name. To remove a form from the application package, uncheck the box next to the form name.

· When you open a form, required fields are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or incomplete information in a field, you will receive an error message.

· Your application will be rejected if you do not follow the Agency and Grants.gov guidance on file naming conventions. Please review the application instructions for this Opportunity Package for specific guidelines and refer to FAQs in the Grants.gov Applicants tab.

Submitting the Application Package.

· You can save the application as you work on it by clicking on the "Save" button.

· Click on the "Check Package for Errors" button to ensure that you have completed all required data fields. Correct any errors. If no errors are found, save the application package. The "Save & Submit" button will also become active.

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· Click on the "Save & Submit" button to begin the application submission process. (You must be connected to the Internet at this time.) You will be taken to the applicant login page to enter your Grants.gov username and password. Follow all onscreen instructions for submission. Upon submission, you will be provided with a Grants.gov Tracking Number.

· You will receive a series of emails after submission: 1. Successful transmission to Grants.gov and your application is undergoing a series of system checks, 2. An email either indicating specific errors in your application OR an email indicating that your submission is being prepared for agency download, and 3. Your application has been retrieved from Grants.gov by the funding agency for further review only after the agency acknowledges the download. If you receive an email with an error, please correct your application and resubmit.

Additional Application Package Information.

· Additional instructions and FAQs about the Application Package can be found in the Grants.gov Applicants tab.

This electronic grants application is intended to be used to apply for the specific Federal funding opportunity referenced here.

If the Federal funding opportunity listed is not the opportunity for which you want to apply, close this application package by clicking on the "Cancel" button at the top of this screen. You will then need to locate the correct Federal funding opportunity, download its application and then apply.

Name- Version Form Tag Name Mandatory Name- Version Form Tag Name Optional Name- Version Form Tag Name SelectedOptional Name- Version Form Tag Name SelectedMandatory Grant Application Package Grants.gov Grant Application Package Grants.gov

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http://www.grants.gov/web/grants/applicants/applicant-faqs.html Also the Grants.gov Contact Center is available for further assistance. The Contact Center is available 24 hours a day, 7 days a week excluding federal holidays.

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Install the required version and try again.

To download the Grants.gov required version visit:

http://www.grants.gov/web/grants/applicants/adobe-software-compatibility.html For more information:

http://www.grants.gov/web/grants/applicants/applicant-faqs.html Also the Grants.gov Contact Center is available for further assistance. The Contact Center is available 24 hours a day, 7 days a week excluding federal holidays.

Email: support@grants.gov Phone: 1-800-518-4726 (local toll free). For international callers, please dial 1-606-545-5035 to speak with a Contact Center representative.

State Application Identifier Applicant Identifier

1. TYPE OF SUBMISSION

4. a. Federal Identifier

5. APPLICANT INFORMATION

Organizational DUNS:

Legal Name:

Department:

Division:

Street1:

Street2:

City:

State:

ZIP / Postal Code:

Country:

Person to be contacted on matters involving this application First Name:

Middle Name:

Last Name:

Suffix:

Phone Number:

Fax Number:

Email:

6. EMPLOYER IDENTIFICATION (EIN) or (TIN):

7. TYPE OF APPLICANT:

Other (Specify):

Women Owned Socially and Economically Disadvantaged Small Business Organization Type If Revision, mark appropriate box(es).

9. NAME OF FEDERAL AGENCY:

A. Increase Award B. Decrease Award C. Increase Duration D. Decrease Duration E. Other (specify):

10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:

Is this application being submitted to other agencies?

TITLE:

11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:

2. DATE SUBMITTED

3. DATE RECEIVED BY STATE

APPLICATION FOR FEDERAL ASSISTANCESF 424 (R&R)

County / Parish:

Province:

Prefix:

What other Agencies?

TYPE OF SUBMISSION is required: If this submission is to change or correct a previously submitted "New", "Resubmission", "Renewal", "Continuation", or "Revision" application, click the Changed/Corrected Application box and enter the Grants.gov tracking number in the Previous Grants.gov Tracking ID field. Unless requested by the agency, applicants may not use this to submit changes after the closing date.

Is this application being submitted to other agencies: Check box if applicable.

This field is required.

Is this application being submitted to other agencies is required.

8. TYPE OF APPLICATION:

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

b. Agency Routing Identifier

12. PROPOSED PROJECT:

Start Date Ending Date

13. CONGRESSIONAL DISTRICT OF APPLICANT

c. Previous Grants.gov Tracking ID Country:

Position/Title:

Province:

County / Parish:

State:

City:

Street2:

Street1:

ZIP / Postal Code:

APPLICATION FOR FEDERAL ASSISTANCE

SF 424 (R&R)

15. ESTIMATED PROJECT FUNDING

a. Total Federal Funds Requested

17. By signing this application, I certify (1) to the statements contained in the list of certifications* and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances * and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious. or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 18, Section 1001)

19. Authorized Representative First Name:

Middle Name:

Last Name:

Suffix:

Position/Title:

Organization:

Department:

Division:

Street1:

Street2:

City:

State:

ZIP / Postal Code:

Country:

Phone Number:

Fax Number:

Email:

Signature of Authorized Representative Date Signed

20. Pre-application *The list of certifications and assurances, or an Internet site where you may obtain this list, is contained in the announcement or agency specific instructions.

County / Parish:

c. Total Federal & Non-Federal Funds

18. SFLLL (Disclosure of Lobbying Activities) or other Explanatory Documentation Province:

b. Total Non-Federal Funds Prefix:

First Name:

Middle Name:

Last Name:

Suffix:

Position/Title:

Organization Name:

Department:

Division:

Street1:

Street2:

City:

ZIP / Postal Code:

Country:

Phone Number:

Fax Number:

Email:

State:

County / Parish:

Province:

Prefix:

16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS?

DATE:

THIS PREAPPLICATION/APPLICATION WAS MADE

AVAILABLE TO THE STATE EXECUTIVE ORDER 12372

PROCESS FOR REVIEW ON:

PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW

PROGRAM IS NOT COVERED BY E.O. 12372; OR

d. Estimated Program Income

21. Cover Letter Attachment

14. PROJECT DIRECTOR/PRINCIPAL INVESTIGATOR CONTACT INFORMATION

Supplemental Information Form Funding Opportunity Name Funding Opportunity Number Program Code Name Program Code Does the legal applicant have an active Automated Standard Application for Payments (ASAP) Recipient Identification Number for NIFA awards?

What is the ASAP Recipient ID (which corresponds with this applications's DUNS and EIN) to be used in the event of an award?

Please complete this form in conjunction with the SF-424 Application for Federal Financial Assistance.

2. Program to which you are applying

5. Supplemental Applicant Types (Check all that apply)

6. ASAP Recipient Information OMB Number: 0524-0039 Expiration Date: 10/31/2018

4. Additional Applicant Types

3. Type of Applicant

1. Funding Opportunity

7. Key Words

8. Conflict of Interest List Alaska Native-Serving Institution Cooperative Extension Service Hispanic-Serving Institution Historically Black College or University (other than 1890) Native Hawaiian-Serving Institution School of Forestry State Agricultural Experiment Station Veterinary School or College Minority-Serving Institution Public Secondary School Public Nonprofit Junior or Community College Tribal College (other than 1994) ASAP ID: If the legal applicant has an ASAP ID select yes. If it does not select no. This field is required.

ASAP ID is required: If the legal applicant has an ASAP ID select yes. If it does not select no.

Project/Performance Site Location(s) OMB Number: 4040-0010 Expiration Date: 10/31/2019 Project/Performance Site Primary Location I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization.

Organization Name:

DUNS Number:

* Street1:

Street2:

* City:

County:

* State:

Province:

* Country:

* ZIP / Postal Code:

* Project/ Performance Site Congressional District:

Project/Performance Site Location I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization.

Organization Name:

DUNS Number:

* Street1:

Street2:

* City:

County:

* State:

Province:

* Country:

* ZIP / Postal Code:

* Project/ Performance Site Congressional District:

Additional Location(s) Project/Performance Site Location(s) Budget Type:

Enter name of Organization:

Start Date:

End Date:

ORGANIZATIONAL DUNS:

OMB Number: 4040-0001 Expiration Date: 10/31/2019 A. Senior/Key Person Prefix First Middle Last Suffix Base Salary ($) Months Cal.

Acad.

Sum.

Requested Salary ($) Fringe Benefits ($) Funds Requested ($) Project Role:

Additional Senior Key Persons:

Total Funds requested for all Senior Key Persons in the attached file Total Senior/Key Person B. Other Personnel Number of Personnel Project Role Funds Requested ($) Fringe Benefits ($) Requested Salary ($) Sum.

Acad.

Cal.

Months Post Doctoral Associates Graduate Students Undergraduate Students Secretarial/Clerical Total Number Other Personnel Total Other Personnel Total Salary, Wages and Fringe Benefits (A+B) C. Equipment Description List items and dollar amount for each item exceeding $5,000 Equipment item Funds Requested ($) Total funds requested for all equipment listed in the attached file Total Equipment Additional Equipment:

D. Travel Domestic Travel Costs ( Incl. Canada, Mexico and U.S. Possessions) 1.

Foreign Travel Costs 2.

Total Travel Cost Funds Requested ($) E. Participant/Trainee Support Costs Tuition/Fees/Health Insurance 1.

Stipends 2.

Travel 3.

Subsistence 4.

Other 5.

Funds Requested ($) Number of Participants/Trainees Total Participant/Trainee Support Costs F. Other Direct Costs Funds Requested ($) 1.

Materials and Supplies 2.

Publication Costs 3.

Consultant Services 4.

ADP/Computer Services 5.

Subawards/Consortium/Contractual Costs 6.

Equipment or Facility Rental/User Fees 7.

Alterations and Renovations 8.

9.

10.

Total Other Direct Costs G. Direct Costs Funds Requested ($) Total Direct Costs (A thru F) H. Indirect Costs Indirect Cost Type Indirect Cost Rate (%) Indirect Cost Base ($) Funds Requested ($) Total Indirect Costs Cognizant Federal Agency (Agency Name, POC Name, and POC Phone Number) I. Total Direct and Indirect Costs Funds Requested ($) Total Direct and Indirect Institutional Costs (G + H) J. Fee Funds Requested ($) K. Total Costs and Fee Funds Requested ($) Total Costs and Fee (I + J) L. Budget Justification (Only attach one file.)

Section A, Senior/Key Person Section C, Equipment RESEARCH & RELATED BUDGET - Cumulative Budget Section D, Travel Domestic Section E, Participant/Trainee Support Costs Foreign Tuition/Fees/Health Insurance Stipends Travel Subsistence Other Number of Participants/Trainees 1.

2.

3.

4.

5.

6.

1.

2.

Section F, Other Direct Costs Materials and Supplies 1.

Publication Costs 2.

Consultant Services 3.

ADP/Computer Services 4.

Subawards/Consortium/Contractual Costs 5.

Equipment or Facility Rental/User Fees 6.

Alterations and Renovations 7.

8.

9.

10.

Totals ($) Total Number Other Personnel Total Salary, Wages and Fringe Benefits (A+B) Other 1 Other 2 Other 3 Section B, Other Personnel Section J, Fee Section I, Total Direct and Indirect Costs (G + H) Section H, Indirect Costs Section G, Direct Costs (A thru F) Budget Type is required.

Section K, Total Costs and Fee (I + J) 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:

Prefix:

* First Name:

Middle Name:

* Last Name:

Suffix:

Gender:

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:

1. Are Human Subjects Involved?

IRB Approval Date:

Human Subject Assurance Number:

2. Are Vertebrate Animals Used?

IACUC Approval Date:

Animal Welfare Assurance Number:

4.b. If yes, please explain:

4.c. If this project has an actual or potential impact on the environment, has an exemption been authorized or an environmental assessment (EA) or environmental impact statement (EIS) been performed?

4.d. If yes, please explain:

6. Does this project involve activities outside of the United States or partnerships with international collaborators?

6.b. Optional Explanation:

7. Project Summary/Abstract

11. Equipment

8. Project Narrative

12. Other Attachments RESEARCH & RELATED Other Project Information Is the IACUC review Pending?

If no, is the IRB review Pending?

2.a.

If YES to Vertebrate Animals

3. Is proprietary/privileged information included in the application?

4.a. Does this Project Have an Actual or Potential Impact - positive or negative - on the environment?

6.a. If yes, identify countries:

9. Bibliography & References Cited

10. Facilities & Other Resources Are Human Subjects Involved is required.

Are Human Subject Involved: If activities involving human subjects are planned at any time during the proposed project at any performance site. Check yes even if the proposed project is exempt from Regulations for the Protection of Human Subjects. If no, skip the rest of block 1.

This field is required.

1.a.

If YES to Human Subjects Is the Project Exempt from Federal regulations is required.

Is the Project Exempt from Federal regulations?

Is the IRB review Pending is required.

Is the IRB review Pending?

If yes, check appropriate exemption number.

Are Vertebrate Animals Used is required.

Are Vertebrate Animals Used? If activities involving vertebrate animals are planned at any time during the proposed project at any performance site, check yes. If no, skip the rest of block 2.

Is the IACUC review Pending is required.

Is the IACUC review Pending? Indicate if an Institutional Animal Care and Use Committee (IACUC) review is pending.

Is proprietary/privileged information included in the application is required.

Is proprietary/privileged information included in the application: Patentable ideas, trade secrets, privileged or confidential commercial or financial information, disclosure of which may harm the applicant, should be included in applications only when such information is necessary to convey an understanding of the proposed project. If the application includes such information, check yes and clearly mark each line or paragraph on the pages containing the proprietary/privileged information with a legend similar to: "The following contains proprietary/privileged information that (name of applicant) requests not be released to persons outside the Government, except for purposes of review and evaluation." This field is required.

Does this project have an actual or potential impact - positive or negative - on the environment is required.

Does this project have an actual or potential impact on the environment: Indicate if this project has an actual or potential impact on the environment? This field is required.

Does this project involve activities outside of the United States or partnerships with international collaborators is required.

Does this project involve activities outside of the United States or partnerships with international collaborators? Indicate whether this project involve activities outside of the United States or partnerships with international collaborators. This field is required.

Form Attachments:

Is the Project Exempt from Federal regulations?

5. Is the research performance site designated, or eligible to be designated, as a historic place?

Is the research performance site designated, or eligible to be designated, as a historic place is required.

Is the research performance site designated, or eligible to be designated, as a historic place?: If any research performance site is designated or eligible to be designated as a historic place, if Yes, check the Yes box and then provide an explanation in the box provided in 5.a. Otherwise, check the No box.

5.a. If yes, please explain:

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

PROFILE - Project Director/Principal Investigator Prefix:

* First Name:

Middle Name:

* Last Name:

Suffix:

Organization Name:

Division:

Position/Title:

Department:

* Street1:

Street2:

* Phone Number:

Fax Number:

* E-Mail:

Credential, e.g., agency login:

* Project Role:

Other Project Role Category:

* Zip / Postal Code:

* Country:

* State:

County/ Parish:

* City:

Attach Current & Pending Support RESEARCH & RELATED Senior/Key Person Profile (Expanded) *Attach Biographical Sketch OMB Number: 4040-0001 Expiration Date: 10/31/2019 Degree Type:

Degree Year:

Province:

PROFILE - Senior/Key Person Prefix:

* First Name:

Middle Name:

* Last Name:

Suffix:

Organization Name:

Division:

Position/Title:

Department:

* Street1:

Street2:

* Phone Number:

Fax Number:

* E-Mail:

Credential, e.g., agency login:

* Zip / Postal Code:

* Country:

* State:

County/ Parish:

* City:

* Project Role:

Other Project Role Category:

Degree Type:

Degree Year:

Attach Biographical Sketch Attach Current & Pending Support To ensure proper performance of this form; after adding 20 additional Senior/ Key Persons; please save your application, close the Adobe Reader, and reopen it.

ADDITIONAL SENIOR/KEY PERSON PROFILE(S)

Additional Biographical Sketch(es) (Senior/Key Person) Additional Current and Pending Support(s) RESEARCH & RELATED Senior/Key Person Profile (Expanded) SBIR/STTR Information OMB Number: 4040-0001 Expiration Date: 10/31/2019

* Agency to which you are applying (select only one) Program Type: If you are applying under the SBIR program, check the SBIR box. If you are applying under the STTR program, check the STTR box. If a particular agency allows a single submission for both STTR & SBIR, check the Both box. A selection is required.

Agency to which you are applying is required.

* SBC Control ID:

(This 9 digit code is obtained from the Small Business Administration)

* Program Type (select only one) Program Type: If you are applying under the SBIR program, check the SBIR box. If you are applying under the STTR program, check the STTR box. If a particular agency allows a single submission for both STTR & SBIR, check the Both box. A selection is required.

Program Type is required.

* Application Type (select only one) SBIR/STTR Type: See agency-specific instructions to determine application type participation. This field is required.

Application Type is required: See agency-specific instructions to determine application type participation.

(See agency-specific instructions to determine application type participation.)

Phase I Letter of Intent Number:

* Agency Topic/Subtopic:

Questions 1-7 must be completed by all SBIR and STTR Applicants:

Question 1a: If you certify that at the time of award, your organization will meet the eligibility criteria for a small business as defined in the funding opportunity announcement, check the Yes box. Otherwise, check the No box. A selection is required.

Question 1a is required.

* 1a. Do you certify that at the time of award your organization will meet the eligibility criteria for a small business as defined in the funding opportunity announcement?

* 1b. Anticipated Number of personnel to be employed at your organization at the time of award.

* 1c. Is your small business majority owned by venture capital operating companies, hedge funds, or private equity firms?

SBIR/STTR Type: If you are submitting a Phase I application, check the Phase I box. If you are submitting a Phase II application, check the Phase II box. When submitting a Phase II application, please include the Phase I SBIR/STTR grant number in item #4 (Federal Identifier) on the SF424 (R&R) Cover Component. If you are submitting a Fast-Track application, check the Fast-Track box. A selection is required.

Question 1c is required.

* 1d. Is your small business a Faculty or Student-Owned entity?

SBIR/STTR Type: If you are submitting a Phase I application, check the Phase I box. If you are submitting a Phase II application, check the Phase II box. When submitting a Phase II application, please include the Phase I SBIR/STTR grant number in item #4 (Federal Identifier) on the SF424 (R&R) Cover Component. If you are submitting a Fast-Track application, check the Fast-Track box. A selection is required.

Question 1d is required.

Question 2: If this application includes subcontracts with Federal laboratories or any other Federal Government agencies, check the Yes box and insert the name of the Federal laboratories/agencies in the space provided. Otherwise, check the No box. A selection is required.

Question 2 is required.

* 2. Does this application include subcontracts with Federal laboratories or any other Federal Government agencies?

* If yes, insert the names of the Federal laboratories/agencies:

Question 3: If you are located in a HUBZone, check the Yes box. Otherwise, check the No box. A selection is required.

Question 3 is required.

* 3. Are you located in a HUBZone? To find out if your business is in a HUBZone, use the mapping utility provided by the Small Business Administration at its web site: http://www.sba.gov Question 4: If all research and development on the project will be performed in its entirety in the United States, check the Yes box. Otherwise, check the No box and use the Add Attachment button below, to attach an explanation. A selection is required.

Question 4 is required.

* 4. Will all research and development on the project be performed in its entirety in the United States?

If no, provide an explanation in an attached file.

* Explanation:

Question 5: If the applicant and/or Program Director/Principal Investigator has submitted proposals for essentially equivalent work under other Federal program solicitations or received other Federal awards for essentially…