APPENDIX F Administrative National Policy Document

Administrative & National Policy Requirements Document
For Other transaction (OT) Agreements

This Administrative & National Policy Requirements Document must be completed in full and included as part of the proposal submission. Other than the instructions in blue font, do not delete any portion of this document.

All pages must be formatted for printing on 8-1/2 by 11-inch paper with 1-inch margins and sans-serif font size not smaller than 11 points. Sans-serif font sizes of 8 or 10 point may be used for figures, tables, and charts. There is no page limit for this document.

The Administrative & National Policy Requirements Document must be in .pdf, .doc, or .docx formats. Submissions must be written in English.

TOC \o "1-3" \h \z \u Cover Page PAGEREF _Toc228958319 \h 1 1.Team Member Identification PAGEREF _Toc228958320 \h 2 Senior and Key Personnel PAGEREF _Toc228958321 \h 3
2.Federally Funded Research and Development Center (FFRDC) Participation PAGEREF _Toc228958322 \h 4 3.Organizational Conflict of Interest (OCI) Affirmations and Disclosure PAGEREF _Toc228958323 \h 4 4.Research Security Disclosure PAGEREF _Toc228958324 \h 5 5.Novelty of Proposed Work PAGEREF _Toc228958325 \h 8
6.Intellectual Property (IP) PAGEREF _Toc228958326 \h 8 Patents PAGEREF _Toc228958327 \h 11
7.Human Subjects Research (HSR) PAGEREF _Toc228958328 \h 11 8.Animal Subjects Research (ASR) PAGEREF _Toc228958329 \h 12 9.Representations Regarding Unpaid Delinquent Tax Liability or a Felony Conviction under Any Federal Law PAGEREF _Toc228958330 \h 12 10.Cybersecurity PAGEREF _Toc228958331 \h 12
11.Biosecurity PAGEREF _Toc228958332 \h 13

<PRIME ORGANIZATION LOGO (optional)>

Cover Page
Proposal Title

Proposer Organization

SAM.gov Unique Entity Identifier (UEI)

Technical Point of Contact (TPOC)
Name:
Address:

Telephone:
Email:
Administrative POC (APOC)
Name:
Address:

Telephone:
Email:
Date of Proposal Submission

(MM/DD/YYYY)

Proposal Validity Period (minimum 120 days)

Team Member Identification
List the team member entities (organizations, institutions, or others) that comprise your team. These roles include prime awardees, sub-awardees, contractors, and vendors that will be supplying components, information, data, or material that is critical to your proposal. Identify the status of each team member entity and indicate if they are a covered institution. Add rows as needed.

Team Member Entity Name
Status and Covered Institution Indicator