Attach D Vol 2

DARPARA2701 Young Faculty Award (YFA)

Attachment D

Volume 2: Administrative and National Policy Requirements Template

Use of this template is mandatory. Failure to use this template or follow the instructions herein may result in the submission being determined non-conforming. Additional information regarding a non-conforming determination may be found in Section III of the RA. The Administrative and National Policy Requirements document must be completed in full and included as part of the proposal submission. Do not delete any portion of this document. All pages shall be formatted for printing on 8-1/2 by 11-inch paper with 1-inch margins and font size not smaller than 11 point. Font sizes of 8 or 10 point may be used for figures, tables, and charts. Instructional text (identified in brackets) may be deleted. The Administrative and National Policy Requirements document must be in .pdf, .odx, .doc, or .docx formats. Submissions must be written in English. No page limit has been specified for the Administrative and National Policy Requirements document.

[PRIME ORGANIZATION LOGO (Optional)]

Cover Sheet

Volume 2: Administrative and National Policy Requirements

DARPARA2701

YFA Topic Area (Number and Title)

Proposal Title

Proposer Organization

Technical Point of Contact (POC)
Name:
Address:
Telephone:
Email:
Administrative POC
Name:
Address:
Telephone:
Email:
Date Proposal was Prepared

Proposal Validity Period (minimum 120 days)

TOC \o "1-3" \h \z \u 1.Team Member Identification PAGEREF _Toc243059155 \h 3 2.Organizational Conflict of Interest Affirmations and Disclosure PAGEREF _Toc243059156 \h 3 3.Intellectual Property (IP) PAGEREF _Toc243059157 \h 3 4.Human Subjects Research (HSR) PAGEREF _Toc243059158 \h 4 5.Animal Use PAGEREF _Toc243059159 \h 4
6.Representations Regarding Unpaid Delinquent Tax Liability or a Felony Conviction under Any Federal Law PAGEREF _Toc243059160 \h 5

Team Member Identification
[Provide a list of all team members including the prime, subawardee(s), and consultant(s), as applicable.]

Prime
Individual Name:
Organization:
Non-U.S. Individual:☐ Yes☐ No

Subawardees/Consultants
Individual Name:
Organization:
Non-U.S. Individual: ☐ Yes☐ No

Organization:
Non-U.S. Individual: ☐ Yes☐ No

Organizational Conflict of Interest Affirmations and Disclosure [In accordance with Section III of the RA, provide the following information.]

Are any of the proposed individual team members or their respective organizations (whether prime or subawardee or consultant) currently providing SETA, A&AS or similar support to DARPA? ☐ No ☐ Yes