Attachment F Administrative National Policy Requirement

Administrative & National Policy Requirements Document

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 a sans-serif font size not smaller than 11 point. 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 _Toc210216796 \h 1 1.Team Member Identification PAGEREF _Toc210216797 \h 2 2.Federally Funded Research and Development Center (FFRDC) Participation PAGEREF _Toc210216799 \h 4 3.Organizational Conflict of Interest (OCI) Affirmations and Disclosure PAGEREF _Toc210216800 \h 4 4.Research Security Disclosure PAGEREF _Toc210216801 \h 5 5.Novelty of Proposed Work PAGEREF _Toc210216803 \h 8
6.Intellectual Property (IP) PAGEREF _Toc210216804 \h 8 7.Human Subjects Research (HSR) PAGEREF _Toc210216806 \h 12 8.Animal Subjects Research (ASR) PAGEREF _Toc210216808 \h 13 9.Representations Regarding Unpaid Delinquent Tax Liability or a Felony Conviction under Any Federal Law PAGEREF _Toc210216809 \h 13 10.Cybersecurity PAGEREF _Toc210216810 \h 13
11.Biosecurity PAGEREF _Toc210216811 \h 14

<PRIME ORGANIZATION LOGO (optional)>

Cover Page

EHI ISO #

EHI Topic Area (Number and Title)

EHI Proposal Title

Proposer Organization

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 organizations/institutions that will comprise your team. Organization/Institution roles include prime awardees, sub-awardees, team members, contractors, and vendors that will be supplying components, information, data, or material that is critical to your proposal. Add rows as needed.

Organization /Institution Name
Status
Organization/Institution Role

☐ U.S. ☐ non-U.S.

☐ U.S. ☐ non-U.S.

☐ U.S. ☐ non-U.S.

☐ U.S. ☐ non-U.S.

☐ U.S. ☐ non-U.S.

☐ U.S. ☐ non-U.S.

☐ U.S. ☐ non-U.S.

☐ U.S. ☐ non-U.S.

Senior/Key Personnel (i.e., Covered Personnel)
Complete the following table for each Senior/Key Person. Add rows, as needed.