COVER SHEET FOR PROPOSAL TO THE NATIONAL SCIENCE FOUNDATION PROGRAM ANNOUNCEMENT/SOLICITATION NO./CLOSING DATE/if not in response to a program announcement/solicitation enter NSF 10-1 FOR NSF USE ONLY NSF PROPOSAL NUMBER NSF 10-1 FOR CONSIDERATION BY NSF ORGANIZATION UNIT(S) (Indicate the most specific unit known, i.e. program, division, etc.) BCS - CULTURAL ANTHROPOLOGY, BCS - PHYSICAL ANTHROPOLOGY DATE RECEIVED NUMBER OF COPIES DIVISION ASSIGNED FUND CODE DUNS# (Data Universal Numbering System) FILE LOCATION 045632635 EMPLOYER IDENTIFICATION NUMBER (EIN) OR TAXPAYER IDENTIFICATION NUMBER (TIN) SHOW PREVIOUS AWARD NO. IF THIS IS A RENEWAL AN ACCOMPLISHMENT-BASED RENEWAL IS THIS PROPOSAL BEING SUBMITTED TO ANOTHER FEDERAL AGENCY? YES NO IF YES, LIST ACRONYM(S) NIMH 636001138 NAME OF ORGANIZATION TO WHICH AWARD SHOULD BE MADE ADDRESS OF AWARDEE ORGANIZATION, INCLUDING 9 DIGIT ZIP CODE University of Alabama Tuscaloosa 801 University Blvd. Tuscaloosa, AL. 354870104 University of Alabama Tuscaloosa AWARDEE ORGANIZATION CODE (IF KNOWN) 0010512000 NAME OF PERFORMING ORGANIZATION, IF DIFFERENT FROM ABOVE ADDRESS OF PERFORMING ORGANIZATION, IF DIFFERENT, INCLUDING 9 DIGIT ZIP CODE PERFORMING ORGANIZATION CODE (IF KNOWN) IS AWARDEE ORGANIZATION (Check All That Apply) (See GPG II.C For Definitions) TITLE OF PROPOSED PROJECT MINORITY BUSINESS IF THIS IS A PRELIMINARY PROPOSAL WOMAN-OWNED BUSINESS THEN CHECK HERE Cultural and Genetic Influences on Individual Well-Being in Urban Brazil REQUESTED AMOUNT PROPOSED DURATION (1-60 MONTHS) 344,716 $ SMALL BUSINESS FOR-PROFIT ORGANIZATION 36 REQUESTED STARTING DATE 05/01/10 months SHOW RELATED PRELIMINARY PROPOSAL NO. IF APPLICABLE CHECK APPROPRIATE BOX(ES) IF THIS PROPOSAL INCLUDES ANY OF THE ITEMS LISTED BELOW BEGINNING INVESTIGATOR (GPG I.G.2) HUMAN SUBJECTS (GPG II.D.7) Human Subjects Assurance Number Exemption Subsection PROPRIETARY & PRIVILEGED INFORMATION (GPG I.D, II.C.1.d) INTERNATIONAL COOPERATIVE ACTIVITIES: COUNTRY/COUNTRIES INVOLVED HISTORIC PLACES (GPG II.C.2.j) (GPG II.C.2.j) EAGER* (GPG II.D.2) RAPID** (GPG II.D.1) VERTEBRATE ANIMALS (GPG II.D.6) IACUC App. Date HIGH RESOLUTION GRAPHICS/OTHER GRAPHICS WHERE EXACT COLOR REPRESENTATION IS REQUIRED FOR PROPER INTERPRETATION (GPG I.G.1) PHS Animal Welfare Assurance Number PI/PD DEPARTMENT PI/PD POSTAL ADDRESS PO Box 870210 The Univesity of Alabama Tuscaloosa, AL 35487 United States Dept. of Anthropology PI/PD FAX NUMBER 205-348-7937 NAMES (TYPED) or IRB App. Date Pending DISCLOSURE OF LOBBYING ACTIVITIES (GPG II.C.1.e) High Degree Yr of Degree Telephone Number PH.D. 1978 205-348-1954 Electronic Mail Address PI/PD NAME William W Dressler CO-PI/PD CO-PI/PD CO-PI/PD CO-PI/PD Page 1 of 2 [email protected] CERTIFICATION PAGE Certification for Authorized Organizational Representative or Individual Applicant: By signing and submitting this proposal, the Authorized Organizational Representative or Individual Applicant is: (1) certifying that statements made herein are true and complete to the best of his/her knowledge; and (2) agreeing to accept the obligation to comply with NSF award terms and conditions if an award is made as a result of this application. Further, the applicant is hereby providing certifications regarding debarment and suspension, drug-free workplace, lobbying activities (see below), responsible conduct of research, nondiscrimination, and flood hazard insurance (when applicable) as set forth in the NSF Proposal & Award Policies & Procedures Guide, Part I: the Grant Proposal Guide (GPG) (NSF 10-1). Willful provision of false information in this application and its supporting documents or in reports required under an ensuing award is a criminal offense (U. S. Code, Title 18, Section 1001). Conflict of Interest Certification In addition, if the applicant institution employs more than fifty persons, by electronically signing the NSF Proposal Cover Sheet, the Authorized Organizational Representative of the applicant institution is certifying that the institution has implemented a written and enforced conflict of interest policy that is consistent with the provisions of the NSF Proposal & Award Policies & Procedures Guide, Part II, Award & Administration Guide (AAG) Chapter IV.A; that to the best of his/her knowledge, all financial disclosures required by that conflict of interest policy have been made; and that all identified conflicts of interest will have been satisfactorily managed, reduced or eliminated prior to the institution’s expenditure of any funds under the award, in accordance with the institution’s conflict of interest policy. Conflicts which cannot be satisfactorily managed, reduced or eliminated must be disclosed to NSF. Drug Free Work Place Certification By electronically signing the NSF Proposal Cover Sheet, the Authorized Organizational Representative or Individual Applicant is providing the Drug Free Work Place Certification contained in Exhibit II-3 of the Grant Proposal Guide. Debarment and Suspension Certification (If answer "yes", please provide explanation.) Is the organization or its principals presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency? Yes No By electronically signing the NSF Proposal Cover Sheet, the Authorized Organizational Representative or Individual Applicant is providing the Debarment and Suspension Certification contained in Exhibit II-4 of the Grant Proposal Guide. Certification Regarding Lobbying The following certification is required for an award of a Federal contract, grant, or cooperative agreement exceeding $100,000 and for an award of a Federal loan or a commitment providing for the United States to insure or guarantee a loan exceeding $150,000. Certification for Contracts, Grants, Loans and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure of Lobbying Activities,’’ in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Certification Regarding Nondiscrimination By electronically signing the NSF Proposal Cover Sheet, the Authorized Organizational Representative is providing the Certification Regarding Nondiscrimination contained in Exhibit II-6 of the Grant Proposal Guide. Certification Regarding Flood Hazard Insurance Two sections of the National Flood Insurance Act of 1968 (42 USC §4012a and §4106) bar Federal agencies from giving financial assistance for acquisition or construction purposes in any area identified by the Federal Emergency Management Agency (FEMA) as having special flood hazards unless the: (1) community in which that area is located participates in the national flood insurance program; and (2) building (and any related equipment) is covered by adequate flood insurance. By electronically signing the NSF Proposal Cover Sheet, the Authorized Organizational Representative or Individual Applicant located in FEMA-designated special flood hazard areas is certifying that adequate flood insurance has been or will be obtained in the following situations: (1) for NSF grants for the construction of a building or facility, regardless of the dollar amount of the grant; and (2) for other NSF Grants when more than $25,000 has been budgeted in the proposal for repair, alteration or improvement (construction) of a building or facility. Certification Regarding Responsible Conduct of Research (RCR) (This certification is not applicable to proposals for conferences, symposia, and workshops.) By electronically signing the NSF Proposal Cover Sheet, the Authorized Organizational Representative of the applicant institution is certifying that, in accordance with the NSF Proposal & Award Policies & Procedures Guide, Part II, Award & Administration Guide (AAG) Chapter IV.B., the institution has a plan in place to provide appropriate training and oversight in the responsible and ethical conduct of research to undergraduates, graduate students and postdoctoral researchers who will be supported by NSF to conduct research. The undersigned shall require that the language of this certification be included in any award documents for all subawards at all tiers. AUTHORIZED ORGANIZATIONAL REPRESENTATIVE SIGNATURE DATE NAME TELEPHONE NUMBER ELECTRONIC MAIL ADDRESS FAX NUMBER fm1207rrs-07 * EAGER - EArly-concept Grants for Exploratory Research ** RAPID - Grants for Rapid Response Research Page 2 of 2 ! " # $ % &$ " ' ( ' # ) * ' +$) $ , # % # '' # #- . # #* " # ' # ! # ' / 01&&(2 345678 "9 & :2 #< 9#0# -:2= < 9 % # % < 9 6 ! %- # < 9 9 " " # & #% $ & < & $ #'$ # " 9# '# # " % =-< 9+# =-< 9 3 TABLE OF CONTENTS For font size and page formatting specifications, see GPG section II.B.2. Total No. of Pages Page No.* (Optional)* Cover Sheet for Proposal to the National Science Foundation Project Summary (not to exceed 1 page) 1 Table of Contents 1 Project Description (Including Results from Prior NSF Support) (not to exceed 15 pages) (Exceed only if allowed by a specific program announcement/solicitation or if approved in advance by the appropriate NSF Assistant Director or designee) 15 References Cited 3 Biographical Sketches (Not to exceed 2 pages each) Budget 6 6 (Plus up to 3 pages of budget justification) Current and Pending Support 3 Facilities, Equipment and Other Resources 1 Special Information/Supplementary Documentation 0 Appendix (List below. ) (Include only if allowed by a specific program announcement/ solicitation or if approved in advance by the appropriate NSF Assistant Director or designee) Appendix Items: *Proposers may select any numbering mechanism for the proposal. The entire proposal however, must be paginated. 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