COVER SHEET FOR PROPOSAL TO THE NATIONAL SCIENCE FOUNDATION NSF 10-1

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
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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.
Complete both columns only if the proposal is numbered consecutively.
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