Proposal Information Form

Date

NMSU Principal Investigator:*

First name Last name

Percent credit*

Principal investigator email*

NMSU Co-Investigator(s):

First name	Last name	Percent credit

Project Title*

Proposal Summary/Abstract*

Period of performance*

Start Date

*

End Date

Additional Key Words*

Agency proposal submitted to*

Other agency

Please Specify

Solicitation number*

URL for program announcement*

Request for Proposal (RFP) or program announcement*

Is the solicitation a broad agency announcement?*

ie., have more than one area that you can respond to.

Yes
No

If yes, please provide the area you are submitting to.

Proposal due date*

Proposal due time

: HH

MM

Time zones

Limited submission?*

Please refer to https://limitedsubmission.nmsu.edu

Yes
No

Date of limited submission approval

Cost share required?*

Yes
No

If yes, please provide details.

Collaborative proposal with other non-NMSU organizations?*

Yes
No

If yes, is NMSU lead?

Yes
No

Collaborating organizations

Any subcontractors?*

Yes
No

If yes, please list.

If awarded, will this project require a modification of an existing space, i.e. electrical, plumbing, air conditioning*

Facilities and services (F&S) has requested that OER notify them of possible space modifications in support of externally-funded research.

Yes
No

If yes, please describe.

Any conflict of interest?*

Yes
No

If yes, please describe.

Do you anticipate that the project will require publication and/or citizenship restrictions?*

Yes
No

If yes, please describe.

Are you aware of any pre-award sponsor information that defines the scope of work as either export controlled under the Export Administration Regulations (EAR) or the International Traffic in Arms Regulations (ITAR)?*

Yes
No

If yes, please describe.

Do you anticipate that the program will require DFARS 70120 mandated data security requirements to cover Controlled Unclassified Information (CUI)?*

Yes
No

If yes, please describe.

Do you anticipate procuring or receiving export controlled instruments, software, or materials of any kind to execute the program?*

Yes
No

If yes, please describe.

Do you anticipate that NMSU will be required to sign a Non-disclosure Agreement (NDA) or other Confidential Data Agreement (CDA) to receive proprietary, export controlled information from the sponsor or a related third party?*

Yes
No

Do you anticipate that the program will require the sharing of specialized instrument technology (including vendor-proprietary installation or repair information) or exposure to a party’s proprietary instrument or software design technology?*

Yes
No

If so, please describe.

Will you be using non-commercial (specially-licensed, non-mass market) encryption or information security software?*

Yes
No

If yes, please describe.

Will any aspect of the work potentially involve instruments, software, biological materials or technology specially designed or modified for defense purposes?*

Yes
No

If yes, please describe.

Will the project necessitate the hiring or collaboration with research collaborators either located in or outside the U.S.?*

Yes
No

If yes, please describe.

Will the project require the international transfer or export (by any means e.g. shipment, courier, hand carried) of any item pursuant to the scope of work?*

Yes
No

If yes, please describe.

Do you anticipate traveling internationally in connection with the program*

Yes
No

If yes, please list countries.

Will there be any program-related transactions or engagement with Treasury/OFAC-sanctioned countries (Iran, Cuba, Syria, N. Korea)*