Form NSF 192 NSF 192 Application for Advanced Study Institutes Travel Award

NATIONAL SCIENCE FOUNDATION
ARLINGTON, VA 22230

APPLICATION FOR
ADVANCED STUDY INSTITUTES
TRAVEL AWARD

FORM APPROVED OMB NO. 3145-0001

NOTE: READ PROGRAM SUMMARY ON REVERSE SIDE BEFORE COMPLETING
1. TITLE, DEPARTMENT AND ORGANIZATIONAL AFFILIATION
2. DATE AND PLACE OF BIRTH

3. NAME AND MAILING ADDRESS OF APPLICANT (INCLUDING ZIP CODE)

4. SOCIAL SECURITY NUMBER
5. HIGHEST PROFESSIONAL DEGREE AND YEAR
OBTAINED
6. OFFICE PHONE
(
)
7. HOME PHONE
(
)

8. NAME OF MEETING
9. CITY/COUNTRY OF MEETING

10. INCLUSIVE DATES OF MEETING

11. MEETING SPONSORED BY (NAME OF SOCIETY, GOVERNMENT AGENCY, GROUP OR ORGANIZATION)
12. EXPECTED DATE OF DEPARTURE FROM THE U.S.
14. POINT OF FLIGHT DEPARTURE

13. EXPECTED DURATION OF TRAVEL
DESTINATION

15. ARE YOU SUPPORTED UNDER ANY CONTRACT OR GRANT FROM NSF OR ANY OTHER FEDERAL AGENCY?
_____ YES _____ NO
IF YES, GIVE NAME OF AGENCY AND CONTRACT OR GRANT NUMBER.
16. IF YOU HAVE REQUESTED ASSISTANCE FROM YOUR OWN INSTITUTION OR ANY OTHER PUBLIC OR PRIVATE ORGANIZATION
FOR THIS OR ANY RELATED INTERNATIONAL TRAVEL, PROVIDE DETAILS.
17. NAME, DATE AND LOCATION OF INTERNATIONAL SCIENTIFIC MEETINGS ATTENDED ABROAD OR SCIENTIFIC VISITS
ABROAD DURING THE LAST 3 YEARS AND SOURCE OF SUPPORT.

NOTE: ALL TRAVEL MUST BE ON U.S. FLAG CARRIER

18. `o I HAVE BEEN INVITED TO LECTURE AT A PLENARY SESSION OF THIS MEETING.
o I HAVE BEEN INVITED TO ORGANIZE A SPECIAL SESSION OF THIS MEETING.
`o I HAVE BEEN INVITED TO PARTICIPATE IN A NATO ADVANCED STUDY INSTITUTE AND RECOMMENDED FOR TRAVEL SUPPORT BY THE
INSTITUTE DIRECTOR.

SUBMIT ONE COPY OF THIS FORM, FORM 1310 AND ONE COPY EACH OF INVITATION, PRELIMINARY PROGRAM, AND CURRICULUM VITAE TO:
ASI TRAVEL AWARDS, EHR/DGE - ROOM 907, NATIONAL SCIENCE FOUNDA TION, 4201 WILSON BLVD, ARLINGTON, VA 22230

SIGNATURE OF APPLICANT (original signature)

NSF Form 192 (

)

DATE

Advanced Study Institute (ASI)Travel Awards
Information for Individual Applicants
Objective
The National Science Foundation
makes Advanced Study Institute travel
awards to enable U.S. graduate
students to participate in international
scientific meetings held abroad for the
purposes of obtaining and exchanging
science information and professional
development. Neither travel to
Canada nor travel to any U.S. Trust
Territory or possession (including
Puerto Rico) will be supported under
this program.
Type of Award
NATO Advanced Study Institute (ASI)
travel awards are made to individuals.
The awards are in the form of U.S.
Treasury checks. The amount of
travel support will not exceed the cost
of jet-economy air travel.
Individual Awards
Eligibility. Individual applications for
an ASI Travel Award will be
considered only if the applicant has
been invited to participate in a NATO
ASI and recommended for travel
support by the institute director.
A prospective participant in a NATO
ASI should write directly to the NATO
institute director expressing interest in
both admission and travel support.
To qualify for international travel
support to a NATO ASI, prospective
participants must be U.S. citizens or
nationals, or permanent resident
aliens of the United States and no
more than three years beyond the
doctorate as of the date of the ASI
meeting. Due to the limited
availability of funds all applicants who
are eligible to apply for travel support
may not receive an award.
Reporting Requirements. NSF
requires individual travel awardees to
complete a brief fiscal and technical
report (NSF Form 250). A copy of the
report form is provided at the time of
award. It should be completed and
returned to the ASI Travel Award
Program within 60 days after the
completion of travel together with a
check payable to the National Science
Foundation for any unused travel
funds advanced by the Foundation.
Travel Arrangements
General. The individual traveler
makes all travel arrangements. A

traveler wishing to take an indirect
route may do so provided that the
traveler pays any increased costs.
Use of U.S.-Flag Carriers. Use of U.S. flag carriers by international travel
support awardees is required by law*
when such service is available unless
precluded by the following
circumstances: (1) when the traveler
would be detained over 6 hours at any
interchange point enroute awaiting a
U.S. -flag carrier, or (2) a flight on a
U.S. -flag carrier is interrupted by a
stop anticipated to be over 6 hours; or
(3) the flight on a U.S. -flag carrier by
itself or combined with flights on U.S.flag or other carriers would take 12 or
more hours longer from the origin
airport to the destination airport than
would service by a non- U.S. -flag
carrier or carriers. A request for
waiver of this requirement will not be
considered.
Most Advantageous Fare. Allowances
to individuals for transportation
normally will not exceed the cost of
jet economy round-trip fare for the
proposed travel. In every instance
the traveler should see the most
advantageous fare available on a U.S. flag carrier. While NSF encourages
institutional contributions and other
contributions to the support of
international travel for scientific
purposes, travel support made
available under this program is limited
to the cost of airline tickets for
approved travel and may not be
augmented to cover other costs (e.g.,
per diem, registration fees, etc.) by
funds from any other NSF award.
Other Information
Privacy Act Notice. The information
requested of applicants for ASI travel
awards is solicited pursuant to the
National Science Foundation Act of
1950, as amended. Disclosure of all
the information is entirely voluntary.
Social security numbers are used in
correlating application materials,
particularly for applicants with similar
names and initials, and not to
determine eligibility or qualifications.
________________________
International Air Transportation Fair
Competition Practices Act of 1974
known as the "Fly America Act."
Information concerning these
regulations can be found in the Grant
Policy Manual 7.31.3.

Application information supplied will
be used and disclosed only in
connection with the selection of
candidates and for the administration
of the program, and will not be
disclosed for any other purpose,
except as part of statistical reports in
a form which would not allow
identification of individual applicants.
In the event of an award, the
proposal becomes a public document.
Announcement of Awards. Electronic
mail announcing awards will be sent
as soon as possible after the
applications have been reviewed and
approved for funding.
Inquiries should be sent by electronic
mail to
[email protected].
_______________________________
Pursuant to 5 CFR 1320.5(b), an
agency may not conduct or sponsor,
and a person is not required to
respond to an information collection
unless it displays a valid OMB control
number. The OMB control number for
this collection is 3145-0001. Public
reporting burden for this collection of
information is estimated to average
3.5 hours per response, including the
time for reviewing instructions. Send
comments regarding this burden
estimate and any other aspect of this
collection of information, including
suggestions for reducing this burden,
to: Suzanne Plimpton, Reports
Clearance Officer, Information
Dissemination Branch, Division of
Administrative Services, National
Science Foundation, Arlington, VA
22230, or to Office of Information and
Regulatory Affairs of OMB, Attention:
Desk Officer for National Science
Foundation (3145-0001), 725 - 17th
Street, N.W. Room 10235,
Washington, D.C. 20503.