NCER Form 5 Current and Pending Support

General Administrative Requirements for Assistance Programs (Renewal)

NCER Form 5

General Administrative Requirements for Assistance Programs: Non-Profits

OMB: 2030-0020

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United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460

OMB Approval No. 2030-0020
Approval Expires 4/30/12

Current and Pending Support

The following information should be provided for each investigator and other senior personnel. Failure to provide this information
may delay consideration of this proposal.
Other agencies (including NSF) to which this proposal has been/will be submitted.

Investigator:
Support:

Current

Pending

Submission Planned in Near Future

*Transfer of Support

Project/Proposal:

Source of Support:
Total Award Amount:

to

Total Award Period Covered:

Location of Project:
Person-Months Per Year Committed to the Project.

Support:

Current

Pending

Cal:

Acad:

Sumr:

Submission Planned in Near Future

*Transfer of Support

Project/Proposal:

Source of Support:
Total Award Amount:

to

Total Award Period Covered:

Location of Project:
Person-Months Per Year Committed to the Project.

Support:

Current

Pending

Cal:

Acad:

Sumr:

Submission Planned in Near Future

*Transfer of Support

Project/Proposal:

Source of Support:
Total Award Amount:

to

Total Award Period Covered:

Location of Project:
Person-Months Per Year Committed to the Project.

Support:

Current

Pending

Cal:

Acad:

Sumr:

Submission Planned in Near Future

*Transfer of Support

Project/Proposal:

Source of Support:
Total Award Amount:

to

Total Award Period Covered:

Location of Project:
Person-Months Per Year Committed to the Project.

Support:

Current

Pending

Cal:

Acad:

Sumr:

Submission Planned in Near Future

*Transfer of Support

Project/Proposal:

Source of Support:
Total Award Amount:

Total Award Period Covered:

to

Location of Project:
Person-Months Per Year Committed to the Project.
Cal:
Acad:
Sumr:
*If this project has previously been funded by another agency, please list and furnish information for immediately preceding funding
period.
NCER FORM 5 (9/01) For Use with
EPA STAR Grant Applications

USE ADDITIONAL SHEETS AS NECESSARY

Page

The public reporting and recordkeeping burden for this collection of information is estimated to average 30 minutes per response. Send comments on the Agency's
need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated
collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.
Include the OMB control number in any correspondence. Do not send the completed form to this address.


File Typeapplication/pdf
File TitleNCER Form 5v2new
AuthorRon Slotkin
File Modified2012-01-09
File Created2011-12-30

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