i n t e l l i g e n t s y s t e m s n r a2-37143（我n t e l l g e n t s y s e m s n r a2 - 37143）（42页）.docVIP

SOLICITED NASA PROPOSAL APPLICATION LEAVE BLANK SOLICITED NASA PROPOSAL APPLICATION LEAVE BLANK IN RESPONSE TO ANNOUNCEMENT NRA2-38169 NUMBER REVIEW GROUP PLEASE FOLLOW INSTRUCTIONS CAREFULLY DATE RECEIVED 1a. COMPLETE TITLE OF PROJECT: 1b. PROPOSAL TOPIC: 2. PRINCIPAL INVESTIGATOR/PROGRAM DIRECTOR (First, middle, and last name; degrees; position) 3. COMPLETE MAILING ADDRESS Congressional District: 4. TELEPHONE NUMBER (area code, number, extension) 5. TAXPAYER IDENTIFICATION NO. (TIN) FAX NUMBER: 6. NAIS CODE CAGE CODE E-MAIL ADDRESS: 7. HAS THIS PROPOSAL (OR SIMILAR REQUEST) BEEN SUBMITTED TO ANY OTHER AGENCY? No Yes IF YES, SPECIFY AGENCY AND YEAR SUBMITTED: 8. WILL HUMAN SUBJECTS BE USED IN THE PROPOSED RESEARCH: No Yes 9. CO-INVESTIGATORS (First, middle, and last name; degrees) 10. CO-INVESTIGATORS ORGANIZATION 11. OTHER PARTICIPATING ORGANIZATIONS (e.g., NASA Field Centers or Other Institutions): 12. DATES OF ENTIRE 13. FY2004 BUDGET 14. FY2005 BUDGET 15. FY2006 BUDGET 16. TOTAL BUDGET PROPOSED PROJECT PERIOD Total Cost: Total Cost: Total Cost: Total Cost: From: NASA NASA NASA NASA Through: Contribution: Contribution: Contribution: Contribution: 17. APPLICANT ORGANIZATION (Organization Name) 18. TYPE OF ORGANIZATION (U.S. ONLY) For Profit (General) For Profit (Small Business) For Profit (Woman-owned Business) For Profit (Minority-owned Business) Non Profit College or University (General) College or University (Historically Black or other Minority) Public, Specify: Federal State Local 19. ORGANIZATION OFFICIAL TO BE NOTIFIED IF AN AWARD IS 20. OFFICIAL SIGNING FOR APPLICANT MADE (Name, title, address, and telephone number) ORGANIZATION (Name, title, and telephone number) 21. PRINCIPAL INVESTIGATOR