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U.S.
DEPARTMENT OF
ENERGY
For more information about the Office of Science Grant Program, go to the
Office of Science
Grants and Contracts Web Site.
Click here to access the U.S. Department of Energy
Industry Interactive Procurement System (IIPS)
Notice:
Only the applicant organization's authorized administrative official(s) may
submit applications through IIPS.
Applicants will need Adobe Acrobat 6.00 for Windows to submit applications electronically.
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Office of Science
Financial Assistance Program
ELECTRONIC SUBMISSION VERSION
Grant Application Forms
The following grant application forms are in Adobe Portable Document Format (PDF) and
are downloadable to your workstation. You should
download and submit the forms with a PC running Windows.
The technical scientific part of the application should be
sent as a seperate PDF file(s) along with the application forms. The completed application
must be submitted by an authorized administrative official
through the U.S. Department of Energy Industry Interactive
Procurement System (IIPS) in PDF format.
Application Forms.
Click Here to Download PDF Forms
(If experiencing problems with downloading the PDF forms,
please contact the Grants and Contracts Division, Office of
Science at (301)903-5212. Be advised this is
a very large file and takes a few minutes to open.)
The following is a description of the forms contained in the PDF file.
Face Page (Form DOE F 4650.2)
[All applicants]
- The Face Page should be the first page of your grant application.
Face Page OMB Burden Disclosure Statement
Budget Page (Form DOE F 4620.1)
[All applicants]
- If you are submitting a multi-year application, complete one Budget
Page for each year. It is not necessary to submit a summary budget for
the entire multi-year period, unless otherwise requested in a specific
solicitation notice.
- Budget Page Instructions
Assurance of Compliance
[All applicants]
-
Assurance of Compliance - Nondiscrimination in Federally Assisted Programs,
Form DOE F 1600.5
Submit form DOE F 1600.5 with each application unless your organization
has already been advised otherwise by a DOE operations office.
Certifications Regarding Lobbying; Debarment, Suspension and Other
Responsibility Matters; and Drug-Free Workplace Requirements
[All applicants]
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Certifications Regarding Lobbying; Debarment, Suspension and Other
Responsibility Matters; and Drug-Free Workplace Requirements
This certification must be submitted with each application.
Submit "Disclosure of Lobbying Activities,"
Standard Form-LLL with the application, only if payment or agreement to make
payment has been made to any lobbying entity 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 action.
Standard Form-LLL Instructions
Simpson-Craig Amendment Representation
[Only 501(c)(4) Non-Profit Organizations]
Simpson-Craig Amendment Representation
Only 501(c)(4) non-profit organizations shall include the
Simpson-Craig Amendment Representation in their application.
Applicant organizations which are described in section 501(c)(4)
of the Internal Revenue Code of 1986 and have engaged in lobbying activities
after December 31, 1995, shall not be eligible for the receipt of
Federal funds constituting an award, grant, or loan. The
Simpson-Craig Amendment Representation
must be submitted certifying no involvement in such lobbying
activities. DOE's implementation guidance on the Simpson-Craig
Amendment is contained in
Financial Assistance Letter No. 97-02.
Energy Policy Act (EPAct) Representation
[Only companies]
- Only applicants who are companies shall include the EPAct Representation in
their application. Select one of the representations below, complete it,
then include it in your grant application.
Background: Section 2306 of the EPAct imposes eligibility requirements on companies
seeking financial assistance under Titles XX through XXIII of the EPAct.
In order for DOE to make an award to companies that apply for financial
assistance under a covered program, DOE must make two determinations.
First, DOE must determine that the applicant's participation will be in the
economic interest of the United States. The second determination can be
satisfied in one of two ways. DOE may determine that the applicant is a
United States-owned company. If the applicant is NOT a United States-owned
company, it must meet two other tests:
1. It must be incorporated or organized in the United States, and
2. Its parent company must be incorporated or organized in a foreign
country that affords treatment to United States-owned companies that is
comparable to treatment the United States affords foreign-owned companies
in the following areas: access to government-supported joint ventures in
energy research and development, local investment opportunities, and
protection of intellectual property rights.
Select one:
EPAct Representation for Awards under $100,000 (Simplified)
EPAct Representation for Awards of $100,000 or More
- DOE's implementation guidance on section 2306 of the Energy Policy
Act, (EPAct) 42 U.S.C. 13525, is contained in
Financial Assistance Letter No. 96-02.
_______________________________
NOTE: The form entitled "Notice of Energy RD&D Project"
DOE F 1430.22, is no longer required.
Return to the Office of Science
Grants and Contracts Web Site
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