NCER Form 5 EPA ORD Current and Pending Support Report

United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460

OMB Control No. 2030-0020
Approval expires MM/DD/YYYY

Current and Pending Support
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2030-0020). Responses to this collection of information are
required to obtain an assistance agreement (40 CFR Part 30, 40 CFR Part 31, and 40 CFR Part 33 for awards made prior to December 26, 2014, and 2 CFR 200, 2 CFR 1500, and 40 CFR Part
33 for awards made after December 26, 2014). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid
OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to be 0.5 hours 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 to the Regulatory Support Division Director, U.S. Environmental
Protection Agency (2821T), 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.

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

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