Title: Proposal of Compton GRO Guest Investigation
Author: NASA Headquarters

NRA 99-OSS-02
Appendix E

FORMS AND CERTIFICATIONS

All proposal form information must be submitted electronically, using the  HEASARC Remote Proposal Submission (RPS system): 

http://heasarc.gsfc.nasa.gov/cgi-bin/RPS/GRO/RPS.pl or e-mail a blank message to rps@legacy.gsfc.nasa.gov

Proposal of Compton GRO Guest Investigation

GRO-99-000		                      Cover Form		                  NRA-99-OSS-02

PI Name

Title                First name:                    Middle Initial          Last name

Date

PI Institution
Department
Street Address
City                       State                          Country USA                                     Postal Code
Telephone
E-mail address
Proposal Title

Proposal Type

_________  Type 1  Analysis of Archival Data            __________  Type 3 Correlative Research

_________  Type 2 Request for Observing Time         __________   Type 4 Service Proposals

Subject Category
Estimate of Total Project Cost   $
Abstract:   1000 characters maximum (about 150 words)

Proposal of Compton GRO Guest Investigation

GRO-99-000		                      General Form		                  NRA-99-OSS-02

PI Name

Title                First name:                    Middle Initial          Last name

Date

Proposal Title

Co-Investigators

Last name:                      First name:                         Institution                             Country

PI Institution
Administrative Authority  (optional)
Administrator  (optional)
Signature:                                                                                             Date:
Statement as to the desired affiliation with Instrument Team or special access to proprietary data.

Proposal of Compton GRO Guest Investigation

GRO-99-000		       Observation Definition Form	                  NRA-99-OSS-02
# | Target Name | RA | DEC | L | B | Instrument | Mode | Min. ex
| | | | | | | | Wkn.
| | | | | | | | Wkn
| | | | | | | | Wkn
| | | | | | | | Wkn
| | | | | | | | Wkn
| | | | | | | | Wkn
| | | | | | | | Wkn
| | | | | | | | Wkn
| | | | | | | | Wkn
| | | | | | | | Wkn
| | | | | | | | Wkn
| | | | | | | | Wkn
| | | | | | | | Wkn
| | | | | | | | Wkn
| | | | | | | | Wkn

All relevant target information must be contained on or attached to this form.  List targets in order of priority.  Note that exposure assumes optimal instrument response.  Descriptions of the instrument modes can be found in Appendix G, NRA-99-OSS-XX.  Use a separate line for each observing mode/exposure combination and for each instrument.

Proposal of Compton GRO Guest Investigation

GRO-99-000		Observation Constraints Form		      NRA-99-OSS-02
# | Correlative | Constraints

Proposal of Compton GRO Guest Investigation

GRO-99-000		          Special Requirements Form		      NRA-99-OSS-02
Special Requirements:  Please indicated additional required scheduling constraints, special operational modes, or other special requests for any of the relevant targets from the above list.  When including scheduling constraints for correlative or targeted observations, please include the widest possible window to facilitate scheduling.  Stricter constraints will decrease the likelihood of a candidate target being scheduled.

NONE

Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions

This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 34 CFR Part 85, Section 85.510, Participant’s responsibilities.  The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211).

(1)	The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals:
(a)	Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency;
(b)	Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statues or commission of embezzlement theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
(c)	Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and
(d)	Have not within three-year period preceding this application/proposal had one or more public transactions (Federal, State, or local) terminated for cause or default.
(2)  Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.

Certification Regarding Lobbying

(1)	No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person 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 the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2)	If any funds other than Federal appropriated funds have been paid or will be paid to any person 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 contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
(3)	The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.  Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code.  Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000, and not more than $100,000 for each such failure.