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PUBLICATIONS

Special Publication 881-20

Nisr

X

100

.U57

NO. 881-20

1997

Federal Implementation Guideline

for Electronic Data Interchange

ASC X12 003060 Transaction Set 194

Grant or Assistance Application

Implementation Convention

U.S. DEPARTMENT OF COMMERCE

Technology Administration

National Institute of

Standards and Technology
IiI [I
NIST Special Publication 881-20

Federal Implementation Guideline

for Electronic Data Interchange

ASC X12 003060 Transaction Set N194

Grant or Assistance Application

Implementation Convention

Electronic Commerce Acquisition Program Management Office

Standard Management Committee - Secretariat National Institute of Standards and Technology

Gaithersburg, MD 20899-0001

Editor: Dr. Jean-Philippe Favreau

May 1997

U.S. DEPARTMENT OF COMMERCE

William M. Daley, Secretary

Technology Administration

Mary L. Gk)od, Under Secretary for Technology

National Institute of Standards and Technology

Robert E. Hebner, Acting Director
Reports on Information Technology

The National Institute of Standards and Technology (NIST)'s Information Technology Laboratory (ITL)

develops standards and guidelines, provides technical assistance, and conducts research for computers

and resources. As part of the overall federal effort to establish a single face to industry for conducting

electronic commerce, ITL has been designated as the organization responsible for coordinating the

development of Federal Implementation Conventions (ICs) for Electronic Data Interchange (EDI). ICs are

defined by functional-area experts who create and select options from standard EDI Transaction Sets to

yield the implementations to be used for practical EDI. These ICs are made available to federal agencies

and industry by electronic means and this Special Publication Series.

National Institute of Standards and Technology Special Publication 881-20

Natl. Inst. Stand. Technol. Spec. Publ. 881-20, 86 pages (May 1997)

CODEN: NSPUE2

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON: 1997

For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402
194 Grant or Assistance Application

Functional Group ID=

Introduction:

This Draft Standard for Trial Use contains the format and establishes the data contents of the Grant or Assistance

Application Transaction Set (194) for use within the context of an Electronic Data Interchange (EDI) environment.

This transaction set can be used by organizations submitting applications for grants, cooperative agreements, and

other assistance. These applications wiU typically include project, budget, personnel, descriptive, and other related

data.

Notes:

1. Organizations use this transaction set to submit a Grant or Assistance Application to a Federal Agency. This

application may be in the form ofan unsolicited proposal, or a response to a general announcement, a specific

agency request, or an annual solicitation.

2. FederalAgencies use this transaction set to respond with proposed or approved budgets.

3. A single transmission ofthis transaction set shall be used to submit the application or budgetfor one project

only.

4. In this convention, the term grant includes: grant award, research contract, and cooperative agreement.

Heading:

N/U

Pos. Seg. Req. No. ID Name Des. Mas.Use

Must Use 010 ST Transaction Set Header M 1 Must Use 020 BGN Beginning Segment M 1 030 DTM Date/Time Reference O >1 N/U 040 LDT Lead Time 0 >1 050 PWK Paperwork O >1

Loop

Repeat

Notes and Comments

060

070

080

N9

Lll MTX

Reference Identification

Business Instructions

Text

O

O

o

1 >1

>1

LClOfll?- lentil Must Use 090 NMl Individual or Organizational Name O 1 100 N2 Additional Name Information 0 2

110 N3 Address Information o 2

120 N4 Geographic Location o 1

130 N9 Reference Identification o >1

140 PER Administrative Communications Contact o >1

Detail:

Pes. No.Seg. ro Name

Req.

Des. Max.Use Loop Notes andRepeat Comments

Must Use 010 HL Hierarchical Level m" 1

020 QTY Quantity 0 >1 003060FED00A 24 JAN 1997
1 94 - Grant or Assistance Application

030 AMT Monetary Amount O >1 050 DTM Date/Time Reference O >1 060 PAM Period Amount O >1 070 HSD Health Care Services Delivery O >1 080 NXl Property or Entity Identification O >1 090 YNQ Yes/No Question O >1 LOO? ID iiiil

100 N9 RefpTPnrf* IHpntit^pjitirtn o J 105 Lll Business Instructions o >1

110 MTX Text o >1

120 INX Index Detail o 1 Must Use 130 K3 File Information M >1 LOOP ID -POl

N/U 140 POl Basehne Item Data o 1 N/U 160 MTX Text o >1

170 PPL Price Support Data

"""

6

i .jjiiSiiisil

N/U 180 REF Reference Identification UlOf 1D-Pf>

o >1

190 PD Pncing Data o 1 200 PDD Pricing Data Detail o >1 LOOPID^?L >l N/U 210 PL Proposal Cost Logic o 1

............. —

N/U 220 REF Reference Identification o >1 N/U 230 AMT Monetary Amount o 1

M/T 1\/U1 PPT Percent Amounts 1 N/U 250 QTY Quantity o 1 N/U 260 NTE Note/Special Instruction jLOOPXD-Pi>

o >1

>i

N/U 270 PD Pricing Data o 1 N/U 280 SPI Specification Identifier o 1 N/U 290 REF Reference Identification o >1 N/U 300 PDD Pricing Data Detail o >1 NAJ 310 MTX Text 0 >1 N/U 320 DTM Date/Time Reference o 10

1 330 LX Assigned Number:::::;:::¥:::W:¥x¥:l¥:::W o 1 340 NMl Individual or Organizational Name o 1 350 N2 Additional Name Information o 2 360 N3 Address Information * o 2 370 N4 Geographic Location o 1 375 PER /^UIlUllJoLI AHminictrativp All V & f^rtmmiiriifjitiAriQ V«-V11L111U111VALIV/Ud C^cwitnc^ %>r\/ilM^Wl o >1

380 DMG Demographic Information o >1

390 EMS Employment Position L00?ID-N9

o 1

400 N9 Reference Identification o 1 N/U 405 Lll Business Instructions o >1 410 MTX Text 0 >1 003060FED00A 2 24 JAN 1997
1 94 - Grant or Assistance Application

420 DEG Degree Record 6 1 430 FOS Field ofStudy O >1 440 Nl Name O >1 ______ _________

>l N/U 450 K2 Administrative Message O 1 N/U 460 N9 Reference Identification ' O >1 N/U 470 NMl Individual or Organizational Name O " >1

Must Use 480 SE Transaction Set Trailer M 1

0O3060FEDO0A 3 24 JAN 1997
1 94 - Grant or Assistance Appbcation

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes:

Comments:

ST Transaction Set Header

010

Heading

Mandatory

1To indicate the start of a transaction set and to assign a control number

1 The transaction set identifier (STO 1) used by the translation routines of the interchange j)artners to select the appropriate transaction set definition (e.g., 810

selects the Invoice Transaction Set).

Ref. Pes. Must Use STOl

Must Use ST02

Data

Element

143

329

Data Element Summary

Name Attributes

Transaction Set Identifier Code M ID 3/3

Code uniquely identifying a Transaction Set 194 X12.372 Grant or Assistance Application

Transaction Set Control Number M AN 4/9

Identifying control number that must be unique within the transaction set fimctional group assigned by the originator for a transaction set This unique control number is assigned by the originator ofthe transaction set or by the originator's application program. This same number is carried in SE02.

003060FED00A 4 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes:

BGN Beginning Segment

020

Heading

Mandatory

1To indicate the beginning of a transaction set

1 If BGN05 is present then BGN04 is required.

1 BGN02 is the transaction set reference number.

2 BGN03 is the transaction set date. 3 BGN04 is the transaction set time. 4 BGN05 is the transaction set time qualifier. 5 BGN06 is the transaction set reference nimiber of a previously sent transaction affected by the current transaction. Comments:

Ref. Pes. Must Use BGNOl

Must Use BGNOl

Must Use BGN03

Must Use BGN04

Must Use BGN05

00306OFEDO0A

Data

Element

353

127

373

337

623

Data Element Summary

Name Attributes

Transaction Set Purpose Code M ID 2/2

Code identifying purpose of transaction set 00 Original

Use to indicate thefirst transmission ofa transaction

set, other than a preapplication.

01 Cancellation

Use to indicate the cancellation ofa previous

transmission.

05 Replace

Use to indicate that a change has been made to a

previous transmission. When used, all data, whether

changed or not, must be retransmitted. When used, the retransmitted data will overwrite the information in the receiving database. 07 Duplicate

Use to indicate the retransmission ofa previous

transaction set Use only when the receiving

organization requests a retransmission because the receiving application system either did not receive the original transmission or received it incorrectly.

24 Draft

Use to indicate a preapplication as authorized in Federal agency instructions. Reference Identification M AN 1/30

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier Use is REQUIRED to identify the grant applicant's unique identifierfor this application.

Date M DT 6/6

Date (YVMNiDD)

Use is REQUIRED to identify the date ofthe transaction set creation. Time X TM 4/8

Time expressed ia 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-

59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds

are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99)

Time Code O ID 2/2

Code identifying the time. In accordance with International Standards

5 24 JAN 1997
1 94 - Grant or Assistance Application

BGN06 127

Must Use BGN07 640

Organization standard 8601, time can be specified by a + or - and an indication

in hours in relation to Universal Time Coordinate (UTC) time; since + is a

restricted character, + and - are substituted by P and M in the codes that follow

LT Local Time

UT Universal Time Coordinate

Reference Identification O AN 1/30

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier Use is REQUIRED, ifapplicable, to identify the unique number associated

with a solicitation or announcement as released by the FederalAgency to which this application is responding. Identify the title ofthe solicitation or announcement in 1/N9/060 loop.

Transaction Type Code O ID 2/2

Code specifying the type of transaction

1. Codes 07, 6A, 6C, 6N, 6R, 6S, and S4 are used only by a grant applicant.

2. Codes 65 and FMare used only by Federal Agencies.

07 Budget

Use to indicate a budget-only submission or re- submission to a previously submitted complete

application.

When this code is used, grant applicants provide only

the minimal information to correctly identify the submission and complete budget data. Use only the following segments/loops (conflicting implementation

convention instructions concerning REQUIRED data

and contained in segment, element, or code value notes

in other segments may be ignored):

1/ST/OlO

l/BGN/020

1/NM1/090 loop using only NM101 codes BY, SE, and

IB

2/HUOlO loopfor the Project, and any Subprojects, or Consortiums only

2/PPUl 70 loop to provide the budget detail 2/SE/480

65 Award Notification

Use to indicate a budget approved by a Federal Agency

for an award. Use the segments as instructed in code 07

plus code CTin 1/N9/060.

6A Accomplishment Based Renewal

60 Competitive Renewal

6N Non-competitive Renewal

6R Resubmission

Use to indicate a resubmission ofan application

submitted to the same Federal Agency that was

disapproved or unfunded in a previous grant

application cycle.

6S Supplemental

Use to indicate that this application is a requestfor an

adjustment in the budget to an existing award.

FM Funding Modification

Use to indicate a budget proposed by the Federal

agency to the grant applicant Use the segments as

instructed in code 07 plus, ifapplicable, code CT in 1/N9/060.

84 Submission

003060FED00A 6 24 JAN 1997
1 94 - Grant or Assistance Application

BGN08 306

Use to indicate the submission ofa new application.

Action Code O ID 1/2

Code indicating type of action

2 Change (Update)

Use in conjunction with BGN07 code 6S to indicate a proposed adjustment in the budget ofan existing award

that neither increases nor decreases the grant total amount

A6 Modified

1. Use in conjunction with BGN07 code FMto indicate a proposed adjustment in the budget ofan existing

award.

2. Use in conjunction with BGN07 code 65 to indicate an approved adjustment in the budget ofan existing

award.

AA Award

1. Use in conjunction with BGN07 code FMto indicate a budgetproposedfor a new award or renewal.

2. Use in conjunction with BGN07 code 65 to indicate an approved budgetfor a new award or renewal. AD Decrease in Amount

Use in conjunction with BGN07 code 6S to indicate a

proposed downward adjustment in the budget ofan

existing award.

AI Increase in Amount

Use in conjunction with BGN07 code 6Sto indicate a

proposed upward adjustment in the budget ofan

existing award.

BGN09 786 Securitj Level Code O ID 2/2

Code indicating the level of confidentiality assigned by the sender to the information following

1. Use to identify the highest level ofgovernment security classification applicable to the data contained within this transaction. Do not use ifnot

classified.

2. Prior notification must be made with the receiving Federal Agency and

appropriate security steps taken before classified data can be transmitted

using EDI.

92 Government Confidential 93 Government Secret

003060FEDOOA 7 24 JAN 1997
1 94 - Grant or Assistance Application

DTM Date/Time Reference

030

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes: Comments:

Notes:

Ref. Pes. Must Use DTMOl

Heading

Optional

>1

To specify pertinent dates and times

1 At least one of DTM02 DTM03 or DTM06 is required. 2 If either DTM06 or DTM07 is present, then the other is required.

7. Use this DTMsegment to identify the date the applicant's offer expires.

2. When the applicant organization is applyingfor Small Business Innovation Research

(SBIRJ or Small Business Technology Transfer (STTR) assistance, use to identify the date

thefor-profit company wasfounded.

Data Element Summary

Data

Element Name Attributes

374 Date/Time Qualifier M

Code specifying type of date or time, or both date and time

ID 3/3

036

145

Expiration

Use to indicate the date this offer is withdrawn by the applicant organizationfrom Federal Agency

considerationfor award.

Opening Date Use onlyfor SBIR and STTR applications to indicate the date the company wasfounded.

Must Use DTM02

DTM05

373 Date

Date (YYMMDD)

624 Century O

DT

NO

6/6

2/2

The first two characters in the designation of the year (CCYY)

00306OFEDO0A 8 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes: Comments:

Notes:

PWK Paperwork

050

Heading

Optional

>1

To identify the type and transmission of paperwork or supporting information

1 If either PWK05 or PWK06 is present, then the other is required.

1 PWK05 and PWK06 may be used to identify the addressee by a code number.

2 PWK07 may be used to indicate special information to be shown on the specified

report. 3 PWK08 may be used to indicate action pertaining to a report. Use this PWK segment to indicate that information related to the application is being

provided by means other than this EDI transaction set.

Ref. Pes. Must Use PWKOl

Data Element Summary

Data

Element

755

Name Attributes

Report Type Code M ID 2/2

Code indicating the title or contents of a document, report or supporting item

AE Attachment

Use to indicate that SOME supplementary technical

information is being provided by means other than this transaction set. Use ofthis code is mutually exclusive

with use ofcode SD.

CI Cost Data Summary

Use to indicate that the cost andprice (budget) data is being provided by means other than this transaction set.

SD Support Data for a Request for Quote

Use to indicate that ALL technical data is being

provided by means other than this transaction set. Use

ofthis code is mutually exclusive with use ofcodeAE.

Must Use PWK02 756 Report Transmission Code O ID 1/2

Code defining timing, transmission method or format by which reports are to be sent BE By Mail and Electronically

Use to indicate E-Mail.

BM By Mail

Use to indicate transmittal via the United States Postal

Service (USPS).

CF Courier

Use to indicate transmittal via commercial express

courier. Use in conjunction with PWK04/05.

DA

EL

Data

Use to indicate otherforms ofelectronic transfer. When used, identify the otherform in PWK07.

Electronically Only

Use to indicate that data was sent by a separate EDI

transaction set. When used, identify the unique number

003060FED00A 9 24 JAN 1997
1 94 - Grant or Assistance Appbcation

ofthe transaction set in N902 ofthe 1/N9/060 segment

citing code TN in N901.

FX

lA

By Fax

Electronic Image

Use to indicate the World Wide Web. When used,

provide the Universal Resource Locator (URL) where

information is to be obtained in PWK07.

PWK04 98 Entity Identifier Code O ID 2/2

Code identifying an organizational entity, a physical location, or an individual

CA Carrier

Use in conjunction with PWK02 code CF, PWK05/06 to identify the carrier. PWK05 66 Identification Code Qualifier X ID 1/2

Code designating the system/method of code structure used for Identification Code (67)

While the Federal EDIprogram uses the Data Universal Numbering System

(DUNS) and DUNS+4 number, other Government users ofthis implementation

convention may require the use ofother or additional numbersfor a transition period in order to cross reference existing data bases.

1 D-U-N-S Number, Dun & Bradstreet Use ofthe DUNS and DUNS+4 number is preferred over other codes to identify an entity.

9 D-U-N-S+4, D-U-N-S Number with Four Character

Suffix

Use ofthe DUNS and DUNS+4 number is preferred over other codes to identify an entity.

33 Commercial and Government Entity (CAGE)

PWK06 67 Identification Code X AN 2/20

Code identifying a party or other code

Use to identify the DUNS number, DUNS+4 number or CAGE code ofthe

carrier.

PWK07 352 Description O AN 1/80

A free-form description to clarily the related data elements and their content

7. When PWK02 is code DA, use to identify the otherform ofelectronic

transfer.

2. When PWK02 is code lA, use to provide the Universal Resource Locator (URL) where information is to be obtained.

003060FEDOOA 10 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes:

Comments:

Notes:

N9 Reference Identification

060

N9

Heading

Optional

1To transmit identifying information as specified by the Reference Identification Qualifier

1 At least one of N902 or N903 is required. 2 If N906 is present, then N905 is required.

3 If either C04003 or C04004 is present, then the other is required. 4 If either C04005 or C04006 is present, then the other is reqiured.

1 N906 reflects the time zone which the time reflects. 2 N907 contains data relating to the value cited in N902.

When BGN07 is code 65, 6A, 6C, 6N, 6R, 6S, FM, or S4, use ofthis N9 loop is REQUIRED.

Ref. Pes. Must Use N901Data

Element

128

Data Element Summary

Name

Reference Identification Qualifier

Code Qtialifying the Reference Identification

Attributes

M ID 2/3

2S

4W

Catalog

Use to indicate the primary Catalog ofFederal

Domestic Assistance program number applicable to this application.

Study

mien BGN07 is code 6A, 6C, 6N, 6R. or S4, use is REQUIRED to indicate the application title. Cite the word TITLE in N903 and use the l/MTX/080 to cite the

title.

CT Contract Number

When BGN07 is code 65, 6A, 6C, 6N, 6S, or FM. use is REQUIRED to indicate the award identification. KS Solicitation Use to indicate the title ofthe solicitation or announcement identified in BGN06. Cite the word

SOURCE in N903 and use the IMTX/OSO to cite the

solicitation title. P4 Project Code

Use to indicate the project number applicable to the

application.

PID Program Identification Number

Use to indicate a code identifying a Federal program,

or ifa code is not known, the Federal program name. Use ofa code is preferred. Cite the code in N902; cite the program name in N903.

TN Transaction Reference Number

Use to indicate the unique number ofa related

transaction set. When used, cite code 87 in N907-1 and

theX12 transaction set numeric identifier in N907-2.

WK Type of Science Code

I. Use multiple occurrences as needed to indicate in N902 the keycodefor area ofscience to which the application applies. The keycodes arefound in the Grant Keyword Thesaurus.

003060FEDOOA 11 24 JAN 1997
1 94 - Grant or Assistance Application

2. Ifa code cannot befoundfor the area ofscience

applicable to this application, use N903 to describe the subject

N902 127 Reference Identification X AN 1/30

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

N903 369 Free-form Description X AN 1/45

Free-form descriptive text N907 C040 Reference Identifier O

To identify one or more reference numbers or identification nimibers as

specified by the Reference Qualifier

When N901 is code TN, use is REQUIRED to reference the applicable XI

2

transaction set. Must Use C04001 128 Reference Identification Qualifler M D) 2/3

Code Qualifying the Reference Identification 87 Functional Category

When N90I is code TN, use is REQUIRED to qualify

the number in N907-2 as the applicable XI2 transaction

set. Must Use C04002 127 Reference Identification M AN 1/30

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier

When C04001 is code 87, use is REQUIRED to identify the XI2 transaction set numeric designation, e.g. 864 to indicate an Accredited Standards Committee

(ASC) XI2 864 TextMessage transaction set

003060FED00A 12 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes: Comments:

Notes:

Ref. Pes. Must Use MTX02

MTX Te«

080

N9

Heading

Optional

>1

To specify textual data

1 If MTXO1 is present, then MTX02 is required. 2 If MTX03 is present, then MTX02 is required

1. When N901 is code 4W, use ofthis MTXsegment is REQUIRED to identify the application title.

2. When N901 is code KS, use ofthis MTXsegment is REOUIRED to identify the title of

the Federal solicitation to which this application is responding.

Data Element Summary

Data

Element Name Attributes

1551 Message Text

To transmit large volumes of message text

AN 1/409

6

00306OFEDO0A 13 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes: Comments:

Notes:

NMl Individual or Organizational Name

090

NMl

Heading

Optional (Must Use)

1To supply the full name of an individual or organizational entity 1 If either NM108 or NM109 is present, then the other is required.

2 If NMl 1 1 is present, then NMl 10 is required.

1 NM102quahfiesNM103.

1 NMllO and NMl 11 further define the type of entity in NMIOI.

1. Use this NMl loop only to identijy the organizations and individuals associated with

the business process ofsubmitting the grant application. Use the 2/NM1/340 segment to identijy project personnel.

2. At least 3 iterations ofthis NMl loop are REQUIRED using NMl01 code BY to identijy the FederalAgency to receive the application, code SE to identijy the grant

applicant organization, and code IB to identijy the applicant organization authorizing

individual. Use the PER segment to identijy the Federal Agencypoint ofcontact associated with code BY.

3. Whenever possible, identijy the organization using only a qualifer and number in NMl08/09 and the appropriate codes in NMl01/02. The organization'sfull address was

established at the time ofregistration as a Federal Government trading partner. Where no qualified number is available, specijy the organization's name in the NMl03 (and N2

as needed) and thefull address in N3-N4.

Data Element Summary

Ref. Data

Des. Element Name Attributes

Must Use NMlOl 98 Entity Identifier Code M ID 2/2

Code identifying an organizational entity, a physical location, or an individual

IB Applicant

Use is REQUIRED to indicate the grant application

authorizing individual in NMl03/04. This is the person

associated with the grant applicant organization, code

SE. Specif' the authorizing individual's address in N3 - N4 ifdifferentjrom the grant application organization,

code SE. AD Party to be advised (Written orders)

Use to indicate the business officerfor the grant

applicant. Specify the business officer's address in N3-

N4 ifdifferentfrom the grant application organization,

code SE. BY Buying Party (Purchaser)

Use is REQUIRED to indicate the Federal Agency to which the application is being submitted.

FA Facility

Use to indicate the principal place ofperformance in NMl08/09 when other than the address identified with

code SE. Use the 2/NM1/340 segment to identify the place ofperformance associated with each appropriate

HL loop, citing code 61 in NMl01. SE Selling Party

003060FED00A 14 24 JAN 1997
1 94 - Grant or Assistance Application

Must Use NM102 1065

NM103

NM104

NM105

NM106

NM107

NM108

1035

1036

1037

1038

1039

66

1. Use is REQUIRED to indicate the grant applicant

organization.

2. When the applicant organization is applyingfor

SBIR or STTR assistance, identify the date thefor-profit

company wasfounded in l/DTM/030.

Entity Type Qualifier M ID 1/1

Code qualifying the type of entity 1 Person When NMl01 is code AD or IB, use ofNMl03/04 is REQUIRED to indicate the name ofthe individual,

using NMl05/06/07 as needed.

2 Non-Person Entity

Use with NMl01 codes BY, FA, and SE to indicate that

the entity being identified is an organization.

Name Last or Organization Name O AN 1/35

Individual last name or organizational name Name First

Individual first name Name Middle

Individual middle name or initial Name Prefix

Prefix to individual name Name Suffix

Suffix to individual name

Identification Code Qualifier

Code designating the system/method of code structure used for Identification Code (67)

While the Federal EDIprogram uses the DUNS and DUNS+4 number, other

Government users ofthis implementation convention may require the use of

other or additional numbersfor a transition period in order to cross reference

existing data bases.

O AN 1/25

O AN 1/25

O AN 1/10

O AN 1/10

ID 1/2

1 D-U-N-S Number, Dun & Bradstreet Use ofthe DUNS and DUNS+4 number is preferred over other codes to identify an entity.

D-U-N-S+4, D-U-N-S Number with Four Character

Suffix

Use ofthe DUNS and DUNS+4 number is preferred over other codes to identify an entity.

Department of Defense Activity Address Code

(DODAAC)

Use in conjunction with NMl01 code BY to indicate a Department ofDefense (DoD) or Civilian Agency

Activity Address Code.

33 Commercial and Govermnent Entity (CAGE)

Use to indicate the specified organization's CAGE code.

9

10

NM109 67 Identification Code X AN 2/20

Code identifying a party or other code

003060FEDO0A 15 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes: Comments:

Notes:

N2 Additional Name Information

100

NMl

Heading

Optional

2To specify additional names or those longer than 35 characters in length

Use ifthe name ofthe organization or individual cannot befully accommodated in NMl03/04/05/06/07.

Data Element Summary

Ref. Data

Pes. Element Name Attributes

Must Use N201 93 Name M AN 1/35

Free-form name N202 93 Name O AN 1/35

Free-form name

r

003060FED00A 16 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes: Comments:

Notes:

N3 Address Information

110

NMl

Heading

Optional

2To specily the location of the named party

Use to provide a street addressfor the organization or individual identified in NMl03/04/05/06/07 ifit cannot be provided by a code in NMl08/09 or ifit differsfrom

the geographic information associated with the code.

Must Use

Ref. Pes. N301

N302

Data

Element

166

166

Data Element Summary

Name

Address Information

Address information

Address Information

Address information

Attributes

M AN 1/35

O AN 1/35

00306OFED00A 17 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes: Comments:

Notes:

N4 Geographic Location

120

NMl

Heading

Optional

1To specify the geographic place of the named party

1 If N406 is present, then N405 is required.

1 A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location. 2 N402 is required only if city name (N401) is in the U.S. or Canada

Use to provide a city, state, zip code and other required informationfor a complete

addressfor the organization or individual identified in NMl03/04/05/06/07 ifit cannot be provided by a code in NMl08/09 or ifit differsfrom the geographic information

associated with the code.

Ref. Pes. N401

N402

N403

N404

N405

N406

Data

Element

19

156

116

26

309

310

Attributes

O AN 2/30

Data Element Summary

Name

City Name

Free-form text for city name

State or Province Code O ID 2/2

Code (Standard State/Province) as defined by appropriate government agency

Postal Code O ID 3/15

Code defining international postal zone code excluding punctuation and blanks

(zip code for United States)

Country Code O ID 2/3

Code identifying the coimtry

Location Qualifier X ID 1/2

Code identifying type of location

CY County/Parish

When NMl01 is code SE, use to indicate the county of

the applicant as specified in the Federal Agency grant

application instructions. Location Identifier O AN 1/30

Code which identifies a specific location

003060FEDOOA 18 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes:

Comments:

Notes:

N9 Reference Identification

130 . NMl

Heading

Optional

>1

To transmit identifying information as specified by the Reference Identification Qualifier

1 At least one of N902 or N903 is required. 2 If N906 is present, then N905 is required.

3 If either C04003 or C04004 is present, then the other is required.

4 If either C04005 or C04006 is present, then the other is required.

1 N906 reflects the time zone which the time reflects. 2 N907 contains data relating to the value cited in N902.

When NMl01 is code IB, AD, or SE, use ofthis N9 segment is REQUIRED to identify

numbers and information relating to organizations and individuals.

2. Use multiple repetitions ofthis N9 segment as needed to identify additional numbers

and information regarding organizations and individuals specified in the NMl loop.

Data Element Summary

Ref. Data

Des. Element Name Attributes

Must Use N901 128 Reference Identification Qualifier M ID 2/3

Code Qualifying the Reference Identification 19 Division Identifier

1. When NMl01 is code BY, use to indicate the name of

the receiving FederalAgency's division or office responsiblefor the program to which the applicant is applying. Cite the name in N903.

2. When NMl01 is code SE, use to indicate the major

subdivision name ofthe grant applicant organization.

For example. School ofEngineering or Adhesive

Products Division. Cite the name in N903.

5C Congressional District When NMl01 is code SE, use is REQUIRED to indicate

the Congressional District ofthe grant applicant

CR Customer Reference Number

When NMl01 is code SE, use to indicate an

identification number assigned to the grant applicant

organization by the FederalAgency receiving the application.

DP Department Number

When NMl01 is code SE, use to indicate the department, service, laboratory, or equivalent level within the major subdivision name (code 19) ofthe grant applicant organization. For example.

Department ofIndustrial Engineering or Sales

Department

EI Employer's Identification Number

When NMl01 is code SE, use to indicate the grant

applicant's Entity Identification Number, ifavailable, or Employer Identification Number.

O03060FEDO0A 19 24 JAN 1997
1 94 - Grant or Assistance Application

P5

TJ

Position Code

When NMlOl is code IB or AD, use is REQUIRED to indicate thejob title ofthe individual. Cite the title in N903.

Federal Taxpayer's Identification Number

When NMlOl is code SE, use is REQUIRED to indicate the grant applicant's Federal TIN. For individuals

without a TIN, cite the individual's Social Security

Account Number.

N902 127 Reference Identification X AN 1/30

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier

N903 369 Free-form Description X AN 1/45

Free-form descriptive text

003060FEDO0A 20 24 JAN 1997
1 94 - Grant or Assistance Application

Segment: PER Administrative Communications Contact

Position: 140

Loop: NMl

Level: Heading

Usage: Optional

Max Use: >1

Purpose: To identii}' a person or office to whom administrative commimications should be directed Syntax Notes: 1 If either PER03 or PER04 is present, then the other is required. 2 If either PER05 or PER06 is present, then the other is required.

3 If either PER07 or PER08 is present, then the other is required.

Semantic Notes: Comments:

Notes: 1. Use multiple repetitions as needed to identify communications numbers associated

with individuals or organizations identified in the NMI segment

2. When NMl01 is code IB or AD, use is REQUIRED. Use is optional with codes BY

and SE.

Data Element Sunmiary

Ref. Data

Pes. Element Name Attributes

Must Use PEROl 366 Contact Function Code M ID 2/2

Code identifying the major duty or responsibiUty of the person or group named

IC Information Contact

PER02 93 Name O AN 1/35

Free-form name

When NMl01 is code BY or SE, use to identify the name ofa point ofcontact. Last name, followed byfirst name, is preferred. Ifthe whole name is longer

than 35 characters, the use ofan initialfor the first name is recommended.

Must Use PER03 365 Communication Number Qualifier X ID 2/2

Code identifying the type of commimication nimiber

1. Use to identify the preferred method ofcommunication in thefirst occurrence. Use PER05/06 and PER07/08 to identify additional

communications numbers.

2. All numbers, other than those associated with code EM, shall be

transmitted as a continuous number with no extraneous characters. EM Electronic Mail

FX Facsimile

Include area code and number.

IT International Telephone

Include country and city codes as needed.

TE Telephone

Include area code and number.

Must Use PER04 364 Communication Number X AN 1/80

Complete commimications number including coimtiy or area code when

appUcable

PER05 365 Communication Number Qualifier X ID 2/2

Code identifying the type of commimication number

00306OFEDOOA 21 24 JAN 1997
1 94 - Grant or Assistance Application

1. Use to identify an alternate, or secondary, communications number which

can be used to contact the specified Point ofContact (POC).

2. All numbers, other than those associated with code EM, shall be

transmitted as a continuous number with no extraneous characters. EM Electronic Mail

EX Telephone Extension

Use only ifPEROS cites the code TE.

FX Facsimile

Include area code and number.

rr International Telephone

Include country and city codes as needed.

TE Telephone

Include area code and number.

PER06 364 Communication Number X AN 1/80

Complete communications number including country or area code when

appUcable

PER07 365 Communication Number Qualifier X ID 2/2

Code identifying the type of communication number

1. Use to identify a third communications number.

2. All numbers, other than those associated with code EM, shall be

transmitted as a continuous number with no extraneous characters. EM Electronic Mail

EX Telephone Extension

Use only ifPEROS cites code TE. "

i :

;

'

FX Facsimile

Include area code and number.

rr International Telephone

Include country and city codes as needed.

TE Telephone

Include area code and number.

PER08 364 Communication Number X AN 1/80

Complete commimications number including country or area code when

appUcable

PER09 443 Contact Inquiry Reference O AN 1/20

Additional reference number or description to clarify a contact number

Use to provide the office symbol or organization routing code ofthe individual

cited in PER02.

003060FED00A 22 24 JAN 1997
1 94 - Grant or Assistance Application

Segment: HL Hierarchical Level

Position: 010

Loop: HL

Level: Detail

Usage: Mandatory

Max Use: 1 Purpose: To identily dependencies among and the content of hierarchically related groups of data

segments

Sjntax Notes: Semantic Notes: Comments:

Notes:

Must Use

Ref. Pes. HLOl

1 The HL segment is used to identify levels of detail information using a hierarchical

structure, such as relating hne-item data to shipment data, and packaging data to line- item data. 2 HLO 1 shall contain a unique alphanumeric number for each occurrence of the HL

segment in the transaction set For example, HLOl could be used to indicate the nimiber of occiurences of the HL segment, in which case the value of HLOl would

be "1" for the initial HL segment and would be incremented by one in each

subsequent HL segment within the transactioiL 3 HL02 identifies the hierarchical ID number of the HL segment to which the current HL segment is subordinate.

4 HL03 indicates the context of the series of segments following the current HL

segment up to the next occurrence of an HL segment in the transaction. For example,

HL03 is used to indicate that subsequent segments in the HL loop form a logical

grouping of data referring to shipment, order, or item-level information.

5 HL04 indicates whether or not there are subordinate (or child) HL segments related

to the ciurent HL segment.

1. Use this HL loop to identify project organization, personnel, technical data, and

budget data associated with the application.

2. The transaction set hierarchy as defined by this HL loop shall be:

a. The Project loop shall be the first iteration ofthe HL loop.

b. The Project loop may have a single subordinate Previous Award (IB) loop.

c. The Project loop may have any number ofsubordinate Sub-project (SP), Consortium (CO), Key Person (26), human subject Care Group (4), or Animal Subject

(AS) loops.

d. Sub-project and Consortium loops may have any number ofsubordinate Subproject, Consortium, Key Person, human subject Care Group, or Animal Subject loops.

e. Key Person loops may have any number ofsubordinate Other Support (OS) loops,

f Care Group loops may have any number ofsubordinate medical Procedure (PD)

loops.

g. Animal Subject loops may have any number ofsubordinate Animal Subject loops,

but only ifthe subordinate loop contains a subset ofanimals ofthe same species.

3. The term "project" in the following implementation notes is used generically to identify

dates, quantities, etc. related to the Project and subordinate Sub-projects and/or

Consortiums. The terms "Project loop", "Sub-project loop", and "Consortium loop" are not interchangeable. They are used to distinguish between the efforts and to establish the precise hierarchical relationship between them.

Data Element Summary

Data

Element

628

Name Attributes

Hierarchical ID Number M AN 1/12

A unique number assigned by the sender to identify a particular data segment

in a hierarchical structiu-e In the first iteration ofthis HL loop, cite the number 1. Increment by 1 for

each subsequent iteration ofthe loop.

00306OFEDO0A 23 24 JAN 1997
1 94 - Grant or Assistance Application

HL02 734 Hierarchical Parent ID Number O AN 1/12

Identification number of the next higher hierarchical data segment that the data

segment being described is subordinate to Use to identify the HLOl sequence number ofthe loop which is the parent loop

to the current HL loop iteration.

Must Use HL03 735 Hierarchical Level Code M D) 1/2

Code defining the characteristic of a level in a hierarchical structure Select a code to indicate that the current HL loop iteration is one ofthe following loop types: Project, Sub-project, Consortium, Previous Award, Key

Person, Other Support, Animal Subject, human subject Care Group, or Procedure.

Group

Use to indicate a human subject Care Group loop. A

Care Group loop must have the Project, a Sub-project, or a Consortium loop as its parent.

26

AS

Member

1. Use to indicate a Key Person loop. This loop is only

needed when the individual has active, pending or planned other support Use ofa separate loop iteration

is REQUIREDfor each Key Person (NMlOl codes 9P,

9S, or 9K in the 2/NM1/340 segment) identified in the Project or any Sub-project or Consortium loop who is receiving, applyingfor, or planning to applyfor other

support.

2. A Key Person loop must have the Project, a Subproject, or a Consortium loop as its parent. For each

Key Person loop, a subordinate Other Support loop is REQUIREDfor each other support project to identify the level ofsupport, the organization providing the support, and other related data. Animal Subject Group

Use to indicate an Animal Subject loop. An Animal

Subject loop must have the Project, a Sub-project, a

Consortium, or other Animal Subject loop as its parent

Animal Subject loops only apply to vertebrates.

CO Consortiimi

Use to indicate a Consortium loop. A Consortium loop

must have the Project, a Sub-project, or other

Consortium loop as its parent

IB Contract Use to indicate a Previous Award loop. The Previous

Award loop may only have the Project loop as its parent. Use this code only if I/BGN07/020 contains the code 6A, 6C 6N.

OS Support

I. When HL03 is code 26 (Key Person loop), use to indicate an Other Support loop associated with the Key

Person.

003060FED00A

2. One iteration ofan Other Support loop is REQUIREDfor EACHproject (active, pending, or

24 24 JAN 1997
1 94 - Grant or Assistance Application

PC

planned), other than a project contained in this application, to identify the level ofsupport, the organization providing the support, and other related

data . Submission ofthis same application to another

agency requires the use ofan Other Support loop.

Project Code

Use is REQUIRED in thefirst iteration ofthe HL loop

to identify the Project loop. Do not use in subsequent

loops.

PD Procedure

Use to indicate a medical Procedure loop. A Procedure

loop must have a human subject Care Group loop as its parent.

SP Sub-Project

Use to indicate a Sub-project loop. A Sub-project loop

must have the Project, another Sub-project, or a

Consortium loop as its parent.

HL04 736 Hierarchical ChUd Code O ID 1/1

Code indicating if there are hierarchical child data segments subordinate to the

level being described

Use to indicate whether or not there is a subordinate loop to follow. 0 No Subordinate HL Segment in This Hierarchical

Structure. 1 Additional Subordinate HL Data Segment in This

Hierarchical Structure.

003060FEDOOA 25 24 JAN 1997
194 - Grant or Assistance Appbcation

QTY Quantity

020

HL

Detail

Optional

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes: Comments:

Notes:

>1

To specify quantity information

Use this segment only when HL03 is code PC (Project loop), AS (Animal Subject loop)

or, 4 (Care Group loop)

Data Element Summary

Ref. Data

Des. Element Name Attributes

Must Use QTYOl 673 Quantity Qualifier M ID 2/2

Code specifying the type of quantity

IK Time Units

When HL03 is code 4 (Care Group loop), or AS

(Animal Subject loop), use multiple occurrences as needed to indicate the Project budgetperiod in which

the group will be used. Cite 1 for the first budget period

ofthe project, 2for the second, etc.

E5 Employed by this Company

When HL03 is code PC (Project loop), use to indicate the number ofemployees in the company. Use only in Small Business Innovation Research Program (SBIR)

and Small Business Technology Transfer Program

(STTR) applications.

87 Age, High Value

When HL03 is code 4 (Care Group loop) or AS (Animal

Subject loop), use to indicate upper limit in the age

range criterion for human and animal subjects.

88 Age, Low Value

Use when HL03 is code 04 (Care Group loop) or AS

(Animal Subject loop) to indicate the lower limit in the age range criterion for human and animal subjects.

TO Total When HL03 is code 4 (Care Group loop) or AS (Animal

Subject loop), use to indicate the number ofsubjects in the group.

Must Use QTY02

Must Use QTY03

Must Use COOlOl

OOSOeOFEDOOA

380 Quantity M R 1/15

Numeric value of quantity

COOl Composite Unit of Measure O

To identify a composite imit of measure(See Figures Appendix for examples of

use.)

355 Unit or Basis for Measurement Code M ID 2/2

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

Use the apphcable unit ofmeasure code dependent on the code cited in QTYOl. When QTYOl is code E5, TO, or IK, use code EA. When QTYOl is code S7 or S8, use one ofcodes DA, MO, or YR. 26 24 JAN 1997
1 94 - Grant or Assistance Application

DA Days

EA Each

MO Months

YR Years

003060FEDOOA 27
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes: Comments:

Notes:

AMT Monetary Amount

030

HL

Detail

Optional

>1

To indicate the total monetary amount

Use multiple repetitions ofthis AMTsegment, as needed, when HL03 is code PD

(Procedure loop) or AS (Animal Subject loop).

Data Element Summary

Ref. Data

Des. Element Name Attributes

Must Use AMTOl 522 Amount Qualifier Code M ID 1/2

Code to qualify amount

1. When HL03 is code PD (Procedure loop), use codes IF and JG to identify

outpatient expenses NOT associated with in-patient stays; use the 2/PAM/060

segment to identify the cost ofin-patient hospital stays.

2. When HL03 is code AS (Animal Subject Loop) and either code G3 or SP is used, provide the species description in the 2/N9/100 loop citing code L4 in N901 and code H. 1 in N902.

3. When HL03 is code PD (Procedure loop), use codes IH, D7, and FE to identify costs associated with either inpatient or outpatient procedures.

IF Lodging

IG Meals

IH Travel Expense

D7 Dispensing Fee

When HL03 is code PD (Procedure loop), use to identify the unit cost per care procedure.

FE Fee

Use to indicate the totalfees paid to donors.

G3 Price per Unit Area

When HL03 is code AS (Animal Subject loop), use

multiple repetitions, as needed, to indicate the purchase

price ofanimals that individually priced. When this code is used do not use code SP. SP Sales Price

When HL03 is code AS (Animal Subject loop), use to indicate the average purchase price ofanimals in a

group. When this code is used, do not use code G3.

Must Use AMT02 782 Monetary Amount M R 1/15

Monetary amount

003060FEDOOA 28 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes: Comments:

Notes:

DTM Date/Time Reference

050

HL

Detail

Optional

>1

To specify pertinent dates and times

1 At least one of DTM02 DTM03 or DTM06 is required. 2 If either DTM06 or DTM07 is present, then the other is required.

When HL03 is code PC (Project loop), SP (Sub-project loop), or CO (Consortium loop), use to indicate the planned start and stop datesfor the project.

Must Use

Ref. Pes. DTMOl

Must Use DTM02

DTM05

Data

Element

374

373

624

Data Element Summary

Name Attributes

Date/Time Qualifier M ID 3/3

Code specifying type of date or time, or both date and time

Period Start Use to indicate the planned start date. Period End

Use to indicate the planned completion date. Submission

When HL03 is code OS, use to indicate the submission

datefor active or pending Other Support

X DT 6/6

193

194

432

Date

Date (YYMMDD)

Century O NO 2/2

The first two characters in the designation of the year (CCYY)

003060FED00A 29 24 JAN 1997
1 94 - Grant or Assistance Application

Segment: PAM Period Amount

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes: Comments:

Notes:

060

HL

Detail

Optional

>1

To indicate a quantity, and/or amount for an identified period

1 If any of PAMOl PAM02 or PAM03 is present, then all are required.

2 At least one of PAM02 PAM05 or PAM14 is required.

3 If either PAM04 or PAM05 is present, then the other is required.

4 If either PAM06 or PAM07 is present, then the other is required.

5 If PAM07 is present, then at least one of PAM08 or PAM09 is required.

6 If PAM07 is present, then PAM06 is required.

7 If PAM08 is present, then PAM07 is required.

8 If PAM09 is present, then PAM07 is required.

9 If PAMIO is present, then at least one of PAMl 1 or PAM12 is required

10 If PAMl 1 is present, then PAMIO is required.

11 If either PAM13 or PAM14 is present, then the other is required. 1 PAM10, PAM1 1 , or PAM1 2 are used when two dates are required.

1. When HL03 is code PC (Project loop), SP (Sub-project loop) or CO (Consortium

loop), use ofthis segment is REQUIRED to identify the planned duration ofthe project.

2. When HL03 is code OS (Other Support loop), at least one occurrence ofthis segment

is REQUIRED to identify the total and annual directfunding (active, pending, or

planned) for the project, the amount ofeffort on the part ofthe identified individual in the parent Key Person loop in support ofthat project, the total period ofperformance, and

the type ofperiod (e.g., summer period). Multiple occurrences may be used to specify

different levels ofeffort to be worked on the Other Supportproject during different time

periods.

3. When HL03 is code PD (Procedure loop), use this segment to identify the average

number ofdays and the daily rate ofin-patient hospital stays.

4. When HL03 is code AS (Animal Subject loop), use this segment to identify the average

number ofdays and the daily ratefor housing animal subjects.

Data Element Summary

Ref. Data

Des. Element Name Attributes

PAMOl 673 Quantity Qualifier X D) 2/2

Code specifying the type of quantity

37 Work In Process When HL03 is code OS (Other Support loop), use to indicate the number oflabor months ofactive support

funded by the other project.

A3 Most Likely Duration

When HL03 is code PC (Project loop), SP (Sub-project

loop), or CO (Consortium loop), use is REQUIRED to indicate the planned duration ofa project

AY Forecast When HL03 is code OS (Other Support loop), use to indicate the number oflabor months ofsupport planned

for submission to the other project.

003060FED00A

DY Days

30 24 JAN 1997
1 94 - Grant or Assistance Application

1. When HL03 is code PD (Procedure loop), use to indicate the average number ofdays a patient will be in a hospital or treatmentfacility.

2. When HL03 is code AS (Animal Subject loop), use to indicate the average length ofhousing.

E3 Employed on this job

When HL03 is code OS (Other Support loop), use to indicate the average level ofeffort to be dedicated to the project ifless thanfull time for the individual identified

in the parent Key Person loop. Cite the level ofeffort in months in PAM02/03 and as a percentage in PAM13/14. Identify the applicable period in PAM06,

PAM07/08, andPAMlO/11.

KA Estimated

When HL03 is code OS (Other Support loop), use to indicate the number oflabor months ofpending support

requestedfor the other project.

PAM02

PAM03

Must Use COOlOl

380 Quantity X R 1/15

Numeric value of quantity

COOl Composite Unit of Measure X

To identify a composite unit of measure(See Figures Appendix for examples of

use.)

355 Unit or Basis for Measurement Code M ID 2/2

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

DA Days

Use only with PAMOl code DY.

MO Months

Use with PAMOl code 37, A3, AY, E3, andKA.

PAM04 522 Amount Qualifier Code X ID 1/2

Code to qualify amount

80 Funding - Total Requirements

1. When HL03 is code OS (Other Support loop) and

PAMOl is code 37, use to indicate the total awarded

amount.

KB

2. When HL03 is code OS (Other Support loop) and

PAMOl is code KA, use to indicate the total requested

amount

3. When HL03 is code OS (Other Support loop) and

PAMOl is code AY, use to indicate the total amount of

support plannedfor submission to the other project.

Annual Revenue

When HL03 is code OS (Other Support loop) and

PAMOl is code 37, use to indicate the annual direct cost associated with the most recent award.

2. When HL03 is code OS (Other Support loop) and

PAMOl is code KA, use to indicate the annual direct cost associated with the initial budget period

00306OFED00A 31 24 JAN 1997
1 94 - Grant or Assistance Application

PAM05 782

PY Per Person per Day Limit

1. When HL03 is code PD (Procedure loop) and

PAMOl code DY, use to indicate the daily inpatient care rate.

2. When HL03 is code AS (Animal Subject loop), use to indicate the daily housing cost. Monetary Amount X R 1/15

Monetary amount

Amount in U.S. currency.

PAM06

PAM07

PAM08

PAMIO

PAMll

PAM13

PAM14

003060FED00A

344 Unit of Time Period or Interval X ID 2/2

Code indicating the time period or interval When HL03 is code OS (Other Support loop) and PAMOl is either code 37, AY, or KA, use to identify the appropriate time period specified in PAM07/08.

AP Academic Period Use to indicate an academic period

CC Cycles

Use to indicate a total Other Support project period

when not an academic period, summer period or an

annual period.

CY Calendar Year

Use to indicate an annual period

SP Summer Period

Use to indicate a summerperiod

374 Date/Time Qualifier X ID 3/3

Code specifying type of date or time, or both date and time

193 Period Start

1. When HL03 is code OS (Other Support loop) and

PAMOl is code 37 use to indicate the date the support

started

2. When HL03 is code OS (Other Support loop) and

PAMOl is code AY or KA use to indicate the estimated

start date. 373 Date X DT 6/6

Date (YYMMDD)

374 Date/Time Qualifier X ID 3/3

Code specifying type of date or time, or both date and time

194 Period End

When HL03 is code OS (Other Support loop) and

PAMOl is either code 37, AY, or KA, use to indicate the date that support (planned, pending, or active) is anticipated to terminate. 373 Date X DT 6/6

Date (YYMMDD)

1004 Percent QuaUfier X ID 1/2

Code to qualify percent

14 Availability Factor When PAMOl is code E3, use to indicate the average

level ofeffort to be dedicated to the project ifless than

full time (100%) for the individual identified in the parent Key Person loop.

954 Percent X R 1/10

Percentage expressed as a decimal

32 24 JAN 1997
1 94 - Grant or Assistance Application

Cite 50 to indicate 50% (one-halftime); cite 75.5 to indicate 75.5%.

0O306OFEDO0A 33 24 JAN 1997
194 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes: Comments:

Notes:

HSD Health Care Services Delivery

070

HL

Detail

Optional

>1

To specify the delivery pattern of health care services

1 If either HSDO 1 or HSD02 is present, then the other is required.

2 IfHSD06 is present, then HSD05 is required.

When HL03 is code PD (Procedure loop), use this segment to identify the number of

patients to receive a treatment and the average number oftreatments to be provided to each patient

Ref. Data

Pes. Element

Must Use HSDOl 673

Data Element Summary

Name Attributes

Quantity Qualifier ID 2/2

Code specifying the type of quantity

AG Number of End Users Use to indicate the number ofpatients being treated with the specifiedprocedure.

Must Use HSD02

Must Use HSD05

380

615

Quantity X R 1/15

Numeric value of quantity

Time Period Qualifier X ID 1/2

Code defining periods

1 Chargeable Periods

Use to indicate the average number oftreatments to be

administered to each patient.

Must Use HSD06 616 Number of Periods

Total number of periods

O NO 1/3

003060FErX)0A 34 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes: Comments:

Notes:

NXl Property or Entity Identification

080

HL

Detail

Optional

>1

To define the attributes of a property or an entity

1. When HL03 is code PC (Project loop), a single occurrence ofthis segment is REQUIRED to identify the type oforganization submitting the application.

2. Use, as applicable, when HL03 is code SP (Sub-project loop) or CO (Consortium

loop).

Data Element Summary

Ref. Data

Pes, Element Name Attributes

Must Use NXlOl 98 Entity Identifier Code M ID 2/2

Code identifying an organizational entity, a physical location, or an individual

Use ALL listed codes that apply. Cite the applicable codes in NX]01/02/03/04/05, as needed

IF Alliance

Use to indicate an international organization (e.g., World Health Organization).

21 Small Business

27 Small Disadvantaged Business

2F State Use to indicate a state government-owned entity.

Includes school grades K-12. Use in conjunction with

code M8 to indicate institutions ofhigher education,

such as state universities and colleges.

2J Individual

2R Federal FaciUty

Use to indicate a Federally ownedfacility.

80 Hospital

8E Minority Institution Use to indicate the organization is also an institution of

higher education and code HB does not apply. Ifthe

institution is publicly-owned, use in conjunction with one ofthefollowing codes: 2F, 2R, C6, C7, and C8;

otherwise, the institution will be considered to be

privately-owned.

91 Action Party

Use to indicate a CommunityAction Agency.

95 Research Institute Also use code 2F, 2R, C6, C7, or C8 ifthe institution is publicly-owned.

003060FED00A 35 24 JAN 1997
Woman-Owned Business

Section 8(a) Program Participant Firm

Nonprofit Institution

1. Use to indicate a nonprofit entity not otherwise

identified by a listed code.

2. Also may be used with other codes to indicate that

the entity is a nonprofit organization. Ifthis code is not used in conjunction with another code, that entity will be assumed to befor-profit. Do not use with codes IF, 2F, 2R, C6, C7, C8, or XT.

Other Unlisted Type of Organizational Entity Use to indicate an organizational entity type not

included in other available codes (e.g., a Federally

FundedResearch and Development Center [FFRDC]).

This code may be used in conjunction with codeAS but

not other codes.

Large Business

Business Associate Use to indicate a Foundation; an organization, closely

affiliated with but separately incorporatedfrom another

organization, established to facilitate the administration

ofresearch and other programs supported by Federal

funds. Municipality

Use to indicate a local government-owned entity.

Includes boroughs, townships and organizations

managing school grades K-12. Also use this code in conjunction with code M8 to indicate a local government-owned institution ofhigher education.

County

Use to indicate a local government-owned entity.

Includes organizations managing school grades K-12.

Also use this code in conjunction with code M8 to indicate a local government-owned institution ofhigher

education.

City

Use to indicate a local government-owned entity.

Includes organizations managing school grades K-12.

Also use this code in conjunction with code MS to indicate a local government-owned institution ofhigher

education.

School District Historically Black College or University

Ifthe institution is publicly-owned, use in conjunction

with one ofthefollowing codes: 2F, 2R, C6, C7, C8;

otherwise, the institution will be considered to be

privately-owned.

Coordinator Use to indicate a Planning Commission.

36 24 JAN 1997
194 - Grant or Assistance Application

M8 Educational Institution The organization is also an institution ofhigher

education. Ifthe institution is publicly-owned, use in conjunction with one ofthefollowing codes: 2F, 2R,

C6, C7, C8; otherwise, the institution will be considered

to be privately-owned.

T4 Transfer Point Use to indicate a PortAuthority.

TR - Terminal

Use to indicate an Airport Authority.

TW Transit Authority

UD Region

Use to indicate a Council ofGovernments.

XY Tribal Government

Use to indicate an American Indian organization which

is not a business.

XZ American Indian-Owned Business

ZZ Mutually Defined

Use to indicate the organization is predominantly

Hispanic (Hispanic Service Institute). NX102 98 Entity Identifier Code O ID 2/2

Code identifying an organizational entity, a physical location, or an individual Notes associated with specific codes in NXlOl, are applicable to the same

codes in this data element. IF Alliance

21 Small Business

27 Small Disadvantaged Business

2F State 2J Individual

2R Federal Facility

80 Hospital

8E Minority Institution 91 Action Party

95 Research Institute A2 Woman-Owned Business

A6 Section 8(a) Program Participant Firm

A8 Nonprofit Institution B2 Other Unhsted Type of Organizational Entity

B9 Large Business

BZ Business Associate

C6 Municipality

C7 County

C8 City

H6 School District HB _ Historically Black College or University

BCM Coordinator

M8 Educational Institution T4 Transfer Point

TR Terminal

TW Transit Authority

003060FEDOOA 37 24 JAN 1997
1 94 - Grant or Assistance Application

NX103 98

NX104 98

UD

XY

XZ

ZZ

Region

Tribal Government

American Indian-Owned Business

Mutually Defined

Entity Identifier Code O ID 2/2

Code identifying an organizational entity, a physical location, or an individual

Notes associated with specific codes in NXlOl, are applicable to the same

codes in this data element

IF Alliance

21 Small Business

27 Small Disadvantaged Business

2F State 2J Individual

2R Federal Facility

80 Hospital

BE Minority Institution 91 Action Party

95 Research Institute A2 Woman-Owned Business

A6 Section 8(a) Program Participant Firm

A8 Nonprofit Institution B2 Other Unhsted Type of Organizational Entity

B9 Large Business

BZ Business Associate

C6 Municipality

C7 County

C8 City

H6 School District HB Historically Black College or University

KM Coordinator

M8 Educational Institution T4 Transfer Point

TR Terminal

TW Transit Authority

UD Region

XY Tribal Government

XZ American Indian-Owned Business

ZZ Mutually Defined

Entity Identifier Code O ID 2/2

Code identifying an organizational entity, a physical location, or an individual

Notes associated with specific codes in NXlOl, are applicable to the same

codes in this data element

IF Alliance

21 Small Business

27- Small Disadvantaged Business

2F State 2J Individual

2R Federal Facihty

80 Hospital

8E Minority Institution 91 Action Party

003060FED00A 38 24 JAN 1997
1 94 - Grant or Assistance Application

NX105 98

00306OFEDO0A

95 Research Institute A2 Woman-Owned Business

A6 Section 8(a) Program Participant Firm

A8 Nonprofit Institution B2 Other Unlisted Type of Organizational Entity

B9 Large Business

BZ Business Associate

C6 Municipality

C7 County

C8 City

H6 School District HB Historically Black College or University

KM Coordinator

M8 Educational Institution T4 Transfer Point

TR Terminal

TW Transit Authority

UD Region

XY Tribal Government

XZ American Indian-Owned Business

ZZ Mutually Defined

Entity Identifier Code O ID 2/2

Code identifying an organizational entity, a physical location, or an individual

Notes associated with specific codes in NXlOl, are applicable to the same

codes in this data element IF Alliance

21 Small Business

11 Small Disadvantaged Business

2F State 2J Individual

2R Federal Facility

80 Hospital

8E Minority Institution 91 Action Party

95 Research Institute A2 Woman-Owned Business

A6 Section 8(a) Program Participant Firm

A8 Nonprofit Institution B2 Other Unlisted Type of Organizational Entity

B9 Large Business

BZ Business Associate

C6 Municipality

C7 County

C8 City

H6 School District HB Historically Black College or University

KM Coordinator

M8 Educational Institution T4 Transfer Point

TR Terminal

TW Transit Authority

39 24 JAN 1997
1 94 - Grant or Assistance Application

UD

XY

XZ

ZZ

Region

Tribal Government

American Indian-Owned Business

Mutually Defined

003060FED00A 40 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Svntax Notes:

Semantic Notes:

Comments:

Notes:

YNQ Yes/No Question

090

HL

Detail

Optional

>1

To identify and answer yes and no questions, including the date, time, and comments

fiuther qualifying the condition

1 Only one of YNQOl YNQ09 or YNQIO may be present

2 If either YNQ03 or YNQ04 is present, then the other is required.

3 If YNQ09 is present, then YNQ08 is required.

1 YNQ02 confirms or denies the statement made in YNQOl, YNQ09 or YNQIO. A

"Y" indicates the statement is confirmed; an "N" indicates the statement is denied. 2 YNQIO contains a fi"ee-form question when codified questions are not available.

1. When HL03 is code PC (Project loop), use this segment to indicate Yes/No conditions

regarding the grant applicant and, where necessary, to provide explanations.

2. When HL03 is code PD (Procedure Loop), use ofthis segment is REQUIRED ifthe response to the question J2 is no.

Data Element Summary

Ref. Data

Des. Element Name Attributes

Must Use YNQOl 1321 Condition Indicator X ID 2/2

Code indicating a condition

1. Use codes only when the organization's response to the question matches

the criteria in the code note.

2. When a code is used, use YNQ05/06/07 to provide explanations.

FG Application is Certified The applicant certifies compliance with all applicable assurances identified on the Standard Form 424b. Use

ifthe answer is no. A no response requires an

explanation.

G3 Hazardous Materials are Used or Produced

Are hazardous materials used or produced in the project? Use ifthe answer is yes. 04 Genetically Engineered Organisms are Used or Produced

Are genetically engineered organisms used or produced

in the project? Use ifthe answer is yes. G5 This is a Group Proposal

Is this a group application? Use ifthe answer is yes. G6 Historical Sites Are Affected

Are historical sites affected by the project? Use ifthe answer is yes. A yes response requires an explanation.

G7 Facilities are Properly Accredited or Authorized

Arefacilities properly accredited/authorizedfor this project? Use ifthe answer is no. A no response

requires an explanation.

G8 Proprietary or Privileged Information will be contained

in the Application

Is proprietary/privileged information included in the

003060FEDOOA 41 24 JAN 1997
1 94 - Grant or Assistance Application

G9

HO

HI

H2

H4

H5

H6

H7

H8

H9

003060FED00A

application? Use ifthe answer is yes.

This Project is in Violation of an Environmental

Compliance Regulation

Is this project in violation ofany environmental

compliance regulation? Use ifthe answer is yes. A yes

response requires an explanation.

Organization Certifies Compliance with Federal

Lobbying Regulations

Does the proposing organization certify compliance

with Federal Lobbying Regulations? Use ifthe answer

is no. A no response requires an explanation.

Project involves the International Co-operative Act

Does this project involve international cooperative

activities? Use ifthe answer is yes.

Himian Anatomical Substances Are Used

Are human anatomical substances used in this project?

Use ifthe answer is yes.

Lobbying Activities Have Been Conducted Regarding

the Proposal

Have lobbying activities been conducted regarding the application? Use ifthe answer is yes. A yes response

requires an explanation.

Organization Certifies Compliance With the Drug-Free

Workplace Act Does the organization certify compliance with the Drug-Free Workplace Act of1988? Use ifthe answer

is no. A no response requires an explanation.

Organization Certifies Compliance with the Code of

Federal Regulations Regarding Research Misconduct

Does the organization certijy compliance with the Code

ofFederal Regulations "Responsibilityfor Public

Health Service (PHS) Awardee andApplicant

Institutionsfor Dealing with and Reporting Possible

Misconduct in Science " (42 CFR 50 Subpart A) ? Use if the answer is no. A no response requires an

explanation.

Organization Provides a Smoke Free Workplace

Does the organization currently provide a smoke-free

workplace and/or promote the non-use oftobacco

products, or have plans to do so? Use ifthe answer is no.

Organization Certifies Compliance with Federal

Discrimination Regulations

Does the organization certijy compliance with Title VI ofthe Civil Rights Act of1964, Section 504 ofthe Rehabilitation Act of1973, Title IX ofthe Education

Amendments of1972, and the Age Discrimination Act of

1975? Use ifthe answer is no.

Organization Certifies Compliance with the Code of

42 24 JAN 1997
1 94 - Grant or Assistance Application

17

18

Jl

J2

J4

Federal Regulations Regarding Responsibility of

Applicants for Promoting Objectivity in Research for which Public Health Service (PHS) Funding is Sought

Does the organization certify compliance with the Code

ofFederal Regulations "Responsibility ofApplicantsfor

Promoting Objectivity in Researchfor which PHS

Funding is Sought" (42 CFR 50, Subpart F) or National

Science Foundation Financial Disclosure Policy

(National Science Foundation (NSF) Grant Policy

Manual, Section 510)? Use ifthe answer is no. A no

response requires an explanation.

Organization has Delinquent Federal Debts

Does the organization have any delinquent Federal

debts? Use ifthe answer is yes. A yes response

requires an explanation.

Organization has been Placed on the Federal Debarment

and Suspension List Is the organization on the List ofParties Excludedfrom

Federal Procurement and Nonprocurement Programs

or otherwise been determined NOT in compliance with

Executive Orders on Debarment/Suspension? Use ifthe answer is yes. A yes response requires an explanation.

Military Services Barred from Recruitment Activities at the Proposing Organization's Site(s)

Are Military Services barredfrom recruitment activities at the proposing organization 's site (s) ? Use ifthe answer is yes. A yes response requires an explanation.

Rate Negotiated

Does the organization have a patient care rate agreement negotiated with the Department ofHealth

and Human Services? Use ifthe answer is no. This

code is used only in Procedure loopsfor in-patient

human subjects.

Project Requires Inter-Govemment Review for

Activities that affect State or Local Government or

Possible National Security Implications

Does the project require review under Executive Order

No. 12372for activities that directly affect state or local government or possible national security implications?

a. Cite Y in YNQ02 and identify the review date in YNQ04.

b. Cite Nin YNQ02 when the project is subject to the Executive Order but has not been selectedfor review.

c. Do not use ifthe answer is No because the project

is not covered by the Executive Order.

No Restrictions Use to indicate that the applying organization gives

permission to the Federal Government to announce the award and address-related information regarding the organization. Use ifthe answer is no.

Must Use YNQ02

00306OFEDO0A

1073 Yes/No Condition or Response Code

Code indicating a Yes or No condition or response 43

M ID 1/1

24 JAN 1997
194 - Grant or Assistance Application

A Yes/No response relates to the code cited in the immediately preceding

YNQOl data element. N No

Y Yes

YNQ03 1250 Date Time Period Format Qualifier X ID 2/3

Code indicating the date format, time format, or date and time format

D8 Date Expressed in Format CCYYMMDD

YNQ04 1251 Date Time Period X AN 1/35

Expression of a date, a time, or range of dates, times or dates and times

When YNQOl is code J4 and YNO02 is code Y, use to identify the review date. YNQ05 933 Free-Form Message Text O AN 1/264

Free-form message text Use as needed to provide explanatory text related to the codes selected in YNOOl/02. YNO05/06/07 may be used as a continuous string oftext.

YNQ06

YNQ07

933

933

Free-Form Message Text

Free-form message text Free-Form Message Text

Free-form message text

O AN 1/264

O AN 1/264

003060FEDOOA 44 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes:

Comments:

Notes:

N9 Reference Identification

100

N9

Detail

Optional

1To transmit identifying information as specified by the Reference Identification Qualifier

1 At least one of N902 or N903 is required. 2 If N906 is present, then N905 is required.

3 If either C04003 or C04004 is present, then the other is required.

4 If either C04005 or C04006 is present, then the other is required.

1 N906 reflects the time zone which the time reflects. 2 N907 contains data relating to the value cited in N902.

1. Use this N9 loop in various loops as indicated by the N901 codes.

2. Specifically, use this N9 loop when HL03 is code PC (Project loop), SP (Sub-project

loop) and CO (Consortium loop) to provide references and text descriptions related to the project.

Data Element Summary

Ref. Data

Des. Element Name Attributes

Must Use N901 128 Reference Identification Qualifier M ID 2/3

Code Qualifying the Reference Identification 3X Subcontract Number

Use this code once only when HL03 is code SP (Subproject loop) or CO (Consortium loop) to indicate a

unique identification numberfor the sub-project or consortium effort identified in this iteration ofthe HL

loop.

43 Supporting Document Number

When HL03 is code PC (Project loop), SP (Subproject loop), CO (Consortium loop), 4 (Care Group

loop), AS (Animal Subject loop), PD (Procedure loop), or IB (Previous Award loop), use to indicate that a

matrix willfollow. For example, when HL03 is code 4, a Gender andMinority inclusion matrix associated with

the individuals making up the care group couldfollow. Cite the word MATRIX in N903 and use the 2/MTX/llO

segment to identijy the matrix title.

2. Use ofthe 2/INX/120 loop is REQUIRED to define the matrix. 5S Processing Area

For nonresearch applications, use to indicate the type

ofsubmission as specified in the Federal Agency grant

application instructions. This represents the project's purpose, e.g., construction, rehabilitation, planning,

etc. 6M Application Niunber

1. Use to indicate the application number assigned by a

reviewing organization (state, regional council, transit authority, etc.) taking action prior to the submission of

the application to a Federal Agency.

003060FEDOOA 45 24 JAN 1997
194 - Grant or Assistance Application

2. Identify the reviewing organization in N903.

F4 Facility Certification Number

1. Use to indicate the organization's Assurance of

Compliance Number in N902; the type ofreview (FULL

or EXPEDITED) in N903; and identify the Institution Review Board (IRB) approval date in N904.

2. When the number applies to all care groups, use this code in the Project loop (HL03 is code PC), in the applicable Sub-project loop (HL03 is code SP) or in the applicable Consortium (HL03 is code CO).

3. When the number applies to an individual care

group, use this code in that Care Group loop (HL03 is code 4).

4. When an IRB approval has not been received, cite the word PENDING in N903.

lA Proposal Paragraph Number

7. When HL03 is code PC (Project loop), SP (Subproject loop), CO (Consortium loop), 4 (Care Group

loop), AS (Animal Subject loop), or PD (Procedure

loop), use to indicate that N902 cites the Grant

Application paragraph number that identifies the type

oftext that will appear in thefollowing 2/MTX/IlO

segment N903 may be used to provide an applicantsupplied title for that paragraph.

2. This N9/MTXcombination provides the text data

comprising the statement ofwork and other textual data

associated with the application.

M7 Medical Assistance Category

When HL03 is code PD (Procedure loop), use is REQUIRED to indicate the type ofpatient processing.

Cite one ofthe following codes in N902.

D for Donors

I for inpatient treatments O for outpatient treatments

WI Waiver

1. Use to indicate that the Department ofHealth and

Human Services exemption category (I, 2, 3, 4, 5, or 6) number is cited in N902. See 45 CFR Part 46for

category definitions.

2. When the exemption applies to all care groups, use

this code in the Project loop (HL03 is code PC) or in the applicable Sub-project loop (HL03 is code SP).

3. When the number applies to an individual care

• group, use the code in that Care Group loop (HL03 is code 4). Y9 Current Certificate Number

1. Use to indicate the Animal Welfare Assurance

Number. Use N904 to identify the Institutional Animal

Care and Use Committee (lACUC) approval date.

2. When the number applies to all animal subject

003060FED00A 46 24 JAN 1997
1 94 - Grant or Assistance Application groups, use this code in the Project loop (HL03 is code

PC), in the applicable Sub-project loop (HL03 is code

SP) or in the applicable Consortium (HL03 is code

CO).

3. When the numbers vary by animal subject groups, use this code in Animal Subject loop (HL03 is code AS).

YB

4. When an lACUC approval has not been received

cite the word PENDING in N903.

Revision Number

When BGN07 is code FMandHL03 is code PC

(Project loop), use to indicate the Federal agency

identification ofa revised budget.

Must Use N902 127 Reference Identification X AN 1/30

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier

When N901 is code L4, cite the applicable GrantApplication paragraph

numberfrom the following list:

Para # Paragraph Title A Abstract

B Project Description

B.l Introduction

B.2 Aims

B.3 Background

B.4 Preliminary Studies

B.5 Research Design/Approach

B.6 Bibliography/References

c Project Resources & Environment

C.l Personnel & Budget Justifications C.2 Space/Facilities

C.3 Equipment

C.4 Other

C.5 Travel Justification C.6 Alterations andRenovations

C.l Supplies

E Explanations

E.l Cert & Reps

E.2 Other Commitments

E.3 Mandatory Cost Sharing

E.4 Project Related Income

E.5 Special Project Considerations

E.6 Consortium/Contractual Arrangements

F Special Considerations

F.l List ofReviewers (Include/Exclude)

F.2 Cover Letter F.3 Free Text G Human Subjects

G.I Care Group

G.I.I Demographic Information

G.I. 2 Inclusion Criteria G.I.

3

Health Status

G.I. 4 Description

003060FErX)0A 47 24 JAN 1997
1 94 - Grant or Assistance Application

G.].5 Rationale For Use

G.1.6 Specimen Sources

G.1.7 Other Support Justification G. 2 Consent Data

G. 2. 1 Recruitment Procedures

G.2.2 Circumstances Requiring Consent

G. 2. 3 Documentation Methods

G.2.4 Description ofany IRB Waivers

G.3 Care Procedures

G. 2. 1 Procedure Justification G. 3. 2 Procedure Risks

G. 3. 3 Likelihood ofRisks

G. 3. 4 Seriousness ofRisks

G.3. 5 Alternative Treatments

G.3. 6 Risks/Benefits Assessment

G. 3. 7 Protections Against Risks

G. 3. 8 Data Monitoring Techniques

G.3. 9 Intervention

G.4 Donors

G.4.2 Donor Justification G.5 Test Article G. 5. 1 Test Article Name

G.5. 2 Test Article Status (30-day Interval) G. 5. 3 FDA Restrictions on Use

H Animals

H. 1 Species Description H. 1. 1 Purpose & Rationale

H.I. 2 Housing Explanation

H.2 Veterinary Care

H. 3 Procedures to Limit Discomfort

H.4 Euthanasia

H. 4. 1 Description

H.4. 2 Rationale H. 5 Noncompliance Explanation

I Progress Report

I. I Specific Aims

1.2 Results & Significance

1.3 Plans

1. 3. 1 Plans Specific Aims

1. 3. 2 Human Subject Changes

1. 3. 3 Invertebrate Animal Changes

1. 4 Project Generated Resources

1.5 Significant Unobligated Balances

1.6 Inventions (Title, Name ofinventor(s))

J Special Program Cross-Cuts

J. 1 Beginning Investigator

J. 2 Small Grant For Exploratory Research

J. 4 Facilitationfor Scientific & Engineers with Disabilities

J. 5 Research Opportunity Award

J. 6 Single Investigator

J. 7 Young Investigator

J. 8 Short-term Innovative Research Program

J. 9 Research Instrumentation Program

J. 10 Historically Black College or University/Minority Institution Award

K Research CareerAward

K. 1 The Candidate

003060FED00A 48 24 JAN 1997
K.1.1 Letters ofReference

K.J. 2 Candidate 's Background

K. 1. 3 Career Goals and Objectives: Scientific Biography

K.1.4 Career Development Activities during Award Period

K.2 Statements by Sponsors, Consultants, and Collaborators

K. 3 Environment andInstitutional Commitment to Candidate

K. 3. 1 Description ofInstitutional Environment

K.3.2 Institutional Commitment

L Research Training Program Plan

L. I Introduction to RevisedApplication

L. 2 Introduction to SupplementalApplication

L.3 Background

L.4 Program Plan

L.4.1 Program Direction

L.4. 2 Program Faculty

L. 4. 3 Proposed Training

L.4. 4 Trainee Candidates

L. 5 Recruitment ofIndividuals

L. 6 Responsible Conduct ofResearch

M Potential Applications ofResearch

Free-form Description X AN 1/45

Free-form descriptive text

1. When N901 is code L4, use to identify the Grant Application paragraph title or an alternative title preferred by the grant applicant.

2. When N901 code F4, use to identify the type oflRB review. Cite either the word FULL or EXPEDITED.

3. When N901 is code 6M, use to identify the reviewing organization. For a

state government, cite only the two position postal code abbreviationfor the

state, e.g., CA, KS, FL, VT, etc. Date O DT 6/6

Date (YYMMDD)

1. When HL03 is code 4 (Care Group loop) and N901 is code F4, use to

identify the IRB approval date.

2. When HL03 is code AS (Animal Subject loop) andN90I is code Y9, use to identify the lACUC approval date.

3. When N901 is code 6M, use to identify the date approved by the reviewing

organization.

49 24 JAN 1997
194 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes: Comments:

Notes:

Lll Business Instructions

105

N9

Detail

Optional

>1

To specify instructions in this business relationship

1 At least one of LI 101 or LI 103 is required.

2 If either L1 10 1 or L1 1 02 is present, then the other is required.

When N901 is code 43, use to identify the brand name ofthe spreadsheet software and its version and release number.

Data Element Summary

Ref. Pes. LllOl

L1102

Data

Element

127

128

Name Attributes

Reference Identification X AN

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier

Reference Identification Qualifier X ID

Code Qualifying the Reference Identification ZS Software Application Number

Use to indicate the brand name ofthe spreadsheet

software and its version and release number. For

example, Excel 4. 0.

1/30

2/3

003060FEDOOA 50 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes: Comments:

Notes:

Ref.

Pes,

Must Use MTX02

MTX03

MTX Te«

110

N9

Detail

Optional

>1

To specify textual data

1 If NfTXO 1 is present, then MTX02 is required.

2 If NfTXOS is present, then MTX02 is required.

1. When N901 is code 42, use this MTXsegment to provide matrix title.

2. When N901 is code L4, use this segment to provide text that is associated with the GrantApplication paragraph number cited in N902.

Data

Element Name

Data Element Summary

1551 Message Text

To transmit large volumes of message text 1551 Message Text

To transmit large volumes of message text

Attributes

X AN 1/409

6

O AN 1/409

6

00306OFEDO0A 51 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes: Comments:

Notes:

Must Use

Ref. Pes. mxoi

INX Index Detail

120

INX

Detail

Optional

1To specify an index

1 If either COS602 or C03603 is present, then the other is required.

2 At least one of C03602 or C03604 is required.

3 If either C03604 or C03605 is present, then the other is required.

1. When HL03 is code PC (Project loop), SP (Sub-project loop), CO (Consortium loop),

4 (Care Group loop), AS (Animal Subject loop), PD (Procedure loop), or IB (Previous

Award loop), use to identify data in a matrix (spreadsheet) format.

2. Use this INXsegment to define the pattern and range ofcells within the matrix and

the 2/K3/I30 segment to define the content ofthe cell(s) specified by the INX.

3. For purposes ofthis IC, cells will be identified in a manner typical ofcomputer

spreadsheets. That is, the columns will be identified by a letter A, B, C ... and the rows by a number 1, 2, 3 ... The column and row titles (text descriptions) are REQUIRED to be included in the matrix. In specifying ranges it is not necessary to specify a continuous

series ofcells within a row or column; they can be broken into subsets. However, when

all iterations ofthe INXloop are complete, the entire matrix should be complete.

Data

Element

1550

Data Element Summary

Name Attributes

Index Qualifier M ID 1/2

Code identifying an index

1. Use code 1 or 2 once per matrix to indicate the start ofthe matrix. Use

multiple iterations as needed citing codes 3 or 4 to define additional cell ranges to be loaded within a single matrix.

2. In an absolute reference (codes 1 and 3) use the alphanumeric identifiers

(e.g., A J) in INX02-2 and INX02-3 to identify the range ofcells to be loaded

3. In a relative reference (codes 2 and 4), use the alphanumeric identifier,

e.g., B3, in INX02-2 to identify the specific cell to start at and in INX02-3,

provide a count ofcells to load startingfrom that location.

4. EXAMPLE OFANABSOLUTE LOAD PA TTERN LOADING 15 CELLS

(AL..E1, A2...E2, A3...E3): INX*I *1:A1:E3 n/l

5. EXAMPLE OFA RELATFVE LOAD PATTERN THATSTARTSAT CELL

B3AND LOADS 3 CELLS TOP TO BOTTOM: INX*2*3:B3:3 n/l

Must Use INX02

C03601

Matrix Start - Absolute Reference

Matrix Start - Relative Reference

Matrix Continuation - Absolute Reference

Matrix Continuation - Relative Reference

C036 Index Identification M

To identify an index

1395 Configuration Type Code O

Code defining how information is being grouped or arrayed

Use to indicate the pattern ofloading the cells.

ID 1/1

003060FED00A 52 24 JAN 1997
1 94 - Grant or Assistance Application

C03602 127

C03603 127

C03604 863

C03605 864

Horizontal, Left to Right

Horizontal, Right to Left

Vertical, Top to Bottom

Vertical, Bottom to Top

Individual Cell Reference Identification X AN 1/30

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier In either an absolute or relative reference, use to identify the cell that begins

the range ofa load operation, e.g., B3. Reference Identification X AN 1/30

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier

1. When INXOl is code 1 or 3 (absolute reference), use to describe the cell which ends this iteration ofthe load operation, e.g., E3.

2. When INXOl is code 2 or 4 (relative reference), use to provide a count ofthe number ofcellsfrom the specified start to be loaded. X-Peg X R 1/6

Horizontal distance from the edge to the center of the peg hole (measured fi"om the left) Use only when INX02-1 is code 5 (individual cell) to identify the column letter ofa single cell to be loaded. Y-Peg X R 1/6

The vertical distance from the edge to the center of the peg hole as specified by

the peg code

Use only when INX02-1 is code 5 (individual cell) to identify the row number

ofa single cell to be loaded.

00306OFEDO0A 53 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes: Comments:

Notes:

K3 File Information

130

INX

Detail

Mandatory

>1

To transmit a fixed-format record or matrix contents

1 K303 identifies the value of the index.

1 The default for K302 is content Use multiple repetitions as needed ofthis K2 segment within a 2/INX/120 loop iteration

to identify each cell within the beginning and ending range identified by the INX

segment.

Must Use

Ref. Pes. K301Data

Element

449

Data Element Summary

Name

Fixed Format Information

Data in fixed format agreed upon by sender and receiver

Use to identify the cell contents.

Attributes

M AN 1/80

003060FED00A 54 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes:

Comments:

Notes:

PPL Price Support Data

170

PPL

Detail

Optional

1To provide information about pricing support

1 PPL02 is the start date. 2 PPL03 is the end date.

1. When HL03 is code PC (Project loop), SP (Sub-project loop) or CO (Consortium

loop), use ofthis segment is REQUIRED to provide project total price. Use a single

iteration ofthis PPL loop and within it a single iteration ofthe 2/PD/190 loop to provide

this project total price.

2. When detailed budget data is being provided in this transaction set, use subsequent

iterations ofthe PPL loop to identify each budget period (e.g., a project with a planned

duration of2 budget periods would utilize 3 iterations ofthe PPL loop). Use the 2/PD/190 loop to provide costsfor specific budget categories (salaries, equipment, etc.).

Data Element Summary

Ref. Des. PPL04

Must Use PPL05

Data

Element

352

1401

Name Attributes

Description O AN 1/80

A free-form description to clarify the related data elements and their content

7. In one iteration ofthis PPL segment within the Project and any Subproject

and Consortium loops, the letter T is REQUIRED to indicate the total project

price. When instructed in the solicitation or announcement, also provide the project totals by category.

2. When data is being provided by budget period in additional PPL segment

iterations, cite 1, 2, 3, etc. to identify the budget periods.

Proposal Data Detail Identifier Code O ID 1/3

Code identifying the basis of a cited value in a proposal

Use to indicate whether the values in PD/PDD are the actual unadjusted cost for the budget item without reductions to accommodate nonfederal cost sharing contributions or the requested costfor the budget item with reductions

to accommodate nonfederal cost sharing contributions. AA

AC

Actual Amount

Use to indicate that the values in PD/PDD are the actual unadjusted costfor the budget item. No

reductions have been made to accommodate

nonfederal cost sharing contributions (code 88). Negotiated Amoimt

Use to indicate that the values in PD/PDD are the requested costfor the budget item. Reductions have

been made to accommodate nonfederal cost sharing

contributions (code 88).

003060FEDOOA 55 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes:

Comments:

Notes:

PD Pricing Data

190

PD

DetaU

Optional

1To describe the pricing basic input detail

1 PDOl is the unit of the time period contained in PD02.

2 PD02 is the date of the start of the time period in PDO 1

.

3 PD04 is the quantity of the unit of measurement in PD03.

4 PD05 is the name of the cost element being proposed.

5 PD06 is the description of the name of the cost element being proposed.

6 PD08 is a reference to a specific paragraph number contained in an external document.

7 PD09 is the category of the data being proposed.

Use this PD loop to identify budget categories, rates, and totals associated with a

category. Use the PD segment to identify the name ofa category and the PDD segment

to identify the amounts budgetedfor the category

Ref. Pes. Must Use PDOl

Must Use PD02

Must Use PD03

Must Use COOlOl

Data

Element

344

Data Element Summary

373

COOl

355

Name Attributes

Unit of Time Period or Interval M ID 2/2

Code indicating the time period or interval

1. Cite the appropriate code to indicate the period definedfor this budget

category.

2. For budget categories where a period is NOT applicable (e.g., supplies,

equipment), cite code CC in order to meet the XI2 syntax requirements ofthis data element

AP Academic Period

CC Cycles

Use to indicate a budget period not described by

another code. CY Calendar Year

SP Simmier Period

Date M DT 6/6

Date (YYMMDD)

Use is REQUIRED to identify the beginning datefor the period indicated in PDOl.

Composite Unit of Measure M

To identify a composite unit of measure(See Figures Appendix for examples of

use.)

Unit or Basis for Measurement Code M ID 2/2

Code specifying the imits in which a value is being expressed, or manner in which a measurement has been taken

DO Dollars, U.S. PI Percent Use when the PD07 category requires a percentage

(e.g., indirect charges, fringe benefits).

C00104 355 Unit or Basis for Measurement Code O ID 2/2

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

003060FEDOOA 56 24 JAN 1997
1 94 - Grant or Assistance Application

Must Use PD04

Must Use PD05 93

PD06

Must Use PD07

Use, ifapplicable, only when PD03-1 is code DO.

8S

HR

MO

Session

Use to indicate the individual's or labor category's base

salaryfor the period specified in PDOl, i.e., year, academic period, etc. Honrs

Use to indicate an amountpriced on an hourly basis. Months

Use to indicate an amountpriced on a monthly basis.

380 Quantity

YR Years Use to indicate an amountpriced on an annual basis. M R 1/15

Nmneric value of quantity

1. When PD03-4 is 8S, use to identify the individual's or labor category's base

salaryfor the period specified in PDOl.

2. When PD03-4 is code HR, MO, or YR, use to identify the related amount

(dollars/hour, dollars/month, dollars/year) applicable to the budget category,

e.g., labor, rentals, services, etc.

3. When PD03-1 is code PI, use to identify a percentage rate (e.g., fringe

benefits and indirect costs). Cite 50% as 50; cite 50.25 % as 50.25 (note:

leading and trailing zeros are suppressed).

4. When PD03-1 code DO and PD03-4 is not used use to indicate a discrete amount is specified in PDD03. Cite J to meet the rules ofX12 syntax. This

PD04 value of1 should not be used by the receiving application.

Name M AN 1/35

Free-form name

1. Use is REQUIRED to identify a budget category by a "short-hand" or coded

means.

2. Ifdesired, this name can be takenfrom the organization's cost accounting

system.

352 Description O AN 1/80

A free-form description to clarify the related data elements and their content When PD05 carries a short-hand description takenfrom a cost accounting

system that is not readily understandable, use to identify the budget category in afree-form text "long-hand" description. A "long-hand" description only

needs to be provided thefirst time the "short-hand" name is used.

1196 Breakdown Structure Detail Code O ID 2/2

Codes identifying details relating to a reporting breakdown structure tree Use to identify the budget category or aggregated costs applicable to this PD

loop.

01

03

04

Labor

Use to indicate direct labor wage/salary. Aggregate

direct labor wage/salary into Total Direct Labor (code

70). Other Direct Costs (ODC)

Use to indicate the Total Other Direct Costs. This is the sum ofcodes 04, 39, 43, 46, 55, 80, 81, 82, 86, 87, and ZZ. Aggregate this sum into Total Direct Costs

(code 84). Subcontract

003060FEDOOA 57 24 JAN 1997
1. When HL03 is code PC (Project loop), use to indicate the sum ofall subawards within the Project.

Aggregate into Total Other Direct Costs (code 03).

2. When HL03 is code SP (Sub-project loop) or CO

(consortium loop), use to indicate subcontracts and

second-tier consortium contracts budgeted within this loop. Aggregate into Total Other Direct Costs (code

03). Labor Overhead

Use to indicate Labor Overhead (excludesfringe

benefits). Aggregate into Total Indirect Costs (code

09). Total Overhead

Use to indicate the Total Indirect Costs. This is either

the sum ofLabor Overhead (code 06) and General and

Administrative (G&A) (code 33) or a discrete amount. Aggregate into Total Cost (code 38).

Funds Appropriation

Use to indicate a cash contribution. Aggregate all cash

contributions in Total Contribution (code 88). Total

Use to indicate the Total Amount Requested. This is the sum ofthe Total Cost (code 38) and any applicable

Profit or Fee (code 35). Aggregate into Total Project

Cost (code 36). General & Administrative

Aggregate into Total Indirect Costs (code 09). Profit or Fee

Use in SBIR, STTR, and other appropriate applications

to indicate afixed-fee. Aggregate into Total Amount

Requested (code 28).

Total Price

Use to indicate the Total Project Cost Total Project

Cost is the sum of Total Amount Requested (code 28)

and the Cost Sharing contribution (code 88).

Total Cost Plus General & Administrative

Use to indicate Total Cost. This is the sum ofTotal

Direct Costs (code 84) and Total Indirect Costs (code

09). Aggregate into Total Amount Requested (code 28).

Other Costs Use to indicate items within Other Direct Costs that are not identified by a specific code. Aggregate into Total Other Direct Costs (code 03).

Purchased Equipment

Use to indicate the acquisition ofpermanent equipment.

Aggregate into Total Purchased Equipment (code 72).

Materials and Purchased Items Use to indicate total material and supplies. Do not

itemize the individual items. Aggregate into Total

Other Direct Costs (code 03). 58 24 JAN 1997
1 94 - Grant or Assistance Application

46

48

49

52

55

56

58

70

71

72

73

74

75

76

77

78

003060FED00A

Commercial Efifort Use to indicate costs associated with ancillary service

contracts. Aggregate into Total Other Direct Costs

(code 03). Indirect Labor

Use to indicate Total Fringe Benefits. This is the sum

ofall Employee Benefits (code 49). Aggregate into Total Labor Costs (code 71). Employee Benefits

Use to indicate individual or labor categoryfi'inge

benefits. Aggregate into Total Fringe Benefits (code

48).

Communications and Travel

Use to indicate Total Travel This is the sum of

domestic travel (code 73) andforeign travel (code 74). Aggregate into Total Direct Costs (code 84).

Facilities - Furniture and Equipment

Use to indicate the cost ofequipment maintenance.

Aggregate into Total Other Direct Costs (code 03).

Administration

Use to indicate Participant insurance. Aggregate into Participant Total Costs (code 79). Credits

Use to indicate participantfees. Aggregate into Participant Total Costs (code 79). Total Salaries and Wages

Use to indicate Total Direct Labor. This is the sum of

all Labor (code 01). Aggregate into Total Labor Costs

(code 71). Total Salaries and Wages and Employee Benefits

Use to indicate Total Labor Costs. This is the sum of

Total Direct Labor Costs (code 70) and Total Fringe

Benefits (code 48). Aggregate into Total Direct Costs

(code 84). Total Purchased Equipment

Use to indicate Total Purchased Equipment. This is the sum ofall Purchased Equipment (code 42). Aggregate

into Total Direct Costs (code 84).

Travel - Domestic

Aggregate into Total Travel (code 52). Travel - Foreign

Aggregate into Total Travel (code 52). Participant Stipends

Aggregate into Participant Total Costs (code 79). Participant Tuition & Fees Use to indicate participant tuition. Aggregate into Participant Total Costs (code 79). Participant Travel

Aggregate into Participant Total Costs (code 79). Participant Other

Includes training related expenses. Aggregate into Participant Total Costs (code 79). 59 24 JAN 1997
1 94 - Grant or Assistance Application

79 Participant Total

Use to indicate Participant Total Costs. This is the sum

ofcodes 56, 58, 75, 76, 77, 78, andEX. Aggregate into Total Direct Costs (code 84).

80 Publication Costs Aggregate into Total Other Direct Costs (code 03). 81 Consultant Services

Aggregate into Total Other Direct Costs (code 03).

82 Computer Automated Data Processing (ADP) Services

Aggregate into Total Other Direct Costs (code 03).

83 Funding From Non-Federal Sources Use to indicate an in-kind contribution. Aggregate all in-Jdnd contributions in Total Contribution (code 88). 84 Total Direct Costs Use to indicate Total Direct Costs. This is the sum of

codes 03, 52, 71, 72, 79, 85 and BL. Aggregate into Total Costs (code 38). 85 Human Subject Costs Use to indicate the total inpatient costs. Aggregate into Total Direct Costs (code 84). 86 Animal Costs Aggregate into Total Other Direct Costs (code 03).

87 Alternations and Renovations

Aggregate into Total Other Direct Costs (code 03).

88 Cost Sharing

1. Use to indicate the grant applicant organization's

Total Contribution to the project; this includes cash

(code 18) and in-kind contributions (code 83) from non- Federal sources.

2. When PPL05 is codeAA, this is a negative amount

3. When PPL05 is code AC, this is a positive amount

BL Billings

Use to indicate the total outpatient costs. Aggregate

into Total Direct Costs (code 84). EX Expenditures

Use to indicate participant subsistence. Aggregate into Participant Total Costs (code 79). ZZ Mutually Defined

Use to indicate rent/lease ofequipment/facilities.

Aggregate into Total Other Direct Costs (code 03). PD08 127 Reference Identification O AN 1/30

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier

1. When PD07 is code 01 or 49, and PD09 is a project role, use is REQUIRED to identify the name ofthe individual. Use oflast name, first name and middle initial is preferred. Place a space between the name

components.

2. When PD07 is code 01 or 49 and PD09 is a labor category, use is

003060FEDO0A 60 24 JAN 1997
1 94 - Grant or Assistance Application

REQUIRED to identijy the number ofpersons budgeted within that category. In addition to project employee categories, this includes categoriesfor

trainees, participants, and consultants.

3. For other PD07 categories, use as needed to identify a named individual to whom the cost pertains

PD09 352 Description O AN 1/80

A firee-form description to clarify the related data elements and their content When PD07 is code 01 or 49, use is REQUIRED to identify the project role ofthe individual named in PD08 or a labor category. For labor categories,

include words that describe the type ofpersonnel (e.g., graduate students,

donors, speakers, trainees, participants, clerical support, lab technicians) and

identijy the number ofpersons budgeted within the category in PD08.

2. When PD07 is code 73, or 74, use to identijy the destination for the travel

3. When PD07 is code 42, use is REQUIRED to identify the nomenclature of

the equipment being purchased

4. When PD07 is code 18 or 83, use as needed to identify the source ofthe

contribution, e.g., applicant, state, county, etc.

5. For other PD07 categories, use as needed to provide additional

information necessary to describe the category.

4. For other categories, use to provide additional information necessary to describe the category, as needed, including the identification ofa named

individual to whom the costpertains.

003060FED00A 61 24 JAN 1997
1 94 - Grant or Assistance Application

Segment: PDD Pricing Data Detail

Position: 200

Loop: PD

Level: Detail

Usage: Optional

Max Use: >1

Purpose: To provide the rates, direct input, and pricing factors for each element of work, cross- referenced to an applicable request or submission

1 At least one of PDD02 PDD03 or PDD04 is required.

1 PDDO 1 is a sequential number assigned by the initiator. Syntax Notes: Semantic Notes: Comments:

Notes:

Ref. Des. Must Use PDDOl

PDD02

Must Use PDD03

PDD04

1. Use ofthis PDD segment is REQUIREDfor each iteration ofthe PD segment.

2. Use ofthis PDD segment is LIMITED to ONE occurrence per PD loop iteration.

Data Element Summary

Attributes

Data

Element Name

350 Assigned Identification M AN 1/20

Alphanumeric characters assigned for dififerentiation within a transaction set Use is REQUIRED to identify the number ofmonths in the period specified in PDOl.

380 Quantity X R 1/15

Numeric value of quantity

1. When PD03-1 is code PI, use to indicate the base amount in dollars.

2. When PD03-1 is code DO andPD03-4 is code 8S, use to indicate the level ofeffort in monthsfor the period.

3. When PD03-1 is code DO and PD03-4 is code HR, MO, or YR. use to indicate the quantity ofthe time units applicable to the rate in PD04.

4. When PD07 is code 79, use to identify the total quantity ofsubjects.

5. When PDOl is code 42, use to identify the quantity ofitems being

purchased, ifapplicable.

6. When PD07 is code 73 or 74, use to identify the total quantity oftrips. 782 Monetary Amount X R 1/15

Monetary amount

1. Use to identify the amount requestedfor the budget category in PD07.

2. When PD07 is code 83 or 88, use to identify the amount contributed.

3. When PD03-1 is code PI, identify the product ofthe rate in PD04 times the base amount in PDD02.

954 Percent X R 1/10

Percentage expressed as a decimal

When PD03-1 is code DO and PD03-4 is code 8S, use with key personnel to indicate their average level ofeffortfor the period. Cite 50% as 50; cite 50.25 % as 50.25 (note: leading and trailing zeros are suppressed).

003060FEDOOA 62 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

SjTitax Notes: Semantic Notes: Comments:

Notes:

LX Assigned Number

330

LX

Detail

Optional

1To reference a line number in a transaction set

Use this LXloop to provide information regarding individuals and organizations

associated with the project.

Data Element Summary

Ref. Data

Des. Element Name Attributes

Must Use LXOl 554 Assigned Number M NO 1/6

Niunber assigned for differentiation within a transaction set In thefirst iteration ofthis LX loop, cite 1. In each subsequent iteration,

increment by 1.

003060FEDOOA 63 24 JAN 1997
1 94 - Grant or Assistance Application

Segment: NMl Individual or Organizational Name

Position: 340

Loop: LX

Level: Detail

Usage: Optional

Max Use: 1 Purpose: To supply the full name of an individual or organizational entity

Syntax Notes:

Semantic Notes: Comments:

Notes:

1 IfeitherNMlOS or NM109 is present, then the other is required.

2 If NMlll is present, then NMllO is required.

1 NM102 quahfies NM103.

1 NMllO and NMlll further define the type of entity in NMIOI.

1. When HL03 is code PC (Project loop), SP (Sub-project loop), or CO (Consortium

loop), use ofthis segment is REQUIRED to identijy all key personnel and their biographical data. A single use ofcode 9P is REQUIRED and may only be used when

HL03 is code PC (Project loop). Use codes 17, 61, 9K, 9S, and EY as needed. Use code

K8 to identify the Federal agency with whom indirect rates were negotiated.

2. When HL03 is code SP (Sub-project loop), use code IP as needed to identify the responsible organization.

3. When HL03 is code CO (Consortium loop), use code IP and 75 to identify the responsible andparticipating organizations.

4. When HL03 is code IB (Previous Award loop), use is REQUIRED to identify all personnel participating in the previously awardedproject Use ofcode 9P is REQUIRED; use codes 9K, 9S, and EY as needed. Also use code AZ to indicate a change in principal investigators, ifapplicable.

5. When HL03 is code PD (Procedure loop) or AS (Animal Subject loop), use ofthis segment is REQUIRED with code 61 to identify thefacility(s) where procedures will be

performed or where animals will be housed.

6. When HL03 is code 26 (Key Person loop), use ofthis segment is REQUIRED to identijy the Key Person, using code 9K Use ofthis NMl segment is LIMITED to ONE

occurrence per Key Person loop.

7. When HL03 is code OS (Other Support loop), use ofthis segment with code 92 is REQUIRED to indicate the supporting organization. Ifthe individual in the parent Key

Person loop is not the Other Support project principal investigator, also use code 9P to identify the principal investigator's name.

8. NMIOI codes 9P,9S, andAZ require:

a. an individual to be named (use NMl03/04/05/06/07);

b. their affiliated organization ifdifferent than the applicant organization (use

NM108/09 or N2);

c. their position title (use N9).

9. For NMIOI codes 17, 9K, and EYprovide to the extent known:

a. an individual to be named (use NMl 03/04/05/06/07);

b. their affiliated organization (use NMl08/09 or N2) ;

c. their position title (use N9).

The project role ofthe individual is REQUIRED in EMSOl.

10. When NMIOI is code IP, 20, 61, 75, 92, and K8, use to identify an organization.

Whenever possible, identify the organization using only a qualifier and number in NMl08/09. The organization'sfull address was established at the time ofregistration as a Federal Government trading partner. Where no qualified number is available, specify the organization's name in the NMl03 (andN2 as needed) and thefull address in N3-N4.

00306OFEDO0A 64 24 JAN1997
1 94 - Grant or Assistance Application

Data Element Summary

Ref. Data

Des. Element Name Attributes

Must Use NMlOl 98 Entity Identifier Code M ID 2/2

Code identifying an organizational entity, a physical location, or an individual 17 Consultant's Office

When HL03 is code PC (Project loop), SP (Sub-project

loop), or CO (Consortium loop), use multiple occurrences as needed to indicate the name ofa

consultant DO NOT USE ifthe consultant is identified as a keyperson (code 9K). IP Provider

When HL03 is code SP (Sub-project loop), or CO

(Consortium loop), use to indicate the organization

responsiblefor the Subproject or Consortium if

- ' differentfrom the organization submitting the application (NMl 01 code SE in the l/NMl/090

segment).

20 Foreign Supplier

When 2/YNQ/090 is code HI, use multiple iterations as needed to indicateforeign organizations participating

in the application.

6 1 Performed At

1. When HL03 is code PC (Project loop). SP (Subproject loop), CO (Consortium loop), or OS (Other

Support loop), use multiple iterations as needed to indicate the location(s) where project work will be

performed ifdifferentfrom or in addition to the location

identified by NMl01 code IP or NMl01 code SE in the l/NMl/090 segment

2. When HL03 is code PD (Procedure loop), use to indicate the hospital where in-patient care group

members will receive care or out-patient procedures

will be performed.

3. When HL03 is code AS (Animal Subject loop), use is REQUIRED to indicate thefacility where the tests will be conducted or where animals will be housed.

75 Participant

When HL03 is code CO (Consortium loop), use multiple

iterations as needed to indicate the participating

organizations within the consortium in addition to the organization identified by NMl01 code IP. 92 Support Party

When HL03 is code OS (Other Support loop), use is REQUIRED to identify the active, pending, or planned

support organization.

9K Key Person When HL03 is code PC (Project loop), SP (Sub-project

loop), CO (Consortium loop), 26 (Key Person loop), or IB (Previous Award loop), use to indicate a project Key

Person. 9P Investigator

1. When HL03 is code PC (Project loop) or IB

(Previous Award loop), use is REQUIRED to indicate the Principal Investigator. There can only be one

Principal Investigator in the PC or IB loop.

003060FEDOOA 65 24 JAN 1997
1 94 - Grant or Assistance Application

2 When HL03 is code OS (Other Support loop) and the individual in the parent Key Person loop is not the Other Support project principal investigator, use to identify the principal investigator's name.

3. This code may only be used when HL03 is code PC,

IB, or OS

9S Co-Investigator

When HL03 is code PC (Project loop), SP (Sub-project

loop), CO (Consortium loop), or IB (Previous Award

loop), use to indicate a co-investigator.

AZ Previous Name

When HL03 is code IB (Previous Award loop), use to indicate a predecessor principal investigator in the previous award.

EY Employee Name

1. When HL03 is code PC (Project loop), SP (Subproject loop), CO (Consortium loop), or IB (Previous

Award loop), use to indicate employees (nonclerical)

other than principal and co-investigators and Key

Personnel

K8

2. For Previous Award loops, cite each employee by

individual name.

Filing Location

When HL03 is code PC (Project loop), SP (Sub-project

loop), CO (Consortium loop), use to indicate the Department ofHealth and Human Services (DHHS)

regional office or other organization with whom the

indirect rate has been negotiated

Must Use NM102 1065 Entity Type Qualifier M ID 1/1

Code qualifying the type of entity

1 Person Use is REQUIRED with NMIOI code 17, 9K, 9P, 9S. AZ, andEY.

Non-Person Entity

Use is REQUIRED with NMIOI codes IP, 20, 61, 75, 92, andK8.

NM103 1035 Name Last or Organizatioo Name O AN 1/35

Individual last name or organizational name NM104 1036 Name First

Individual first name NM105 1037 Name Middle

Individual middle name or initial NM106 1038 Name Prefix

Prefix to individual name NM107 1039 Name Suffix

Suffix to individual name NM108 66 Identification Code Qualifier

Code designating the system/method of code structure used for Identification Code (67)

While the Federal EDIprogram uses the DUNS and DUNS+4 number, other

Government users ofthis implementation convention may require the use of

O AN 1/25

O AN 1/25

O AN 1/10

O AN 1/10

ID 1/2

003060FED00A 66 24 JAN 1997
1 94 - Grant or Assistance Application

other or additional numbersfor a transition period in order to cross reference

existing data bases.

1 D-U-N-S Number, Dun & Bradstreet Use ofthe DUNS and DUNS+4 number is preferred over other codes to identify an entity.

9 D-U-N-S+4, D-U-N-S Number with Four Character

Suffix

Use ofthe DUNS and DUNS+4 number is preferred over other codes to identify an entity. 10 Department ofDefense Activity Address Code

(DODAAC)

Use to indicate a DoD or Civilian AgencyActivity

Address.

- ' 33 Conunercial and Government Entity (CAGE)

Use to indicate the specified organization's CAGE code.

NM109 67 Identification Code X AN 2/20

Code identifying a party or other code

003060FEDOOA 67 24 JAN 1997
194 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes: Comments:

N2 Additional Name Information

350

LX

Detail

Optional

2To specify additional names or those longer than 35 characters in length

Data Element Summary

Ref. Data

Des. Element Name Attributes

Must Use N201 93 Name M AN 1/35

Free-form name

N202 93 Name O AN 1/35

Free-form name

003060FEDOOA 68 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes: Comments:

N3 Address Information

360

LX

Detail

Optional

2

To specify the location of the named party

Ref. Data

Pes. Element

Must Use N301 166

N302 166

Data Element Summary

Name

Address Information

Address information

Address Information

Address information

Attributes

M AN 1/35

O AN 1/35

003060FEDOOA 69 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes: Comments:

Notes:

N4 Geographic Location

370

LX

Detail

Optional

1To specify the geographic place of the named party

1 If N406 is present, then N405 is required.

1 A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location. 2 N402 is required only if city name (N401) is in the U.S. or Canada.

1. When NMlOl is code 61 andN901 in the 2/N9/400 segment is code RU, use ofthis segment is REQUIRED to identify the city, county, and state as specified in the Federal

agency grant preparation instructions.

2. This segment is not necessary when the cited organization can be identified by a code

value in NM108/09.

Ref. Pes. N401

N402

N403

N404

N405

Data

Element

19

156

116

26

309

Attributes

O AN 2/30

N406 310

Data Element Summary

Name

City Name

Free-form text for city name

State or Province Code O ID 2/2

Code (Standard State/Province) as defined by appropriate government agency

Postal Code O ID 3/15

Code defining international postal zone code excluding punctuation and blanks

(zip code for United States)

Country Code O ID 2/3

Code identifying the coimtry

Use is REQUIRED when NMlOl is code 20 and the organization is not

identified by a qualified number in NM108/09.

Location Qualifier X ID 1/2

Code identifying type of location

CY County/Parish

When NMlOl is code 61, use to indicate the county in which the project will be performed as specified in the Federal Agency grant application instructions. Location Identifier O AN 1/30

Code which identifies a specific location

00306OFED00A 70 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes: Comments:

Notes:

PER Administrative Communications Contact

375

LX

Detail

Optional

>1

To identify a person or office to whom administrative communications should be directed

1 If either PER03 or PER04 is present, then the other is required. 2 If either PER05 or PER06 is present, then the other is required.

3 If either PER07 or PER08 is present, then the other is required.

When NMlOl code 9P or 9S, use is REQUIRED to provide communications numbers

associated with the Principal Investigator and all Co-Investigators.

Must Use

Ref. Pes. PEROl

Data Element Summary

Data

Element

366

Name Attributes

Contact Function Code M ID 2/2

Code identifying the major duty or responsibility of the person or group named

IC Information Contact

Must Use PER03 365 Communication Number Qualifier X ID 2/2

Code identifying the type of conmiimication number

1. Use to identify the preferred method ofcommunication in thefirst occurrence. Use PER05/06 and PER07/08 to identify additional

communications numbers.

2. All numbers, other than those associated with code EM, shall be

transmitted as a continuous number with no extraneous characters. EM Electronic Mail

FX Facsimile

Include area code and number.

IT International Telephone

Include country and city codes as needed.

TE Telephone

Include area code and number.

Must Use PER04 364 Communication Number X AN 1/80

Complete communications number including country or area code when

applicable

PEROS 365 Communication Number Qualifier X ID 2/2

Code identifying the type of communication number

1. Use to identify an alternate, or secondary, communications number which

can be used to contact the specified POC.

2. All numbers, other than those associated with code EM, shall be

transmitted as a continuous number with no extraneous characters. EM Electronic Mail

EX Telephone Extension

Use only ifPEROS cites the code TE.

00306OFEDO0A 71 24 JAN 1997
1 94 - Grant or Assistance Application

FX Facsimile

Include area code and number.

IT International Telephone

Include country and city codes as needed.

TE Telephone

Include area code and number.

Communication Number X AN 1/80

Complete commimications nimiber including coimtry or area code when

applicable

Communication Number Qualifier X ID 2/2

Code identifying the type of communication nimiber

1. Use to identify a third communications number.

2. All numbers, other than those associated with code EM, shall be

transmitted as a continuous number with no extraneous characters. EM Electronic MaU

EX Telephone Extension

Use only ifPEROS cites code TE.

FX Facsimile

Include area code and number.

IT International Telephone

Include country and city codes as needed.

TE Telephone

Include area code and number.

PER08 364 Communication Number X AN 1/80

Complete communications number including country or area code when

applicable

PER06 364

PEROT 365

003060FED00A 72 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

S>Titax Notes: Semantic Notes:

Comments:

Notes:

DMG Demographic Information

380

LX

Detail

Optional

>1

To supply demographic information

1 If either DMGO1 or DMG02 is present, then the other is required.

1 DMG02 is the date of birth. 2 DMG07 is the coimtry of citizenship.

3 DMG09 is the age in years.

When HL03 is code PC (Project loop), SP (Sub-project loop) or CO (Consortium loop)

and NMlOl is code 9P or 9S, use is REQUIRED to provide the citizenship status ofthe Principal Investigator and any Co-investigators. It may optionally be used to provide

other demographic information.

Ref. Pes. DMG03

DMG05

DMG06

Data

Element

1068

1109

1066

Attributes

O ID 1/1

Data Element Summary

Name

Gender Code

Code indicating the sex of the individual F Female

M Male

Race or Ethnicity Code O ID 1/1

Code indicating the racial or ethnic background of a person; it is normally self- reported; Under certain circiunstances this information is collected for United

States Govenunent statistical purposes A Asian or Pacific Islander Use onlyfor Asian. Use code Pfor Pacific Islander. H Hispanic

I American Indian or Alaskan Native

N Black (Non-Hispanic)

O White (Non-Hispanic)

P Pacific Islander Citizenship Status Code O ID 1/2

Code indicating citizenship status When HL03 is code PC (Project loop), SP (Sub-project loop) or CO

(Consortium loop) and NMIOl is code 9P or 9S, use is REQUIRED to provide

citizenship status regarding the Principal Investigator and any Coinvestigators.

1 U.S. Citizen 2 Non-Resident Alien

3 Resident Alien

Use to indicate the Principal Investigator or Coinvestigator is not a US citizen but has been lawfully

admitted to the USfor permanent residence.

0O3060FEDO0A 73 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes:

Comments:

Notes:

EMS Employment Position

390

LX

Detail

Optional

1To describe employment position

1 If either EMS05 or EMS06 is present, then the other is required.

1 EMSO 1 describes the employee's title or position in text 2 EMS02 defines the employment position relationship.

3 EMS03 defines the occupation category.

4 EMS04 defines the status of employment.

5 EMS05 identifies EMS06 as pay grade.

6 EMS06 defines pay grade for employee, if available.

1. When HL03 is code PC (Project loop), SP (Sub-project loop), CO (Consortium loop), or IB (Previous Award loop) and NMlOl is code 1 7, 9K, or EY, use ofthis segment is REQUIRED to identify the project rolefor the individual identified in NM103.

2. When HL03 is code PC (Project loop), use, ifapplicable, to indicate that the Principal Investigator (code 9P) or Co-Investigator (9S) is handicapped

Data Element Summary

Ref. Data

Des. Element Name Attributes

Must Use EMSOl 352 Description M AN 1/80

A free-form description to clarify the related data elements and their content

1. When HL03 is code PC and NMl01 is code 9P or 9S, cite the nature ofthe

disability ifthe Principal Investigator or Co-Investigator is disabled and cite code DS in EMS04.

2. When NMIOl is code 1 7, 9K, or EY, identify the project rolefor the

individual. EMS04 584 Employment Status Code O ID 2/2

Code showing the general employment status of an employee/claimant

DS Disabled

When HL03 is code PC (Project loop) and NMl01 is code 9P, use to indicate that the Principal Investigator

is disabled.

003060FEDOOA 74 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes:

Comments:

Notes:

N9 Reference Identification

400

N9

Detail

Optional

1To transmit identifying information as specified by the Reference Identification Qualifier

1 At least one of N902 or N903 is required. 2 If N906 is present, then N905 is required.

3 If either C04003 or C04004 is present, then the other is required. 4 If either C04005 or C04006 is present, then the other is required.

1 N906 reflects the time zone which the time reflects. 2 N907 contains data relating to the value cited in N902.

1. Use to identify references associated with the entity cited in NMIOI.

2. When HL03 is code OS (Other Support loop) andNMlOl is code 92, use ofthis segment is REQUIRED to identify the award number (code CT) or application number

(code BD).

Must Use

Ref.

Pes,

N901

Data

Element

128

Data Element Summary

Name

Reference Identification Qualifier

Code Qualifying the Reference Identification

Attributes

M ID 2/3

19

5C

9F

AH

BD

CT

003060FED00A

Division Identifier When NMlOl is code 9K, 9P, or 9S, use to indicate the major subdivision name ofthe individual's organization. For example, School ofEngineering or Adhesive Products Division. Cite the name in N903.

Congressional District When NMlOl is code 61, use to indicate the Congressional district in which the project is performed

as specified in the Federal Agency grant application

instructions. Use multiple iterations ofthis segment

with code 5C ifthe work is performed in more than one

Congressional district. Referral Nmnber

When NMlOl is code 17, use to indicate the number of

daysfor consultation. Agreement Niunber

When HL03 is code PC (Project loop) and NMlOl is code K8, use to indicate whether the indirect rate is current or pending. Ifthe rate is current, cite CURRENT in N903 and the date in N904. Ifthe rate is pending, cite PENDING in N903.

Bid Number

When HL03 is code OS (Other Support loop) , NMIOI is code 92, and the Other Support is pending or

planned, cite the supporting organization's application

number in N902, when known. Use the 2/MTX/4I0

segment to identify the project title.

2. When the pending or planned support isfor the same

as this application, cite the word SAME in N903 and do

not use codes KA or YV. Contract Number

When HL03 is code OS (Other Support loop) , NMIOI

75 24 JAN 1997
1 94 - Grant or Assistance Application

DP

GE

K5

L4

P5

P6

RC

RU

SY

003060FED00A

is code 92, and the Other Support is active, cite the supporting organization 's award number in N902. Use

the 2/MTX/410 segment to identify the project title. Department Number

When NMlOl is code 9K, 9P, or 9S, use to indicate the department, service, laboratory, or equivalent level within the major subdivision name (code 19) ofthe

individual's organization. For example, Department of

Industrial Engineering or Sales Department. Cite the name in N903.

Geographic Number

When NMlOl is code 61, use to indicate a geographic

location not otherwise identified. Cite the name ofthe location in N903 and, ifrequired, provide the coordinates in N907. Ifneeded, use N907-1 andN907-

3 to pass longitude and latitude coordinates.

Task Order

When HL03 is code OS (Other Support loop), use to indicate the goals ofthe other project. Cite the word

GOALS in N903 and use the following 2MTX/410

segment to provide the description.

Proposal Paragraph Number

When HL03 is code PC (Project loop), SP (Subproject loop), or CO (Consortium loop) and NMlOl is code 9P, 9K, or 9S, use to indicate the Grant

Application paragraph number that describes the text that will appear in the 2/MTX/410 segment associated

with the individual identified in the NMl segment This

includes the individual's published articles when

specific FederalAgency instructions direct that they be

provided infree-textform.

Position Code

When NMlOl is code 1 7, 9K or EY, use is REQUIRED

to indicate thejob title ofthe individual. Cite the title in N903.

Pipeline Number

When NMlOl is code 61, use to indicate apipeline

designation. Provide the coordinates in N907. If

needed use N907-1 and N907-3 to pass longitude and

latitude coordinates.

Rail Routing Code

When NMlOl is code 61, use to indicate a railway

designation. When this code is used, the N4 segment is REQUIRED. Cite the owner ofthe railway in N903.

Route Number

When NMlOl is code 61, use to indicate a roadway

designation, e.g., 1-95, USHighway 1, State Route,

274. When this code is used, the N4 segment is REQUIRED. Ifneeded, use N907-1 andN907-3 to pass

mileage markers.

Social Security Number

1. When HL03 is code PC (Project loop) and NMlOl is code 9P or 9S, use to indicate the social security

number ofthe Principal Investigator and any CoInvestigators.

2. When HL03 is code IB (Previous Award loop) and

NMIOl is code 9K, 9P, 9S, or EY, use to indicate the social security number ofthe identified individual. Also

76 24 JAN 1997
1 94 - Grant or Assistance Application

Must Use N902 127

use N903 to identify the level ofeffort and N904 to

identify the date ofbirth. YV Participating Area

Use only when HL03 is code OS (Other Support loop)

to indicate the overlap between the other project and

the project being proposed Cite the word OVERLAP in N903 and use thefollowing 2/MTX/410 segment to provide an explanation ofthe overlap.

Reference Identification X AN 1/30

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier

1. When N901 is code BD and there is no unique identification number

associated with the application, cite NONE.

2. When N901 is code DP andNMlOl is code 9K, 9P, or 9S. cite the school name, ifapplicable (for example, School ofEngineering).

2. When N901 is code L4, cite the applicable GrantApplication paragraph

numberfrom the following list:

Para # SubjectArea

N903

D Biographical

D.l Experience

D. 2 Employment History

D.3 Honors

D.4 Memberships/Associations

D.5 Publications

369 Free-form Description X AN 1/45

Free-form descriptive text

1. When N901 is code SY, use to identify the level ofeffort in support ofthe previous award. Cite in terms ofa percentage, e.g., 50% (1/2 time) as 50;

50.25 % as 50.25 (note: leading and trailing zeros are suppressed).

2. When N901 is code GE, use is REQUIRED to identify the geographic

location.

N904

N907

Must Use C04001

Must Use C04002

3. When N901 is code RC, use is REQUIRED to identify the owner ofthe railway.

373 Date O DT 6/6

Date (YYMMDD)

1. When HL03 is code IB (Previous Award loop) and N901 is code SY, use to indicate the individual's date ofbirth.

2. When HL03 is code PC (Project loop), N901 is code AHand N903 cites CURRENT, use to indicate the date ofthe indirect rate agreement.

C040 Reference Identifier O

To identify one or more reference numbers or identification nimibers as

specified by the Reference Qualifier

128 Reference Identification Qualifier M ID 2/3

Code Qualifying the Reference Identification 76 Milestone

When N901 is code RU, use to indicate the roadway

milepost associated with the location cited in N4.

LK Longitude expressed in Degrees, Minutes and Seconds

When N901 is code GE or P6, use to indicate the longitudefor the location. 127 Reference Identification M AN 1/30

003060FED00A 77 24 JAN 1997
1 94 - Grant or Assistance Application

C04003 128

C04004 127

C04005 128

C04006 127

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier

Reference Identification Qualifier X ID 2/3

Code Qualifying the Reference Identification 76 Milestone

When N901 is code RU, use to indicate a second

roadway milepost associated with the location cited in N4, ifneeded

LQ Latitude Expressed in Degrees, Minutes and Seconds

When N901 is code GE or P6, use to indicate the

latitude for the location. Reference Identification X AN 1/30

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier

Reference Identification Qualifier X ID 2/3

Code Qualifying the Reference Identification Reference Identification X AN 1/30

Reference information as defined for a particular Transaction Set or as

specified by the Reference Identification Qualifier

003060FED00A 78 24 JAN 1997
194 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

SjTitax Notes:

Semantic Notes: Comments:

Notes:

MTX Te«

410

N9

Detail

Optional

>1

To specify textual data

1 If MTXO1 is present, then MTX02 is required

2 If MTX03 is present, then MTX02 is required

1. When HL03 is code PC (Project loop), SP (Sub-project loop), or CO (Consortium

loop) and N901 is code L4, use to identijy biographical data including experience,

honors, and memberships/associations ofthe individual identified in the 2/NM1/340

segment

2. When HL03 is code PC (Project loop), SP (Sub-project loop), or CO (Consortium

loop) and N901 is code CT or BD, use to provide the title ofthe Other Support Project

3. When HL03 is code OS (Other Support loop) andN903 cites the word GOALS, use to indicate the goals ofthe other project

4. When HL03 is code OS (Other Support loop) andN903 cites the word OVERLAP, use

to explain the overlap between the other project and the project being proposed.

Ref. Pes. Must Use MTX02

MTX03

Data Element Summary

Data

Element Name

1551 Message Text

To transmit large volumes of message text 1551 Message Text

To transmit large voliunes of message text

Attributes

X AN 1/409

6

O AN 1/409

6

003060FED00A 79 24 JAN 1997
194 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes:

Comments:

Notes:

DEG Degree Record

420

DEG

Detail

Optional

1To provide the receiving institution or agency notice of academic awards made to the student whose record is being transmitted

1 If either DEG02 or DEG03 is present, then the other is required.

1 DEG02 and DEG03 refer to the date the degree was awarded.

2 DEG05 indicates the tyi>e of honors the student received with the degree.

1. When HL03 is code PC (Project loop), SP (Sub-project loop), CO (Consortium loop), or IB (Previous Award loop), and NMlOl is code 9K, 9P, or 9S, use ofthis DEG loop is REQUIRED to identify the academic degree history ofall Key Personnel

2. Use multiple iterations as needed to identify all pertinent degrees.

Data Element Summary

Ref. Data

Des. Element Name Attributes

Must Use DEGOl 1126 Academic Degree Code M ED 3/3

Code indicating the level of postsecondary academic award earned by a student Use one ofthe following degree codes:

2. 1 Postsecondary Certificate or diploma (less than one year)

2. 2 Postsecondary Certificate or diploma (one year or more hut less than

fouryears)

2.3 Associate Degree (e.g.. Associate in Science)

2.4 Baccalaureate Degree

2.5 Baccalaureate (Honors) Degree

3. 1 First Professional Degree

3.2 Post-Professional Degree

4. 1 Graduate Certificate

4. 2 Master's Degree

4.3 Intermediate Graduate Degree

4.4 Doctoral Degree

4.5 Post-Doctoral Degree

Must Use DEG02

Must Use DEG03

DEG04

1250 Date Time Period Format Qualifier X ID 2/3

Code indicating the date format, time format, or date and time format

CM Date in Format CCYYMM

Use to indicate the century, year, and month in which

the degree was awarded.

1251 Date Time Period X AN 1/35

Expression of a date, a time, or range of dates, times or dates and times

352 Description O AN 1/80

A free-form description to clarify the related data elements and their content Use to identify the type ofdegree (e.g., PHD, MD, DVM, JD, etc.) for the level ofdegree provided in DEGOl.

003060FED00A SO 24 JAN 1997
1 94 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes:

Semantic Notes: Comments:

Notes:

FOS Field of Study

430

DEG

Detail Optional

>1

To provide the receiving institution or agency with information about the field of study

associated with the academic awards made to the student whose record is being

transmitted

1 If either FOS02 or FOS03 is present, then the other is required. 2 At least one ofFOS02 or FOS04 is required.

1 FOS02 and FOS03 are the student's program of study.

Use ofthis FOS segment is REQUIRED in each 2/DEG/420 loop iteration to identify the field ofstudyfor which the degree was conferred

Data Element Summary

Ref. Pes. Must Use FOSOl

FOS02

FOS03

FOS04

FOS05

Data

Element

1153

66

67

352

352

Name Attributes

Academic Field of Study Level or Type Code M ID 1/1

Code indicating the field of study being described for a student in an academic

institution by indicating how it was used in the academic program

M Major

Identification Code Qualifier X ID 1/2

Code designating the system/method of code structure used for Identification Code (67) 7 1 Integrated Postsecondary Education Data System

(IPEDS) set of codes maintained by the U. S. Department of Education's National Center of

Education Statistics, Washington, D.C. CA Statistics Canada Canadian College Student Information

System Course Codes

CC Statistics Canada University Student Information

System Curriculum Codes

Identification Code X AN 2/20

Code identifying a party or other code

Description X AN 1/80

A fi-ee-form description to clarify the related data elements and their content Use to identify the broad area ofstudy (e.g., Chemistry or Physics), ifnot

specifically identified in FOS03.

Description O AN 1/80

A fi-ee-form description to clarify the related data elements and their content Use to identify an area ofspecialization within the broad area.

003060FEDOOA 81 24 JAN 1997
1 94 - Grant or Assistance Application

Segment: Nl Name

Position: 440

Loop: DEG

Level: Detail

Usage: Optional

Max Use: >1

Purpose: To identify a party by type of organization, name, and code

Syntax Notes: 1 At least one of N102 or N103 is required.

2 If either N103 or N104 is present, then the other is required.

Semantic Notes: Comments: 1 This segment, used alone, provides the most efRcient method of providing

organizational identificatioa To obtain this efficiency the "ID Code" (N104) must

provide a key to the table maintained by the transaction processing party. 2 N105 and N106 further define the type of entity in NlOl.

Notes: Use ofthis Nl segment is REQUIRED in each 2/DEG/420 loop iteration to identify the

institution ofhigher education which conferred the degree.

Ref. Pes. Must Use NlOl

N102

Data Element Summary

N103

N104

Data

Element

98

93

66

67

Name Attributes

Entity Identifier Code M ID 2/2

Code identifying an organizational entity, a physical location, or an individual

IR University, College or School

Name X AN 1/35

Free-form name

Use only ifno coded means ofidentifying the educational institution is available. Identification Code Qualifier X ID 1/2

Code designating the system/method of code structure used for Identification Code (67)

While the Federal EDIprogram uses the DUNS and DUNS+4 number, other

Government users ofthis implementation convention may require the use of

other or additional numbersfor a transition period in order to cross reference

existing data bases.

1 D-U-N-S Number, Dun & Bradstreet Use ofthe DUNS and DUNS+4 number is preferred over other codes to identify an entity.

9 D-U-N-S+4, D-U-N-S Number with Four Character

SuJBfix Use ofthe DUNS and DUNS+4 number is preferred over other codes to identify an entity. 10 Department of Defense Activity Address Code

(DODAAC)

Use to indicate a DoD or Civilian AgencyActivity

Address.

33 Commercial and Government Entity (CAGE)

Use to indicate the specified organization's CAGE code. Identification Code X AN 2/20

Code identifying a party or other code

003060FED00A 82 24 JAN 1997
194 - Grant or Assistance Application

Segment:

Position:

Loop:

Level:

Usage:

Max Use: Purpose:

Syntax Notes: Semantic Notes: Comments:

SE Transaction Set Trailer

480

Detail

Mandatory

1To indicate the end of the transaction set and provide the comit of the transmitted

segments (including the begirming (ST) and ending (SE) segments)

1 SE is the last segment of each transaction set.

Data Element Summary

Ref. Data

Des. Element Name Attributes

Must Use SEOl 96 Number of Included Segments M NO 1/10

Total nimiber of segments included in a transaction set including ST and SE

segments

Must Use SE02 329 Transaction Set Control Number M AN 4/9

Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set Cite the same number as appears in ST02.

00306OFEDO0A 83 24 JAN 1997



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Order the following NIST publications—FIPS and NISTIRs-^om the National Technical Information

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9i u "S © 55 c o E 3 Q g . o

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00o<NQ

O DO o _ - (U 1 1 £

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