Form 2 PEI Application - Business Partner

Collection of grant and contract data that may be of interest to Historically Black Colleges and Universities (HBCUs) and small businesses (OD/OALM)

PEI Application-BusinessPartner_final

PEI Application BusinessPartner

OMB: 0925-0767

Document [pdf]
Download: pdf | pdf
OMB # 0925-0767
Exp., Date XX/XX/XXX

Path to Excellence and Innovation Initiative
Business Partner Application
The Path to Excellence and Innovation Initiative is designed to assist Historically Black Colleges and Universities
in competing for, securing, and managing contracts with the National Institutes of Health. The NIH Small
Business Program Office has determined that it is very valuable to involve commercial business partners (BPs) in
assisting the HBCUs in reaching their desired funding goals. Whether small or large, BPs can offer invaluable
business development experience to HBCUs interested in diversifying their Federal funding revenue.

The Applicant
Business Name:
Business Address:
Application submitted by:
Title:
Email:
Telephone number:
No
Are you authorized to commit the business to a contract:
Alternate Point of Contact
Title:
Email:
Telephone number:
Eligibility
Does this business have 5 or more years past performance as a
Past Performance
prime or a subcontractor with the federal government?
No

Does this business have past performance as either a prime or a
subcontract with HHS/NIH?
No

If the business has not performed as either a prime or a
subcontractor on a federal contract does the business have
other relevant contracting experience?
Describe: (limit 250 characters)

Organizational Capabilities

Please select one or more capabilities that are related to the
NIH mission from the list below.
https://www.nih.gov/about-nih/what-we-do/mission-goals
Biomedical Research and Development
Information Technology
Business and Professional Support Services
Public Health Outreach/Communications and Research
Laboratory Services/Products
Construction Services

Capability Statement

Please submit a capability statement for this business along
with the application.

NIH Institutes and Centers

Identify 2 or 3 NIH Institutes and/or Centers with contracts
this business will pursue. Enter in the boxes below.
https://www.nih.gov/institutes-nih/list-nih-institutes-centers-offices

Institute or Center #1

You will be required to upload 3 potential opportunities based
on the Institutes/Centers selected.
Institute or Center #2
Institute or Center #3

NIH Contract Opportunities

Businesses should research potential contract opportunities
prior to applying. Identify three NIH contract opportunities:

HBCU Teaming Partners

Businesses should research potential teaming partners prior to
applying. Identify up to three potential HBCU teaming partners.

HBCU teaming partner 1
Infrastructure Support to
HBCU teaming partner

HBCU teaming partner 2

HBCU teaming partner 3

Business partners are expected to assist their HBCU
teaming partner in developing a sustainable contracting
infrastructure. What infrastructure support is this
business willing to provide to an HBCU partner (select
all that apply:
Business Development
Contracts Manager
Proposal/Technical Writer
Cost Accounting Manager
Administrative Support

Commitment
Acceptance into the PEI program will require a commitment to participate in training and
various activities to assist an HBCU teaming partner with obtaining the knowledge and
resources necessary to successfully compete for, secure, and manage contracts from the
National Institutes of Health.
By checking the box below you are acknowledging that this business is prepared to make a
commitment to the following:
Devote a minimum of 10 hours per month to PEI activities
Willing to participate in all PEI webinars/trainings (hosted on a monthly basis)
Selection of an HBCU teaming partner within 1 month of acceptance
Create a joint capability statement with selected HBCU
Work with the HBCU to create a PEI Business Development Strategy
Meet at least twice monthly with the HBCU partner
Participate in 3 NIH capability briefings annually
Document and pursue opportunities of interest within the PEI database

Willing to respond to 4 Sources Sought or Solicitations
Willing to request debriefings for any Solicitations not won
Willing to complete PEI evaluations
Submission Deadline: Insert Date Here
Email completed application and a capability statement to: PEI@nih.gov
For questions about the program, contact the NIH Small Business Programs Office: 301-451-3861

Burden Statement
Public reporting burden for this collection of information is estimated to average 45 minutes per contract or grant entered,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH,
Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0767*). Do not return
the completed form to this address.


File Typeapplication/pdf
AuthorSharon Brooks Hodge
File Modified2020-10-23
File Created2020-08-10

© 2024 OMB.report | Privacy Policy