VBA-26-0967a-ARE SCORING CRITERIA FOR SAH ASSISTIVE TECHNOLOGY GRANTS

OMB Control Number: 2900-0821
Respondent Burden: 1 hour
Expiration Date: 11/30/2021

SCORING CRITERIA FOR SAH ASSISTIVE TECHNOLOGY GRANTS
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IMPORTANT: Applicants for SAH Assistive technology grants must provide responses addressing the six criteria items shown below.
NOTE: If additional space is needed please attach separate sheet(s) and indicate item number with response.

(1) Describe how the new assistive technology is innovative:

VA FORM
NOV 2018

26-0967a

SUPERSEDES VA FORM 26-0967a, DEC 2015,
WHICH WILL NOT BE USED.

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(2) Explain how the new assistive technology will meet a specific, unmet need among eligible individuals:

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(3) Explain how the new assistive technology is specifically designed to promote the ability of eligible individuals to live more
independently:

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SCORING CRITERIA FOR SAH ASSISTIVE TECHNOLOGY GRANTS (Continued)
(4) Describe the new assistive technology's concept, size and scope:

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SCORING CRITERIA FOR SAH ASSISTIVE TECHNOLOGY GRANTS (Continued)
(5) Describe the implementation plan with major milestones for bringing the new assistive technology into production and to the market.
(Note - The milestones must be meaningful and achieveable within a specific timeframe):

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SCORING CRITERIA FOR SAH ASSISTIVE TECHNOLOGY GRANTS (Continued)
(6) Explain what uniquely positions the technology grant applicant in the marketplace.
(Note - This can include a focus on the characteristics such as the economic reliability of the technology grant applicant, the
technology grant applicant's status as a minority or veteran-owned business, or other characteristics that the technology grant
applicant wants to include to show how it will help protect the interests of, or further the mission of the Department of Veterans
Affairs (VA)):

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