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This is a Questions and Answers document providing clarifications on solicitation 36C24526Q0544 for a longitudinal health survey of post-9/11 Veterans conducted by the Department of Veterans Affairs Health Outcomes of Military Exposures (HOME) program. The document addresses 40 questions submitted by potential offerors regarding technical requirements, deliverables, and operational expectations for this three-year effort.

Key clarifications include: the corrected sample size is 109,000 participants (not 100,000 as stated in the Scope section), with an anticipated response rate of 35-50% based on historical VA surveys; offerors are not required to submit resumes for key personnel, CPARS, or past performance questionnaires, though resumes may be included in technical capability with evidence of similar work; no page limitations exist for technical capability or past performance submissions; and a Business Associate Agreement is required post-award. The Government will provide historical materials from prior data collections (NewGen and CHAI studies) after award. Critical design elements to be proposed by contractors include survey mode sequencing, data collection strategies, questionnaire modifications, incentive structures, CATI operations protocols, pretesting approaches, weighting methodology, and nonresponse analysis methods. All educational and informational materials must be 508 compliant and available in English and Spanish. The Government anticipates a 7-14 day review timeline for key deliverables, with final QASP performance standards and data format specifications to be determined post-award. Contractors may propose either their own IRB or use the VA IRB, with anticipated coordination with the VA Central IRB if contractor IRB is selected. Award decisions will be made on a comparative basis once quotations are deemed acceptable.

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Q and R - 6.docx DOCX document
Q and R - 8.docx DOCX document
Q and R - 5.xlsx XLSX spreadsheet
Q and R -1.docx DOCX document
Q and R - 3.xlsx XLSX spreadsheet
Q and R - 7.docx DOCX document
Q and R - 4.xlsx XLSX spreadsheet
Amendment - Solicitation No. 36C24526Q0544 0002.pdf PDF
Amendment - Solicitation No. 36C24526Q0544 0001.pdf PDF
Supplemental Instructions.pdf PDF
Solicitation No. 36C24526Q0544.pdf PDF
Past Performance Questionnaire.pdf PDF
Past Performance Questionnaire.docx DOCX document
QASP for Post 911 survey.pdf PDF
VHA 1605.05 BUSINESS ASSOCIATE AGREEMENT.docx DOCX document
VHA 1605.05 BUSINESS ASSOCIATE AGREEMENT.pdf PDF
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Sheet1

No.QuestionSolicitation ReferenceAnswer
1Is there an incumbent?N/ANo
2Are there any page limitations for the Technical Capbility?Supplemental InstructionsNo
3Are there any page limitations for the Past Performance?Supplemental InstructionsNo
4Are there are requirements for how many Past Performance references offerors should provide?Supplemental InstructionsThere are no requirements for how many Past Performance references offerors should provide
5Are offerors required to submit CPARS and/or Past Performance Questionnaires?Supplemental InstructionsOfferors are not required to submit CPARS and/or Past Performance Questionnaire
6Are there any font type or font size requirements?Supplemental InstructionsThere are no font type or font size requirements
7Is the Business Associate Agreement (BAA) required as part of the proposal submission or post-award?Supplemental Instructions, VHA 1605.05 BUSINESS ASSOCIATE AGREEMENTYes
8Are offerors required to submit resumes for the Key Pesonnel? If so, should they be included in the Technical Capability, and what are the page limitations?Solicitation No. 36C24526Q0544, 10. Key PersonnelOfferors may submit resumes for the Key Pesonnel. They may be included in the Technical Capability. There are no page limitations however quotes should show evidence of similar work before, the skills and credentials needed as written in the PWS
9Can VA clarify the anticipated sample size for this effort, given that the PWS references both 100,000 participants under Section 4 (Scope) and 109,000 participants throughout Section 7 (Tasks)? Additionally, can VA confirm whether the stated sample size represents a fixed ceiling or may be adjusted during execution, and provide the anticipated number of completed surveys expected from that sample?Solicitation No. 36C24526Q0544, 4. Scope & 7. Tasks (7.2.6 and 7.2.9)The entry of “100,000” in the Scope (page 4) is an error and should read “109,000”– apologies. Please note the entry at Deliverable table 7.2.3 reads “30,000” - this is also an error and should read “109,000” . For overall response rate, consider the experience of recent VA HOME veteran surveys or other VA surveys of veterans, particularly those in post 9/11 Veterans: consider 35% to 50% as an achievable goal.
10Can VA provide guidance on the literature reviews noted under Task 2, specifically: a) Whether the “complete literature review for study design” is intended to be a single, comprehensive deliverable and when it is expected to be completed during the period of performance; and b) The anticipated frequency, scope, and level of effort associated with conducting “literature reviews based on the needs of the survey”?Solicitation No. 36C24526Q0544, 7.2 Task 2Literature review for study design may by necessity address several topics: survey administration methodologies, sample weighting, non-response bias analysis, etc. The government seeks expertise of the contractor to provide advice which may necessitate literature review and citation in justification for decisions in study administration/interpretation.
11Can VA clarify expectations for “simple” and “complex analyses” to be conducted under Task 3?Solicitation No. 36C24526Q0544, 7.3 Task 3Simple frequencies and exploratory bivariate analyses; comex would involve mulitple regression or other more advanced statistical approaches.
12Can VA clarify whether the development of websites and/or smartphone applications noted under Task 4 is anticipated as a required deliverable under this effort, and if so, provide additional detail regarding the expected scope, functionality, and level of effort?Solicitation No. 36C24526Q0544, 7.4 Task 4This is a design feature that should be developed by the contractor and included in the proposal. It referfences web-based survey designa dn any suppoirting materials that may be viewed online.
13
Can VA provide any target response rates, allocation expectations by survey mode (e.g., web-based, CATI, mail), or other performance thresholds that should guide the contractor's data collection approach and monitoring? If not, should contractors rely on historical benchmarks when proposing response rate assumptions and data collection strategies?7.1.6, 7.2, and 7.2.9Allocation is a design consideration that should be addressed in the proposal. For overall response rate, consider the experience of recent VA HOME veteran surveys or other VA surveys of veterans, particularly those in post 9/11 Veterans: consider 35% to 50% as an achievable goal.
14Can VA clarify expectations related to data linkage (e.g., DoD, VA health records, National Death Index)?7.2.2 and 7.2.3no expectation of linkage to DoD or NDI data is anticipated or required. VA data for contact information will be supported
15Can the Government clarify the expected level of contractor discretion in questionnaire design, including whether the contractor may propose modifications to existing instruments or whether the questionnaire will be largely specified by the Government?7.2.4This process will be collaborative with VA but rely heavily on existing validated instruments and/or previously administered survey materials for compatibility with prior surveys in these veteran populations.
16Would the Government provide instruments, codebooks, and related documentation from prior data collections (e.g., NewGen and CHAI), and if so, when are these materials expected to be made available to the contractor?3 and 7.2.4Historical materials may be made available after award in consultation with the VA CO
17Can the Government confirm whether a particular data collection mode sequencing (e.g., web-first with CATI follow-up) is preferred, or whether the contractor is expected to recommend the overall mode design?7.2 and 7.2.9This is a design feature that should be developed by the contractor and included in the proposal.
18Can the Government clarify whether the contractor is expected to provide input on sampling design for new cohort additions, including whether the post-2015 cohort will follow the same deployed vs. non-deployed stratification as prior studies, or whether sampling specifications will be fully provided?4 and 7.3.3Sample development will be conducted collabratively with VA
19Would the Government provide information on the expected completeness and accuracy of the initial contact information provided to the contractor to support locating and tracing activities?7.2.3Expected comlpeteness and accuracy is very good
20Are there any constraints or requirements regarding the use of commercial locating databases or vendors (e.g., pre-approved sources or limitations on data sources)?7.2.3Any subcontracts for locatoin services must conform to VA information security requirements
21Would the Government provide guidance on acceptable incentive structures, including any limits on incentive amounts or requirements for approval of incentive strategies?7.2.13This is a design feature that should be developed by the contractor and included in the proposal.
22Can the Government clarify expectations regarding CATI operations, including language requirements, call protocols, or minimum contact attempt standards?7.2.7 and 7.2.9This is a design feature that should be developed by the contractor and included in the proposal.
23Would the Government clarify the primary objectives of the pilot study (e.g., testing questionnaire flow, timing, response rates), and the expected level of analysis and reporting?7.2.8These are correct assumptions;This is a design feature that should be developed by the contractor and included in the proposal.
24The CHAI study included structured pretesting activities (e.g., cognitive interviews and timing tests) prior to fielding. Can the Government clarify expectations for pretesting in this effort, including whether similar activities are anticipated and how they should relate to the pilot study described in Section 7.2.8?7.2.4 and 7.2.8These are design features that, if employed, should be developed by the contractor and included in the proposal.
25Can the Government clarify expectations regarding “electronic access to all databases,” including whether this refers to direct system access, reporting dashboards, or periodic data extracts?7.2.11 and 7.1.3Study materials should be available electronically upon request
26Would the Government confirm required data formats and standards for interim and final data deliveries (e.g., SAS datasets, text files), and whether specific templates or conventions will be provided?7.2.12 and 7.3TBD after award
27Can the Government provide additional detail on expectations for analytical deliverables, including the distinction between “white papers” and “technical reports,” and the intended level of methodological detail?7.3Analyses should be descriptive and use multiple regression analyses appropriate for the estimation of risk for health outcomes and disease prevalence. Deliverables should be developed as publishable manuscripts.
28Would the Government clarify expectations for weighting methodology, including whether replicate weights or specific variance estimation approaches are required?7.3.3These are design features that should be developed by the contractor and included in the proposal.
29Can the Government clarify the expected scope and level of rigor for nonresponse analysis, including whether adjustment methods are expected in addition to descriptive evaluation?7.3.4This is a design feature that should be developed by the contractor and included in the proposal.
30Would the Government provide anticipated timelines for review and approval of key deliverables (e.g., questionnaire, pilot results, methodology report), to support planning and scheduling?7.1 and Deliverables TablesSeven to fourteen days - but may be TBD based on situational requirements
31Can the Government clarify expectations for coordination and review cycles, including opportunities for iterative feedback during key phases of design, data collection, and analysis?7.1.5 and 7.1.6TBD after award
32Can the Government clarify whether survey instruments and data collection materials, in addition to educational materials, are expected to be administered in both English and Spanish?7.2.4 and 7.4Section 7.4 specifies the requirement: “All educational and informational materials must be 508 compliant, be available in English and Spanish…”
33Can the Government provide expected sample sizes for each cohort (NewGen, CHAI, and post-2015), including any anticipated differences in treatment or fielding approach?3 and 4NewGen was a sample N=~60,000; CHAI N=~38,000; augment will be the balance to achieve N=109,000.
34Would the Government clarify the specific contact information fields that will be provided (e.g., mailing address, telephone number, email), and whether these differ by cohort?7.2.3This assumption is correct
35The Performance Work Statement references both a maximum sample size of 100,000 and operational counts of 109,000. Can the Government clarify the relationship between these figures for planning and pricing purposes?4, 7.2.6, and 7.2.9The entry of “100,000” in the Scope (page 4) is an error and should read “109,000”– apologies.
36Can the Government provide any historical benchmarks or expected ranges for participant technical support volume (e.g., call center and email inquiries)?7.1.4This will be dependent on survey design elements and cannot be reliably estimated by the government. The CHAI survey fielded approximately 1750 live calls and 350 voice mails at the call center 800 line. Experience in future endeavors may differ.
37Can the Government clarify whether the contractor will be required to obtain an Authority to Operate (ATO) for systems supporting this effort?7.1.3 and 7.2.11At this time, the Government anticipates that any contractor-provided system used to process, store, or transmit Government information must comply with applicable cybersecurity and authorization requirements, which may include obtaining an ATO as required by the issuing authority
38Can the Government clarify how QASP performance standards (e.g., percentage thresholds) will be defined, measured, and applied?D(QASP)At this stage of the solicitation, offerors should base their quotes on the performance requirements and any stated metrics in the PWS. The Government will ensure that the final contract includes clearly defined standards and measurement approaches so Offeror understand how performance will be evaluated.
39Can the Government clarify whether VA will serve as the IRB of record, or whether the contractor is expected to use its own IRB?7.2.1The contractor can propose either alternative. If contractor IRB is proposed anticipate some interaction with the VA CIRB.
40Can the Government provide additional clarification on how “acceptable” quotations/offers will be defined and applied under the comparative evaluation approach?E.3Once one quotation/offer is found acceptable, it is compared side by side to the remaining ones, and the “best” one is chosen

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