TEMPLATE 1 - MBIO Project Scope To Request RTAC Buy-In.docx

Name of Mission, Bureau, or Operating Unit (M/B/IO) Interested in Buying Into Research Technical Assistance Center (RTAC)

NAME OF PROPOSED PROJECT (Buy-In Project Name)

Introduction The USAID M/B/IO seeks to partner with USAID/LAB/CDR to <INSERT BRIEF ONE-SENTENCE SUMMARY OF PROPOSED PROJECT.>

Problem Statement Provide an overview of the M/B/IO’s problem statement. To the extent possible, please provide context regarding how this need is connected to overall M/B/IO development objectives.

Summarize what you are looking for from a technical expert within the RTAC Partner Pool - what would you like him/her/they to accomplish? Any additional information you may have (estimated timeframe of project, other key partners/implementers, key questions to be addressed or potential range of funding) is also welcome. You are also welcome to provide relevant attachments, websites, or other resources that may be helpful to potential bidders as they seek to respond to your problem statement.

Connection to RTAC Statement of Work (SOW) RTAC Task Number Affiliation:

RTAC Subtask Number Affiliation:

Please provide 1-2 sentences explaining under which Task(s) and Subtask(s) you are seeking support based on the RTAC SOW.

Country Context Does work in the proposed country/Mission(s) require any special notification?

YES NO

If Yes, has your M/B/IO already notified on this work or will notification need to occur before funds are obligated?

YES, notification has occurred (please provide date and CN# and/or documentation of CN) NO, notification has not yet occurred and will need to do so before funds are obligated N/A

Has the Mission/Bureau Gender Advisor/Point of Contact reviewed the proposed work?

YES NO

Has the Mission/Bureau Environmental Officer (M/BEO) reviewed the proposed work?*

YES NO

Status of review:

*Please Note: In addition to the M/BEO of your M/B/IO reviewing the proposed project, the BEO for HESN will also conduct an environmental review before the buy-in is signed.

Monitoring & Evaluation (M&E) Indicators This section asks the USAID M/B/IO to identify any USAID M/B/IO M&E indicators for which the RTAC sub-contractor will be asked to provide bi-annual inputs (if applicable).

· Please INSERT here all USAID M/B/IO M&E Indicators for which the HESN Lab will be asked to report

OR check the following:

· N/A - RTAC will not be asked to report on additional indicators as it relates to their implementation of this buy-in

Note: For reference, included below are some of the HESN 2.0 indicators the RTAC sub-contractor may also report on bi-annually as it relates to this proposed buy-in:

· S.0_in1 # High Impact program or policy changes made by public sector, private sector, or other development actors that are influenced by Lab-funded research results or related scientific activities

· S.3_in3 # High Potential program or policy changes made by public sector, private sector, or other development actors that are influenced by Lab-funded research results or related scientific activities

· S.3_in1 Total # of program or policy changes made by public sector, private sector, or other development actors that are influenced by Lab-funded research results or related scientific activities

Buy-in Reporting Expectations If applicable, please indicate any programmatic or financial reporting expectations that may be unique to this buy-in. For example, indicate whether your M/B/IO requires monthly, quarterly, biannual , etc. performance or status reports, regular phone check-ins or site visits (if so, indicate frequency here) or any financial reporting needs. (NOTE: If no specific reports are required here, the only deliverables received under the buy-in will be buy-in specific deliverables outlined and agreed to in the buy-in Statement of Work.)

USAID M/B/IO Technical Point of Contact for the potential buy-in:

Name:

Title:

Email:

Phone Number:

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