Attachment 2 MVP 2025 Industry Partnership Intake Form.pdf

Million Veteran Program (MVP) Request for Information Form

Instructions:

Thank you for completing the Request for information to collect feedback on your interest in partnering with the Million Veteran Program in the research and development of treatments, diagnostics and biomarkers for heart failure and its clinical subtypes.

Responses should be Arial and 12-point font.

Please submit all allowed attachments as PDFs.

For questions please contact: MVPPartnerships@va.gov and michael.haydo@va.gov

I. Main Point of Contact Information for correspondence related to this request:

Name:

Email:

Phone:

II. Provide a description of your organization:

Business Name:

Company Address:

Number of Years in Business:

Business Size:

Department:

Company Website:

DUNS Number:

mailto:MVPPartnerships@va.gov

III. Description of Collaboration:

1) Describe areas of expertise and interest, particularly in the following areas

a) Generate genetic evidence for drugs in pipeline for heart failure

b) Identify and validate targets for repurposing drugs in pipeline

c) Identify and validate novel drug targets for development

d) Identify patient populations likely to derive maximum benefit to be used in preparation for future or potential clinical trials

e) Develop or validate biomarkers

Note: Description not to exceed 500 words. If necessary, you may attach up to 2 pages of any relevant images or publications.

2) Describe the resources that the company can provide to support this collaborative effort.

IV. Prior experience with VA

Has your organization had previous experience working with VA and/or are you working with any specific VA investigators/sites currently? If yes, please provide additional details regarding the scope of those engagements.

V. How did you learn about this Opportunity?

RFI Announcement on SAM.GOV

VA Investigator: Please provide name of referring investigator and contact information

VA Non-Profit Organization: Please provide name of the organization

Other:

(Limit to 300 words)

VI. Acknowledgement: By checking the box below, you acknowledge the following

MVP will not return or provide feedback on any submissions, but MVP does reserve the right to further engage with respondents to clarify understanding of submitted comments.

MVP will treat any response to this RFI as source selection sensitive information and will protect confidentiality accordingly.

This notice is for information and planning purposes only and is not to be construed as a commitment by the Government nor will the Government pay for information solicited.

Respondents maybe be notified of the results of the evaluation.

Industry partner and project staff must be located in the United States

Signature: