Attachment_A_-_Consultant_Approval_Form.pdf
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- Attached to
- Training and Technical Assistance (TTA) Network Federal contract opportunity
- Solicitation number
- 140D0425R0019
About this file
The attached document is a Consultant Approval Form template for the OHS Regional Training and Technical Assistance Network, designed for the U.S. Department of Health and Human Services Administration for Children and Families, Office of Head Start. The template requires comprehensive details for consultant engagement, including specific sections for documenting participant information, purpose of funds, statement of work, performance location, period of performance, total time required, and estimated cost breakdown. Key sections capture preparation time, delivery time, follow-up efforts, total hours/days, and a granular expense breakdown covering hourly/daily rates, lodging, travel, materials, per diem, and other incidental costs.
The related federal contract opportunity (Solicitation Number 140D0425R0019) is a full and open competition for a Training and Technical Assistance (TTA) Network, seeking to establish twelve commercial Time and Materials contracts across ACF Regions. The Department of the Interior's Interior Business Center is managing the procurement on behalf of the Office of Head Start, with proposals due 04/08/2025 and anticipated award in July 2025. The contract will cover an eleven-month base period with four twelve-month option periods, totaling fifty-nine months. The solicitation is classified under NAICS code 541611 with a $15M size standard, and offerors other than small businesses must submit a Subcontracting Plan.
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Text version
OHS Regional Training and Technical Assistance Network for
The United States Department of Health and Human Services Administration for Children and Families, Office of Head Start
Attachment A
Consultant Approval Template
Date Region/State Requestor Participants Request Consultant Purpose of Funds/ Statement of Work Include:
• specific deliverables
• services to be provided
• ECE Focus area
Purpose and SOW:
Location of Task City and State Period of Performance Initial onsite
Follow-up onsite – All TTA and reporting to be completed by
Total Days/Hours Required (Consultant request) Include:
• preparation time
• delivery time
• close out time
Preparation: hours Delivery time:
Follow-up & Close out time: hours
Total = hours or days
Total Estimated Amount (with breakdown)
Expense Description Unit Price Total Cost Hourly/Daily Rate Lodging Travel Materials Per Diem/Meals Other (Tolls, Parking)
GRAND TOTAL $
Name of Consultant/ Trainer
*Attach consultant resume
Consultant Address Consultant Phone/Email COR Authorization Date:
CO Authorization Date:
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