RFP 283-20-0556 Attachment 7_Proposal Intent Response Form.docx
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- Solicitation number
- 283-20-0556
About this file
This document includes a Proposal Intent Response Sheet for Request for Proposal 283-20-0556 from the Substance Abuse and Mental Health Services Administration. The RFP seeks a contractor to collect, manage, and analyze data from six major components of the Behavioral Health Services Information System, including the Inventory of Substance Abuse and Mental Health Treatment Facilities, National Substance Use and Mental Health Services Survey, Treatment Episode Data Set, Mental Health-Client Level Data, Uniform Reporting System Tables, and Behavioral Health Treatment Services Locator. Interested offerors must complete and return the Proposal Intent Response Sheet by July 6, 2020 to indicate their intent to submit a proposal for this requirement.
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Text version
RFP No. 283-20-0556 Attachment 7: Proposal Intent Response Sheet
PROPOSAL INTENT RESPONSE SHEET
RFP No. 283-20-0556
TITLE: “Behavioral Health Services Information System (BHSIS)”
PLEASE REVIEW THE ATTACHED REQUEST FOR PROPOSAL. FURNISH THE INFORMATION REQUESTED BELOW AND RETURN THIS PAGE BY THE EARLIEST PRACTICABLE DATE, BUT NOT LATER THAN July 6, 2020. YOUR EXPRESSION OF INTENT IS NOT BINDING BUT WILL GREATLY ASSIST US IN PLANNING FOR PROPOSAL EVALUATION. IF AFTER SUBMISSION YOU RECONSIDER PLEASE SUBMIT A REVISED INTENT. ONLY THE PRIME CONTRACTOR NEEDS TO SUBMIT THE INTENT FOR THEIR SUBMISSION.
[ ] DO INTEND TO SUBMIT A PROPOSAL
[ ] DO NOT INTEND TO SUBMIT A PROPOSAL FOR THE FOLLOWING REASONS:
Company /Institution Name
Name and Title
Email Address
Company / Institution Phone Number
Company / Institution Fax Number
| Date Submitted |
| Original Submission Revised |
PLANNED COLLABORATORS/CONSULTANTS/SUBCONTRACTORS
(PROVIDE NAME(S) AND ORGANIZATION)
RETURN TO:
Substance Abuse and Mental Health Services Administration Division of Contracts Management Attention: Khaled Gohar
Send to SAMHSAContracts@samhsa.hhs.gov reference in the subject line: RFP No. 283-20-0556 – INTENT
PLEASE RETURN THIS PAGE BY July 6, 2020
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