IBx Connect Meeting Request Form
We ask for a brief description of your product technology, or capability, accompanied by a slide deck, manuscript, publications, or other non-confidential information of your choosing. Please note while we use information you present as market research; submission is no guarantee of a meeting or funding and your submission will be shared with our teams involved in Industrial Base Management and Supply Chain Optimization. Only USG officials are invited to join IBx Connect meetings and are bound by law to maintain the confidentiality of what is presented and discussed.
Note: Questions below with an asterisk indicate that a response is required
Privacy Policy
https://aspr.hhs.gov/Pages/privacy.aspx
Company
*
Please enter the name of your Company
First Name
*
Please enter your First Name
Last Name
*
Please enter your Last Name
Email
*
Please enter your Email Address
Address
*
Please enter your Company's Address HQ
City
*
Please enter the City where your Company is located
State/Region
*
Please enter the State where your Company is located
DUNS Number
Please enter your Companies DUNS number
Company Size
*
Please select a size for your Company
None
Small Business
Small Disadvantaged Business
Veteran Owned Small Business
Service-Disabled Veteran Owned Small Business
Women Owned
HUBzone
8(a)
Requestor's Phone Number
*
Please enter a contact phone number
Product Information
Product Name
*
Please provide the Name of your product or solution
Product Category
Advanced Manufacturing
Supply Chain Optimization
PPE Manufacturing
Testing and Diagnostics Manufacturing
Product URL
Please provide a URL for your Product
Technical Readiness Level
*
Please refer to
https://www.medicalcountermeasures.gov/trl/trls-for-product-development-tools/
Basic Technology Research
Research to Prove Feasibility
Technology Development
Technology Demonstration
System/Subsystem Development
System Test, Launch & Operations
Product Maturity
Please indicate your Product Maturity
Progressed into or beyond clinical trials
Have established large-scale cGMP manufacturing capability
Utilize an approved platform
Manufacturing Readiness Level
*
Please refer to
http://www.dodmrl.com/
Basic manufacturing implications identified
Manufacturing concepts identified
Manufacturing proof of concept developed
Capability to produce the technology in a laboratory environment.
Capability to produce prototype components in a production relevant environment.
Capability to produce a prototype system or subsystem in a production relevant environment.
Capability to produce systems, subsystems or components in a production representative environment.
Pilot line capability demonstrated. Ready to begin low rate production.
Low rate production demonstrated. Capability in place to begin Full Rate Production.
Full rate production demonstrated and lean production practices in place.
Brief Product Description
Please provide a brief description of your product or solution.
Product Key Objectives
Please list your top 3 Objectives
Funding
Current government funding
Please list any current government funding for this product
Pending government funding
Please list any Pending Government Funding for this product
BARDA BAA Submitted?
Participants
List other meeting participants, titles and affiliations description
Participants US Citizenship?
Will all meeting participants have US citizenship?
File Attachments
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Email address
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