Foreign National Vetting Information Form.pdf

PDF 254 KB Posted

Attached to
Replace Transformer, Ames, IA Federal contract opportunity
Solicitation number
12639525Q0141
Issued by
Department of Agriculture Animal and Plant Health Inspection Service Marketing and Regulatory Programs Business Services

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Written by GovTribe AI ·

The Foreign National Vetting (FNV) Information Form is a comprehensive security screening document used by the USDA's National Centers for Animal Health (NCAH) to collect detailed personal and immigration information for foreign nationals seeking to visit or work with APHIS or ARS agencies. The form requires extensive personal details including full name, contact information, date and place of birth, citizenship, passport details, visa status, employer information, projected arrival and departure dates, and contact information for the NCAH host or supervisor. Required fields cover personal demographics, immigration documentation, visit purpose, facility location (primarily Ames, Iowa), and include specific categories such as personnel type (e.g., IT contractor, advisory member, visitor) and purpose of interaction with USDA. The form is designed to conduct a thorough name trace check for security purposes, with fields marked by asterisks indicating mandatory information submission.

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Foreign National Vetting (FNV) Information Form

The following information will need to be submitted to the NCAH Security Staff to apply for a Name Trace Check.

*Indicates a required field

1. *Visiting or Employing Agency or Staff Office (APHIS or ARS)

2. *Personnel Type (Advisory Member, IT Contractor, Non-IT Contractor, and Visitors)

3. *Purpose with USDA (Advisory Member, IT Contractor, Non-IT Contractor, and Visitors)

Foreign National Visitor Information

4. *First Name:

5. Middle Name:

6. *Last Name:

7. *Email:

8. Phone Number

9. *Date of Birth:

10. *Race (American Indian or Alaska Native, Asian, Black, or African American, Hispanic or Latino, Native Hawaiian or Pacific Islander, White):

11. *Sex (Male or Female):

12. *Place of Birth City:

13. *Place of Birth Country:

14. *Country of Citizenship (may be different than POB):

15. *Has the FN resided in the U.S. for the last 3 or more continuous years? (yes/no)

16. Permanent U.S. Resident Card Number (if known):

17. Permanent Resident Card Expiration Date (if known):

18. *Foreign Passport Number:

19. *Foreign Passport Expiration Date:

20. *Foreign Passport Issuing Country:

21. I-94 Admit Until Date (stamp or paper that shows Admit Until or Duration of Status, D/S):

22. Visa Number (if known):

23. Visa Expiration Date (if known):

24. *Employer or University Name:

25. *Position/Job Title (if a non-visitor) (if known):

26. *Projected Arrival or Start Date (if already onboard, enter actual arrival date):

27. *Projected Departure Date (non-feds only; enter projected contract or arrangement end date):

28. *USDA Facility Name (ARS or APHIS):

29. *USDA Facility – (City) Ames will be used unless noted differently:

30. *USDA Facility – (State) Iowa will be used unless noted differently:

31. *Projected Arrival or Start Date (if already onboard, enter actual arrival date):

32. Projected Departure Date (if known):

33. *NCAH Host/Supervisor/Sponsor First Name:

34. *NCAH Host/Supervisor/Sponsor Last Name:

35. *NCAH Host/Supervisor/Sponsor Email:

36. Does the request require expediting? (yes/no)

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22 Visa Number if known:
27 Projected Departure Date nonfeds only enter projected contract or arrangement end date:
28 USDA Facility Name ARS or APHIS:
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