Attachment 8 - Fillable Site Visit Visitor Application.pdf
PDF 498 KB Posted
- Attached to
- Variable Frequency Drive (VFD) Replacement Federal contract opportunity
- Solicitation number
- 12805B24R0034
About this file
This document is an Attachment 8 - Fillable Site Visit Visitor Application related to the RFQ12805B24R0034 federal contract opportunity for Variable Frequency Drive (VFD) Replacement. The application collects the name, company, contact information, and citizenship status of individuals who wish to attend a site visit for the contract. It provides instructions on how to password protect and encrypt the form before emailing it to the NBAF Sponsor. The Privacy Act Statement outlines the authority for collecting this information and states that providing information on foreign visits is mandatory. The application will be destroyed upon completion of the access request process.
The related federal contract opportunity is a Request for Proposal (RFP) from the Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area, solicitation number 12805B24R0034, for the Variable Frequency Drive (VFD) Replacement project.
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Text version
Attachment 8 Site Visit Attendee Visitor Application Information
RFQ12805B24R0034
Name (Last, First, MI)
Previously issued PIV Access Card
(Yes or No) PIV card is not required for site visit attendance.
US Citizen (Yes/No)
If Not US Citizen Country of Birth
Company Name
Company Phone Number
Company Address
Once completed please e-mail this document to the NBAF Sponsor: justin.schlegel@usda.gov
For your personal security, please DO NOT send personally identifiable information (the information contained within this document) to any other e-mail address.
You should password protect and encrypt this form when returning it to NBAF and send the password in a separate email.
To password protect this document, follow the instructions below:
FOR PC: Select File tab, then select Protect Using Password; select Viewing; create a Password; reenter the Password to verify, then click on Apply.
FOR MAC: Select File tab, then select Export, and click on Encrypt; create a Password; reenter the
Password to verify, then click Save.
For your personal security this form will be destroyed immediately upon completion of access request process.
PRIVACY ACT STATEMENT The Privacy Act, 552a, requires that federal agencies inform individuals, at the time information is solicited from them, whether the disclosure is mandatory or voluntary, by what authority such information is solicited, and what uses will be made of the information. The collection of this information is authorized by EO 9397, 6 USC 341, 44 USC 3101, and EO 12958. Provision of the information concerning foreign visits is mandatory under the provisions of EO 12958. Failure to provide it may impact planned visits. Use of this information is for internal purposes to facilitate visitor processing.
Controlled// SP-SPIIWhen filled out, this document contains sensitive information exempt from mandatory disclosure under the Freedom of Information act, 5 U.S.C. 552 (b)(2). Do not release without prior approval by USDA.
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File details come from the government source that posted it. Updated .