J.06 Non-disclosure Agreement.doc

Commitment to Protect Non-Public Information Contractor Agreement Access to sensitive information from the files of the Centers for Disease Control and Prevention (CDC) is required in the performance of my official duties, under contract number _______________________ between (CDC CIO name or component) _____________________________ and my employer, (Employer’s name) _____________________________ . I agree that I shall not release, publish or disclose such information to unauthorized personnel and that I shall protect such information in accordance with relevant laws and regulations such as 18 U.S.C. 641, 18 U.S.C. 1905, Public Law 104-31, 44 U.S.C. 35, CDC-102 and other pertinent laws and regulations governing the confidentiality of privileged information.

I affirm that I have received a written and/or verbal briefing by my company concerning my responsibilities under this agreement. I understand that violation of this agreement may subject me to criminal and civil penalties prescribed by law for any violation thereof.

Printed Name: _____________________________________

Signature: ________________________________________

Date:

Witness: _________________________________________

Date: __________________________________________

Copies to be retained by:

CDC Project Officer

Vendor’s Contract Management

Individual Signatory

Sec. 641. - Public money, property or records

Whoever embezzles, steals, purloins, or knowingly converts to his use or the use of another, or without authority, sells, conveys or disposes of any record, voucher, money, or thing of value of the United States or of any department or agency thereof, or any property made or being made under contract for the United States or any department or agency thereof; or

Whoever receives, conceals, or retains the same with intent to convert it to his use or gain, knowing it to have been embezzled, stolen, purloined or converted -

Shall be fined under this title or imprisoned not more than ten years, or both; but if the value of such property does not exceed the sum of $1,000, he shall be fined under this title or imprisoned not more than one year, or both.

The word ''value'' means face, par, or market value, or cost price, either wholesale or retail, whichever is greater

18USC1905

CITE

18 USC Sec. 1905 01/03/95

EXPCITE

TITLE 18 - CRIMES AND CRIMINAL PROCEDURE

PART I - CRIMES

CHAPTER 93 - PUBLIC OFFICERS AND EMPLOYEES

HEAD

Sec. 1905. Disclosure of confidential information generally

STATUTE

Whoever, being an officer or employee of the United States or of any department or agency thereof, any person acting on behalf of the Office of Federal Housing Enterprise Oversight, or agent of the Department of Justice as defined in the Antitrust Civil Process Act (15 U.S.C. 1311-1314), publishes, divulges, discloses, or makes known in any manner or to any extent not authorized by law any information coming to him in the course of his employment or official duties or by reason of any examination or investigation made by, or return, report or record made to or filed with, such department or agency or officer or employee thereof, which information concerns or relates to the trade secrets, processes, operations, style of work, or apparatus, or to the identity, confidential statistical data, amount or source of any income, profits, losses, or expenditures of any person, firm, partnership, corporation, or association; or permits any income return or copy thereof or any book containing any abstract or particulars thereof to be seen or examined by any person except as provided by law; shall be fined not more than $1,000, or imprisoned not more than one year, or both; and shall be removed from office or employment.

CDC-102: http://basis1.cdc.gov/BASIS/masompb/POLICIES/POLICIES/DDD/385