36C77619R0010-011.docx
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- Synopsis for Human Factor Services Federal contract opportunity
- Solicitation number
- 36C77619R0010
About this file
This document provides details of a pre-solicitation notice for human factor engineering services. The Department of Veterans Affairs intends to award multiple indefinite delivery indefinite quantity contracts to service disabled veteran owned small businesses for human factors engineering support services. The scope of work includes projects supporting the agency's electronic health record systems, connected care tools, community care programs, and various innovation and informatics offices. The anticipated contract period is five years. Interested service disabled veteran owned small businesses must register in the System for Award Management and Vendor Information Pages databases. The solicitation is expected to be released on September 3, 2019. Offers will be accepted via email.
36C77619R0010 Attachment G - NCHC Screening Notification.docx
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Text version
Revised June 2011 Revised July 2011
Department of Veterans Affairs VHA Service Center 6100 Oak Tree Blvd #500 Independence, OH 44131
Fingerprint Check - National Criminal History Check completion notice
Contractor Information
| Contracting Officer/Specialist: |
Prime Contractor POC Name & Phone:
| Comments: |
| Employees are eligible for access to federal facilities based on a |
favorably adjudicated fingerprint screening. Employees will not be fully functional if they require a full PIV badge. Employees will not be issued a permanent PIV badge until their investigation is scheduled.
Contractor/Employee Fingerprint check (National Criminal History Check) Information
Employee Name (Full Legal Name)
| Closed Date |
| Screening Decision |
| Date of Decision |
| Badge Type |
Form #NCHC1 This information is provided pursuant to Public Law 93-579 (Privacy Act of 1974), December 31, 1974, for individuals completing Federal Investigative Forms.
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