Attachment_F_3398.pdf
PDF 287 KB Posted
- Solicitation number
- 75F40121R00003
About this file
This document contains a commitment to protect non-public information employee agreement form and details of a related federal contract opportunity solicitation. The commitment form is for employees of contractors to agree not to disclose non-public information from the Food and Drug Administration when performing official duties under a contract.
The related solicitation is for the FDA Center for Tobacco Products' Office of Compliance and Enforcement to obtain data collection, review, compiling, and analysis services to support effective enforcement of tobacco regulations. Services include inspecting manufacturers and retailers, reviewing regulatory submissions and notifications, and analyzing advertising, labeling, and promotions. The solicitation number is 75F40121R00003 and is for an indefinite-delivery/indefinite-quantity contract vehicle. The Department of Health and Human Services Food and Drug Administration Office of Acquisition and Grant Services is the contracting agency.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment G Wage Determination.pdf | ||
| 75F40121R00003_0002.pdf | ||
| FY21 VENDOR RFP QUESTIONS.docx | DOCX document | |
| Attachment D - Past Performance Questionaire.docx | DOCX document | |
| 75F40121R00003_0001.pdf | ||
| Attachment A - Personnel Security Requirements.docx | DOCX document | |
| Attachment D - Past Performance Questionaire.docx | DOCX document | |
| 75F40121R00003.pdf | ||
| Attachment E - Sample Task Order.docx | DOCX document | |
| Attachment C - Pricing Worksheet.xlsx | XLSX spreadsheet | |
| Attachment B - Labor Categories (002).docx | DOCX document |
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Text version
COMMITMENT TO PROTECT NON-PUBLIC INFORMATION
EMPLOYEE AGREEMENT
Whereas access to non-public information from the files of the Food and Drug Administration (FDA) is required in the performance of my official duties, under Contract Number between FDA and my employer
I, on this day of , 20 hereby agree that I shall not further release, publish or disclose such information and that I shall protect such information in accordance with the provisions of 21 U.S.C. 331(j), 21 U.S.C. 360j(c), 18 U.S.C. 1905 and other pertinent laws and regulations governing the confidentiality of non-public information.
I understand the provisions of 21 U.S.C. 331(j), 21 U.S.C. 360j(c), 18 U.S.C. 1905 and that I am subject to criminal penalties prescribed by law for any violation(s) thereof.
Signature: Date:
Type or Print Name:
Witnessed by: Date:
Type or Print Name:
DESCRIPTION OF INFORMATION RELEASED:
FORM FDA 3398 (10/10)
DEPARTMENT OF HEALTH AND HUMAN SERVICES
FOOD AND DRUG ADMINISTRATION
PSC Graphics (301) 443-1090 EF
COMMITMENT TO PROTECT NON-PUBLIC INFORMATION
EMPLOYEE AGREEMENT
Whereas access to non-public information from the files of the Food and Drug Administration (FDA) is required in the performance of my official duties, under Contract Number between FDA and my employer I, on this day of , 20 hereby agree that I shall not further release, publish or disclose such information and that I shall protect such information in accordance with the provisions of 21 U.S.C. 331(j), 21 U.S.C. 360j(c), 18 U.S.C. 1905 and other pertinent laws and regulations governing the confidentiality of non-public information.
I understand the provisions of 21 U.S.C. 331(j), 21 U.S.C. 360j(c), 18 U.S.C. 1905 and that I am subject to criminal penalties prescribed by law for any violation(s) thereof.
Signature:
Date:
Type or Print Name:
Witnessed by:
Date:
Type or Print Name:
DESCRIPTION OF INFORMATION RELEASED:
FORM FDA 3398 (10/10)
DEPARTMENT OF HEALTH AND HUMAN SERVICES
FOOD AND DRUG ADMINISTRATION
PSC Graphics (301) 443-1090
EF
Department of Health and Human Services Food and Drug Administration Commitment to Protect Non-Public Information Employee Agreement
FDA-3398
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