A17 - Roster of Employees Requiring Suitability Investigations.xlsx

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NINDS Center for Clinical Trial Resources
Solicitation number
75N95022R00014
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This document contains a roster template for suitability investigations required for a federal contract. The roster requires contractor information including company name, contract number, contact details, and project details. It also requires contractor employee information such as name, email, position, security training completion dates, and clearance details. Investigative requirements include suitability level, type of investigation, questionnaire submission dates, and credit release and form submissions. Project officer and security officials are to verify details.

A related federal contract opportunity is also provided. It is a cost reimbursement contract soliciting proposals for scientific resources and services to support the National Institute of Neurological Disorders and Stroke clinical research program. Services include clinical research design, conduct and oversight expertise across performance areas like preparation of scientific background for initiatives, and dissemination of results. Offerors must have active SAM registration and submit proposals through NIH's electronic system by the response date to be considered.

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Suitability Roster

ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS - ATTACHMENT #17

CAN:Contractor:
RFP/Contract #:Contractor Contact:
Contract Title:Contractor E-mail:
Project Officer:
Contract Specialist:
TO BE FILLED OUT BY
PROJECT OFFICER and ISSO:TO BE FILLED OUT BY CONTRACTOR:
TO BE FILLED IN BY CONTRACTOR:

PROJECT OFFICER and ISSO:

Suitability LevelInvestigation TypeQuestionaire RequiredExisting Clearance or Application
Last NameFirst Namee-mailPositionNon-Disclosure

Agreement Submitted (mm/dd/yyyy) Security Awareness Training Completed

(mm/dd/yyyy)Tier 1, 2, 3, 4, or 5Tier 1; Tier 2S; Tier 2SR; Tier 3; Tier 3R; Tier 4; Tier 4R; Tier 5; Tier 5REstimated CostSF85, SF85P, or SF86Questionaire Submitted
(mm/dd/yyyy)HHS Credit Release Submitted
(mm/dd/yyyy)OF 306 Submitted
(mm/dd/yyyy)Fingerprinting Completed
(mm/dd/yyyy)AgencyClearance LevelDateComment

&Z&F

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