A19 Attachment 3 AI Use Compliance and Risk Management Plan.pdf

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Attached to
Rugged, Mobile Data Acquisition System for Coal Mine Roof Safety Research
Solicitation number
000HCCRK-2026-98974
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About this file

This document is an Artificial Intelligence (AI) Use Compliance and Risk Management Plan template designed for federal contractors who plan to use AI in contract performance when the primary deliverable is not the development or delivery of an AI system itself.

The template requires contractors to provide comprehensive disclosure and documentation across nine sections: background information on the AI tool, ownership and support structure, tool characteristics including technology type and underlying models, hosting environment and FedRAMP authorization status, data handling practices, impact assessment, safeguards, monitoring procedures, and required affirmations. Key disclosure requirements include identifying the AI tool name and vendor, specifying whether the technology is open-source, proprietary, government-furnished, or contractor-developed, documenting the primary large language model or foundation model if applicable, and detailing hosting location and FedRAMP authorization status. Contractors must disclose what Government information will be processed, whether data will be stored or used for model training, and whether outputs will be shared with third parties. The plan requires assessment of whether AI use constitutes "high-impact" based on potential effects on individuals' or organizations' rights, benefits, services, health, safety, or access. Contractors must identify safeguards including human review procedures, prevention of unauthorized disclosure, system misuse protection, and privacy protections. The document mandates monitoring of accuracy, performance degradation, data leakage, abuse, and unauthorized access, with specified incident escalation procedures. Contractors must affirm that AI will not be used without Contracting Officer approval, all AI use has been disclosed, Government information will not enter unapproved tools, Government data will not be used for model training without explicit authorization, and the plan will be maintained and updated throughout contract performance with notification to the Contracting Officer before any changes or expanded use.

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Artificial Intelligence (AI) Use Compliance and Risk Management Plan

Purpose: Use this when a contractor plans to use, may use, or later proposes to use AI in contract performance, but the primary deliverable is not the development or delivery of an AI system.

1. Background

Name of AI tool/system:

Contractor using the AI:

Subcontractor or service provider, if any:

Contract task/function supported:

Describe how AI will be used in contract performance:

Is AI use required to perform the work, or optional?

Required Optional Unknown

AI classification:

Generative AI

Agentic AI Classical/Predictive Machine Learning Computer Vision

Natural Language Processing

Reinforcement Learning Other: [Insert]

Is this use limited to contractor internal operations?

Yes No

Will the AI touch Government information, systems, identities, networks, or operations?

Unknown

Was the AI system procured to support this particular contract per requirements in the Statement of Work?

2. Who owns and supports this use?

Contractor AI owner:

Contractor technical support contact:

Contractor privacy/security contact:

CDC/HHS program office using or receiving outputs:

Expected users:

Contractor staff only

CDC/HHS staff Public users Beneficiaries, patients, applicants, regulated entities, or other external parties Other: [Insert]

3. Tool background

Tool or product name:

[Insert]

Developer/vendor:

[Insert]

Is the AI technology open-source, proprietary, Government-furnished, or other?

☐ Open-source ☐ Proprietary/commercial ☐ Government-furnished ☐ Contractor-developed ☐ Subcontractor-provided ☐ Other: [Insert]

If the system uses an LLM or foundation model, what is the primary model?

[Insert]

Who provides the LLM/foundation model?

[Insert]

What model options are available?

[Insert]

Does it require an API key?

☐ Yes ☐ No ☐ Unknown

Attach or link, if available:

☐ Model card ☐ System card ☐ Data card ☐ Vendor security documentation ☐ Evaluation summary ☐ Terms of service ☐ Privacy/data retention policy ☐ Audit-log documentation

4. Where is it hosted and authorized?

Hosting environment:

☐ Contractor environment ☐ Commercial SaaS ☐ FedRAMP-authorized cloud ☐ CDC/HHS environment

☐ Local/offline environment ☐ Other: [Insert]

Where is the system hosted?

[Insert country/region/cloud/provider]

Is the product directly FedRAMP authorized or available through a FedRAMP-authorized instance?

☐ Yes ☐ No ☐ Not applicable ☐ Unknown

If no, is it undergoing FedRAMP authorization?

☐ Yes ☐ No ☐ Unknown

5. What data will be used?

Will the AI process, store, transmit, summarize, analyze, or generate Government information?

Unknown

Types of data involved:

Public information Government nonpublic information

PII

PHI

Procurement-sensitive information Proprietary/business confidential information ☐ Other: [Insert]

What information will be entered into the AI tool?

What outputs will the AI generate?

Will prompts, uploads, outputs, logs, or user interactions be stored?

☐ Yes ☐ No ☐ Unknown

Retention period:

[Insert]

Will Government data, prompts, outputs, or logs be used to train, fine-tune, improve, or benchmark any model?

Yes

No

Unknown

Will any data, prompts, outputs, or logs be shared with other users, tenants, vendors, subcontractors, or third parties?

Yes No Unknown

Explain storage, use, retention, deletion, and sharing:

6. Is this high-impact?

Could the AI output materially affect an individual’s or organization’s rights, benefits, services, health, safety, access, eligibility, enforcement status, or other significant interests?

Yes No Unknown

Could CDC/HHS personnel rely on the AI output as a principal basis for a decision or action?

Yes

Unknown

Is the AI used only for internal drafting, summarization, or administrative support with human review before use?

Yes No

High-impact rationale:

7. What safeguards are in place?

How will contractor personnel verify AI outputs before relying on them?

What human review is required before AI-generated content is submitted to CDC/HHS?

How will the contractor prevent unauthorized disclosure of Government information?

How will the contractor prevent misuse, unauthorized use, or corruption of the AI system?

How will the contractor protect privacy, civil rights, and civil liberties?

What internal policies govern this AI use?

8. Monitoring and misuse protection

What is monitored?

Accuracy/performance Performance degradation or drift Data leakage signals Abuse/misuse Prompt injection Unauthorized access Other: [Insert]

Does CDC/HHS have access to monitoring information, audit logs, or summary reports?

Upon request Not applicable

How are issues detected, escalated, and corrected?

When will CDC/HHS be informed?

What is the standard operating procedure for incidents or unacceptable outputs?

9. Required contractor affirmation

The contractor affirms that:

AI will not be used unless approved by the Contracting Officer.

The contractor has disclosed all planned or potential AI use.

The contractor will not enter Government information into unapproved AI tools.

The contractor will not use Government data to train, fine-tune, or improve an AI model unless expressly authorized.

The contractor will maintain and update this AI Use Card throughout contract performance.

The contractor will notify the Contracting Officer and COR before changed, expanded, or new AI use.

The contractor will prevent unlawful discriminatory use or outputs.

The contractor will comply with applicable privacy, security, data rights, records, civil rights, and AI requirements.

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