Att A - Records management cert.pdf
PDF 168 KB Posted
- Attached to
- Safe Medication Use
- Solicitation number
- 75F40125Q00401
About this file
This document is an FDA Records Management Training Certificate for 2023, which is an annual requirement for maintaining access to Departmental information technology systems. The form requires employees or contractors to complete personal information including name, email, organization, manager details, and entry on duty date. Employees and contractors must sign the certificate and submit it via email to FDARecordsMgmtTraining@fda.hhs.gov, with contractors required to cc their Contracting Officer's Technical Representative (COTR). The form emphasizes that it cannot be processed if any key information is omitted or illegible.
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Other files
| File | Type | Posted |
|---|---|---|
| 75F40125Q00401-SafeMedUse-QA.pdf | ||
| Att D - FDA Form 3398.pdf | ||
| Att F - Data Disclosure Clearance Form.docx | DOCX document | |
| Att E - Data Disclosure Clearance Procedures.docx | DOCX document | |
| SOL_RFQ (75F40125Q00401) SafeMedUse.docx | DOCX document | |
| Att C - Pricing Worksheet.xlsx | XLSX spreadsheet | |
| Att B - Records management training.pdf |
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Text version
FDA Records Management Training Certificate
I certify that I have completed the 2023 FDA
Records Management Training course. I understand that completion of Records Management
Training is an annual requirement in order to maintain access to Departmental information technology systems.
To receive credit toward your 2023 records management training requirement, please complete all the information below:
First Name (please print):
Last Name (please print):
E-Mail:
Organization (e.g., office/center/division/branch):
Manager’s Name (please print):
Manager’s Title:
Entry on Duty (EOD)/Date you started work at HHS/FDA:
Date Records Management Training completed:
X ________________________________ (Employee’s Signature)
X ________________________ (Manager’s Signature)
Date: Contact Number:
*Contractors complete section below*
Name of Company:
Contract Number (prime only):
Contracting Officer’s Technical Representative (COTR)
Contract Number: ___________________ ________________________________________
This form cannot be processed if your name or completion dates are omitted or illegible, or if your signature is omitted.
Instructions
Print, sign and date certificate.
Employees: Send the completed certificate to FDARecordsMgmtTraining@fda.hhs.gov.
Contractors: Send the completed certificate to FDARecordsMgmtTraining@fda.hhs.gov with a cc to your
COTR.
If you need assistance, please contact FDARecordsMgmtTraining@fda.hhs.gov.
mailto:FDARecordsMgmtTraining@fda.hhs.gov
File details come from the government source that posted it. Updated .