Attachment 16_Roster of Employees Requiring Suitability.pdf
PDF 126 KB Posted
- Attached to
- Management, Operation, Professional, Technical and Support Services for NIAID Animal Care Facilities
- Solicitation number
- 75N93023R00014
About this file
This document is a roster template for tracking employees requiring suitability investigations under a federal contract with the Department of Health and Human Services National Institutes of Health National Institute of Allergy and Infectious Diseases. The template collects key employee information such as name, email, position, completed non-disclosure and security awareness training, estimated costs and dates for required background investigations including NACI, NACIC or MBI checks. Investigations would utilize the SF85 or SF85P forms. The related federal contract opportunity is solicitation number 75N93023R00014 for management, operation, professional, technical and support services for NIAID animal care facilities.
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Text version
ATTACHMENT 17 - ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS
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 Level
Investigation Type Questionaire Required
Existing Clearance or Application
Last Name First Name e-mail Position
Non-Disclosure Agreement Submitted
(mm/dd/yyyy)
Security Awareness Training Completed
(mm/dd/yyyy) 1, 5, 6
NACI,
NACIC,
MBI, LBI, BI
Estimated
Cost SF85 or
SF85P
Questionaire Submitted
(mm/dd/yyyy)
HHS Credit Release
Submitted (mm/dd/yyyy)
OF 306
Submitted
(mm/dd/yyyy)
Fingerprinting Completed
(mm/dd/yyyy) Agency Clearance
Level Date Comment
Roster of Employees Requiring Suitability
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