Attachment 19 - Roster of Employees Requiring Suitability Investigations.xlsx
XLSX spreadsheet 22 KB Posted
- Solicitation number
- 75N95023R00017
About this file
This document contains a roster template for a federal contract opportunity involving the development and maintenance of a non-human primate tissue bank. The roster requires contractors to provide details including employee names, email addresses, positions, completion of non-disclosure agreements and security awareness training, as well as information regarding existing security clearances or applications. It also requests the collection of clinical information from non-human primates to be archived and distributed as part of the tissue bank and submitted to the National Institute on Aging Primate Aging Database. The opportunity is solicited by the National Institutes of Health National Institute on Aging within the Department of Health and Human Services, to acquire, archive and distribute excess tissue from non-human primates being euthanized for research across institutions.
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Text version
Suitability Roster
| ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS | |||||
| 75N95023R00017 | |||||
| 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 | Position | Non-Disclosure |
Agreement Submitted (mm/dd/yyyy) Security Awareness Training Completed
| (mm/dd/yyyy) | Tier 1, 2, 3, 4, or 5 | Tier 1; Tier 2S; Tier 2SR; Tier 3; Tier 3R; Tier 4; Tier 4R; Tier 5; Tier 5R | Estimated Cost | SF85, SF85P, or SF86 | 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 |
&Z&F
File details come from the government source that posted it. Updated .