Attachment_21_Suitability_Investigation_Employee_Roster.xlsx
XLSX spreadsheet 22 KB Posted
- Attached to
- Clinical Support Services for NINDS, Stroke Branch Federal contract opportunity
- Solicitation number
- 75N95024R00106
About this file
This document is an Attachment titled "Suitability Investigation Employee Roster" related to a federal contract opportunity for "Clinical Support Services for NINDS, Stroke Branch". The Roster is to be filled out by the contractor to provide details on employees requiring suitability investigations, including their name, position, security requirements, and status of required forms and training. The related federal contract opportunity is a Solicitation issued by the Department of Health and Human Services, National Institutes of Health, National Institute on Drug Abuse, with a Solicitation Number of 75N95024R00106. The contract is for providing clinical support services to the NINDS Stroke Branch research efforts. No other details about the contract requirements, response dates, pricing, or set-asides are provided in this document.
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Text version
Suitability Roster
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 | 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 .