Attachment 4 - Form FDA 3398.pdf

This document contains a template employee agreement and commitment to protect non-public information form for contractors working with the Food and Drug Administration under contract number. The form requires the contractor employee's signature agreeing not to disclose non-public FDA information accessed in their official duties, as governed by various laws protecting confidential information including 21 U.S.C 331(j), 21 U.S.C. 360j(c), and 18 U.S.C. 1905. The employee also acknowledges understanding criminal penalties for violations. Spaces are provided for the employee and witness names and signatures, as well as description of released information and date fields.

The related federal contract opportunity is a solicitation for the Building 62 Renovation project with the Department of Health and Human Services Food and Drug Administration Office of Acquisition and Grant Services. The solicitation documents are attached and Section L-11 provides site visit information.