Attachment 8 DRAFT Department of Defense Contract Security Classification Specification (DD254).pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

DD FORM 254, APR 2018

NEEDS DD67

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

OMB No. 0704-0567 OMB approval expires:

October 31, 2020 The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. ORIGINAL (Complete date in all cases.)

b. REVISED (Supersedes all previous specifications.)

4. IS THIS A FOLLOW-ON CONTRACT?

If yes, complete the following:

Classified material received or generated under

5. IS THIS A FINAL DD FORM 254?

If yes, complete the following:

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

e. NATIONAL INTELLIGENCE INFORMATION:

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: (X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

12. PUBLIC RELEASE

Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address. (See instructions)

13. SECURITY GUIDANCE

The security classification guidance for classified information needed for this effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended.

(Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign. See instructions for additional guidance or use of the fillable PDF.)

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

If Yes, identify the pertinent contractual clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

17. CERTIFICATION AND SIGNATURES

Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below. Upon digitally signing Item 17h, no changes can be made as the form will be locked.

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

9.0.0.2.20120627.2.874785 DD 254, DoD Contract Security Classification Specification List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

IOFCS3 Alexandria 3 Field Office 2331 Mill Road, 4th Floor Alexandria, VA 22314 CSO: Department of Health and Human Services (HHS) Office of National Security (ONS) 200 Independence Avenue, SW, Room 523B Washington, DC 20201

Assistant Secretary for Preparedness & Response (ASPR) 200 C St SW Washington, DC 20024

HHS/ONS (File Copy)

1. Contractor shall abide by the instructions and procedures outlined in the Health & Human Services Security Classification Guide, October 16, 2015. Classification guide pertaining to the security guidance is provided under separate cover. 2. Classified information shall only be disclosed to individuals who have an official need to know for the performance of the contract and who have a security clearance at least equal to or higher than the classification of the information involved. 3. Classified information provided pursuant to this contract shall be marked by recipient with government's equivalent security classification and IAW Information Security Oversight Office (ISOO), Marking Classified National Security Information, dated December 2010, Revision 4, January 2018. 4. Incidents shall be reported promptly and fully in accordance with National Regulations to the relevant ASPR cognizant Program Security Representative (PSR) or STAFF/OP Div Classification Security Officer (CSO) responsible for supporting this contract when it is known or there is a reason to suspect that CLASSIFIED information provided in pursuant of this contract has been lost or disclosed to unauthorized persons The ASPR PSR/CSO will be responsible for reporting all incidents to the Office of National Security (ONS). 5. Former categories of Official Use Only (FOUO) and Sensitive But Classified (SBU) information will be handled as Controlled Unclassified Information (CUI). The contractor shall abide by ISOO policy regarding CUI information and the handling of this type of information. A document explaining this concept is also provided for under separate cover. 6. Any information owned by HHS will not be disclosed to outside Federal Agencies without the consent of HHS. 7. Providing classified information to another contractor or subcontractor is strictly forbidden unless written consent is obtained from the ASPR Director of Security Team of ASPR or with the ONS. 8. The Contractor does not have classified information retention authority. All classified information and CUI material provided or generated under this contract will continue to be protected in the event of termination of the contract in accordance with national regulations. 9. Assigned contract personnel will comply with agency’s security training requirements and Security Executive Directive Agent (SEAD) 3 reporting requirements. Assigned personnel must complete initial and annual refresher training on the basic responsibilities to protect collateral and or SCI information, and complete derivative classification training as required by ONS, and as disseminated by ASPR PSR/CSO. 10. Contract employees will comply with ISOO guidance on marking classified products and will report yearly totals of newly created derivative products to ASPR PSR/CSO for subsequent reporting ONS. 11. Contract personnel will comply with EO 13526 guidance on classifying, safeguarding, and following the government agency's guidance for routing material for declassifying. 12. Contract personnel will comply with EO 12333 on U.S. Intelligence activities and EO 12968 when there is a need for individuals to have access to classified information.

The contract security official is required to notify ONS Personnel Security Division when a contractor’s eligibility for a security clearance has been removed or when company is in receipt of adverse information on personnel assigned to this contract. The contract security official is responsible for initiating contractor’s re-investigation as mandated by national security guidelines. The contract security official is responsible for notifying ONS Personnel Security Division when contractors are no longer assigned with the company and will submit annual visit authorization requests (VARs) of assigned personnel on this contract to ONS Personnel Security Division at: PersonnelSecurity@hhs.gov.

The contractor will remain within strict compliance of the inter-agency agreement between the Department of Defense and the Department of Health and Human Services in abiding by the directives in the National Industrial Security Program Operations Manual (NISPOM).

CONTRACT EXPIRATION DATE: TBD

CONTRACT OFFICE (GCA): TBD

PROGRAM OFFICE (COR): TBD

US Department of Health & Human Services (ORM) 200 C. St SW, Washington, DC 20024 Address: Department of Health and Human Services Office of National Security, Room 523B 200 Independence Avenue SW, Washington, DC 20201