Attachment B_Commitment to Protect Non-Public Information (NPI) Employee Agreement_Form FDA 3398.pdf
PDF 287 KB Posted
- Attached to
- FDA Nationwide Ergonomic Consultative Services
- Solicitation number
- 75F40124Q00466
About this file
This document is a Commitment to Protect Non-Public Information Employee Agreement (Form FDA 3398) that governs the handling of non-public information accessed by employees under a contract between the Food and Drug Administration (FDA) and their employer. The agreement outlines the legal requirements and criminal penalties for unauthorized release, publication, or disclosure of such information. It requires the employee to protect the confidentiality of non-public information in accordance with relevant laws and regulations.
The related federal contract opportunity is a Request for Quotation (RFQ) for Nationwide Ergonomic Consultative Services in support of the FDA's Office of Facilities Engineering and Mission Support, Employee Safety and Occupational Health team. The anticipated contract is a 12-month base period with four 12-month option periods, anticipated to commence on September 30, 2024. The associated North American Industry Classification System (NAICS) code is 541690: Other Scientific and Technical Consulting Services, with a $19 million small business size standard.
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Text version
COMMITMENT TO PROTECT NON-PUBLIC INFORMATION
EMPLOYEE AGREEMENT
Whereas access to non-public information from the files of the Food and Drug Administration (FDA) is required in the performance of my official duties, under Contract Number between FDA and my employer
I, on this day of , 20 hereby agree that I shall not further release, publish or disclose such information and that I shall protect such information in accordance with the provisions of 21 U.S.C. 331(j), 21 U.S.C. 360j(c), 18 U.S.C. 1905 and other pertinent laws and regulations governing the confidentiality of non-public information.
I understand the provisions of 21 U.S.C. 331(j), 21 U.S.C. 360j(c), 18 U.S.C. 1905 and that I am subject to criminal penalties prescribed by law for any violation(s) thereof.
Signature: Date:
Type or Print Name:
Witnessed by: Date:
Type or Print Name:
DESCRIPTION OF INFORMATION RELEASED:
FORM FDA 3398 (10/10)
DEPARTMENT OF HEALTH AND HUMAN SERVICES
FOOD AND DRUG ADMINISTRATION
PSC Graphics (301) 443-1090 EF
COMMITMENT TO PROTECT NON-PUBLIC INFORMATION
EMPLOYEE AGREEMENT
Whereas access to non-public information from the files of the Food and Drug Administration (FDA) is required in the performance of my official duties, under Contract Number between FDA and my employer I, on this day of , 20 hereby agree that I shall not further release, publish or disclose such information and that I shall protect such information in accordance with the provisions of 21 U.S.C. 331(j), 21 U.S.C. 360j(c), 18 U.S.C. 1905 and other pertinent laws and regulations governing the confidentiality of non-public information.
I understand the provisions of 21 U.S.C. 331(j), 21 U.S.C. 360j(c), 18 U.S.C. 1905 and that I am subject to criminal penalties prescribed by law for any violation(s) thereof.
Signature:
Date:
Type or Print Name:
Witnessed by:
Date:
Type or Print Name:
DESCRIPTION OF INFORMATION RELEASED:
FORM FDA 3398 (10/10)
DEPARTMENT OF HEALTH AND HUMAN SERVICES
FOOD AND DRUG ADMINISTRATION
PSC Graphics (301) 443-1090
EF
Department of Health and Human Services Food and Drug Administration Commitment to Protect Non-Public Information Employee Agreement
FDA-3398
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