Attachment B - Contractor NDA.pdf

This is an Information Technology Systems Security Contractor Non-Disclosure Agreement template for use with the Department of Health and Human Services (HHS), specifically the Health Resources and Services Administration (HRSA). The agreement is a standard form that contractor personnel must sign to acknowledge access to sensitive information required for contract performance.

The agreement establishes that signatories have access to personally identifiable information (PII), non-public information, confidential information, and Controlled Unclassified Information (CUI) from HHS files under a specified contract number. Signatories commit to protecting such information in accordance with relevant laws and regulations and agree not to release, publish, or disclose information to unauthorized personnel. The agreement requires that signatories affirm receipt of written and/or verbal briefing from their employer regarding their responsibilities and acknowledge understanding that violations may result in criminal and civil penalties. The form includes spaces for signature, typed or printed name, date, witness information, and witness date. Completed copies are distributed to the HRSA Contracting Officer Representative, the contractor's contract management office, and retained by the individual signatory.