Attachment C - Non-Disclosure Agreement.pdf
PDF 31 KB Posted
- Attached to
- RFQ_75F40126Q00006_FDA OCI Nationwide Evidence Storage, Transportation, Disposal Management Services
- Solicitation number
- RFQ_75F40126Q00006_OCI_Nationwide_Evidence_Storage_Transportation_Disposal_Management_Services
About this file
This is a template for FDA Form 3398, a "Commitment to Protect Non-Public Information Employee Agreement" required under solicitation number 75F40126O00006. The form establishes a legally binding agreement between the Food and Drug Administration (FDA) and employees of contractors who require access to non-public information from FDA files in performance of their official duties under a federal contract.
The agreement obligates signatories to protect confidential information in accordance with 21 U.S.C. § 331(j), 21 U.S.C. § 360j(c), 18 U.S.C. § 1905, and other applicable laws and regulations governing confidentiality of non-public information. Signatories acknowledge understanding these statutory provisions and accept that they are subject to criminal penalties for any violations. The form requires completion of contract number, employer name, execution date, employee signature with printed name, witness signature with printed name and date, and a description of the specific non-public information being released. This is a standard compliance document used to ensure contractor personnel handling sensitive FDA information maintain appropriate confidentiality protections throughout the contract period.
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Other files
| File | Type | Posted |
|---|---|---|
| RFQ 75F40126Q00006 Q and A.docx | DOCX document | |
| Attachment D - SB Subcontracting Plan.docx | DOCX document | |
| Attachment E - WD 2015-4269_Rev31_3Dec25.pdf | ||
| Attachment A - Sample TD Forms.pdf | ||
| Solicitation_75F40126Q00006.pdf | ||
| Attachment B - Pricing Worksheet.xlsx | XLSX spreadsheet |
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Text version
Solicitation Number: 75F40126O00006 Attachment C - Form 3398
DEPARTMENT OF HEAL TH AND HUMAN SERVICES
FOOD AND DRUG ADMINISTRATION
COMMITMENT TO PROTECT NON-PUBLIC INFORMATION
EMPLOYEE AGREEMENT
Whereas access to non-public information from the fi les 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. 3310), 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. 3310), 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) PSCGmphics(301)443-1090 EF
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