ATTACHMENT F - COMMITMENT TO PROTECT NPI FORM 3398.pdf pmo.pdf

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Attached to
IDIQ SENTINEL SYSTEM 3. 0: PROGRAM MANAGEMENT ORGANIZATION (PMO) Federal contract opportunity
Solicitation number
RFP75F40124R00181
Issued by
Department of Health and Human Services Food and Drug Administration

About this file

This document is a Commitment to Protect Non-Public Information Employee Agreement. It states that the employee agrees to not release, publish, or disclose non-public information from the files of the Food and Drug Administration (FDA) that they have access to under Contract Number between the FDA and their employer. The employee agrees to protect this information in accordance with relevant laws and regulations, and understands they are subject to criminal penalties for any violations.

The related federal contract opportunity is for the Sentinel Program Management Organization (PMO) contract under Solicitation Number RFP75F40124R00181. This is part of the FDA's Sentinel System 3.0 launching in fiscal year 2025, which includes the Sentinel Coordinating Center, Sentinel Data Hub, and interagency agreements with federal partners. The PMO contract will provide program/project management and business informatics support services for the Sentinel System.

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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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