Summary: Department of Homeland Security Non-Disclosure Agreement

This is a Department of Homeland Security (DHS) Non-Disclosure Agreement (NDA) form (DHS Form 11000-6) that establishes the terms and conditions for individuals with conditional access to sensitive government information. The agreement applies to DHS employees, consultants, subcontractors, and contractors who require access to Protected Critical Infrastructure Information (PCII), Sensitive Security Information (SSI), and Other Sensitive But Unclassified (SBU) information.

The signatory acknowledges familiarity with and compliance with all protection standards and safeguarding requirements applicable to each classified information category. Key obligations include: not disclosing or releasing information without proper authority; returning all materials upon engagement completion or work termination; preventing unauthorized access through appropriate handling and storage; maintaining all protective markings on sensitive documents; promptly reporting any security violations; and understanding that violations may result in cancellation of access and administrative, disciplinary, civil, or criminal action. The agreement permits disclosures to Congress, the Special Counsel, Inspector General offices, and authorized executive agency officials related to legal violations, waste, abuse of authority, or public safety threats. The form requires the signatory's full name, authorized entity affiliation, government/department/agency/business address, contact information, signature, and date. Upon execution, the individual certifies understanding of security induction procedures and that all referenced laws, regulations, and directives have been made available for review.