Attachment L - Form FDA 3398 NDA (Non-Disclosure Agreement) Template.pdf

287 KB Posted

Attached to
FDA Adverse Events Reporting System (FAERS) Data Management Program (DMP) Support Services
Solicitation number
75F40123R00015
Issued by

View the file

Other files

File Type Posted
Attachment I - Responses to Questions .pdf PDF
Solicitation No. 75F40123R00015 Amendment 0002.pdf PDF
Attachment M - Sol_Doc - Amendment 0001 1-18-2023 - Tracked Changes.pdf PDF
Attachment A - IDIQ Pricing Worksheet Rev1.xls XLS spreadsheet
Attachment I - Responses to Questions.pdf PDF
Attachment B - Labor Category Descriptions Rev1.pdf PDF
Solicitation No. 7540123R00015 Amendment 0001.pdf PDF
Attachment K - Sample Letter of Commitment.pdf PDF
Solicitation No. 75F40123R00015.pdf PDF
Attachment I - RFP Question Submittal Form.xlsx XLSX spreadsheet
Attachment C - PWS Appendices.pdf PDF
Attachment J - Past Performance Questionnaire.doc DOC document
Attachment F - HHS Class Deviation 2020-02 - Accelerated Payments.pdf PDF
Attachment B - Labor Category Descriptions.pdf PDF
Attachment G - Wage Determination.pdf PDF
Attachment A - IDIQ Pricing Worksheet.xls XLS spreadsheet
Attachment D - FAR Deviation 18-01 (Attachment D)_Whistleblower Protection (Commercial).pdf PDF
Attachment E - FAR Class Deviation 2020-05 - Implementation of the United States-Mexico-Canada-Agreement (USMCA).pdf PDF
Attachment H - Disclosure of Lobbying Activities.pdf PDF
Show all 19

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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

Text3:
TextField1:
DateTimeField1:

File details come from the government source that posted it. Updated .