Attachment No. 21 Suitability Roster.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
NIMH PSYCHOACTIVE DRUG SCREENING PROGRAM (PDSP) Federal contract opportunity
Solicitation number
NIH-NIMH-75N95023R00003
Issued by
Department of Health and Human Services National Institutes of Health National Institute on Drug Abuse

About this file

This document contains a roster of employees requiring suitability investigations for a federal contract. The National Institute of Mental Health is soliciting proposals for contract number NIH-NIMH-75N95023R00003 to provide services for the NIMH Psychoactive Drug Screening Program. The contractor must submit a roster listing employees requiring background investigations at the Tier 1 through 5 levels. The roster includes employee details such as name, email, position, and status of non-disclosure and security awareness training completion. It also requires the estimated costs of background investigation questionaires and documentation of questionaire and credit release submissions. The contract is a cost reimbursement agreement with a one year base period and four one year options to be awarded on or about August 6, 2023.

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Other files for this federal contract opportunity

Other files attached to NIMH PSYCHOACTIVE DRUG SCREENING PROGRAM (PDSP), newest first.
File Type Posted
Attachment 26 Commitment to Protect Non-Public Information Contractor Agreement.pdf PDF
Attachment No. 27 Monthly Summary of Sales.pdf PDF
Attachment No. 25 Public Health Surveillance Exclusion Request.pdf PDF
Attachment No. 24 PHS Human Subjects And Clinical Trials Info_3_0-V3.0.pdf PDF
75N95023R00003 RFP A00002 2.21.23.pdf PDF
75N95023R00003 A00002 SF30 2.21.23.pdf PDF
Attachment No. 23 Q+A.pdf PDF
75N95023R00003 A00001 SF30..pdf PDF
Attachment No. 20 NIH(RC)1.pdf PDF
Attachment No. 16 Financial Questionnaire.pdf PDF
Attachment No. 7 Additional Technical Proposal Instructions.pdf PDF
Attachment No. 9 Summary of Related Activities.pdf PDF
Attachment No. 18 2015-4281 Wage Determination.pdf PDF
Attachment No. 22 Employee Separation Checklist.pdf PDF
Attachment No. 12 Proposal Summary and Data Record, NIH NIH2043.pdf PDF
Attachment No. 3 PDSP SOW 05032022.pdf PDF
NIH-NIMH-75N95023R00003 RFP.pdf PDF
Attachment No. 8 Tech-Prop-Cost-Summary.pdf PDF
Attachment No. 1 Packaging and Delivery of Proposals for Use with the NIH eCPS website.pdf PDF
Attachment No. 5 REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS.pdf PDF
Attachment No. 4 GOVERNMENT FURNISHED PROPERTY.pdf PDF
Attachment No. 2 Proposal Intent Response Sheet.pdf PDF
Attachment No. 17 Offeror Points of Contact.pdf PDF
Attachment No. 19 Disclosure of Lobbying 0346 0446.pdf PDF
Attachment No. 13 VPAT2.4RevEU(March2022).pdf PDF
Attachment No. 14 Subcontracting Plan revised 2017.pdf PDF
Attachment No. 15 Breakdown of Proposed Estimated Cost.xlsx XLSX spreadsheet
Attachment No. 11 VAS contracts.pdf PDF
Attachment No. 6 CONTRACTOR NON-DISCLOSURE AGREEMENT.pdf PDF
Attachment No. 10 Section J Protection of Human Subjects Form-0990-0263 2-22.pdf PDF
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Text version

Suitability Roster

ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS
Attachment No. 21 Suitability Roster
CAN:Contractor:
RFP/Contract #:NIH-NIMH-75N95023R00003Contractor Contact:
Contract Title:NIMH PSYCHOACTIVE DRUG SCREENING PROGRAM (PDSP)Contractor E-mail:
Project Officer:
Contract Specialist:Michael Horn
TO BE FILLED OUT BY
PROJECT OFFICER and ISSO:TO BE FILLED OUT BY CONTRACTOR:
TO BE FILLED IN BY CONTRACTOR:

PROJECT OFFICER and ISSO:

Suitability LevelInvestigation TypeQuestionaire RequiredExisting Clearance or Application
Last NameFirst Namee-mailPositionNon-Disclosure

Agreement Submitted (mm/dd/yyyy) Security Awareness Training Completed

(mm/dd/yyyy)Tier 1, 2, 3, 4, or 5Tier 1; Tier 2S; Tier 2SR; Tier 3; Tier 3R; Tier 4; Tier 4R; Tier 5; Tier 5REstimated CostSF85, SF85P, or SF86Questionaire Submitted
(mm/dd/yyyy)HHS Credit Release Submitted
(mm/dd/yyyy)OF 306 Submitted
(mm/dd/yyyy)Fingerprinting Completed
(mm/dd/yyyy)AgencyClearance LevelDateComment

&Z&F

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