Thermal Burn Special Instructions Attachment 1- FOREIGN VISITOR INFORMATION SHEET.docx

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Attached to
BARDA-CBRN-BAA-11-100-SOL-00009 Federal contract opportunity
Solicitation number
BARDA-CBRN-BAA-11-100-SOL-00009
Issued by
Department of Health and Human Services Immediate Office of the Secretary

About this file

The Hosting Official/Organization must request approval for foreign visitation from PSC in advance of a proposed visit. This includes visits to any component regional or field office where a foreign nationals access to the facility or space is reviewed and authorized by the PSC Security Office. This form must be completed by all foreign nationals wishing to attend the pre-proposal conference. Please complete sign and submit the form no later than 12 business days prior to the February 23 2012 .

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Attachment 1- BAA Special Instructions for Thermal Burn Definitive Care Products Broad Agency Announcement Number: BARDA-CBRN-BAA-11-100-SOL-00009 Amendment Number: 03

FOREIGN VISITOR INFORMATION SHEET

The Hosting Official/Organization must request approval for foreign visitation from PSC (Kristen.Hillebrecht@psc.hhs.gov) and OSSI (OSSI-FV@hhs.gov), at least ten (10) business days in advance of a proposed visit. This includes visits to any component, regional or field office, where a foreign national’s access to the facility or space is reviewed and authorized by the PSC Security Office. A copy of the signed visit request along with ALL of the following information must be received by PSC no later than twelve (12) business days prior to the visit:

FOREIGN VISITOR INFORMATION

VISITOR FULL NAME

GENDER

COUNTRY OF ORIGIN AND CITIZENSHIP

PLACE OF BIRTH

DATE OF BIRTH

PASSPORT NUMBER

PASSPORT ISSUE DATE

PASSPORT EXPIRATION

COUNTY THAT ISSUED PASSPORT

DIPLOMATIC IMMUNITY

YES or NO

HOSTING OFFICIAL INFORMATON

DATE AND TIME OF VISIT
Thursday, February 23 2012
PURPOSE OF VISIT
Pre-proposal Conference

BUILDING AND ROOMS BEING VISITED

HOSTING OFFICIAL’S NAME

HOSTING OFFICIAL’S AGENCY

HOSTING OFFICIAL’S PHONE NUMBER

HOSTING OFFICIAL’S BUILDING AND ROOM NUMBER

NAME AND PHONE NUMBER OF ESCORT

Please contact Yolanda Dowe at yolanda.dowe@hhs.gov or 202-384-5095.

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