C4_FDA_Form 3398_ Non Public Agreement.pdf

This is a Commitment to Protect Non-Public Information Employee Agreement form from the Food and Drug Administration (FDA), Department of Health and Human Services.

The form requires an employee to acknowledge receipt of non-public information from FDA files in connection with a federal contract and to commit to protecting that information in accordance with applicable laws and regulations, specifically 21 U.S.C. 331(j), 21 U.S.C. 360(c), and 18 U.S.C. 1905. The employee must agree not to further release, publish, or disclose such information and confirm understanding of the legal provisions governing confidentiality of non-public information, including criminal penalties for violations. The agreement requires signature and date from the employee, printed name, and witness signature with date and printed name. The form includes a section for describing the specific information being released. This is a template document (Form FDA 3398, revised 10/10) that does not address specific products, services, response dates, or contract details.