Solicitation Appendix 4 - AFRL_Privacy_Act_Covered_Individuals.pdf
PDF 107 KB Posted
- Attached to
- Air Delivered Effects Broad Area Announcement Federal contract opportunity
- Solicitation number
- FA8651-22-S-0001
About this file
This document is a Privacy Act Statement from the Air Force Research Laboratory (AFRL) that outlines the legal authorities, purposes, and consent requirements for collecting information related to federal grants, cooperative agreements, contracts, and other research-related agreements. The statement details numerous legal authorities including various Public Laws, Executive Orders, and national security memoranda that govern the collection and use of information.
The primary purpose of the document is to inform covered individuals about how their information may be used, which includes processing and investigating records for federal research and development awards. The statement emphasizes that while providing information is voluntary, non-compliance could result in application rejection. The form requires signatures from a covered individual and an institution's authorized representative, with spaces to document the proposal title, individual details, and institutional information. The document also specifies routine uses of collected information, such as sharing with contractors, grantees, and law enforcement agencies when necessary to accomplish agency functions or investigate potential legal violations.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| BAA FA865122S0001 - Revision 7.pdf | ||
| Solicitation Appendix 1 - SF424_Amend 6_Mar2025.pdf | ||
| Solicitation Appendix 3 - Research_RelatedSenior_KeyPersonWS.pdf | ||
| Solicitation Appendix 2 - Security Program Questionnaire_Amd 6.docx | DOCX document | |
| BAA_FA8651-22-S-0001_Amendment 6 _March2025.pdf | ||
| BAA_FA8651-22-S-0001_Amendment 5_July2024.pdf | ||
| Section K_FA8651_22_S-0001 March 2024.pdf | ||
| BAA_FA8651-22-S-0001 March 2024 Amendment 4 Final.pdf | ||
| Section K.pdf | ||
| BAA_FA8651-22-S-0001 March 2024 Amendment 4 Final.docx | DOCX document | |
| BAA_FA8651-22-S-0001 12 Oct 23 Amendment 3.pdf | ||
| BAA_FA8651-22-S-0001 30 Mar 23 Amendment 2.pdf | ||
| SECURITY PROGRAM QUESTIONNAIRE.pdf | ||
| SF 424.pdf | ||
| BAA_FA8651-22-S-0001 15 Mar 23 Amendment 1.pdf | ||
| Final BAA_FA8651-22-S-0001 22 March 2022.pdf | ||
| Atch 1_Section K 22 March 2022.pdf |
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Text version
Privacy Act Statement Air Force Research Laboratory
Authority: Government Paperwork Elimination Act (Pub. L. 105-277, 44 U.S.C. 3504); Executive Order 12372, Intergovernmental review of Federal Programs (47 FR 30959); 42 U.S. Code § 6605 – Disclosure of funding sources in applications for Federal research and development awards; Public Law 117-167, CHIPS and Science Act; Public Law 116-92, National Defense Authorization Act for Fiscal Year 2020;
Public Law 116-283, National Defense Authorization Act for Fiscal Year 2021; 5 U.S.C. 9101, Access to Criminal History for National Security and Other Purposes 5 CFR §1320.8, Agency collection of information Responsibility; 18 U.S.C. § 1001, False Statements, Concealment; E.O. 13478, Amendments to Executive Order 9397 Related to Federal Use of social Security Numbers; NSPM-33, National Security Presidential Memorandum 33 on National Security for United States Research and Development; DoD-D 5240.01, DoD Intelligence Activities; DoDI 5200.02, Department of Defense Personnel Security Program; DODI 5205.87 Mitigating Risks Related to Foreign Ownership, Control, or Influence for Covered DOD Contractors and Subcontractors; Air Force Research Laboratory Instruction 61-113, Science and Technology Protection for the Air Force Research Laboratory;
Purpose: The information collected may be used in processing, investigating, and maintaining records relevant to Federal Grants, Cooperative Agreements, Contracts, Other Transaction Agreements or other research related agreements awarded by the Department of the Air Force. Records in these systems will be used to ensure Department of the Air Force sponsored and/or awarded federal grants, cooperative agreements, contracts, Other Transaction Agreements and/or benefits are awarded to responsible parties, entities, and individuals.
Routine Uses: To contractors, grantees, experts, consultants, students, and others performing or working on a contract, grant, cooperative agreement, other transaction or other assignment for the Federal Government when necessary to accomplish an agency function.
To the appropriate Federal, State, local, territorial, tribal, foreign, or international law enforcement authority or other appropriate entity where a record, either alone or in conjunction with other information, indicates a violation or potential violation of law, whether criminal, civil, or regulatory in nature.
DoD Blanket Routine Use (http://dpcld.defense.gov/privacy)
Effect of not providing information: Providing information to the Department of the Air Force is voluntary. However, 42 U.S. Code § 6605, which imposes certain disclosure requirements in connection with Federal research and development awards, provides various enforcement mechanisms for non-compliance to include civil or criminal remedies. One such mechanism, which the Department of the Air Force intends to pursue here, is rejection of such applications.
Proposal Title: ____________________________
Acknowledgment of consent:
Covered individual (Signature): ______________________________ Date: ___________
Covered individual (Name print): ______________________________
Institution’s Authorized Representative (Signature): _______________________ Date: ___________
Institution’s Authorized Representative (Name print): ______________________________
Institution Name: _______________________________ http://dpcld.defense.gov/privacy
| Proposal Title: |
| Covered individual Name print: |
| Institutions Authorized Representative Name print: |
| Institution Name: |
| Date: |
| Date2: |
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