SCI_ATTESTATION.pdf
PDF 291 KB Posted
- Attached to
- Enterprise Architecture (EACOE) Quick Start Federal contract opportunity
- Solicitation number
- HB0001-18-R-0003
- Issued by
- Department of Defense Cyber Command
About this file
SCI_ATTESTATION
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Text version
(U) UNCLASSIFIED//FOR OFFICIAL USE ONLY
PRIVACY ACT STATEMENT: The information contained herein will be used to precisely identify individuals in connection with requirements for Sensitive Compartmented Information access. Failure to provide requested information may result in delaying the processing of your certification.
(U) UNCLASSIFIED//FOR OFFICIAL USE ONLY
MEMORANDUM FOR SSO USSTRATCOM
FROM: USCYBERCOM/J-1 SECURITY
SUBJECT: SCI ATTESTATION
1. All personnel granted access to Sensitive Compartmented Information (SCI) are legally bound to protect and safeguard the information under the guidelines set forth by the
Nondisclosure Agreement (NDA). (Reference: DoD 5105.21-M-1, “SCI Security Manual, Administrative Security.”)
2. SCI Attestation:
“INTENDING TO BE LEGALLY BOUND, I HEREBY ACCEPT THE OBLIGA-
TIONS CONTAINED IN THE SENSITIVE COMPARTMENTED INFORMATION
NONDISCLOSURE STATEMENT IN CONSIDERATION OF MY BEING GRANTED
ACCESS TO INFORMATION OR MATERIAL PROTECTED WITHIN SPECIAL ACCESS
PROGRAMS, HEREIN AFTER REFERRED TO IN THE AGREEMENT AS SENSITIVE
COMPARTMENTED INFORMATION (SCI). I HAVE BEEN ADVISED THAT SCI
INVOLVES OR DERIVES FROM INTELLIGENCE SOURCES OR METHODS AND IS
CLASSIFIED OR IN THE PROCESS OF A CLASSIFICATION DETERMINATION UNDER
THE STANDARDS OF EXECUTIVE ORDER 12356 OR OTHER EXECUTIVE ORDER OR
STATUTE. I UNDERSTAND AND ACCEPT THAT BY BEING GRANTED ACCESS TO
SCI, SPECIAL CONFIDENCE AND TRUST SHALL BE PLACED IN ME BY THE UNITED
STATES GOVERNMENT.”
Last Name, First, Middle Grade/Rank Social Security Number
Signature: ____________________________________ Date: ___________
Presiding Official Signature Date
DEPARTMENT OF DEFENSE
UNITED STATES STRATEGIC COMMAND
UNITED STATES CYBER COMMAND
9800 SAVAGE RD, SUITE 6477
FORT GEORGE G. MEADE, MARYLAND 20755-6477
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