Attachment_16-RosterofEmployeesRequiringSuitabilityInvestigation.xlsx

XLSX spreadsheet 22 KB Posted Sep 25, 2015

Attached to: Administrative and Technology Support Services for the NIH Peer Review Program
Solicitation number: HHS-NIH-NHLBI-SBSS-RG-16-002
Issued by: Department of Health and Human Services National Institutes of Health

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ATTACHMENT 16-ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATION

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Suitability Roster

ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS

	CAN:			Contractor:
	RFP/Contract #:			Contractor Contact:
	Contract Title:			Contractor E-mail:
	Project Officer:
	Contract Specialist:
			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 Level	Investigation Type	Questionaire Required	Existing Clearance or Application
Last Name	First Name	e-mail	Position	Non-Disclosure

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

(mm/dd/yyyy)	1, 5, 6	NACI, NACIC, MBI, LBI, BI	Estimated Cost	SF85 or SF85P	Questionaire Submitted
(mm/dd/yyyy)	HHS Credit Release Submitted
(mm/dd/yyyy)	OF 306 Submitted
(mm/dd/yyyy)	Fingerprinting Completed
(mm/dd/yyyy)	Agency	Clearance Level	Date	Comment

&Z&F

Sheet2

Sheet3

File details come from the government source that posted it. Updated Nov 14, 2017.