Attachment19.pdf

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Attached to
Clinical Trials Monitoring Service
Solicitation number
N02-CM-01008-03
Issued by

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Roster of Employees Requiring Suitability Investigations

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RFP N02-CM-01008-03.pdf PDF
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Text version

CAN: Contractor:

RFP/Contract #: Contractor Contact:

Contract Title: Contractor E-mail:

PO:

CO:

Suitability Designation

Questionair e Required

Last Name First Name e-mail Position Data Access NDA Submitted

Sec Awareness

Training Completed 1C, 5C, 6C

NACI,

NACIC, MBI,

LBI, BI

Estimated

Cost SF85 or SF85P Agency

Clearance Level Date Comment

TO BE FILLED OUT BY CONTRACTOR:

Questionaire Submittted

HHS Credit Release

Submittted

OF 306

Submittted Fingerprinting

Completed

Existing Clearance or Application

ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS

TO BE FILLED IN BY CONTRACTOR:

Background Investigation

TO BE FILLED OUT BY NCI PROJECT OFFICER

and ISSO:

Page 1 H:\CTMS 2010\RFP\Attachments\Suitability-roster.xls

Attachment 19: Roster of Employees Requiring Suitability Investigations

Sheet1

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