NDA Reclamation Form 7-2577 (1)_1.pdf

7-2577 (2-07) Bureau of Reclamation

FEDERAL NON-DISCLOSURE AGREEMENT

PLEASE PRINT

_________________________________ agrees to hold information characterized as “For Official Use Only” as defined in the Bureau of Reclamation’s (Reclamation) Directive SLE 02-01, in trust and confidence and agrees that it shall be used only for the contemplated purposes, shall not be used for any other purpose, or disclosed to any third party.

Describe Information/Document (Date/Version): _____________________________________________________

This information may be protected from disclosure under the Federal Freedom of Information Act and/or state open records acts or state freedom of information acts. No copies will be made of any written information without the permission of Reclamation.

Recipient agrees to safeguard the information against disclosure to others. Recipient agrees that all protected information shall remain the property of Reclamation.

Protected information shall not be disclosed to any employee, consultant, or third party unless they execute and are bound by the terms of this Agreement, and have been approved by Reclamation.

The obligations of this Agreement shall continue until Reclamation has determined the protected information disclosed to Recipient no longer requires protection or upon a written mutual agreement between the parties.

NON-DISCLOSURE AGREEMENT

Acknowledgement

Typed/Printed Name: Government/Department/Agency/Business Address: Telephone Number:

I make this Agreement in good faith, without mental reservation or purpose of evasion.

Signature:

Date:

WITNESS:

Typed Printed Name:

Government/Department/Agency/Business Address: Telephone Number:

Signature:

Date:

This form is not subject to the requirements of P.L. 104-13, “Paperwork Reduction Act of 1995” 44 USC, Chapter 35.