Attachment 29 - Roster of Employees Requiring Suitability.pdf

CAN: Contractor:

RFP/Contract #: Contractor Contact:

Contract Title: Contractor E-mail:

PO:

CO:

Suitability Designation

Questionaire 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

TO BE FILLED IN BY CONTRACTOR:

Background Investigation

TO BE FILLED OUT BY NCI PROJECT OFFICER

and ISSO:

ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS

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