NSWC PCD REQUEST FOR ACCESS TO LIMITED DISTRIBUTION MATERIALS_CUI.PDF.pdf
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- Solicitation number
- N6133126SNQ31
About this file
This is a Request for Access to Limited Distribution Materials form from the Naval Surface Warfare Center, Philadelphia Division (NSWCPCD). The form is used to assess organizational eligibility to receive restricted government materials through a structured evaluation process.
Applicants must complete five sections: Organization Name (including CAGE Code and main point of contact), Current Affiliations (DoW, U.S. Government, state, local government, or contractor status), Details regarding checked affiliations, Additional Considerations, and Intended Use for the requested documents. The form employs a decision flowchart to determine eligibility based on three conditions: (1) the requestor meets the limited dissemination criteria stated in the material's distribution statement; (2a) the requestor is a government entity whose use serves U.S. interest, including DHS component technical assistance with restricted DoW materials; or (2b) the requestor is a U.S. company that could generate government benefits through assumed distribution risk, demonstrating Buy American Act and Berry Amendment compliance. Completed forms must be submitted to NSWCPCD_INDUSEC@us.navy.mil. The Government reserves the right to deny requests and conducts reviews using information from the application, open sources, and access-restricted databases. All distribution exceptions carry inherent risk to sailors, the U.S. Government, or government interests, and the Government is under no obligation to approve exceptions.
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Text version
REQUEST FOR ACCESS TO
LIMITED DISTRIBUTION MATERIALS
Please fill out all requested information completely and accurately (refer to the tooltip text in each field for guidance). Unless otherwise directed, send all completed forms to NSWCPCD_INDUSEC@us.navy.mil for review. The Government will use the information provided to assess eligibility for receipt of limited distribution materials using the flow chart shown here:
1. Organization Name: What is your organization's name, CAGE Code, and main point of contact?
2. Affiliation: Please check all the following current affiliations that apply:
REQUEST FOR ACCESS TO LIMITED DISTRIBUTION MATERIALS
3. Details: If you checked any boxes in question 2, please provide details here.
CUI
CUI
DoW Organization U.S. Government Organization U.S. State Government U.S. Local Government (County, City, Town)
Under Contract with DoW Under Contract with U.S. Government Under Contract with U.S. State Government Under Contract with U.S. Local Government No Current Affiliation
Signature: I, the below undersigned, attest to the truthfulness of the responses in the survey. I understand that the Government is under no obligation to share the requested documents with me and that if I failed to provide complete, verifiable information such an oversight may be grounds for denial of my request.
Point of Contact Email:
Point of Contact Phone:
5. Intended Use: What is your intended use for the requested documents?
4. Additional Considerations: Please list any other information that you wish the Government to consider as part of your request here.
The Government uses all available information to make its determinations, including information from this request and information retrieved from open sources and Government access restricted databases.
All distribution exceptions incur risk to the Sailor, the U.S. Government, or U.S. Government interests.
Because of this, the Government is not obligated to grant any such exceptions.
CUI
CUI
REQUEST FOR ACCESS TO LIMITED DISTRIBUTION MATERIALS
1606700730.CIV
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| Text5: Condition 1: The information requester qualifies by meeting the limited dissemination criteria stated in the distribution statement of the requested material. |
| Text6: Condition 2a: The information requester is a Government entity (local, state, or federal) whose use of the information could serve the interest of the U.S. Sailor and provide benefits that outweigh the risks of information dissemination (e.g., a DHS component seeking technical assistance with a PPE procurement requests materials marked as restricted to DoW only.) |
| Text7: Condition 2b: The information requester is a U.S. company whose use of the information could result in potential gains to the Government from additional industry competition or innovation achievable only through the assumption of risk associated with the distribution exception (e.g., demonstrated ability to manufacture, in the United States, Buy American Act and Berry Amendment compliant end items similar to that desired as evidenced by production for the commercial sector or under contract with a U.S. Government entity (federal, state, or local). |
| Text8: |
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| Text13: |
| Text14: |
| Under Contract with US Govt: Off |
| Under Contract with DoW: Off |
| US Local Govt (country, city,town): Off |
| US State Govt: Off |
| US Govt Org: Off |
| DoW Org: Off |
| No current affiliation: Off |
| Under Contract with US local Govt: Off |
| Under Contract with US State Govt: Off |
File details come from the government source that posted it. Updated .