CONTRACTOR EMPLOYEE ADVISORY HANDOUT



CONTRACTOR EMPLOYEE ADVISORY HANDOUT

1. You have been nominated as a candidate for possible assignment to a classified NSA contract that requires authorization for access to Sensitive Compartmented Information (SCI). Processing for access to SCI consists of a background investigation, a National Agency Check, and a security interview with the aid of a polygraph to determine if you meet the standards set forth in the Personnel Security Requirements furnished your company.

2. You will be required to execute an NSA Security Agreement that obligates you regarding matters concerning nondisclosure of sensitive information and prepublication review. By virtue of access to SCI, travel restrictions may be imposed on you for travel to certain countries. There are also certain restrictions on association with foreign nationals.

3. After approval for initial access, your continued eligibility for access to SCI information will be periodically reassessed. This reassessment usually takes place at five-year intervals and includes a reinvestigation. Additionally, you are subject to an aperiodic interview with the aid of a polygraph to be conducted any time after initial clearance. These examinations will be limited to counterintelligence-type questions. Failure to consent to an aperiodic polygraph examination or any aspect of the reinvestigation process will result in administrative debriefing from SCI from which there is no appeal.

4. Where a determination is made that you do not meet the criteria for access to the SCI information, you will not, solely for that reason, be considered ineligible for access to other classified information and assignment to another Government contract. Should you be denied or revoked, the reasons for the denial will be provided to you and you will have an opportunity to appeal.

5. Information that you provide during processing will be protected in accordance with the provisions of the Privacy Act of 1974. The information may be furnished to properly authorized officials of the Department of Defense or of other Federal agencies or other appropriate entities, including any one or more of the contractor applicant’s sponsors, charged with the investigations, evaluations and adjudications related to security determinations or with responsibilities for inspections or litigation. Also, the information, including information on possible or actual violations of criminal laws, may be disseminated as appropriate to Federal, State and Local authorities with law enforcement responsibilities.

6. The security processing for this contract is voluntary. Should you desire to be considered, sign below.

|PRINTED NAME |SOCIAL SECURITY NUMBER |

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|      |      |

|SIGNATURE |DATE |

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Form g6772 rev MAR 04 (Supersedes G6772 REV NOV 93 which is obsolete)

NSN: 7540-FM-001-5450

PRIVACY ACTION OF 1974 NOTICE

In accordance with the Privacy Act of 1974 (Public Law 93-579, 5 U.S.C. & 552A), you are hereby notified that:

1) Authority for collecting information requested on this form is contained in 50 U.S.C. & 402 note; 50 U.S.C. && 831-835; Executive Order 10450, 12356, 12333, 12958, 13292, and 12968; DCID 6/4; NSA/CSS Regulation 122.06; and, DOD 5100.23. NSA’s Blanket Routine Uses found at 58 Fed.Reg. 10,531 (1993) as well as the specific uses enumerated in GNSA01 and GNSA10 apply to this information. Authority for requesting your Social Security Number (SSN) is Executive Order 9397.

2) The requested information you provide will be used to determine your eligibility for continued access to classified information and NSA/CSS facilities.

3) The requested information is to be used by officials of NSA/CSS and other Federal Agencies charged with investigating and evaluating your eligibility for continued access to classified information and NSA/CSS facilities. Information provided by you, including information on possible or actual violations of criminal laws, may be disseminated as appropriate to Federal, state and local authorities with law enforcement responsibilities.

4) Your disclosure of the requested information, except your SSN, is voluntary. Failure to provide the requested information may result in processing delays or the inability of the Agency to reach a final determination with respect to your continued access to classified information and NSA/CSS facilities and other related actions.

5) Your disclosure of your SSN is mandatory. Your SSN will be used to identify you during the investigations and evaluations referred to above. Failure to provide it may delay processing, affect security approvals, and ultimately, affect your ability for continued access to classified information.

Form g6772 rev MAR 04 (Supersedes G6772 REV NOV 93 which is obsolete) Reverse

NSN: 7540-FM-001-5450

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