Dd Form 254 - Sensitive But Unclassified (Page 2 of 2) in pdf

SENSITIVE BUT UNCLASSIFIED

12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the industrial

Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public release shall be submitted for approval prior to release

Direct

Through (Specify):

“NASA LANGLEY RESEARCH CENTER, M/S 12, HAMPTON, VA 23691”

ATTN: Ms. Octavia L. Hicks, Contracting Officer, 757-864-8510

To the Office of Public Affairs, National Aeronautics and Space Administration, Washington, DC 20546, for review.

*In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency.

13. SECURITY GUIDANCE. The security classification guidance needed for this effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a

need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes: to challenge the guidance or classification assigned to any information or material furnished

or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at

the highest level of classification assigned or recommended. (Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any document/guides/extracts referenced herein.

Add additional pages as needed to provide complete guidance.)

Classified work on this contract will only be performed at Facilities that have been properly approved by the LaRC Program Security Officer (PSO).

Security classification guidance will be provided by the responsible NASA official issuing the classified task associated with this contract. Items 11(J)

will be considered; however, no monies will be spent without prior approval from the Contracting Officer and the Program Security Officer (PSO).

Individuals supporting this contract must be eligible for a Secret security clearance. The investigation being used to grant this clearance must be within

five years of the request. Items 10.f. Access to SAR information will be granted on a case by case basis. The PSO will review and approve all requests

for access prior to any actions being taken under this contract.

Item 10(j) FOUO information provided under this contract shall be safeguarded as specified as described in DoDM 5200.01-V4, “Controlled

Unclassified Information” Enclosure 3, (Dated) February 24, 2012. Item 10(k) Sensitive But Unclassified information provided under this contract shall

be safeguarded as specified as described in NASA Interim Directive (NPR-1600.1) NM 1600-55 “Sensitive But Unclassified (SBU) Controlled

Information.

The contractor Facility Security Officer (FSO)/Contractor Program Security Officer (CPSO) shall certify the security clearance status of all employees

supporting this contract via standard approved systems and provide the LaRC PSO with a visit request submitted annually or as required by PSO and/or

Center Personnel Security Office. Visit Request content will be as defined in DoD 5220.22 (NISPOM) Section 6-104 to include city of birth, level of

clearance, date of issue, investigation type, and date completed.

The prime contractor shall provide copies of any DD Form 254’s issued to sub-contractors, relevant to the performance of classified tasks associated with

this contract to the PSO for review and approval prior to issuing.

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. (If Yes, identify the pertinent

Yes

contractual clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements

to the cognizant security office. Use Item 13 if additional space is needed.)

Pursuant to Executive Order (E.O.) 13526 as amended and incorporated into NASA directives, additional security requirements for all task covered by

item 10(f) are identified in the NASA Special Access Program Guide Dated 16 Sep 08 as well as the Joint Air Force, Army, and Navy regulations

(JAFAN) 6/3, 6/4, and 6/9.

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, explain and identify specific areas or

Yes

elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.

Elements of this contract are carved out and outside of the inspection responsibility of the Defense Security Service (DSS). NASA Program Security

Office assumes security cognizance and review authority for all SAP activities and areas. Carve Out status can be verified by contacting the NASA PSO

listed below.

16. CERTIFICATION AND SIGNATURE. Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or

generated under this classified effort All questions shall be referred to the official named below.

a. TYPED NAME OF CERTIFYING OFFICIAL

b. TITLE

c. TELEPHONE (Include Area Code)

Program Security Officer

Thomas A. Stroud

757-864-6507

d. ADDRESS (Include ZIP Code)

17. REQUIRED DISTRIBUTION

NASA Langley Research Center

a. CONTRACTOR

M/S 207, ATTN: Program/Special Security Officer