NEEDIPEDIA WHITE PAPER COVER SHEET UPDATE2 Broad Agency Announcement

For Office Use Only

UNCLASSIFIED//PROPIN

NEEDIPEDIA WHITE PAPER COVERSHEET

NOTE: Please include this coversheet as a separate file when submitting white papers to ensure proper routing.

Proprietary Data:

WP Classification:
WP Title:
Offeror Organization:
Need or CALL Number:
SAM.gov Unique Entity ID

Submission Date:

CAGE Code #:

Technical POC:

Name:
Phone:

Ext:

Title:
Email:

Contract POC:

Name:
Phone:

Ext:

Title:
Email:

Mailing Address:

Street:
State:

Country:

Physical Address:

Street:

(If different from
above)

State:

City:
Country:

Small Business

(Select more than one if
applicable)

Non-Profit

Intelligence Community Center of Academic Excellence (IC CAE) or Minority Servicing Institution (MSI)

8(a) Business Program

Women-Owned Small Business (WOSB)

HUBZone

Service-Disabled Veteran-Owned Small Business (SDVOSB)

Academic Institution/UARC
(University Affiliated Research
Center)

Foreign / Offeror not based in US

National Lab

Zip:
Federally Funded Research & Development Center

(FFRDC)

Large Business

Organization
Descriptors

City:
Zip:

Other:

Are you currently working with DIA?
Yes
No
Have you ever done business previously with the DIA?
Yes
No
If “yes” – note how recently:
Within the last 12 months

1 – 5 years ago

Do you have a facility clearance or an
integration partnership with another
Yes
No
company that has a facility clearance?
Level of facility clearance

TOP SECRET

Additional Routing: Is there a US Government POC interested in this submission or topic? Name:
Title:

USG POC 1

(If Not Applicable, Leave blank)
Phone:
Email:
Name:
Title:

USG POC 2

(If Not Applicable, Leave blank)
Phone:
Email:
List keywords or phrases separated by commas for this submission to aid search and discovery:

Filename of Submitted White Paper:

DIA NeedipeDIA Form 002 Version 8.1 – White Paper Cover Sheet

UNCLASSIFIED//PROPIN

For Office Use Only

Over 5 years ago

SECRET

Yes

No