TSA Form 2815

DEPARTMENT OF HOMELAND SECURITY

Transportation Security Administration

TERMS AND CONDITIONS FOR ACCESS TO SENSITIVE SECURITY INFORMATION

NON-DISCLOSURE AGREEMENT

INSTRUCTIONS: This Non-Disclosure Agreement (NDA) may be used in lieu of or to supplement DHS Form 11000-6 by those individuals and entities who are granted access to Sensitive Security Information (SSI) where it is determined to be appropriate to document additional restrictions for access to SSI (e.g., 15e, MOU). The recipient’s name, authorized entity, and purpose of disclosure must be completed in advance by the issuing program office. The program office, Contracting Officer Representative (COR), or Contracting Officer, as appropriate, is responsible for maintaining the executed NDA in accordance with agency record disposition schedules.

SECTION I. Terms and Conditions

hereby consent to the terms and conditions of this Non-Disclosure Agreement (hereafter, Agreement) in consideration of being granted conditional access to SSI by TSA.
I understand and agree to the following terms and conditions: 1.

As used in this Agreement, SSI is that information defined in 49 CFR Part 1520 (see attached) but also includes any information not specifically mentioned in Part 1520, but marked as “Sensitive Security Information” or “SSI”. 2. The undersigned is granted conditional access to SSI contingent upon execution of this Agreement for the sole purpose of, . This approval will permit the undersigned to have conditional access to specific SSI records as TSA determines may be necessary for the described purposes. This Agreement does not entitle the undersigned to have access to materials that TSA has determined, in its sole discretion, are inappropriate for disclosure pursuant to this Agreement. This may include sensitive but unclassified information provided to TSA by other agencies of the United States Government where TSA has determined there is no need to know.
3. The undersigned will notify TSA of any request for SSI including, but not limited to, requests made in the context of a public records request, from the media, operational sharing, judicial, or other administrative proceeding. The undersigned will not disclose SSI unless TSA has authorized it in writing and the person or entity has executed an NDA with TSA. 4. The undersigned will safeguard and handle SSI in accordance with the policies and procedures outlined in 49 CFR Part 1520 and the SSI Best Practices Guide for Non-DHS Employees and Contractors. These safeguarding procedures shall