Dd Form 441 1 PDF Details

In an environment where national security and defense measures are of paramount importance, documents and agreements that govern the handling of sensitive information between government bodies and private contractors play a crucial role. Among these, the DD Form 441-1, an appendage to the Department of Defense Security Agreement, stands out as a significant instrument. At its core, this document ensures that the facilities and branches of a contractor are recognized as being included in and covered by the stipulations laid out in the main security agreement, alongside the Certificate Pertaining to Foreign Interests, Standard Form 328. The form, which carries an expiration date and an approval from the Office of Management and Budget (OMB), underlines the mutual understanding and responsibilities both parties — the United States government through the Defense Security Service and the private contractor — agree upon. By embedding details such as the name, address, and the authorized representatives of both entities, it meticulously formalizes the relationship in the context of national defense and security. Additionally, the form highlights the necessity of efficient data management and the importance of compliance without imposing penalties, should the form lack a valid OMB control number. In essence, the DD Form 441-1 encapsulates a critical component of the security framework, underscoring the interconnectedness of government operations and private sector contributions to national security.

QuestionAnswer
Form NameDd Form 441 1
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdd441 1 continuation page, form 441 1, dd 441 1, dd441

Form Preview Example

APPENDAGE TO DEPARTMENT OF DEFENSE SECURITY AGREEMENT

Form Approved

OMB No. 0704-0194

 

Expires Sep 30, 2007

 

 

The public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0194). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO YOUR RESPECTIVE COGNIZANT SECURITY OFFICE.

It is further agreed, on this

 

 

day of

 

,

 

by and between the United States of America

through the Defense Security

Service, acting for the Department

of Defense, hereinafter called the Government, and

 

 

 

 

 

 

which has entered into the Security Agreement to which this

 

 

 

 

 

 

 

 

 

 

appendix is made a part that the branches and/or facilities listed below, owned and/or operated by said contractor are included in and covered by the provisions of the said Security Agreement, and Certificate Pertaining to Foreign Interests, Standard Form 328.

NAME OF PLANT OR FACILITY

NUMBER AND STREET ADDRESS

CITY AND STATE

 

 

 

 

 

THE UNITED STATES OF AMERICA

 

CONTRACTOR (Typed

Name)

 

 

 

 

BY (Signature of Government Representative)

 

 

 

 

 

 

 

 

 

 

BY (Signature of Authorized Contractor Representative)

 

 

AUTHORIZED REPRESENTATIVE OF THE GOVERNMENT

TITLE (of Authorized Contractor Representative)

(Typed Name of Government Agency)

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

DD FORM 441-1, OCT 2004

PREVIOUS EDITION IS OBSOLETE.

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dd441 1 conclusion process explained (stage 1)

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