Signing this Agreement does not bar disclosures to Congress or to an authorized official of an executive agency or the Department of Justice essential to reporting a substantial violation of law.
Signer: an individual official, employee, consultant, or subcontractor of or to the Authorized Entity.
Categories: Protected Critical Infrastructure Information (PCII), Sensitive Security Information (SSI) and Other Sensitive but Unclassified (SBU).
Initials: the signer places his or her initials in front of the applicable category or categories of information.
Violation: a violation of the terms and conditions of this Agreement may result in the cancellation of conditional access to the information covered by this Agreement.
| Question | Answer |
|---|---|
| Form Name | DHS Form 11000-6 |
| Form Length | 3 pages |
| Fillable? | Yes |
| Fillable fields | 18 |
| Avg. time to fill out | 3 min |
| Edition | Rev 10/18 |
| Issuing agency | Department of Homeland Security |
| Matches the agency's file | Yes, checked October 3, 2026 |
| Other names | DHS 11000-6, DHS Form 11000-6, 11000-6, DHS NDA, Non-Disclosure Agreement |
| Official source | DHS Form 11000-6 (Rev 10/18), Department of Homeland Security |
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