What is this clearance document?
A directory of the forms and notices that appear in a security clearance case. Search by form number or by a phrase from the page in front of you. Each entry says what the document is, whether it is something you normally see, and where the description comes from.
Many of these are routine processing notices between agencies rather than decisions about you. For the correspondence in a contested case — the interrogatory, the Statement of Reasons, the hearing notice, the decision and the appeal — see correspondence in a DOHA case, which covers those in more depth.
Stage
Where it applies
Showing 13 of 45 documents.
Access agreements and briefings
What is signed once eligibility exists, and what is signed on the way out.
You normally see or sign this. · Edition 12/2023
The nondisclosure agreement signed before access to classified information begins. Its obligations continue after the job ends.
What you do: Sign it at indoctrination. Access does not start until it is signed.
Also called: SF-312, SF312, NDA, nondisclosure agreement
Source: GSA — Standard Forms — GSA forms page gives form number SF312, revision 12/2023, and the cited authority. Authority: 32 CFR Part 2001.80 and Executive Order 13526.
You normally see or sign this. · Edition 07/2022
A financial disclosure required for certain categories of access, separate from the financial questions on the questionnaire.
What you do: Complete it where the agency requires it for the access being granted.
Also called: SF-714, SF714, financial disclosure
Source: GSA — Standard Forms — GSA forms page gives form number SF714, revision 07/2022, authority Executive Order 12968. Authority: Executive Order 12968.
You normally see or sign this. · Edition 06/01/2000
The certification signed on gaining cryptographic access, and completed again on termination of that access.
What you do: Sign it when cryptographic access is granted, and again when it ends.
Also called: SD-572, SD572, crypto access, cryptographic access
Source: WHS — DoD Forms Management Program — DoD forms page gives form number SD 572, title, and edition date 06/01/2000.
You normally see or sign this.
The briefing given before access to NATO classified information, with a signed certificate acknowledging the responsibilities. There is no single government-wide form number; the certificate is locally produced.
What you do: Attend the briefing and sign the certificate. A matching debriefing certificate is signed when the access ends.
Also called: NATO briefing, NATO certificate, COSMIC, ATOMAL
Full entry for NATO Security Briefing and Certificate
Source: 32 CFR 117.19 (NISPOM) — NISPOM requires employees to "sign a certificate stating that they have been briefed or debriefed" and sets retention periods.
You normally see or sign this.
The briefing required before access to Critical Nuclear Weapons Design Information. The signed acknowledgment block is headed "Security Briefing Certificate". There is no form number; access is annotated in the security database.
What you do: Attend the briefing and sign the acknowledgment. An oral debriefing follows when access ends.
Also called: CNWDI, critical nuclear weapons design information, restricted data briefing
Full entry for CNWDI Briefing and Security Briefing Certificate
Source: 32 CFR 117.20 (NISPOM) — NISPOM mandates the briefing and debriefing; DCSA’s published CNWDI briefing carries the "Security Briefing Certificate" acknowledgment.
Security Termination Statement
NRC Form 136; DOE F 5631.29; DA Form 2962You normally see or sign this.
The statement signed when access ends, acknowledging that the duty to protect what you learned continues. The form number is agency-specific rather than government-wide. Note that DD Form 2962 is a different document entirely — a system access request — despite the similar number.
What you do: Sign it at the exit briefing. The obligation it records does not expire with the job.
Also called: security termination statement, debriefing statement, exit briefing, debrief
Full entry for NRC Form 136; DOE F 5631.29; DA Form 2962
Source: NRC Form 136 information collection — NRC Form 136 is titled "Security Termination Statement"; DOE F 5631.29 and DA Form 2962 carry the same title. Industry equivalent is the NISPOM debriefing at 32 CFR 117.12(l).
Human Reliability Program Certification
DOE F 470.3You normally see or sign this.
Certification under the Human Reliability Program, the additional screening applied to Energy positions with access to nuclear materials or comparable responsibilities.
Also called: DOE F 470.3, HRP certification, human reliability
Source: DOE — Forms — Listed by form number and title on the DOE forms index.
You normally see or sign this.
The individual’s acknowledgment of, and agreement to take part in, the Human Reliability Program.
What you do: Sign it to enter the programme. Participation is a condition of the position, not an optional extra.
Also called: DOE F 470.4, HRP agreement, agreement to participate
Source: DOE — Forms — Listed by form number and title on the DOE forms index.
You normally see or sign this.
Consent allowing Human Reliability Program records, including medical and psychological material, to be released within the programme.
Also called: DOE F 470.5, HRP release
Source: DOE — Forms — Listed by form number and title on the DOE forms index.
Human Reliability Program Refusal of Consent
DOE F 470.6You normally see or sign this.
The form recording a refusal to consent within the Human Reliability Program. Refusal has consequences for the position, since participation is a condition of it.
Also called: DOE F 470.6, HRP refusal, refusal of consent
Source: DOE — Forms — Listed by form number and title on the DOE forms index.
You normally see or sign this.
The form used to record alcohol testing carried out under the Human Reliability Program.
Also called: DOE F 470.7, HRP alcohol testing, alcohol test
Source: DOE — Forms — Listed by form number and title on the DOE forms index.
Application for Access Permit
DOE F 471.4You normally see or sign this.
Application for an Energy access permit.
Also called: DOE F 471.4, access permit
Source: DOE — Forms — Listed by form number and title on the DOE forms index.
Request for Visitor Access Approval
DOE F 473.6You normally see or sign this.
Request for approval of visitor access at an Energy site.
Also called: DOE F 473.6, visitor access
Source: DOE — Forms — Listed by form number and title on the DOE forms index.
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Each entry was checked against the issuing agency’s own published source, and documents that could not be verified against an official source are deliberately not listed. Descriptive research on published procedures. Not legal advice, and not a prediction about any pending case.