To: National Security Agency Information Assurance Directorate Policy & Doctrine Division

Agency Letterhead

[Date]

To: National Security Agency

Information Assurance Directorate Policy & Doctrine Division

9800 Savage Road, Suite 6749

Fort George G. Meade, MD 20755-6749
Subject: National Interest Determination - Access to Communications Security

Information, [Company Name], [CAGE Code]

References: a. DoD Manual 5220.22, Volume 3, “National Industrial Security Program: Procedures for Government Activities Relating to Foreign Ownership, Control, or Influence (FOCI),” April 17, 2014

b. Directive-type Memorandum (DTM) 15-002, “Policy Guidance for the Processing of National Interest Determinations (NIDs) in Connection with Foreign Ownership, Control, or Influence (FOCI),” February 11, 2015

Encl: (1) DD Form 254 with attachments, dtd [X XXX XX]

(2) Special Security Agreement (SSA), dtd [X XXX XX]

(3) Statement of Work or Performance Work Statement

(4) TOP SECRET Approval Notification (as applicable)

(5) COMSEC NID Request Form
1. In accordance with references (a.) and (b.), [GCA] requests the National Security Agency’s concurrence on access to communications security (COMSEC) proscribed information for [prime contract number], [subcontract number] for [Company Name]. [Company Name] is a [contractor/subcontractor] to [name of GCA/prime] and is in-process for a [contract, project, or program] National Interest Determination (NID). Period of performance for this contract is between [begin date] and [end date]. [Company Name] [is/will] be responsible for [explanation of contract performance].
2. [Company Name] has a Special Security Agreement (SSA) on file with the Defense Security Service (DSS). [Company Name] is a wholly-owned [subsidiary/branch/division] of [parent name], which is a [direct/indirect], wholly-owned subsidiary of [ultimate parent name], a [country] company.
The address for [Company Name] is:
The address for [ultimate parent name] is:
3. [Company Name] requires access to the following COMSEC equipment and keys in order to [purpose of the contract and justification as to why access to COMSEC is necessary]:
[Equipment (short and long title) and quantity]
4. [GCA] granted [level of facility security clearance] access to [Company Name] under this contract.
5. The [GCA] verified [Company Name]’s need for access to COMSEC and determined that release of COMSEC proscribed information is consistent with the national security interests of the United States.
6. Direct any NID inquiries related to this request to [POC name, job title, phone #, email]
[Signature Block]