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pdfPEER ASSESSMENT FORM
OMB CONTROL NUMBER: XXXX-XXXX
XXXXXX-XXXX
OMB EXPIRATION DATE: XX/XXXX/XXXX
XXXX-XXXX
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information,insert
[InsertOMB
OMB
Control
Number], is estimated to
Control
Number
average 45 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 the burden estimate or burden reduction sug-gestions to the Department of Defense,
Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-infor-mation-collections@mail.mil.
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.
Version 1.1 – Effective 7/18/2017
PEER ASSESSMENT FORM
Name:
Role with the Company: Select
Company and CAGE:
Name of Person Assessing:
Person’s Role with the Company: Select
1. Which areas of expertise did the Company expect the Subject to leverage during this assessment period?
national security
finance
information security
business development
business operations
technology
T
F
industrial security
personnel security
cybersecurity
other
A
R
network operations
acquisition
2. How would you characterize the Subject’s overall effectiveness this assessment cycle?
select one
please explain as necessary
D
3. How would you characterize the Subject’s understanding of the risks to the critical technologies, assets,
and information necessary for the Company to effectively perform?
select one
please explain
4. How would you characterize the Subject’s professional relationships with the following groups or
individuals?
select one
please explain as necessary
Signature:
Date:
E-mail:
Phone:
PENDING OMB APPROVAL
PAGE | 1
File Type | application/pdf |
File Modified | 2019-08-27 |
File Created | 2019-08-08 |