Appendix II - Confidentiality Agreement for Consumer Product Safety Commission Employees Upon Termination or Transfer

In accordance with my official duties an an employee of the Consumer Product Safety Commission, I have had access to CBI. I understand that CBI information may not be disclosed to other employees or persons except as authorized by the CPSC Security Regulation (16 CFR part 1017 subparts B, C, D, E, F, and G).

I certify that I have returned all copies of any CBI information in my possession to the document control officer as required by the CPSC Security Regulation.

I agree that I will not remove any copies of CBI from the premises of other Agency upon my termination or transfer. I further agree that I will not disclose any CBI to any person after my termination or transfer.

I understand that as an employee of the United States who has had access to CBI I am liable to civil and criminal penalties for unauthorized disclosure.

If I am still employed by the United States, I also understand that I may be subject to disciplinary action for violation of this agreement.

I am aware that I may be subject to criminal penalties under 18 U.S.C. 1001 if I have made any statement of material facts knowing that such a statement is false or if I willfully conceal any material fact.

Signature Date Name CPSC Employee Number