Form 10040 (12/07) 10040 (12/07) Sponsorship Letter

DHS PREDICT Sponsorship Letter Form

Cover Sheet

1. Department Name: Department of Homeland Security

2. Component/Agency Name: Science and Technology Directorate

3. OMB Control Number: 1640-0012

4. Expiration Date: 08/31/2010

5. Agency Form Number: DHS Form 10040 (12/07)

6. Name of Form: Sponsorship Letter

7. Purpose of Form: Sponsorship letter that allows organizations to request that
the organization’s personnel’s applications be considered to join the PREDICT community

8. How to submit: Sign and fax to the PREDICT Coordinating Center, RTI

International, Attn: Renee Karlsen, 866.835.0255 (toll free).

PREDICT

Sponsorship Letter for PREDICT Account

READ THESE INSTRUCTIONS CAREFULLY

BEFORE PROCEEDING

Thank you for your interest in joining the PREDICT community. All Researchers must have a sponsoring organization in order to obtain a PREDICT account. A PREDICT account enables a Researcher to access the PREDICT catalog of datasets and to request the use of those datasets. A completed and signed sponsorship letter must be received by the PREDICT Coordinating Center before your application for an account as a Researcher can be considered. Sponsorship letters must be signed by a supervisor or manager with authority to act on behalf of your organization.

Definition of Researcher

A Researcher may be an individual or it may be an entity, such as a corporation that desires to have a team of personnel conduct specific cyber security research and development (R&D). If the Researcher is an entity, the entity must name a Data Custodian who is the person designated to have a PREDICT account and request datasets on behalf of that entity. Entities may have more than one Data Custodian, with each person having a PREDICT account. Researchers in an academic environment usually have individual PREDICT accounts and are sponsored as individuals by their institution. An individual Researcher may involve others in the R&D project that he/she plans to conduct using PREDICT datasets.

INSTRUCTIONS

Researchers seeking an individual PREDICT account must submit the attached Sponsorship Letter on the sponsoring organization’s letterhead to the PREDICT Coordinating Center (PCC). Check the box: Sponsorship of Individual as Researcher. The letter must be signed by a supervisor or other appropriate manager from the sponsoring institution who has authority to act on behalf of the organization. Individuals named as Researchers must be employed by or affiliated with the Sponsoring Institution. The completed and signed Sponsorship Letter must be received by the PREDICT Coordinating Center (PCC) before a PREDICT account will be assigned. After the Sponsorship Letter has been accepted by the PCC, the actual application for a PREDICT account is made by the individual Researcher(s) through the PREDICT portal at http://www.predict.org.

Organizations who are seeking to be an entity acting as a Researcher must submit the attached Sponsorship Letter on the sponsoring organization’s letterhead to the PREDICT Coordinating Center (PCC). Check the box: Sponsorship of Entity as Researcher. The letter must be signed by a supervisor or person who has authority to act on behalf of the organization. The Sponsorship Letter must designate a Data Custodian(s) to have a PREDICT account and manage research for the organization. Reminder: a Data Custodian is the individual with primary

responsibility for the receipt, security, oversight, use, and return of the Data that is obtained from PREDICT for a particular research effort. The Data Custodian does not have to be an employee of or affiliated with the Sponsoring Institution. After the Sponsorship Letter has been accepted by the PCC, the Data Custodian(s) apply for PREDICT accounts through the PREDICT portal at http://www.predict.org.

INSTRUCTIONS FOR ALL APPLICANTS

• Put the text of the Sponsorship letter onto your organization’s letterhead.

• Fill in appropriate names, dates, and other requested information; do not omit any of the information, as incomplete letters will be returned and the process delayed accordingly.

• Do not use abbreviations for organization names, schools, departments, etc.

• Fax the signed (866) 835-0255 (toll free) or email a PDF file of the letter to [email protected].

• PCC will notify you of acceptance/rejection of the Sponsorship Letter usually within one week from receipt.

QUESTIONS OR NEED ASSISTANCE?

Contact the PCC for assistance via email at [email protected].

______________________

Today’s Date

RTI International

PREDICT Coordinating Center

Attn: Renee Karlsen

P.O. Box 12194

Research Triangle Park, NC 27709-2194

SUBJECT: Sponsorship Letter for PREDICT Account

Dear PREDICT Coordinating Center:

I am sending this Sponsorship Letter for Researcher access to PREDICT data by __________________________ (enter name of entity or individual(s) being sponsored). I understand that a Sponsorship Letter is required for access to PREDICT data, and that this letter must be signed by a person who has authority to act on behalf of the sponsoring institution. I have such authority. I understand that a Researcher may be sponsored individually by an organization or an organization may submit a Sponsorship Letter for the entity itself to function as a Researcher, naming one or more Data Custodians as the persons who will apply for PREDICT accounts and be responsible for the research and PREDICT data used by the entity. This letter is (check one):

S

ponsorship of Individual(s) as Researcher (if desired, more than one individual can be listed on a Sponsorship Letter if each Researcher would like to have a PREDICT account).

S

ponsorship of Entity as Researcher (if desired, more than one individual can be listed on a Sponsorship Letter as Data Custodian)

This letter is being sent on behalf of the following individual(s) or on behalf of the following Data Custodian(s) who will apply for PREDICT accounts on behalf of this organization:

Full Name (Name of Researcher or Name of Data Custodian)	Organization Name	Department/ Business Unit	Title	Years With Org

The above named persons have a legitimate need for PREDICT data, owing to their position within their department or business unit, and the responsibilities assigned to them.

If this is a Sponsorship of Individuals as Researcher(s), I hereby confirm that the above individual(s) is/are currently affiliated with this organization, is/are in good standing, and serve in the capacity noted above. I, or any successor in my role, will inform the PCC if any of the above named individual(s) leave our organization or otherwise have changed circumstances calling into question or eliminating their need for PREDICT data.

If this is a Sponsorship of Entity, I hereby confirm that the above named individual(s) will serve as Data Custodian(s) for our organization and are trusted by this organization to be responsible for PREDICT data and research efforts on its behalf. I, or any successor in my role, will inform the PCC if any of the individual(s) named above as a Data Custodian is/are no longer in that role or is/are no longer in charge of the data and associated research effort. At the same time, we will provide information on the Data Custodian(s) who will replace the previous one(s).

This organization appreciates the importance of cyber security and the value of R&D efforts in this area, and we are pleased to support the PREDICT project through this Sponsorship Letter. Please let me know if you need any further information.

Sincerely,

_________________________________________ __________________________

Signature Date

_________________________________________

Name Printed or Typed

_________________________________________

Title or Position

_________________________________________ _____________________________

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