NOAA Program or Contract: Input the program or contract supported by this request (if 1.5 applicable). For NOAA Users, please name division or branch chief of the NOAA user. NOAA Primary POC Information: Name: 1.6 If applicable, provide the POC information for the Email: principal person at NOAA that you are working with. Phone Number: 24x7 Contact: 1.7 Do you have 24x7 technical support? Yes No Email: Phone Number: of Contact (TPOC) Requestor’s Technical Point Primary TPOC Back-up TPOC Information (both a primary and back-up contact): Name: Name: 1.8 If the request is approved, these personnel will work with Email: Email: NESDIS to establish and maintain connectivity to the data Phone Number: Phone Number: source. Information Technology (I.T.) System Requestor’s IT System Security POC Security POC: Name: 1.9 This person should be available 24x7 in case of an Email: incident. For government systems, this must be the Phone Number: system ISSO. Responsible Official Information: Responsible Official Information Provide the POC information for the primary official Name: external user. If government organization, this person 1.10 Email: must be the System Owner (SO). For other organizations, Phone Number: the POC must be the legally responsible system System ID (Government Systems): owner/operator. Section 2 Request Information – Purpose of Request/Justification: Please provide detailed information on your need for 2.1 operational real time satellite data. (i.e. the application the requested data will be supporting or how it will be used) Is there an existing agreement (Memorandum of Understanding/Agreement, Letter of Agreement, Interconnection Security Agreement, etc.) between your Yes No organization and NESDIS that covers the provision of 2.2 this or to indicate if such an data? Select “Yes” “No” agreement exists. Document Title: If Yes from above, Provide the following Document Document Date: Reference Information: Other: How long will you need access to the data? (e.g., one 2.3 week, one month, etc.)
1.5 NOAA Program or Contract: Input the program or contract supported by this request (if applicable). For NOAA Users, please name division or branch chief of the NOAA user. 1.6 NOAA Primary POC Information: If applicable, provide the POC information for the principal person at NOAA that you are working with. Name: Email: Phone Number: 1.7 Do you have 24x7 technical support? Yes No 24x7 Contact: Email: Phone Number: 1.8 Requestor’s Technical Point of Contact (TPOC) Information (both a primary and back-up contact): If the request is approved, these personnel will work with NESDIS to establish and maintain connectivity to the data source. Primary TPOC Name: Email: Phone Number: Back-up TPOC Name: Email: Phone Number: 1.9 Requestor’s Information Technology (I.T.) System Security POC: This person should be available 24x7 in case of an incident. For government systems, this must be the system ISSO. IT System Security POC Name: Email: Phone Number: 1.10 Responsible Official Information: Provide the POC information for the primary official external user. If government organization, this person must be the System Owner (SO). For other organizations, the POC must be the legally responsible system owner/operator. Responsible Official Information Name: Email: Phone Number: System ID (Government Systems): Section 2 – Request Information 2.1 Purpose of Request/Justification: Please provide detailed information on your need for operational real time satellite data. (i.e. the application the requested data will be supporting or how it will be used) 2.2 Is there an existing agreement (Memorandum of Understanding/Agreement, Letter of Agreement, Interconnection Security Agreement, etc.) between your organization and NESDIS that covers the provision of this data? Select “Yes” or “No” to indicate if such an agreement exists. Yes No If Yes from above, Provide the following Document Reference Information: Document Title: Document Date: Other: 2.3 How long will you need access to the data? (e.g., one week, one month, etc.)
ESPCDataAccessRequestForm-Apr2016.docx