+-------------------+--------------------------------------------------+
| **Section 508     |                                                  |
| Determination and |                                                  |
| Findings**        |                                                  |
+-------------------+--------------------------------------------------+
| Department of     | VA Section 508 Program Office                    |
| Veterans Affairs  |                                                  |
+-------------------+--------------------------------------------------+
|                   |                                                  |
+-------------------+--------------------------------------------------+
| **The initiating  |                                                  |
| technical         |                                                  |
| (requesting)      |                                                  |
| office is         |                                                  |
| responsible for   |                                                  |
| preparing this    |                                                  |
| form. All         |                                                  |
| business needs    |                                                  |
| must be described |                                                  |
| in accordance     |                                                  |
| with the Federal  |                                                  |
| Acquisition       |                                                  |
| Regulation (FAR), |                                                  |
| Part 11.          |                                                  |
| Requesting        |                                                  |
| officials must    |                                                  |
| perform market    |                                                  |
| research as       |                                                  |
| described in FAR  |                                                  |
| Part 10. If       |                                                  |
| during market     |                                                  |
| research, it is   |                                                  |
| determined that   |                                                  |
| any portion of    |                                                  |
| the requirement   |                                                  |
| meets the         |                                                  |
| definition of     |                                                  |
| electronic and    |                                                  |
| information       |                                                  |
| technology (EIT), |                                                  |
| the program       |                                                  |
| official must     |                                                  |
| complete this     |                                                  |
| form to record    |                                                  |
| their findings.   |                                                  |
| If an exemption   |                                                  |
| applies, identify |                                                  |
| which exemption   |                                                  |
| applies by        |                                                  |
| checking it off   |                                                  |
| and answering the |                                                  |
| appropriate       |                                                  |
| questions. The    |                                                  |
| requisitioner and |                                                  |
| approving         |                                                  |
| official are      |                                                  |
| responsible for   |                                                  |
| determining if a  |                                                  |
| vendor's product  |                                                  |
| complies with the |                                                  |
| Section 508       |                                                  |
| standards. Please |                                                  |
| forward your      |                                                  |
| market research   |                                                  |
| along with        |                                                  |
| document to your  |                                                  |
| servicing         |                                                  |
| procurement       |                                                  |
| office and a copy |                                                  |
| to the VA Section |                                                  |
| 508 Coordinator,  |                                                  |
| Pat Sheehan,      |                                                  |
| Section 508       |                                                  |
| Program Office    |                                                  |
| (005E) Room C10A  |                                                  |
| VACO, Email:      |                                                  |
| Section508@va.gov |                                                  |
| or Fax:           |                                                  |
| 202-273-5455. For |                                                  |
| further           |                                                  |
| information       |                                                  |
| visit:            |                                                  |
| www.              |                                                  |
| va.gov/accessible |                                                  |
| or for tools to   |                                                  |
| help you in your  |                                                  |
| research you can  |                                                  |
| visit GSA\'s Buy  |                                                  |
| Accessible Wizard |                                                  |
| at:               |                                                  |
| h                 |                                                  |
| ttp://app.buyacce |                                                  |
| ssible.gov/baw/** |                                                  |
|                   |                                                  |
| **[Definition of  |                                                  |
| E                 |                                                  |
| &IT]{.underline}: |                                                  |
| Electronic and    |                                                  |
| information       |                                                  |
| technology.       |                                                  |
| Includes          |                                                  |
| information       |                                                  |
| technology and    |                                                  |
| any equipment or  |                                                  |
| interconnected    |                                                  |
| system or         |                                                  |
| subsystem of      |                                                  |
| equipment, which  |                                                  |
| is used in the    |                                                  |
| creation,         |                                                  |
| conversion, or    |                                                  |
| duplication of    |                                                  |
| data or           |                                                  |
| information. The  |                                                  |
| term electronic   |                                                  |
| and information   |                                                  |
| technology        |                                                  |
| includes, but is  |                                                  |
| not limited to,   |                                                  |
| t                 |                                                  |
| elecommunications |                                                  |
| products (such as |                                                  |
| telephones),      |                                                  |
| information       |                                                  |
| kiosks and        |                                                  |
| transaction       |                                                  |
| machines, World   |                                                  |
| Wide Web sites,   |                                                  |
| multimedia, and   |                                                  |
| office equipment  |                                                  |
| such as copiers   |                                                  |
| and fax machines. |                                                  |
| The term does not |                                                  |
| include any       |                                                  |
| equipment that    |                                                  |
| contains embedded |                                                  |
| information       |                                                  |
| technology that   |                                                  |
| is used as an     |                                                  |
| integral part of  |                                                  |
| the product, but  |                                                  |
| the principal     |                                                  |
| function of which |                                                  |
| is not the        |                                                  |
| acquisition,      |                                                  |
| storage,          |                                                  |
| manipulation,     |                                                  |
| management,       |                                                  |
| movement,         |                                                  |
| control, display, |                                                  |
| switching,        |                                                  |
| interchange,      |                                                  |
| transmission, or  |                                                  |
| reception of data |                                                  |
| or information.   |                                                  |
| For example, HVAC |                                                  |
| (heating,         |                                                  |
| ventilation, and  |                                                  |
| air conditioning) |                                                  |
| equipment such as |                                                  |
| thermostats or    |                                                  |
| temperature       |                                                  |
| control devices,  |                                                  |
| and medical       |                                                  |
| equipment where   |                                                  |
| information       |                                                  |
| technology is     |                                                  |
| integral to its   |                                                  |
| operation, are    |                                                  |
| not information   |                                                  |
| technology.**     |                                                  |
+-------------------+--------------------------------------------------+
| **1 - Requisition |                                                  |
| Number**          |                                                  |
+-------------------+--------------------------------------------------+
| **2 - Estimated   |                                                  |
| Dollar Value**    |                                                  |
+-------------------+--------------------------------------------------+
| **3 - Requiring   |                                                  |
| Office            |                                                  |
| Representative    |                                                  |
| Name**            |                                                  |
+-------------------+--------------------------------------------------+
| **4 - Requiring   |                                                  |
| Office            |                                                  |
| Representative    |                                                  |
| Name**            |                                                  |
+-------------------+--------------------------------------------------+
| **5 - Requiring   |                                                  |
| Office            |                                                  |
| Representative    |                                                  |
| Title**           |                                                  |
+-------------------+--------------------------------------------------+
| **6 - Requiring   |                                                  |
| Office            |                                                  |
| Representative    |                                                  |
| Phone Number**    |                                                  |
+-------------------+--------------------------------------------------+
| **7 - Requiring   |                                                  |
| Office            |                                                  |
| Representative    |                                                  |
| Email**           |                                                  |
+-------------------+--------------------------------------------------+
|                   |                                                  |
+-------------------+--------------------------------------------------+
| **8 -             |                                                  |
| Determination     |                                                  |
| (Select One)**    |                                                  |
+-------------------+--------------------------------------------------+
| **(a)**           | **Fully Supports the Standard** (Must complete   |
|                   | Section 9)                                       |
+-------------------+--------------------------------------------------+
| **(b)**           | **Commercial Non-Availability**: At the time of  |
|                   | procurement, there are instances when a product  |
|                   | that meets all the function specifications does  |
|                   | not have features to meet all the appropriate    |
|                   | Section 508 standards. In certain situations, at |
|                   | the time of procurement, the features to meet    |
|                   | those standards are considered commercially      |
|                   | non-available and are exempt. For more           |
|                   | information, please contact the Section 508      |
|                   | Program Office\'s Coordinator. (Must complete    |
|                   | Section 9) (Must complete the Section 508 EIT    |
|                   | Exceptions Certification Document)               |
+-------------------+--------------------------------------------------+
| **(c)**           | **Back Office Products**: applies to hardware    |
|                   | and software located in areas frequented only by |
|                   | service personnel for maintenance, repair and    |
|                   | occasional monitoring of equipment. For a        |
|                   | listing of items, please contact the Section 508 |
|                   | Program Office\'s Coordinator. (Must complete    |
|                   | the Section 508 EIT Exceptions Certification     |
|                   | Document)                                        |
+-------------------+--------------------------------------------------+
| **(d)**           | **Fundamental Alteration**: The law does not     |
|                   | require a \"fundamental alteration in the nature |
|                   | of a product, its service or its components. In  |
|                   | other words, some products are designed for a    |
|                   | specific use and the only way to make them       |
|                   | compliant would be to alter the product to a     |
|                   | degree that it would no longer be able to        |
|                   | provide that use. For a listing of items, please |
|                   | contact the Section 508 Program Office\'s        |
|                   | Coordinator. (Must complete the Section 508 EIT  |
|                   | Exceptions Certification Document)               |
+-------------------+--------------------------------------------------+
| **(e)**           | **Undue Burden**: Since the Federal Government   |
|                   | is considered a model employer, this exemption   |
|                   | is not considered viable. The term applies to a  |
|                   | situation where there is a product to meet       |
|                   | Section 508 compliance, but its cost is          |
|                   | prohibitive. The Requiring Official must explain |
|                   | below why, and to what extent, compliance with   |
|                   | each such provision creates an undue burden. A   |
|                   | thorough, rational explanation is required.      |
|                   | Explanations must be adequate to survive         |
|                   | protests and litigation challenges. For more     |
|                   | information, please contact the Section 508      |
|                   | Program Office\'s Coordinator. (Must complete    |
|                   | Section 9) (Must complete the Section 508 EIT    |
|                   | Exceptions Certification Document)               |
+-------------------+--------------------------------------------------+
| **(f)**           | **36 CFR § 1194.3 General Exceptions. § 1194.3   |
|                   | (a)** The electronic and information technology  |
|                   | operated by agency, the function, operation, or  |
|                   | use of which involves intelligence activities,   |
|                   | cryptologic activities and is directly related   |
|                   | to national security, command and control of     |
|                   | military forces, equipment that is an integral   |
|                   | part of a weapon or weapons systems, or systems  |
|                   | which are critical to the direct fulfillment of  |
|                   | military or intelligence missions. (excluding    |
|                   | payroll, finance, logistics and personnel        |
|                   | management applications) - If applicable, please |
|                   | contact the Section 508 Coordinator at           |
|                   | Section508@va.gov or 202-273-6543 to ensure      |
|                   | exception. (Must complete the Section 508 EIT    |
|                   | Exceptions Certification Document)               |
+-------------------+--------------------------------------------------+
| **(g)**           | **36 CFR § 1194.3 General Exceptions. §          |
|                   | 1194.3(b)** The electronic and information       |
|                   | technology acquired by a contractor is           |
|                   | incidental to a contract. (e.g. is not part of   |
|                   | the deliverables of the contract) - If           |
|                   | applicable, please contact the Section 508       |
|                   | Coordinator at Section508@va.gov or 202-273-6543 |
|                   | to ensure exception. (Must complete the Section  |
|                   | 508 EIT Exceptions Certification Document)       |
+-------------------+--------------------------------------------------+
| **(h)**           | **36 CFR § 1194.3 General Exceptions. §          |
|                   | 1194.3(c)** The installation of specific         |
|                   | accessibility-related software or the attachment |
|                   | of an assistive technology device is not         |
|                   | required at a workstation of a Federal employee  |
|                   | who is not an individual with a disability.      |
|                   | (e.g. not every computer will be equipped with a |
|                   | refreshable Braille display) - If applicable,    |
|                   | please contact the Section 508 Coordinator at    |
|                   | Section508@va.gov or 202-273-6543 to ensure      |
|                   | exception.(Must complete the Section 508 EIT     |
|                   | Exceptions Certification Document)               |
+-------------------+--------------------------------------------------+
| **(i)**           | **36 CFR § 1194.3 General Exceptions. §          |
|                   | 1194.3(d)** When agencies provide access to the  |
|                   | public to information or data through electronic |
|                   | and information technology, agencies are not     |
|                   | required to make products owned by the agency    |
|                   | available for access and use by individuals with |
|                   | disabilities at a location other than that where |
|                   | the electronic and information technology is     |
|                   | provided to the public, or to purchase products  |
|                   | for access and use by individuals with           |
|                   | disabilities at a location other than that where |
|                   | the electronic and information technology is     |
|                   | provided to the public. - If applicable, please  |
|                   | contact the Section 508 Coordinator at           |
|                   | Section508@va.gov or 202-273-6543 to ensure      |
|                   | exception. (Must complete the Section 508 EIT    |
|                   | Exceptions Certification Document)               |
+-------------------+--------------------------------------------------+
|                   |                                                  |
+-------------------+--------------------------------------------------+
| **9 - Applicable  |                                                  |
| Technical         |                                                  |
| Standard(s) that  |                                                  |
| apply \*(Required |                                                  |
| only if you check |                                                  |
| either 8a,8b, or  |                                                  |
| 8e)**             |                                                  |
+-------------------+--------------------------------------------------+
| **1194.21 (a-l)** | Software Application and Operating Systems       |
+-------------------+--------------------------------------------------+
| **1194.22 (a-p)** | Web-based Intranet and Internet Information and  |
|                   | Applications                                     |
+-------------------+--------------------------------------------------+
| **1194.23 (a-k)** | Telecommunications Products                      |
+-------------------+--------------------------------------------------+
| **1194.24 (a-e)** | Video and Multimedia Products                    |
+-------------------+--------------------------------------------------+
| **1194.25 (a-j)** | Self Contained, Closed Products (Examples        |
|                   | include information kiosks, information          |
|                   | transaction machines, copiers, printers,         |
|                   | calculators, fax machines, and similar types of  |
|                   | products.)                                       |
+-------------------+--------------------------------------------------+
| **1194.26 (a-d)** | Desktop and Portable Computers                   |
+-------------------+--------------------------------------------------+
| **1194.2 (a-c)**  | General Application Exceptions                   |
+-------------------+--------------------------------------------------+
| **1194.31 (a-f)** | Functional Performance Criteria (always applies) |
|                   | (Example: one provision requires that at least   |
|                   | one mode allow operation by people with low      |
|                   | vision (visual acuity between 20/70 and 20/200)  |
|                   | without relying on audio input since many people |
|                   | with low vision may also have a hearing loss.)   |
+-------------------+--------------------------------------------------+
| **1194.41 (a-c)** | Information, Documentation and Support (The      |
|                   | standards also address access to all             |
|                   | information, documentation, and support provided |
|                   | to end users (e.g., Federal employees) of        |
|                   | covered technologies. This includes user guides, |
|                   | installation guides for end-user installable     |
|                   | devices, and customer support and technical      |
|                   | support communications. Such information must be |
|                   | available in alternate formats upon request at   |
|                   | no additional charge. Alternate formats or       |
|                   | methods of communication, can include Braille,   |
|                   | cassette recordings, large print, electronic     |
|                   | text, Internet postings, TTY access, and         |
|                   | captioning and audio description for video       |
|                   | materials.)                                      |
+-------------------+--------------------------------------------------+
| List the Standard |                                                  |
| number **and**    |                                                  |
| the individual    |                                                  |
| Functional        |                                                  |
| Criteria letters  |                                                  |
| that pertain to   |                                                  |
| the requirement   |                                                  |
| below or as an    |                                                  |
| attachment. If    |                                                  |
| none apply, state |                                                  |
| that there are no |                                                  |
| standards that    |                                                  |
| apply. (example:  |                                                  |
| *1194.21a, b &c;  |                                                  |
| 1194.22 a-d*)     |                                                  |
+-------------------+--------------------------------------------------+
|                   |                                                  |
+-------------------+--------------------------------------------------+
| **10 - Required   |                                                  |
| documentation     |                                                  |
| which must be     |                                                  |
| submitted**       |                                                  |
+-------------------+--------------------------------------------------+
| 1- For Every      |                                                  |
| requisition:      |                                                  |
| Provide a brief   |                                                  |
| description of    |                                                  |
| the product being |                                                  |
| purchased and     |                                                  |
| whether it is     |                                                  |
| COTS,             |                                                  |
| Development, or a |                                                  |
| Combination.      |                                                  |
+-------------------+--------------------------------------------------+
| 2- For every      |                                                  |
| requisition:      |                                                  |
| Requiring Office  |                                                  |
| must document and |                                                  |
| submit a copy of  |                                                  |
| its market        |                                                  |
| research (per in  |                                                  |
| FAR part 10)      |                                                  |
| discussion of the |                                                  |
| business need,    |                                                  |
| the products you  |                                                  |
| found, the        |                                                  |
| products\' level  |                                                  |
| of conformance    |                                                  |
| with the          |                                                  |
| standard, and how |                                                  |
| you determined    |                                                  |
| that you selected |                                                  |
| the most          |                                                  |
| compliant product |                                                  |
| (recommended:     |                                                  |
| (VPAT) Voluntary  |                                                  |
| Product           |                                                  |
| Accessibility     |                                                  |
| Template from the |                                                  |
| vendor) If needed |                                                  |
| a VPAT can be     |                                                  |
| found on the      |                                                  |
| Section 508       |                                                  |
| Website:          |                                                  |
| www.              |                                                  |
| va.gov/accessible |                                                  |
+-------------------+--------------------------------------------------+
| 3- For EIT,       |                                                  |
| covered under     |                                                  |
| Section 508       |                                                  |
| subpart B, that   |                                                  |
| is developed or   |                                                  |
| is a combination  |                                                  |
| of (COTS)         |                                                  |
| Commercial        |                                                  |
| Off-the-Shelf     |                                                  |
| Products, you     |                                                  |
| must attach the   |                                                  |
| Section 508       |                                                  |
| Conformance       |                                                  |
| Validation        |                                                  |
| Statement (CVS)   |                                                  |
| that is to be     |                                                  |
| filled out by the |                                                  |
| Requiring         |                                                  |
| Official and      |                                                  |
| Validated by the  |                                                  |
| Section 508       |                                                  |
| Coordinator prior |                                                  |
| to the purchase   |                                                  |
| of the product    |                                                  |
| and/or service.   |                                                  |
+-------------------+--------------------------------------------------+
| **Based on your   |                                                  |
| selection in 8,   |                                                  |
| provide the       |                                                  |
| following:**      |                                                  |
+-------------------+--------------------------------------------------+
| 4- (8b) You must  |                                                  |
| complete and      |                                                  |
| attach the form   |                                                  |
| entitled \"EIT    |                                                  |
| Exceptions        |                                                  |
| Certification.\"  |                                                  |
+-------------------+--------------------------------------------------+
| 5- (8c) (8d) (8f) |                                                  |
| (8g) (8h) & (8i)  |                                                  |
| You must complete |                                                  |
| and attach the    |                                                  |
| form entitled     |                                                  |
| \"EIT Exceptions  |                                                  |
| Certificate.\"    |                                                  |
| Also please       |                                                  |
| provide a brief   |                                                  |
| explanation of    |                                                  |
| how this          |                                                  |
| determination was |                                                  |
| made.             |                                                  |
+-------------------+--------------------------------------------------+
| 6- (8e) You must  |                                                  |
| complete and      |                                                  |
| attach the form   |                                                  |
| entitled \"EIT    |                                                  |
| Exceptions        |                                                  |
| Certification.\"  |                                                  |
+-------------------+--------------------------------------------------+
| Name of Requiring |                                                  |
| Office            |                                                  |
| Representative:   |                                                  |
+-------------------+--------------------------------------------------+
| Signature:        |                                                  |
+-------------------+--------------------------------------------------+
| Date:             |                                                  |
+-------------------+--------------------------------------------------+
|                   |                                                  |
+-------------------+--------------------------------------------------+
| I am certifying   |                                                  |
| that, per 1194.2, |                                                  |
| the product being |                                                  |
| purchased is the  |                                                  |
| most compliant    |                                                  |
| product currently |                                                  |
| available that    |                                                  |
| meets our         |                                                  |
| business needs in |                                                  |
| the time to       |                                                  |
| satisfy delivery  |                                                  |
| requirements and  |                                                  |
| that I have       |                                                  |
| provided accurate |                                                  |
| documentation to  |                                                  |
| support the       |                                                  |
| Contracting       |                                                  |
| Officer\'s        |                                                  |
| purchase of       |                                                  |
| Electronic        |                                                  |
| Information       |                                                  |
| Technology. Only  |                                                  |
| the VA Section    |                                                  |
| 508 Coordinator   |                                                  |
| can authorize an  |                                                  |
| exemption or      |                                                  |
| waiver if         |                                                  |
| applicable.       |                                                  |
+-------------------+--------------------------------------------------+
| \*Dated 6/07 (all |                                                  |
| other versions of |                                                  |
| this form are     |                                                  |
| obsolete)         |                                                  |
+-------------------+--------------------------------------------------+
|                   |                                                  |
+-------------------+--------------------------------------------------+