SMAEC III Technical Library Request Form.pdf

Technical Library Request

Individuals requesting access to the export controlled scientific and technical information must provide the following information to the Contracting Officer through an authorized manager of their company's Security or Human Resources Offices.

That authorized individual shall verify that the information provided to NASA is correct, complete, and accurate. By submitting the following information, the Company and requesting individuals are agreeing to be responsible for ensuring compliance with all U.S. export regulations. This information is only used in reference to proposing for the SMAEC Ill procurement and shall not be distributed outside of the stated use.

IMPORTANT INSTRUCTIONS: Once the technical library request form is submitted, please request access to every SMAEC Ill Technical Library zip folders in the "Attachments" section of the announcement in sam.gov. There are currently four (4) folders.

If approved, you will be granted access to all SMAEC Ill Technical Library zip folders in the "Attachments" section in sam.gov.

1. Company Name and Address

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

2. Is this corporation, business association, partnership, society, trust, or any other entity, organization or group that is incorporated to do business in the United States?

Yes No

3. System for Award Management Unique Entity ID

4. Company Security or Human Resources Point of contact(s) providing/verifying information about the individual requesting access

For name, include name, title, and point of contact.

Name

Email Address

Phone Number

5. List the names of all individuals requesting access to the export controlled data including

a. Name

b. The individual named above is [ ] or is not [ ] a U.S. person as defined in Title

22, Code of Federal Regulations, Section 120.15

c. If the individual is not a U.S. person what is their citizenship?

d. All foreign nationals from designated countries covered by a Programmatic

Technology Transfer Control Plan (PTTCP) or requiring access to export controlled information are required to have an Individual Technology Transfer Control Plan (I-TTCP) with a Non-Disclosure Agreement (NDA). Foreign nationals from non-designated countries requiring access to export-controlled information covered by a P-TTCP are required to comply with the International Partner or Foreign National Certification contained in the P-

TTCP.

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