Attachment F -LEIA Export Control Request Form.pdf
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- Solicitation number
- 80GRC026R0008
About this file
This document is an export control compliance form for individuals and organizations seeking access to NASA export-controlled scientific and technical information.
Companies must provide specific organizational information to the Contracting Officer through authorized managers in their Security or Human Resources offices, including full company name, address, CAGE code, and verification that the company is incorporated to do business in the United States. An authorized company representative must verify the accuracy and completeness of all information submitted to NASA. The recipient organization must certify that neither it nor its employees who will receive nonpublic technical data are foreign persons as defined by 22 CFR §120.16, or listed on the Designated Countries List. Foreign nationals from designated countries require an Individual Technology Transfer Control Plan (I-TTCP) with a Non-Disclosure Agreement (NDA) if covered by a Programmatic Technology Transfer Control Plan (P-TTCP) or needing access to export-controlled information. Foreign nationals from non-designated countries requiring access to export-controlled information covered by a P-TTCP must comply with the International Partner or Foreign National Certification contained in that plan. The document emphasizes that companies bear sole responsibility for ensuring compliance with all U.S. export regulations and identifies the Organization Export Control Representative as the primary point of contact.
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Text version
OBTAINING ACCESS TO EXPORT CONTROLLED CONTENT:
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. Companies are responsible for ensuring their compliance with all U.S. export regulations:
1. Full Company Name:
2. Company Address:
3. Is this a 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
4. Commercial and Government Entity (CAGE) Code:
5. Company Security or Human Resources Point of contact(s) providing/verifying information about the individual requesting access
a. Name and Title:
b. Phone Number:
c. e-mail:
Recipient certifies that neither it nor any employees to whom RECIPIENT distributes the NON- PUBLIC TECHNICAL DATA is a foreign person (as defined by 22 CFR §120.16) or listed on any of the “Designated Countries List” listed in the following link.
All foreign nationals from designated countries covered by a Programmatic Technology Transfer Control Plan (P-TTCP) 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.
Point of Emphasis:
The Company is responsible for ensuring compliance with the export regulations.
Points of Contacts:
Organization Export Control Representative if assigned.
https://www.nasa.gov/wp-content/uploads/2024/09/oiir-designated-country-list-9-13-2024.pdf?emrc=ace877
| CLDP Export Control Request Form-template-rev1 |
| Designated Country List 9.13.2024 |
| Full Company Name: |
| Company Address: |
| Commercial and Government Entity CAGE Code: |
| Name and Title: |
| Phone Number: |
| E-mail: |
| Point of Emphasis: |
| Points of Contacts: |
| Organization Export Control Rep: |
| Check Box1: Off |
| Check Box2: Off |
File details come from the government source that posted it. Updated .