CLDP Export Control Request Form-template.pdf
PDF 122 KB Posted
- Attached to
- Commercial Low Earth Orbit (LEO) Destination Contract (CLDC) Technical Library Federal contract opportunity
- Solicitation number
- 80JSC025_CLDC_TECH_LIBRARY
About this file
This document is an Export Control Request Form template used by NASA for the Commercial Low Earth Orbit (LEO) Destination Contract (CLDC) Technical Library. The form requires companies requesting access to export-controlled scientific and technical information to provide detailed company information, including full company name, address, business entity type, CAGE code, and a company security or HR point of contact. The form emphasizes that recipients must certify they are not a foreign person as defined by specific regulations and must comply with export control requirements. Foreign nationals from designated or non-designated countries have additional requirements, including potentially needing an Individual Technology Transfer Control Plan (I-TTCP) and a Non-Disclosure Agreement (NDA) to access export-controlled information.
View the file
Other files for this federal contract opportunity
Show all 19
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .