The Office of Grant and Contract Services Phone 817.272.2105 Fax 817.272.5808 UT Arlington EXPORT CONTROL REVIEW Title of Sponsored Project Proposal / Award Number Principal Investigator Department and School / College Affiliation Sponsor f PART I: AGREEMENT REVIEW (To be completed by the Sponsored Project Administrator) Does the agreement contain any clause that: Yes No Yes No c. Prohibits the hiring of non-U.S. persons? Yes No d. Restricts the use of proprietary / Yes No e. Addresses classified security concerns? Yes No f. Grants the Sponsor a right to Yes No Yes No a. Restricts non-U.S. entity participation based on country of origin? b. Prohibits access by non-U.S. citizens to project information? confidential information? prepublication review and approval for matters other than the inclusion of patent and / or proprietary sponsor information? g. Allows the Sponsor to claim resulting information as proprietary or trade secret? (that is not subject to the right to publish) Completed by: Sponsored Project Administrator Date IF YOU ANSWERED YES TO ANY OF THE QUESTIONS ABOVE THE PI MUST COMPLETE PART II: TECHNICAL REVIEW PART II: TECHNICAL REVIEW (to be completed by Principal Investigator and returned to Sponsored Project Administrator) If you have any questions, contact Jeremy Forsberg, Director, Office of Research Administration 817-272-2105, j.forsberg@uta.edu To All Principal Investigators: It has been determined that the sponsored agreement for the project identified above contains provisions that may require University compliance with export control laws and regulations that are issued by the Department of Commerce and/or State. A final determination of the application of those regulations to this particular project depends on whether the research falls within a category of technology the government has determined raises particular issues of national security or economic interest. As the PI for the project, you are the person most qualified to decide if your research falls within covered areas. Ver. 6/18/07 The Office of Grant and Contract Services Phone 817.272.2105 Fax 817.272.5808 Procedures: You will have to review descriptions of technologies that are controlled by the International Traffic in Arms Regulations (ITAR), 22 CFR Section 121.l, http://www.access.gpo.gov/nara/cfr/waisidx_01/22cfr121_01.html , and the Export Administration Regulations (EAR), 15 CFR Section 774, Supp.1 (categories 0-9) http://www.access.gpo.gov/bis/ear/ear_data.html , and decide if the technology involved in this particular project falls within one or more of those categories I have reviewed the relevant EAR and ITAR regulations and determined that Sponsored Agreement number: 1. Does not involve technologies that are covered by either the EAR or the ITAR, is "EAR 99" or the Fundamental Research Exemption applies; 2. May involve technologies that are covered by either EAR or ITAR; 3. Is dominated by EAR-governed technology, specifically (identify category by name and section) 4. Includes discrete, easily identifiable and separable components that are within the scope of an ITARgoverned technology, specifically (identify category by name and section) 5. Includes discrete, easily identifiable and separable components that are within the scope of an EARgoverned technology, specifically (identify category by name and section) By EAR--Specify ECCN. By ITAR--Specify sections. If boxes 2, 3, 4, or 5 are checked, please complete the "Certification on the Handling of Exported Controlled Information Form" and return both forms to Sponsored Project Administrator. If box 1 is checked, return this form only. Printed Name, PI PI’s Signature Date "You may be entitled to know what information UT Arlington collects concerning you. You may review and have UT Arlington correct this information according to procedures set forth in UT System BPM #32. The law is found in sections 552.021, 552.023 and 559.004 of the Texas Government Code. For more information, see our Privacy Policy." Ver. 6/18/07