NEW EMPLOYEE GUIDE
WELCOME TO GOES-R! THIS GUIDE WILL HELP YOU:
1. Get contractually squared away by completing the GOES-R Non-Disclosure Agreement (NDA),
International Traffic in Arms Regulations (ITAR), and Export Administration Regulations (EAR) forms
2. Get an account on the Virtual System Design Environment (VSDE), home of GOES-R’s portals (i.e.,
how we share documents with each other!)
3. Obtain a Goddard Space Flight Center (GSFC) security badge, government-furnished
phone/voicemail, office key, and computer at GSFC (as needed)
4. Obtain a GSFC email and domain account (as needed)
Let’s get started!
STEP 1
1.
Read through ATTACHEMENT 1, the lists of contractors, to ensure you do not have any conflicts of
interest
2. Fill out ATTACHEMENT 2, the Non-Disclosure Agreement (NDA)
3. Read through ATTACHEMENT 3, the International Traffic in Arms Regulations (ITAR) and Export
Administration Regulations (EAR) briefing
4. Complete ATTACHEMENT 4, the ITAR & EAR Certification
Note: The ITAR & EAR Certification requires proof of citizenship (passport or birth certificate) UNLESS you
are a Government Employee - but Government Employees must still complete the Certification!
5. Give completed ATTACHEMENT 2 and ATTACHEMENT 4 to a NDA / ITAR Representative (refer to the
Contacts Key at the end of this guide)
Please continue on to Step 2.
STEP 2
1.
2.
Fill out ATTACHEMENT 5, the VSDE Account Request Document
Give completed ATTACHMENT 5 to a System Administrator (refer to the Contacts Key at the end of
this guide)
Continue to STEP 3 if you will be working on-site at Goddard. Otherwise, skip STEP 3 and STEP 4 – you
are done!
STEP 3 – FOR EMPLOYEES REQUIRING A SECURITY BADGE,
PHONE, VOICE MAILBOX, OFFICE KEY, AND/OR COMPUTER
AT GSFC ONLY
1. If you do not have a permanent GSFC security
badge, fill ATTACHMENT 6 and ATTACHMENT 7 out
as much as you can – use the CHEAT-SHEET to
help! Do not worry about obtaining signatures yet
(other than your own!)
2. Contact the Program or Project Support Manager
(refer to the Contacts Key at the end of this guide)
– bring ATTACHMENT 6 and ATTACHMENT 7 with
you if you require a badge. They will guide you to
completion of the process(es) of obtaining a GSFC
badge, phone, voice mailbox, office key, or
computer as needed
Please continue on to Step 4.
CHEAT-SHEET: SECURITY BADGING FORMS
Attachment 6
- Only fill out personal information – do not worry
about the ‘TO’ or ‘CONTRACT NUMBER’ fields
- ‘PURPOSE OF REQUEST’ is “GOES R Program”
Attachment 7
- In the upper-right hand corner, indicate whether
you are a Contractor or Government employee
by writing “Ctr” or “Gov”
- If you are a NOAA employee, check “Other” in
the ‘Category:’ field, indicate “NOAA” in field
(20), and indicate “MOU” in field (19)
- Field (7) Skill Class is “SE”
- Field (8) Administrative Level is “M3”
- Field (9) Organization Code is “417”
- Field (10) Mail Code is “417”
STEP 4 – FOR EMPLOYEES LOCATED AT GSFC WITH A GOVERNMENT-FURNISHED COMPUTER ONLY
1. Fill out ATTACHEMENT 8, the Domain Account Request, and ATTACHEMENT 9, the Exchange Service
Account Request (fill out only as much as you know for both; the IT staff will take care of the rest!)
2. Give completed ATTACHMENT 8 and ATTACHMENT 9 to the GSFC IT Staff (refer to the Contacts Key
at the end of this guide)
Congratulations – you are done! For any additional IT-related requests, questions, or concerns, (such as
personal/company laptop wireless access approval) please contact any of the GSFC IT Staff (refer to
the Contacts Key at the end of this guide).
CONTACTS KEY
NDA / ITAR Representatives Secure fax: 301-286-3017
Kim Coaplin (301-286-7882)
Mary Petruzzo (301-286-1726)
GOES-R GSFC IT Staff Fax: 301-286-1699
Nicole Lauf (301-286-1607)
Chris Jorgensen (301 286-0684)
Nicole Stone (301-286-8073)
Raden Li (301-286-1998)
Jen Hall (301-286-1044)
Jeremy Wilson (301-286-5234)
Chris Hendrickson (301-286-0619)
Steve Lumsden (301-286-7898)
System Administrators Fax: 301-286-1699
Jen Hall (301-286-1044)
Kenny Morris (301-286-8633)
Program / Project Support Managers Fax: 301-286-1699
Chris Morris (301-286-4882)
Mary Bernhard (301-614-5256)
ATTACHMENT 1
GOES-R NDA Contractor List
(2 pages)
GOES-R NDA Contractor List
Program
GOES-R Intrument - ABI
GOES-R Intrument - ABI
GOES-R Intrument - ABI
GOES-R Intrument - ABI
GOES-R Intrument - ABI
GOES-R Intrument - ABI
GOES-R Intrument - ABI
Prime or
Sub
Sub
Sub
Sub
Prime
Sub
Sub
Sub
Org.
Company Name
NASA
NASA
NASA
NASA
NASA
NASA
NASA
GOES-R Intrument - SIS
GOES-R Intrument - SIS
Prime
Sub
NASA Lockheed Martin
NASA University of Colorado
NNG04HZ65C
GOES R Instrument - SEISS
GOES R Instrument - SEISS
Prime
Sub
NASA Assurance Technology Corporation
NASA University of New Hampshire
NNG06HX01C
GOES-R Intrument - EXIS
GOES-R Intrument - EXIS
GOES-R Intrument - EXIS
GOES-R Intrument - EXIS
GOES-R Intrument - EXIS
GOES-R Intrument - EXIS
GOES-R Intrument - EXIS
GOES-R Intrument - EXIS
Prime
Sub
Sub
Sub
Sub
Sub
Sub
Sub
University of Colorado - LASP
Applied Science Technologies
International Radiation Detectors
HORIBA Jobin Yvon Inc.
RAD
Space Instruments
Aeroflex/UTMC
Criteria Labs
NNG07HW00C
GOES-R Intrument - SUVI
GOES-R Intrument - SUVI
GOES-R Intrument - SUVI
GOES-R Intrument - SUVI
GOES-R Intrument - SUVI
GOES-R Intrument - SUVI
GOES-R Intrument - SUVI
GOES-R Intrument - SUVI
GOES-R Intrument - SUVI
Prime
Sub
Sub
Sub
Sub
Sub
Sub
Sub
Sub
Lockheed Martin
BAE Systems
RAL
e2v
Tinsley
Lawrence Livermore National Labs
RxO
Actel Corp.
Luxel Corp.
NNG07HW20C
Aeroflex
BEI
DRS
ITT Industries
Northrop Grumman Space Technologies
SSG Precision Optronics
ATK (formerly Swales)
Contract No.
NNG04HZ07C
GOES-R NDA Contractor List
Program
GOES R Instrument - GLM
GOES R Instrument - GLM
GOES R Instrument - GLM
GOES R Instrument - GLM
GOES R Instrument - GLM
GOES R Instrument - GLM
GOES R Instrument - GLM
Prime or
Sub
Prime
Sub
Sub
Sub
Sub
Sub
Sub
Org.
NASA
NASA
NASA
NASA
NASA
NASA
NASA
Company Name
Lockheed Martin
University of Alabama, Huntsville
University of Arizona
Rockwell-Collins
Semiconductor Technology and Associates
Ryco Design & Research
Barr Associates
Contract No.
NNG08HZ00C
ATTACHMENT 2
GOES-R NDA
(4 pages)
FOR OFFICIAL USE ONLY
Source Selection Information - See FAR 2.101 and 3.104
GOES-R Acquisition and Operation Phase RFP and Source Selection
Certification for Personnel Supporting the GOES-R Program
Non-disclosure, Conflicts of Interest, and Rules of Conduct
BACKGROUND:
1)
The National Oceanic and Atmospheric Administration (NOAA) and the National
Aeronautics and Space Administration (NASA) were engaged in a phased competitive
acquisition approach that included three contractors performing Program Definition and Risk
Reduction (PDRR) contracts. These contracts were completed in April 2007, and are now
followed by a full and open competition to select separate contractors to perform the
Acquisition and Operation (A & O) phase of the Geostationary Operational Environmental
Satellites (GOES-R) GroundSegment and GOES-R Space Segment. Currently, source
selections are underway to award Ground Segment (NOAA) and Space Segment (NASA)
contracts. NASA has also awarded contracts to develop instruments to be used with the
GOES-R Space Segment; and NOAA and NASA have awarded contracts to support the
GOES-R Program and Project Offices.
CERTIFICATION OF NON-DISCLOSURE:
2) I acknowledge that I will support the Government’s effort to acquire the next series of GOES
satellites by assisting the GOES-R Government Program Office (GPO) in conducting the
Ground Segment and Space Segment source selections and performing other work associated
with transition into the A & O phase. I am aware that during the course of executing my
duties, I will be exposed to sensitive information such as business proprietary information
and internal GPO deliberations that are not appropriate for public disclosure. I acknowledge
that all information generated by the GPO and in particular, internal source selection
information and information submitted by contractors proposing to perform some or all
aspects of the GOES-R acquisition, must be protected in accordance with Part 3.104 of the
Federal Acquisition Regulation (FAR).
3) Sensitive information, for the purposes of this NDA, includes, but is not limited to, contractor
work products submitted during the GOES-R PDRR phase, information marked as
proprietary or competition sensitive or in proposals submitted in response to solicitations,
source selection plans, acquisition and management strategies and any other information
associated with the sensitive information that could compromise the nature of the information
to be protected. I understand unauthorized release is subject to the penalties set forth herein.
4) I am aware that NOAA and NASA are engaged in a phased competitive acquisition approach
for the A&O contracts as outlined above. I acknowledge there are also contracts to formulate
plans for and develop instruments to be used on the GOES-R system and contracts with
companies that support the GOES-R program and project offices. I understand that
unauthorized disclosure of any sensitive information, as defined herein, including
contractor’s data, work products, proposed approach/solution, trade secrets, confidential
commercial or financial information, or proprietary information could damage the integrity of
these ongoing acquisitions and that the transmission or revelation of such information to
unauthorized persons could subject me to prosecution under the procurement integrity laws or
under other applicable laws.
FOR OFFICIAL USE ONLY
Source Selection Information - See FAR 2.101 and 3.104
Page 1 of 4
FOR OFFICIAL USE ONLY
Source Selection Information - See FAR 2.101 and 3.104
a) A trade secret is a secret, commercially valuable plan, formula, process, or device that is
used for the making, preparing, compounding, or processing of trade commodities and
that can be said to be the end product of either innovation or substantial effort.
b) Examples of commercial or financial information include: business sales statistics;
research data; technical designs; customer and supplier lists; profit and loss data;
overhead and operating costs; and information on financial condition.
5) I certify that I will not divulge, publish, or reveal by word, conduct or any other means, such
sensitive information to any persons without a need to know unless specifically authorized in
writing in each and every case by a duly authorized representative of the United States
Government, such as the Contracting Officer. I understand that unauthorized disclosure of
such sensitive information may subject me to substantial administrative, civil and criminal
penalties, including fine, imprisonment, and loss of employment.
6) The following applies to non-government personnel: I acknowledge that I may not disclose
any non-public information concerning the GOES-R program to anyone outside the GPO
including persons in my company, or subsequent companies I may choose to work for unless
I am specifically authorized by the Contracting Officer, or such information has otherwise
been made public by the Contracting Officer. Penalties for such unauthorized disclosure are
identified in my contract and, even if such remedies are not specifically identified, may
include termination for default, suspension, debarment or other action deemed appropriate by
the Contracting Officer responsible for my contract. I further understand that this restriction
extends to any new contracts/orders or subsequent/successor contracts/orders to the one cited
below.
CERTIFICATION OF NO CONFLICT OF INTEREST:
7) Other than what is disclosed as an attachment to this certificate, I certify that neither I nor my
spouse nor my dependent children, nor members of my household, nor personnel with whom
I am seeking employment have any direct or indirect financial or any other beneficial interest
in any of the firms supporting the GOES-R Program efforts including contractors and
subcontractors supporting the instrument formulation and development efforts. My duty to
disclose any conflicts as they arise is an on-going duty extending into the A & O phase and
includes notification to the GOES-R Contracting Officer or Contracting Officers, as
appropriate, of any unreported conflicts arising from my interest (or spouse, dependent
children, or members of my household) in a competitor to the A&O contract.
8) The following applies to non-Government personnel: As a contractor, I certify that I do not
personally have a financial or non-financial relationship with any of the organizations
included in the list of GOES-R system or instrument prime and subcontractors that would
represent a real or apparent conflict of interest. Further, I will ensure appropriate officials
within the organization for which I work are made aware of the list of GOES-R system or
instrument prime and subcontractors, and have advised them to fully disclose and mitigate
any organizational conflicts of interest between my employer and these organizations.
Finally, I certify that if I become aware of a financial or other relationship between myself or
my employer and one of these organizations, I will immediately notify the Contracting
Officer. Penalties for failure to properly disclose a real or apparent conflict of interest before
or during source selection, before or during award of the A & O contracts, and during the
performance of the A & O contracts are identified in my contract and, even if such remedies
are not specifically identified, may include termination for default, debarment or other action
so authorized by the contracting officer responsible for my contract.
FOR OFFICIAL USE ONLY
Source Selection Information - See FAR 2.101 and 3.104
Page 2 of 4
FOR OFFICIAL USE ONLY
Source Selection Information - See FAR 2.101 and 3.104
9) A complete list of these contractors/subcontractors is maintained by the GOES-R document
manager and is posted on the GOES-R VSDE web-portal. The contractors/subcontractors list
will be routinely updated by the GOES-R document manager, however failure to list a
contractor/subcontractor on the list with which I have a conflict I am aware of does not
discharge my duty to disclose such conflict.
RULES OF CONDUCT:
10) Throughout my involvement with the GOES-R program, I certify that I will observe the
following rules of conduct:
a) I will not ask for, demand, exact, solicit, seek, accept, receive, or agree to receive,
directly or indirectly, any money, gratuity, or other thing of value from any officer,
employee, representative, agent, or consultant of a GOES-R system or instrument prime
or subcontractor. I will advise my family that the acceptance of any such gratuity may be
imputed to me as a violation, and must therefore be avoided.
b) I understand that my obligations under this certification are of a continuing nature. If at
anytime during the period I am supporting the GOES-R Program I am approached by a
contractor about employment opportunities with them, or apply for a position, or receive
an offer regarding an employment opportunity, or other business opportunity, am offered
a gift from a system or instrument prime or subcontractor, or I encounter circumstances
where my participation might result in a real, apparent, or potential conflict of interest, I
will immediately seek the advice of an Ethics counselor and report the circumstances to
the Contracting Officer.
c) I will notify the Contracting Officer if any aspect of my previous certification changes,
including changes to an otherwise exempted financial relationship that exceed the
maximum threshold established by the Contracting Officer. I understand that the list of
contractors supporting GOES-R may change. Accordingly, I will periodically (no less
then quarterly) review the list of contractors supporting GOES-R as posted on the VSDE
portal and will notify the Contracting Officer of any changes to my certification. If I am
unable to access the portal, I will contact the GOES-R document manager. If I am a nonFederal employee, I will advise my employer of any changes to the list and remind them
of the need to update their OCI certification when circumstances arise that warrant an
update.
d) I will use the following legend on all information, data, documents, charts, and briefing
slides produced for the GOES-R source selection and related documents for which I am
responsible for preparing. Related documents can include data such as approved
requirements, award fee plans, selection strategies, funding levels, and schedules. I
understand the legend must be used on the top and bottom of the cover page and each
page that contains source selection information.
“FOR OFFICIAL USE ONLY
Source Selection Information - See FAR 2.101 and 3.104"
11) These restrictions are consistent with and do not supersede, conflict with, or otherwise alter
the employee obligations, rights, or liabilities created by Executive Order No. 12958; section
7211 of title 5, United States Code (governing disclosures to Congress); section 1034 of title
10, United States Code, as amended by the Military Whistleblower Protection Act (governing
disclosure to Congress by members of the military); section 2302(b)(8) of title 5, United
States Code, as amended by the Military Whistleblower Protection Act (governing
disclosures of illegality, waste, fraud, abuse or public health or safety threats); the
Intelligence Identities Protection Act of 1982 (50 U.S.C. 421 et seq.)(governing disclosures
FOR OFFICIAL USE ONLY
Source Selection Information - See FAR 2.101 and 3.104
Page 3 of 4
FOR OFFICIAL USE ONLY
Source Selection Information - See FAR 2.101 and 3.104
that could expose confidential Government agents); and the statutes which protect against
disclosure that may compromise the national security, including sections 641, 793, 794, 798,
and 952 of title 18, United States Codes, and section 4(b) of the subversive Activities Act of
1950 (50 U.S.C. 783(b)). The definitions, requirements, obligations, rights, sanctions, and
liabilities created by said Executive order and listed statutes are incorporated into this
agreement and are controlling.
12) The acknowledgement and signature provided does not bar disclosures to Congress or to an
authorized official of an executive agency or the Department of Justice that are essential to
reporting a substantial violation of law.
I understand that making a false, fictitious, or fraudulent certification may subject me to
prosecution under Title 18, U.S.C.1001.
**NOTE: THE FOLLOWING INFORMATION MUST BE COMPLETED IN FULL.
Print Name:
Organization/Employer:
Title:
Email:
Work Phone:
GOES-R Organization (Program, Ground, Flight):
Signature:
Date:
Contract No (Contractors only):
FOR OFFICIAL USE ONLY
Source Selection Information - See FAR 2.101 and 3.104
Page 4 of 4
ATTACHMENT 3
ITAR – EAR Presentation
(7 pages)
Export Compliance
Export Compliance
Export and Import Compliance is serious business.
Responsibility starts with the employee and ends at the
International Traffic in Arms Regulations (ITAR) &
Export Administration Regulations (EAR)
executive level.
Failure to understand and comply with export and import
control laws not only jeopardizes national security, it also
can result in severe penalties.
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
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FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
2
Reasons for Export Control
Outline
Reasons for Export Control
Some of the many reasons that certain exports and imports are
controlled include:
Controlling Agencies
Applicable U.S. Government Regulations
•national security
Who Does Export Compliance Pertain to?
•foreign policy
Definitions
•proliferation
Export/Import Don’ts
Controlled Items
•short supply
The U.S. Munitions List
•anti-terrorism
The Commerce Control List
•crime control
Handling
•high performance computers
Document Marking
1/11/2008
Marking Examples
•regional stability
Sample Violations
•U.N. sanctions
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
3
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FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
4
1
Controlling Agencies
Who Does Export Control Pertain to?
•
Department of State – Office of Defense Trade Controls (ODTC)
– International Traffic in Arms Regulations (ITAR) – US Munitions List
• Department of Commerce – Bureau of Industry Security (BIS)
– Export Administration Regulations (EAR) – Commerce Control List
• Department of Energy and Nuclear Regulatory Commission
• Treasury Department – Office of Foreign Assets Control (OFAC)
– Controls sanctioned countries
Applicable U.S. Government Regulations
• International Traffic in Arms Regulations (ITAR)
– 22 CFR Parts 12-130
• Export Administration Regulations (EAR)
– 15 CFR Parts 730-774
• Economic Embargo Regulations
– 31 CFR Parts 500-596
• United States Customs Regulations
• National Industrial Security Program Operating Manual (NIPSOM)
5220.22-M
1/11/2008
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
5
•
Any U.S. person who intends to export or temporarily import a defense
article or intends to export or re-export any commercial or dual-use
item
•
A U.S. person is defined as: “a person who is a lawful permanent
resident of the U.S. It also means any corporation, business
association, partnership, society, trust, or any other entity, organized
or group that is incorporated to do business in the U.S.”
– INS GREEN CARD holders are permanent residents and are treated
as U.S persons
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
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6
Definitions
Definitions
Technical Data
Export
Any item that is sent or taken from the U.S. to a foreign destination is an export. "Items"
include commodities, software or technology, such as clothing, building materials, circuit
boards, blue prints, design plans, retail software packages and technical information.
Disclosing, including oral or visual, or transferring technical data or defense article to a foreign
person, foreign embassy or agency/sub-division of a foreign government in the U.S. or abroad
Performing a defense service on behalf of, or for the benefit of, a foreign person, in the U.S. or
abroad
Deemed Export
The transfer or disclosure (visually, electronically, or in any other medium) of “technologies”
(EAR) or “technical data” (ITAR), meaning information beyond general and basic marketing
materials (e.g., source code or equipment installation, operation and repair instructions), as
well as consulting, instruction, training, or lectures, concerning export-controlled equipment,
materials, or items to a foreign entity or individual
The transfer is regulated because the transfer is “deemed” to be to the country where the
person is a resident or a citizen
Import
Bringing into the Customs territory of the U.S. from a foreign country any defense article or
other item.
May be permanent or temporary
Information other than software, that is required for the design,
development, production, manufacture, assembly, operation, repair,
testing, maintenance, or modification of defense articles.
» Includes blueprints, drawings, photographs, plans, instructions
and/or documentation
Classified information relating to defense articles or services
Software directly related to defense articles which includes but is not
limited to system functional design, logic flow, algorithms (in operational
code), application programs, operating systems and support software
for deign, implementation, test, operations, diagnosis and repair.
Does not Include:
Information which is Public Domain
Basic marketing information
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FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
7
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FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
8
2
Definitions
Definitions
Dual-Use Item
Defense Article
•Any Item or related technical data which is:
•Items that have potential for both military and civilian uses
ƒSpecifically designed, developed, configured, adapted, or modified
for a military application and does not have a predominant civil
application and does not have performance equivalent (defined by
form, fit and function) to those of an article or service used for civil
applications.
Foreign National
ƒAny person who is not a U.S. citizen or a Permanent Resident (Green
Card holder)
ƒAny entity not incorporated to do business in the U.S.
ƒSpecifically designed, developed, configured, adapted, or modified
for a military application, and has significant military or intelligence
applicability such that control under the ITAR is necessary
ƒAny foreign subsidiaries of U.S. companies, their affiliates, branch
offices, program offices and their employees whether or not they are U.S.
citizens or Permanent Residents.
ƒForeign governments and international organizations and their
embassies and missions in the U.S.
Defense Service
ƒFurnishing assistance (including training) to a foreign person
ƒPeople working for a foreign government or corporation no matter if they
are U.S. citizens or not.
ƒFurnishing technical data to a foreign person in the U.S. or their
native country
1/11/2008
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
ƒDual Nationals are Foreign Nationals
9
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Definitions
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
10
Import Export Don'ts
A U.S. Person is defined as:
Don't- Export or re-export from the U.S any defense article or technical data or
furnish any defense service without obtaining any required license or written
approval from Department of State.
“a person who is a lawful permanent resident of the U.S. It also means any
corporation, business association, partnership, society, trust, or any other
entity, organized or group that is incorporated to do business in the U.S.”
ƒINS GREEN CARD holders are permanent residents and are treated
as U.S persons
Don't- Export or re-export from the U.S. any commercial or dual-use item
without an appropriate license from the Department of Commerce.
A Foreign Person is defined as:
•anyone who is neither a U.S. citizen nor a permanent resident (green
card recipient)
Don't- Import or attempt to import any defense article without required
authorization.
It includes foreign corporations (i.e., corporations that are not incorporated
in the United States), international organizations, foreign governments, and
any agency or subdivision of foreign governments (e.g., diplomatic
missions). ...
Don't- Violate any of the terms or conditions of licenses or approvals granted
by the Department of State or Department of Commerce.
Individuals with dual nationality working for a foreign government or
corporation also fall under the status of a Foreign Person.
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FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
11
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FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
12
3
Import Export Don'ts
Controlled Items
The International Trade in Arms Regulations (ITAR) control items that are
on the United States Munitions List (USML)
– Category XV and XX are the primary concern for NOAA/NESDIS
Don't -Make a false statement or misrepresent or omit a material fact in a
license application or other export document.
The Export Administration Regulations (EAR) control items that are on
the Commerce Control List (CCL)
– All Categories have a technical data protection requirement
Don't- Fail to file the appropriate documents.
Don't- Hand carry technical data or hardware overseas without authorization
and documentation.
TIP: See your Export Control Point of Contact (TBD) to determine if your
item is on these lists BEFORE you release. This is especially true for
technical data.
All Government documents containing ITAR and EAR controlled
information will be routed thru the export control point of contact. This
person is TBD at this time.
- If you have a questions, contact the POC.
Don't-Transmit technical data electronically to foreign persons or NESDIS
employees overseas without a proper authorization.
Contractor documents will be marked appropriately if they are export
controlled.
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
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13
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The United States Munitions List
(USML)– ITAR Control
Category
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
XI.
XII.
1/11/2008
Items
Firearms, Close Assault Weapons and
Combat Shotguns
Guns and Armament
Ammunition/Ordnance
Launch Vehicles, Guided Missiles,
Ballistic Missiles, Rockets, Torpedoes,
Bombs and Mines
Explosives and Energetic Materials,
Propellants, Incendiary Agents, and
their constituents
Vessels of War and Special Naval
Equipment
Tanks and Military Vehicles
Aircraft and Associated
Equipment
(installed military components)
Military Training Equipment
Protective Personnel Equipment
Military Electronics
Fire Control, Range Finder, Optical and
Guidance Control Equipment
Category
•
Items
Auxiliary Military Equipment
XIV.
Toxicological Agents, including
Chemical Agents, Biological Agents and
Associated Equipment
XV.
Spacecraft Systems and Associated
Equipment (GOES-R, POES, NPOESS
etc..)
XVI.
Nuclear Weapons, Design and Testing
Related Items
XVII.
Classified Articles, Technical Data and
Defense Services Not Otherwise
Enumerated
XVIII.
Directed Energy Weapons
Reserved
XX.
Submersible Vessels, Oceanographic
and Associated Equipment
XXI.
Miscellaneous Articles
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
14
Commerce Control List (CCL)
XIII.
XIX.
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
•
•
•
•
•
•
•
•
•
•
Category 0 - Nuclear Materials, Facilities & Equipment (and Miscellaneous
Items)
Category 1 - Materials, Chemicals, Microorganisms, and Toxins
Category 2 - Materials Processing
Category 3 - Electronics Design, Development and Production
Category 4 – Computers
Category 5 (Part 1) – Telecommunications
Category 5 (Part 2) - Information Security
Category 6 - Sensors and Lasers
Category 7 - Navigation and Avionics
Category 8 – Marine
Category 9 - Propulsion Systems, Space Vehicles and Related Equipment
Complete list of items under each general category heading are found in the
Code of Federal Regulations (15CFR774 Sup 1)
15
1/11/2008
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
16
4
Handling
1/11/2008
Document Marking
All export controlled documents should be kept secure and out of sight
or reach of any Foreign National or Foreign person as defined in the
ITAR or EAR.
Lock controlled items them in your desk or file cabinet when you are
not using them.
Lock your workstation when you leave your desk.
•
Ensure all presentations and documents released are properly marked
•
When controlled technical data is not identified within documents,
presentations and papers, recipients:
Sample of Controlled items include:
Electrical Power Subsystem Specs
Software Development Plans
Simulator Requirements
System Level OPSCON Scenarios
and
-blueprints
-drawings
-photographs
-plans
-instructions and/or documentation
That are marked with export control markings
•
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
– Are not alerted to the need to protect the information.
17
1/11/2008
Marking non-technical or public domain information with control
statements causes problems:
– Inefficiency due to over-control
– Perpetuates a general lack of understanding of correct marking
procedures
– Excessive control limits usefulness of information
– TIP: Isolate any controlled information in an appendix or attachment
to the document or presentation. This way it can be easily separated
from the main document!
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
Marking Examples
•
•
•
•
Enforcement
“Approved for Public Release – Distribution Unlimited”
“ITAR Controlled Document – Do Not Export”
“The export of these commodities, technology or software are subject
to U.S. Export Laws and Regulations in accordance with the Export
Laws and Regulations in accordance with the Export Administration
Regulations. Diversion contrary to U.S. law is prohibited”
“Use or disclosure of data on this page is subject to ITAR restrictions”
Omega Engineering Inc.
The Violation: Omega Engineering Inc., of Stamford, Connecticut and
its former Vice President, Ralph Michel, violated the EAR by exporting
certain laboratory equipment to Pakistan in 1997 after BIS had denied a
license for the same shipment earlier that year.
The Penalty: In the criminal cases, Michel was sentenced to ten months
imprisonment and fined $50,000, and Omega was sentenced to a
$313,000 criminal penalty and five years corporate probation. In the
administrative cases, Omega agreed to pay a $187,000 penalty and to a
five-year denial of export privileges to Pakistan. BIS also denied
Michel's export privileges to Pakistan for five years.
TIP: Consult your Export Control Point of Contact to determine
the correct marking statement! This person is TBD.
1/11/2008
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
18
19
1/11/2008
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
20
5
Web Sites
Enforcement
U.S. Department of Commerce
Export Administration Regulations
http://www.access.gpo.gov/bis/ear/ear_data.html
RLC Electronics, Inc.
The Violation: Between March 2002 and April 2003, RLC Electronics,
Inc. exported power dividers and low pass filters without the
required BIS licenses to the Indian Space Research Organization's
(ISRO) Telemetry, Tracking and Command Network (ISTRAC) in
India. In January 2003, RLC exported position switches without the
required BIS license to the ISRO Sriharikota Space Center (SHAR) in
Bangalore, India. At the time of the export, ISTRAC and SHAR were
on BIS's Entity List and exports to ISTRAC and SHAR required prior
authorization. RLC also made false statements on a Shipper's
Export Declaration submitted to the U.S. Government.
U.S. Department of State
International Traffic in Arms Regulations (ITAR)
http://www.pmdtc.org/reference.htm#ITAR
NASA Export Control Tutorial
http://www.hq.nasa.gov/office/codei/nasaecp/Webbrfg/
The Penalty: RLC Electronics agreed to pay a $30,000 administrative
penalty.
1/11/2008
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
21
1/11/2008
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
22
Marking Examples
Export Restrictions
WinZip is subject to certain export restrictions of the United States
Government. If you are:
(a) in a country to which export from the United States is restricted for
anti-terrorism reasons, or a national of any such country, wherever
located,
(b) in a country to which the United States has embargoed or
restricted the export of goods or services, or a national of any such
country, wherever located, or
(c) a person or entity who has been prohibited from participating in
United States export transactions by any agency of the United States
Government, then you may not install, download, access, use, or
license WinZip.
BACK-UP SLIDES
1/11/2008
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
23
1/11/2008
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
24
6
Marking Examples
Enforcement
Export compliance information
Register Adobe products
Silicon Graphics, Inc. (SGI)
Volume licensing
The following guidelines explain restrictions on exporting Adobe products.For worldwide for
customers who need to send products purchased in one country to another country. This information
May be required for your shipping documentation, record keeping, or post-shipment reporting.
To obtain Adobe's ECCN and HTS information To export Adobe products, you need to obtain Adobe's
Export Control Classification Number (ECCN), license information, and Harmonized Tariff Schedule of
the United States (HTSUS) information. Adobe's Product export information includes product names,
license exception symbols, ECCNs, and the HTSUS number. The ECCN is a five-digit alphanumeric
character classification system used to determine U.S. export licensing requirements. The ECCN
represents a specific commodity defined in the U.S. Bureau of Industry and Security (formerly the
Bureau of Export Administration). THE 5-digit code assigned to all commodities exported from the
United States. The U.S. Department of Commerce, Bureau of Census uses this code to calculate U.S.
trade statistics, and U.S. Customs uses it to assess duties and tariffs.
The Violation: In 1996, SGI knowingly exported Challenge L computer
systems, upgrades, and peripheral equipment to the All-Russian Institute for
Technical Physics without the required export license from BIS. Additionally,
SGI re-exported computers from its facility in Switzerland to the United Arab
Emirates without the required licenses and failed to notify BIS of certain
computer exports as required by the EAR.
The Penalty: In the criminal case, SGI pled guilty to two felony charges and
was sentenced to $1 million in criminal fines. In the related administrative
case, SGI agreed to pay a $182,000 administrative penalty.
Legal restrictions on exporting Adobe products
Adobe products are subject to export restrictions under U.S. law, as some software may contain
encryption technology. These restrictions are provided and enforced by the Bureau of Industry and
Security, which defines specific export restrictions on goods, software, and technologies. Please note
that end users, end use, and country of ultimate destination may affect your export licensing
requirements. You are ultimately responsible for exporting Adobe products in accordance with the
Export Administration Regulations (EAR) 15 Code of Federal Regulations. We encourage you to consult
the EAR and any other appropriate sources before you distribute or import Adobe products.
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
1/11/2008
25
1/11/2008
Enforcement
National Security Controlled Technology to Chinese and Ukrainian Nationals
(deemed export) – In November 2004, BIS assessed Fujitsu Network
Communications, Inc. an administrative penalty of $125,000 as part of an
agreement with Fujitsu to settle charges related to unlicensed deemed exports
to foreign nationals. In particular, BIS alleged that Fujitsu failed to obtain the
export licenses required for transferring commercial digital fiber-optic
transmission and broadband switching technology to Chinese and Ukrainian
nationals. The applicable technology is subject to national security controls.
The Violation: Between 1994 and 2000, Digital Equipment
Corporation and its subsidiaries violated the EAR by exporting or
re-exporting computers and computer equipment without the
required export licenses from BIS. Exports of these commodities
were destined for South Korea. Re-exports of the U.S.-origin
goods were made from Hong Kong to the PRC and from Singapore
to India.
High Performance Computers to China – In December 2003, BIS assessed Sun
Microsystems, Inc. a $269,000 administrative penalty and imposed a one year
suspended denial of its export privileges as part of an agreement with Sun to
settle charges related to exporting computers to military end-users in China and
Egypt without the required BIS licenses, among other violations. BIS also
settled cases with two of Sun’s subsidiaries, for aiding and abetting the
unlicensed export to the military end-user in China.
The Penalty: Compaq agreed to pay a $39,000 administrative
penalty.
Mitigating Circumstances: Compaq voluntarily self-disclosed the
violations and cooperated fully in the investigation.
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
26
Enforcement
Compaq
1/11/2008
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
27
1/11/2008
FOR OFFICIAL USE ONLY—Source Selection Information (see FAR 3.104)
28
7
ATTACHMENT 4
ITAR – EAR Certification
(3 pages)
International Traffic in Arms Regulations (ITAR)
&
Export Control Act (EAR)
Overview and Certification
I declare, under the penalty of perjury, that the below statements are true and accurate.
(Please initial)
I have read the attached ITAR and EAR Controls and Definitions.
I have attended the NOAA GOES-R ITAR and EAR overview, or have been provided the
overview material.
I am a citizen of the United States of America; Contractor Personnel Only: I prove so
through the attached copy of my birth certificate, current passport or other means (i.e.
employer verification).
I am not a citizen of the United States of America.
Name (print):____________________________________
I support (select one):
NASA
as a (select one):
NOAA
Title:
______
Civil Servant
Contractor (company name):
___________________________
Email: _________________________________________
Signature: ______________________________________
Date: __________________________________________
[Contractor Staff Only] Contract No ______________________________
International Traffic in Arms Regulations (ITAR) & Export Control Act (EAR)
Overview and Certification
Page 1 of 3
ITAR and EAR Controls and Definitions
ITAR Controls and Definitions
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
A.
The ITAR controls defense articles and defense services listed in the United States Munitions List
(“USML”). The USML lists 21 categories of “Defense Articles/Services” which are subject to export
controls and licensing.
“Defense Article” -- any item or technical data designated in the United States Munitions List.
“Defense Service” -- the furnishing of assistance (including training) to foreign persons, whether in the
United States or abroad in the design, development, engineering, manufacture, production, assembly,
testing, repair, maintenance, modification, operation, demilitarization, destruction, processing, or use
of defense articles or the furnishing to foreign persons of any technical data whether in the United
States or abroad.
“U.S. Person” – a natural person who is a lawful permanent resident as defined in 8 U.S.C.
1101(a)(20) or who is a protected individual as defined by 8 U.S.C. 1324b(a)(3). It also means any
corporation, business association, partnership, society, trust, or any other entity, organization or group
that is incorporated to do business in the U.S. It also includes any government entity (federal, state, or
local).
“Foreign Person” – opposite of U.S. person.
“Export” – sending or taking a “defense article” out of the U.S. in any manner, except by mere travel
outside of the U.S. by a person whose personal knowledge includes “technical data”; or transferring
registration, control, or ownership to a “foreign person” of any aircraft, vessel, or satellite covered by
the USML, whether in the U.S. or abroad; or disclosing (including oral or visual disclosure) or
transferring in the United States any “defense article” to any embassy, any agency or subdivision of a
foreign government (e.g., diplomatic missions); or disclosing (including oral or visual disclosure) or
transferring “technical data” to a “foreign person”, whether in the U.S. or abroad; or performing a
“defense service” on behalf of, or for the benefit of, a “foreign person”, whether in the U.S. or abroad.
“Temporary Export” vs. “Permanent Export” – Under the ITAR, a temporary export is less than four
(4) years with no transfer of title. A permanent export is four years or over, or anytime there is transfer
of title.
“Export/Import Licenses” – Export and/or Temporary Import licenses are issued by the United States
Department of State for the export or temporary import of “defense articles”. Common ITAR licenses
include: DSP-5, Permanent Export License (Unclassified); DSP-73, Temporary Export License
(Unclassified); DSP-61, Temporary Import License (Unclassified).
“License Exemptions” – The ITAR contains numerous exemptions to licensing requirements which are
outlined in the regulations. Exemptions do not apply, however, to any export to a proscribed country
(Afghanistan, Angola, Armenia, Azerbaijan, Belarus, Burma, China (PRC), Cyprus, Cuba, Haiti, India,
Iran, Iraq, Liberia, Libya, Nigeria, North Korea, Pakistan, Rwanda, Somalia, Sudan, Syria, Tajikistan,
Vietnam, Yeman, Federal Republic of Yugoslavia, Zaire).
General Requirements: The ITAR requires companies engaged in the business of manufacturing or
exporting defense articles or furnishing defense services to register with the Office of Defense Trade
Controls (“ODTC”) and comply with certain registration, licensing, record keeping and reporting
provisions. The Company is responsible for obtaining the appropriate export license prior to shipment
or transfer of any controlled commodities or data. The facility is responsible for maintaining export
records for a minimum of five years and must comply with all reporting requirements. The Company
is also responsible for having all Manufacturing License Agreements and Technical Assistance
Agreements approved by ODTC. The ITAR also has specific requirements for encryption technology.
All the requirements are set forth in 22 C.F.R. 120-130.
EAR Controls and Definitions
1.
2.
The EAR controls exports of items and technical data listed in the Commerce Control List (CCL).
“Export” – the actual shipment or transmission of any item out of the United States, which is subject to
the EAR, or the release of technology or software to a foreign national in the United States.
International Traffic in Arms Regulations (ITAR) & Export Control Act (EAR)
Overview and Certification
Page 2 of 3
3.
4.
5.
6.
7.
8.
9.
10.
“Release” – (1) visual inspection by foreign national of U.S. origin equipment or facilities; (2) oral
exchanges of information whether in the U.S. or abroad; or (3) the application to situations abroad of
personal knowledge or technical experience acquired in the U.S.
“Re-Export” – An actual shipment or transmission of any item, which is subject to the U.S. EAR, from
one foreign country to another foreign country; or release of technology or software to a foreign
national outside the U.S.
“Technical Data” – “Technology” (defined as specific information necessary for the development,
production, or use of a product); “Technical Assistance” (defined as instructions, skills training,
working knowledge, or consulting services); or “Software” (defined as a collection of one or more
programs or micro programs fixed in any tangible medium of expression). Technical Data may take
forms such as blueprints, plans, diagrams, models, formulae, tables, engineering designs and
specifications, manuals and instructions written or recorded on other media or devices such as disk,
tape, read-only memories, and software or interactive programs.
“Commerce Control List” – CCL lists all items and data that require an export license prior to
shipment, transmission, or release.
“Subject to the EAR” – The following items are “subject to the EAR”: (a) all items in the United
States, including a U.S. Foreign Trade Zone or moving intransit through the United States from one
foreign country to another; (b) all U.S.-origin items wherever they are located; (c) U.S.-origin parts,
components, materials, or other commodities incorporated abroad into foreign-made products, U.S.
origin software commingled with foreign software, and U.S. origin technology commingled with
foreign technology, in quantities exceeding “de minimis” levels; (d) certain foreign-made direct
products of U.S.-origin technology or software; and (e) certain commodities produced by any plant or
major component of a plant located outside the United States that is a direct product of U.S.-origin
technology or software. The following activities are subject to the EAR: (a) activities of U.S. persons
related to proliferation of chemical or biological weapons or missile technology; and (b) activities of
U.S. persons prohibited by any order under the EAR (e.g. Denial Orders).
NOT “Subject to the EAR” – An item will NOT be subject to the EAR if it is considered: (a)
controlled by another federal agency; (b) a newspaper, magazine or book; (c) publicly available
technology and software that are already published or to be published; (d) items that are the result of or
arise from fundamental research, that are educational, or that are included in patent applications; and
(e) foreign-made items with “de minimus” U.S. content.
“EAR 99” – refers to items that are subject to the EAR, but not covered by a Control List entry.
“Prohibitions” – The EAR requires that prior to exporting any item or data, Government must
determine if it is subject to any of the Ten General Prohibitions. If any of the prohibitions apply, it
must be resolved with either an export license prior to transmission or release, or it must comport with
one of the license exceptions.The Ten Prohibitions include the following: (1) Exports and Reexports;
(2) Parts and Components Reexports; (3) Foreign-Produced Direct Product Reexports; (4) Denial
Orders; (5) End-Use/End-User; (6) Embargo; (7) U.S. Person Proliferation Activity; (8) Intransit; (9)
Orders, Terms, and Conditions; and (10) Knowledge of a Violation is to Occur. The Prohibitions are
discussed at Part 736 of the EAR.
International Traffic in Arms Regulations (ITAR) & Export Control Act (EAR)
Overview and Certification
Page 3 of 3
ATTACHMENT 5
GOES-R VSDE Account Request Form
(3 pages)
Virtual System Design Environment (VSDE)
ACCOUNT REQUEST DOCUMENT
GOES-R Program
Are you requesting (Please select one):
a New User Account
an Update to Existing User Account
Last Name:
First Name:
Middle Initial:
Mailing Address, City, State, Zip Code:
Telephone Number:
Email Address:
Affiliation/Employer (Civil servant or contractor):
Who do you support? (Circle one): Ground | Flight | Program
What is your role? (Be specific)
Requester's citizenship:
Please select the Portal Groups you request access to in the table below with the help of your manager.
Portal Group
Ground Segment Project
ITT
BSS
LM
LM SUVI
LASP EXIS
NGST
ATC SEISS
GOES-R Flight Project
GOES R Portal (Program)
DOORS
WindChill
Portal Group Description
Used by the GOES-R Ground Segment Project to share files and documents internally.
Please contact Thomas Haas at Thomas.R.Haas@nasa.gov for approval.
Used by the GOES-R Program to exchange files with ITT Corporation, the Advanced
Baseline Imager’s (ABI’s) prime contractor. Please contact Clelia Walker at
Clelia.A.Walker@nasa.gov for approval.
Used by the GOES-R Program to exchange files with Boeing Satellite Systems (BSS), a
PDRR-phase prime contractor. Please contact Mary Petruzzo at
Mary.M.Petruzzo@nasa.gov for approval.
Used by the GOES-R Program to exchange files with Lockheed Martin (LM), a PDRRphase prime contractor. Please contact Mary Petruzzo at Mary.M.Petruzzo@nasa.gov
for approval.
Used by the GOES-R Program to exchange files with LM for SUVI. Please contact
Sang Lee at Sang.H.Lee@nasa.gov for approval.
Used by the GOES-R Program to exchange files with the Laboratory for Atmospheric
and Space Physics (LASP) for EXIS. Please contact Sang Lee at Sang.H.Lee@nasa.gov
for approval.
Used by the GOES-R Program to exchange files with Northrop Grumman Space
Technology (NGST), a PDRR-phase prime contractor. Please contact Mary Petruzzo at
Mary.M.Petruzzo@nasa.gov for approval.
Used by the GOES-R Program to exchange files with Assurance Technology
Corporation (ATC), the Space Environment In-Situ Suite’s (SEISS’s) prime contractor.
Please contact Clelia Walker at Clelia.A.Walker@nasa.gov for approval.
Used by the GOES-R Flight Project to share files and documents internally. Please
contact Clelia Walker at Clelia.A.Walker@nasa.gov for approval.
Used by the GOES-R Program Office and Program Systems Engineering to share files
and documents internally. Please contact Barbara Pfarr at Barbara.B.Pfarr@nasa.gov
for approval.
Used by the GOES-R Program to manage requirements at both the Program and Project
levels.. Please contact Bob Melis at Robert.F.Melis@nasa.gov for approval.
Used by the GOES-R Program for Configuration Management. Access will be given
when approval is obtained for the Ground Segment Project, GOES-R Flight Project, or
GOES R Portal group (see above).
NOTE: For each portal group, you must contact the individual specified above under the Portal Group Description
in order to obtain approval for access. Access can not be granted without prior approval.
Acknowledgement Statement
Unauthorized use of the computer accounts and computer resources to which I am granted access is a violation of Section
799, Title 18, U.S. Code; constitutes theft; and is punishable by law. I understand that I am the only individual to access
these accounts and will not knowingly permit access by others without written approval. I understand that my misuse of
assigned accounts, and my accessing others' accounts without authorization is not allowed. I understand that this/these
system(s) and resources are subject to monitoring and recording. I further understand that failure to abide by these
provisions may constitute grounds for termination of access privileges, administrative action, and/or civil or criminal
prosecution.
__________________________________________________________________________________
Requester's Signature
Date Signed
***Administrator use only***
______________________________________________________________________________
VSDE Responsible Official Signature
Date Signed
______________________________________________________________________________
Center IT Security Manager’s Approval (For Non-US Citizens ONLY)
Date Signed
Fax or Mail the VSDE Access Request Form to:
To:
Fax:
301-286-1699
Phone:
Re:
301-286-1044
VSDE Access Request Form
From:
Pages: 3 Including Cover
Date:
CC:
Comments: VSDE Access Request Form
ATTACHMENT 6
NASA Form 531 (to obtain a GSFC Security Badge)
(1 page)
NOTE: When filled in, subject to Privacy
Act of 1974. When not under continuing
control and supervision of a person
authorized access to this material it must
be, at a minimum, maintained under locked
conditions.
PURPOSE: The U.S. Government conducts background investigations to establish that applicants or incumbents either employed by the government or working for the
government are suitable for the job. Information from this form is used primarily as the basis for this investigation. Giving us the information we ask for is voluntary. However,
we may not be able to allow you access to our facilities or our resources if you don't give us each item of information we request.
TO (Check and complete)
National
Aeronautics and
Space
Administration
FBI-NC
FBI-FP
Name Check Request
DSS
OPM
CIA-S
NAME (Last, first, middle)
CIA-D
I&NS
STATE
OTHER NAMES USED
SEX
M
DATE OF BIRTH
PLACE OF BIRTH
U.S. NAT. NO.
CITIZENSHIP
SOCIAL SECURITY NO.
TELEPHONE NUMBER
CONTRACT NUMBER
NAME OF COTR
ALIEN REGIS. NO.
MILITARY SERIAL NO.
FULL NAME OF SPOUSE(S), INCLUDING MAIDEN NAME(S)
EXPIRATION DATE OF CONTRACT
SIGNATURE OF COTR
RESIDENCES IN EXCESS OF THREE MONTHS FOR THE PAST FIVE YEARS
MONTH/YEAR
NUMBER AND STREET
MONTH/YEAR
EMPLOYER
CITY AND STATE
EMPLOYMENT FOR THE PAST FIVE YEARS
ADDRESS
SIGNATURE
REQUESTING CENTER (Check)
PURPOSE OF REQUEST
ARC
DFRC
GRC
GSFC
HQ
JSC
KSC
LaRC
MSFC
SSC
RETURN TO:
NASA FORM 531 FEB 03 PREVIOUS EDITIONS ARE OBSOLETE.
THIS BLOCK TO BE USED FOR AGENCY RESPONSE
DATE
F
ATTACHMENT 7
GSFC 24-27 (to obtain a GSFC Security Badge)
(2 pages)
OMB No. 2700-0064 (Exp. 02/28/2007)
GIN
This information is:
Information on this form MUST BE TYPED
NAME (Last, First, MI)
New
Changed
Goddard Space Flight Center
LOCATOR AND INFORMATION SERVICES TRACKING SYSTEM (LISTS) DATA
See Instruction Sheet to assist you in completing the front side of this form. Information submitted MUST BE TYPED.
NASA/Greenbelt and NASA/Wallops Civil Service Personnel should not complete Items 18-21 in the “GENERAL” section
and should sign the “APPROVAL” section for themselves. All employees should complete the “PERSONAL” section.
GENERAL
Full-Time
Category: (Check ONE Only)
GSFC/Greenbelt CS
GSFC GB Contractor
Part-Time
GSFC Wallops CS
GSFC Wallops Contractor
1. Last Name:
4. Preferred First Name:
Permanent
Non NASA Civil Service
COOP/Summer Hire
Other
Temporary
Location:
On-site (Fill in 1-15 & 18-21)
Off-site (Fill in 1-11 & 16-21)
2. First Name:
5. Title:
6. Job Title:
3. MI:
(See Instructions)
7. Skill Class:
9. Organization Code:
12. GSFC Ext:
14. Building:
8. Administrative Level:
10. Mail Code:
13. GSFC Alt. Ext.:
15. Room:
11. Shift (Circle): 1
2
3
4
Note: 1= morning shift (5:00am-9:00am start)
2=evening shift (3:00pm-7:00pm start)
3=night shift (9:00pm-1:00am start)
4=other/split shift
17. Off-Site Location:
If OFF-SITE:
16. Off-Site Phone Number:
18: Contract Number
20. Prime Contractor/Organization Acronym:
21. Sub-Contractor/Employer Acronym:
19. Authorization Type:
SOME OF THE INFORMATION REQUESTED BELOW IS SUBJECT TO THE
PRIVACY ACT OF 1974. SEE REVERSE FOR STATEMENT GOVERNING ITS USE.
PERSONAL
1. Sex: F
M
3. Social Security No:
5. Citizenship:
2. Date of Birth (MMM-DD-YYYY):
4. Place of Birth (City/State/Country):
6. Alien Registration No:
RESIDENCE:
7. Street:
9. County:
12. Home Phone:
.
8. City:
10.State:
11. Zip Code:
EMERGENCY CONTACT:
13. Name:
15. Phone Number:
16. Address:
14. Relationship:
APPROVAL:
Date:
Typed Name of Authorizing Official
NOTE:
GSFC 24-27 (11/00)
Signature of Authorizing Official
NASA/GSFC (Greenbelt and Wallops) CIVIL SERVICE PERSONNEL SIGN FOR THEMSELVES
ALL GSFC CONTRACTOR PERSONNEL - This form must be signed by the Contracting Officer’s Technical
Representative or his/her designee.
ALL GRANTEES -- This form must be signed by the appropriate Division Chief or Project/Program Manager
OTHER AGENCY CIVIL SERVICE PERSONNEL/CONTRACTORS -- This form must be signed by the chief/head
on-site agency representative.
ALL OTHERS -- This form must be signed by the appropriate Division Chief
PREVIOUS EDITIONS ARE OBSOLETE
- FOR SECURITY OFFICE USE ONLY –
Type
Color
Access
Badge No.
Keycard No.
Date Issued
Badge
Keycard
Expires
Date Returned
Badge
Keycard
PRIVACY ACT STATEMENT
GSFC FORM 24-27
“LOCATOR AND INFORMATION SERVICES TRACKING
SYSTEM” (LISTS) FORM
In the U. S. Code, Title 5, Section 301, Title 42, Section 2473, and Title 44, Section 3101, authorize collection of this
information. Executive Order 9397 authorizes collection of your Social Security Number when that number will be used as a
unique employee identification number. Privacy information requested on GSFC Form 24-27 is collected and maintained
pursuant to the NASA System of Records published as “NASA 51LISTS.” Providing privacy information is a voluntary
action, although failure to do so may result in being denied a GSFC identification badge or access to printed materials in the
Library.
The intended official uses of the privacy and personal information are: to assist the Security Office in issuing identification
badges and coordination clearance requests; to establish for the Library an authorization for use of its printed materials; to
identify the listed emergency contact in case of an emergency to a Center employee or guest worker; and to provide a home
address in case an employee or guest worker must be contacted during off hours or for official mailings to a home address.
The official uses of the general (non-privacy/personal) records are: to locate individuals working for or at the Goddard Space
Flight Center; to improve services provided to the Center including mailroom operations, space utilization, identification of
potentially hazardous work environments, scheduling of annual physical examinations, and maintenance of Center’s
mainframe user identification names; and as a tool for performing short – and long – term institutional planning.
Additional routine uses of the LISTS information, uses which are standard for many NASA Systems of Records, include law
enforcement, disclosure when requesting information, disclosure of requested information, and court proceedings. These uses
are cited in full text in the “NASA 51LISTS” System of Records notice.
ATTACHMENT 8
GSFC Domain Account Request
(1 page)
Request Form for Active
Directory Accounts
For Permanent GSFC/WFF/IVV/GISS Employees
Required Information
Full Name (First, Middle, Last)
Date
E-Mail Address (if available)
Phone Number
Org Code
Employer
Mail Stop
Building
Room
Are you a temporary employee?
Yes
No
U.S. Citizen?
Yes
No
Domain Account Request Information
Please complete this section if requesting a GSFC Domain Account
Requested Domain Group Memberships (Without this you may not have the required access)
1:
2:
Acknowledgement Statement
I have read and agree to the Acknowledgement Statement above
User Signature
Date
Unauthorized use of the computer account and computer resources to which I am granted access is a violation
of Section 799, Title 18, U.S. Code; constitutes theft; and is punishable by law. I understand that I am the only
individual to access these accounts and will not knowingly permit access by others without written approval. I
understand that my misuse of assigned accounts and my accessing others' accounts without authorization is
not allowed. I understand that this/these system(s) and resources are subject to monitoring and recording. I
further understand that failure to abide by these provisions may constitute grounds for termination of access
privileges, administrative action, and/or civil or criminal prosecution.
Print Name
Approval (Project/Branch Manager)
Signature
Administrative Use Only
Ticket Number Assigned:
CNE Administrator's Name:
GSFC Domain Account Name:
Comments:
Fax this Signed / Completed form to 301-286-6170
Attn: Code 700 Support
Form # CS-FOR-003-01-1, revised: December 7, 2007
Date
ATTACHMENT 9
Exchange and Service Account Request
(1 page)
Account Request Form for CNE Exchange Service
Required Information
Full Name (First, Middle, Last)
Date
E-Mail Address (if available)
Phone Number
Org Code
417
Building #6
Mail Stop 417.0
Are you a temporary employee? (Yes/No)
Badge expiration date: __________
Employer
U.S. Citizen? (Yes/No)
Account Request Information
I am requesting the following: X Exchange mail account or
POP email Redirect
Do you have a GSFC Domain Account?
□ Yes Please enter your UserID _______________
X No Please complete and submit a CNE Request for Email and Network Domain Accounts form in
conjunction with this form
Acknowledgment Statement
Unauthorized use of the computer account and computer resources to which I am granted access is a violation
of Section 799, Title 18, U.S. Code; constitutes theft; and is punishable by law. I understand that I am the only
individual to access these accounts and will not knowingly permit access by others without written approval. I
understand that my misuse of assigned accounts and my accessing others' accounts without authorization is
not allowed. I understand that this/these system(s) and resources are subject to monitoring and recording. I
further understand that failure to abide by these provisions may constitute grounds for termination of access
privileges, administrative action, and/or civil or criminal prosecution.
I have read and agree to the Acknowledgement Statement above
User Signature
Date
Approval (Project/Branch Manager)
Print Name
Signature
Date
Administrative Use Only
Ticket Number Assigned:
CNE Administrator's Name:
GSFC Domain Account Name:
Comments:
Fax this Signed / Completed form to 301-286-6170 Attn: CNE Call Center
CNE form # CNE-CS-FOR-004-01