Instructions: For Please record all responses on this checklist in red text. Review this checklist in its entirety prior to using. In general, license exemption all can be used for NASA programs/projects which have a valid international completing agreement in place. This checklist is only a The approver must carefully review the current ITAR before issuing the approval to use either the 126.4(a) or 126.4(c) exemption. If the CEA/ACEA has any concerns, contact the HEA prior to submitting this this checklist to the HEA or approving use of the 126.4(a) or 126.4(c) exemption, if an Checklist HEA delegation is in place. In general, license exemptions 126.4(a) and 126.4(c) are not available if any of the following apply to the items to be exported: Embargoed/sanctioned countries (e.g., ) are involved in the transaction. Missile Technology Control Regime (MTCR) items () or the entries for these items are annotated with a “MT”. Significant Military Equipment (SME) () Ineligible entities (e.g., ) (i.e. Denial Screening Check) Short Descriptive Title of Request: For Center: completion Name of CEA/ACEA: Click here to enter text. Date of Request: Expected Ship Date(s): 1 by Expected Return Date: Requestor Program/Project (No acronyms): Requestor’s Office Symbol/Code: Requestor’s Email Address: Requestor’s Phone Number: Detailed Description: Description of each item(s), including Category and sub-category: All foreign destinations with addresses: 2 All end-uses: All end-users, with addresses: Click here to enter text. Valid International Agreement required for use of 126.4(a):
Instructions: Please record all responses on this checklist in red text. Review this checklist in its entirety prior to using. In general, license exemption can be used for NASA programs/projects which have a valid international agreement in place. This checklist is only a The approver must carefully review the current ITAR before issuing the approval to use either the 126.4(a) or 126.4(c) exemption. If the CEA/ACEA has any concerns, contact the HEA prior to submitting this checklist to the HEA or approving use of the 126.4(a) or 126.4(c) exemption, if an HEA delegation is in place. In general, license exemptions 126.4(a) and 126.4(c) are not available if any of the following apply to the items to be exported: Embargoed/sanctioned countries (e.g., ) are involved in the transaction. Missile Technology Control Regime (MTCR) items () or the entries for these items are annotated with a “MT”. Significant Military Equipment (SME) () Ineligible entities (e.g., ) (i.e. Denial Screening Check) For all completing this Checklist 1 Short Descriptive Title of Request: Center: Name of CEA/ACEA: Click here to enter text. Date of Request: Expected Ship Date(s): Expected Return Date: Program/Project (No acronyms): Requestor’s Office Symbol/Code: Requestor’s Email Address: Requestor’s Phone Number: For completion by Requestor 2 Detailed Description: Description of each item(s), including Category and sub-category: All foreign destinations with addresses: All end-uses: All end-users, with addresses: Click here to enter text. Valid International Agreement required for use of 126.4(a):
N_AII_2190_001B_.docx