ࡱ> Z]Y ?bjbj 8Hff yvvFFFFFZZZ8lDZ2B>2222222,4{7XD2]F`>>``D2FFH2`FFF2`2.F0#wMFF/2202Z/77(F0F0FZ0```D2D2```27`````````v :   Employee Name: FORMTEXT 39279     Job Title: FORMTEXT      College/Division: FORMTEXT      Dept Name: FORMTEXT      Travel Destination: FORMTEXT      Dates of Travel: FORMTEXT       HYPERLINK "http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?sid=267aaed1d7a4089dfba22fdbbe4b8789&c=ecfr&tpl=/ecfrbrowse/Title15/15cfrv2_02.tpl"Export Administration Regulations (EAR) (see Subchapter C) and  HYPERLINK "http://www.pmddtc.state.gov/regulations_laws/itar.html" International Traffic in Arms Regulations (ITAR) prohibit the transport of certain items when traveling outside the U.S., regardless of the type of funds used to pay for the travel. In addition, the  HYPERLINK "http://www.treasury.gov/about/organizational-structure/offices/Pages/Office-of-Foreign-Assets-Control.aspx" Office of Foreign Assets Control (OFAC) may prohibit travel to embargoed countries even when exclusions to EAR and ITAR apply. Non-compliance with federal laws and regulations may result in criminal or civil penalties and loss of export privileges. In order to determine if there are any restrictions against traveling or transporting items to the foreign destination, answer ALL of the following questions: Is the destination on the U.S. Treasury OFAC Sanctions Programs list (HYPERLINK "http://www.treasury.gov/resource-center/sanctions/Programs/Pages/Programs.aspx"View)? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Will you be transporting any equipment, materials, software, or technical data to the foreign country that is restricted from distribution or considered proprietary? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If yes, describe:  FORMTEXT       Are any of the items you will transport intended for or can be used in military applications? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If yes, describe:  FORMTEXT       Will you be transferring or discussing any restricted items or data referred to in (b) and (c) above to/with foreign individuals, businesses, governments, or organizations? Yes  FORMCHECKBOX  No  FORMCHECKBOX  N/A  FORMCHECKBOX  If yes, describe:  FORMTEXT       Will the restricted items and data described above remain under your physical possession or secured in a hotel safe, bonded warehouse, or locked exhibition facility? Yes  FORMCHECKBOX  No  FORMCHECKBOX  N/A  FORMCHECKBOX  If no, describe:  FORMTEXT       If you answered  Yes to one or more of questions (a) through (d) or if you answered No to question (e), contact Beverly Rymer, Executive Director of the Office of Contracts and Grants, at  HYPERLINK "mailto:brymer@uh.edu" brymer@uh.edu as soon as possible to determine whether you can travel or transport restricted items to the foreign destination. If a license is required, it could take up to six months to obtain approval from the federal agency. More information:  HYPERLINK "http://www.uh.edu/research/compliance/export-controls/"  468BLNfh|~ qZ,jh.eh {1CJU^JaJmHnHu'jh.eh {1CJU^JaJ!jh.eh {1CJU^JaJh.eh {1CJ^JaJ'jth.ehMqCJU^JaJ,jh.ehMqCJU^JaJmHnHu'jh.ehMqCJU^JaJ!jh.ehMqCJU^JaJh.ehMqCJ^JaJPf.kd$$Ifl\H$Z Z Z Z t0644 lap(ytm dh$7$8$H$Ifgdm  .kdp$$Ifl\H$Z Z Z Z t0644 lap(ytm dh$7$8$H$Ifgdm    B D F Z \ ^ h j l ڶکڶکڶtgZMh.eh~QQCJ ^JaJh.eh CJ ^JaJh.ehCJ ^JaJh.eh/CJ ^JaJ'jh.eh {1CJU^JaJ'jh.eh {1CJU^JaJh.eh {1CJ^JaJh.ehMqCJ^JaJ,jh.eh {1CJU^JaJmHnHu!jh.eh {1CJU^JaJ'jh.eh {1CJU^JaJ D l .kd$$Ifl\H$Z Z Z Z t0644 lap(ytm dh$7$8$H$Ifgdm xjTBhd7$8$H$^hgd`Q^ & Fhd7$8$H$^hgd`Q^d7$8$H$gd~QQ[kd#$$Ifl$h%  t 644 l` ap ytit$d$7$8$H$Ifa$gdH^ dh7$8$H$gd/ n o p  ( J P o q 7 8 X Y  K wj\jh.ehs5CJ^JaJh.ehsCJ^JaJh.ehzxCJ^JaJh.ehcrCJ^JaJh.ehICJ^JaJh.ehdCJ^JaJ%jh.ehI0JCJU^JaJh.ehd0JCJ^JaJ'jh.ehH^CJU^JaJh.ehH^CJ^JaJ!jh.ehICJU^JaJK tuvz{󫼗t`Sh.eh`Q^CJ ^JaJ'j;h.eh.eCJU^JaJ'jh.eh.eCJU^JaJh.eh`Q^0JCJ^JaJ'jh.eha$yCJU^JaJ!jh.eh`Q^CJU^JaJh.eha$yCJ^JaJh.eh~QQCJ ^JaJh.ehd5CJ\^JaJh.ehdCJ^JaJh.eh`Q^CJ^JaJQ|"npLyghd7$8$H$^hgdSb! & Fhd7$8$H$^hgdnd7$8$H$^gdnd7$8$H$gddhd7$8$H$`hgddd7$8$H$^`gdd & Fhd7$8$H$^hgd`Q^d7$8$H$^gd`Q^ 9DOPQRUVdefijkyz{|̲̿s_sRRh.eheVICJ^JaJ'j# h.eh.eCJU^JaJh.eh~QQCJ^JaJ'jh.eh.eCJU^JaJ!jh.ehxCJU^JaJh.ehdCJ^JaJh.ehW#CJ^JaJh.eh CJ^JaJh.ehnCJ^JaJh.ehNQCJ^JaJh.eh6_CJ^JaJh.ehj%-CJ^JaJ  $^z❐vvi\H'j h.eh.eCJU^JaJh.eh~QQCJ^JaJh.ehnCJ^JaJh.ehCJ^JaJh.ehzCJ^JaJh.eh~QQCJ ^JaJh.eheVICJ^JaJ,jh.ehdCJU^JaJmHnHu'j h.ehxCJU^JaJh.ehdCJ^JaJ!jh.ehxCJU^JaJh.ehzCJ^JaJ DFH\^`jlnp.HZͬڕ͈{na{nan{aTa{nC!jh.ehSb!CJU^JaJh.eha$yCJ^JaJh.ehq~CJ^JaJh.ehSb!CJ^JaJh.ehnCJ^JaJh.ehnCJ ^JaJ,jh.ehdCJU^JaJmHnHu'j h.ehxCJU^JaJh.ehzCJ^JaJh.ehdCJ^JaJ!jh.ehxCJU^JaJ'j h.eh.eCJU^JaJ(*FHJprB{naTGah.eheVICJ^JaJh.ehZICJ^JaJh.eh~QQCJ^JaJh.ehnCJ ^JaJ,jh.ehSb!CJU^JaJmHnHu'j h.ehSb!CJU^JaJ'jO h.eh.eCJU^JaJ'j h.eh.eCJU^JaJ!jh.ehSb!CJU^JaJ'jg h.eh.eCJU^JaJh.ehSb!CJ^JaJLh8<$ Zd$7$8$H$If^Za$gd.ed7$8$H$gddhd7$8$H$`hgdd & Fhd7$8$H$^hgdSb!d7$8$H$^gdSb!hd7$8$H$^hgdSb!B 68:DFbdfٴ٠ȓnaM'jh.ehxCJU^JaJh.ehzCJ^JaJ'jh.eh.eCJU^JaJ!jh.ehSb!CJU^JaJh.ehSb!CJ^JaJ'j h.eh.eCJU^JaJ'j7 h.eh.eCJU^JaJ!jh.ehxCJU^JaJh.ehdCJ^JaJh.eh~QQCJ^JaJh.ehp#CJ^JaJZ\fqfi˾yyjy]OAOh.eh 6CJ^JaJh.eh66CJ^JaJh.eh7CJ^JaJh.eh 0JCJ^JaJ!jh.eh CJU^JaJh.eh/CJ^JaJh.eh.eCJ^JaJh.ehf1CJ^JaJh.eh CJ^JaJh.ehdCJ ^JaJh.ehdCJ^JaJ!jh.ehxCJU^JaJ,jh.ehdCJU^JaJmHnHu<6<7<8<9<:<<<<<<==5===G=M=Q=S======ö~p~p~b~~TFTFTh.eh=1CJ\^JaJh.eh+CJ\^JaJh.eheVICJ\^JaJh.ehdCJ\^JaJh.eh~QQCJ\^JaJh.eh/CJ\^JaJh.ehf1CJ\^JaJh.eh CJ\^JaJh.ehdCJ ^JaJh.ehdCJ^JaJh.eh.e0JCJ^JaJUh.eh.eCJ^JaJ!jh.eh.eCJU^JaJhttp://www.uh.edu/research/compliance/export-controls/ Travelers Statement: I have answered the above questions to the best of my knowledge and will contact the Director of Contracts and Grants as soon as possible to obtain approval, if required. __________________________________ ___________________ Traveler Signature Date __________________________________ ___________________ Director of Contracts and Grants (if required) Date Circle one: Approved Not Approved Approval comments: The completed form must be attached to the Travel Request for all employee travel outside the United States.     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