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    University Directory

Export Control

Foreign Travel Form

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To ensure that the university is in compliance with federal and state guidelines regarding export control, all faculty, staff, and students traveling outside of the U.S., the Export Control Officer (ECO) will evaluate your request before approving your Spend Authorization. If an export license is required, it must be in place prior to travel. You should complete the Spend Authorization at any time.

Step 1 of 6

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Name(Required)
Title(Required)
Email(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
What is the purpose of your travel?(Required)

Name
Sponsor
Website
Do you plan to travel to an embargoed destination (Cuba, Iran, North Korea, Sudan, or Syria)?(Required)
Note: In addition to embargoed countries, certain other countries, such as Belarus, Burma, Libya, Somalia, Venezuela, and Zimbabwe, have seen increased restrictions.
To which country or countries are you traveling?(Required)
Click on the + symbol to the right of the entry field to create additional rows for each country.
Will you receive compensation for your travel expenses or other compensation from a foreign sponsor or government?(Required)
Name specific places or persons (e.g., companies, universities, or professors) you will visit while you are there? Please list at least one place. If you are studying abroad, name the institution.(Required)
Click on the + symbol to the right of the entry field to create additional rows for each place or person.
Will you be taking any information or technology that is either A) not available in the public domain or education areas, B) classified, or C) subject to export control regulations (including materials in print or electronic versions)?(Required)
Export controlled materials include technology, software, and information related to the design, production, testing, maintenance, operation, modification, or use of controlled items or items with military applications. It does NOT include basic marketing information on function or purpose: information regarding general scientific, mathematical, or engineering principles commonly taught in universities: or information that is generally accessible in the public domain.
Please list the export controlled materials.(Required)
Are you taking any biological or hazardous materials abroad (including controlled toxins, genetic elements, or controlled chemicals/chemical compounds)?(Required)
Will you be presenting information at a conference/meeting that is NOT available in the public domain or does NOT constitute fundamental research?(Required)
Will you be attending a "closed" conference or meeting?(Required)
Will you provide a service or financial assistance to a foreign entity while traveling?(Required)
Do you plan to take a laptop, smart phone, or other equipment, data, technology, or specialized software when traveling abroad? If yes, an export license or license exception may be required, depending on what you are taking and the country to which you are traveling.(Required)
Contact the Export Control Officer (ECO) if you have any questions.
Please list the applicable technology/data/software.(Required)
Will the above‐mentioned item(s) be used ONLY as a “tool of the trade” i.e. to conduct UA LITTLE ROCK business (e.g., present at a conference, conduct research project, teach, etc.)?(Required)
If you plan to take University equipment, please complete the TMP form. If not, please complete the BAG form.
Will the item(s) be returned to the U.S. within 12 months?(Required)
If a license or a license exception is required, will the item(s) be under your physical possession or maintained in a secure environment, such as a locked or guarded facility, while the property is abroad?(Required)
Have you removed any export‐controlled information from electronic storage media (laptops, memory sticks, smart phones, etc.)?(Required)
Are you sharing UA LITTLE ROCK developed, non‐commercial encryption software in source code or object code?(Required)
If yes, an export license may be required. Contact the Export Control Officer (ECO).
Will you be in possession of or share items, documents, information, or data related to export-controlled research?(Required)
Do you have any reason to believe that the information or software to be shared will have a military use?(Required)
Certify(Required)
I hereby certify that I have read and understand the information provided regarding compliance with export laws and regulations. I understand that I could be personally liable if I unlawfully export or disclose export controlled information or technology to foreign nationals without prior approval. I have provided complete information in responding to the questions listed above.
MM slash DD slash YYYY

Export Control

Contact Information

Ottenheimer Library 525
Little Rock, AR 72204
501-916-6209
[email protected]

Key Links

  • Office of Research Compliance
  • Office of Research and Sponsored Programs

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UA Little Rock is a metropolitan research university in the South that provides accessibility to a quality education through flexible learning and unparalleled internship opportunities.

Contact Information

2801 S. University Ave.
Little Rock, AR 72204
501-916-3000

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