NASA Procedural Requirements

NPR 4300.1C Effective Date: June 27, 2013 Expiration Date: June 27, 2025

Subject: NASA Personal Property Disposal Procedural Requirements

Responsible Office: Office of Strategic Infrastructure

Appendix F. Transfer Order Forms Instructions

F.1 Stevenson-Wydler Act Certification Statement to be included on/with transfer orders for property transfer under Stevenson-Wydler authorization:

"I hereby certify that the property is being obtained by an [ ] educational institution or [ ] nonprofit organization and will be placed into use at the organization for the conduct of [ ] technical or [ ] scientific education [ ] or research activities.

"My organization hereby releases and agrees to hold harmless the Federal Government, NASA, or persons acting on behalf of NASA from any and all liability of every kind and nature whatsoever (in accordance with State law) resulting from the receipt, shipping, operation, handling, use, and maintenance of the property after said property is physically removed from the NASA facility."

_______________________ 	__________________________
Name of Organization 		Standard Form 122 Transfer 
				Order No.	
_______________________		_________________________ 
Printed Name of Official 	Title 3 
_______________________		_________________________ 
Signature of Official        	Date

³ School Principal or University Dean, Department Head or Department Chairman approving receipt of property.

F. 2 Statement/Document to be included on/with transfer orders for property under Export Control requirements (if not otherwise provided):

Notice of Receipt of Export-Controlled Item

COMMERCE CONTROL LIST (CCL) ITEM UNDER THE EXPORT ADMINISTRATION REGULATIONS (EAR) and INTERNATIONAL TRAFFIC IN ARMS REGULATIONS (ITAR)

The National Aeronautics and Space Administration (NASA) has determined that the export classification of the item(s) listed in Transfer Order Number _______________ is (are) either under the jurisdiction of the Export Administration Act of 1979 (50 U.S.C. 2401, et. seq.), the EAR (15 C.F.R. 730-774, or the Arms Export Control Act (22 U.S.C. § 2751, et. seq.) and the ITAR (22 C.F.R. 121).

In signing this document I hereby affirm that I am a United States citizen and acknowledge and agree to comply with restrictions outlined in the references provided above for items controlled under the ITAR or EAR (which may have export license requirements pertaining to sale or transfer of this item to a foreign person). A violation of these regulations could result in fines and imprisonment. The Department of State Directorate of Defense Trade Controls is responsible for implementing the ITAR. Additional information is available at: www.pmddtc.state.gov .

The Department of Commerce's Bureau of Industry and Security is responsible for implementing the EAR. Additional information is available at: www.bis.doc.gov .

Receipt Acknowledged:

F.3 Transfer Order templates:

(a) Link to SF-122; http://contacts.gsa.gov/webforms.nsf/0/DACB98B18C9F8C1F85256A3E0064652D/$file/sf122_e.pdf

(b) Link to SF-123; http://contacts.gsa.gov/webforms.nsf/0/0BD46E3ADA293D3C85256A3E00648E04/$file/SF%20123.pdf

F.4 U. S. Export Controlled Certification for G.S.A. Sales

The use, disposition, export, and re-export of this property are subject to all applicable United States Laws and Regulations. This includes the Export Administration Act of 1979, as amended (50 U.S.C. app. § 2401, et seq.), the Arms Export Control Act of 1976, as amended (22 U.S.C. § 2751, et seq.), the International Traffic in Arms Regulations (22 C.F.R. 121), and the Export Administration Regulations (15 C.F.R. 368 et seq.), which among other things prohibit:

a. The making of false statements and concealment of any material information regarding the use or disposition, export or re-export of the property.

b. The provisions of The Arms Export Control Act, 22 U.S.C. § 2778, which provides a maximum penalty of ten years imprisonment and/or a maximum fine of $1,000,000.

Any false information provided and/or concealment of any material information regarding the use, disposition or export of this property may constitute a violation of:

a. The provisions of 18 U.S.C. § 1001, which provides a maximum penalty of five years imprisonment and/or a maximum fine of $10,000.

b. The provisions of The Arms Export Control Act, 22 U.S.C. § 2778, which provides a maximum penalty of ten years imprisonment and/or a maximum fine of $1,000,000.

c. The provisions of 50 U.S.C. app. § 2410, which provides a maximum penalty of ten years imprisonment and/or a maximum penalty of ten years imprisonment and/or a maximum fine of five times the value of the property exported or $1,000,000, whichever is greater, and which also provides for administrative sanctions, including civil penalties of up to $10,000 and the revocation of authority to export goods from the United States.

The Purchaser warrants and covenants that none of the items identified in the Invitation for Bids or contract as being subject to this article will be directly or indirectly used or disposed of for military use.

DISTRIBUTION:
NODIS

This document does not bind the public, except as authorized by law or as incorporated into a contract. This document is uncontrolled when printed. Check the NASA Online Directives Information System (NODIS) Library to verify that this is the correct version before use: https://nodis3.gsfc.nasa.gov.