I-129 Export Control Certification Questionnaire

UC Riverside

I-129 Export Control Certification Questionnaire

Effective February 22, 2011, the U.S. Citizenship and Immigration Services (USCIS) requires that employers, including all University of California campuses and locations, certify that they have reviewed the U.S. export control regulations and have determined whether a license is required to release controlled technology or technical data to applicable nonimmigrant workers. This certification requirement not appears on Form I-129, which is used for the petition of H-1B, L-1 and O-1A visas.

To ensure that UCR is in compliance with this requirement, the following questionnaire must be completed by the sponsoring Principal Investigator (PI) or supervisor and returned to the International Scholar Center in in Surge Building (0381A) before the visa petition can be filed. If the PI or supervisor is unable to complete the questionnaire or requires additional information about the export control requirements in order to complete it accurately, he or she should refer to the Office of ResearchExport Control website. Departments should allot sufficient time to ensure that these questions can be answered (and that any necessary consultation with the local campus export control administrator can be conducted) in advance of the date on which the I-129 petition is to be submitted.

For additional information or assistance with questions, you may also contract the Assistant Vice Chancellor for Research, Charles Greer at (951) 827-3093 or .

For all other visa petition or related matters, please do not hesitate to contact Kimberly Gentile at (951) 827-4986 or .

Thank you.

The following questions should be answered by the principal investigator who will be supervising the visa beneficiary ((i.e., the nonimmigrant researcher on whose behalf the University is filing the I-129 petition), or who is otherwise knowledgeable about the beneficiary’s intended work.

1. Visa beneficiary’s name:

1. Visa beneficiary’s citizenship(s):

1. Name of department sponsoring beneficiary:

1. Name ofsupervising Principal Investigator (PI) or supervisor:

1. Will the visa beneficiary be working in one of the following areas: biomedical sciences, computer sciences, space sciences, engineering, physics, chemistry or other scientific discipline? Check one:

Please sign and date this form and submit it to Kimberly Gentile at the International Scholar Center in Surge Building (0381A).

Please continue completing the questionnaire and sign and date at the bottom and return to Kimberly Gentile at the International Scholar Center in Surge Building (0381A). If you do not have the information necessary to complete this certification, please contact the Office of Research for assistance.*

1. Does the research agreement (e.g. grant or contract) on which the beneficiary will be working restrict or prohibit the participation of foreign persons in the project or the research team’s right to publish any of the results?

1. What is the Pamis Award Number: or Fund Number for the research agreement (e.g. grant or contract)?

1. Is there any non-standardlanguage in the research agreement on which the beneficiary will be working regarding export control regulations?

1. Does the research project on which the beneficiary will be working involve access to technical information that has been stamped “export controlled;” or will the beneficiary be provided with any sponsor or 3rd party proprietary or confidential information, materials, or software?

1. Will the beneficiary work on military or space applications, or “dual-use” technologies that have potential applications to military/proliferation purposes in addition to the usual commercial uses?

I hereby certify that I am familiar with the job duties and other particulars of employment of the visa beneficiary listed above, and hereby affirm that the contents of the foregoing certification questionnaire are true to the best of my knowledge, information and belief. I further understand that failure to accurately complete this questionnaire can result in U.S. Government export control violations for which civil and criminal penalties can be assessed against any individual (including a PI) found to have caused or facilitated a violation, and/or against the University of California.

Name: Department:

Phone: Email:

Signature: ______Date:______

If you have checked the “Yes” box in question 5, the certification questionnairewill be referred to the Office of Research for a further review of your case. You may also contact the Assistant Vice Chancellor for Research (AVCR) directly for questions and assistance at 951-827-3093 or (). If you are unable to reach the AVCR, you can contact Cynthia Wells, Director of Sponsored Programs Administration, (951) 827-4918 or () for assistance.