KUMC I-129 Deemed Export Questionnaire (DEQ)

Sponsor First Name

Sponsor Last

Sponsor Email

Sponsor Department

Sponsor Phone

- -

Sponsor Title

Sponsored Individual Position Title

Position Funding Source

State Funds (Departmental funds)

Non-Governmental Research Funds (will require grant number)

Governmental Research Funds (will require grant number)

Industry Research (will require grant number)

Funding Source Grant Number(s) (if applicable)

Funding Source Proposal or Grant (upload copy)

Anticipated Start Date

Will the sponsored individual be involved with research, development, or services in any of the following areas? (select all that apply)

Nuclear Technologies

Human, zoonotic, animal or plant pathogens, select agents, other toxicological agents

Sensors or lasers

Telecommunications or information security technologies

Propulsion, missile technology, or unmanned vehicle systems

Satellite or Space technologies

Fluid dynamics

Anything listed on the Commerce Control List (if unsure, please contact GRS@ku.edu)

Not applicable

Provide detailed information on the above selection(s) (Type NA if not applicable above)

Will the sponsored individual be engaged in activities that involve any of the following conditions? (select all that apply)

Release of or provision of access to University-owned technical data or technology that is considered proprietary or confidential to the University and is not intended to be published or otherwise made public (i.e. is not intended to be disseminated through methods such as journals, open web pages, or patent application)

Release of or provision of access to third party technical data or technology protected under confidentiality or non-disclosure terms or identified as export controlled, regardless of funding source, including government, foundation, or industry-sponsored research, and service agreements

Participation on projects subject to access or dissemination controls, regardless of funding source, such as restrictions on hiring or access to the research process, delay of publication greater than 90 days or for any reason other than to remove sponsor’s proprietary information or to file a patent application, indefinite or permanent delay, or sponsor’s approval of publication

Release of or provision of access to (including participating in the development of) materials, equipment, software, or technology: Specifically designed, developed, configured, adapted, or modified for space or military applications; OR on the U.S. Munitions List (USML); OR developed or funded by Department of Defense or its agencies (including flow-through funding).

Not applicable

Please provide a list of any scientific equipment, including highly specialized computing equipment that the employee will use in the course of performing their duties. (Type NA if not applicable)

Will the employee have access to information regarding how to install, maintain, repair, refurbish and overhaul a particular piece of equipment?

Will the employee be exposed to equipment that was specifically designed or developed for military or outer space applications?

I certify that the provided information is true and accurate to the best of my knowledge?

Is the sponsored individual a participant in a Foreign Talent Recruitment Program?

Foreign Talent Recruitment Program as defined by the Office of Science and Technology Policy. https://bidenwhitehouse.archives.gov/wp-content/uploads/2024/02/OSTP-Foreign-Talent-Recruitment-Program-Guidelines.pdf

Current Visa Type (if applicable)

Current Visa Expiration Date