Changes to the DS-4076

Page 4, Block 12:

Addition of “None” check box underneath the block title. (Reason for addition: This will allow applicants to report that there is no U.S. or foreign product that is identical to the product described in the application.)

Page 5, Block 19:

Additions to this block are indicated below in red font. The change will provide the applicant with the option of directing the Department of State to use email to correspond with the applicant, rather than use the U.S, postal service. (Reason for addition: Using email may expedite completion of the case, and provide a decision to the applicant more quickly.)

G. Applicant/Submitter’s Certification

19. Applicant/Submitter’s Certification: Note: ONLY this one page must be printed, signed, and scanned as an attachment.

Under Penalty According to Federal Law (See 22 CFR 127, 22 U.S.C. 2778, and 22 U.S.C. 1001).

I am the authorized employee of the company cited in Block 1, or a third party as described in Block 2 authorized to submit on behalf of the company in Block 4, and certify as to the accuracy and completeness of the information provided and have not knowingly omitted information that could have an impact on the final determination issued by the U.S. Department of State. Furthermore, I have specific authority to release for publication the text contained in Block 5.

Signature Printed Name Date

By checking this box, Applicant authorizes DDTC to email the Commodity Jurisdiction determination as well as any other information associated with this case. The Commodity Jurisdiction determination will be mailed to the address below if box is not checked.

Name:

T itle:

Company:

A ddress:

City: State: Zip Code:

P hone #: Email:

Note: The following sentence, “Commodity Jurisdiction Determination will be sent to the above address,” currently in Block 19, is to be removed from the form with proposed changes.