Form Not Applicable Not Applicable INDUSTRIAL BASE ASSESSMENT:NASA Supply Chain Network

BUSINESS CONFIDENTIAL – Per Section 705(d) of the Defense Production Act

OMB Control Number 0694-0119

Expiration Date: 12/31/2010

INDUSTRIAL BASE ASSESSMENT:

NASA Supply Chain Network

SCOPE OF ASSESSMENT

The U.S. Department of Commerce, Bureau of Industry and Security (BIS), Office of Technology Evaluation, in coordination with the National Aeronautics and Space Administration (NASA), Exploration Systems Mission Directorate (ESMD), is conducting an industrial base survey of NASA’s supply chain network. The principal goal of this data collection is to analyze the health and competitiveness of this U.S. supplier segment. The data collected will also be used to measure the industrial base impacts attributed to the cancellation of both the Space Shuttle and Constellation programs.

RESPONSE TO THIS SURVEY IS REQUIRED BY LAW

A response to this survey is required by law (50 U.S.C. app. Sec. 2155). Failure to respond can result in a maximum fine of $10,000, imprisonment of up to one year, or both. Information furnished herewith is deemed confidential and will not be published or disclosed except in accordance with Section 705 of the Defense Production Act of 1950, as amended (50 U.S.C App. Sec. 2155). Section 705 prohibits the publication or disclosure of this information unless the President determines that its withholding is contrary to the national defense. Information will not be shared with any non-government entity, other than in aggregate form. The information will be protected pursuant to the appropriate exemptions from disclosure under the Freedom of Information Act (FOIA), should it be the subject of a FOIA request.

Notwithstanding any other provision of law, no person is required to respond to, nor shall a person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number.

BURDEN ESTIMATE AND REQUEST FOR COMMENT

Public reporting burden for this collection of information is estimated to average 11 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information to BIS Information Collection Officer, Room 6883, Bureau of Industry and Security, U.S. Department of Commerce, Washington, D.C. 20230, and to the Office of Management and Budget, Paperwork Reduction Project (OMB Control No. 0694-0119), Washington, D.C. 20503.

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section II WHO MUST RESPOND TO THIS SURVEY
1.	My company has manufactured products and/or provided services, including integration, R&D, or software, for the National Aeronautics and Space Administration (NASA) since January 2000.						Yes	No
								
2.	Has your company, directly or indirectly, performed any work for NASA since January 2007?						Yes	No
								
3.	If you selected "Yes" to either of the above questions, place a  next to the corresponding programs your company has supported, if known, and continue completing this survey. drop-down Yes/No in Excel version
		Space Shuttle		International Space Station		Constellation
		Science Mission Directorate (SMD)		Aeronautics Research Directorate (ARD)		Other NASA
4.	If you selected "No," complete "Exemption From Survey" below.
EXEMPTION FROM SURVEY
If your operations have not involved any NASA business since 2000, you may be exempt from completing this U.S. Government survey. Please call one of the BIS contacts listed in “General Instructions” to verify your status. Then, complete steps 5-7 below.
5.	Briefly explain the products and/or services provided by your organization in the space below:
Explanation:
6.	Before 2000, did your company do any work for NASA? If “Yes,” describe the products and/or services below.						Yes	No
								
Explanation:
7.	Please complete and print out the "Certification" page. Then, return a signed copy of the "Certification" page only after your Empowered Official or Point of Contact has confirmed your company’s exemption by speaking with one of our staff. Please transmit the "Certification" to our offices via U.S. mail, express courier, E-mail, or FAX (202) 482-5361.

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section III GENERAL INSTRUCTIONS
Make sure to follow instructions 1-5 in completion of the Excel survey.
1.	BIS will only accept Excel versions of this survey that are downloaded and saved from http://www.bis.doc.gov/NASA_survey. Before making inputs make sure to save a copy of the Excel survey to your computer.
2.	For your convenience and internal data collection/reference purposes only, a PDF version of the survey is made available on the BIS web link. Do not submit the PDF version. BIS will only accept the Excel version.
3.	Upon completion, review, and certification of the survey please transmit the Excel survey document by E-mail to the secure, U.S. Federal Government E-mail address at [email protected].
4.	For survey questions, E-mail [email protected] (preferred method of contact for survey questions) or contact Jason Bolton, Trade and Industry Analyst, at (202) 482-5936, Anna Bruse, Trade and Industry Analyst, at (202) 482-7418, or Michael Finucane, Trade and Industry Analyst, at (202) 482-3893.
5.	For letter correspondence or program questions please write to: Brad Botwin, Director, Industrial Studies U.S. Department of Commerce Room 1093, Bureau of Industry and Security 1401 Constitution Avenue, Northwest, Washington, DC 20230 Please do not submit completed surveys to this address; all Excel surveys must be submitted electronically to [email protected]. Brad Botwin can also be reached at [email protected] or (202) 482-4060.

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section IV NASA Supply Chain Network
Table of Contents
Section #	Section Name	Page #
I.	Scope of Assessment	1
II.	Who Must Respond to this Survey	2
III.	General Instructions	3
IV.	Table of Contents	4
V.	Definitions	5
1.	Company Information—Location, Points of Contact, Business Description	6-7
2.	Product and Service Type List	8-17
3.	Relationships—Mergers and Acquisitions, Joint Ventures, Competitors, Suppliers, NASA Customers	18-21
4.	Operations—Production Capacity Utilization, Supply Chain Management, Machinery/Tooling/Facilities	22-23
5.	Financial Health—Sales Table, Top 10 Customers, Export Sales, Select Financial Statement Line Items	24-28
6.	Employment—Personnel Numbers, Personnel Description	29-30
7.	Research and Development—R&D Expenditures, R&D Funding Sources	31
8.	Investment—Capital Expenditures	32
9.	Future Outlook	33-36
10.	Certification	37

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section V NASA Supply Chain Network
Term	Definition
Applied Research	R&D research expenditure category dedicated to the application of findings from basic research toward discovering new scientific knowledge that has specific commercial objectives with respect to new product, services, processes, or methods. [National Science Foundation]
Authorizing Official	Executive officer of the company or business unit or other individual who has the authority to execute this survey on behalf of the firm.
Basic Research	R&D research expenditure category dedicated to the pursuit of new scientific knowledge or understanding that does not have specific immediate commercial objectives with respect to new products, services, processes, or methods. [National Science Foundation]
CAGE Code	Commercial and Government Entity (CAGE) Code identifies companies doing or wishing to do business with the U.S. Federal Government. The code is used to support mechanized government systems and provides for a standardized method of identifying a given facility at a specific location. The code may be used for a Facility Clearance, a Pre-Award survey, automated Bidders Lists, pay processes, source of supply, etc. In some cases, prime contractors may require their sub-contractors to have a CAGE Code.
Capacity Utilization	The extent to which an enterprise uses its total annual installed manufacturing capacity.
End-User	Entity responsible for the intended application or use of a particular product or service.
Full Time Equivalent (FTE) Employees	Employee in each labor type/function area based on a 40 hour work-week. NASA suppliers should allocate no less than 1/4 of a person to a particular function and also convert part-time employees into "full-time" equivalents, e.g. 10 part-time employees working 20 hours per week for a full 12 month period are the full-time equivalent of 5 full-time employees for that 12 month period.
NAICS Code	North American Industry Classification System (NAICS) codes identify the category of product(s) or service(s) provided by your company. Find NAICS codes at http://www.census.gov/epcd/www/naics.html.
Orbiter	Reusable manned spacecraft used in the Space Transportation System (STS), e.g. Atlantis, Challenger, Columbia, Discovery, and Endeavor. The orbiter, also known as the orbiter vehicle, contains both the astronauts and payload on STS/Space Shuttle missions.
Orion	Manned spacecraft formally known as the Crew Exploration Vehicle (CEV) and part of the Constellation program.
Process/Product Development	R&D development expenditure category dedicated to the systematic use of the knowledge or understanding gained from research or practical experience directed toward the production or significant improvement of useful products, services, processes, or methods, including the design and development of prototypes, materials, devices, and systems. [National Science Foundation]
Space-related	Refers to all product, service and technology categories enumerated in this survey’s Product and Service Type List.
United States	The “United States” or “U.S.” includes the 50 states, Puerto Rico, the District of Columbia, the island of Guam, the Trust Territories, and the U.S. Virgin Islands.
Space Transportation System (STS)	Includes the Space Shuttle and all NASA facility operations in support of Space Shuttle launch. NASA will have performed 134 STS missions from 1982-2010.
Utilization Rate	Percentage measure of production capacity use based on a 7-day-a-week, 3x8 hour shift production schedule.

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act

Section 1 Company Information

U.S. Address only

Name of Company

Street Address

City

State

Zip

Internet Home Page

Phone Number

FAX Number

http://

FAX

Business Identification Information--make sure to use the corresponding web links if this information is not readily available.

Data Universal Numbering System (DUNS) Number(s) *

room for 5

NASA-related NAICS (6-digit) code(s) **

room for 5

* Find your company’s DUNS number(s) at https://eupdate.dnb.com/requestoptions.asp?cm_re=HomepageB*TopNav*DUNSNumberTab ** North American Industry Classification System (NAICS) codes identify the category of product(s) or service(s) provided by your company. Find NAICS codes at http://www.census.gov/epcd/www/naics.html *** Harmonized Tariff Schedule (HTS) codes (10-digit) can be found at “HTS Online Reference Tool” located under “Research Tools” at http://www.usitc.gov/index.htm

Commercial and Government Entity (CAGE) code(s)

room for 5

NASNASA-related Harmonized Tariff Schedule (HTS) (10-digit) code(s) ***

room for 5`

Primary Point of Contact Regarding Survey Completion

Name(s)

Phone

State

E-mail Address

drop-down

Business Description

From the drop-down select the business lines describing your company’s primary focus. Provide a short description of the corresponding business lines next to each selected category. If your company has more than one dominant focus, rank them 1st-3rd by net sales.

Business Lines 1st-3rd ranked focus--3 drop-down boxes in Excel version; 3 corresponding blank description boxes

Additional Description

Distribution

Professional Services

Inspection and Quality Control

R&D

Integration

Raw Materials

Maintenance/Aftermarket

Reseller

Manufacturing

Retail

Manufacturing Systems Development and Management

Service

Material Finishing (Machining, Coating, Plating, Assembly, etc.)

Testing/Evaluation/Validation

Material Preparation (Casting, Forming, Molding, Forging, etc.)

Other

Product and Design Engineering (Tooling, New Processes, etc.)

Other

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act n Act
Section 1 Company Information continued
Certifications
Place a  next to the certifications that your company currently has. * AMS (Aerospace Material Specifications) * ANSI (American National Standards Institute) * ASQ (American Society for Quality) * ISO (International Organization for Standards) * NADCAP (National Aerospace and Defense Contractors Accreditation Program) * NCLS (National Clinical Lab Specialist) * SAE (SAE International, formerly the Society of Automotive Engineers)		AMS		specify here			ISO TS16948
		ANSI/ASQC Z1.4					J-STD-001DS
		ANSI/ESD S20.20					MIL-Q-9858
		ANSI/ISO/IEC 17025					MIL-STD-45662 A
		DoD 5000					NADCAP		specify here
		ISO 9000					NCLS		specify here
		ISO 9001					SAE AS9003
		ISO 10012-1					SAE AS9100
		ISO 14000					Other		specify here
How does your company sell its products or services to NASA? Place a  next to all that apply.							Direct to NASA
							Indirectly/via 3rd party
							Both direct and indirect
							Not sure
Company Ownership
My company is headquartered in: Country										drop-down
I am the parent company: Yes/No										drop-down
I am a U.S. subsidiary of a non-U.S. parent company: Yes/No										drop-down
I am a business unit or division of a U.S. parent company or organization: Yes/No										drop-down
Parent Company Name, if applicable			City		State			Country
					drop-down			drop-down

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 2 PRODUCT AND SERVICE TYPE LISTING
Place a  next to the NASA Space Shuttle, International Space Station (ISS), or Constellation program elements in which your company has participated.  = Yes/No drop-down in Excel version
	Space Shuttle, International Space Station (ISS), or Constellation program element
	HSFPE1	Ares			HSFPE9	ISS-International Space Station
	HSFPE2	Altair Lunar Lander			HSFPE10	Launch Abort System
	HSFPE3	Ares Upper Stage			HSFPE11	Orbiter
	HSFPE4	Ares Upper Stage Engines			HSFPE12	Orion
	HSFPE5	CaLV-Cargo Launch Vehicle (e.g. Ares V)			HSFPE13	RSRM-Reusable Solid Rocket Motor
	HSFPE6	CLV-Crew Launch Vehicle (e.g. Ares 1)			HSFPE14	Service Module
	HSFPE7	ET-External Tank			HSFPE15	SRB-Solid Rocket Booster
	HSFPE8	EVA-Extravehicular Activity			HSFPE16	SSME-Space Shuttle Main Engine
Place a  by the products and service type codes corresponding to your company’s current business lines. For each product and service type selected, indicate whether the end-user is “NASA,” “DoD,” “Other,” or “Not Sure.”  = Yes/No drop-down in Excel version
	A	Services				NASA	DoD	Other	Not Sure
	A1	Commercial Satellite Operation							
	A1A	Broadcast							
	A1B	Communication / Data							
	A1C	Remote Sensing							
	A2	Professional Services							
	A2A	Spacecraft							
	A2A1	Product Assurance, Quality Control, Safety							
	A2A2	Assembly, Integration and Testing							
	A2A3	Systems Engineering							
	A2A4	Program Management							
	A2A5	Performance, Analysis and Simulation							
	A2A6	Architecture Design							
	A2B	Launch							
	A2B1	Operations							
	A2B2	Product Assurance, Quality Control, Safety							
	A2B3	Assembly, Integration and Testing							
	A2C	Ground							
	A2C1	Operations							
	A2C2	Maintenance							
	A3	Other	specify here						

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 2 PRODUCT AND SERVICE TYPE LISTING continued
Place a  by the products and service type codes corresponding to your company’s current business lines. For each product and service type selected, indicate whether the end-user is “NASA,” “DoD,” “Other,” or “Not Sure.”  = Yes/No drop-down in Excel version
	B	Spacecraft	NASA	DoD	Other	Not Sure
	B1	Communications				
	B1A	Antenna Technology				
	B1B	Microwave Technology				
	B1C	Digital Technology				
	B1D	Switching Equipment				
	B1E	Transponder				
	B1F	Laser Technology				
	B1G	Software				
	B2	Energy Generation				
	B2A	Solar Cell Technology				
	B2B	Solar Array Technology				
	B2C	Power Generators (excluding solar)				
	B3	Energy Storage				
	B3A	Batteries				
	B3B	Other Energy Storage Equipment				
	B3C	Power Conditioning				
	B4	Thermal Control				
	B4A	Blankets				
	B4B	Coatings				
	B4C	Cryogenics				
	B4D	Heaters				
	B4E	Radiators				
	B4F	Insulation				
	B4G	Heat Pipes				
	B5	Structural				
	B5A	Hydraulics, Valves, Actuators, Pneumatics				
	B5B	Mechanisms (Gimbals, Antennas, Arrays, Masts, etc.)				
	B5C	Safety, Destruction Technology; Pyrotechnics				
	B5D	Metalworking				

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 2 PRODUCT AND SERVICE TYPE LISTING continued
Place a  by the products and service type codes corresponding to your company’s current business lines. For each product and service type selected, indicate whether the end-user is “NASA,” “DoD,” “Other,” or “Not Sure.”  = Yes/No drop-down in Excel version
	B	Spacecraft continued		NASA	DoD	Other	Not Sure
	B6	Attitude Determination and Control					
	B6A	Sensors					
	B6B	Stabilization Hardware					
	B6C	Momentum Wheel					
	B6D	Rendezvous and Docking					
	B6D.i	Navigation Using Lunar Bearings					
	B6E	Guidance, Navigation and Control					
	B6E.i	Automation for all Mission Phases					
	B6E.ii	Autonomous Landing					
	B6E.iii	Hazard Detection and Avoidance					
	B6E.iv	Automated Rendezvous and Docking					
	B6E.v	Natural Feature Image Recognition					
	B6E.vi	LIDAR Feature Recognition					
	B6E.vii	Lunar Surface Navigation					
	B6F	Software					
	B7	Propulsion (spacecraft)					
	B7A	Chemical Propulsion Technology					
	B7B	Electric Propulsion Technology					
	B7C	Cold Gas Propulsion Systems					
	B7D	Non-Toxic Monopropellant					
	B7E	HTPB (Hydroxyl-Terminated Polybutadiene)					
	B7F	LOX/LH2 (Liquid Oxygen/Liquid Hydrogen Reaction Control System)					
	B7G	LO2/LCH4 (Liquid Oxygen/Liquid Methane Propulsion System)					
	B7H	Composite Nozzles					
	B8	Payload					
	B8A	Optical Components					
	B8B	Infrared Detectors					
	B8C	Visible Detectors					
	B8D	Nuclear Detectors					
	B8E	Hyper-Spectral Detectors					
	B8F	Radar Components					
	B8G	Software					
	B8H	Atomic Clocks					
	B9	Other	specify here				

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 2 PRODUCT AND SERVICE TYPE LISTING continued
Place a  by the products and service type codes corresponding to your company’s current business lines. For each product and service type selected, indicate whether the end-user is “NASA,” “DoD,” “Other,” or “Not Sure.”  = Yes/No drop-down in Excel version
	C	Space Electronics		NASA	DoD	Other	Not Sure
	C1	Data Handling & Storage					
	C2	Integrated Circuits/Semiconductors					
	C3	Fiber Optics					
	C4	Traveling Wave Tubes					
	C5	Radiation-Hardened/Tolerant Electronics					
	C5A	Field Programmable Gate Arrays					
	C5B	Non-Volatile Memory					
	C6	Fault Tolerant Computing					
	C7	Memory					
	C7A	Microprocessors					
	C8	Micro-Sized Data Acquisition, Processing and Storage					
	C9	Other	specify here				
	D	Software		NASA	DoD	Other	Not Sure
	D1	Development Tools					
	D2	Verification and Validation					
	D3	Design Level Re-Use					
	D3A	Modeling and Analysis Tools of Physical Systems					
	D3B	Modeling and Analysis Tools of Software systems					
	D3C	Compliance and Model Checkers					
	D4	Data Mining and Knowledge Management					
	D5	Training Support and Simulation					
	D6	Mission Automation					
	D6A	Operations					
	D6B	Monitoring					
	D7	Integrated Systems Health Management					
	D7A	Prognostic/Diagnostic Tools					
	D7B	Solid Rocket Motor Health Management					
	D7C	On-Board Decision Support Tools					
	D7D	Fault Isolation and Root Cause Determination Tools					
	D8	Other	specify here				

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 2 PRODUCT AND SERVICE TYPE LISTING continued
Place a  by the products and service type codes corresponding to your company’s current business lines. For each product and service type selected, indicate whether the end-user is “NASA,” “DoD,” “Other,” or “Not Sure.”  = Yes/No drop-down in Excel version
	E	Propulsion Systems	NASA	DoD	Other	Not Sure
	E1	Liquid Fuel Rocket				
	E1A	Chamber				
	E1B	Propellant				
	E1C	Igniter				
	E1D	Nozzle				
	E2	Solid Fuel Rocket				
	E2A	Casing				
	E2B	Igniter				
	E2C	Propellant				
	E2D	Nozzle				
	E2E	Thrust Control				
	E3	Electrical Power				
	E3A	Generator				
	E3B	Battery				
	E3C	Harness				
	E4	Operating System				
	E4A	Hydraulic				
	E4B	Pneumatic				
	E4C	Electro-Mechanical				
	E5	Guidance Systems				
	E5A	GPS				
	E5A.i	Receivers				
	E5A.ii	Processor				
	E5B	Inertial				
	E5B.i	Gyroscope				
	E5B.ii	Processor				
	E5B.iii	Controls				
	E6	Safety System				
	E6A	Destruct Receiver				
	E6B	Ordnance				
	E6C	Navigation Devices				
	E7	Structural System				
	E7A	Inter-stage				
	E7B	Fairings				
	E7C	Skirt				

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 2 PRODUCT AND SERVICE TYPE LISTING continued
Place a  by the products and service type codes corresponding to your company’s current business lines. For each product and service type selected, indicate whether the end-user is “NASA,” “DoD,” “Other,” or “Not Sure.”  = Yes/No drop-down in Excel version
	E	Propulsion Systems continued		NASA	DoD	Other	Not Sure
	E8	Launch Related Materials					
	E8A	Ablatives					
	E8B	Advanced Composites					
	E8C	Fibers					
	E9	Rocket Engines and Motors					
	E9A	Solid					
	E9B	Liquid					
	E10	Telemetry					
	E11	Software					
	E12	Other	specify here				
	F	Ground Systems		NASA	DoD	Other	Not Sure
	F1	Ground Antennas					
	F2	Telemetry, Tracking and Control Equipment					
	F3	Software					
	F4	Mission Data Processing Equipment					
	F5	Communications Equipment					
	F6	Other	specify here				
	G	Specialty Materials		NASA	DoD	Other	Not Sure
	G1	Thermal Coatings					
	G2	Optical Coatings					
	G3	Dust Resistant Coatings					
	G4	Protective Coatings					
	G5	Structures					
	G6	Substrates					
	G7	Composites					
	G8	Optics					
	G9	Other	specify here				

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 2 PRODUCT AND SERVICE TYPE LISTING continued
Place a  by the products and service type codes corresponding to your company’s current business lines. For each product and service type selected, indicate whether the end-user is “NASA,” “DoD,” “Other,” or “Not Sure.”  = Yes/No drop-down in Excel version
	H	Structures		NASA	DoD	Other	Not Sure
	H1	Friction Stir Welding and Spun Formed Dome					
	H2	Composite Strut					
	H3	Lunar Habitats					
	H4	Long Life, Low Temperature Mechanical Systems					
	H5	Lightweight High Strength Window Materials					
	H6	Radiation Shielding					
	H7	Tools to Determine Effect of Fields on Structures					
	H8	Advanced Composites					
	H9	Habitation Structures					
	H10	Other	specify here				
	I	Protection Systems		NASA	DoD	Other	Not Sure
	I1	Radiation Shielding Systems					
	I2	Heat Shields					
	I3	Bonding Systems					
	I4	Free Flying Damage Protection System					
	I5	Analysis Tools					
	I6	High Temperature Composites					
	I7	Other	specify here				
	J	Dust Management		NASA	DoD	Other	Not Sure
	J1	Dust Mitigation					
	J2	Dust Removal					
	J3	Lunar Regolith Stimulants Development and Production					
	J4	Dust Tolerant Connectors					
	J5	Other	specify here				
	K	Surface Systems		NASA	DoD	Other	Not Sure
	K1	Energy Storage					
	K1A	Rechargeable Batteries					
	K1B	Fuel Cells					
	K1B.i	PEM					
	K1B.ii	Regenerative					
	K2	Power Systems					
	K2A	High Voltage Distribution					

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 2 PRODUCT AND SERVICE TYPE LISTING continued
Place a  by the products and service type codes corresponding to your company’s current business lines. For each product and service type selected, indicate whether the end-user is “NASA,” “DoD,” “Other,” or “Not Sure.”  = Yes/No drop-down in Excel version
	K	Surface Systems continued		NASA	DoD	Other	Not Sure
	K2B	Power Management					
	K2C	Lightweight Cabling					
	K2D	Lightweight, High Strength Solar Arrays					
	K2E	Nuclear Fission					
	K3	Thermal Control					
	K3A	Phase Change Material					
	K3B	Heat Rejection systems					
	K3C	Heat Sinks					
	K3D	Heat Exchangers					
	K3E	Long Duration Fluids					
	K3F	Coldplate					
	K4	Supportability					
	K4A	Detection, Repair, and Self-Repair					
	K4B	Non-Destructive Evaluation					
	K4C	Light Weight, Low Power Manufacturing					
	K4D	Repair Tools and Techniques					
	K5	Other	specify here				
	L	Extra-Vehicular Activity (EVA)		NASA	DoD	Other	Not Sure
	L1	Space Suite					
	L1A	Packaging					
	L1B	Ventilation					
	L1C	Oxygen Supply					
	L1D	Thermal Control					
	L1E	Communications, Avionics, and Informatics					
	L1F	Dust Tolerant Fluid Connectors					
	L1G	Materials and Pressure Garment Components					
	L1H	Rapid Recharge					
	L2	CO2 and H2O Recovery					
	L3	Suitport / Suitlock / Airlock					
	L4	Other	specify here				

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 2 PRODUCT AND SERVICE TYPE LISTING continued
Place a  by the products and service type codes corresponding to your company’s current business lines. For each product and service type selected, indicate whether the end-user is “NASA,” “DoD,” “Other,” or “Not Sure.”  = Yes/No drop-down in Excel version
	M	Robotic Systems		NASA	DoD	Other	Not Sure
	M1	Lunar Rover					
	M1A	Wheels					
	M1B	Automated Docking					
	M1C	Drivetrain and Suspension System					
	M1D	Active Suspension Control System					
	M2	Automated Payload Offloading					
	M3	High Dexterity Manipulation Systems					
	M4	Element Mating Mechanism					
	N	Environmental Control and Life Support (ECLS)		NASA	DoD	Other	Not Sure
	N1	CO2 and Moisture Removal System					
	N2	High Pressure Oxygen Supply					
	N3	Wastewater Recovery					
	N4	Oxygen Recovery from Carbon Dioxide					
	N5	Biocides					
	N6	Hygiene and Waste Removal Systems					
	N7	Post-fire Cleanup Device					
	N8	Waste Treatment					
	N9	Other	specify here				
	O	Environmental Monitoring and Control		NASA	DoD	Other	Not Sure
	O1	Atmospheric					
	O1A	Particulate					
	O1B	Microbial					
	O1C	Fire					
	O1D	Gasses					
	O2	Water					
	O2A	Materials and Pressure Garment Components					
	O2B	Rapid Recharge					
	O3	CO2 and H2O Recovery					
	O4	Suitport / Suitlock / Airlock					
	O5	Other				

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 2 PRODUCT AND SERVICE TYPE LISTING continued
Place a  by the products and service type codes corresponding to your company’s current business lines. For each product and service type selected, indicate whether the end-user is “NASA,” “DoD,” “Other,” or “Not Sure.”  = Yes/No drop-down in Excel version
	P	In-Situ Resource Utilization		NASA	DoD	Other	Not Sure
	P1	Regolith Excavation and Handling					
	P2	Oxygen and Water Extraction from Regolith					
	P3	Lunar Excavation					
	P4	Mineral Mapping					
	P5	Volatile (H, C, N, He) Extraction from Regolith					
	P6	Other	specify here				
	Q	Communications and Navigation		NASA	DoD	Other	Not Sure
	Q1	Lunar Wireless Network					
	Q2	Delay Tolerant Networking					
	Q3	Atomic Clocks					
	Q4	Routers					
	Q5	IPSec					
	Q6	High Bandwidth Optical Communications					
	Q7	Other	specify here				
	R	End User Equipment		NASA	DoD	Other	Not Sure
	R1	Communication/Data					
	R2	Navigation					
	R3	Other	specify here			

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 3 Relationships—NASA Supply Chain Network
U.S. Mergers and Acquisitions					 here if not applicable to your company
Identify your company’s FIVE most significant U.S. mergers and acquisitions from 2007 to date. Record the merged/acquired company’s name(s) and location, the year the merger/acquisition occurred, and the primary objective of the merger/acquisition.
Name of Company		State		Year			Primary Objective
1.		drop-down		drop-down
2.
3.
4.
5.
Non-U.S. Mergers and Acquisitions					 here if not applicable to your company
Identify your company’s FIVE most significant Non-U.S. mergers and acquisitions from 2007 to date. Record the merged/acquired company’s name(s) and location, the year the merger/acquisition occurred, and the primary objective of the merger/acquisition.
Name of Company		Country	Year			Primary Objective
1.		drop-down	drop-down
2.
3.
4.
5.
Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act

Section 3 Relationships—NASA Supply Chain Network continued

Joint Venture Relationships Related to NASA Business



 here if not applicable to your company

Identify your company’s current NASA-related joint venture relationships, including public/private R&D partnerships. Provide the name of the company/entity involved, indicating whether a U.S. or Non-U.S. enterprise, and a description of the joint venture’s purpose, e.g. patent licensing, co-production, product integration, after-market support, etc. Then, indicate whether the joint venture is related to Space Shuttle, ISS, or Constellation programs.

Name and U.S./Non-U.S.

Primary Objective of Relationship

Space Shuttle, ISS, or Constellation program-related?

Name  here

U.S.

Non

Description 

Yes

No

Not Sure

1.











2.





3.

Room for 5 in Excel version





Room for 5 in Excel version

Competition

Identify your company’s leading U.S. and Non-U.S. competitors. Record the name, location, and corresponding Product and Service Type Codes relating to the competition.

Name and Location of FIVE U.S. Competitors

Part/Component/Material/Service

U.S. Name

State

Codes from List

1.

drop-down

drop-down

drop-down

drop-down

drop-down

drop-down

2.

3.

Room for 5 in Excel version

Name and Location of FIVE Non-U.S. Competitors

Part/Component/Material/Service

Non-U.S. Name

Country

Codes from List

1.

drop-down

drop-down

drop-down

drop-down

drop-down

drop-down

2.

3.

Room for 5 in Excel version

Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 3 Relationships—NASA Supply Chain Network continued
U.S. and Non-U.S. Supplier Relationships
Identify your company’s TEN most significant U.S. and Non-U.S. supplier relationships that support NASA programs, directly or indirectly. Record the names and locations of the TEN supplier facilities. Do not include internal company suppliers. Then, select the codes corresponding to the part, component, material, or service supplied to your company by each supplier. Lastly, indicate if the supplied parts, components, materials, or services are used in Space Shuttle, ISS or Constellation programs.
Name and Location of TEN U.S. Suppliers			Part/Component/Material/Service			Space Shuttle, ISS, or Constellation program-related?
U.S. Supplier Name		State	Code from List			Yes	No	Not Sure
1.		drop-down	drop-down	drop-down	drop-down			
2.
3.
4.
5.	Room for 10 in Excel version
Name and Location of TEN Non-U.S. Suppliers			Part/Component/Material/Service			Space Shuttle, ISS, or Constellation program-related?
Non-U.S. Supplier Name		Country	Code from List			Yes	No	Not Sure
1.		drop-down	drop-down	drop-down	drop-down			
2.
3.
4.
5.	Room for 10 in Excel version
Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 3 Relationships—NASA Supply Chain Network continued
NASA Customers
Place a  next to the NASA facilities/centers/laboratories your company has served in any production or service capacity since 2007, or indicate if “Yes” but you do not know which ones your company has served.
 here is applicable				“Yes,” but we do not know which ones have been served
		NASA Sites				NASA Sites
1.		Ames Research Center—Moffett Field, California	12.			Michoud Assembly Facility—New Orleans, Louisiana
2.		Dryden Flight Research Center—Edwards, California	13.			NASA Headquarters—Washington, DC
3.		Glenn Research Center—Cleveland, Ohio	14.			Plum Brook Station—Sandusky, Ohio
4.		Goddard Space Flight Center—Greenbelt, Maryland	15.			Stennis Space Center—Mississippi
5.		Goddard Institute of Space Studies—NY, New York	16.			Wallops Flight Facility—Virginia
6.		IV and V Facility—Fairmont, West Virginia	17.			White Sands Test Facility—Las Cruces, New Mexico
7.		Jet Propulsion Laboratory—Pasadena, California	18.			Other	specify here
8.		Johnson Space Center—Houston, Texas	19.			Other	specify here
9.		Kennedy Space Center—Cape Canaveral, Florida	20.			Other	specify here
10.		Langley Research Center—Hampton, Virginia	Yes/No drop-downs for  in Excel version
11.		Marshall Space Flight Center—Huntsville, Alabama
Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 4. Operations—NASA Supply Chain Network continued
Production Capacity Utilization
Record your company’s annual overall production capacity utilization for 2007-2009, and projected rate for 2010. Note: If you do not manufacture products but perform only services or R&D, place a  here and proceed to the next question.  here
										
drop-down % in Excel version			2007			2008		2009	2010 *
			%			%		%	%
Utilization Rate %			%			%		%	%
* If data is not available for 2010, please provide estimates.
Supply Chain Management
From the list below select the supply chain management practices, methodologies, and systems that your company uses.
1.		Advanced Planning System (APS)	17.		Material Requirements Planning (MRP)
2.		Bar Coding	18.		Outsourcing
3.		Close Partnership with Customers	19.		Plan strategically
4.		Close Partnership with Suppliers	20.		Radio Frequency Identification (RFID)
5.		Customer Relationships Management (CRM)	21.		Subcontracting
6.		Decision Support/Expert System	22.		Supplier Relationships Management (SRM)
7.		E-business	23.		Supply Chain Benchmarking
8.		E-commerce	24.		Supply Chain Management (SCM)
9.		Electronic Data Interchange (EDI)	25.		Theory of Constraints (TOC)
10.		Enterprise Resource Planning (ERP)	26.		Third Party Logistics (3PL)
11.		E-procurement	27.		Use of External Consultants
12.		Few Suppliers	28.		Vertical integration
13.		Holding Safety Stock	29.		Warehouse Management System (WMS)
14.		Just In Time (JIT)	30.		Other		specify here
15.		Manufacturing Resources Planning (MRPII)	31.		Other		specify here
16.		Many Suppliers	32.		Other		specify here
Explanation:
Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act

Section 4. Operations—NASA Supply Chain Network

Machinery, Tooling, Facilities

Does your company own or lease any machinery, tooling, or facilities specifically for NASA Space Shuttle, International Space Station (ISS), or Constellation program-related business?

YES

NO





If “Yes,” record [1] all related machinery, tooling, and/or facilities; [2] the use/purpose of each item; [3] whether the item was purchased, leased, or government furnished equipment (GFE), or combination thereof; [4] whether the item currently supports Space Shuttle, International Space Station (ISS), Constellation program-related business lines, or a combination thereof; and [5] the current status of the machine/tool/facility, e.g. idle, mothballed, in-use, re-tooled/re-built for non-NASA business lines, etc. Note: Indicate whether Business Unit/Division or Corporate/Whole Company-level data.

Level of Reporting? drop-down

Business Unit/Division

Corporate/Whole Company

Machine/Tool/Facility

Use/ Purpose

Owned?

Leased?

GFE?

Combination?

Shuttle?

ISS?

Constellation?

Combination?

Current Status

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Provide the first and most recent year of your company’s receipt of a Space Shuttle-related NASA production or service order.

First

Most Recent

1975-2010 drop-down

1975-2010 drop-down

* If data is not available for 2010, please provide estimates.

Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act

Section 5 Financial Health—NASA Supply Chain Network

Sales Table

Provide your company’s 2007-2010 sales information and projected 2011-2015 sales trend information.

Source of Sales Data? drop-down

Business Unit/Division

Corporate/Whole Company

Reporting schedule? drop-down

Fiscal Year

Calendar Year

“U.S.” means U.S., domestic sales; “Non-U.S.” means export sales from U.S. located facilities

Record in $ Thousands, e.g. $12,000.00 = survey input of $12

2007

2008

2009

2010 *

2011-2015 *

U.S.

Non-U.S.

U.S.

Non-U.S.

U.S.

Non-U.S.

U.S.

Non-U.S.

U.S.

Non-U.S.

1.

Total Sales, all Customers

$

$

$

$

$

$

$

$

Increase Decrease No Change Not Sure

Increase Decrease No Change Not Sure

2.

Total Non-Government Sales

% of 1.

% of 1.

% of 1.

% of 1.

% of 1.

% of 1.

% of 1.

% of 1.

Increase Decrease No Change Not Sure

Increase Decrease No Change Not Sure

3.

Total Government Sales

% of 1.

% of 1.

% of 1.

% of 1.

% of 1.

% of 1.

% of 1.

% of 1.

Increase Decrease No Change Not Sure

Increase Decrease No Change Not Sure

4.

Total NASA Sales, all Programs

$$$

$$$

$$$

$$$

Increase Decrease No Change Not Sure

5.

Total Space Shuttle

% of 4

% of 4

% of 4

% of 4

6.

Total ISS

% of 4

% of 4

% of 4

% of 4

Increase Decrease No Change Not Sure

7.

Total Constellation Program

% of 4

% of 4

% of 4

% of 4

* If data is not available, please provide estimates.

Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 5 Financial Health—NASA Supply Chain Network continued
Top 10 Customers
Identify your company’s ten most significant space-related customers (e.g. government, commercial, other) by dollar amount for years 2007-2010. Record the individual customer names and the dollar amount corresponding to aggregate sales from 2007-2010. Do not include internal customers. Note: Rank customers in order of aggregate dollar sales value, i.e. the customer with the most sales is recorded in line 1.
Source of Customer Data? drop-down		Business Unit/Division		Corporate/Whole Company
Customer Information—Space-Related Only			Record in $ Thousands, e.g. $12,000.00 = survey input of $12
Customer Name			U.S. or Non-U.S. Customer?		2007-2010 * Aggregate Dollar Sales
1.			drop-down		$
2.			drop-down		$
3.			drop-down		$
4.			drop-down		$
5.			drop-down		$
6.			drop-down		$
7.			drop-down		$
8.			drop-down		$
9.			drop-down		$
10.			drop-down		$
* If data is not available for 2010, please provide estimates.
Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act

Section 5 Financial Health—NASA Supply Chain Network continued

Export Sales

Record the country of destination for your company’s space-related export sales in 2007-2010.

If your company has not exported space-related products or services since 2007  here



Source of Export Sales Data? drop-down

Business Unit/Division

Corporate/Whole Company

Countries

Record in $ Thousands, e.g. $12,000.00 = survey input of $12

2007

2008

2009

2010 *

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

* If data is not available for 2010, please provide estimates.

Have you decided to stop exporting space-related products or services because of past experiences with U.S. export license denials, conditions or extended delays? Explain.

Yes

No





Explanation:

Have you lost export sales opportunities of space-related products or services to non-U.S. competitors because of U.S. export controls? If "Yes," select the total dollar amount of lost export sales opportunities from 2007-2010.

Yes

No





Explanation:



Less than $100,000



Between $2-5 million



Between $20-50 million



Between $100-500,000



Between $5-10 million



Between $50-100 million



Between $500,000-$2 million



Between $10-20 million



More than $100 million

Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 5 Financial Health—NASA Supply Chain Network continued
Report select line items from your company’s financial statement for years 2007-2010. From the drop-down indicate whether the reported income statement and balance sheet line items are Business Unit/Division or Corporate/Whole Company financials. Note: Business Unit/Division financials are preferred.
Source of financial line items? drop-down		Business Unit/Division		Corporate/Whole Company
Reporting schedule? drop-down		Fiscal Year		Calendar Year
Record in $ Thousands, e.g. $12,000.00 = survey input of $12
Income Statement (Select Line Items)		2007	2008	2009	2010 *
1.	Net Sales (and other revenue)
2.	Cost of Goods Sold
3.	Operating Income
4.	Other Income
5.	Interest Expense
6.	Provision for Income Taxes
7.	Net Income
Record in $ Thousands, e.g. $12,000.00 = survey input of $12
Balance Sheet (Select Line Items)		2007	2008	2009	2010 *
1.	Cash
2.	Marketable Securities
3.	Accounts Receivable
4.	Inventories
5.	Total Current Assets
6.	Property, Plant, and Equipment
7.	Total Non-Current Assets
8.	Total Assets
9.	Accounts Payable
I0.	Total Current Liabilities
11.	Long-Term Debt (less current portion)
12.	Total Non-Current Liabilities
13.	Total Liabilities
14.	Total Owner’s Equity
* If data is not available for 2010, please provide estimates.

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 5 Financial Health—NASA Supply Chain Network continued
Financial Statements continued
Feel free to qualify with narrative any anomalies or transactions reflected in your financial statement line items, e.g. accounting restatement, merger and acquisition, chapter 11, SEC investigation, etc.
1.	2007
2.	2008
3.	2009
4.	2010
Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 6 Employment—NASA Supply Chain Network
Personnel Numbers
Record the total number of full time equivalent (FTE) employees in your U.S./domestic operations by labor type for the 2007-2010 period. Note: “Total in U.S. Operations” should comprise all preceding labor categories. If not, please indicate why in the comment box.
Source of Occupational Data? drop-down			Business Unit/Division		Corporate/Whole Company
Professional Occupations				2007	2008	2009		2010 *
				#	#	#		#
1.	Administrative Staff
2.	Production Managers/Supervisors/Executives
3.	Research and Development (R&D) Staff
4.	Production Line Workers, Support Technicians
5.	Quality Control, Test Operators
6.	Sales and Marketing
7.	Facility Operations, Maintenance
8.	IT/Network Engineers
9.	Other	specify here
10.	Other	specify here
11.	Total in U.S. Operations
* If data is not available for 2010, please provide estimates.
Personnel Description
Estimate the percentage of your company’s total personnel in U.S. operations who participate (at any level) in Space Shuttle and Constellation program-related work?							Space Shuttle		Constellation Program
							0-100%		0-100%
Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act

Section 6 Employment—NASA Supply Chain Network continued

From the drop-down list of professional occupations, indicate what categories of personnel are the most difficult to hire and retain. Explain.

Difficult to Hire

Difficult to Retain

drop-down list

drop-down list

Explanation:

Identify your company’s critical personnel skills and competencies, i.e. expertise that is critical to your company’s viability and long-term competitiveness.

1.

Example

3.

Example

2.

Example

4.

Example

From the above list, which does your company consider its unique skills and competencies? Explain.

1.

Example

3.

Example

2.

Example

4.

Example

Explanation:

From the above list, which will your company lose due to Space Shuttle and/or Constellation program termination? Explain.

1.

Example

3.

Example

2.

Example

4.

Example

Explanation:

Does your company have production and/or inspection personnel that possess formal qualifications/certifications necessary for doing business with NASA, e.g. Non-Destructive Testing, Soldering Workmanship, etc.

YES

NO





Provide examples of such qualifications/certifications.

1.

Example

4.

Example

7.

Example

2.

Example

5.

Example

8.

Example

3.

Example

6.

Example

9.

Example

Does your company require its suppliers to maintain these qualifications/certifications?

Yes

No

Sometimes

Note Sure

If “Yes,” which qualifications/certifications?

1.

Example

4.

Example

7.

Example

2.

Example

5.

Example

8.

Example

3.

Example

6.

Example

9.

Example

Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 7 Research and Development—NASA Supply Chain Network
R&D Expenditures and R&D Funding Sources
Record your company’s total research and development (R&D) dollar expenditures and the percentage of total R&D expenditures relating to NASA business lines. Then, indicate both the type of R&D performed, by percent allocation, and your company’s R&D funding sources, by percent of total R&D dollars sourced. Note: If your company’s annual Total R&D Expenditures and Total R&D Funding Sources do not match, explain the discrepancy in the space provided.
Source of R&D Data? drop-down			Business Unit/Division			Corporate/Whole Company
R&D reporting schedule? drop-down			Fiscal Year			Calendar Year
R&D Expenditures $ and % responses				Record in $ Thousands, e.g. $12,000.00 = survey input of $12
				2007	2008		2009	2010 *
1.	Total R&D Expenditures			$	$		$	$
2.	% of Total relating to NASA business lines			% of 1.	% of 1.		% of 1.	% of 1.
3.	Basic Research			% of 1.	% of 1.		% of 1.	% of 1.
4.	Applied Research			% of 1.	% of 1.		% of 1.	% of 1.
5.	Product/Process Development			% of 1.	% of 1.		% of 1.	% of 1.
6.	TOTAL (must equal 100%)			% formula	% formula		% formula	% formula
R&D Funding Sources $ and % responses				Record in $ Thousands, e.g. $12,000.00 = survey input of $12
				2007	2008		2009	2010 *
7.	Total R&D Funding Sources			$	$		$	$
8.	Internal			% of 7.	% of 7.		% of 7.	% of 7.
9.	Total Federal Government			% of 7.	% of 7.		% of 7.	% of 7.
10.	Total State and Local Government			% of 7.	% of 7.		% of 7.	% of 7.
11.	Universities (public and private)			% of 7.	% of 7.		% of 7.	% of 7.
12.	U.S. industry, venture capital, non-profit			% of 7.	% of 7.		% of 7.	% of 7.
13.	Non-U.S. Investors			% of 7.	% of 7.		% of 7.	% of 7.
14.	Other	specify here		% of 7.	% of 7.		% of 7.	% of 7.
* If data is not available for 2010, please provide estimates.
Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 8 Investment—NASA Supply Chain Network
Capital Expenditures
Record your company’s capital expenditures corresponding to the select categories.
Source of Capital Expenditure Data? drop-down			Business Unit/Division			Corporate/Whole Company
Capital Expenditure reporting schedule? drop-down			Fiscal Year			Calendar Year
$ and % responses				Record in $ Thousands, e.g. $12,000.00 = survey input of $12
				2007	2008		2009	2010 *
1.	Total Capital Expenditures			$	$		$	$
2.	Machinery, Equipment, and Vehicles			% of 1.	% of 1.		% of 1.	% of 1.
3.	IT, Computers, Software			% of 1.	% of 1.		% of 1.	% of 1.
4.	Land, Buildings and Leasehold Improvements			% of 1.	% of 1.		% of 1.	% of 1.
5.	Other	specify here		% of 1.	% of 1.		% of 1.	% of 1.
6.	Other	specify here		% of 1.	% of 1.		% of 1.	% of 1.
7.	% of Total Capital Expenditures relating to NASA business lines			% of 1.	% of 1.		% of 1.	% of 1.
* If data is not available for 2010, please provide estimates.
Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 9 Future Outlook—NASA Supply Chain Network
1.	Is your company dependent on NASA-related business?	Yes	No	Not Sure
				
2.	How will NASA’s cancellation of the Space Shuttle and Constellation programs affect your business? Explain.
Explanation:
3.	Does your company have a plan in place to preserve its current capabilities and workforce in the post-Space Shuttle, post-Constellation program environment? Explain.	Yes	No	Not Sure
				
Explanation:
4.	Has your company already modified its business plan and/or product lines in response to cancellation of the Space Shuttle and/or Constellation programs? Explain.	Yes	No	Not Sure
				
Explanation:
5.	Does your company plan to modify its business plan and/or product lines in response to cancellation of the Space Shuttle and/or Constellation programs? Explain.	Yes	No	Not Sure
				
Explanation:
6.	Does your company currently participate in commercial manned spaceflight programs? Explain.	Yes	No	Not Sure
				
Explanation:
7.	In the future, will your company participate in commercial manned spaceflight programs? Explain	Yes	No	Not Sure
				
Explanation:
Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act

Section 9 Future Outlook—NASA Supply Chain Network continued

1.

Will the loss of Space Shuttle or Constellation program business directly or indirectly affect your company’s ability to maintain its business lines with other government customers? If “Yes,” indicate which government customer and/or programs and explain. room for 4 drop-down selections and corresponding explanation boxes in Excel version

Yes

No

Not Sure









U.S. Air Force (USAF)



Missile Defense Agency (MDA)



National Oceanic and Atmospheric Administration (NOAA)



Other

specify here



Directorate for National Intelligence (DNI)



National Reconnaissance Office (NRO)



Unified Combatant Command (UCC)



Other

specify here

2.

Record the degree of compatibility of your overall NASA-related product lines with non-NASA customers and applications.



Near 100%



Between 25-50%



None



More than 50%



Less than 25%



Not Sure

3.

Have prime contractors affiliated with NASA programs provided your company any guidance on how to best respond to cancellation of the Space Shuttle and/or Constellation programs? Explain.

Yes

No

Not Sure







Explanation:

4.

Have NASA officials provided your company any guidance on how to best respond to cancellation of the Space Shuttle and/or Constellation programs? Explain.

Yes

No

Not Sure







Explanation:

5.

Is your company willing to support future NASA manned spaceflight programs after cancellation of the Space Shuttle and Constellation programs? Explain.

Yes

No

Not Sure







Explanation:

Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 9 Future Outlook—NASA Supply Chain Network continued
1.	Identify what industry/market segments your company has served in the last 5 years?
A.	Example	C.		Example		E.	Example
B.	Example	D.		Example		F.	Example
2.	Identify what industry/market segments your company will target in the next 5-10 years?
A.	Example	C.		Example		E.	Example
B.	Example	D.		Example		F.	Example
3.	Describe the actions your company has taken in the last five years to improve its competitiveness.
Explanation:
4.	Describe the actions your company plans to take to improve its competitiveness over the next five years.
Explanation:
5.	In addition to cancellation of both the Space Shuttle and Constellation programs, identify the main issues and challenges affecting the long-term viability of your company. Place a  next to all that apply and explain your response(s).
	Domestic Competition			Government Regulations			Skills Retention
	Environmental			Health Care			Taxes
	Export Controls			Imports			Variability of Demand
	Foreign Competition			R&D Tax Credit			Other	specify here
Explanation:
Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 9 Future Outlook—NASA Supply Chain Network continued
1.	Identify what policy changes or regulatory reforms you recommend the U.S. Government implement to enhance your competitiveness.
Explanation:
2.	Have you worked with any regional, state, local, or non-profit economic development agencies or organizations to address the post-Space Shuttle, post-Constellation program environment? These might include Space Florida, the California Space Authority (CSA), public or private universities or the U.S. Chamber of Commerce.	Yes	No
			
Explanation:
Section ? Comment:

BUSINESS CONFIDENTIAL—Per Section 705(d) of the Defense Production Act
Section 10 Certification—NASA Supply Chain Network
The undersigned certifies that the information herein supplied in response to this questionnaire is complete and correct to the best of his/her knowledge. It is a criminal offense to willfully make a false statement or representation to any department or agency of the United States Government as to any matter within its jurisdiction. [18 U.S.C.A. 1001 (1984 & SUPP. 1197)]
Company or Organization Name	Website
Name of Authorizing Official	Title of Authorizing Official
Phone Number	Fax Number
Point of Contact	Title
Email Address	Phone Number	Extension
How many hours did your company dedicate to the completion of this survey?			Number of Hours
Place a  here if you would like a copy of the completed NASA Supply Chain Network industrial base assessment.				
Comments (optional)
Instructions: In the space below, provide any additional comments or any other information you wish to include regarding your participation in NASA Space Shuttle contracts or other related issues that impact your procurement, production, or supply-chain activities in the U.S.
Section ? Comment:

37