International Activities Checklist Individuals involved in international activities must complete with the following checklist. Please contact the Division of Research Compliance and/or the UF International Center (UFIC) if you have any questions or if the instructions direct you to do so. 1. Attach a brief description of the proposed international travel, contract, research project, collaboration, payment, etc. (‘Activity’). Include the purpose of the Activity as well as the entities, people, and payments involved in the Activity both at UF and abroad. Also include a description and model, make and manufacture of any equipment, software or materials that will be transferred and/or exported outside of the US.*Accepted file types: pdf, doc, txt, docx, Max. file size: 125 MB.2. Will the Activity involve an OFAC-sanctioned country, entities or person [i.e., Cuba, Iran, North Korea, Syria, and Sudan]?*Information on OFAC Sanctions: https://www.treasury.gov/resource-center/sanctions/Programs/Pages/Programs.aspx Yes No 3. Will any equipment (even office laptop computer, PDA, cell phone), material or payment be exported and/or transferred to an OFAC-sanctioned country, entities or person (even on a temporary basis?)* Yes No 4. Will the Activity involve interaction with or a benefit/payment to a person or entity on the OFAC Prohibited List?*OFAC Prohibited List: https://www.treasury.gov/resource-center/sanctions/SDN-List/Pages/default.aspx Yes No 4a. Will the Activity involve interaction with or a benefit/payment to a person or entity on the State Department Terrorist Exclusion List?*Terrorist Exclusion List: http://www.state.gov/j/ct/rls/other/des/123086.htm Yes No 4b. Will the Activity involve interaction with or a benefit/payment to a person or entity on any of the following lists: EAR Entities, Denied Persons, Unverified Persons, or General Order No. Lists*http://www.access.gpo.gov/bis/ear/pdf/744spir.pdf http://www.bis.doc.gov/DPL/Default.shtm http://www.bis.doc.gov/enforcement/unverifiedlist/unverified_parties.html http://www.access.gpo.gov/bis/ear/pdf/736.pdf Yes No 5. Will any of the equipment/software or materials listed in the attachment to item 1 be hand-carried, sent, shipped, exported transferred or even temporarily left anywhere abroad? (see question 8)* Yes No 6. Will already controlled, or proprietary or not-yet-published (i.e., non public domain) technical data/research be communicated abroad (“communicated abroad” means while abroad or from the U.S. to someone abroad) or to a non US person in the US?* Yes No 7. Does the effort involve information, software, equipment, materials or services subject to the U.S. Munitions List or have a military application, or involve satellites, space vehicles or their components?*U.S. Munitions List: http://www.pmddtc.state.gov/regulations_laws/documents/official_itar/ITAR_Part_121.pdf Yes No Contact the Division of Research Compliance at 352 392-2369 if you answered YES to any of the questions above8. If a computer, PDA or cell phone is being hand-carried or sent abroad (also see 2 regarding countries of concern): a. Is the equipment available routinely at retail outlets in the U.S.?* Yes No b. Does the equipment only contain mass market encrypted software? (i.e., Microsoft office/Adobe)* Yes No c. Does the equipment contain only published/public domain technical and/or research data?* Yes No d. Does the equipment contain only non-proprietary/non-confidential technical data?* Yes No e. Confirm that the equipment will not be left abroad, even temporarily?* Yes No f. Will the equipment be used solely to conduct UF work/research and/or standard tourist activities?* Yes No g. Will you have physical possession/control of the equipment at all times?* Yes No Contact the Division of Research Compliance at 352 392-2369 if you answered NO to any of the items in question 8
