Fillable Dd Form 2345 - Militarily Critical Technical Data Agreement (Page 2 of 2) in pdf

INSTRUCTIONS FOR COMPLETING DD FORM 2345

AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information is estimated to average 20 minutes 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, including suggestions for

reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Directives Division,

4800 Mark Center Drive, Alexandria, VA 22350-3100 (0704-0207). Respondents should be aware that notwithstanding

any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a

currently valid OMB control number.

SPECIFIC INSTRUCTIONS

1. Mark only one box. Mark "REVISION" (of a previously accepted

5. If certifications 5.e. and 5.f. cannot be made, provide (on a

submission) to show revised information, such as addresses or

separate sheet) a description of any extenuating circumstances that

business description. Mark "5-YEAR RENEWAL" in response to a

may give sufficient reason to accept your certification.

renewal notice from U.S./Canada - JCO. When either the

"REVISION" OR "5-YEAR RENEWAL" box is marked, enter your

5.a. If the location of the entity identified in Item 2.a. is in the United

current Certification Number in Item 7.b.

States, the individual named in Item 3 must be a U.S. citizen or a

person admitted lawfully for permanent residence into the United

2.a. For an enterprise, show full name of corporate parent; or

States. If the location of the entity is in Canada, the individual

institution. For an individual, show full name (LAST, First, Middle

named in Item 3 may be either a Canadian or U.S. citizen or a

Initial).

person admitted lawfully for permanent residence into Canada.

b. Enter the physical mailing address of the enterprise or

6. If Item 2 identifies an individual, that individual must sign. If Item

individual making the certification. If a P.O. Box is used for mailing

2 identifies an institution or a corporate entity, a person who

purposes, include street address as well.

can legally obligate the enterprise to a contract must sign.

Digital signatures are NOT acceptable.

c. Each corporate subsidiary or division that is to receive militarily

critical technical data must be certified separately, each with a

7. CERTIFICATION ACTION.

unique CAGE Code. If not applicable, so state.

a. ACCEPTED. The U.S./Canada - JCO has assigned the

3. Show the name, business telephone number (including area

enterprise or individual identified in Item 2.a., a Certification Number

code - general company number preferred), title of the individual

which will identify the individual or enterprise as a "certified

and their e-mail address who will receive militarily critical technical

contractor" as defined in U.S. DoDD 5230.25 or Canada's TDCR.

data and be responsible for its further dissemination.

The acceptance is valid for a period of five years from the

acceptance date unless sooner revoked under the provisions of

4. Describe the business activity of the entity identified in Item 2 in

U.S. DoDD 5230.25 or Canada's TDCR. If at any time a certified

sufficient detail for the U.S. or Canadian Government agency

contractor is unable to adhere to the conditions under which a

controlling the data to determine whether the militarily critical

certification was accepted, the contractor's certification is

technical data that you may request from time to time are

considered void, and the contractor will either submit a revised

reasonably related to your stated business activity. For example,

certification or surrender all militarily critical technical data obtained

state that you design and construct high-pressure, high volume

under this agreement to the data controlling offices specified on the

hydraulic pumps for use in connection with aircraft control surfaces;

documents.

do not state simply "hydraulic pumps." Provide concise statements

within the space provided.

b. NUMBER. Certification Number (assigned by the JCO).

c. EXPIRATION DATE. Date Certification Number will expire

(assigned by the JCO).

LEGEND:

DoD = Department of Defense

DoDD = Department of Defense Directive

U.S./Canada - JCO = United States/Canada Joint Certification Office

TDCR = Technical Data Control Regulations

Militarily Critical Technical Data = Unclassified technical data as governed by U.S. DoDD 5230.25 or Canada's TDCR.

DD FORM 2345 (BACK), MAR 2016

Dd Form 2345 - Militarily Critical Technical Data Agreement Page 2

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