> OMB Approval No. 1405-0157
>
> EXPIRATION DATE: 4-30-2008

\*ESTIMATED BURDEN: 15 minutes

U.S. Department of State

Instructions for Form DS-4071 -- Export Declaration

of Technical Data or Defense Services

Block 1 -- File Name: This is the name of the text file you would like
to save your export information to for later transmission to the
Directorate of Defense Trade Controls (DDTC).

Block 2 -- Registration Type Code: This is the first letter in your DDTC
Registration Code, either an "M" for manufacturer/exporter, or "K" for
broker.

Block 3 -- Registration Number: The remainder of your DDTC registration
code. This should be either a dash (-) followed by four digits or no
dash and five digits.

Block 4 -- License Type: The DSP form number of the license (or the type
of agreement) you are using to export (e.g. 05, 85, TA, MA, AG, etc.).

Block 5 -- License Number: The license number or agreement number you
are exporting against.

Block 6 -- ITAR Exemption Number: If shipping pursuant to an ITAR
exemption, provide the section number of 22 CFR you are citing for your
export (e.g. 126.5b, 125.4b, etc.).

Block 7 -- Destination Country: The country of ultimate destination for
your export. Select from a drop down list of countries.

Block 8 -- Port or Method of Export: If technical data is being shipped
through a U.S. port, enter the city name of that port. If it is being
transmitted via oral, visual, or electronic means, cite the method of
export.

Block 9 -- Export Date: The date the export will take place
(mm/dd/yyyy).

Block 10 -- Value of Goods: The commercial value of the technical data
you are providing or the defense services you are rendering.

Block 11 -- SME: If the technical data or defense service being exported
qualifies as significant military equipment under 22 CFR §120.7, please
check this box.

\*PAPERWORK REDUCTION ACT STATEMENT: Public reporting burden for this
collection is estimated to average 15 minutes per response, including
time required for searching existing data sources, gathering the
necessary data, providing the information required, and reviewing the
final collection. Send comments on the accuracy of this estimate of the
burden and recommendations for reducing it to: Department of State
(A/RPS/DIR) Washington, DC 20520.

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Block 12 -- Eligibility Certification: By checking this box, you are
certifying that you, and all other parties to this transaction, are
eligible to engage in defense trade pursuant to 22 CFR §120.1.

Block 14 -- Unit of Measure: Appropriate unit of measure for the
physical packaging of technical data being exported. Not required for
defense services or oral, visual or electronic transmission of technical
data.

Block 15 -- Quantity: Quantity corresponding to the unit of measure in
Block 14 describing the physical packaging of technical data being
exported. Not required for defense services or oral, visual or
electronic transmission of technical data.

Block 16 -- Commodity Description: Free text description of the
technical data exported or defense service rendered.

Block 17 -- USML Code: The category and subparagraph (e.g. VIIIi) of the
U.S. Munitions List (USML), 22 CFR 121.1, which describes the technical
data exported or defense service rendered.

Block 18 -- Commodity Code (reserved for future use): Select from the
drop down list the commodity characterization that best describes the
technical data or defense service being rendered.

Block 19 -- Foreign End-User: The name, address, and contact information
for the ultimate end-user of the technical data exported or defense
service rendered.

Block 20 -- Foreign Consignee: The name, address, and contact
information for the foreign consignee (if any) of the technical data
exported or defense service rendered.

Block 21 -- Foreign Intermediate Consignee: The name, address, and
contact information for the foreign intermediate consignee (if any) of
the technical data exported or defense service rendered.

Block 22 -- U.S. Consignee: The name, address, and contact information
for the U.S. consignee/freight forwarder (if any) of the technical data
exported or defense service rendered.

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