FORM ITA-4133P                                     OMB No. 0625-0220
                                                   Expires: 7/79

                        BACKGROUND DATA FOR COMPANIES
                       SEEKING U.S.G. ADVOCACY SUPPORT

In order to respond to your company’s request for commercial advocacy, 
we need more information about the project/procurement contract for 
which you seek U.S.G. advocacy support.  Therefore, please complete the 
questionnaire set forth below and return it to the Department of 
Commerce’s Advocacy Center and (if applicable) return it to your initial 
U.S.G. contact.  All information provided is for internal use only and 
will be treated as business confidential.

I certify that the information set forth below is provided in good faith 
and accurately reflects the terms of the subject bid or proposal and 
information on the bidder.


________________________________________      _______________________
Signature and Title of Company Officials      Date



__________________________________________________________
Name of Company (bidder)



__________________________________________________________
Address
Phone number: _______________________Fax Number:_____________________

I.  PROJECT/PROCUREMENT CONTRACT
    1. Name:_________________________________________________________
    2. Description of project and contract pursued:__________________
    _________________________________________________________________
    3. Location:_____________________________________________________
    4. Total $ value________$ value of U.S. export content___________
    5. Status/expected decision date:________________________________
    6. Name of organization soliciting the bids?_____________________
      a. Name/title of decision maker?_______________________________
      b. Name of firm evaluating the bids?___________________________
    7. Other relevant information about the bid process:_____________
    _________________________________________________________________
    8. Names of other bidders:_______________________________________
    _________________________________________________________________
    9. Have you already received any U.S.G. advocacy for the bid?
       Yes___________________   No_________________________
    If yes, what organization/level/frequency?_______________________
    _________________________________________________________________
    _________________________________________________________________
      a. Have you discussed this bid with the U.S. Embassy?
         Yes___________________   No_________________________
   10. Foreign Competition:
      a. Name of foreign competitors:________________________________
      _______________________________________________________________
      _______________________________________________________________
      b. Have foreign government advocacy efforts been conducted?
         Yes___________________   No_________________________
      If yes, please state effort and level:_________________________
      _______________________________________________________________
   11. How will the project be financed:_____________________________
      a. Have you applied for Export Import Bank financing:
         Yes___________________   No_________________________
   12. How will this project affect the environment?_________________
   __________________________________________________________________
   __________________________________________________________________

II. BACKGROUND INFORMATION ON BIDDER
    1. Ownership:____________________________________________________
    Parent Company:__________________________________________________
    2. Highlight the competitiveness of your bid in terms of technology,
       quality and price.
    _________________________________________________________________
    _________________________________________________________________
    _________________________________________________________________
    3. What type of U.S.G. advocacy assistance are you seeking?
    _________________________________________________________________
    _________________________________________________________________
    _________________________________________________________________

III. EXPECTED EFFECTS ON U.S. ECONOMY
    1. What are the expected direct (contracting) and indirect 
(subcontracting) effects on U.S. jobs (person-years of U.S. employment 
created or sustained)?_______________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

PLEASE FAX COMPLETED FORM TO THE ADVOCACY CENTER @ (202) 482-3508
Department of Commerce, room 3814A, Washington, D.C. 20230
Phone: (202) 482-3896

Public reporting burden for this collection of information is estimated 
to average 15 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 this burden, to Reports Clearance Officer, International Trade 
Administration, Room 4001, U.S. Department of Commerce, Washington, D.C. 
20230 and to the Office of Information and Regulatory Affairs, Office of 
Management and Budget, paperwork Reduction Project (0625-0125), 
Washington, D.C. 20503.

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