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Certification To Protect Restricted Release Aviation Economic Information

1. USER: _______________________________________(organization/person who will use or benefit from data)

Responsible Official:______________________________ Telephone: ________________

E-mail_________________________________________FAX: _________________

Title: __________________________________________

Company Name:________________________________________________________

Address: ______________________________________________________________

               ______________________________________________________________

               _______________________________________________________________

2. Access is requested and protection is certified for the following types of restricted release data:

________International Passenger Origin-Destination Survey.

3. Access is presumed via the DOT-RITA-BTS Product Distribution Center in Washington, D.C. If not, provide in an accompanying letter the name of each INTERMEDIARY you selected to access the DOT data. The accompanying letter should also describe the intended use of the data and indicate an understanding of and agreement to abide by the restrictions placed on the use of the data.

4. The signature below represents certification by the individual and the organization that the release of restricted data will be protected from unauthorized use or disclosure.  Data will not be divulged.  The signatory certifies to abide by the rules and guidelines governing protection and use of the data that are stated or referenced herein.

SIGNED________________________________________DATE ___________________

5. Mail form to: M. Clay Moritz, Jr. Acting Assistant Director for Airline Information, Bureau of Transportation Statistics, RTS-42, Research and Innovative Technology Administration, E34, U.S. Department of Transportation, 1200 New Jersey Avenue, SE, Washington, D.C. 20590-0001.

THE SIGNATORY OF THIS CERTIFICATION:

  1. Citizenship: Agrees as user of international data, to meet the U.S. Citizenship definition in 14 CFR 204.2(c): ”Citizen of the United States means (1) an individual who is a citizen of the United States or one of its possessions, or (2) a partnership of which each member is such an individual, or (3) a corporation or association created or organized under the laws of the United States or of any State, Territory, or possession of the U.S., of which the president and two-thirds or more of the board of directors and other managing officers are such individuals and in which at least 75 percent of the voting interest is owned or controlled by persons who are citizens of the U.S. or one of its possessions.”
  2. Protection: Agrees to be responsible for safe, secure storage and disposal of restricted release data in a manner that will safeguard against unauthorized access.
  3. Disclosure: Agrees not to disclose the restricted data in any level of detail, from basic to summary, to any person or party outside their organization.  Any proposed deviation from this restriction, at any level of detail, must be approved by the Assistant Director for Airline Information, BTS.
  4. Intermediary(ies): Agrees, to protect, use, and disclose data in compliance with these guidelines and limitations.  Intermediaries are persons or organizations who have been specifically asked by users, and individually approved by DOT, to serve as an agent for the purpose of acquisition of restricted release data or performing special data-related services.  Intermediaries will be notified by DOT of the users they are authorized to service.  Intermediaries desiring themselves to use restricted release data must obtain their own user approval from the Assistant Director for Airline Information, BTS
  5. DOT Regulations: Agrees to abide by all of the requirements stated in this certification as well as those in the following applicable DOT regulations:
    1. 14 CFR 241.19-7(d) "Passenger origin-destination survey."
    Also, users and intermediaries will be subject to any other terms or conditions specifically stated or referred to in an access approval letter.
  6. Penalties: Agrees not to violate these restrictions subject to the following penalties:
    1. Loss of rights and privileges to access any restricted release data.
    2. Civil penalties per Section 901 of the Federal Aviation Act of 1958.
    3. Criminal penalties per Section 902 of the Federal Aviation Act of 1958.
  7. Information on Additional Certifications: Call (202) 366-4385. Revised 7/30/07