Are all people with physical access to the servers or network access to the hosts guaranteed to be US persons? Are all physical and network accesses logged for audits? That's the kind of thing govcloud promises that export control auditors want to see.
I felt like "Confidential Compute" tech could solve this issue once and for all but I'm not so sure after seeing some of the attacks people can do with physical access.
Another option of course is to not use cloud at all and have your own rack in a locked room with a good security system and/or armed US person guards.