Nasa Form 1679 PDF Details

The NASA 1679 form, formally known as the National Aeronautics and Space Administration Disclosure of Invention and New Technology (Including Software), is a keystone document for individuals and entities working under the aegis of NASA, facilitating the formal disclosure of inventions and technological innovations. This comprehensive form seeks to ensure that all necessary details surrounding new inventions or technological advancements—whether they originate from NASA's internal teams or external contractors and grantees—are thoroughly documented and submitted for further review and potential patenting. The form is not only a procedural requirement but also serves as a crucial legal document, guiding the submission process through its detailed sections which cover everything from the descriptive title of the innovation, the innovator(s)' details, employer status at the time of innovation, to the innovation's development history, patent status, and potential for commercial application. The broad aim of such disclosure is to provide a full and complete account that protects the intellectual property rights of the developers while enabling NASA to assess the potential application and benefits of the innovation within its vast array of projects. Its meticulous design highlights the importance of identifying unique or novel features of the innovation, argues its benefits, and speculates on possible commercial applications, ensuring a bridge is formed between groundbreaking scientific discoveries and practical applications.

QuestionAnswer
Form NameNasa Form 1679
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesI-551, SIGNIFICIANCE, COTR, form 1679

Form Preview Example

National

Aeronautics and

Space

Administration

Disclosure of Invention and

New Technology (Including

Software)

Form Approved DATE O.M.B. NO.

2700-0009

NT CONTROL NO. (OFFICIAL USE ONLY)

This is an important legal document. Carefully complete and forward to the Patent Representative (NASA in-house innovation) or New Technology Representative (contractor/grantee innovation) at NASA. Use of this report form by contractor/grantee is optional; however, an alternative format must at a minimum contain the information required herein. NASA in-house disclosures should be read, understood and signed by a technically competent witness in the witness signature block at the end of this form.

In completing each section, use whatever detail deemed appropriate for a “full and complete disclosure.” Contractors/Grantees please refer to the New Technology or Patent Rights - Retention by the Contractor clauses. When necessary, attach additional documentation to provide a full, detailed description.

1.DESCRIPTIVE TITLE

2.INNOVATOR(S) (Name(s), Title(s), Phone Number(s), Home Address(es). For non U.S. citizen, include INS Form I-551 No. and expiration date. If multiple innovators, please number.)

3.EMPLOYER(S) WHEN INNOVATION MADE (Name and Division)

4.ADDRESS(ES) (Place of performance)

5.EMPLOYER STATUS (choose one 6. ORIGIN (check all that apply and supply number(s))

for each innovator)

 

NASA In-house Org. Code

 

 

 

 

UPN(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NASA Grant No.

 

 

 

 

 

 

 

 

UPN(s)

 

Innovator #1

Innovator #3

 

 

 

 

 

 

 

 

 

NASA Prime Contract No.

 

 

 

 

 

UPN(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Task No.

 

 

 

Report No.

 

 

UPN(s)

 

 

 

Innovator #2

Innovator #4

 

 

 

 

UPN(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subcontractor; Subcontract Tier

 

 

 

GE = Government

 

 

 

 

UPN(s)

 

Joint Effort (NASA prime contractor and NASA in-house)

 

 

 

 

 

CU = College or University

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UPN(s)

NP = Non-Profit Organization

Multiple Contractor Contribution

 

 

 

 

SB = Small Business Firm

(collaboration of prime contractor and subcontractor)

Contractor Reportable Item No.

LE = Large Entity

 

Other (e.g., Space Act or Cooperative Agreement)

 

 

 

 

 

 

 

 

 

 

 

 

No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. NASA CONTRACTING OFFICER’S TECHNICAL REPRESENTATIVE

 

 

8. CONTRACTOR/GRANTEE NEW TECHNOLOGY REPRESENTATIVE

(COTR)

 

 

 

 

 

 

 

 

(POC)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.BRIEF ABSTRACT (A general description of the innovation which describes its capabilities, but does not reveal details that would enable duplication or imitation of the innovation.)

NASA FORM 1679 JUL 98 REPLACES NF 425, NF 666, AND NF 666A, WHICH ARE OBSOLETE.

PAGE 1 OF 4

SECTION I - DESCRIPTION OF THE PROBLEM OR OBJECTIVE THAT MOTIVATED THE INNOVATION’S DEVELOPMENT (Enter as appropriate: A.- General description of problem/objective; B.- Key or unique problem characteristics; C.- Prior art, i.e., prior techniques, methods, materials, or devices performing function of the innovation, or previous means for performing function of software; and D.- Disadvantages or limitations of prior art.)

SECTION II - TECHNICALLY COMPLETE AND EASILY UNDERSTANDABLE DESCRIPTION OF INNOVATION DEVELOPED TO SOLVE THE PROBLEM OR MEET THE OBJECTIVE (Enter as appropriate; existing reports, if available, may form a part of the disclosure, and reference thereto can be made to complete this description: A.- Purpose and description of innovation/software; B.- Identification of component parts or steps, and explanation of mode of operation of innovation/software preferably referring to drawings, sketches, photographs, graphs, flow charts, and/or parts or ingredient lists illustrating the components; C.- Functional operation; D.- Alternate embodiments of the innovation/software; E.- Supportive theory; F.= Engineering specifications; G.- Peripheral equipment; and H.- Maintenance, reliability, safety factors.)

NASA FORM 1679 JUL 98 REPLACES NF 425, NF 666, AND NF 666A, WHICH ARE OBSOLETE.

PAGE 2 OF 4

SECTION III - UNIQUE OR NOVEL FEATURES OF THE INNOVATION AND THE RESULTS OR BENEFITS OF ITS APPLICATION (Enter as appropriate: A.- Novel or unique features; B.- Advantages of innovation/software; C.- Development or new conceptual problems; D.- Test data and source of error; E.- Analysis of capabilities; and F.- For software, any re-use or re-engineering of existing code, use of shareware, or use of code owned by a non-federal entity.)

SECTION IV - SPECULATION REGARDING POTENTIAL COMMERCIAL APPLICATIONS AND POINTS OF CONTACT (including names of companies

producing or using similar products)

NASA FORM 1679 JUL 98 REPLACES NF 425, NF 666, AND NF 666A, WHICH ARE OBSOLETE.

PAGE 3 OF 4

10.ADDITIONAL DOCUMENTATION (Include copies or list below any pertinent documentation which aids in the understanding or application of the innovation (e.g., articles, contractor reports, engineering specs, assembly/manufacturing drawings, parts or ingredients list, operating manuals, test data, assembly/manufacturing procedures, etc.)

TITLE

PAGE

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.DEGREE OF TECHNOLOGICAL SIGNIFICIANCE (Which best expresses the degree of technological significance of this innovation?)

 

 

Modification to Existing Technology

 

 

Substantial Advancement in the Art

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. STATE OF DEVELOPMENT

 

 

 

 

 

 

 

 

 

 

 

 

Concept Only

 

Design

 

Prototype

 

Modification

 

Production Model

 

 

Used in Current Work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.PATENT STATUS (Prior patent on/or related to this innovation)

Application Filed

Application No.

 

 

Application Date

 

 

 

 

 

Patent Issued

Patent No.

 

 

Issue Date

14.INDICATE THE DATES OR THE APPROXIMATE TIME PERIOD DURING WHICH THIS INNOVATION WAS DEVELOPED (i.e., conceived, constructed, tested, etc.)

15.PREVIOUS OR CONTEMPLATED PUBLICATION OR PUBLIC DISCLOSURE INCLUDING DATES (Provide as applicable: A.- Type of publication or disclosure, e.g., report, conference or seminar, oral presentation; B.- Disclosure by NASA or Contractor/Grantee; and C.- Title, volume no., page no., and date of publication.)

16. QUESTIONS FOR SOFTWARE ONLY

(a.) Using outsiders to beta-test code?

 

 

YES

 

NO

If Yes, done under beta-test agreement?

 

 

YES

 

NO

(b.) Modifications to this software continue by civil servant and/or contractual agreement?

 

 

 

YES

 

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(c.) Previously copyrighted?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

NO

 

UNKNOWN If copyrighted, then by whom?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If Yes, supply NASA or Contractor contact:

 

 

 

 

 

 

 

(d.) Were prior versions distributed?

 

 

 

 

YES

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(e.) Contains or is based on code owned by a non-federal entity?

 

YES

NO

 

UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If Yes, has a license for use been obtained?

 

 

YES

 

 

NO

 

 

UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(f.) Has the latest version been distributed without restrictions as to use or disclosure for more than one year?

 

 

 

 

 

 

 

 

 

YES

NO

 

 

UNKNOWN

If Yes, date of disclosure:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17. DEVELOPMENT HISTORY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STAGE OF DEVELOPMENT

 

 

 

DATE (M/Y)

 

 

 

LOCATION

 

IDENTIFY SUPPORTING WITNESSES

 

 

 

 

 

 

 

 

 

 

 

(NASA in-house only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. First disclosure to others

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. First sketch, drawing, logic chart or code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. First written description

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. Completion of first model of full size device (invention) or beta version (software)

e. First successful operational test (invention) or alpha version (software)

f. Contribution of innovators (If jointly developed, provide the contribution of each innovator)

g. Indicate any past, present, or contemplated government use of the innovation

 

 

 

 

 

 

 

 

 

18. SIGNATURE(S) OF INNOVATOR(S), WITNESS(ES), AND NASA APPROVAL

 

 

TYPED NAME AND SIGNATURE (Innovator #1)

DATE

TYPED NAME AND SIGNATURE (Innovator #2)

DATE

 

 

 

 

 

 

 

TYPED NAME AND SIGNATURE (Innovator #3)

DATE

TYPED NAME AND SIGNATURE (Innovator #4)

DATE

 

 

 

 

 

 

TYPED NAME AND SIGNATURE (Witness #1)

DATE

TYPED NAME AND SIGNATURE (Witness #2)

DATE

 

 

 

 

 

 

 

NASA

TYPED NAME

 

SIGNATURE

DATE

APPROVED

 

 

 

 

 

 

 

 

 

 

 

 

NASA FORM 1679 JUL 98 REPLACES NF 425, NF 666, AND NF 666A, WHICH ARE OBSOLETE.

PAGE 4 OF 4

How to Edit Nasa Form 1679 Online for Free

When working in the online editor for PDFs by FormsPal, you can easily complete or edit form 1679 right here. We are dedicated to making sure you have the best possible experience with our tool by continuously presenting new capabilities and improvements. Our tool is now much more user-friendly with the newest updates! So now, filling out PDF files is easier and faster than ever before. All it requires is just a few easy steps:

Step 1: Just press the "Get Form Button" above on this site to get into our form editing tool. There you'll find everything that is needed to fill out your file.

Step 2: Using our handy PDF tool, you'll be able to accomplish more than simply complete blank fields. Express yourself and make your documents appear faultless with customized text added in, or optimize the file's original content to excellence - all that backed up by the capability to add any images and sign it off.

As a way to complete this PDF document, be sure to enter the required details in every field:

1. Whenever filling in the form 1679, make sure to incorporate all of the necessary blank fields within its corresponding part. It will help to speed up the process, enabling your information to be processed fast and appropriately.

Part number 1 for completing JUL

2. The next stage would be to complete these particular blanks: EMPLOYER STATUS choose one for, Innovator, Innovator, Innovator, Innovator, GE Government CU College or, ORIGIN check all that apply and, NASA Inhouse Org Code, NASA Grant No, NASA Prime Contract No, Task No, Report No, Subcontractor Subcontract Tier, Joint Effort NASA prime contractor, and Multiple Contractor Contribution.

Writing segment 2 in JUL

As for NASA Grant No and GE Government CU College or, make certain you review things in this current part. Both of these are definitely the most significant fields in this PDF.

3. This next step is related to SECTION I DESCRIPTION OF THE - type in each one of these blank fields.

The best ways to fill out JUL part 3

4. To move ahead, the next stage involves completing a few empty form fields. Examples include SECTION II TECHNICALLY COMPLETE, NASA FORM JUL REPLACES NF NF, and PAGE OF, which are essential to continuing with this particular process.

Stage # 4 of completing JUL

5. This form needs to be concluded within this part. Here there is a comprehensive listing of fields that require accurate information to allow your form usage to be complete: SECTION III UNIQUE OR NOVEL.

Filling out part 5 of JUL

Step 3: Prior to moving forward, ensure that all form fields have been filled out the proper way. Once you determine that it is good, click “Done." Go for a 7-day free trial option at FormsPal and obtain instant access to form 1679 - which you are able to then work with as you would like from your FormsPal account page. FormsPal is committed to the confidentiality of all our users; we make sure that all information used in our system continues to be secure.

Nasa Form 1679 isn’t the one you’re looking for?

Related Documents