Nasa Form 1679 – Fill Out and Use This PDF

Nasa Form 1679 is an essential form used by members of the National Aeronautics and Space Administration (NASA). It is utilized by staff to gain authorized access, permits, and rights to conduct/perform activities on and off NASA facilities. Responsible Agency representatives must approve requests related to activities that include hazardous materials, launches, servicing areas, aircraft operations, and other similar circumstances outside day-to-day operational activities onsite at the spaceport. Authorization provided with Nasa Form 1679 may be granted in after careful evaluation if requirements are considered carefully falling under criterion insuring necessary health, safety and welfare conditions for any special tasks undertaken.

Nasa Form 1679 PDF Details

As the demand for space exploration and research continues to grow, many companies are required by law to sign a form known as the NASA Form 1679. To ensure compliance with government regulations and ensure that all requirements have been met, this document must be completed and obtained prior to any mission or scientific study related to space exploration. Understanding what is contained in the NASA Form 1679 can help you make an informed decision about engaging in these activities. In this blog post we will address what exactly is included on this important form, who needs it, and how it should be filled out correctly.

Question	Answer
Form Name	Nasa Form 1679
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	I-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

If Yes, done under beta-test agreement?

YES

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

YES

(c.) Previously copyrighted?

YES

UNKNOWN If copyrighted, then by whom?

If Yes, supply NASA or Contractor contact:

(d.) Were prior versions distributed?

YES

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

YES

UNKNOWN

If Yes, has a license for use been obtained?

YES

UNKNOWN

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

YES

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

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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.

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.

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.

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.

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.

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Nasa Form 1679 – Fill Out and Use This PDF

Nasa Form 1679 PDF Details

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