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PAPERWORK REDUCTION ACT SUBMISSION
ICR 201205-3245-001 · OMB 3245-0356 · Object 32296101.
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| File Type | application/msword |
|---|---|
| File Title | PAPERWORK REDUCTION ACT SUBMISSION |
| Author | EMBROWN |
| Last Modified By | Writer |
| File Modified | 2009-04-15 |
| File Created | 2026-09-07 |
| Conversion State | complete |
Extracted Text
APPENDIX II: TECH-NET: DATA FIELDS AND QUESTIONNAIRE
(a) The following are the data collection fields for the Public (Awards) Database as described in Section 11(e)(9) of the SBIR/STTR Policy Directives for all SBIR/STTR annual data submissions to the SBA.
OMB Approval No. 3245-0356
Expiration: 03/31/2009
TECHNET Public (Awards) Database
Field Name
Required Code
Type
Width
Description
1. Program Identification
MA
Numeric
1
STTR/ SBIR Award Program Identifier 0=STTR; 1=SBIR
2. Company
Char
80
Company Name
3. Company Division
Char
80
Company Division
4. Street1
MA
Char
80
Street Address 1
5. Street2
Char
80
Street Address 2
6. City
MA
Char
40
City
7. State
MA
Char
2
State
8. Zip
MA
Numeric
5
Zip
9. Zip4
MA
Numeric
4
Zip + 4
10. Socially and Economically Disadvantaged Small Business
MA
Numeric
1
Socially and Economically Disadvantaged Small Business indicator (Allowable values: 0=yes; 1=no)
11. Women
MA
Numeric
1
Women-owned company indicator (Allowable values: 0=yes 1=no)
12. HUBZone Certified
MA
Numeric
1
HUBZone Certified Small Business Concern (Allowable values: 0=yes; 1=no)
13. Contact First
MA
Char
40
Company Official contact first name
14. Contact Last
MA
Char
40
Contact last name
15. Contact Middle Initial
Char
1
Contact middle initial (One character only – no periods or full names)
16. Contact Title
MA
Char
40
Contact Official title
17. Contact Phone
MA
Char
10
Contact Official phone (Ten characters only, for example 9999999999)
18. Contact Email Address
MA
Char
50
Contact email address
19. Employees
MA
Numeric
5
Number of employees
20. Agency Code
MA
Numeric
2
Awarding agency (see below)
21. Branch
MA
Number
1
Awarding DOD (see below)
22. Phase I Award
Year
MA
Numeric
4
Phase I Year
23. Phase I Projected Total Amount
MA
Numeric
10
Phase I Projected Total Amount
24. Phase II Award Year
M2
Numeric
4
Phase II Year (Phase II records only)
25. Phase II Projected Total Amount
M2
Numeric
10
Phase II Projected Total Amount (Phase II records only)
26. PI First
MA
Char
40
Principal Investigator First Name
27. PI Last
MA
Char
40
Principal Investigator Last Name
28. PI Middle Init
MA
Char
1
Principal Investigator middle initial (one character only – no periods or full names)
29. PI Title
MA
Char
40
Principal Investigator Title
30. PI Phone
MA
Char
10
Principal Investigator phone (Ten characters only, for example 9999999999)
31. PI Email Address
MA
Char
50
Principal Investigator email address
32. Topic Code
MA
Char
15
Agency Solicitation Topic Number
33. RI TYPE
MT
Numeric
1
Type of research institution (see below)
34. RI Category
MT
Numeric
1
Type of University (allowable pre-filled data ANSI=Alaskan Native-Serving Institution; HBCU=Historically Black College or University; HSI=Hispanic-Serving Institution; TCU=Tribal College or University; NHSI=Native Hawaiian-Serving Institution (STTR only)
(auto-fill based on data inserted in element 37)
35. Phase I Projected Total to RI
MT
Numeric
10
Phase I Projected Total Amount to University
36. Phase II Projected Total Amount to RI
MT
Numeric
10
Phase II Projected Total Amount to University
37. RI Name
MT
Char
80
Research institution (proper name of RI—no acronyms or abbreviations)
38. RI Street 1
MT
Char
80
Research institution address (STTR only)
39. RI Street 2
Char
80
Research institution address (STTR only)
40. RI City
MT
Char
40
Research institution city (STTR only)
41. RI State
MT
Char
2
Research institution State (STTR only)
42. RI Zip
MT
Numeric
5
Research institution Zip (STTR only)
43. RI Zip4
Numeric
4
Research institution Zip + 4
44. RI Official First
Char
40
Research institution Official First Name
45. RI Official Last
Char
40
Research institution Official Last Name
46. RI Official Initial
Char
1
Research institution Official Middle Initial (One character only – no periods or full names)
47. RI Official Phone
Char
10
Research Institution Official’s phone # (Ten characters only for example, 9999999999)
48. Tracking Number
MA
Char
20
Agency key identifier (Internal number scheme)
49. TIN/EIN
MA
Char
10
Taxpayer/Employer Identification number
(Prefix with 1 for EIN; 2 for Social Security Number. This field must be a valid EIN or TIN
50. Contract/Grant Number
MA
Char
20
Agency Award Contract/Grant Number
51. Solicitation Number
MA
Char
20
Solicitation Number
52. Solicitation Year
MA
Numeric
4
Year of the Solicitation
53. Title
MA
Char
800
Title of research project
54. Abstract
MA
Char
1500
Technical Abstract
55. Results
Char
1000
Project anticipated results
56. Comments
MT
Char
1000
Project comments
57. Project Initiator
MT
Char
1
Initiator of STTR collaborative effort (allowable values: S=Small Business Concern; R=Research Institution) (STTR only)
58. Technology Used
MT
Char
1
SBC or RI originate any technology used in the STTR project (Allowable values: S=Small Business Concern; R=Research Institution) (STTR only)
59. Time to establish license agreement (months)
MT
Numeric
2
Time duration to establish any STTR license agreement (STTR only)
60. STTR Proceeds Distribution to SBC (%)
MT
Numeric
2
Allocation of proceeds from sale of STTR technology (STTR only)
61. STTR Proceeds Distribution to RI (%)
MT
Numeric
2
Allocation of proceeds from sale of STTR technology (STTR only)
***** From this point each data element should be sent as a separate file ***********
TITLE
Char
800
Title of research project *
Tracking Number
Char
20
Agency key identifier (Internal number scheme)*
Abstract
Char
1500
Technical abstract (500 words)
Tracking Number
Char
20
Agency key identifier (Internal number scheme)*
Abstract SeqNmb
Numeric
1
Results
Char
1000
--Project anticipated results
Tracking Number
Char
20
Agency key identifier (Internal number scheme)*
COMMENTS
Char
1000
--Project comments
Tracking Number
Char
20
Agency key identifier (Internal number scheme)*
Industry Share Amount
Numeric
10
ATP Program Cost Share Amount
Cost Share Tracking #
Char
20
ATP Cost Share Tracking Number
General Information: Agency submissions must be complete and timely. Each of the 61 fields must be represented in your submission as shown in the tables above. If a particular field such as 37, “RI Category” is not applicable, it must still be included in your submission even though it will be empty. When applicable, data field 34 “RI Category” will be filled automatically once the proper name of the college or university is entered in field 37, “RI Name.” If data field 34 is not applicable, TechNet will detect the “blank” and auto-fill this field appropriately. Each agency must ensure that data submissions to the SBA include all of the data fields above, even if they are empty.
The collection of this information, which is mandated by statute, [see, 15 U.S.C. 638(k)] will be used to conduct program reviews and audits and to report to Congress on technology and demographical statistics for the STTR/SBIR programs. Information such as Employee Identification and Tax Identification numbers and the data related to special categories for RI including the dollar amounts subcontracted or subgranted to these institutions by the small business concern that was awarded a Phase I or Phase II STTR contract or grant will be considered privileged and confidential, and therefore exempt from disclosure under the Freedom of Information Act. Data in the following fields will also be kept confidential: Project Initiator; Technology Used; time to establish license agreement; STTR proceeds distribution to SBC; STTR proceeds distribution to RI. This information will be available only to authorized persons within the reporting firm and to those Federal officials with specific clearance.
(b) Codes
Code Program Identification Code (Field 1)
0 STTR (Small Business Technology Transfer Program)
1 SBIR (Small Business Innovation Research Program)
2 ATP (Advanced Technology Program)
Code Research Institution Types (Field 33)
1 Nonprofit college or university
2 Domestic nonprofit research organization
3 Federally funded research and development center (FFDRC)
Code RI Category (Field 34)
1 Alaskan Native-Serving Institution (ANSI)
2 Hispanic-Serving Institution (HSI)
3 Historically Black College or University (HBCU)
4 Tribal College or University (TCU)
5 Native Hawaiian-Serving Institution
(1) Program Identification Code
0 STTR (Small Business Technology Transfer)
1 SBIR (Small Business Innovation Research)
(2) Agency Codes
1 DOD (Department of Defense)
2 DOE (Department of Energy)
3 NASA (National Aeronautics and Space Administration)
4 HHS (Health and Human Services)
5 NSF (National Science Foundation)
6 DOT (Department of Transportation)
7 EPA (Environmental Protection Agency)
8 ED (Department of Education)
9 DOA (Department of Agriculture)
10 DOC (Department of Commerce)
11 NIST (National Institute of Standards and Technology)
(3) Branch Codes
1 AF (Department of the Air Force)
2 ARMY (Department of the Army)
3 MDA (Missile Defense Agency)
4 DARP (Defense Advanced Research Projects Agency)
5 DSWA (Defense Special Weapons Agency)
6 NAVY (Department of the Navy)
7 OSD (Office of the Secretary of Defense)
8 SOCO (Special Operations Command)
9 NIMA (National Imaging and Mapping Agency)
You are not required to respond to a collection of information unless it displays a currently valid OMB control number. The reporting burden for the collection of this information is 30 minutes per response. Comments on this burden should be sent to U.S. Small Business Administration, Chief, AIB, 409 3rd Street S.W., Washington, DC 20416, and Desk Officer for Small Business Administration Office of Management and Budget, New Executive Office Building, Room 10202, Washington, D.C. 20503. PLEASE DO NOT SEND YOUR COMPLETED FORMS TO OMB.
(c) The following is the information collection questionnaire for the Government (Commercialization) Database as described in section 11(e)(10) of this Policy Directive.
TECHNET SBIR/STTR Commercialization Database
The SBIR/STTR Commercialization Database is a secure, on-line database mandated by Congress to maintain information on the economic impact of the SBIR and STTR programs. Analysis of the information in the Commercialization Database will be used to improve the administration of and assess the merits of the program.
SBA has developed a two-stage development of the commercialization data reporting system. For the first stage, information will be entered directly by authorized program officials at the SBIR/STTR participating agencies. Agencies will input data they have collected from their awardees into the TechNet system beginning in FY2009. The fields are listed below. The definitions of key terms used in the questionnaire are also listed below.
Certain information provided for this database will be considered privileged and confidential, and therefore exempt from disclosure under the Freedom of Information Act. It will be available only to authorized persons within the reporting firm and to those Federal officials with specific clearance.
In the second stage, a Phase I or II award will be collected directly from SBIR/STTR awardee companies. Data will be collected in the following way. Any firm applying for a Phase I or II award will be required at the time of application to complete and update the relevant information in the Commercialization Database on all previous Phase II awards received by that firm. The Commercialization Report Questionnaire will be an integral step in the SBIR and STTR proposal process for all agencies. Proposals will not be accepted until this information is completed. (2) Firms finishing a Phase II project will be required to complete and update the information in the Commercialization Database at the termination of the award period. SBIR and STTR awardees will be requested to voluntarily update the information in this database annually for a minimum period of 5 years following the completion of the project.
The on-line reporting system will provide firms the opportunity to update the information at any time. Relevant information previously provided to any of the funding agencies by an awardee firm will be placed in the Commercialization Database, reducing redundant reporting.
TechNet Commercialization Fields
COMPANY INFORMATION
Company outcomes occurring, at least in part, as a result of this award:
Completed an IPO: Yes__ No__
Year of IPO: ___
Value of IPO: $___
Awardee acquired: Yes__ No__
Awardee acquired year: ___
Awardee acquired dollar amount: $___
Number of patents: ___
Number of copy-rights: _____
Brief narrative of commercial, economic, other impacts this award has had on the firm: ____
PROJECT COMMERCIALIZATION REPORT
[Further outcomes as a result of this award]
Sales to: (cumulative dollar amount to date)
Federal / prime contractor: $____
Private sector: $ ____
Other: $____
Additional Investment from: (cumulative dollar amount to date)
Federal / prime contractors: $____
Angel capital: $____
Venture capital: $____
The SBC itself (internal funds): $ ____
Other: $____
Please specify other sources of investment: _____________
Brief narrative describing the commercial application: _______________
PLEASE NOTE: The estimated burden for completing this form is 10 minutes per response. You are not required to respond to a collection of information unless it displays a currently valid OMB control number. Comments on this burden should be sent to U.S. Small Business Administration, Chief, AIB, 409 3rd Street S.W., Washington, DC 20416, and Desk Officer for Small Business Administration Office of Management and Budget, New Executive Office Building, Room 10202, Washington, D.C. 20503. PLEASE DO NOT SEND FORMS TO OMB.
The TechNet SBIR/STTR Commercialization Database will include the records of all applicants for Phase I and Phase II awards, including those that did not receive awards. These records include the agency to which the application was submitted.
Pursuant to 15 U.S.C. 638(k)(4), information provided for this database is privileged and confidential and is not considered to be publication for purposes of 35 U.S.C 102 (a) or (b). You are not required to respond to a collection of information unless it displays a currently valid OMB control number. The estimated burden for collection of this information is one hour per response. Comments on this burden should be sent to the U. S. Small Business Administration, Chief, AIB, 409 3rd Street, S.W., Washington, D.C. 20416, and the Desk Officer for the U. S. Small Business Administration Office of Management and Budget, New Executive Building, Room 10202, Washington, D.C. 20503. Please do not send your completed forms to OMB.
DEFINITION OF TERMS:
Sales
• “Sales” includes cash revenue from the sale of new products or non-R&D services embodying the specific technology developed under this Phase II project.
◦ Count only such revenue accruing to the firm and not to other entities, except in the following circumstance. If the firm sold or licensed the technological know-how developed under Phase II to another entity, also count as sales the cash revenue accruing to the other entity from its sale of new products or non-R&D services embodying the Phase II technology.
◦ If the new product/service embodying the Phase II technology is a component of a larger product/service (e.g., an improved coating on an existing optical lens product), count only the sales attributable to the component rather than the larger product/service.
• “Sales” does not include:
◦ SBIR/STTR contracts or grants (Phase I or II), or revenue from any other R&D activities, including follow-on R&D contracts or grants. “R&D activities” include any activities directed toward reducing the technical risk of the technology.
◦ Revenue from the sale or license of technological know-how.
◦ Revenue from the firm's sales to an affiliate [a link to the regulation on affiliation] of your firm.
Additional Investment
“Additional Investment” includes investment by any source other than the federal SBIR/STTR program in activities that further the development and/or commercialization of the specific technology developed under the Phase II project. Examples of such activities include:
◦ Additional R&D on the Phase II technology;
◦ Manufacturing/production start-up;
◦ Purchase of plant and equipment for manufacturing/production;
◦ Protection of intellectual property;
◦ Obtaining certifications;
◦ Marketing start-up and marketing; and
◦ Training of workforce to manufacture or sell new products embodying the Phase II technology.
These may be activities funded and conducted by the awardee firm or by other entities.
ACCOUNTING INSTRUCTIONS
1. Do not count the same item as both “sales” and “additional investment,” and do not include Phase I or Phase II SBIR/STTR awards in either category.
2. If two or more Phase II projects contributed to a single new product that has generated sales revenue and/or additional investment, apportion the sales and investment among the contributing projects without double-counting. Example: Phase II projects A and B lead to a new software product that has generated sales of $10 million to the Army and $12 million to retail software stores. For both projects A and B, enter $5 million for sales to Federal or prime contractor and $6 million for sales to the private sector.
3. Count only sales and investment to date, and not projected sales and investment. For sales to or investment by the government, count only the amount of government funding that has been obligated to date and not the total award amount.
4. For purposes of this report, the “firm” includes all affiliates.