DD Form 882, Jul 2 Report of Inventions and Subcontracts

REPORT OF INVENTIONS AND SUBCONTRACTS

Form Approved
OMB No. 9000-0095
Expires Jan 31, 2008

(Pursuant to "Patent Rights" Contract Clause) (See Instructions on back)

The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate
(9000-0095). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO THE CONTRACTING OFFICER.
1.a. NAME OF CONTRACTOR/SUBCONTRACTOR

2.a. NAME OF GOVERNMENT PRIME CONTRACTOR

c. CONTRACT NUMBER

c. CONTRACT NUMBER

3. TYPE OF REPORT (X one)
a. INTERIM

b. ADDRESS (Include ZIP Code)

d. AWARD DATE
(YYYYMMDD)

b. ADDRESS (Include ZIP Code)

b. FINAL

d. AWARD DATE 4. REPORTING PERIOD (YYYYMMDD)
(YYYYMMDD)
a. FROM
b. TO

SECTION I - SUBJECT INVENTIONS
5. "SUBJECT INVENTIONS" REQUIRED TO BE REPORTED BY CONTRACTOR/SUBCONTRACTOR (If "None," so state)
NAME(S) OF INVENTOR(S)
(Last, First, Middle Initial)

TITLE OF INVENTION(S)

a.

b.

DISCLOSURE NUMBER,
PATENT APPLICATION
SERIAL NUMBER OR
PATENT NUMBER
c.

ELECTION TO FILE
PATENT APPLICATIONS (X)
d.
(1) UNITED STATES
(a) YES

(b) NO

(2) FOREIGN
(a) YES

(b) NO

CONFIRMATORY INSTRUMENT
OR ASSIGNMENT FORWARDED
TO CONTRACTING OFFICER (X)
e.
(a) YES

f. EMPLOYER OF INVENTOR(S) NOT EMPLOYED BY CONTRACTOR/SUBCONTRACTOR

g. ELECTED FOREIGN COUNTRIES IN WHICH A PATENT APPLICATION WILL BE FILED

(1) (a) NAME OF INVENTOR (Last, First, Middle Initial)

(2) (a) NAME OF INVENTOR (Last, First, Middle Initial)

(1) TITLE OF INVENTION

(b) NAME OF EMPLOYER

(b) NAME OF EMPLOYER

(c) ADDRESS OF EMPLOYER (Include ZIP Code)

(c) ADDRESS OF EMPLOYER (Include ZIP Code)

(b) NO

(2) FOREIGN COUNTRIES OF PATENT APPLICATION

SECTION II - SUBCONTRACTS (Containing a "Patent Rights" clause)
6. SUBCONTRACTS AWARDED BY CONTRACTOR/SUBCONTRACTOR (If "None," so state)
NAME OF SUBCONTRACTOR(S)

ADDRESS (Include ZIP Code)

a.

b.

SUBCONTRACT
NUMBER(S)
c.

FAR "PATENT RIGHTS"
d.
(1) CLAUSE
NUMBER

(2) DATE
(YYYYMM)

DESCRIPTION OF WORK TO BE PERFORMED
UNDER SUBCONTRACT(S)
e.

SUBCONTRACT DATES (YYYYMMDD)
f.
(1) AWARD

(2) ESTIMATED
COMPLETION

SECTION III - CERTIFICATION
7. CERTIFICATION OF REPORT BY CONTRACTOR/SUBCONTRACTOR (Not required if: (X as appropriate))

SMALL BUSINESS or

NONPROFIT ORGANIZATION

I certify that the reporting party has procedures for prompt identification and timely disclosure of "Subject Inventions," that such procedures have been followed and that all "Subject
Inventions" have been reported.
a. NAME OF AUTHORIZED CONTRACTOR/SUBCONTRACTOR
OFFICIAL (Last, First, Middle Initial)

DD FORM 882, JUL 2005

b. TITLE

c. SIGNATURE

PREVIOUS EDITION IS OBSOLETE.

d. DATE SIGNED

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DD FORM 882 INSTRUCTIONS
GENERAL
This form is for use in submitting INTERIM and FINAL invention reports to the
Contracting Officer and for use in reporting the award of subcontracts containing
a "Patent Rights" clause. If the form does not afford sufficient space, multiple
forms may be used or plain sheets of paper with proper identification of
information by item number may be attached.
An INTERIM report is due at least every 12 months from the date of contract
award and shall include (a) a listing of "Subject Inventions" during the reporting
period, (b) a certification of compliance with required invention identification and
disclosure procedures together with a certification of reporting of all "Subject
Inventions," and (c) any required information not previously reported on
subcontracts containing a "Patent Rights" clause.
A FINAL report is due within 6 months if contractor is a small business firm
or domestic nonprofit organization and within 3 months for all others after
completion of the contract work and shall include (a) a listing of all "Subject
Inventions" required by the contract to be reported, and (b) any required
information not previously reported on subcontracts awarded during the course
of or under the contract and containing a "Patent Rights" clause.
While the form may be used for simultaneously reporting inventions and
subcontracts, it may also be used for reporting, promptly after award,
subcontracts containing a "Patent Rights" clause.
Dates shall be entered where indicated in certain items on this form and shall
be entered in six or eight digit numbers in the order of year and month
(YYYYMM) or year, month and day (YYYYMMDD). Example: April 2005 should
be entered as 200504 and April 15, 2005 should be entered as 20050415.
1.a. Self-explanatory.
1.b. Self-explanatory.

5.f. The name and address of the employer of each inventor not employed by
the contractor or subcontractor is needed because the Government's rights in a
reported invention may not be determined solely by the terms of the "Patent
Rights" clause in the contract.
Example 1: If an invention is made by a Government employee assigned to
work with a contractor, the Government rights in such an invention will be
determined under Executive Order 10096.
Example 2: If an invention is made under a contract by joint inventors and
one of the inventors is a Government employee, the Government's rights in such
an inventor's interest in the invention will also be determined under Executive
Order 10096, except where the contractor is a small business or nonprofit
organization, in which case the provisions of 35 U.S.C. 202(e) will apply.
5.g.(1) Self-explanatory.
5.g.(2) Self-explanatory with the exception that the contractor or subcontractor
shall indicate, if known at the time of this report, whether applications will be
filed under either the Patent Cooperation Treaty (PCT) or the European Patent
Convention (EPC). If such is known, the letters PCT or EPC shall be entered
after each listed country.
6.a. Self-explanatory.
6.b. Self-explanatory.
6.c. Self-explanatory.

1.c. If "same" as Item 2.c., so state.

6.d. Patent Rights Clauses are located in FAR 52.227.

1.d. Self-explanatory.

6.e. Self-explanatory.

2.a. If "same" as Item 1.a., so state.
2.b. Self-explanatory.
2.c. Procurement Instrument Identification (PII) number of contract (DFARS
204.7003).
2.d. through 5.e. Self-explanatory.

DD FORM 882 (BACK), JUL 2005

6.f. Self-explanatory.
7. Certification not required by small business firms and domestic nonprofit
organizations.
7.a. through 7.d. Self-explanatory.