Form HUD 770 HUD 770 Report of Inventions and Subcontracts

Report of Inventions
and Subcontracts

U.S. Department of Housing
and Urban Development
Office of the Chief Financial Officer

OMB Approval No. 2535-0091
(exp. 3/31/2009)

Pursuant to "Patent Rights" Contract Clause
Public reporting burden for this collection of information is estimated to average 30 minutes 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. This agency may
not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number.
Instructions to Contractors: This form (to be completed in triplicate) is for use in submitting Interim and Final reports to the Contracting Officer. An
Interim report shall be submitted at least every twelve months, commencing with the date of the contract, and should include only those inventions and
subcontracts for which the information requested below has not been previously reported. A Final report shall be submitted as soon as practicable after
the work under the contract is complete and shall include (a) a summary of all inventions required by the contract to be reported, including all inventions previously
reported and any inventions since the last Interim report; and (b) any required information for subcontracts which has not been previously reported.
1. Name and Address of Contractor (Include Zip Code)

2. Contract Number

3. Type of Report (Check one)

a. Interim

b. Final

Section I: Inventions ("Subject Inventions" required to be reported by the "Patent Rights" clause.)
4. Invention Data (Listed below are all inventions required to be reported. If none, so state.)
Name of Inventor

Title of Invention

Patent Application
Serial Number,
if available,
or Contractor
Disclosure I.D. No.

Contractor has
filed or will file U.S.
Patent Application

Yes

No

Section II: Subcontracts (Containing a "Patent Rights" clause.)
5. Listed below is information required but not previously reported for Subcontracts. (If none, so state.)
Name and Address of Subcontractor
Subcontract Number
Date Subcontract
(Include Zip Code)
furnished to Contracting
Officer (mm/dd/yyyy)

Confirmatory
License or
Assignment has
been forwarded to
Contracting Officer
Yes
No

Date Subcontract
Completed
(mm/dd/yyyy)

Section III: Certificate

Contractor certifies that this report of Inventions and Subcontracts, including any attachments, is complete and correct to the best of the contractor's
knowledge and belief.
Name and Title of Authorized Official (Print or type)

Signature

Date (mm/dd/yyyy)

form HUD-770 (1/75)
ref. Handbook 2210.3