An application for a license should be addressed to the Federal agency having custody of the invention and shall normally include:
(a)
Identification of the invention for which the license is desired including the patent application serial number or patent number, title, and date, if known;
(b)
Identification of the type of license for which the application is submitted;
(c)
Name and address of the person, company, or organization applying for the license and the citizenship or place of incorporation of the applicant;
(d)
Name, address, and telephone number of the representative of the applicant to whom correspondence should be sent;
(e)
Nature and type of applicant's business, identifying products or services which the applicant has successfully commercialized, and approximate number of applicant's employees;
(f)
Source of information concerning the availability of a license on the invention;
(g)
A statement indicating whether the applicant is a small business firm as defined in § 404.3(c)
(h)
A detailed description of applicant's plan for development or marketing of the invention, or both, which should include:
(1)
A statement of the time, nature and amount of anticipated investment of capital and other resources which applicant believes will be required to bring the invention to practical application;
(2)
A statement as to applicant's capability and intention to fulfill the plan, including information regarding manufacuturing, marketing, financial, and technical resources;
(3)
A statement of the fields of use for which applicant intends to practice the invention; and
(4)
A statement of the geographic areas in which applicant intends to manufacture any products embodying the invention and geographic areas where applicant intends to use or sell the invention, or both;
(i)
Identification of licenses previously granted to applicant under federally owned inventions;
(j)
A statement containing applicant's best knowledge of the extent to which the invention is being practiced by private industry or Government, or both, or is otherwise available commercially; and
(k)
Any other information which applicant believes will support a determination to grant the license to applicant.