Identification And Delivery Of Data To Be Furnished

Identification And Delivery Of Data To Be Furnished With Restrictions On Use, Release, Or Disclosure
DF 4400-924

Identification And Delivery Of Data To Be Furnished
With Restrictions On Use, Release, Or Disclosure

The contractor asserts for itself, or the persons identified below, that the Government's rights to use, release, or disclose the following technical data should be restricted--

Date -	____________________________________________________________
Printed Name and Title -	____________________________________________________________
Signature -	____________________________________________________________

1.	If the assertion is applicable to items, components or processes developed at private expense, identify both the data and each such item, component, or process.
2.	Generally, the development of an item, component, or process at private expense, either exclusively or partially, is the only basis for asserting restrictions on the Government's rights to use, release, or disclose technical data pertaining to such items, components, or processes. Indicate whether development was exclusively or partially at private expense. If development was not at private expense, enter the specific reason for asserting that the Government's rights should be restricted.
3.	Enter asserted rights category (e.g., government purpose license rights from a prior contract, rights in SBIR data generated under another contract, limited or government purpose rights under this or a prior contract, or specifically negotiated licenses).
4.	Corporation, individual, or other person, as appropriate.

Technical Data To Be Furnished With Restrictions 1	Basis For Assertion 2	Asserted Rights Category 3	Name Of Person Asserting Restrictions 4

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