An application for a license should be addressed to the Federal agency having custody of the invention and shall normally include:

1. (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;
2. (b) Identification of the type of license for which the application is submitted;
3. (c) Name and address of the person, company, or organization applying for the license and the citizenship or place of incorporation of the applicant;
4. (d) Name, address, and telephone number of the representative of the applicant to whom correspondence should be sent;
5. (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;
6. (f) Source of information concerning the availability of a license on the invention;
7. (g) A statement indicating whether the applicant is a small business firm as defined in § 404.3(c)

8. (h) A detailed description of applicant's plan for development or marketing of the invention, or both, which should include:

   1. (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. (2) A statement as to applicant's capability and intention to fulfill the plan, including information regarding manufacuturing, marketing, financial, and technical resources;
   3. (3) A statement of the fields of use for which applicant intends to practice the invention; and
   4. (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;
9. (i) Identification of licenses previously granted to applicant under federally owned inventions;
10. (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
11. (k) Any other information which applicant believes will support a determination to grant the license to applicant.