Open Source Software (OSS) Disclosure Form

Open Source Software (OSS) Disclosure Form

Short Name or Acronym

Software Description/Abstract*

Developer Information

Please enter the Name and contact information for all of the Developers. IPP needs to have the contact information for the person responsible of the OSS in case there are any questions in the process. Please enter "Main Contact" after the Developer Name we should contact with questions.

Division*

Please enter the Division the OSS was funded under.

Select or enter value

Lead Developer Name*

Lead Developer E-Mail*

Please check if multiple developers contributed to the OSS.

Developer Name and E-Mail

Please check the box if the OSS was funded by DOE.

State the DOE Program Office in which the OSS was funded.*

If the program is not listed, choose "Other" and state in the provided text box.

Select or enter value

If Other, state where the funding came from.

State Program Manager Name and E-Mail*

B&R Code*

If not known, indicate "unknown." IPP will communicate with the Division to find the number associated with the Project Name you will provide in the next question.

If you do not know the B&R Code, input the Project Name this work was funded under.*

Has the Program Manager issued a blanket approval for OSS under this program or for this specific project the OSS was funded under?*

Yes

Unsure

Please check the box if the OSS was funded by an Other Federal Agency, CRADA, SPP, or User Facility Agreement.

If funded by Other Federal Agency, CRADA, SPP, or User Facility Agreement, please state the Sponsor or Work, Point of Contact, and E-Mail Address.*

Is there a user guide or installation instructions with “help” file?*

Yes

Under Development

Does this software have commercial potential?*

If yes, please complete an Intellectual Property Disclosure and Record (IPDR) and Copyright form found at: https://www.techtransfer.iastate.edu/for-isu/working-with-isurf/intellectual-property-disclosures/

Yes

In Future

Planned or Actual OSS Location on the Web or Other Publicly Available Location:*

Names, Logos, or Other Identifying Marks Used in Connection with the OSS (whether or not registered):*

File Attachments

Please upload any applicable images

Drag and drop files here or

Is this a derivative of someone else’s OSS?*

Yes

If yes, state OSS name and source location.

List OSS name.

Derivative Location

List OSS derivative location.

Hardware Requirements:

Check all that apply.

Software Requirements

Please enter the Operating System/Version and/or Programming Language/Compiler/Version

Operating System/Version*

Programming Language/Compiler/Version*

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Developer Information

Funding Information

OSS Questions

Hardware Requirements:

Software Requirements