PART 1853
FORMS
SUBPART 1853.1 GENERAL
1853.100 Scope of subpart.
1853.101 Requirements for use of forms.
1853.102 Current editions.
1853.103 Exceptions.
1853.104 Overprinting.
1853.105 Computer preparation.
1853.106 Special construction and printing.
1853.107 Obtaining forms.
1853.108 Recommendations concerning forms.
SUBPART 1853.2 PRESCRIPTION OF FORMS
1853.200 Scope of subpart.
1853.204 Administrative matters.
1853.204-70 General (NASA Forms 507, 507A, 507B, 507G, 507M, 531, 533M, 533P, 533Q, 667, 1098, 1356, 1611, 1612, DD 1593, FBI Form FD-258, and SF 85P).
1853.207 Acquisition planning (NASA Forms 1451, 1452).
1853.208 Required sources of supplies and services.
1853.208-70 Other Government sources (SF 1080, AF 858, DOE F 5400.3, NRC 313).
1853.215 Contracting by negotiation.
1853.215-2 Price negotiation (NASA Form 634).
1853.216 Types of contracts.
1853.216-70 Assignees under cost-reimbursement contracts (NASA Forms
778, 779, 780, 781).
1853.217 Special contracting methods (NASA Form 523).
1853.232 Contract financing (Standard Forms 272, 272A).
1853.242 Contract administration.
1853.242-70 Delegation (NASA Forms 1430, 1430A, 1431, 1432, 1433) and service request (NASA Form 1434).
1853.242-71 Notifications (NASA Form 456).
1853.245 Property (NASA Form 1018, DD 1342, DD 1419).
1853.246 Quality assurance (DD 250, DD 250c).
1853.249 Termination of contracts (NASA Forms 1412, 1413).
SUBPART 1853.3 ILLUSTRATIONS OF FORMS
1853.300 Scope of subpart.
1853.301 Standard forms.
1853.303 Agency forms.
1853.301-85P Standard Form 85P, Questionnaire for Public Trust Positions.
1853.301-272 Standard Form 272, Federal Cash Transactions Report.
1853.301-272A Standard Form 272A, Federal Cash Transactions Report-- Continuation.
1853.301-1080 Standard Form 1080, Voucher for Transfers Between
Appropriations and/or Funds (Disbursement).
1853.303-456 NASA Form 456, Notice of Contract Costs Suspended and/or Disapproved.
1853.303-507 NASA Form 507, Individual Procurement Action Report
(New Awards).
1853.303-507A NASA Form 507A, Individual Procurement Action Report
(New Awards) Supplement A.
1853.303-507B NASA Form 507B, Individual Procurement Action Report
Supplement B.
1853.303-507G NASA Form 507G, Individual Procurement Action Report
(Grants/Orders).
1853.303-507M NASA Form 507M, Individual Procurement Action Report
(Modifications).
1853.303-523 NASA Form 523, NASA-Defense Purchase Request.
1853.303-531 NASA Form 531, Name Check Request.
1853.303-533M NASA Form 533M, Monthly Contractor Financial
Management Report.
1853.303-533P NASA Form 533P, Monthly Contractor Financial
Management Performance Analysis Report.
1853.303-533Q NASA Form 533Q, Quarterly Contractor Financial
Management Report.
1853.303-634 NASA Form 634, Structured Approach--Profit/Fee Objective.
1853.303-667 NASA Form 667, Report on NASA Subcontracts.
1853.303-778 NASA Form 778, Contractor's Release.
1853.303-779 NASA Form 779, Assignee's Release.
1853.303-780 NASA Form 780, Contractor's Assignment of Refunds,
Rebates, Credits, and Other Amounts.
1853.303-781 NASA Form 781, Assignee's Assignment of Refunds, Rebates, Credits, and Other Amounts.
1853.303-1018 NASA Form 1018, Report of Government-Owned/
Contractor-Held Property.
1853.303-1098 NASA Form 1098, Checklist for Contract Award File
Content.
1853.303-1356 NASA Form 1356, C.A.S.E. Report on College and
University Projects.
1853.303-1412 NASA Form 1412, Termination Authority.
1853.303-1413 NASA Form 1413, Termination Docket Checklist.
1853.303-1430 NASA Form 1430, Letter of Contract Administration
Delegation, General.
1853.303-1430A NASA Form 1430A, Letter of Contract Administration
Delegation, Special Instructions.
1853.303-1431 NASA Form 1431, Letter of Acceptance of Contract
Administration Delegation.
1853.303-1432 NASA Form 1432, Letter of Contract Administration
Delegation, Termination.
1853.303-1433 NASA Form 1433, Letter of Audit Delegation.
1853.303-1434 NASA Form 1434, Letter of Request for Pricing-Audit-
Technical Evaluation Services.
1853.303-1451 NASA Form 1451, Request for Procurement Plan Approval.
1853.303-1452 NASA Form 1452, Signature Page (Installation).
1853.303-1611 NASA Form 1611, Contract Completion Statement.
1853.303-1612 NASA Form 1612, Contract Closeout Checklist.
1853.303-1634 NASA Form 1634, Contracting Officer Technical
Representative (COTR) Delegation.
1853.303-AF-858 Air Force Form AF-858, Forecast of Requirements (Missile
Propellants and Pressurants).
1853.303-DD-250 Department of Defense Form DD-250, Material Inspection
and Receiving Report.
1853.303-DD-250c Department of Defense Form DD-250c, Material Inspection
and Receiving Report--Continuation Sheet.
1853.303-DD-1342 Department of Defense Form DD-1342, Property Record, DOD.
1853.303-DD-1419 Department of Defense Form DD-1419, Industrial Plant
Equipment Requisition, DOD.
1853.303-DD-1593 Department of Defense Form DD-1593, Contract
Administration Completion Record.
1853.303-DD-1861 Department of Defense Form DD-1861, Contract Facilities
Capital Cost of Money.
1853.303-DOE-F 5400.3 Department of Energy Form 5400.3 (Formerly EV-375),
Isotope Order Blank.
1853.303-FBI-FD-258 Federal Bureau of Investigation Form FD-258, Fingerprint Card (with NASA Overprint in Origin Block).
1853.303-NRC-313 Nuclear Regulatory Commission Form NRC 313, Application
PART 1853
FORMS
1853.100 Scope of subpart.
This subpart contains requirements and information generally applicable to the forms prescribed in this Regulation.
1853.101 Requirements for use of forms.
The requirements for use of the forms in this part are contained in Parts 1801 through 1851 of this chapter, where the subject matter applicable to each form is addressed. The specific location of each form's prescription is identified in subpart 1853.2.
1853.102 Current editions.
The form prescriptions in Subpart 1853.2 and the illustrations in Subpart 1853.3 contain current editions, unless otherwise noted. Contracting officers shall use the current editions unless otherwise authorized under this regulation.
1853.103 Exceptions.
Alteration of any form prescribed by the regulations in this chapter is prohibited unless prior approval has been obtained from the NASA Forms Officer (Code JTD) (through the Installation Forms Manager), who will coordinate the request with the Office of Procurement, Code H. Use for the same purpose of any form other than one prescribed by this regulation requires prior approval of the cognizant Code H Division. Requests for exceptions to standard or optional forms, as prescribed in FAR 53.103, shall be forwarded through the Installation Forms Manager and the NASA Forms Officer to the Contract Management Division, Code HK, which will take the appropriate actions in FAR 53.103.
1853.104 Overprinting.
Forms may be overprinted with names, addresses, and other uniform entries that are consistent with the purpose of the form and that do not alter the form in any other way. Exception approval for overprinting is not needed.
1853.105 Computer generation.
Forms prescribed by the regulations in this chapter may be adapted for computer preparation providing there is no change to the name, content, or sequence of the data elements, and the form carries the form number and edition date.
1853.106 Special construction and printing.
Contracting offices may request exceptions to NASA and NASA-adopted and standard and optional forms for special construction and printing by following the procedures of 1853.103.
1853.107 Obtaining forms.
(a) NASA installations and offices may obtain forms prescribed in the FAR or in this Regulation from Goddard Space Flight Center, Code 239. Orders should be placed on a NASA Form 2, Request for Blank Forms, Publications and Issuances, in accordance with NHB 1420.2, and the forms obtained from GSFC as required by installation or office.
(b) Contracting officers, at the time of contract award, shall ensure that contractors are notified of or are otherwise aware of (1) the procedures for obtaining NASA forms and (2) the source within the installation of forms required for performance under the contract.
1853.108 Recommendations concerning forms.
Coordination with the FAR Secretariat, as specified in FAR 53.108, is the responsibility of the Contract Management Division, Code HK.
Subpart 1853.2--Prescriptions of Forms
1853.200 Scope of subpart.
This subpart summarizes the prescriptions of NASA forms and other forms adopted by NASA for use in acquisition. The subpart is arranged by subject matter, in the same order as, and keyed to, the parts of this regulation in which the form usage requirements are addressed. (See FAR 53.200 for an example.)
1853.204 Administrative matters.
1853.204-70 General (NASA Forms 507, 507A, 507B, 507G, 507M, 531, 533M, 533P, 533Q, 1098, 1356, 1611, 1612; DD Form 1593; FBI Form FD-258; and SF 85P).
(a) The following forms shall be used as prescribed at 1804.671-4:
(1) NASA Form 507, Individual Procurement Action Report (New Awards).
(2) NASA Form 507A, Individual Procurement Action Report (New Awards) Supplement A.
(3) NASA Form 507B, Individual Procurement Action Report Supplement B.
(4) NASA Form 507G, Individual Procurement Action Report (Grants/Orders).
(5) NASA Form 507M, Individual Procurement Action Report (Modifications).
(b) NASA Form 531, Name Check Request. NASA Form 531, prescribed in 1804.470 and 1852.204-76, shall be used for National Agency Check (NAC) investigations.
(c) The following forms shall be used as prescribed at 1804.675:
(1) NASA Form 533M, Monthly Contractor Financial Management Report.
(2) NASA Form 533P, Monthly Contractor Financial Management Performance Analysis Report.
(3) NASA Form 533Q, Quarterly Contractor Financial Management Report.
(d) NASA Form 1098, Checklist for Contract Award File Content. NASA Form 1098, prescribed at 1804.803-71, shall be used as a guide in compiling contract files and shall accompany contracts and supplemental agreements submitted to Headquarters for approval. In Item 19 (Jul 90 edition), line out the entry "D&F: Other Than Full and Open Competition in the Public Interest (FAR/NFS 6.302-7)," and write in "JOFOC (FAR/NFS 6.3)."
(e) NASA Form 1356, C.A.S.E. Report on College and University Projects. NASA Form 1356, prescribed at 1804.7202, shall be used to report information applicable to colleges and universities.
(f) NASA Form 1611, Contract Completion Statement. As prescribed at 1804.804-2 and 1804.804-5, NASA Form 1611 shall be used for closeout of all contracts above the small purchase threshold.
(g) The following forms shall be used as prescribed at 1804.804-5:
(1) NASA Form 1612, Contract Closeout Checklist.
(2) DOD Form 1593, Contract Administration Completion Record.
1853.207 Acquisition planning (NASA Forms 1451, 1452).
(a) NASA Form 1451, Request for Procurement Plan Approval. NASA Form 1451, prescribed at 1807.170-1(b), shall be used in preparing procurement plans requiring approval by Headquarters.
(b) NASA Form 1452, Signature Page (Installation). NASA Form 1452, prescribed at 1807.170-1(b), shall be used in obtaining installation-level signatures required by 1807.103.
1853.208 Required sources of supplies and services.
1853.208-70 Other Government sources (Standard Form 1080, Air Force Form 858, Department of Energy Form 5400.3, Nuclear Regulatory Commission Form 313).
(a) Standard Form 1080, Voucher for Transfers Between Appropriations and/or Funds (Disbursement). Standard Form 1080, prescribed at 1808.002-74(e), shall be used to reimburse the Air Force for shipments of propellants.
(b) Air Force Form 858, Forecast of Requirements (Missile Propellants and Pressurants). AF 858, prescribed at 180 8.002-74(f), shall be used to report periodic estimated requirements for missile propellants and related items to the Department of the Air Force.
(c) Department of Energy Form 5400.3, Isotope Order Blank. DOE Form 5400.3, prescribed at 1808.002-72(a), shall be used for the procurement of radioisotopes.
(d) Nuclear Regulatory Commission Form 313, Application for Material License. NRC Form 313, prescribed at 1808.002-72(a), shall be used to apply for a NRC license for the procurement of radioisotopes.
1853.215 Contracting by negotiation.
1853.215-2 Price negotiation (NASA Form 634 and DD Form 1861).
(a) NASA Form 634, Structured Approach--Profit/Fee Objective. NASA Form 634, prescribed at 1815.970(a), shall be used for determining the profit or fee objective by the structured approach.
(b) DD Form 1861, Contract Facilities Capital Cost of Money. DD Form 1861, prescribed at 1815.970-3(b), shall be used to calculate facilities capital cost of money.
1853.216-70 Assignees under cost-reimbursement contracts (NASA Forms 778, 779, 780, 781).
The following forms shall be used as prescribed at 1816.370:
(a) NASA Form 778, Contractor's Release.
(b) NASA Form 779, Assignee's Release.
(c) NASA Form 780, Contractor's Assignment of Refunds, Rebates, Credits, and Other Amounts.
(d) NASA Form 781, Assignee's Assignment of Refunds, Rebates, Credits, and Other Amounts.
1853.217 Special contracting methods (NASA Form 523).
NASA Form 523, NASA-Defense Purchase Request. NASA Form 523, prescribed at 1817.70, shall be used for requesting procurement of supplies or services from all activities of the Military Departments.
1853.232 Contract financing (Standard Form 272, 272A).
(a) Standard Form 272, Federal Cash Transactions Report, prescribed at 18 32.406-70, will be submitted by non-profit organizations that receive advance funding.
(b) Standard Form 272A, Federal Cash Transactions Report Continuation, prescribed at 1832.406-70, is used in conjunction with Standard Form 272 when reporting more than one contract.
1853.242 Contract administration.
1853.242-70 Delegation (NASA Forms 1430, 1430A, 1431, 1432, 1433) and service request (NASA Form 1434).
(a) NASA Form 1430, Letter of Contract Administration Delegation, General. NASA Form 1430, prescribed at 1842.202-70(a)(4), shall be used to delegate and redelegate contract administration functions and to amend existing contract administration delegations.
(b) NASA Form 1430A, Letter of Contract Administration Delegation, Special Instructions. NASA Form 1430A, prescribed at 1842.202-70(a)(4), shall be used to supplement NASA Form 1430 when special instructions are necessary.
(c) NASA Form 1431, Letter of Acceptance of Contract Administration Delegation. NASA Form 1431, prescribed at 1842.202-70(a)(8)(i), (ii), and (iii), shall be used in conjunction with NASA Form 1430 to record receipt and acceptance of delegation by other agencies.
(d) NASA Form 1432, Letter of Contract Administration Delegation, Termination. NASA Form 1432, prescribed at 1842.202(c)(7), shall be used to delegate and redelegate termination functions and to amend existing termination delegations.
(e) NASA Form 1433, Letter of Audit Delegation. NASA Form 1433, prescribed at 1842.202-71(c), shall be used to delegate and redelegate audit functions and to amend existing audit delegations.
(f) NASA Form 1634, Contracting Officer Technical Representative (COTR) Delegation. NASA Form 1634, prescribed at
1842.270(b), shall be used to designate a COTR for a particular contract.
(g) NASA Form 1434, Letter of Request for Pricing-Audit-Technical Evaluation Services. NASA Form 1434, prescribed at 1842.202-70(e)(1), shall be used to request contract administration and audit services incident to preaward of a contract but exclusive of preaward surveys.
1853.242-71 Notifications (NASA Form 456).
NASA Form 456, Notice of Contract Costs Suspended and/or Disapproved. NASA Form 456, prescribed at 1842.801, will be used to notify the contractor of any suspended/disallowed contract costs.
1853.245 Property (NASA Form 1018, Department of Defense Form 1342, and Department of Defense Form 1419).
(a) NASA Form 1018, NASA Property in the Custody of Contractors. NASA Form 1018, prescribed at 1845.505-14, shall be used by contractors for reporting Government-owned property.
(b) Department of Defense Form 1342, DOD Property Record. DD Form 1342, prescribed at 1845.505-670, shall be used by contractors for reporting NASA-furnished or contractor-acquired centrally reportable equipment.
(c) Department of Defense Form 1419, DOD Industrial Plant Equipment Requisition. DD Form 1419, prescribed by the clause at 1852.245-70, shall be used by contractors to list requirements for centrally reportable items for screening of existing Government inventories.
1853.246 Quality Assurance (Department of Defense Form 250, Department of Defense Form 250c).
(a) Department of Defense Form 250, Material Inspection and Receiving Report. DD Form 250, prescribed at 1846.670, shall be used to document procurement quality assurance, acceptance of supplies and services, and shipments.
(b) Department of Defense Form 250c, Material Inspection and Receiving Report- Continuation Sheet. DD Form 250c, prescribed at 1846.670, shall be used to continue documentation of information from DD Form 250.
1853.249 Termination of contracts (NASA Forms 1412, 1413).
(a) NASA Form 1412, Termination Authority. NASA Form 1412, prescribed at 1849.101-71, shall be used for initiating action to terminate a contract for either default or convenience of the Government.
(b) NASA Form 1413, Termination Docket Checklist. NASA Form 1413, prescribed at 1849.105-70, shall be used to ensure adequacy of termination records.
Subpart 1853.3--Illustrations of Forms
1853.300 Scope of subpart.
This subpart contains illustrations of NASA forms and other forms used by NASA in acquisitions and not prescribed in the FAR.
1853.301 Standard forms.
This section illustrates standard forms (SF's) specified by this Regulation for use in acquisitions.
1853.303 Agency forms.
This section illustrates NASA and other agency forms specified by this Regulation for use in acquisitions. The other agency forms are arranged numerically by agency following the NASA forms.