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Final Invention Statement, Form HHS 568 (Rev. 06/15)

Form Approved Through 03/31/2020 OMB No. 0925-0002 Procedure for Submission of Final Invention Statement and Certification (For Grant or Award) Form HHS 568 A Final Invention Statement and Certification (Form HHS 568) shall be executed and submitted within 90 days f ollowing the expiration or termination of a grant or award. The Statement shall include all i nventions which were conceived or first a ctually reduced to practice durin g the course of work under the grant or award, from the original e ffective date of support t hrough the date of completion or termination. The Statement shall i nclude any inventions reported previously for the grant or award as part of a non-competing application. This r eporting requirement is applicable to grants and awards by Department of Health and Human Services i n support of research. The Final Invention Statement and Certification does not in any way relieve t he person responsible for the grant or award, or the institution, of the obligation to assure t ha t a ll i nventions are promptly and fully reported directly to the National Institutes of Health, as r equired by terms of the grant or award.

The Final Invention Statement and Certification does not in any way relieve the person responsible for the grant or award, or the institution, of the obligation to assure that all inventions are promptly

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Transcription of Final Invention Statement, Form HHS 568 (Rev. 06/15)

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