PART 1853

**FORMS**

# 

# TABLE OF CONTENTS

**SUBPART [1853.1](#OLE_LINK1) GENERAL**

1853.100 Scope of subpart.

1853.101 Requirements for use of forms.

1853.103 Exceptions.

1853.105 Computer generation.

1853.107 Obtaining forms.

1853.108 Recommendations concerning forms.

**SUBPART [1853.2](#OLE_LINK2) PRESCRIPTION OF FORMS**

1853.200 Scope of subpart.

1853.204 Administrative matters.

1853.204-70 General (NASA Forms 533M, 533Q, 1098, 1611, 1612,

and Department of Defense Forms 1593 and 1594).

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 CA-10-90.COM, Nuclear

Regulatory Commission Form 313).

1853.215 Contracting by negotiation.

1853.215-70 Price negotiation (NASA Form 634 and Department of Defense

Form 1861).

1853.216 Types of contracts.

1853.216-70 Assignees under cost-reimbursement contracts (NASA Forms

778, 779, 780, and 781).

1853.217 Special contracting methods (NASA Form 523).

1853.225 Foreign Acquisition (Customs Form 7501).

1853.232-70 Contract financing (Standard Forms 272, 272A).

1853.242 Contract administration.

1853.242-70 Delegation (NASA Forms 1430, 1430A, 1431, 1432, 1433, and

1634\) and service request (NASA Form 1434).

1853.242-71 Notifications (NASA Form 456).

1853.242-72 Evaluation of Performance (NASA Form 1680).

1853.245-70 Property (NASA Form 1018, Department of Defense Form 1419).

1853.246 Quality assurance (Department of Defense Forms 250 and 250c).

1853.249-70 Termination of contracts (NASA Forms 1412, 1413).

**SUBPART [1853.3](#subpart-1853.3--illustrations-of-forms)
ILLUSTRATIONS OF FORMS**

1853.300 Scope of subpart.

1853.301 Standard forms.

1853.303 Agency forms.

PART 1853

**FORMS**

**Subpart** []{#OLE_LINK1 .anchor}**1853.1\--General**

**1853.100**  **Scope** **of** **subpart.**

This subpart contains information regarding the forms prescribed in this
Regulation. Unless specified otherwise, the policies in [**FAR Part
53**](http://www.arnet.gov/far/current/html/Subpart_53_1.html#1046698)
apply to NASA-prescribed forms.

**1853.101** **Requirements** **for** **use** **of** **forms.**

The requirements for use of the forms in this part are contained in
Parts 1801 through 1852 where the subject matter applicable to each form
is addressed. The specific location of each form\'s prescription is
identified in subpart 1853.2.

**1853.103**  **Exceptions.**

**(1)** Requests for exceptions to stan­dard or optional forms shall be
forwarded through the center forms manager to the Headquarters Office of
Procurement (Code HK).

**(2)** Alteration of any form in this part is prohibited unless prior
ap­proval has been obtained from the Headquarters Office of Management
Systems and Facilities, Information Resources Management Division (Code
JT). Requests for alteration shall be coordinated with the center forms
manager before transmittal to Code JT.

**(3)** Use for the same purpose of any form other than one pre­scribed
by this Regulation requires prior approval of Code HK.

**1853.105**
 [**Computer generation.**](http://www.hq.nasa.gov/office/codec/codeci/help/forms/forms.htm)

Forms prescribed by this Regulation 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.

**1853.107 Obtaining** **forms.**

(c)**(i)** NASA centers 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.

**(ii)** Contracting officers, at the time of contract award, shall
ensure that contrac­tors are notified of the procedures for obtaining
NASA forms required for performance under the contract.

**1853.108** **Recommendations** **concerning** **forms.**

Code HK is the office responsible for submitting form recommendations.

**Subpart** []{#OLE_LINK2 .anchor}**1853.2\--Prescription 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.

**1853.204**  **Administrative** **matters.**

**1853.204-70 General (NASA Forms 533M, 533Q,** **1098, 1611, 1612, and
Department of Defense** **Forms 1593 and 1594).**

\(a\) The following forms are prescribed in 1842.72:

\(1\) NASA Form 533M, Monthly Contrac­tor Financial Management Report.

\(2\) NASA Form 533Q, Quarterly Con­trac­tor Financial Management Report.

\(b\) *NASA Form 1098, Checklist for Con­tract Award File Content.*
Prescribed in 1804.803-70.

\(c\) *NASA Form 1611, Contract Comple­tion Statement*. Prescribed in
1804.804-2 and 1804.804-5.

\(d\) The following forms are prescribed in 1804.804-5:

\(1\) NASA Form 1612, Contract Closeout Checklist.

\(2\) DD Form 1593, Contract Adminis­tra­tion Completion Record.

\(3\) DD Form 1594, Contract Completion Statement.

**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 CA-10-90.COM, Nuclear Regulatory Commission
Form 313).**

\(a\) *SF 1080, Voucher for Transfers Between Appropriations and/or
Funds (Disbursement).* Prescribed in 1808.002-72(e).

\(b\) *Air Force Form 858, Forecast of Re­quirements (Missile Propellants
and Pressu­rants).* Prescribed in 1808.003-72(f).

\(c\) *U.S. Department of Energy Isotope and Technical Service Order
Form CA-10-90.COM.* Prescribed in 1808.003-70(a).

\(d\) *Nuclear Regulatory Commission Form 313, Application for Material
License.* Prescribed in 1808.002-70(a).

**1853.215**  **Contracting** **by** **negotiation.**

**1853.215-70  Price negotiation (NASA Form** **634 and Department of
Defense Form 1861).**

\(a\) *NASA Form 634, Structured Ap­proach\--Profit/Fee Objective.*
Prescribed in 1815.404-470.

\(b\) *DD Form 1861, Contract Facilities Capital Cost of Money.*
Prescribed in 1830.70, and instructions for completion are in
1830.7001-2.

**1853.216**  **Types** **of** **contracts.**

**1853.216-70  Assignees under** **cost-reim­bursement contracts (NASA
Forms 778,** **779, 780, and 781).**

The following forms are prescribed in 1852.216-89:

\(a\) 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.* Prescribed in
1808.002-72(b) and 1817.7002.

**1853.225 Foreign Acquisition (Customs Form 7501).**

*Customs Form 7501, Entry Summary.* Prescribed in 1825.903 and 14 CFR
1217.104*.*

**1853.232-70 Contract financing (Standard** **Forms 272, 272A).**

The following forms are prescribed in 1832.412(a)(ii):

\(a\) SF 272, Federal Cash Transactions Report.

\(b\) SF 272A, Federal Cash Transactions Report Continuation.

**1853.242 Contract administration.**

**1853.242-70 Delegation** **(NASA Forms** **1430, 1430A,** **1431,**
**1432,** **1433, and 1634) and service request (NASA Form 1434).**

\(a\) *NASA Form 1430, Letter of Contract Administration Delegation,
General.* Prescribed in 1842.202(d)(ii).

\(b\) *NASA Form 1430A, Letter of Contract Administration Delegation,
Special Instruc­tions.* Prescribed in 1842.202(d)(ii).

\(c\) *NASA Form 1431, Letter of Acceptance of Contract Administration
Delegation.* Prescribed in 1842.202(d)(iii).

\(d\) *NASA Form 1432, Letter of Contract Administration Delegation,
Termination.* Prescribed in 1842.202(b)**(i)(G)**.

\(e\) *NASA Form 1433, Letter of Audit Delegation.* Prescribed in
1842.202(d)(iv).

\(f\) *NASA Form 1634, Contracting Officer Technical Representative
(COTR) Delegation.* Prescribed in 1842.270(b).

\(g\) *NASA Form 1434, Letter of Request for Pricing-Audit-Technical
Evaluation Servic­es.* Prescribed in 1815.404-2(a)(1)**(D)**.

**1853.242-71 Notifications (NASA Form** **456).**

*NASA Form 456, Notice of Contract Costs Suspended and/or Disapproved.*
Prescribed in 1842.803(b)(2).

**1853.242-72 Evaluation of Performance (NASA Form 1680).**

*NASA Form 1680, Evaluation of Performance*. Prescribed in 1842.1503.

**1853.245-70 Property (NASA Form 1018,** **Department of Defense Form**
**1419).**

\(a\) *NASA Form 1018, NASA Property in the Custody of Contractors.*
Prescribed in 1845.505-14. Instructions for form completion are in
1845.7101.

\(b\) *DD Form 1419, DOD Industrial Plant Equipment Requisition.*
Prescribed in 1852.245-70. Instructions for form completion are in
1845.7102.

**1853.246 Quality Assurance (Department** **of Defense Forms 250 and
250c).**

The following forms are prescribed in 1846.670. Instructions for form
completion are in 1846.670:

\(a\) DD Form 250, Material Inspection and Receiving Report.

\(b\) DD Form 250c, Material Inspection and Receiving Report-
Continuation Sheet.

**1853.249-70 Termination of contracts (NASA** **Forms 1412, 1413).**

\(a\) *NASA Form 1412, Termination Au­thor­ity.* Prescribed in
1849.101-71.

\(b\) *NASA Form 1413, Termination Docket Checklist.* Prescribed in
1849.105-70.

## 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 (SFs) specified for use in
acquisitions.

**1853.303 Agency** **forms.**

This section illustrates NASA and other agency forms specified for use
in acquisitions. The other agency forms are arranged numerically by
agency following the NASA forms.