NSSC SBIR/STTR Extension Request All fields are required unless otherwise stated. Never include sensitive or personal information like your Social Security number as e-mail isn’t necessarily secure. Use postal mail for sensitive or personal information.Requestor InformationContract Number:(Required)ACN Name:(Required) First Last ACN Email:(Required) ACN Phone:(Required)COR InformationCOR Name:(Required) First Last COR Email:(Required) PLEASE NOTE: If you are not the ACN for this contract, please provide your full name: (Optional Field) First Last Extension InformationNew End Date:(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Type of Extension:(Required)Basic (Provide Consideration and Reason below; requires COR Approval)Secure Matching Funds for Phase IIE (Provide Reason Below)Due to Unforeseen Delay (Provide Reason Below; requires COR Approval)Please be advised that Basic and Unforeseen Delay extensions require COR concurrence and Contracting Officer approval. To expedite the processing of this extension, COR concurrence may be attached to this form.PLEASE NOTE: Consideration is something of value, above and beyond what is already proposed, that the Government receives in exchange for an extension. The consideration can be monetary or non-monetary, provided that the value is adequate in order to justify the extension beyond the negotiated period of performance. Some examples of consideration are, but not limited to, additional data, testing, prototypes, enhancements, and demonstrations. Also note, an approved extension of three months or more requires additional reporting.Limit 1,000 characters use attachment(s) if necessary.Attachments included? No Yes Attachments Cannot Exceed 18 Megabytes Each. DO NOT UPLOAD AN ATTACHMENT UNLESS YOU ARE READY TO SUBMIT TO NSSC.Attachment 1Max. file size: 18 MB.Do not submit .msg or .txt files.Attachment 2Max. file size: 18 MB.Do not submit .msg or .txt files.PLEASE NOTE: This is an extension request. Submittal of the request shall not be misconstrued as the approval of the extension request. Additional information and review may be required. If approved, a modification will be processed and your firm will receive a fully executed copy.CAPTCHA
