Substitute Statement in Lieu of a Declaration of Inventorship for the Purpose of Designating the United States

International Design Applications (Hague Agreement)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0075 can be found here:

Documents and Forms

Document Name Document Type
Form WIPO DM1e Substitute Statement in Lieu of a Declaration of Inventorship for the Purpose of Designating the United States Form and Instruction
WIPO DM1e Application for International Registration WIPO DM1E.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Substitute Statement in Lieu of a Declaration of Inventorship for the Purpose of Designating the United States	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.64

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WIPO DM1e	Application for International Registration	WIPO DM1E.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 98 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	6	6

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.