Initial Patent Applications

Forms and Documents

Document Name	Status
Form PTO/SB/01 Original New Utility Applications - No Application Data Sheet Form	Unchanged
Form PTO/SB/445 Electronic Petition to Accept Unintentionally Delayed Priority/Benefit Claim Form	Modified
Form PTO/AIA/14 Electronic New Design Applications - Application Data Sheet Form	Unchanged
Form PTO/AIA/14 Electronic Original New Utility Applications - Application Data Sheet Form	Unchanged
Form PTO/SB/29 Continued Prosecution Applications - Design (Request Transmittal and Receipt) Form	Unchanged
Form PTO/SB/445 Petition to Accept Unintentionally Delayed Priority/Benefit Claim Form	Modified
Form PTO/SB/16 Provisional Application for Patent Cover Sheet Form	Unchanged
Form PTO/SB/01 Design Continuation-in-Part Applications Form	Unchanged
Form PTO/SB/02A and PTO Plant Continuation-in-Part Applications Form	Unchanged
Form PTO/SB/01 Utility Continuation-in-Part Applications Form	Unchanged
Form PTO/AIA/08 Design Continuation/Divisional Applications Form	Unchanged
Form PTO/AIA/09 Plant Continuation/Divisional Applications Form	Unchanged
Form PTO/SB/17 Utility Continuation/Divisional Applications Form	Unchanged
Form PTO/SB/01 Continuation/Divisional of an International Application Form	Unchanged
Form PTO/AIA/01 Original New Design Applications - Application Data Sheet Form	Unchanged
Form PTO/AIA/14 Original New Plant Applications - Application Data Sheet Form	Unchanged
Form PTO/AIA/14 Original New Utility Applications - Application Data Sheet Form	Unchanged
Form PTO/SB/04 Original New Design Applications - No Application Data Sheet Form	Unchanged
Form PTO/SB/03 Original New Plant Applications - No Application Data Sheet Form	Unchanged
sb0445.docx Supplementary Document	2017-12-13
0651-0032 Dec 2017 CWS FINAL.docx Justification for No Material/Nonsubstantive Change	2017-12-13
0651-0032 Supporting Statement April 2017.docx Supporting Statement A	2017-12-11
0651-0032 Nov 2017 CWS - FINAL.docx Justification for No Material/Nonsubstantive Change	2017-11-09
0651-USPTO-Info-Quality-Guidelines_01-08-2014.PDF Supplementary Document	2017-04-26
0651-0032 January 2016 Change Worksheet.docx Justification for No Material/Nonsubstantive Change	2016-01-29

IC Document Collections

IC ID	Document Title	Status
37408	Original New Utility Applications - No Application Data Sheet Form	Unchanged
210113	Electronic Papers Filed Under 37 CFR 1.41, 1.48, and 1.53(c)(2)	Unchanged
210112	Electronic Petition to Accept a Filing by Other Than All the Inventors or a Person not the Inventor	Unchanged
210111	Electronic Petition to Accept Unintentionally Delayed Priority/Benefit Claim Form	Modified
194714	Papers filed under 37 CFR 1.41, 1.48, and 1.53(c)(2)	Unchanged
194712	Electronic Provisional Application for Patent Cover Sheet	Unchanged
194710	Electronic Design Continuation-in-Part Applications	Unchanged
194708	Electronic Utility Continuation-in-Part Applications	Unchanged
194602	Electronic Continued Prosecution Applications - Design (Request Transmittal and Receipt)	Unchanged
194601	Electronic Design Continuation/Divisional Applications	Unchanged
194600	Electronic Utility Continuation/Divisional Applications	Unchanged
194599	Electronic Continuation/Divisional of an International Application	Unchanged
194598	Electronic New Design Applications - Application Data Sheet Form	Unchanged
194597	Electronic Original New Utility Applications - Application Data Sheet Form	Unchanged
194596	Electronic Original Design Applications - No Application Data Sheet	Unchanged
194595	Electronic Original New Utility Applications - No Application Data Sheet	Unchanged
178845	Continued Prosecution Applications - Design (Request Transmittal and Receipt) Form	Unchanged
178843	Petition under 37 CFR 1.6(g) to Accord the Application Under 37 CFR 1.495(b) a Receipt Date	Unchanged
178646	Petition to Accept a Filing by Other Than All the Inventors or a Person not the Inventor	Unchanged
178645	Petition to Accept Unintentionally Delayed Priority/Benefit Claim Form	Modified
178644	Provisional Application for Patent Cover Sheet Form	Unchanged
178643	Design Continuation-in-Part Applications Form	Unchanged
178642	Plant Continuation-in-Part Applications Form	Unchanged
178641	Utility Continuation-in-Part Applications Form	Unchanged
178640	Design Continuation/Divisional Applications Form	Unchanged
178639	Plant Continuation/Divisional Applications Form	Unchanged
178638	Utility Continuation/Divisional Applications Form	Unchanged
178637	Continuation/Divisional of an International Application Form	Unchanged
178636	Original New Design Applications - Application Data Sheet Form	Unchanged
178635	Original New Plant Applications - Application Data Sheet Form	Unchanged
178634	Original New Utility Applications - Application Data Sheet Form	Unchanged
178633	Original New Design Applications - No Application Data Sheet Form	Unchanged
178632	Original New Plant Applications - No Application Data Sheet Form	Unchanged

ICR Details

OMB Control No: 0651-0032	ICR Reference No: 201712-0651-019
Status: Historical Active	Previous ICR Reference No: 201712-0651-012
Agency/Subagency: DOC/PTO	Agency Tracking No:
Title: Initial Patent Applications
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/21/2017
	Date Received in OIRA: 12/15/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	11/30/2020	11/30/2020
Responses	636,003	0	636,003
Time Burden (Hours)	15,757,082	0	15,757,082
Cost Burden (Dollars)	1,189,279,340	0	1,189,279,340

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Abstract: The United States Patent and Trademark Office (USPTO) is required by Title 35 of the United States Code, including 35 U.S.C. 131, to examine applications for patents. The USPTO administers the patent statutes through various rules in Chapter 37 of the Code of Federal Regulations, such as, for example, 37 CFR 1.16 through 1.84. Each patent applicant must provide sufficient information to allow the USPTO to properly examine the application to determine whether it meets the criteria set forth in the patent statutes and regulations for issuance as a patent. The patent statues and regulations require that an application for patent include the following information: 1) a specification containing a description of the invention and at least one claim defining the property right sought by the applicant; 2) a drawing(s) or photograph(s), where necessary, for an understanding of the invention; 3) an oath or declaration signed by the applicant; and 4) a filing fee. The following types of patent applications are covered under the present information collection: • New original utility, plant, design, and provisional applications, • Continuation/divisional applications of international applications • Continued prosecution applications (design), and • Continuations/divisionals and continuation-in-part applications of utility, plant, and design applications. In addition, the present collection covers petitions to accept an unintentionally delayed priority or benefit claim under 37 CFR 1.47 to accept a filing by other than all of the inventors or a person not the inventor, petitions under 37 CFR 1.6(g) to accord an application under 37 CFR 1.495(b) a receipt date, and papers filed under 37 CFR 1.41(c), 1.41(a)(2) (pre-AIA), 1.49(d), 1.53(c)(2), and 1.53(c)(2) (pre-Patent Law Treat (PLT) (AIA)). Most applications for patent, including new utility, design, and provisional applications, can be submitted to the USPTO through EFS-Web. EFS-Web is the USPTO's system for electronically filing of patent correspondence and is accessible via the Internet on the USPTO web site. The Legal Framework for EFS-Web provides a listing of patent applications and documents permitted to be filed via EFS-Web and patent applications and documents not permitted to be filed via EFS-Web. There are 69 forms in this collection. This total includes versions of the inventor's oath and declaration forms that were created to comply with the changes resulting from the America Invents Act (AIA) as well as pre-AIA versions of the oath and declaration and foreign language translations of the oath and declaration forms. Items in this collection that do not have forms associated with them include the petitions and the papers filed under 37 CFR 1.41(c), 1.41(a)(2) (pre-AIA), 1.53(c)(2), and the 1.53(c)(2) (pre-PLT)(AIA)). This collection contains various types of patent applications, such as new original utility, plant, design, and provisional applications, continuation/divisional applications of international applications, continued prosecution applications (design), and continuations/divisionals and continuation-in-part applications of utility, plant, and design applications. In addition to the applications, this collection also includes various petitions and papers filed under 37 CFR 1.41, 1.48, and 1.53(c)(2). The applications, petitions, and additional papers are filed in paper as well as electronically. The USPTO expects that the primary audience for this collection will be businesses, for-profits, and nonprofits.

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Authorizing Statute(s): US Code: 35 USC 112 and 113 Name of Law: null
   US Code: 35 USC 25 Name of Law: null
   US Code: 35 USC 115 through 118 Name of Law: null
   US Code: 35 USC 131 Name of Law: null
   US Code: 35 USC 41 Name of Law: null
   US Code: 35 USC 120 and 121 Name of Law: null
   US Code: 35 USC 111, 111(a), and 111(b) Name of Law: null
   US Code: 35 USC 119(b)(2) and 119(e) Name of Law: null
   US Code: 35 USC 371 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking	82 FR 52780	11/14/2017

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 10897	02/16/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 19237	04/26/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 33

IC Title	Form No.	Form Name
Electronic Original Design Applications - No Application Data Sheet
Electronic Continuation/Divisional of an International Application
Design Continuation-in-Part Applications	PTO/AIA/11, PTO/AIA/02, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/SB/01, PTO/SB/02A and PTO/SB/02B, PTO/SB/17, PTO/AIA/02, PTO/SB/04, PTO/SB/02LR, PTO/AIA/08, PTO/AIA10, PTO/AIA/02, PTO/AIA/01, PTO/AIA/01, PTO/AIA/02	Declaration for Utility or Design Patent Application (37 CFR 1.63) ,   Declaration - Additional Inventors - Supplemental Sheet and Declaration - Supplemental Priority Data Sheet ,   Declaration Supplemental Sheet for Legal Representatives (35 U.S.C. 11) on Behalf of a Deceased or Incapacitated Inventor ,   Supplemental Declaration for Utility or Design Patent Application (37 CFR 1.67) ,   Fee Transmittal Form ,   Declaration for Utility or Design Patent Application (37 CFR 1.63) ,   Supplemental Sheet for Declaration ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement Supplemental Sheet ,   Declaration (37 CFR 1.63) for Utility or Design Application Using on Application Data Sheet (37 CFR 1.76) (Chinese) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Dutch) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)(French) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (German) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Italian) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Japanese) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Korean) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Russian) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Spanish) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Swedish) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Chinese) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Dutch) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (German) ,   Substitute Statment in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Italian) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Japanese) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Korean) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Russian) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Spanish) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Swedish)
Provisional Application for Patent Cover Sheet	PTO/SB/16	Provisional Application for Patent Cover Sheet
Petition to Accept Unintentionally Delayed Priority/Benefit Claim	PTO/SB/445	Petition to Accept an Unintentionally Delayed Claim Under 35 U.S.C. 119(e) for the Benefit of a Prior-Filed Provisional Application (37 CFR 1.78(c))
Petition to Accept a Filing by Other Than All the Inventors or a Person not the Inventor
Petition under 37 CFR 1.6(g) to Accord the Application Under 37 CFR 1.495(b) a Receipt Date
Continued Prosecution Applications - Design (Request Transmittal and Receipt)	PTO/SB/29A, PTO/SB/29	For Design Applications Only: Continued Prosecution Application (CPA) Request Transmittal ,   For Design Applications Only Receipt for Facsimile Transmitted CPA
Electronic Original New Utility Applications - No Application Data Sheet
Electronic Design Continuation-in-Part Applications
Electronic Utility Continuation-in-Part Applications
Electronic Provisional Application for Patent Cover Sheet
Papers filed under 37 CFR 1.41, 1.48, and 1.53(c)(2)
Electronic Petition to Accept Unintentionally Delayed Priority/Benefit Claim	PTO/SB/445	Petition to Accent an Unintentionally Delayed Claim Under 35 U.S.C. 119(e) for the Benefit of a Prior-Filed Provisional Application (37 CFR 1.78(c))
Electronic Papers Filed Under 37 CFR 1.41, 1.48, and 1.53(c)(2)
Electronic Petition to Accept a Filing by Other Than All the Inventors or a Person not the Inventor
Electronic New Design Applications - Application Data Sheet	PTO/AIA/14	Application Data Sheet 37 CFR 1.76
Electronic Original New Utility Applications - Application Data Sheet	PTO/AIA/14	Application Data Sheet 37 CFR 1.76
Electronic Utility Continuation/Divisional Applications
Electronic Design Continuation/Divisional Applications
Electronic Continued Prosecution Applications - Design (Request Transmittal and Receipt)
Original New Plant Applications - No Application Data Sheet	PTO/SB/AIA09, PTO/SB/AIA04, PTO/SB/AIA/10, PTO/SB/03	Plant Patent Application (35 U.S.C. 161) Declaration (37 CFR 1.63) ,   Plant Patent Application (35 U.S.C. 161) Declaration (37 CFR 1.162) ,   Substitute Statement in Lieu of an Oath or Declaration for Plant Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Supplemental Sheet for Declaration
Original New Design Applications - No Application Data Sheet	PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/02, PTO/SB/04, PTO/SB/AIA/08, PTO/SB/AIA/10, PTO/SB/AIA/02, PTO/SB/AIA/11, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/02, PTO/SB/AIA/2, PTO/SB/AIA/02	Supplemental Declaration for Utility or Design Patent Application (37 CFR 1.67) ,   Declaration for Utility or Design Patent Application (37 CFR 1.63) ,   Supplemental Sheet for Declaration ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement Supplemental Sheet ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using on Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using An Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)
Original New Utility Applications - No Application Data Sheet	PTO/SB/109, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/02, PTO/SB/AIA/10, PTO/SB/AIA/11, PTO/SB/101, PTO/SB/02KR, PTO/SB/02IT, PTO/SB/02DE, PTO/SB/02ES, PTO/SB/02JP, PTO/SB/102, PTO/SB/AIA/01, PTO/SB/02A and PTO/SB/02B, PTO/SB/02LR, PTO/SB/AIA/01, PTO/SB/103, PTO/SB/01, PTO/SB/04, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/107, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/106, PTO/SB/105, PTO/SB/02SE, PTO/SB/02CN, PTO/SB/02NL, PTO/SB/02RU, PTO/SB/02FR, PTO/SB/AIA08, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/108, PTO/SB/104, PTO/SB/110, PTO/SB/17	Declaration for Utility or Design Patent Application (37 CFR 1.63) ,   Declaration - Additional Inventors-Supplemental Sheet and Declaration - Supplemental Priority Data Sheet ,   Declaration Supplemental Sheet for Legal Representatives (35 U.S.C 117) on Behalf of a Deceased or Incapacitated Inventor ,   Supplemental Declaration for Utility or Design Patent Application (37 CFR 1.67) ,   Declaration for Utility or Design Patent Application (37 CFR 1.63) - Chinese Language ,   Declaration and Power of Attorney for Patent Application - Dutch Language Declaration ,   Declaration and Power of Attorney for Patent Application - German Language Declaration ,   Declaration for Utility or Design Patent Application - Italian Language ,   Declaration for Utility or Design Patent Application - French Language ,   Declaration for Utility or Design Patent Application - Japanese Language ,   Declaration for Utility or Design Patent Application - Russian Language ,   Declaration for Utility or Design Patent Application - Swedish Language ,   Declaration for Utility or Design Patent Application - Spanish Language ,   Declaration for Utility or Design Patent Application - Korean Language ,   Fee Transmittal Form ,   Declaration (Additional Inventors) and Supplemental Priority Sheets (Chinese Language Declaration for Additional Inventors) ,   Declaration (Additional Inventors) and Supplemental Priority Data Sheets (German Language Declaration for Additional Inventors) ,   Declaration (Additional Inventors) and Supplemental Priority Data Sheet (Spanish Language Declaration for Additional Inventors) ,   Declaration (Additional Inventors) and Supplemental Priority Data Sheet (French Language Declaration for Additional Inventors) ,   Declaration (Additional Inventors) and Supplemental Priority Data Sheet (Italian Language Declaration for Additional Inventors) ,   Declaration (Additional Inventors) and Supplemental Priority Data Sheet (Japanese Language Declaration for Additional Inventors) ,   Declaration (Additional Inventors) and Supplemental Priority Data Sheet (Korean Language Declaration for Additional Inventors) ,   Declaration (Additional Inventors) and Supplemental Priority Data Sheet (Dutch Language Declaration for Additional Inventors) ,   Declaration (Additional Inventors) and Supplemental Priority Data Sheet (Russian Language Declaration for Additional Inventors) ,   Declaration (Additional Inventors) and Supplemental Priority Data Sheet (Swedish Language Declaration for Additional Inventors) ,   Declaration for Utility or Design Patent Application (37 CFR 1.63) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Supplemental Sheet for Declaration ,   Substitute Statement Supplemental Sheet ,   37 CFR 1.76 and 37 CFR 1.63 Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   37 CFR 1.63 and 37 CFR 1.76 Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   37 CFR 1.63 and 37 CFR 1.76 Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   37 CFR 1.63 and 37 CFR 1.63 Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   37 CFR 1.63 and 37 CFR 1.76 Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   37 CFR 1.76 and 37 CFR 1.63 Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   37 CFR 1.76 Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   37 CFR 1.63 and 37 CFR 1.76 Declaration (37 CfR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Russia) ,   37 CFR 1.63 and 37 CFR 1.76 Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   37 CFR 1.63 and 37 CFR 1.76 Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)
Original New Utility Applications - Application Data Sheet	PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/AIA/01, PTO/SB/01A, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/AIA/02, PTO/SB/14, PTO/SB/AIA/01, PTO/AIA/14	Application Data Sheet 37 CFR 1.76 ,   Application Data Sheet 37 CFR 1.76 ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Chinese) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Dutch) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (French) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (German) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Japanese) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Korean) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Russian) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Spanish) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Swedish) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (China) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Dutch) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (French) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (German) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Italian) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Japanese) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Korean) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Russian) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Spanish) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Swedish)
Original New Plant Applications - Application Data Sheet	PTO/SB/14, PTO/SB/03A, PTO/SB/AIA03, PTO/AIA/14	Application Data Sheet 37 CFR 1.76 ,   Application Data Sheet 37 CFR 1.76 ,   Declaration (37 CFR 1.63) for Plant Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Plant Application Using an Application Data Sheet (37 CFR 1.76)
Original New Design Applications - Application Data Sheet	PTO/AIA/01, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/01, PTO/SB/01A, PTO/AIA/01, PTO/SB/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/02, PTO/AIA/14, PTO/SB/17, PTO/AIA/02, PTO/AIA/02, PTO/SB/AIA1, PTO/AIA/02, PTO/SB/14	Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CfR 1.76) (Spanish) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Swedish) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Chinese) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)(Dutch) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (French) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)(German) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)(Italian) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)(Japanese) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)(Korean) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)(Russian) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Spanish) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)(Swedish) ,   Application Data Sheet 37 CFR 1.76 ,   Application Data Sheet 37 CFR 1.76 ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Fee Transmittal Form ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Chinese) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Dutch) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)(French) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (German) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)(Italian) ,   Declaration (37 CfR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Japanese) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Korean) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)(Russian)
Continuation/Divisional of an International Application	PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/01, PTO/SB/04, PTO/SB/105, PTO/SB/109, PTO/SB/101, PTO/SB/103, PTO/SB/104, PTO/SB/02A and PTO/SB/02B, PTO/SB/108, PTO/SB/02LR, PTO/SB/107, PTO/AIA/08, PTO/AIA/10, PTO/AIA/02, PTO/AIA\11, PTO/SB/01, PTO/SB/102, PTO/SB/106, PTO/SB/110, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01	Declaration for Utility or Design Patent Application (37 CFR 1.63) ,   Declaration - Additional Inventors-Supplemental Sheet and Declaration - Supplemental Priority Data Sheet ,   Declaration Supplemental Sheet for Legal Representatives (35 U.S.C. 117) on Behalf of a Deceased or Incapacitated Inventor ,   Supplemental Declaration for Utility or Design Patent Application (37 CFR 1.67) ,   Declaration and Power of Attorney for Patent Application - Chinese Language Declaration ,   Declaration and Power of Attorney for Patent Application ,   Declaration and Power of Attorney for Patent Application ,   Declaration and Power of Attorney for Patent Application - Italian Language Declaration ,   Declaration and Power of Attorney for Patent Application - French Language Declaration ,   Declaration and Power of Attorney for Patent Application - Japanese Language Declaration ,   Declaration and Power of Attorney for Patent Application - Russian Language Declaration ,   Declaration and Power of Attorney for Patent Application - Swedish Language Declaration ,   Declaration and Power of Attorney for Patent Application - Spanish Language Declaration ,   Declaration and Power of Attorney for Patent Application - Korean Language Declaration ,   Declaration for Utility or Design Patent Application (37 CFR 1.63) ,   Supplemental Sheet for Declaration ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement Supplemental Sheet ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Chinese) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Dutch) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (French) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (German) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Italian) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Japanese) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Korean) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Russian) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Spanish) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Swedish) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Chinese) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Dutch) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)(French) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (German) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Italian) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Japan) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 cFR 1.64) (Korean) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Russian) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Spanish) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Swedish)
Utility Continuation/Divisional Applications	PTO/SB/17	Fee Transmittal Form
Plant Continuation/Divisional Applications	PTO/SB/17, PTO/AIA/09	Plant Patent Application (35 U.S.C. 161) Declaration (37 CFR 1.162) ,   Fee Transmital Form
Design Continuation/Divisional Applications	PTO/AIA/08, PTO/SB/17	Declaration for Utility or Design Patent Application (37 CFR 1.63) ,   Fee Transmittal Form
Utility Continuation-in-Part Applications	PTO/AIA/02, PTO/AIA/02, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/SB/101, PTO/SB/107, PTO/AIA/02, PTO/AIA/02, PTO/AIA/01, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/AIA/02, PTO/SB/102, PTO/SB/103, PTO/SB/02A and PTO/SB/02B, PTO/SB/04, PTO/SB/108, PTO/SB/109, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/AIA/01, PTO/SB/105, PTO/SB/104, PTO/SB/106, PTO/SB/01, PTO/SB/02LR, PTO/AIA/08, PTO/AIA/10, PTO/AIA/02, PTO/AIA/11, PTO/SB/05, PTO/SB/110, PTO/SB/17	Declaration for Utility or Design Patent Application (37 CFR 1.63) ,   Declaration - Additional Inventors - Supplemental Sheet and Declaration - Supplemental Priority Data Sheet ,   Declaration Supplemental Sheet for Legal Representatives (35 U.S.C. 117) on Behalf of a Deceased or Incapacitated Inventor ,   Supplemental Declaration for Utility or Design Patent Application (37 CFR 1.67) ,   Declaration and Power of Attorney for Patent Application - Chinese Language Declaration ,   Declaration and Power of Attorney for Patent Application ,   Declaration and Power of Attorney for Patent Application ,   Declaration and Power of Attorney for Patent Application - Italian ,   Declaration and Power of Attorney for Patent Application - French ,   Declaration and Power of Attorney for Patent Application - Japanese Language Declaration ,   Declaration and Power of Attorney for Patent Application - Russian Language Declaration ,   Declaration and Power of Attorney for Patent Application - Swedish ,   Declaration and Power of Attorney for Patent Application - Spanish ,   Declaration and Power of Attorney for Patent Application - Korean ,   Utility Patent Application Transmittal ,   Fee Transmittal Form ,   Declaration for Utility or Design Patent Application (37 CFR 1.63) ,   Supplemental Sheet for Declaration ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement Supplemental Sheet ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Chinese) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Dutch) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (French) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (German) ,   Declaration 937 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (Italian) ,   Declaration (CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Japan) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Korean) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Russian) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) ,   Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76) (Swedish) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Chinese) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Dutch) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (French) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 cfR 1.64) (German) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.65) (Italian) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64)(Japanese) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Korean) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Russian) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Spanish) ,   Substitute Statement in Lieu of an Oath or Declaration for Utility or Design Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) (Swedish)
Plant Continuation-in-Part Applications	PTO/AIA/10, PTO/AIA/04, PTO/AIA/11, PTO/SB/02A and PTO/SB/02B, PTO/SB/17, PTO/SB/02LR, PTO/SB/03, PTO/AIA/09	Declaration - Additional Inventors - Supplemental Sheet and Declaration - Supplemental Priority Data Sheet ,   Declaration Supplemental Sheet for Legal Representatives (35 U.S.C. 117) on Behalf of a Deceased or Incapacitated Inventor ,   Plant Patent Application (35 U.S.C. 161) Declaration (37 CFR 1.63) ,   Fee Transmittal Form ,   Plant Patent Application (35 U.S.C. 161) Declaration (37 CFR 1.162) ,   Supplemental Sheet for Declaration ,   Substitute Statement in Lieu of an Oath or Declaration for Plant Patent Application (35 U.S.C. 115(d) and 37 CFR 1.64) ,   Substitute Statement Supplemental Sheet

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	636,003	636,003	0	0	0	0
Annual Time Burden (Hours)	15,757,082	15,757,082	0	0	0	0
Annual Cost Burden (Dollars)	1,189,279,340	1,189,279,340	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The information collection is being revised due to agency adjustments to respondent numbers and updated costs. The annual cost burden increased due to external costs associated with application drawings.

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Annual Cost to Federal Government: $12,106,126

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/15/2017

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