National Summer Teacher Institute

Forms and Documents

Document Name	Status
Form NSTI 003 Teacher's Summer Institute Webinar Participant Form and Instruction	Modified
Form NSTI 002 Teacher Summer Institute Participant Survey Form	Modified
Form NSTI 001 Summer Teach Institute Application Form and Instruction	Modified
0651-0077 Supporting Statement Part B final 2021.docx Supporting Statement B	2021-05-18
Information Quality Guidelines _ USPTO.pdf Supplementary Document	2021-05-18
Leahy Smith America Invents Act-pub-l112-29.pdf Supplementary Document	2021-05-18
0651-0077 Supporting Statement Part A final_2021.docx Supporting Statement A	2021-05-18

IC Document Collections

IC ID	Document Title	Status
214262	Teacher's Summer Institute Webinar Participant Form and Instruction	Modified
214261	Teacher Summer Institute Participant Survey Form	Modified
211963	Summer Teach Institute Application Form and Instruction	Modified

ICR Details

OMB Control No: 0651-0077	ICR Reference No: 202104-0651-004
Status: Received in OIRA	Previous ICR Reference No: 201803-0651-001
Agency/Subagency: DOC/PTO	Agency Tracking No:
Title: National Summer Teacher Institute
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/21/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	05/31/2021
Responses	13,700	900
Time Burden (Hours)	2,999	292
Cost Burden (Dollars)	0	0

---

Abstract: This program receives information from applicants, who request to participate in the program and certify that they are educators with at least 3 years' experience and who 1) have taught in STEM related fields last year; 2) plan to teach in a STEM related field this upcoming year; and 3) are acknowledging their commitment to incorporate the learnings from the Teacher Summer Institute into their curriculum, where applicable, and cooperate with sharing lessons/outcomes with teachers and PTO.

---

Authorizing Statute(s): PL: Pub.L. 112 - 39 2 Name of Law: Leahy Smith America Invents Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 13529	03/09/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 27428	05/20/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Summer Teach Institute Application	NSTI 001, NSTI 001	Summer Teacher Institue Application ,   National Summer Teach Institute Application
Teacher Summer Institute Participant Survey	NSTI 002	National Summer Teacher Institute Survey
Teacher's Summer Institute Webinar Participant	NSTI 003	NSTI Webinar Survey

---

ICR Summary of Burden

	Total Request	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	13,700	900	0	0	12,800	0
Annual Time Burden (Hours)	2,999	292	0	0	2,707	0
Annual Cost Burden (Dollars)	0	0	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: For this renewal, the USPTO estimates that the number of responses will increase; which also results in an increase in the corresponding time burdens. The number of respondents is expected to increase as more individuals become aware of program and apply to it. Additionally, in response to the increased telecommunications readiness, due in part to COVID related telework, NSTI is offering additional webnairs and options for virtual participation. This is expected to increase participation in those events and result in additional surveys being completed.

---

Annual Cost to Federal Government: $2,830

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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? No

---

Common Form ICR:  No

---

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: 05/21/2021

---