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Application for International Registration (Individuals and Households)
International Design Applications (Hague Agreement)
OMB: 0651-0075
IC ID: 207308
OMB.report
DOC/PTO
OMB 0651-0075
ICR 202303-0651-014
IC 207308
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0075 can be found here:
2024-11-20 - No material or nonsubstantive change to a currently approved collection
2024-03-12 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form DM/1/Annex 1
Application for International Registration (Individuals and Households)
Form
DM/1/Annex 1 Oath or Declaration of the Creator
form_dm_1_annex_I.pdf
www.wipo.int/hague/en/forms/
Form
Annex II Supporting Document(s) Concerning a Declaration to the E
form_dm_1_annex_II.pdf
www.wipo.int/hague/en/forms/
Form
DM/1/Annex III Information on Eligibility for Protection
form_dm_1_annex_III.pdf
www.wipo.int/hague/en/forms/
Form
DM/1/Annex IV Reduction of United States Individual Designation Fee
form_dm_1_annex_IV.pdf
www.wipo.int/hague/en/forms/
Form
DM/1/Annex V Supporting Document(s) Concerning Priority Claim to the
form_dm_1_annex_V.pdf
www.wipo.int/hague/en/forms/
Form
WIPO DM/7 Appointment of a Representative
form_dm_7.pdf
www.wipo.int/export/sites/www/hague/en/forms/docs/form_dm_7-editable1.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for International Registration (Individuals and Households)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
37 CFR 1.1022
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DM/1/Annex 1
Oath or Declaration of the Creator
form_dm_1_annex_I.pdf
https://www.wipo.int/hague/en/forms/
Yes
Yes
Fillable Fileable
Form
Annex II
Supporting Document(s) Concerning a Declaration to the Exception to Lack of Novelty
form_dm_1_annex_II.pdf
https://www.wipo.int/hague/en/forms/
Yes
Yes
Fillable Fileable
Form
DM/1/Annex III
Information on Eligibility for Protection
form_dm_1_annex_III.pdf
https://www.wipo.int/hague/en/forms/
Yes
Yes
Fillable Fileable
Form
DM/1/Annex IV
Reduction of United States Individual Designation Fee
form_dm_1_annex_IV.pdf
https://www.wipo.int/hague/en/forms/
Yes
Yes
Fillable Fileable
Form
DM/1/Annex V
Supporting Document(s) Concerning Priority Claim to the Korean Intellectual Property Office (KIPO)
form_dm_1_annex_V.pdf
https://www.wipo.int/hague/en/forms/
Yes
Yes
Fillable Fileable
Form
WIPO DM/7
Appointment of a Representative
form_dm_7.pdf
https://www.wipo.int/export/sites/www/hague/en/forms/docs/form_dm_7-editable1.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Intellectual Property Protection
Privacy Act System of Records
Title:
Patent Application Files
FR Citation:
78 FR 19243
Number of Respondents:
6
Number of Respondents for Small Entity:
6
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
30
0
0
-126
0
156
Annual IC Time Burden (Hours)
83
0
0
-541
0
624
Annual IC Cost Burden (Dollars)
49,872
-807
0
50,673
0
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.