National Summer Teacher Institute

Forms and Documents

Document Name	Status
Form PTO/MTIP/003 MTIP Webinar/Workshop Survey Form	Modified
Form PTO/MTIP/003 MTIP Webinar/Workshop Survey Form	Modified
Form PTO/MTIP/002 MTIP Participant Survey Form	Modified
Form PTO/MTIP/002 MTIP Participant Survey Form	Modified
Form PTO/MTIP/001 MTIP Application Form	Modified
Form PTO/MTIP/001 MTIP Application Form	Modified
Form PTO/NSTI/003 NSTI Webinar/Workshop Survey Form	Modified
Form PTO/NSTI/003 NSTI Webinar/Workshop Survey Form	Modified
Form PTO/NSTI/002 NSTI Participant Survey Form	Modified
Form PTO/NSTI/002 NSTI Participant Survey Form	Modified
Form PTO/NSTI/001 NSTI Application Form	Modified
Form PTO/NSTI/001 NSTI Application Form	Modified
0651-0077 PTO-NSTI-003 Webinar Survey 2023.docx Supplementary Document	2023-11-22
0651-0077 PTO-NSTI-003 Webinar Survey 2023.docx Supplementary Document	2023-11-22
0651-0077 PTO-NSTI-001 Application 2023.docx Supplementary Document	2023-11-22
0651-0077 PTO-NSTI-001 Application 2023.docx Supplementary Document	2023-11-22
0651-0077 PTO-MTIP-003 Webinar Survey 2023.docx Supplementary Document	2023-11-22
0651-0077 PTO-MTIP-003 Webinar Survey 2023.docx Supplementary Document	2023-11-22
0651-0077 PTO-MTIP-001 Application 2023.docx Supplementary Document	2023-11-22
0651-0077 PTO-MTIP-001 Application 2023.docx Supplementary Document	2023-11-22
0651-0077 CWS 2023.docx Justification for No Material/Nonsubstantive Change	2023-11-22
0651-0077 CWS 2023.docx Justification for No Material/Nonsubstantive Change	2023-11-22
0651-0077 Supporting Statement Part B final 2021.docx Supporting Statement B	2021-05-18
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
Information Quality Guidelines _ USPTO.pdf Supplementary Document	2021-05-18
Leahy Smith America Invents Act-pub-l112-29.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
0651-0077 Supporting Statement Part A final_2021.docx Supporting Statement A	2021-05-18

IC Document Collections

IC ID	Document Title	Status
255758	MTIP Webinar/Workshop Survey Form	Modified
255758	MTIP Webinar/Workshop Survey Form	Modified
255757	MTIP Participant Survey Form	Modified
255757	MTIP Participant Survey Form	Modified
255756	MTIP Application Form	Modified
255756	MTIP Application Form	Modified
214262	NSTI Webinar/Workshop Survey Form	Modified
214262	NSTI Webinar/Workshop Survey Form	Modified
214261	NSTI Participant Survey Form	Modified
214261	NSTI Participant Survey Form	Modified
211963	NSTI Application Form	Modified
211963	NSTI Application Form	Modified

ICR Details

OMB Control No: 0651-0077	ICR Reference No: 202311-0651-001
Status: Active	Previous ICR Reference No: 202209-0651-002
Agency/Subagency: DOC/PTO	Agency Tracking No:
Title: National Summer Teacher Institute
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: 12/05/2023
	Date Received in OIRA: 11/24/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2024	08/31/2024	08/31/2024
Responses	27,400	0	27,400
Time Burden (Hours)	5,998	0	5,998
Cost Burden (Dollars)	0	0	0

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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 USPTO sponsored programs into their curriculum, where applicable, and cooperate with sharing lessons/outcomes with teachers and PTO.

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Authorizing Statute(s): PL: Pub.L. 112 - 39 2 Name of Law: Leahy Smith America Invents Act
   US Code: 35 USC 2(a)(2), 2(b)(11)
  

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

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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

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
MTIP Application	PTO/MTIP/001	MTIP Application
MTIP Participant Survey	PTO/MTIP/002	MTIP Participant Survey
MTIP Webinar/Workshop Survey	PTO/MTIP/003	MTIP Webinar/Workshop Survey
NSTI Application	PTO/NSTI/001	National Summer Teacher Institute Application
NSTI Participant Survey	PTO/NSTI/002	Participant Survey
NSTI Webinar/Workshop Survey	PTO/NSTI/003	NSTI Webinar/Workshop Survey

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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	27,400	27,400	0	0	0	0
Annual Time Burden (Hours)	5,998	5,998	0	0	0	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:

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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

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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: 11/24/2023

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