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National Medal of Technology and Innovation Nomination Form
National Medal of Technology and Innovation Nomination Application
OMB: 0651-0060
IC ID: 187443
OMB.report
DOC/PTO
OMB 0651-0060
ICR 202401-0651-004
IC 187443
( )
Documents and Forms
Document Name
Document Type
Form PTO-NMTI-1
National Medal of Technology and Innovation Nomination Form
Form
PTO-NMTI-1 National Medal of Technology and Innovation Nomination F
NMTI-Nomination-Form-2023.pdf
www.uspto.gov/sites/default/files/documents/NMTI-Nomination-Form-2021.pdf
Form
PTO-NMTI-1 National Medal of Technology and Innovation Nomination F
NMTI-Nomination-Form-2023.pdf
www.uspto.gov/sites/default/files/documents/NMTI-Nomination-Form-2021.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Medal of Technology and Innovation Nomination Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
PTO-NMTI-1
National Medal of Technology and Innovation Nomination Form
NMTI-Nomination-Form-2023.pdf
https://www.uspto.gov/sites/default/files/documents/NMTI-Nomination-Form-2021.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:
COMMERCE/PAT-TM-21 National Medal of Technology and Innovation Nominations
FR Citation:
73 FR 4850
Number of Respondents:
50
Number of Respondents for Small Entity:
0
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
50
0
0
0
0
50
Annual IC Time Burden (Hours)
2,000
0
0
0
0
2,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.