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Federal forms, ICRs, and supporting documents

Information Collection Request

National Medal of Technology and Innovation Nomination Application

ICR 201301-0651-004 · OMB 0651-0060 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
National Medal of Technology and Innovation Nomination Form Form and Instruction Modified Available
0651-0060 CWS Feb2012.pdf Justification for No Material/Nonsubstantive Change Uploaded 2013-02-01 Available
NMTI Nomination Form 2013.doc Supplementary Document Uploaded 2013-02-01 Repair queued
Nomination_Guidelines_page.pdf Supplementary Document Uploaded 2012-02-23 Available
NMTI Letter_of_Recommendation.pdf Supplementary Document Uploaded 2012-02-23 Available
NMTI NominationForm_2012.pdf Supplementary Document Uploaded 2012-02-23 Available
0651-0060 SupStmt Feb2012.pdf Supporting Statement A Uploaded 2012-02-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
187443 National Medal of Technology and Innovation Nomination Form Form and Instruction Modified
ICR Details
0651-0060 201301-0651-004
Historical Active 201202-0651-003
DOC/PTO
National Medal of Technology and Innovation Nomination Application
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/01/2013
Retrieve Notice of Action (NOA) 02/08/2013
  Inventory as of this Action Requested Previously Approved
04/30/2015 04/30/2015 04/30/2015
40 0 40
1,600 0 1,600
0 0 0
The public uses the National Medal of Technology and Innovation Nomination Application to recognize through nomination an individual's or company's extraordinary leadership and innovation in technological achievement. The application must be accompanied by at least six letters of recommendation or support from individuals who have first-hand knowledge of the cited achievement(s). The National Medal of Technology and Innovation Laureates are announced by the White House and the Department of Commerce once the Medalists are notified of their selection.
US Code: 15 USC 3711 Name of Law: null
  
None
Not associated with rulemaking
  76 FR 76388 12/07/2011
77 FR 10725 02/23/2012
No
  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 40 40 0 0 0 0
Annual Time Burden (Hours) 1,600 1,600 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$13,310
No
No
No
No
No
Uncollected
Richard Maulsby 571 272-8333
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/08/2013