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Federal forms, ICRs, and supporting documents

Information Collection Request

National Medal of Technology and Innovation Nomination Application

ICR 201804-0651-004 · OMB 0651-0060 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
National Medal of Technology and Innovation Nomination Form Form and Instruction Modified Repair queued
0651-0060 Supporting Statement April 2018 Final.docx Supporting Statement A Uploaded 2018-04-27 Available
NMTI Nomination Form 2013.doc Supplementary Document Uploaded 2013-02-01 Repair queued
Nomination_Guidelines_page.pdf Supplementary Document Uploaded 2012-02-23 Repair queued
NMTI Letter_of_Recommendation.pdf Supplementary Document Uploaded 2012-02-23 Available
NMTI NominationForm_2012.pdf Supplementary Document Uploaded 2012-02-23 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
187443 National Medal of Technology and Innovation Nomination Form Form and Instruction Modified
ICR Details
0651-0060 201804-0651-004
Historical Active 201502-0651-003
DOC/PTO
National Medal of Technology and Innovation Nomination Application
Revision of a currently approved collection   No
Regular
Approved without change 06/11/2018
Retrieve Notice of Action (NOA) 04/30/2018
  Inventory as of this Action Requested Previously Approved
06/30/2021 36 Months From Approved 06/30/2018
50 0 50
2,000 0 2,000
0 0 2
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 Medallists are notified of their selection.
US Code: 15 USC 3711 Name of Law: null
  
None
Not associated with rulemaking
  83 FR 6534 02/14/2018
83 FR 18537 04/27/2018
Yes
  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 50 50 0 0 0 0
Annual Time Burden (Hours) 2,000 2,000 0 0 0 0
Annual Cost Burden (Dollars) 0 2 0 0 -2 0
No
No
$22,556
No
    Yes
    Yes
No
No
No
Uncollected
John Palafoutas 571 272-8400
  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.
04/30/2018