Information Collection

National Medal of Technology and Innovation Nomination Form

IC 187443 under ICR 202103-0651-002 · OMB 0651-0060.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0060 can be found here:

Documents and Forms

Document Name Document Type
National Medal of Technology and Innovation Nomination Form Form
National Medal of Technology and Innovation Nomination F PTO-NMTI-1.docx www.uspto.gov/sites/default/files/documents/NMTI-Nomination-Form-2021.pdf Form
National Medal of Technology and Innovation Nomination F PTO-NMTI-1.docx 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	N/A	National Medal of Technology and Innovation Nomination Form	PTO-NMTI-1.docx	https://www.uspto.gov/sites/default/files/documents/NMTI-Nomination-Form-2021.pdf	Yes	Yes	Fillable Fileable Signable

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	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	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.