Information Collection

Humanitarian Program Application (Humanitarian Research) (Private Sector)

IC 217895 under ICR 202109-0651-004 · OMB 0651-0066.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0066 can be found here:

Documents and Forms

Document Name Document Type
Form PTO PFH 002 Humanitarian Program Application (Humanitarian Research) (Private Sector) Form
PTO PFH 002 Humanitarian Research Use Application PTO PFH 002 Humanitarian Research Use Application.docx www.uspto.gov/ip-policy/patent-policy/patents-humanity?MURL=patentsforhumanity#p4happlication Form
PTO PFH 002 Humanitarian Research Use Application PTO PFH 002 Humanitarian Research Use Application.docx www.uspto.gov/ip-policy/patent-policy/patents-humanity?MURL=patentsforhumanity#p4happlication Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Humanitarian Program Application (Humanitarian Research) (Private Sector)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 37 CFR 1.102

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO PFH 002	Humanitarian Research Use Application	PTO PFH 002 Humanitarian Research Use Application.docx	https://www.uspto.gov/ip-policy/patent-policy/patents-humanity?MURL=patentsforhumanity#p4happlication	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title: COMMERCE/PAT-TM-7 Patent Application Files	FR Citation: 78 FR 19243

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5	-20	25
Annual IC Time Burden (Hours)	20	-80	100
Annual IC Cost Burden (Dollars)	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.