Information Collection

Application for International Registration (Individuals and Households)

IC 207308 under ICR 202302-0651-009 · OMB 0651-0075.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0075 can be found here:

Documents and Forms

Document Name Document Type
Form DM/1/Annex 1 Application for International Registration (Individuals and Households) Form
Form DM/1/Annex 1 Application for International Registration (Individuals and Households) Form
DM/1/Annex 1 Oath or Declaration of the Creator form_dm_1_annex_I.pdf www.wipo.int/hague/en/forms/ Form
DM/1/Annex 1 Oath or Declaration of the Creator form_dm_1_annex_I.pdf www.wipo.int/hague/en/forms/ Form
Annex II Supporting Document(s) Concerning a Declaration to the E form_dm_1_annex_II.pdf www.wipo.int/hague/en/forms/ Form
Annex II Supporting Document(s) Concerning a Declaration to the E form_dm_1_annex_II.pdf www.wipo.int/hague/en/forms/ Form
DM/1/Annex III Information on Eligibility for Protection form_dm_1_annex_III.pdf www.wipo.int/hague/en/forms/ Form
DM/1/Annex III Information on Eligibility for Protection form_dm_1_annex_III.pdf www.wipo.int/hague/en/forms/ Form
DM/1/Annex IV Reduction of United States Individual Designation Fee form_dm_1_annex_IV.pdf www.wipo.int/hague/en/forms/ Form
DM/1/Annex IV Reduction of United States Individual Designation Fee form_dm_1_annex_IV.pdf www.wipo.int/hague/en/forms/ Form
DM/1/Annex V Supporting Document(s) Concerning Priority Claim to the form_dm_1_annex_V.pdf www.wipo.int/hague/en/forms/ Form
DM/1/Annex V Supporting Document(s) Concerning Priority Claim to the form_dm_1_annex_V.pdf www.wipo.int/hague/en/forms/ Form
WIPO DM/7 Appointment of a Representative form_dm_7.pdf www.wipo.int/export/sites/www/hague/en/forms/docs/form_dm_7-editable1.pdf Form
WIPO DM/7 Appointment of a Representative form_dm_7.pdf www.wipo.int/export/sites/www/hague/en/forms/docs/form_dm_7-editable1.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for International Registration (Individuals and Households)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.1022

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DM/1/Annex 1	Oath or Declaration of the Creator	form_dm_1_annex_I.pdf	https://www.wipo.int/hague/en/forms/	Yes	Yes	Fillable Fileable
Form	Annex II	Supporting Document(s) Concerning a Declaration to the Exception to Lack of Novelty	form_dm_1_annex_II.pdf	https://www.wipo.int/hague/en/forms/	Yes	Yes	Fillable Fileable
Form	DM/1/Annex III	Information on Eligibility for Protection	form_dm_1_annex_III.pdf	https://www.wipo.int/hague/en/forms/	Yes	Yes	Fillable Fileable
Form	DM/1/Annex IV	Reduction of United States Individual Designation Fee	form_dm_1_annex_IV.pdf	https://www.wipo.int/hague/en/forms/	Yes	Yes	Fillable Fileable
Form	DM/1/Annex V	Supporting Document(s) Concerning Priority Claim to the Korean Intellectual Property Office (KIPO)	form_dm_1_annex_V.pdf	https://www.wipo.int/hague/en/forms/	Yes	Yes	Fillable Fileable
Form	WIPO DM/7	Appointment of a Representative	form_dm_7.pdf	https://www.wipo.int/export/sites/www/hague/en/forms/docs/form_dm_7-editable1.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: Patent Application Files	FR Citation: 78 FR 19243

Number of Respondents: 6	Number of Respondents for Small Entity: 6

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	30	0	30
Annual IC Time Burden (Hours)	83	0	83
Annual IC Cost Burden (Dollars)	49,872	-807	50,679

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.