Information Collection

Application for International Registration (Private Sector Respondents)

IC 207303 under ICR 202303-0651-014 · 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⚠️ Notice: This information collection may be referencing outdated material.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 I Application for International Registration (Private Sector Respondents) Form and Instruction
DM/1/Annex I Oath or Declaration of the Creator WIPO DM1E.pdf www.wipo.int/hague/en/forms/ Form and Instruction
DM/1/Annex II Supporting Documents Concerning a Declaration to the Exc form_dm_1_annex_II.pdf www.wipo.int/hague/en/forms/ Form
Annex III Information on Eligibility for Protection form_dm_1_annex_III.pdf www.wipo.int/hague/en/forms/ Form
Annex IV Reduction of United States Individual Designation Fee form_dm_1_annex_IV.pdf www.wipo.int/hague/en/forms/ Form
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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for International Registration (Private Sector Respondents)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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 and Instruction	DM/1/Annex I	Oath or Declaration of the Creator	WIPO DM1E.pdf	https://www.wipo.int/hague/en/forms/	Yes	Yes	Fillable Fileable
Form	DM/1/Annex II	Supporting Documents Concerning a Declaration to the Exception of the Lack of Novelty	form_dm_1_annex_II.pdf	https://www.wipo.int/hague/en/forms/	Yes	Yes	Fillable Fileable Signable
Form	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	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	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

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: 151	Number of Respondents for Small Entity: 62

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	427	271	156
Annual IC Time Burden (Hours)	1,593	657	936
Annual IC Cost Burden (Dollars)	2,204,251	1,790,000	414,251

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.