OMB control number

COVID-19 Vaccine Supplemental Medical Provider Statement

OMB 0651-0087 · DOC/PTO.

OMB 0651-0087

Latest Forms, Documents, and Supporting Material

Document Name
Form USPTO-OEEOD 303 COVID-19 Vaccine Supplemental Medical Provider Statement Form
0651-0087 Supporting Statement 2022.docx Supporting Statement A
E.O. 14043 COVID 20210914.pdf Supplementary Document
Information Quality Guidelines _ USPTO.pdf Supplementary Document
COVID-19 Vaccine Supplemental Medical Provider Statement Form

All Historical Document Collections

202201-0651-001 Approved without change	Extension without change of a currently approved collection	2022-05-31
202111-0651-001 Approved without change	New collection (Request for a new OMB Control Number)	2021-11-10