Patent License Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form AD-761 Patent License Application (Private Sector)	Form and Instruction	Unchanged	Available
Form AD-761 Patent License Application (Individuals)	Form and Instruction	Unchanged	Available
Supporting Statement 0518-0003.doc	Supporting Statement A	Uploaded 2011-01-11	Available
OTT - Patent License Application Burden Data.xls	Supplementary Document	Uploaded 2010-10-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
992	Patent License Application (Private Sector)	Form and Instruction	Unchanged
180941	Patent License Application (Individuals)	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0518-0003	ICR Reference No: 201101-0518-002
Status: Historical Active	Previous ICR Reference No: 201007-0518-001
Agency/Subagency: USDA/ARS	Agency Tracking No:
Title: Patent License Application
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/27/2011
	Date Received in OIRA: 01/11/2011
Terms of Clearance: In accordance with the terms of 5 CFR 1320, OMB approves this collection for a period of 2 years. Agency notes that this collection is not yet available entirely electronically. Upon next submission for reapproval, the agency must submit to OMB a written plan and timeline for making this collection available in an entirely electronic format.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2013	36 Months From Approved	02/28/2011
Responses	75	0	75
Time Burden (Hours)	225	0	225
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of the collection is to evaluate a patent license applicant's ability to bring an invention to practical application.

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Authorizing Statute(s): PL: Pub.L. 37 - 404 8-14 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 125	06/30/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 214	11/04/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Patent License Application (Private Sector)	AD-761	Patent License Application for Government Invention
Patent License Application (Individuals)	AD-761	Patent License Application for Government Invention

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	75	75	0	0	0	0
Annual Time Burden (Hours)	225	225	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $5,100

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/11/2011

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