Humanitarian Award Use Critera

 
OMB 0651-00xx Approved for use through (date)
U.S. Patent and Trademark Office; U. S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number.

Humanitarian Award Application
Use Criteria Form
Application Category (select one): ____ Medical
____ Clean Technology

____ Food & Nutrition
____ Information Technology

Evaluation Criteria (select one): __X__ Humanitarian Use

____ Humanitarian Research

Instructions: In a separate document of no more than five pages, please address the following criteria for Humanitarian Use. If your
application covers Humanitarian Research, please use the Research form instead.
Humanitarian Use
1.

Subject Matter – the applicants’ technology that is claimed in a U.S. utility patent in force at the time or a pending U.S. utility
patent application effectively addresses a recognized humanitarian issue;
a. What technologies does this application concern? Each technology must be claimed in one or more U.S. utility patents or
pending U.S. utility patent applications to be eligible for this program. Please provide all patent or application numbers as well as
a description of each technology.
b. What recognized humanitarian issues are these technologies (or products derived from these technologies) being used to
address?
c. How do these technologies (or products) effectively address these issues? What other remedies for these issues are currently
available, and how does this technology (or products) compare to them?
d. Were all of the patents and patent applications in part (a) either in force or pending during the time of the applicants’ actions
described in this application? Yes or no is sufficient.

2.

Target Population – the actions described in this application target an impoverished population affected by the humanitarian
issue; and
a. Which populations are your actions described in this application targeting?
b. How do these populations qualify as impoverished?
c. How are these populations affected by the humanitarian issues described in part (i)?

3.

Demonstrated Impact – the applicants’ actions have significantly increased application of the technology that benefits the
impoverished population by addressing the humanitarian issue.
a. How are the technologies (or products) described in part 1 used by the impoverished populations in part 2(a) to address the
humanitarian issues from part 2(c)?
b. What actions have the applicants taken to increase use of the technologies (or products) described in part 3(a) above? Please
explain what actions the applicants named on this application have taken themselves, and how those actions (either directly or
through further action by other parties) have led to increased use.

Supplemental: In a separate file from your core application, please provide any additional information you would like the judges to
consider. These may include sales figures, market reports, statements by third parties on demonstrated use or efficacy of your
technologies (or products), or any other information you wish to provide.
It is estimated that the Humanitarian Award Application will take 4 hours to complete. Applying for the Award is required to obtain or retain benefits. Please send any comments on the amount of time required to complete
this form and/or suggestions for reducing the time burden to the Chief Information Officer, USPTO, PO Box 1450, Alexandria, VA 22313-1450. DO NOT SEND APPLICATIONS TO THIS ADDRESS