Information Collection

Summer Teach Institute Application

IC 211963 under ICR 201406-0651-003 · OMB 0651-0077.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0077 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NSTI001 Summer Teach Institute Application	Form
NSTI001 Summer Teacher Institute Application Summer Teacher Institute Application form NSTI001.docx www.uspto.gov/kids/teachers.html	Form

IC Title:

Summer Teach Institute Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NSTI001	Summer Teacher Institute Application	Summer Teacher Institute Application form NSTI001.docx	http://www.uspto.gov/kids/teachers.html	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title: Dissemination Events and Registrations

FR Citation: 71 FR 77739

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	6,903	6,903

Documents for IC

table that charts IC Documents
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.