G259 P3 Survey Submission Request

G259 P3 Survey Submission Request.docx

Clearance for the Collection of Qualitative Feedback

G259 P3 Survey Submission Request

OMB: 0651-0080

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0651-0080)


Shape1 TITLE OF INFORMATION COLLECTION: G259: Post Prosecution Pilot Program (P3) Survey


PURPOSE: The survey is directed to understanding the experiences of Post-Prosecution Pilot Program (P3) participants. Survey responses will help the USPTO tailor any future iterations of the P3 to better achieve its objectives.


DESCRIPTION OF RESPONDENTS: Patent applicants and practitioners.


TYPE OF COLLECTION: (Check one or multiple)


[ ] Customer Comment Card/Complaint Form [X] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] Focus Group [ ] Other: _________________


CERTIFICATION:


I certify the following to be true:

  1. The collection is voluntary.

  2. The collection is low-burden for respondents and low-cost for the Federal Government.

  3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

  4. The results are not intended to be disseminated to the public.

  5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

  6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.


Business Unit: _________/Raul Tamayo/_ _______________________


To assist review, please provide answers to the following question:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [ ] Yes [X] No

1a. If Yes, is the information that will be collected included in records that are subject to

the Privacy Act of 1974? [ ] Yes [ ] No

  1. If applicable, has a System of Records Notice been published? [ ] Yes [ ] No


Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [X] No









BURDEN HOURS


Category of Respondent

No. of Respondents

Participation Time

Burden

Private sector

1,600

15 mins

(0.25 hours)

400 hours

Totals

1,600


400 hours


The USPTO estimates that 100% of the surveys will be conducted electronically.


FEDERAL COST: The estimated annual cost to the Federal government is $950.


If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:


The selection of your targeted respondents

  1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [ ] Yes [X] No


If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?


There will be an announcement on various USPTO Web pages, including the P3 Web page, alerting visitors to the existence of the survey. Access from the Web pages to the online collection instrument (“Survey Monkey”) will be provided. Individuals visiting the Web pages will see the announcement, self-identify as a P3 participant, and click through to the survey. Depending on survey participation, the USPTO also may choose to identify additional respondents through use of P3 participation data. Specifically, the USPTO may decide to use the correspondence information provided by P3 participants to alert participants to the existence of the survey.


Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[X] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain: live poll software


  1. Will interviewers or facilitators be used? [ ] Yes [X] No


3

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleUpdated Generic Clearance Request Template
Author558022
File Modified0000-00-00
File Created2021-01-22

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