International Design Applications (Hague Agreement)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form PTO 1595 Assignment Cover Sheet	Form and Instruction	Modified	Available
Form WIPO DM1e Substitute Statement in Lieu of a Declaration of Inventorship for the Purpose of Designating the United States	Form and Instruction	Modified	Available
Form WIPO DM1e Declaration on Inventorship for Purposes of designation of the United States	Form and Instruction	Modified	Available
Form PTOL-Part B Transmittal of Issue Fee to USPTO for an International Design Application	Form and Instruction	Modified	Repair queued
Form Application for In Application for International Registration	Form and Instruction	Modified	Available
0651-0075 Supporting Statement September 2017_FINAL.docx	Supporting Statement A	Uploaded 2017-09-28	Available
USPTO Information Quality Guidelines.pdf	Supplementary Document	Uploaded 2017-09-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
212233	Assignment Cover Sheet	Form and Instruction	Modified
212232	Substitute Statement in Lieu of a Declaration of Inventorship for the Purpose of Designating the United States	Form and Instruction	Modified
212231	Declaration on Inventorship for Purposes of designation of the United States	Form and Instruction	Modified
212230	Transmittal of Issue Fee to USPTO for an International Design Application	Form and Instruction	Modified
207321	Petitions to the Commissioner		Modified
207320	Fee Authorization		Modified
207314	Petition to Review a Filing Date		Modified
207313	Petition to Convert to a Design Application under 35 U.S.C. 16		Modified
207311	Petition to Excuse a Failure to Comply with a Time Limit		Modified
207310	Appointment of a Representative		Modified
207309	Transmittal Letter		Modified
207308	Claim and Reproductions (Drawings)		Modified
207303	Application for International Registration	Form and Instruction	Modified

ICR Details

OMB Control No: 0651-0075	ICR Reference No: 201709-0651-003
Status: Historical Active	Previous ICR Reference No: 201406-0651-002
Agency/Subagency: DOC/PTO	Agency Tracking No:
Title: International Design Applications (Hague Agreement)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/07/2017
	Date Received in OIRA: 09/29/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	36 Months From Approved	11/30/2017
Responses	556	0	4,835
Time Burden (Hours)	1,900	0	13,078
Cost Burden (Dollars)	423,845	0	7,727,940

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Abstract: The Patent Law Treaties Implementation Act of 2012 (PLTIA) amends the patent laws to implement the provisions of the Geneva Act of the Hague Agreement Concerning International Registration of Industrial Designs in title 1, and the Patent Law Treaty (PLT) in title II. The Hague Agreement facilitates intellectual property protection for industrial designs by inventors in every member country and intergovernmental organizations that are Contracting Parties to the Hague Agreement through a single standardized application filed directly with the International Bureau (IB) of the World Intellectual Property Organization (WIPO) or indirectly through an appropriate Contracting Party's Office, such as the United States Patent and Trademark Office (USPTO). It is administered by the IB of WIPO located in Geneva, Switzerland. The information requested in this collection is necessary for respondents to file an international design application and for the USPTO to process international design applications and related correspondence under the Hague Agreement. The IB also uses this information to administer international design applications as required by the Hague Agreement.

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Authorizing Statute(s): US Code: 35 USC 2(b)(2) Name of Law: null
  

Citations for New Statutory Requirements: US Code: 35 USC 2(b)(2) Name of Law: null

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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:
	82 FR 29848	06/30/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 42661	09/11/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 13

table that charts list of burden

IC Title	Form No.	Form Name
Transmittal of Issue Fee to USPTO for an International Design Application	PTOL-Part B	Fees Transmittal
Declaration on Inventorship for Purposes of designation of the United States	WIPO DM1e	Application for International Registration
Substitute Statement in Lieu of a Declaration of Inventorship for the Purpose of Designating the United States	WIPO DM1e	Application for International Registration
Petition to Review a Filing Date
Application for International Registration	Application for International Registration	WIPO DM/1e
Transmittal Letter
Claim and Reproductions (Drawings)
Petition to Excuse a Failure to Comply with a Time Limit
Petition to Convert to a Design Application under 35 U.S.C. 16
Fee Authorization
Petitions to the Commissioner
Appointment of a Representative
Assignment Cover Sheet	PTO 1595	Recordation Form Cover Sheet

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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	556	4,835	0	0	-4,279	0
Annual Time Burden (Hours)	1,900	13,078	0	0	-11,178	0
Annual Cost Burden (Dollars)	423,845	7,727,940	0	0	-7,304,095	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: $7,834

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 09/29/2017

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