Information Collection

Substitute Statement in Lieu of a Declaration of Inventorship for the Purpose of Designating the United States

IC 212232 under ICR 201709-0651-003 · OMB 0651-0075.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0075 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WIPO DM1e Substitute Statement in Lieu of a Declaration of Inventorship for the Purpose of Designating the United States	Form and Instruction
WIPO DM1e Application for International Registration WIPO DM1E.pdf	Form and Instruction

IC Title:

Substitute Statement in Lieu of a Declaration of Inventorship for the Purpose of Designating the United States

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.64

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 and Instruction	WIPO DM1e	Application for International Registration	WIPO DM1E.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	-24	25
Annual IC Time Burden (Hours)	1	-12	13
Annual IC Cost Burden (Dollars)	6	-5,069	5,075

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.