Clearance for the Collection of Qualitative Feedback

Forms and Documents

Document Name	Status
Form G302 DOCX Patents Center Survey Form	New
G294: STEPP Course Evaluation Form	New
Form G292-1 G292: NextGen Initiatives 2018 Usability Testing Form	New
0651-0080 Supporting Statement Part B August 2018.doc Supporting Statement B	2018-08-15
0651-0080 Supporting Statement Part A August 2018 Updated.doc Supporting Statement A	2018-08-17
0651-0080 CWS May 2017.docx Justification for No Material/Nonsubstantive Change	2017-05-19
Fast Track Requests Info and Form.docx Supplementary Document	2015-06-25
0651-USPTO-InfoQuality-Guidelines-01_07_2013.pdf Supplementary Document	2015-06-25

IC Document Collections

IC ID	Document Title	Status
242894	Invention Con 2020 Other-Survey	New
242015	Trademarks Post-Presentation Survey Other-Survey	New
241027	Vendor Portal Customer Feedback Survey Other-email invite	New
239293	UXD - Focus Groups 2020 Other-Consent Form	New
238608	Pro Se Education and Customer Service Other-Survey	New
238051	IP Attache Program Other-Survey	New
237818	Copy Center User Experience survey Other-Survey	New
237689	Invention Con Surveys Other-survey	New
236538	DOCX Patents Center Survey Form	New
236048	OID Outreach Survey Other-Survey	New
235625	Application Prosecution Survey Other-Survey	New
235439	Patent Center Alpha Survey Other-Survey	New
235085	USPTO General Recruiting Event Satisfaction Survey Other-Survey	New
234684	Updated USPTO Website Surveys Other-Survey	New
234407	Business Partnership Methods Survey 2019 Other-Survey	New
234092	Regional Office Visitor Survey Other-Survey	New
233466	Veteran Hiring Fair 2018 Survey Other-Survey	New
233052	Trademark Assistance Center Feedback Other-Survey	New
232713	G294: STEPP Course Evaluation Form	New
232712	G292: NextGen Initiatives 2018 Usability Testing Form	New
232711	G291: NextGen Initiatives 2018 Small Discussion Instruction	New
232710	G290: NextGen Initiatives 2018 Focus Group Instruction	New

ICR Details

OMB Control No: 0651-0080	ICR Reference No: 201808-0651-001
Status: Active	Previous ICR Reference No: 201705-0651-002
Agency/Subagency: DOC/PTO	Agency Tracking No:
Title: Clearance for the Collection of Qualitative Feedback
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: 09/17/2018
	Date Received in OIRA: 08/15/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	36 Months From Approved	09/30/2018
Responses	127,700	0	87,200
Time Burden (Hours)	14,425	0	19,980
Cost Burden (Dollars)	0	0	0

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Abstract: Improving Agency programs requires ongoing assessment. The Agency will collect, analyze, and interpret information gathered to identify strengths and weaknesses of current services. Based on feedback received, the Agency will identify operational changes needed to improve programs and services. The solicitation of feedback will target areas such as: timeliness, appropriateness, accuracy of information, courtesy, efficiency of service delivery, and resolution of issues with service delivery. The Agency is committed to hearing feedback from its customers. Responses will be assessed to identify service areas in need of improvement. If this information is not collected, then the Agency will miss opportunities to obtain vital feedback from their customers and stakeholders on ways to improve their program and services.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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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:
	83 FR 23428	05/21/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 40502	08/15/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 22

IC Title	Form No.	Form Name
Trademark Assistance Center Feedback
G292: NextGen Initiatives 2018 Usability Testing	G292-1, G292-3, G292-4, G292-2	Facilitator Guide ,   Participant Feedback ,   Participant Scenario Worksheet ,   System Usability Scale
USPTO General Recruiting Event Satisfaction Survey
OID Outreach Survey
DOCX Patents Center Survey	G302	DOCX Survey
Copy Center User Experience survey
Updated USPTO Website Surveys
G291: NextGen Initiatives 2018 Small Discussion
Business Partnership Methods Survey 2019
Patent Center Alpha Survey
Pro Se Education and Customer Service
Vendor Portal Customer Feedback Survey
Veteran Hiring Fair 2018 Survey
Regional Office Visitor Survey
G294: STEPP Course Evaluation	N/A	STEPP Evaluation Form
Invention Con 2020
IP Attache Program
G290: NextGen Initiatives 2018 Focus Group
Invention Con Surveys
UXD - Focus Groups 2020
Trademarks Post-Presentation Survey
Application Prosecution Survey

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ICR Summary 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	127,700	87,200	0	0	40,500	0
Annual Time Burden (Hours)	14,425	19,980	0	0	-5,555	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 08/15/2018

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