National Medal of Technology and Innovation Nomination Application

ICR 201901-0651-001

OMB: 0651-0060

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2019-01-09
Justification for No Material/Nonsubstantive Change
2019-01-09
Supporting Statement A
2018-04-27
Supplementary Document
2012-02-23
IC Document Collections
ICR Details
0651-0060 201901-0651-001
Active 201804-0651-004
DOC/PTO
National Medal of Technology and Innovation Nomination Application
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/28/2019
Retrieve Notice of Action (NOA) 01/22/2019
  Inventory as of this Action Requested Previously Approved
06/30/2021 06/30/2021 06/30/2021
50 0 50
2,000 0 2,000
0 0 0

The public uses the National Medal of Technology and Innovation Nomination Application to recognize through nomination an individual's or company's extraordinary leadership and innovation in technological achievement. The application must be accompanied by at least six letters of recommendation or support from individuals who have first-hand knowledge of the cited achievement(s). The National Medal of Technology and Innovation Laureates are announced by the White House and the Department of Commerce once the Medallists are notified of their selection.

US Code: 15 USC 3711 Name of Law: null
  
None

Not associated with rulemaking

  83 FR 6534 02/14/2018
83 FR 18537 04/27/2018
Yes

1
IC Title Form No. Form Name
National Medal of Technology and Innovation Nomination Form N/A National Medal of Technology and Innovation 2019 Nomination Form

  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 50 50 0 0 0 0
Annual Time Burden (Hours) 2,000 2,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$22,556
No
    Yes
    Yes
No
No
No
Uncollected
John Palafoutas 571 272-8400

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
01/22/2019


© 2021 OMB.report | Privacy Policy