Patent Examiner Employment Application

Eligibility Questions
Approved for use through XX/XX/XXXX. OMB 0651-0042
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
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DEPARTMENT OF COMMERCE

OMB Approval Language
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an
information collection subject to the requirements of the Paperwork Reduction Act of 1995, unless the information collection has a currently valid OMB Control
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burden to the Chief Administrative Officer, United States Patent and Trademark Office, P.O. Box 1450, Alexandria, VA 22313-1450 or email
[email protected].

Eligibility Questions
*

1

Are you a current Federal civilian employee?

Yes
*

1.1

If you are a Federal civilian employee, under what type of appointment are
you currently serving?
Career-conditional, competitive service
Permanent-Career, competitive service
Pathways Internship Program
Pathways Recent Graduate Program
Pathways Presidential Management Fellows Program
Temporary (Time-Limited Appointment - not to exceed 1 year)
Term (Time-Limited Appointment - more than one year, not more than 4
years)
Veterans Recruitment Authority (VRA)
Schedule A (Disabilities)
Excepted Service
Other

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Note: If you are unsure of your appointment type, refer to your most recent Notification of Personnel
Action (SF-50), ask your servicing human resources office, or contact the human resources
representative listed in the vacancy announcement.
Click on the following appointment types for additional information:
Permanent, career, competitive service
Veterans Recruitment Authority (VRA)
Excepted Service
Temporary
Term

No

*

*

2

If you answered "other" to Question 1.1, please enter your current appointment type. Enter "not

3

If you are a current Federal civilian employee, by what agency/office or Department of

applicable" if this does not apply to you. (Maximum length of 100 characters.)

Commerce bureau are you employed?

I am not a current Federal civilian employee
Department of Commerce, Bureau of Economic Analysis (BEA)
Department of Commerce, Bureau of Industry and Security (BIS)
Department of Commerce, Bureau of the Census (CENSUS)
Department of Commerce, Economic Development Administration (EDA)
Department of Commerce, Economic and Statistics Administration (ESA)
Department of Commerce, International Trade Administration (ITA)
Department of Commerce, Minority Business Development Agency (MBDA)
Department of Commerce, National Institute of Standards and Technology (NIST)
Department of Commerce, National Oceanic and Atmospheric Administration (NOAA)

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Department of Commerce, National Telecommunications and Information Administration
(NTIA)
Department of Commerce, National Technical Information Service (NTIS)
Department of Commerce, Office of the Secretary (OS)
Department of Commerce, U.S. Patent and Trademark Office (USPTO)
Department of Commerce, Office of the Inspector General (OIG)
Other

*

4

If you answered "Other" to Question 3, please enter the agency and organization. Enter 'Not
Applicable' if this does not apply to you. (Maximum length of 100 characters.)

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*

5

conditional Federal civilian employee, are you eligible for reinstatement based on prior Federal
service?

Yes
No

*

6

If you answered yes to Question 5, please indicate the beginning and ending dates of your prior
Federal civilian employment. If you are not, nor have ever been, a Federal civilian employee,
please enter NA. Note: Use the format From MM-YYYY to MM-YYYY. (Maximum length of 100
characters.)

*

7

Are you a preference eligible OR a veteran who was separated from the armed forces under
honorable conditions after completing 3 or more years of continuous service (may have been
released shortly before completing a 3-year tour)?

Yes
No

*

8

Are you eligible for a noncompetitive appointment under a Special Appointing Authority? For
more information and examples of Special Appointing Authorities, please see below.

Yes
No

*

9

If you answered yes to Question 8 above, please identify the Special Appointing Authority. If
you answered no to Question 8, please select Not Applicable.

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Veterans' Recruitment Appointment and Disabled Veterans
Persons with disabilities
Pathways Program
Peace Corps or Former overseas employee
Other
*

9.1

Indicate the Appointing Authority if not listed above
(Maximum length of 100
characters.)

Not Applicable

*

10

Are you eligible for appointment under an Interchange agreement or other similar authority?
For more information on interchange agreements and similar authorities, click here.

Yes
No

*

11

If you are eligible for appointment under an Interchange agreement or similar authority, please
identify the organization in which you work(ed). Enter 'Not Applicable' if this does not apply to
you. (Maximum length of 50 characters.)

*

12

If you are, or ever were, a Federal civilian employee, please indicate the pay plan of the highest
grade level or pay band you held on a permanent basis. Enter 'Not Applicable' if this does not
apply to you. (Maximum length of 15 characters.)

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*

13

If you are, or ever were, a Federal civilian employee, please indicate the highest grade level (or
equivalent) you held on a permanent basis that corresponds to the pay plan you identified in
question #12.

GS-01
GS-02
GS-03
GS-04
GS-05
GS-06
GS-07
GS-08
GS-09
GS-10
GS-11
GS-12
GS-13
GS-14
GS-15
ES-00
WG
*

13.1

What is your grade level? Enter 'Not Applicable' if this does not apply to you.

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(Maximum length of 15 characters.)

WM
Not Applicable

*

14

If you are, or ever were, a Federal civilian employee, please indicate the beginning and ending
dates of the highest grade level (or equivalent) that you identified in Question 13. Enter 'Not
Applicable' if this does not apply to you. (Maximum length of 25 characters.)

*

15

If you are, or ever were, a Federal civilian career or career-conditional employee in the
competitive service, what is the highest full performance level (promotion potential) of the
position you held on a permanent basis?

GS-01
GS-02
GS-03
GS-04
GS-05
GS-06
GS-07
GS-08
GS-09
GS-10
GS-11

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GS-12
GS-13
GS-14
GS-15
ES-00
WG
*

15.1

What is your grade level? Enter 'Not Applicable' if this does not apply to you.
(Maximum length of 15 characters.)

WM
Not Applicable

*

16

Does the Department of Commerce employ any member of your family?

Yes
No

*

17

Surplus/Displaced employee information:

I am not a displaced employee from a Federal Agency.
I am an employee of the Department of Commerce who has been declared surplus or
displaced AND I am requesting special selection priority under the Department of
Commerce Career Transition Assistance Plan (CTAP).
I am a displaced employee from another Federal agency and eligible for selection

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preference based on the Interagency Career Transition Assistance Plan (ICTAP).

*

18

If you are a male at least 18 years of age, born after December 31, 1959, have you registered
with the Selective Service system?

Yes
No
No, but I have an approved exemption
Not applicable

*

19

Are you a retiree receiving a Federal annuity?

Yes
No

*

20

Have you accepted a Voluntary Separation Incentive Payment (VSIP/"buyout") from a Federal
agency within the past 5 years?

Yes
No
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