National Medal of Technology and Innovation Nomination Application

ICR 202103-0651-002

OMB: 0651-0060

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2021-03-25
Supplementary Document
2021-03-25
Supplementary Document
2021-03-25
IC Document Collections
ICR Details
0651-0060 202103-0651-002
Received in OIRA 201901-0651-001
DOC/PTO
National Medal of Technology and Innovation Nomination Application
Revision of a currently approved collection   No
Regular 04/06/2021
  Requested Previously Approved
36 Months From Approved 06/30/2021
50 50
2,000 2,000
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.

PL: Pub.L. 96 - 480 1 Name of Law: Stevenson Wydler Technology Innovation Act of 1980
  
None

Not associated with rulemaking

  86 FR 4006 01/15/2021
86 FR 16702 03/31/2021
No

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

  Total Request 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

$25,191
No
    Yes
    Yes
No
No
No
No
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.
04/06/2021


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