Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Small Groups Background Information Form	Form	New	Repair queued
Small Groups AV Consent Form	Form	New	Repair queued
Focus Groups Background Information Form	Form	New	Repair queued
Focus Groups AV Consent Form	Form	New	Repair queued
Small Groups Background Information Form	Form	New	Repair queued
Small Groups AV Consent Form	Form	New	Repair queued
Small Groups Background Information Form	Form	New	Repair queued
Focus Groups AV Consent Form	Form	New	Repair queued
0651-0080 Supporting Statement Part A 2021 Final.docx	Supporting Statement A	Uploaded 2021-09-28	Repair queued
0651-0080 Supporting Statement Part B 2021 Final.docx	Supporting Statement B	Uploaded 2021-09-27	Repair queued
Fast Track Requests Template and Instruction.docx	Supplementary Document	Uploaded 2021-09-27	Repair queued
USPTO Information Quality Guidelines.pdf	Supplementary Document	Uploaded 2021-09-22	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
269820	G359: IP Identifier Tool Survey 2024 (English/Spanish)	Other-Survey	New
268177	G358: Public Engagement Partnership (PEP) Survey	Other-Survey	New
267783	G357: WE/AIPLA Post-Mentoring Program Survey	Other-Survey	New
267468	G356: LSAC Surveys 2024	Other-Survey	New
267245	G355: EquIP HQ Classroom Play Testing	Other-Play Testing Questions	New
266554	G354: USPTO Alumni Association Recruitment Feedback Survey	Other-Survey	New
266544	IP Community Pendency Survey	Other-Survey	New
266303	G352: Voluntary Survey of U.S. Businesses on Training Priorities Relating to Intellectual Properties and China	Other-Survey	New
265618	G351: Women in IP Symposium Survey	Other-Survey	New
265139	G350: Pre-Application Assessment Pilot Program Survey	Other-Survey	New
263656	G349: IP5 Statistics Report Reader Survey	Other-Survey	New
263341	G348: Join the List Survey 2024	Other-Survey	New
263193	G347: CI2 Concept Testing	Other-Consent Form and Discussion board Questions	New
262626	G346: CI2 Discussion Board	Other-Recruiting and Screening Questions, Consent Form	New
261517	StART Course Survey and Registration Form	Other-survey	New
261086	G345: WE/IPO Post-Mentoring Program Survey	Other-Survey	New
260462	G344: TC2600 Customer Partnership Meeting Survey	Other-Survey	New
260273	G343: PAT - TM Boot Camp Surveys and Registration Form (Spanish Translation)	Other-Registration Form	New
259145	G342: PTRCP Surveys	Other-Surveys	New
257528	G341 Join the List Survey	Other-Survey	New
256429	G340: GIPA Domestic Surveys (Federal Government)	Other-Survey	New
256252	G340: GIPA Domestic Survey (Individuals & Households)	Other-Survey	New
255999	G340: GIPA Domestic Survey (Private Sector)	Other-Survey	New
255222	G339: PAT - TM Boot Camp Surveys	Other-Registration Survey	New
254743	G337: Invention-Con Survey 2022	Other-Survey	New
254720	G338: IP Identifier Tool Survey	Other-Survey	New
254445	G336: Inventor Pilot Survey	Other-Survey	New
254306	G335: Diversity & Inclusion Survey	Other-Survey	New
253720	G334: Customer Ambassador Pilot Survey	Other-Survey	New
252350	G333: StART 30-Day and 90-Day Surveys	Other-Survey	New
251652	G332: StART Registration and Survey	Other-Registration	New
251196	G328: NMTI Nomination Feedback - Individuals or Households	Other-Survey	New
251064	G328: NMTI Nomination Feedback - Private Sector	Other-Survey	New
250590	G327: Vendor Portal Survey	Other-Survey	New
250564	G330: USPTO Outreach Surveys (Medium and Long) - Individuals or Households	Other-Survey	New
250563	G330: USPTO Outreach Surveys (Medium and Long) - Private Sector	Other-Survey	New
250383	G329: UXD Bundle - Individuals or Households	Form	New	Small Groups Background Information Form
250383	G329: UXD Bundle - Individuals or Households	Form	New	Small Groups AV Consent Form
250383	G329: UXD Bundle - Individuals or Households	Form	New	Focus Groups Background Information Form
250383	G329: UXD Bundle - Individuals or Households	Form	New	Focus Groups AV Consent Form
250383	G329: UXD Bundle - Individuals or Households	Instruction	New
250377	G329 UXD Bundle - Private Sector	Form	New	Small Groups Background Information Form
250377	G329 UXD Bundle - Private Sector	Form	New	Small Groups AV Consent Form
250377	G329 UXD Bundle - Private Sector	Form	New	Small Groups Background Information Form
250377	G329 UXD Bundle - Private Sector	Form	New	Focus Groups AV Consent Form
250377	G329 UXD Bundle - Private Sector	Instruction	New
249555	G326: USPTO Events Feedback Survey - Individuals or Households	Other-Survey	New
249554	G326: USPTO Events Feedback Survey - Private Sector	Other-Survey	New
249530	G324: Small Business Success Stories	Other-Questionnaire	New
249405	G323: Regional Office Visitor Survey	Other-Survey	New
249116	G322: DOCX Training Survey - Individuals or Households	Other-Email Language	New
249115	G322: DOCX Training Survey - Private Sector	Other-Email Language	New
249093	G321: IP Attache Survey 2021	Other-Email Language	New
249091	G325: STEPP Bundle - Individuals or Households	Other-Email Language	New
249089	G325: STEPP Bundle - Private Sector	Other-Email	New
249043	G319: vILT Bundle - Individuals or Households	Other-Interest Request	New
249042	G319: vILT Bundle - Private Sector	Other-Interest Request	New

ICR Details

OMB Control No: 0651-0080	ICR Reference No: 202106-0651-004
Status: Historical Active	Previous ICR Reference No: 201808-0651-001
Agency/Subagency: DOC/PTO	Agency Tracking No:
Title: Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
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: 11/17/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/28/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2024	36 Months From Approved	11/30/2021
Responses	100,000	0	127,700
Time Burden (Hours)	16,667	0	14,425
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 and stakeholders. Responses will be assessed to identify service areas in need of improvement. If this information is not collected, the Agency will miss opportunities to obtain vital feedback from its customers and stakeholders on ways to improve its programs 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:
	86 FR 21305	04/22/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 53287	09/27/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 49

table that charts list of burden

IC Title	Form No.	Form Name
G319: vILT Bundle - Individuals or Households
G319: vILT Bundle - Private Sector
G321: IP Attache Survey 2021
G322: DOCX Training Survey - Individuals or Households
G322: DOCX Training Survey - Private Sector
G323: Regional Office Visitor Survey
G324: Small Business Success Stories
G325: STEPP Bundle - Individuals or Households
G325: STEPP Bundle - Private Sector
G326: USPTO Events Feedback Survey - Individuals or Households
G326: USPTO Events Feedback Survey - Private Sector
G327: Vendor Portal Survey
G328: NMTI Nomination Feedback - Individuals or Households
G328: NMTI Nomination Feedback - Private Sector
G329 UXD Bundle - Private Sector	N/A, N/A, N/A, N/A	Focus Groups AV Consent Form ,   Small Groups Background Information Form ,   Small Groups AV Consent Form ,   Small Groups Background Information Form
G329: UXD Bundle - Individuals or Households	N/A, N/A, N/A, N/A	Focus Groups AV Consent Form ,   Focus Groups Background Information Form ,   Small Groups AV Consent Form ,   Small Groups Background Information Form
G330: USPTO Outreach Surveys (Medium and Long) - Individuals or Households
G330: USPTO Outreach Surveys (Medium and Long) - Private Sector
G332: StART Registration and Survey
G333: StART 30-Day and 90-Day Surveys
G334: Customer Ambassador Pilot Survey
G335: Diversity & Inclusion Survey
G336: Inventor Pilot Survey
G337: Invention-Con Survey 2022
G338: IP Identifier Tool Survey
G339: PAT - TM Boot Camp Surveys
G340: GIPA Domestic Survey (Individuals & Households)
G340: GIPA Domestic Survey (Private Sector)
G340: GIPA Domestic Surveys (Federal Government)
G341 Join the List Survey
G342: PTRCP Surveys
G343: PAT - TM Boot Camp Surveys and Registration Form (Spanish Translation)
G344: TC2600 Customer Partnership Meeting Survey
G345: WE/IPO Post-Mentoring Program Survey
G346: CI2 Discussion Board
G347: CI2 Concept Testing
G348: Join the List Survey 2024
G349: IP5 Statistics Report Reader Survey
G350: Pre-Application Assessment Pilot Program Survey
G351: Women in IP Symposium Survey
G352: Voluntary Survey of U.S. Businesses on Training Priorities Relating to Intellectual Properties and China
G354: USPTO Alumni Association Recruitment Feedback Survey
G355: EquIP HQ Classroom Play Testing
G356: LSAC Surveys 2024
G357: WE/AIPLA Post-Mentoring Program Survey
G358: Public Engagement Partnership (PEP) Survey
G359: IP Identifier Tool Survey 2024 (English/Spanish)
IP Community Pendency Survey
StART Course Survey and Registration Form

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ICR Summary of Burden

table that charts list 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	100,000	127,700	0	0	-27,700	0
Annual Time Burden (Hours)	16,667	14,425	0	0	2,242	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: The total responses for this information collection have decreased by 27,700 (from 127,700 to 100,000) from the previous approval, due to recent estimates gathered from the number of Fast Tracks approved over the past 3 years. The estimated total time burden for this information collection has increased by 2,242 (from 14,425 to 16,667). This increase is due to the estimated fluctuations in the collection methods used by Agency programs to receive public feedback. The overall average estimated time per response has also slightly increased.

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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? No

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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: 09/28/2021

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