Information Collection Request

Patents for Humanity Program

ICR 202109-0651-004 · OMB 0651-0066 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form PTO SB 431 Petition to Extend the Redemption Period Form New Available
Form PTO SB 431 Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (Federal Government) Form New Repair queued
Form PTO SB 431 Petition to Extend the Redemption Period Form New Available
Form PTO SB 431 Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (State, Local, and Tribal Governments) Form New Repair queued
Form PTO SB 431 Petition to Extend the Redemption Period Form New Repair queued
Form PTO SB 431 Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (Individuals or Households) Form New Repair queued
Form PTO PFH 002 Humanitarian Research Use Application Form New Available
Form PTO PFH 002 Humanitarian Program Application (Humanitarian Research) (Federal Government) Form New Repair queued
Form PTO PFH 002 Humanitarian Research Use Application Form New Available
Form PTO PFH 002 Humanitarian Program Application (Humanitarian Research) (State, Local, and Tribal Governments) Form New Repair queued
Form PTO PFH 002 Humanitarian Research Use Application Form New Available
Form PTO PFH 002 Humanitarian Program Application (Humanitarian Research) (Individuals or Households) Form New Missing upstream
Form PTO PFH 001 Humanitarian Use Application Form New Available
Form PTO PFH 001 Humanitarian Program Application (Humanitarian Use) (Federal Government) Form New Repair queued
Form PTO PFH 001 Humanitarian Use Application Form New Available
Form PTO PFH 001 Humanitarian Program Application (Humanitarian Use) (State, Local, and Tribal Governments) Form New Repair queued
Form PTO PFH 001 Humanitarian Use Application Form New Available
Form PTO PFH 001 Humanitarian Program Application (Humanitarian Use) (Individuals or Households) Form New Repair queued
Form PTO PFH 002 Humanitarian Research Use Application Form Modified Available
Form PTO PFH 002 Humanitarian Program Application (Humanitarian Research) (Private Sector) Form Modified Available
Form PTO SB 431 Petition to Extend the Redemption Period Form Modified Repair queued
Form PTO SB 431 Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (Private Sector) Form Modified Repair queued
Form PTO PFH 001 Humanitarian Use Application Form Modified Available
Form PTO PFH 001 Humanitarian Program Application (Humanitarian Use) (Private Sector) Form Modified Repair queued
Patents for Humanity Program Improvement Act.pdf Supplementary Document Uploaded 2022-02-18 Repair queued
Leahy Smith America Invents Act-pub-l112-29.pdf Supplementary Document Uploaded 2022-02-18 Repair queued
Information Quality Guidelines _ USPTO.html Supplementary Document Uploaded 2022-02-18 Repair queued
0651-0066 Supporting Statement final 2022.docx Supporting Statement A Uploaded 2022-02-18 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
251655 Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (Federal Government) Form NewPetition to Extend the Redemption Period
251655 Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (Federal Government) Form New
251654 Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (State, Local, and Tribal Governments) Form NewPetition to Extend the Redemption Period
251654 Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (State, Local, and Tribal Governments) Form New
251653 Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (Individuals or Households) Form NewPetition to Extend the Redemption Period
251653 Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (Individuals or Households) Form New
251632 Humanitarian Program Application (Humanitarian Research) (Federal Government) Form NewHumanitarian Research Use Application
251632 Humanitarian Program Application (Humanitarian Research) (Federal Government) Form New
251631 Humanitarian Program Application (Humanitarian Research) (State, Local, and Tribal Governments) Form NewHumanitarian Research Use Application
251631 Humanitarian Program Application (Humanitarian Research) (State, Local, and Tribal Governments) Form New
251630 Humanitarian Program Application (Humanitarian Research) (Individuals or Households) Form NewHumanitarian Research Use Application
251630 Humanitarian Program Application (Humanitarian Research) (Individuals or Households) Form New
251629 Humanitarian Program Application (Humanitarian Use) (Federal Government) Form NewHumanitarian Use Application
251629 Humanitarian Program Application (Humanitarian Use) (Federal Government) Form New
251628 Humanitarian Program Application (Humanitarian Use) (State, Local, and Tribal Governments) Form NewHumanitarian Use Application
251628 Humanitarian Program Application (Humanitarian Use) (State, Local, and Tribal Governments) Form New
251627 Humanitarian Program Application (Humanitarian Use) (Individuals or Households) Form NewHumanitarian Use Application
251627 Humanitarian Program Application (Humanitarian Use) (Individuals or Households) Form New
251625 Transfer of Awards Certificate (Individuals or Households) New
251624 Transfer of Awards Certificate (Private Sector) New
217895 Humanitarian Program Application (Humanitarian Research) (Private Sector) Form ModifiedHumanitarian Research Use Application
217895 Humanitarian Program Application (Humanitarian Research) (Private Sector) Form Modified
203220 Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (Private Sector) Form ModifiedPetition to Extend the Redemption Period
203220 Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (Private Sector) Form Modified
197192 Humanitarian Program Application (Humanitarian Use) (Private Sector) Form ModifiedHumanitarian Use Application
197192 Humanitarian Program Application (Humanitarian Use) (Private Sector) Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2025 36 Months From Approved 04/30/2022
115 0 55
428 0 205
0 0 0





Reginfo record details
14
table that charts list of burden
IC Title Form No. Form Name
Humanitarian Program Application (Humanitarian Research) (Federal Government) PTO PFH 002
Humanitarian Program Application (Humanitarian Research) (Individuals or Households) PTO PFH 002
Humanitarian Program Application (Humanitarian Research) (Private Sector) PTO PFH 002
Humanitarian Program Application (Humanitarian Research) (State, Local, and Tribal Governments) PTO PFH 002
Humanitarian Program Application (Humanitarian Use) (Federal Government) PTO PFH 001
Humanitarian Program Application (Humanitarian Use) (Individuals or Households) PTO PFH 001
Humanitarian Program Application (Humanitarian Use) (Private Sector) PTO PFH 001
Humanitarian Program Application (Humanitarian Use) (State, Local, and Tribal Governments) PTO PFH 001
Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (Federal Government) PTO SB 431
Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (Individuals or Households) PTO SB 431
Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (Private Sector) PTO SB 431
Petition to Extend the Redemption Period of the Humanitarian Awards Certificate (State, Local, and Tribal Governments) PTO SB 431
Transfer of Awards Certificate (Individuals or Households)
Transfer of Awards Certificate (Private Sector)

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 115 55 0 4 56 0
Annual Time Burden (Hours) 428 205 0 2 221 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No