National Summer Teacher Institute

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form PTO/MTIP/001 Master Teacher Invention Program Application	Form	New	Repair queued
Form NSTI 001 Summer Teacher Institute Application	Form	Modified	Repair queued
0651-0077 CWS 2022_9-7-22.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-09-07	Repair queued
0651-0077 Supporting Statement Part B final 2021.docx	Supporting Statement B	Uploaded 2021-05-18	Repair queued
Information Quality Guidelines _ USPTO.pdf	Supplementary Document	Uploaded 2021-05-18	Repair queued
Leahy Smith America Invents Act-pub-l112-29.pdf	Supplementary Document	Uploaded 2021-05-18	Repair queued
0651-0077 Supporting Statement Part A final_2021.docx	Supporting Statement A	Uploaded 2021-05-18	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
255758	Master Teacher Invention Program Webinar Survey	Other-Webinar Survey	New
255757	Master Teacher Invention Program Participant Survey	Other-Survey	New
255756	Master Teacher Invention Program Application	Form	New
214262	Summer Teacher Institute Webinar Survey	Other-Webinar Survey	Modified
214261	Summer Teacher Institute Participant Survey	Other-Survey	Modified
211963	Summer Teacher Institute Application	Form	Modified

ICR Details

OMB Control No: 0651-0077	ICR Reference No: 202209-0651-002
Status: Received in OIRA	Previous ICR Reference No: 202104-0651-004
Agency/Subagency: DOC/PTO	Agency Tracking No:
Title: National Summer Teacher Institute
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/07/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	08/31/2024	08/31/2024
Responses	27,400	13,700
Time Burden (Hours)	5,998	2,999
Cost Burden (Dollars)	0	0

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Abstract: This program receives information from applicants, who request to participate in the program and certify that they are educators with at least 3 years' experience and who 1) have taught in STEM related fields last year; 2) plan to teach in a STEM related field this upcoming year; and 3) are acknowledging their commitment to incorporate the learnings from the USPTO sponsored programs into their curriculum, where applicable, and cooperate with sharing lessons/outcomes with teachers and PTO.

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Authorizing Statute(s): PL: Pub.L. 112 - 39 2 Name of Law: Leahy Smith America Invents Act
  

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 13529	03/09/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 27428	05/20/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Master Teacher Invention Program Application	PTO/MTIP/001	MTIP Application
Master Teacher Invention Program Participant Survey
Master Teacher Invention Program Webinar Survey
Summer Teacher Institute Application	NSTI 001	National Summer Teacher Institute Application
Summer Teacher Institute Participant Survey
Summer Teacher Institute Webinar Survey

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ICR Summary of Burden

table that charts list of burden

	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	27,400	13,700	0	0	13,700	0
Annual Time Burden (Hours)	5,998	2,999	0	0	2,999	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:

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Annual Cost to Federal Government: $2,830

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: 09/07/2022

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